Importance of consumers on exposed and sheltered rocky shores.

It is often suggested that the relative importance of biotic processes, such as recruitment, competition and predation of marine benthic species, varies predictably along a gradient of exposure to wave action. Several established models of community dynamics on rocky shores predict that top-down processes are more important for structuring communities on sheltered than on exposed shores. To test the relative dominance of top-down processes, we first measured the establishment of key benthic species (mussels, barnacles and algae) on 3 sheltered and 3 exposed rocky shores in southwest Ireland over two 6 mo periods. We then manipulated the presence of consumers (e.g. grazing gastropods, crabs, whelks), using caged exclosures, on 2 sheltered and 2 exposed shores to test for an interaction between effects of consumers and shore exposure on the establishment of benthic species. In contrast to predictions, we found that consumers strongly affected establishment of all species regardless of shore exposure. We also found that shore exposure was not a reliable predictor for spatial and temporal variation in rates of establishment of sessile benthic species. Our findings provide experimental evidence which demonstrates the importance of consumers in early post-settlement stages of benthic species-essential for the development of benthic-pelagic models. © 2011 Inter-Research.


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Institutional maintenance work and power preservation in business exchanges: Insights from industrial supplier workshops

This paper aims to offer new theoretical and empirical insights into power dynamics in an industrial supplier workshop setting. Theoretically, it advances an institutional perspective on supplier workshops as an important venue in managing, preserving and instituting industrial market power. Based on a detailed ethnographic analysis of an industrial workshop setting, this article investigates the institutional maintenance work of Retail Co. in preserving the power dynamics of market dominance in business exchanges and market structures. Our findings revealed three previously unreported insights into the subtle, but nonetheless pervasive power from institutional maintenance work in an industrial workshop setting. First, the institutional workshop work comprised a cultural performance; constituting socialization practice through a performance game, the power of numbers in field comprehension and an award ceremony. Second, the institutional workshop work mobilized projective agency, stipulating, directing and appealing for the instituting of distinct market rules and collective identities. Finally, the institutional workshop work increases supplier docility and utility via the regulative technologies-of-the-self to enhance business planning, operations and market decision-making practice, without necessarily being seen to be disciplinarian.

Using low fidelity simulation in interactive workshops for undergraduate medical and midwifery students

There is recognition of the need to continuously improve inter-professional relationships within clinical practice. Mutual respect, effective communication and working together are factors which will contribute to higher standards of care (Miers et al, 2005; Begley, 2008). An inter-professional education initiative, using low-fidelity simulation has been piloted and subsequently embedded within a pre-registration midwifery curriculum. The aim of the collaboration is to enhance inter-professional learning by providing an opportunity for final year midwifery students and 4th year medical students within a non-threatening environment to interact and communicate prior to obstetric clinical placements. The midwifery students are provided with an outline agenda for the workshop, but are encouraged to use creative license with regard to workshop delivery. Preliminary evaluations have been positive from both midwifery and medical students. The teaching sessions have provided an opportunity to learn about and respect each other’s roles. The midwifery students have commented on the enjoyable aspects of team working during preparation and the confidence gained from teaching medical students. The medical students felt that the sessions lowered their anxiety levels going into the labour setting. This workshop will demonstrate how low-fidelity simulation can effectively enhance the students experience promoting team working and self-confidence.

Pharmacist-led feedback workshops increase appropriate prescribing of antimicrobials

Objectives To investigate whether and how structured feedback sessions can increase rates of appropriate antimicrobial prescribing by junior doctors.

Methods This was a mixed-methods study, with a conceptual orientation towards complexity and systems thinking. Fourteen junior doctors, in their first year of training, were randomized to intervention (feedback) and 21 to control (routine practice) groups in a single UK teaching hospital. Feedback on their antimicrobial prescribing was given, in writing and via group sessions. Pharmacists assessed the appropriateness of all new antimicrobial prescriptions 2 days per week for 6 months (46 days). The mean normalized prescribing rates of suboptimal to all prescribing were compared between groups using the t-test. Thematic analysis of qualitative interviews with 10 participants investigated whether and how the intervention had impact.

Results Data were collected on 204 prescriptions for 166 patients. For the intervention group, the mean normalized rate of suboptimal to all prescribing was 0.32 ± 0.36; for the control group, it was 0.68 ± 0.36. The normalized rates of suboptimal prescribing were significantly different between the groups (P = 0.0005). The qualitative data showed that individuals' prescribing behaviour was influenced by a complex series of dynamic interactions between individual and social variables, such as interplay between personal knowledge and the expectations of others.

Conclusions The feedback intervention increased appropriate prescribing by acting as a positive stimulus within a complex network of behavioural influences. Prescribing behaviour is adaptive and can be positively influenced by structured feedback. Changing doctors' perceptions of acceptable, typical and best practice could reduce suboptimal antimicrobial prescribing.

Teacher training essentials : workshops for professional development.

Libro dirigido a formadores de profesores. Incluye treinta lecciones perfectamente estructuradas y planificadas, acompañadas de hojas de trabajo que se pueden fotocopiar y notas explicativas para el formador, que desarrollan los conocimientos de los profesores en tres áreas básicas: metodología, lenguaje y teoría; y al mismo tiempo les anima a reflexionar activamente sobre su propio aprendizaje y experiencias previas. El libro se divide en tres secciones: metodología en clase, desarrollo de la conciencia lingüística y contexto para la enseñanza.