Welcome to WIRE
(Wolverhampton Intellectual Repository and E-Theses)
WIRE is an open access repository for the research publications and other outputs from postgraduate students and staff at the University of Wolverhampton.
Wolverhampton staff: to deposit your publication to WIRE, go to: https://www.wlv.ac.uk/lib/research/wire/
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The need for narrative in clinical educationThis article aims to discuss the need for clinical education to embrace the use of narrative. It discusses the split – most evident in Anglophone countries – between the arts and the sciences, before discussing what can and cannot be known from the scientific method, and what can and cannot be known from narrative approaches. It concludes that narrative is the natural way to teach and learn and has the advantage that it can explore hypothetical situations in safety as well as both to learn and to convey values and attitudes while the hypothetico-deductive method can say what does happen but can shed no light on what should happen.
Presentation of breast cancer, help seeking behaviour and experience of patients in their cancer journey in Singapore: a qualitative study© 2020, The Author(s). Background: Little is known about the presentation, help seeking behaviour for breast cancer in Singapore. Nor was there a study exploring the experience of patients in their breast cancer journey. Methods: A qualitative interview study with thematic analysis, conducted with 36 patients. Results: There is no clear pattern of presentation for breast cancer by cancer stage at diagnosis, age and ethnicity in the cancer journey of this group of patients. Patients were diagnosed with early to advanced stages cancer regardless of when they presented or took up treatment in their cancer journey. The reasons patients sought medical attention also did not appear to differ between the stages of cancer diagnosed, ethnic and age. Without setting a measure to define early and late presentation, we found that women shared similar experience in their breast cancer journey, regardless of age, ethnicity and stage of cancer at diagnosis. Poor knowledge of breast cancer (symptoms and causes); few practised regular BSE; denial of symptom; fear of hospitalisation, diagnosis and treatment; worries and stress over financial burden of treatment; misinformation in magazine and online sources; diet; stress; caring responsibility; support network; and use of alternative medicine before and after diagnosis were identified in patients’ narratives. Strong social support; fear of being an emotional and financial burden for the family; and financial worries during treatment were also the recurring themes after diagnosis. Conclusion: A measure of breast cancer presentation - that accounts for the patient’s experience in the cancer journey, the time interval and tumour biology – that is meaningful to patients, clinicians and researchers is needed. For research on late and delayed presentation, details on BSE practice – how often, when and was it done correctly – will improve the accuracy of time delay interval. For the public, concerted efforts to improve knowledge of breast cancer, survival and prognosis for early-diagnosed cancer, and the importance of regular and correct technique to perform BSE, are critical and urgent to address the rising breast cancer incidence in the country.
Detecting semantic difference: a new model based on knowledge and collocational associationSemantic discrimination among concepts is a daily exercise for humans when using natural languages. For example, given the words, airplane and car, the word flying can easily be thought and used as an attribute to differentiate them. In this study, we propose a novel automatic approach to detect whether an attribute word represents the difference between two given words. We exploit a combination of knowledge-based and co-occurrence features (collocations) to capture the semantic difference between two words in relation to an attribute. The features are scores that are defined for each pair of words and an attribute, based on association measures, n-gram counts, word similarity, and Concept-Net relations. Based on these features we designed a system that run several experiments on a SemEval-2018 dataset. The experimental results indicate that the proposed model performs better, or at least comparable with, other systems evaluated on the same data for this task.
Clinical importance of the Mandalay spitting cobra (Naja mandalayensis) in Upper Myanmar – Bites, envenoming and ophthalmia© 2020 Elsevier Ltd Examination of 18 cobras brought to three hospitals in the Mandalay Region by patients bitten or spat at by them distinguished 3 monocled cobras (Naja kaouthia) and 15 Mandalay spitting cobras (N. mandalayensis), based on their morphological characteristics. We confirm and extend the known distributions and habitats of both N. mandalayensis and N. kaouthia in Upper Myanmar. Clinical symptoms of local and systemic envenoming by N. mandalayensis are described for the first time. These included local swelling, blistering and necrosis and life-threatening systemic neurotoxicity. More information is needed about the clinical phenotype and management of bites by N. mandalayensis, the commoner of the two cobras in Upper Myanmar. Since the current cobra antivenom manufactured in Myanmar has lower pre-clinical efficacy against N. mandalayensis than N. kaouthia, there is a need for more specific antivenom therapy.
The postdigital university: do we still need just a little of that human touch?An increasing body of literature considers the role of belonging and social connectivity in undergraduate student success. The core tenet of this research is that relationships are crucial to the development of a sense of belonging. However, within the Higher Education (HE) sector, our processes, and therefore how we interact with students, are becoming more and more automated. None more so than during the Covid-19 pandemic and the ‘new normal’ in HE. This paper considers how we, as a profession, might support each student’s developing sense of belonging within a sector that is shifting towards increased digitalisation. This is achieved through considering the political agenda that drives the creation of digital education and some of the assumptions that underpin the movement towards it. As a result, a theoretical platform is created to consider the areas where digitisation impacts on teaching staff, and on students, and how this relates to each student’s sense of belonging within HE. The inclusion of two case studies has provided the opportunity to answer two key questions: 1) What is important to students developing a personal sense of belonging in HE during their first few weeks in a University? 2) How can the differentiated human touch be provided by ‘third space’ professionals both in person and virtually?