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The lack of written sources and the difficulties of establishing close chronologies from archaeological material mean that it is difficult to identify initiatives other than the commissioning of Hadrian's Wall that can confidently be attributed either to the emperor's visit to Britain in 122 or to his reign more generally. However, the early second century presents several archaeological proxies which point to a quickening of economic activity integrating the frontiers of Wales and the north of Britain with the civil zone of the south. Developments in the countryside hint at the growth of larger estates, including the emergence of larger, ‘complex’ farms, villages and better communications, together assuring the province's sustained ability to feed both military and civilian populations. At the same time there is evidence for public building across the towns of the south, especially of forum basilicas, which may be linked to administrative reforms including the establishment of new civitates.

The use of online learning and subsequent online testing has expanded rapidly in pharmacy programs across the United States. Numerous published studies have compared online learning with traditional methods in pharmacy. However, no such studies have been published in pharmacy. This study's objective is to compare first-professional year student preferences for computer-based vs. traditional paper-and-pencil testing for a required social and administrative pharmacy class.All students enrolled in the class were invited to complete one brief survey at the end of the semester to determine their testing preference.Of the 138 first-professional year students completing the survey, 79% (109 of 138) preferred computer-based testing, 9% had no preference, 6% (8 of 138) preferred paper-and-pencil testing, and the remainder (8 of 138) stated it depended on what was being tested. Ninety-one percent of students did not perceive the testing method to impact their grades. Students preferred computer-based testing over traditional paper-and-pencil as a convenient testing method (mean 4.73 vs. 3.4, P.001), providing immediate feedback (mean 4.87 vs. 1.91, P.001), and as a more effective testing method (mean 4.57 vs. 3.96, P.001).First-professional year students preferred computer-based over traditional paper-and-pencil testing for a social and administrative science class, with the method of testing not perceived to impact grade. This finding is timely, given the recent required transitioning of all pharmacy classes and subsequent testing to an online format due to the coronavirus disease of 2019 pandemic.

WHAT IS KNOWN AND OBJECTIVE Advanced Cardiovascular Life Support (ACLS) is an integrated, team-based approach to optimizing patient outcomes during acute cardiovascular events. Due to the fast-paced, high-stress environment, inherent strengths may impact performance and confidence with ACLS skills. The objective of this study was to assess pharmacist perceptions regarding strengths deemed important during emergency cardiovascular response. METHODS An electronic survey was administered to members of the American College of Clinical Pharmacists Critical Care, Cardiology, Internal Medicine, Emergency Medicine and Pediatrics Practice and Research Network listservs. The survey assessed the top 5 strengths deemed important for being part of an emergency response team, a pharmacist's role in ACLS and a team leader's role in ACLS. The primary outcome was top strengths required for pharmacist involvement in ACLS. Descriptive statistics were used to present survey results. RESULTS Of the 359 responses included, nearly all respondents had been certified by the American Heart Association in ACLS and/or Pediatric Advanced Life Support (PALS). The top CliftonStrengths® themes considered important for a pharmacist's role in ACLS were communication, adaptability, analytical, focus and responsibility. The top CliftonStrengths® themes considered important for the team leader's role in ACLS were communication, command, analytical, focus and adaptability. The top CliftonStrengths® themes important for an emergency response team were communication, adaptability, focus, analytical and command. WHAT IS NEW AND CONCLUSIONS By determining the personality traits perceived to be associated with high performance in ACLS, approaches can be taken to personalize student learning in order to train "practice-ready" pharmacists that can be integral members of the ACLS team.

The publication of the RurLand (Rural Landscape in North-East Gaul) project has provided an opportunity to compare methodologies and results with those of The Rural Settlement of Roman Britain project. Two themes, which draw out the asymmetrical development of settlement in the two regions, are examined: the very different impacts of the Roman conquests of Gaul and of Britain on settlement numbers and settlement continuity, and the development of the agricultural economy and its relationship with the frontiers of Britain and Germany, as reflected in the growth and decline of villa estates in Britain and Gaul.

