Focus Of Education Research Articles

Convergence between emerging technologies and active methodologies in the university

In today's educational environment, the convergence of emerging technologies and active methodologies has become a fundamental driver of change in university education. Emerging technologies, such as artificial intelligence, virtual reality, machine learning, and data analytics, are redefining the dynamics of higher education. Active methodologies, such as problem-based learning, collaborative learning, and flipped learning, center the pedagogical focus on the student, encouraging active participation and problem-solving. The combination of emerging technologies and active methodologies creates a powerful synergy, enabling the effective implementation of personalized and immersive learning experiences. This convergence not only enhances learning, but also prepares students to be autonomous learners, critical thinkers, and 21st century problem solvers.

TRA_Professional trans-linguistic discernment in early childhood language education:

How to sensibly educate young children in and through the language(s) they live by? In an era of increasing linguistic variation and change, this burning question keeps emerging in educational practices of the early years and is addressed in this paper, mapping a professional trans-linguistic discernment. Linguistic variation is a long time a fact, rapidly increasing in all parts of the Swedish society, including early years’ education. Yet, monolingual traditions of linguistic preservation are persisting. The Swedish language legislation aims at safeguarding both the Swedish language and Sweden’s linguistic plurality, ambitions reflected in the preschool curriculum. Aspirations to support children’s development of all their languages are internationally acknowledged as progressive, but the language issue as entangled in early childhood practice is multifaceted. The study is inspired by posthumanist applied linguistics and by contemporary philosopher Jonna Bornemark’s discussion of a professional discernment as a compound competence built in interaction with both experiences and theoretical knowledge, but also feelings and the human senses. These bodily dimensions of discernment make the concept particularly interesting to explore in relation to professions working with young children, where the close relationship between lexical language(s) and other bodily expressions is often made particularly prominent and where the teacher body may be considered a both caring and teaching ‘tool’. RQ1. What challenges and queries emerge at the intersection of practicing curricular linguistic assignments and meeting the linguistic and other diversities of concrete educational practices in early childhood? RQ2. What characterizes a professional discernment in relation to such challenges and queries? Data are produced through focus group interviews with early childhood educators and analyzed through a post-qualitative methodological approach. The results indicate that professionals struggle with how to support the development of languages that they do not themselves speak, and that the support of other mother tongues than Swedish sometimes seems to need to be done at the expense of the Swedish language. Additionally, children’s preference of English, not as a mother tongue, but as a "lingua franca" is pointed out as an emerging phenomenon in groups of children who do not share a common language and where Swedish speakers are a minority. Despite the wide use and special position of English in Sweden, it is still considered a foreign language and not specified in the linguistic assignments of the preschool curriculum. Professionals of early childhood language education are urged to think and act situationally and judiciously, in relation to local practices and different layers of linguistic and other needs, rather than to what may previously be defined and demanded at a generalized level. This, what may be labeled a professional trans-linguistic discernment, differs from recent years’ focus in education on standards and accountability, with an emerging instrumental understanding of teachers who implement and ensure routines, i.e., for language teaching in the early years. It is discussed what encouraging a professional, trans-linguistic discernment may practically, theoretically, and politically require. Keywords: professional discernment, translanguaging/translinguistic, linguistic variation/change, posthumanist applied linguistics, post-qualitative methodologies

Why We Have Special Education Law: Legal Challenges to the IDEA

ABSTRACT In 1974, the Education for all Handicapped Protection Act was signed into law by President Gerald Ford. This law which was renamed the Individuals with Disabilities Education Act (IDEA) in 1990, established a federal entitlement to special education for eligible students with disabilities. In 1982 and again in 2017, the U.S. Supreme Court clarified the primary purpose of the law, that is the obligation of public schools to provide eligible students with a free appropriate public education. In this article we (a) examine the legal underpinnings of special education in the IDEA, (b) analyze legal challenges to IDEA, focusing on the U.S. Supreme Court’s efforts to define the IDEA-mandated free appropriate public education (c) focus on the limits of the law to require scientific solutions for improving special education and (d) offer potential solutions to these challenges in the law and in the federal government’s efforts to improve special education.

