In this project, a collaborative three-way partnership approach to assessment design utilising the combined skill set of a lecturer, librarian and first year learning advisor was taken. The project aimed to design a first year assessment task that encouraged success and confidence by allowing for the development of core skills in information literacy and academic writing whilst maintaining disciplinary standards. Team skills were identified, tasks were negotiated and carried out collaboratively, and the process documented and reflections noted. The agreed-upon key tasks underpinning the success of the new scaffolded design were selective topic selection and careful question formulation to improve student engagement and understanding. The new scaffolded approach to assessment was rewarding for staff, and preliminary student feedback suggests an enhanced learning exercise for students.
Purpose: To systematically review the effects of early ambulation on development of pulmonary embolism (PE) and progression or development of a new thrombus in patients with acute deep vein thrombosis (DVT). Methods: Medline, PubMed, CINAHL, EMBASE, PEDro, and Cochrane Library databases were searched from inception to June 2008. Study quality was appraised using the Jadad and PEDro scales. Meta-analyses were reported as relative risks (RR) and 95% confidence intervals (CI). Results: Four randomized trials were accepted. For development of a PE, the pooled relative risks for ambulation and compression versus bed rest and compression (RR ¼ 0.63, 95% CI: 0.34-1.19) and for ambulation and compression versus bed rest alone (RR ¼ 1.36, 95% CI: 0.57-3.29) were not significant. For progression of an existing thrombus or development of a new thrombus, the independent relative risks for ambulation and compression versus bed rest and compression (RR ¼ 0.39, 95% CI: 0.13-1.14) and for ambulation and compression versus bed rest alone (RR ¼ 0.56, 95% CI: 0.20-1.57) were also not significant. Conclusions: Given the clinical benefits of mobility, and because there was no significant difference between ambulation and bed rest for risk of developing a PE or development and progression of a new DVT in any of the studies, clinicians should be confident in prescribing ambulation in this population. Mots clé s : embolie pulmonaire, lever, marche, thrombose veineuse, thrombose veineuse profonde aiguëThe authors have no disclosures associated with this work.
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