PURPOSE: The International Council for Harmonization (ICH) “Q10 Pharmaceutical Quality Systems” (ICH Q10) guidance was introduced to address the growing gap between current good manufacturing practices and pharmaceutical manufacturing quality systems. This study evaluated the impact of the ICH Q10 guidance on the PQS of pharmaceutical manufacturers. MATERIALS AND METHODS: Data were obtained from the enabler questionnaire from pharmaceutical manufacturers surveyed by the St. Gallen OPEX Benchmarking Program. These results represent the degree of implementation for enabler-focused questions based on a 5-point Likert scale self-assessment. Data analysis included a comparison of means and medians before and after the release of the ICH Q10 guidance and annual changes. RESULTS AND DISCUSSION: There was a statistically significant difference for enabler implementation as a whole (p-value < 0.0000), before and after the release of ICH Q10 Furthermore, statistically significant differences were observed for four of the five enabler categories (p-values

WHAT IS KNOWN AND OBJECTIVE: Advanced Cardiovascular Life Support (ACLS) is an integrated, team-based approach to optimizing patient outcomes during acute cardiovascular events. Due to the fast-paced, high-stress environment, inherent strengths may impact performance and confidence with ACLS skills. The objective of this study was to assess pharmacist perceptions regarding strengths deemed important during emergency cardiovascular response. METHODS: An electronic survey was administered to members of the American College of Clinical Pharmacists Critical Care, Cardiology, Internal Medicine, Emergency Medicine, and Pediatrics Practice and Research Network listservs. The survey assessed the top 5 strengths deemed important for being part of an emergency response team, a pharmacist’s role in ACLS, and a team leader’s role in ACLS. The primary outcome was top strengths required for pharmacist involvement in ACLS. Descriptive statistics were used to present survey results. RESULTS: Of the 359 responses included, nearly all respondents had been certified by the American Heart Association in ACLS and/or Pediatric Advanced Life Support (PALS). The top CliftonStrengths® themes considered important for a pharmacist’s role in ACLS were communication, adaptability, analytical, focus, and responsibility. The top CliftonStrengths(®) themes considered important for the team leader’s role in ACLS were communication, command, analytical, focus, and adaptability. The top CliftonStrengths® themes important for an emergency response team were communication, adaptability, focus, analytical, and command. WHAT IS NEW AND CONCLUSIONS: By determining the personality traits perceived to be associated with high performance in ACLS, approaches can be taken to personalize student learning in order to train “practice-ready” pharmacists that can be integral members of the ACLS team.

Synchronous hybrid instruction offers flexible learning opportunities by allowing a portion of students to attend class sessions on campus while simultaneously allowing the remaining students to attend remotely. Although such flexibility may offer a number of advantages for pharmacy students, one area of concern is whether online participation options within synchronous hybrid courses can promote similar levels of engagement as courses that are designed entirely for face-to-face (FTF) participation.The objective of this study was to evaluate the impact of synchronous hybrid instruction on pharmacy students' engagement in a pharmacotherapy course. An evaluation was completed to determine if students were more likely to actively engage in class when they were participating remotely via teleconferencing technology or when FTF. Additionally, students' perspectives were evaluated to determine their views of the benefits and challenges of the hybrid model for engagement in learning.The course utilizes team-based learning to apply critical thinking skills and develop a comprehensive care plan. A mixed methods approach was used to examine students' engagement in the hybrid learning environment by quantitatively analyzing students' responses to likert-scale survey items and qualitatively analyzing their responses to open-ended survey questions.Students reported they were more likely to actively listen (p=0.004), avoid distractions (p=0.008), and react emotionally to a topic or instruction (p=0.045) when FTF. There were no significant differences found in student reported note taking, asking questions, responding to questions, or engaging in group work between the two modes of participation. Content analysis identified other benefits that supported student engagement, including perceived flexibility and enhanced ability to interact during class via the teleconferencing technology. For some students, challenges that negatively impacted engagement included difficulties with internet connectivity and a sense of dislocation or isolation in the course.This study demonstrated that when participating in a synchronous hybrid course, students participating remotely were less likely (compared to in-person attendance) to pay close attention and react emotionally, but were just as likely to take notes and communicate with teachers and groups. Key benefits of the hybrid approach were increased flexibility and the usefulness of online communication tools, while key challenges focused on technical and psychological isolation from others. The principles of flexible learning environments and self-regulated learning provide opportunities for pharmacy educators who are interested in improving hybrid instruction in the future.