Eksplorasi Strategi Inovatif Pembelajaran Biologi di Abad 21

Biology education in the 21st century faces challenges and opportunities that have never been imagined before along with advances in technology and changes in learning dynamics. The digital era demands the exploration of innovative strategies so that students not only understand biological concepts theoretically, but are also able to apply them in real-world contexts. This article explores several innovative strategies, such as Project Based Learning, Problem Based Learning, Cooperative Learning, Discovery Learning, and Inquiry Learning, which are considered the cornerstones of biology education in the 21st century. The importance of developing student skills, including critical thinking, creativity, and collaboration, is a major focus in innovative biology education. Globalization, digital technology and international cooperation influence learning dynamics, providing unlimited access to biological knowledge from around the world. The research method uses a literature study approach and qualitative methods to explore innovative strategies in biology learning in the 21st century. The results of this research provide in-depth insight into various learning models, such as Project Based Learning, Problem Based Learning, Cooperative Learning, Discovery Learning, and Inquiry Learning, as well as identifying challenges and opportunities in implementing this innovative strategy. This means that innovative biology education in the 21st century requires a holistic approach that integrates knowledge, skills and real-world context to prepare students to face the complexity of global challenges.

Investigating Facilitators and Barriers for Active Breaks among Secondary School Students: Formative Evaluation of Teachers and Students.

Physical activity in the form of "active breaks" can be combined with academic instruction in primary school. However, few studies have examined the feasibility of conducting active breaks in secondary school. To address this gap, we conducted focus groups (FGs) regarding the implementation of an active breaks (ABs) protocol with 20 teachers and 10 secondary school students. Barriers/facilitators toward the implementation of ABs were classified using grounded theory inductive methods framed by the socio-ecological model. Individual-level factors were instrumental for both teachers and students. Teachers highlighted personal fears and concerns regarding using ABs, while students reported fears related to peer behaviour during the activity. Both teachers and students agreed that ABs can improve cognitive skills and time-on-task behaviour. Teachers articulated concerns related to student behaviour during ABs including possible social exclusion and injury. Students felt that ABs might affect classroom management and interfere with maintaining students' academic focus. Teachers underscored that ABs required social support from the administration and colleagues. Students felt that ABs could support teachers' instructional focus and provide them with an energy respite. Collectively, the FGs suggested that environmental limitations could hinder the implementation of ABs. Involving teacher and student feedback during the codesign phase can rationally inform the design of school-based ABs.

Implementing Public Health Modules as an Approach to Improve Knowledge and Attitudes of Medical Students: A Student-Led, Multiyear Study.

Public health is a necessary focus of modern medical education. However, while numerous studies demonstrate benefits of public health education during medical school among self-selected students (i.e., those interested in public health), there are few educational models shown to be effective across the general medical student population. This study examined the effect of a multiyear, case-based, longitudinal online public health curriculum required for all medical students at an urban, research-focused U.S. medical school. The authors created 11 short public health modules to supplement a year-long, organ-based preclerkship course at Columbia University Vagelos College of Physicians and Surgeons. Beginning in 2020, all students were required to complete these modules, with repeated surveys to assess changes in attitudes and knowledge of public health over time. The authors compared responses for these domains before and after each module, across multiple time points throughout the year, and cross-sectionally to a 2019 cohort of students who were not provided the modules. Across 3 cohorts, 405 of 420 (96.4%) students provided responses and were included in subsequent analyses. After completing the modules, students reported perceiving a greater importance of public health to nearly every medical specialty ( P < .001), more positive attitudes toward public health broadly ( P < .001), and increased knowledge of public health content ( P < .001). These findings were consistent across longitudinal analysis of students throughout the year-long course and when compared to the cohort who did not complete the modules. Case-based, interactive, and longitudinal public health content can be effectively integrated into the required undergraduate medical education curriculum to improve all medical students' knowledge and perceptions of public health. Incorporating evidence-based public health education into medical training may help future physicians to better address the needs of the communities and populations in which they practice.

Exploring Spanish studio music teachers’ views on topics related to creativity

While creativity is a primary focus in music education, its exploration within the realm of music studio teaching is considerably less extensive compared with other educational contexts. Moreover, the related research is predominantly focused on creativity in developing music skills. In the present study, we explore how Spanish instrumental music teachers ( n = 10) perceive creativity and its development among students in the music studio, in the absence of predefined limitations (i.e., with respect to various forms and definitions of creativity inherent in the music studio as perceived from their viewpoint). By means of a case study methodology, we gathered data over a one-year period through a questionnaire, in-depth interviews, participants’ written essays, and researchers’ journal entries following observations of the participants’ teaching practices. Subsequently, qualitative analysis was conducted using thematic analysis. Among our main results, we found tensions between our participants’ theories and their practices, evidence for an underlying individual-centered theory of creativity, both positive and negative attitudes toward the development of creativity among their students, and ignorance of creativity in music listening. Our study implications emphasize the urgency of implementing strategies to enhance teacher self-awareness and underscore the need for further investigation into music studio teaching with a specific focus on creativity.

Early Childhood Special Education Teacher Candidates’ Field Experiences: A Systematic Review

The purpose of this systematic literature review was to understand trends in field experiences that were part of early childhood special education (ECSE) teacher preparation activities. Thirteen studies that included an analysis of ECSE teacher candidates (TCs) completing at least one field experience, including coursework-based practicums or student teaching internships, were published between 2013 and 2022 and reviewed. Specifically, we examined the demographics of TCs and student participants to understand who was included in this research. Field experience parameters including setting, duration, instructional approach, and instructional focus were reviewed to draw comparisons between the various approaches to structuring TCs’ early teaching opportunities. Finally, specific learning activities and feedback opportunities within field experiences, as well as TC and student outcomes of the studies, were explored to determine current trends and findings. Implications for research and practice are discussed.

Co-constructing and negotiating knowledge propositions in social studies discussion: Exploring an SFL-based framework for close analysis of discourse moves

In this article, we explore the affordances of a framework informed by systemic functional linguistics for nuanced analysis of both students’ and teachers’ discourse moves in classroom interaction. Drawing on classroom discourse data from a middle school social studies inquiry context, we highlight coding categories from the analytic framework that help us systematically identify how students develop disciplinary knowledge propositions with longer turns of talk, how they engage with others’ points of view in substantive ways that enable co-reasoning, and how the focal teacher contingently adjusts her discursive strategies to facilitate students’ knowledge construction. We discuss how this framework adds to existing analytic constructs and tools for researchers to examine academically productive student discourse while also allowing researchers to characterize how discourse patterns shift to serve varied instructional goals and student needs across learning activities.

Writing teacher feedback literacy: Surveying second language teachers’ knowledge, values, and abilities

Despite a significant rise in awareness of the critical role of assessment literacy, teacher feedback literacy as an important component of assessment literacy has received scant attention in the domain of second language (L2) writing. By drawing on questionnaire data gathered from 353 English as a foreign language teachers and follow-up interviews with 34 focal teachers, this study attempts to ascertain L2 writing teachers’ self-reported feedback literacy in relation to their knowledge, values, and abilities regarding feedback. Findings of the study reveal both deficiencies and gaps in the participants’ writing feedback literacy. While the respondents reported a fundamental understanding of writing teacher feedback literacy, they appeared less certain of their abilities to implement feedback practices in the writing classroom. Despite this uncertainly, they held values about feedback that largely align with the principles supported by existing literature. The current study serves to make a novel contribution to existing research by shedding light on the underexplored concept of L2 writing teacher feedback literacy, with clear implications for the delivery of feedback training in teacher education programs.