Bulk chemical analysis was undertaken on samples taken from 143 negative features (wells, pits, post-holes, cess pits and ditches) across the area of excavation at Silchester Hampshire in order to help us understand the disposal of waste during late Iron Age and earliest Roman occupation. Results show that it is possible to split features into waste disposal which included animal/human waste and those which probably did not. It is also possible to identify post-holes based on organic matter content. This work forms part of the larger Town Life project run by the University of Reading.

The evidence of the character and purpose of settlements previously described as defended ‘small towns’ is reviewed in the light of knowledge accrued since the implementation of Planning Policy Guidance 16 in 1990, the same year as the publication of Burnham and Wacher's survey,The ‘Small Towns’ of Roman Britain. This review focuses on four of the more extensively excavated settlements: Alcester, Cambridge, Godmanchester and Worcester. In the absence of convincing urban attributes, it is suggested that this category of settlement should more appropriately be regarded as defended villages (vici). These cluster in and around the West Anglian plain and on Ermine Street, suggesting a strategic function to protect grain and other food supplies and their movement, potentially either to the northern frontier or south to London and, perhaps, export to the Continent.

Knowledge in infectious diseases (ID) pharmacotherapy and antimicrobial stewardship is becoming increasingly important for pharmacists. Pharmacy schools utilize multiple methods to teach ID pharmacotherapy including advanced pharmacy practice experiences (APPEs).An internet-based survey was sent to students currently on APPEs at four colleges/schools of pharmacy. The primary study objective was a comparison of self-perceived ID knowledge and confidence prior to starting and during APPEs. The secondary objectives were to determine the level of self-perceived knowledge and confidence of students who have completed an ID APPE to those who have not, as well as the level of interest in postgraduate year 1 (PGY-1) and ID-specific postgraduate year 2 (PGY-2) residencies.All statements revealed a statistically significant increase in self-perceived ID knowledge and confidence for students during APPEs compared to before starting rotations (p-values 0.001). Students who completed an ID APPE had an overall increase in both self-perceived knowledge and confidence for all aspects. Completion of an ID APPE enhanced self-perceived knowledge in basic microbiology fundamentals, antimicrobial stewardship principles, and overall ID knowledge. Completion of an ID APPE created a higher level of confidence regarding selecting appropriate antimicrobial therapy, interpreting cultures and susceptibilities to de-escalate, and communicating with other healthcare professionals.Students who completed an ID APPE had a higher level of self-perceived knowledge and confidence than those who had not. Recent increases in demand for antimicrobial stewardship positions warrants maximization of ID and non-ID APPEs to enhance students' knowledge and confidence in infectious diseases.

A carved coping stone found on the site of a spring near the amphitheatre, Silchester, and first reported in 1873, was rediscovered in 2014. It does not compare in its carved detail with coping stones from the amphitheatres at Chester and London, nor with that recovered from the West Gate, Silchester, in 1890; nor does its basal width correspond with that of the arena wall of the Silchester amphitheatre. It is likely to have formed part of a monumental basin, similar to that found at Coventina's Well, Northumberland, and to have commemorated the location of a spring and its associated (unknown) deity. Similarity with the type and decoration of architectural stone used in the construction of the forum-basilica suggests a Hadrianic–Antonine date.

Background and purpose Debate is a pedagogy that incorporates deeper learning and has been used in many areas of healthcare and higher education. Debates have primarily been described within a course, but not as the predominant pedagogy for a course, particularly in pharmacy education or critical care instruction. Educational activity and setting Debating the Evidence was a two-credit hour course taught by debate-style pedagogy on an extended campus to third year pharmacy students in a four-year curricular program. The class met weekly for two hours over 15 weeks, and students came prepared to debate preselected topics. Focus groups for students enrolled over two years were conducted to gauge students' perceptions of this course structure. Findings The debate-dominant course structure seemed to increase accountability of learning, pre-class preparation, and in-class engagement. Students had difficulty debating with lower quality evidence, but were able to use physiologic reason and adverse effect profiles when robust literature was lacking. All students enrolled over two course offerings consented and participated in the focus groups. Themes identified across both semesters included: 1) efficiency with accessing and evaluating drug literature, 2) increased understanding of an individualized patient-centered approach, and 3) an appreciation for patient care in the acute setting. Summary An entirely debate-style critical care elective course was perceived to be beneficial to students. Scalability and impact on student learning requires further assessment.