Perceived employability among master’s students in Hong Kong

PurposeMany master’s students enrol in coursework-based programmes to improve their professional knowledge and skills for the job market. Most studies of employability in higher education focus on undergraduates rather than master’s students, although the number of master’s students worldwide has increased significantly in recent years. This study explores the factors involved in the perceived employability (PE) of master’s students in Hong Kong.Design/methodology/approachThe authors first proposed a conceptual model of PE based on the social cognitive career theory. Using survey data from 786 master’s students in Hong Kong, the authors applied descriptive statistics and an ordinary least squares (OLS) regression to address the following research questions: How do master’s students gauge their PE? How do person, learning and environment variables influence the PE of master’s students?FindingsThe authors found that PE is influenced by students' approaches to learning and their institutional career support.Originality/valueFew studies examined whether students' learning experiences during the master’s programmes influence their employability. This study highlights the importance of learning experiences and career support in coursework-based master’s programmes for enhancing graduate employability.

Using "board games" to improve the effectiveness of extracorporeal membrane oxygenation care for nurses in intensive care unit

AimThe purpose of this study was to evaluate the effectiveness of ECMO care board games facilitated teaching approach (ECMO care board games) in enhancing ECMO care knowledge, clinical reasoning and learning engagement among intensive care unit (ICU) nurses. BackgroundECMO is a highly complex, relatively low-incidence, high-risk clinical life support device system used in the intensive care unit (ICU). Its usage has increased nearly tenfold over the past 30 years. Traditionally, ECMO education has been delivered through classroom teaching, which has demonstrated limited effectiveness in promoting nurses’ learning engagement, clinical reasoning competency and confidence. The literature suggests that well-designed board games can enhance learning engagement, stimulate higher-level thinking and improve the effectiveness and confidence of nurses' learning. DesignA quasi-experimental study two-group repeated measure design. MethodsA purposive sample of 73 ICU nurses from two campuses of one medical center was recruited (37 in the experimental group and 36 in the control group). The experimental group received ECMO care training through ECMO care board games facilitated teaching approach, whereas the control group completed the training through a traditional teaching approach. Instruments used for data collection include a demographic information sheet, ECMO Care Knowledge Scale, Clinical Reasoning Scale (Huang et al., 2023) and Learning Engagement Scale (Ciou , 2020). Both groups completed a pre-test before the training, a post-test one week after the training and a second post-test three weeks after the training. ResultsPrior to the intervention, there were no significant differences between the two groups in ECMO care knowledge and learning engagement. However, there was a significant difference in clinical reasoning. One week after the intervention, the experimental group demonstrated significantly higher scores in ECMO care knowledge, clinical reasoning and learning engagement than the control group (p <0.01). Three weeks after the intervention, the experimental group showed significantly higher scores in ECMO care knowledge, clinical reasoning and learning engagement (p <0.001). ConclusionsThe content for ECMO care is complex and difficult. Board games can enhance ECMO care knowledge, clinical reasoning and learning engagement. This teaching strategy may be applied to learning challenging subjects in the future to improve learning effectiveness. The clinical reasoning framework is conducive to guiding nurses' learning. In future continuing education, board games designed based on the clinical reasoning framework and tailored to the focus of in-service education can effectively enhance nurses' learning effectiveness.

Concussion-Related Decision-Making by Certified Athletic Trainers: Implications for Concussion Prevention and Care.

Concussions are a common sport-related injury that require appropriate initial care. Athletic trainers, often a primary source of healthcare for student-athletes, are key individuals involved in initial concussion diagnostic and management decisions. Challenges exist within the athletic environment that may hinder the consistency, efficacy, and/or effectiveness of concussion-related decision-making by athletic trainers, thereby impacting secondary concussion prevention and patient health. The purpose of this study was to identify factors that impact the intentions of athletic trainers to make appropriate concussion-related decisions under various circumstances. Overall, 1029 participants completed a survey examining educational precursors (quantity and quality of healthcare communication educational focus), demographic precursors (age, gender, educational degree, and employment setting), theory-based mediators (attitudes, perceived norms, and personal agency), and external mediators (knowledge, salience, and communication/collaboration practices) on appropriate concussion-related decision-making intentions. Data were analyzed using a two-step structural equation modeling approach. Quality of healthcare communication educational focus indirectly impacted appropriate concussion-related decision-making intentions via perceived behavioral control and communication/collaboration practices. Additionally, several factors impacted intentions to make appropriate concussion-related decisions directly including employment setting, self-efficacy, and general attitudes towards decision-making and concussions. Concussion prevention is aided by the initial and appropriate action taken by a healthcare professional to reduce immediate consequences; however, this action may be influenced by stakeholder relationships. These influential factors of decision-making may place athletes at further injury risk and negatively impact overall athlete health. As such, a sound theoretical framework incorporating the complexity of factors that may influence decision-making is needed.

Leveling the field: Development of an asynchronous interactive module series for genetic counseling trainees on molecular testing and variant interpretation.

The need for education focusing on genomic technologies and variant interpretation for genetic counseling trainees has prompted genetic counseling training programs to alter their curricula to incorporate this content. Given students' diverse experiences prior to matriculation into genetic counseling training programs, students' familiarity with these topics may vary. Following receipt of feedback from trainees at a large genetic counseling program regarding an existing course focused on molecular technologies, a three-part asynchronous module series was created as a prerequisite to this course as an opportunity to align knowledge. Designed to be completed by students on their own time and at their own pace, the modules allowed for additional instruction without increases in classroom time or credit hours. Content included a refresh on genetics concepts and an introduction to available genetics resources for developing a differential diagnosis as well as variant interpretation framework. Modules utilized a clinical scenario to anchor learning with interactive content, allowing students to progress at their own pace and explore content as they found necessary. Completion of this asynchronous module series was required by incoming first-year students prior to the start of the academic semester. Following completion, students were asked to provide feedback on the module series. Reviews were primarily positive with students indicating that while the content was not entirely new, they found the review valuable and would be likely to reference the modules later in their genetic counseling training. Areas identified for improvement included additional detail regarding genetic testing methods as well as adjusting the interactive content to ensure accessibility for all students and systems. Taken together, the development and implementation of this asynchronous series as an additional component to genetic counseling training was considered a success and this approach can be considered to address additional topics dependent on a programs' needs.

Effectiveness of novel oral hygiene instruction avoiding inattentional blindness using an application for unique plaque control record calculation: A randomized clinical trial.

This study was performed to estimate the effectiveness of novel oral hygiene instruction (OHI) focusing on areas with deep periodontal pockets for reduction of periodontal inflammation. Because stained areas on the plaque chart do not always correspond to the areas with deep periodontal pockets, conventional OHI based on O'Leary's plaque control record (PCR) often provides guidance inconsistent with the target area. This randomized clinical trial involved two groups: (1) OHI based on the PCR limited in deep pocket sites (novel OHI group) and (2) OHI based on O'Leary's PCR (conventional OHI group). The unique PCR (aggressive target for PCR [agPCR]; only counting the plaque-stained areas with PD at ≥4 mm sites) for the novel OHI was calculate by dedicated expression program. The probing depth (PD), bleeding on probing (BOP), and periodontal inflamed surface area (PISA) were obtained at the baseline and 5 to 6 months later. The approximation curve with PISA before and after instruction indicated that the PISA converged to a lower value after instruction in the novel OHI group. The approximation curve with the improvement rate of the PISA and agPCR showed a positive correlation in the novel OHI group but no correlation in the conventional OHI group. Control of inflammation was more effective in the novel OHI group. These results suggest that this novel OHI technique using our developed application could be used as a strategy to improve the effectiveness of brushing instruction.