Determining the internal layout of archaeological structures and their uses has always been challenging, particularly in timber-framed or earthen-walled buildings where doorways and divisions are difficult to trace. In temperate conditions, soil-formation processes may hold the key to understanding how buildings were used. The abandoned Roman town of Silchester, UK, provides a case study for testing a new approach that combines experimental archaeology and micromorphology. The results show that this technique can provide clarity to previously uncertain features of urban architecture.

Archaeology has been firmly embedded in the British planning systems for over a quarter of century,\ud and development-led fieldwork is now by far the largest source of new information available to\ud researchers. Custom and practice in the way that such work is conducted has evolved over this time,\ud yet methodological innovation has been surprisingly limited. Using the data gathered in a major\ud survey of the rural settlement of Roman Britain, this paper explores some themes in the way that\ud commercial work is undertaken and seeks to open up a long-overdue debate about professional\ud practice in a development-led context.

The publication of the potters’ stamps on Gallo-Roman sigillata (Names on Terra Sigillata: An Index of Makers’ Stamps & Signatures on Gallo-Roman Terra Sigillata) offers an unparalleled opportunity for re-examining the movement of sigillata (samian) across the western provinces of the Empire between the first and third centuries AD from production centres in south, central, and eastern Gaul, and in Germany. The potters’ stamps provide a common means for quantitative analysis. This chapter examines examples where there is no decline in volume of supply of samian with distance from production centres, suggesting that this can be explained if the cost of transport was subsidized or met in full by the state, probably through the organization of the cursus publicus. Controlled supply raises further questions about the nature of luxury in the Roman world and, for Britain, of the role of London in the supply system.

In 2016, new Accreditation Standards were implemented that required integration of affective domain elements (ADEs) into the Doctor of Pharmacy (PharmD) curriculum and admissions interview process. The purpose of this study is to analyze the relationship between admissions variables and performance in a new course, and to analyze the relationship between student self-assessment and faculty evaluation of their development and performance in ADEs.Pre-pharmacy admission variables were evaluated for correlations with student performance in ADEs. Student self-assessments and faculty evaluations of performance in ADEs were also analyzed.Statistically significant positive correlations were found between student age and completion of at least a bachelor's degree with student self-assessment in communication and leadership. When evaluating faculty assessment, significant positive correlations were found for female performance in the areas of leadership and team readiness. There was a positive association between the Pharmacy College Admission Test (PCAT) quantitative score and performance in professionalism; while negative associations were seen between the PCAT comprehensive score and student self-assessment in self-awareness and professionalism, and between the PCAT quantitative score and student self-assessment in self-awareness (p 0.05 for all). Median evaluation ranks by faculty members were significantly lower than the median self-evaluation ranks done by students.This study suggests careful analysis of admissions variables in relation to ADEs may offer PharmD programs insight into how they design educational activities related to the affective domain. Additionally, evaluating multiple observations by both students and faculty members may identify patterns of growth and development in ADEs.

The geochemical analysis of soil samples from the Roman town of Calleva Atrebatum (Silchester, Hampshire, UK) has been undertaken in order to enhance our understanding of urban occupation during the late first/early second century AD. Samples taken from a variety of occupation deposits within several, contemporary timber buildings, including associated hearths, have been analysed using laboratory-based x-ray fluorescence for a suite of elements (Cu, Zn, Pb, Sr, P and Ca). The patterns of elemental enrichment seen across the site have allowed us to compare and contrast the buildings that were occupied during this time in an attempt to distinguish different uses, such as between domestic and work-space. Two of the buildings stand out as having high concentrations of elements which suggest that they were dirtier work spaces, whilst other buildings appear to be have lower chemical loadings suggesting they were cleaner.