Attentional focus strategies in racket sports: A systematic review.

The body of evidence has shown that the external focus of attention (EF) rather than the internal focus of attention (IF) enhances motor skill learning and performance. Within racket sports which require a high level of motor control, anticipation skills, and mental preparedness, effectively directing attention is essential to elicit improvements in athletic performance. The present review aimed to evaluate the scientific evidence concerning the effects of attentional focus instructions on motor learning and performance in racket sports. We systematically reviewed the literature according to the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines. The study was registered with the Open Science Framework (osf.io/m4zat). Four electronic databases (Web of Science, Scopus, MEDLINE, and SPORTDiscus) were searched for original research publications. Inclusion criteria were: peer-reviewed journals; healthy and free from injury participants; attentional focus literature specific to the external or internal focus; attentional focus related to motor learning or motor performance; studies included at least one comparator (e.g., different attentional focus group, or control groups with neutral or no specific instruction); publications in which task(s) or skill(s) related to one of the racket sports (tennis, table tennis, badminton, squash, or padel). The initial search yielded 2005 studies. Finally, 9 studies were included in the quantitative analysis. Overall, the results indicated that EF benefits the learning and performance of racket sport skills, compared to IF and over control conditions. The findings suggest that coaches and practitioners should consider the adoption of EF to optimize racket skills performance, particularly in novice or low-skilled athletes.

Supporting the Development of Students’ Scientific Literacy

ABSTRACT Science teachers are increasingly encouraged to critically engage their students with scientific knowledge and expertise, with the expectation that such instructional practices will support the development of scientific literacy (SL). Drawing on Bildung framework, this qualitative study was conducted in Tanzania to explore how science teachers’ classroom practices facilitate the development of students’ SL. Data were collected through semi-structured interviews and non-participant classroom observations with science teachers and students from six secondary schools. The study has identified five instructional practices that were used to support students’ development of SL, namely guided reading, code-switching, educational print and visual aids, science experiments, and science projects. While there is evidence that the instructional practices used provided opportunities for students to contribute their thinking, experience and understanding to the science learning, the instructional practices were mostly print-based, paper-based and teacher-led, resulting in little engagement in active scientific thinking and literacy learning. Overall, the knowledge base developed by this study is of practical use to science teachers and educators in making decisions about appropriate instructional practices and what should be the regular focus of pre-service teacher education and professional development programs.

Religious Culture-Based Management in the Focus of Education

The objective of this research is to enhance the standard of education by employing a religious-cultural approach, specifically a prescriptive approach. This approach entails individuals submitting to, imitating, adhering to, and adopting cultural scenarios dictated by authorities. Additionally, it involves a programmed approach through a learning process where culture develops internally within individuals based on religious beliefs and values. The research employed a qualitative-descriptive methodology. The research findings indicate that the implementation of Religious Cultural Based Management has been effectively executed. Teachers demonstrate strong enthusiasm for implementing religious and cultural norms, while the school principal plays a crucial role in overseeing management methods based on religious culture. The teacher's degree of professionalism is commendable in both the teaching and evaluation domains. The influence of religious culture on management practices impacts work discipline, motivation, and the achievement of optimal work results. Key factors facilitating the integration of Christian culture in schools encompass the proactive involvement of teachers in offering assistance and encouragement, alongside students' recognition of the significance of these endeavors. Nevertheless, there are also constraining elements, such as pupils' lack of awareness, that might result in an uneven distribution of time spent on schooling. In general, the integration of religious culture is executed proficiently and smoothly, with robust facilitating elements and few constraining elements. Implementing religious culture-based management in schools has the capacity to enhance educational standards.

P23 Benchmarking voriconazole therapeutic drug monitoring in adults and paediatrics

Abstract Background Voriconazole is the first-line agent for invasive aspergillosis and microbiology approved fungal infections. Voriconazole acts as both a substrate/inhibitor of several hepatic cytochrome P450 enzymes and demonstrates non-linear kinetics due to metabolism saturation. Inter-individual variability of voriconazole pharmacokinetics is high.1 Therapeutic drug monitoring (TDM) of trough plasma levels can mitigate treatment failure/toxicity. A therapeutic index between 1 and 5.5 mg/L is aimed for.1 An online protocol directs IV/oral dosing in line with British National Formulary guidance. An audit was conducted to benchmark protocol compliance. Standards Total compliance to the following standards was investigated for all voriconazole prescriptions: (i) suitable indication; (ii) documented stop or review date; (iii) protocol prescribed loading and maintenance dose; (iv) dose adjustment for non-therapeutic voriconazole trough level; and (v) trough sampling between 4 and 7 days since initiation. Methods Retrospective voriconazole dispensing data (April 2020–April 2022) was used to identify treated adult and paediatric patients. Correlating electronic prescribing and medicines administration (ePMA) system data was examined in line with standards. Patients receiving voriconazole prophylaxis or under 7 days total treatment were excluded from data collection. Descriptive statistics were used to describe patient characteristics and compliance with standards. Results In total, 47 patients (31 adults and 16 children) were identified. The IQR of age was 48 years. Total compliance was obtained to standard (ii) only. Overall, 94% of patients’ prescriptions possessed an appropriate indication and 6% were clinically appropriate with unclear documented indications. A total of 66% received protocol directed loading and maintenance doses, 6% were prescribed appropriate loading doses, without maintenance doses, and 28% received an inappropriate loading/maintenance dose. Within 4 to 7 days since treatment initiation, 55% had therapeutic trough levels; 27% had supratherapeutic levels, but only 33% of doses were reduced, whereas when subtherapeutic trough levels were encountered in 18% of cases, 75% of doses were increased. Overall, 47% had plasma trough levels taken within the recommended period; 30% did not have a trough level ordered, whilst the remaining 23% had sampling taken before 4 days or after 7 days. Conclusions Person and system interventions are required to improve pre-/post-prescription standards. Prescriber education focusing on indication documentation and recent patient body weight for dosing is required. Whereas an ePMA prescribing package incorporating protocol guidance, consecutive loading and maintenance doses, plus trough sampling orders should be trialled. Protocol integrated instructions on dosing adjustment as done for other TDM drugs should be explored. Occasional nursing omissions of both 12-hourly loading doses on Day 1 of treatment should be addressed with practice educators. Reliance on an external laboratory and third party to communicate trough sample results was associated with delays. This should be investigated further as a cause of dose adjustment issues. ePMA availability of samples, direct laboratory communication with prescribers/pharmacists and investigations into cost-effectiveness of internal laboratory assays should be considered. Interventions should be agreed with stakeholders and reaudit occur. Earlier sampling and dosing practices better representing local the patient population could be investigated further as part of an antimicrobial stewardship improvement project.

Research on Online-Offline Blended Teaching of Piano Course in Higher Vocational Colleges under the Background of Internet

Abstract Online teaching is becoming an important means of education, but for the piano course, how to organically combine online and offline teaching has been the focus of educators. To improve this situation, this paper proposes a neural network model for piano performance evaluation as an auxiliary means of blended teaching. The model uses bidirectional LSTM training data, introduces an attention mechanism to optimize data recognition efficiency, and finally generates performance evaluation through a softmax classification algorithm. After implementing online-offline hybrid piano teaching in combination with this evaluation model, 66.72% of the students believed that the new teaching method could stimulate learning initiatives. The piano performance test scores showed that the post-test times for single-note playing, mixed intervals and chords, and two-handed ensemble playing in the experimental group were reduced by 38 seconds, 45 seconds, and 7 minutes, respectively, and were significantly higher than those in the control group. This indicates that the performance evaluation model has good performance and application effectiveness.