Michael Fulford writes: Recent research is shedding more light on how certain goods, particularly durable materials like pottery, were distributed in the Western provinces of the Roman Empire and on the steps which connected producer with consumer.15 This paper develops the theme further by exploring the contribution to the debate of three British sites with Antonine assemblages of unused pottery and other goods. While interest has previously focused on the samian because of the contribution that it can make to dating, this paper considers the implications of the assemblages as a whole.

Thin section petrographical analysis of chalk tesserae at Brading Roman Villa, Isle of Wight, England, identifies a range of planktonic foraminifera and the calcareous algal cyst Pithonella that identify the Late Cenomanian Rotalipora cushmani Biozone (BGS Foraminiferal Biozones 4iii to 7). The local chalk crop to the north of the villa includes rocks of R. cushmani Biozone age, and indicates a likely local, rather than long distance, source for the tesserae. Microfossils provide a powerful tool for identifying the provenance of artefacts in Roman Britain.

Re-examination of a child burial found during excavations in advance of the construction of new offices for Dorset County Council in the north-west quarter of Dorchester in 1937 indicates that it is of early modern, rather than of Roman date, as originally believed at the time of excavation. A possible context is explored for the burial of a child in unconsecrated ground in the 17th century.

This paper identifies the ways in which the enormous upsurge in the volume of commercial archaeology in England since the introduction of PPG 16 in 1990 has affected our knowledge and understanding of Roman Britain. The difficulties in establishing a comprehensive database of interventions are discussed, but overall it is estimated that around 6,600 separate interventions sampled Roman deposits between 1990 and 2004. While many important excavations have been published in conventional formats, a considerable amount of information resides only in grey literature. Commercial work has generated major advances in our understanding of non-villa rural settlement and its associated land use, while analyses of material culture and, to a lesser extent, biological remains have considerable potential for wider synthesis and inter-site comparison. Improvements in collection methodology and reporting standards are suggested, and the need to integrate the results of commercial investigations with data derived from other sources is stressed.

Introduction and Committee Charges The Bylaws of the American Association of Colleges of Pharmacy (AACP) state that the Academic Affairs Committee shall consider: the intellectual, social, and personal aspects of pharmaceutical education. It is expected to identify practices, procedures, and

Although prima facie evidence for non-ferrous metal-working in the form of slag, crucibles, moulds, etc is present at the Roman town of Calleva Atrebatum at Silchester Hampshire, UK it has not yet been stratigraphically associated with in situ hearths; this can make the location of metal-working difficult to determine. This in turn raises the further question of the range of function of hearths in this urban context. The present study uses a combination of archaeological and analytical methods to attempt to determine the use of several hearth and hearth-related contexts within the on-going excavation at Insula IX. Using X-ray fluorescence (XRF) we were able to distinguish between probable industrial and domestic hearths based on elemental concentrations; for example locally elevated metal concentrations, in particular of copper, show evidence for the probable working of copper alloys at Silchester. Metals were found to accumulate in the silty layers associated with hearth platforms indicating that the tiles themselves do not appear to absorb metal spatter.

This article was migrated. The article was marked as recommended. The Association of American Medical Colleges and the American Association of Colleges of Pharmacy with leaders of other health professions formed the Interprofessional Education Collaborative (IPEC) in 2009. Interprofessional education (IPE) is now a component of accreditation standards for academic programs in both medicine and pharmacy. While geographically separated, the Medical College of Georgia (Augusta University) and the College of Pharmacy (University of Georgia) have over 40 year history of collaboration but never intentionally added joint curricular offerings.To address IPE competencies, we developed and evaluated a medicine pharmacy collaborative exercise. Specifically, to compare the attitudes and perception toward interprofessional education and practice of students from two disciplines. An observational cross sectional study with 208 third year medical (M3) students and 108 third year pharmacy (P3) students was conducted in two consecutive academic years. Groups consisted of 6-8 M3 and 3-4 P3 students from all campuses across the state. The M3 student was to choose a patient they had seen who was taking at least 3 prescription medications. Objectives for students were to discuss the case (medications, side effects, cost, pharmacogenetics, drug-drug interactions, and cost effectiveness). A report of M3-P3 findings was to be submitted for grading by the Pharmacy faculty. Once the exercises were completed surveys were distributed and the de-identified data was analyzed in relation to IPEC competencies . The study was conducted in one academic year and 316 responses were obtained. Within medical students 48.2 % agreed and 21.2 % strongly agreed to consult with Pharm D in the future. Perception of leadership in the groups was shifted more toward pharmacy students (56.5% vs. 27.4%, p

The evidence for a major, post-Boudiccan Neronian building campaign in Calleva is set out and discussed and its wider context considered. It is suggested that there was deliberate investment in the civil development of the client kingdom south of the Thames in contrast to the re-establishment of direct military control to the north and in East Anglia where revival of the towns was slow to take off.

Summary. A wide range of geomaterials were worked at industrial settlements scattered over an area of c.225 km2 in the Poole Harbour–Isle of Purbeck district of modern Dorset. These materials, more than one handled at some sites, included shale (‘coal’), burnt shales (yellow, red) and cementstones from the Kimmeridge Clay Formation (Upper Jurassic), Purbeck marble from the Purbeck Group (earliest Cretaceous), hard chalk from the Chalk Group (Upper Cretaceous), and potting clays and sands from the Bracklesham Group (Palaeogene), for South-east Dorset Black-burnished Pottery Category 1. There was also a salt industry, which could have used pottery for packaging. The industrial products are conterminously distributed in southern and central Britain and, in the case of pottery and shale items, reached as far as the northern frontiers. Raw material of red burnt shale was exported to Silchester (Calleva Atrebatum), where it was made into mosaic tesserae. Of proven Kimmeridgian age on the evidence of fossils, the mudstone used to make it had been collected and quarried on the coast of the Isle of Purbeck before being burnt. The decline in the demand for stone products, excepting shale, in the second century AD saw an expansion of the potting industry, which persisted into the fifth century. The term complex-agglomerative is introduced to describe this diverse and dispersed enterprise at this highest hierarchical level, examples of which occur elsewhere in the Roman world.

A geochemical soil survey was carried out over 500 m2 of a first and second century AD house complex in insula IX of the Roman town of Calleva Atrebatum (Silchester, Hampshire, UK) where there was little prima facie evidence for non-ferrous metalworking. Preliminary analyses were made by XRF of lead, zinc and copper. These were followed by analysis for Au, Ag and Sn by ICP-MS of the samples with the highest concentrations of Pb, Zn and Cu. Certain of the Pb, Zn and Cu concentrations suggest the working of copper alloy including brass, and could be associated with archaeological evidence of hearths and burnt areas of second century AD date. Other samples have concentrations of the above metals and of gold and silver which do not appear to be associated with any physical remains of hearths and burnt areas. These concentrations date to the mid-first century AD.

Metallographic examination of seven different types of Roman ferrous armour from northern Britain dating between the late first and the early third century has revealed a complexity and variety of structures. Five specimens were made of iron hardened by warm or cold working. One fragment was of medium-carbon steel and one was of iron carburised to steel on the outside surface. Four pieces were made from folding sheets of iron or steel, variously the same piece or different metals, each with a thickness of

It is becoming increasingly difficult to resource field archaeology outside the developer-funded context. Consequently it is difficult to engage the wider public in understanding the nature of archaeology and in the writing of its history from the study of material and environmental evidence. This paper describes a project funded by the UK's Heritage Lottery Fund designed to increase access by several means to a well-established and long-running archaeological excavation at the Iron Age and Roman Town at Silchester, Hampshire (UK).

The excavations of the Roman town of Silchester, Hampshire, undertaken under the auspices of the Society of Antiquaries between 1890 and 1909, are reconsidered in the light of renewed excavation on the site of insula IX, first explored in 1893. The excavation methodology of trial-trenching followed by area excavation of masonry buildings thus located is reviewed alongside the evidence of policy for the recovery and retention of finds. It is estimated that about 95 per cent of the archaeological resource survives for future research.