Measurement properties of the UK-English version of the Pediatric Quality of Life Inventory™ 4.0 (PedsQL™) generic core scales

Background Health related quality of life (HRQL) has been recognised as an important paediatric outcome measurement. One of the more promising measures to emerge in recent years is the Pediatric Quality Of Life Inventory (PedsQL™), developed in the US. Advantages of the PedsQL™ include brevity, availability of age appropriate versions and parallel forms for child and parent. This study developed a UK-English version of PedsQL™ generic module and assessed its performance in a group of UK children and their parents. Methods PedsQL™ was translated to UK-English. The psychometric properties of the UK version were then tested following administration to 1399 children and 970 of their parents. The sample included healthy children, children diagnosed with asthma, diabetes or inflammatory bowel disease and children in remission from cancer. Results Psychometric properties were similar to those reported for the original PedsQL™. Internal reliability exceeded 0.70 for all proxy and self-report sub-scales. Discriminant validity was established for proxy and self-report with higher HRQL being reported for healthy children than those with health problems. Sex differences were noted on the emotional functioning subscale, with females reporting lower HRQL than males. Proxy and self-report correlation was higher for children with health problems than for healthy children. Conclusion The UK-English version of PedsQL™ performed as well as the original PedsQL™ and is recommended for assessment of paediatric HRQL in the UK

Cirsium species show disparity in patterns of genetic variation at their range-edge, despite similar patterns of reproduction and isolation

Genetic variation was assessed across the UK geographical range of Cirsium acaule and Cirsium heterophyllum. A decline in genetic diversity and increase in population divergence approaching the range edge of these species was predicted based on parallel declines in population density and seed production reported seperately. Patterns were compared with UK populations of the widespread Cirsium arvense.Populations were sampled along a latitudinal transect in the UK and genetic variation assessed using microsatellite markers. Cirsium acaule shows strong isolation by distance, a significant decline in diversity and an increase in divergence among range-edge populations. Geographical structure is also evident in C. arvense, whereas no such patterns are seen in C.heterophyllum. There is a major disparity between patterns of genetic variation in C. acaule and C. heterophyllum despite very similar patterns in seed production and population isolation in these species. This suggests it may be misleading to make assumptions about the geographical structure of genetic variation within species based solely on the present-day reproduction and distribution of populations

Resilience, moorings and international student mobilities - exploring biographical narratives of social science students in the UK

Whilst research into the changing landscape of the UK Higher Education (HE) has produced a burgeoning literature on ‘internationalisation’ and ‘transnational student mobility’ over the past few years, still fairly little is known about international students’ experiences on their way to and through the UK higher and further education. Frequently approaching inter- and transnational education as ‘neutral’ by-products of neoliberal globalisation, elitism and power flows, much HE policy and scholarly debate tend to operate with simplistic classifications of ‘international students’ and therefore fail to account for the multifaceted nature of students’ aspirations, mobilities and life experiences. Drawing on the notion of ‘resilience’ and insights from the ‘new mobilities paradigm’, this paper envisages alternative student mobilities which run parallel or counter to the dominant flows of power, financial and human capital commonly associated with an emerging global knowledge economy. Engaging with ‘resilient’ biographies of social science students studying at three UK HE institutions, the paper challenges narrow student classification regimes and calls for a critical re-evaluation of the relationship between international student mobility and other contemporary forms of migration, displacement and diaspora

Culture, Utility or Social Systems?:Explaining the Cross-National Ties of Emigrants from Borsa, Romania

Emigrants from Borşa, Romania, display two quite distinct patterns of ties with their community of origin: migration to Italy is discernibly transnational, with a strong reliance on migrant networks; while migration to the UK is more individualistic, with emigrants shunning interaction with compatriots and retaining only weak ties to Borşa. We argue that prevalent theories of cross-national ties fail adequately to explain this divergence. Instead, we draw on systems theory to explain the discrepancy in terms of divergent conditions for societal inclusion. In Italy, incorporation into parallel, unofficial structures of work, welfare and accommodation encouraged a reliance on cultural criteria for maintaining social ties. In the UK, migrants were obliged to integrate into state-sponsored systems, encouraging the relinquishing of ethnic ties in favour of more strategic networking to facilitate societal inclusion

Development of the ASQoL: a quality of life instrument specific to ankylosing spondylitis

Background: Although disease-specific health status measures are available for ankylosing spondylitis (AS), no instrument exists for assessing quality of life (QoL) in the condition. Objective: To produce an AS-specific QoL measure that would be relevant and acceptable to respondents, valid, and reliable. Methods: The ASQoL employs the needs-based model of QoL and was developed in parallel in the UK and the Netherlands (NL). Content was derived from interviews with patients in each country. Face and content validity were assessed through patient field test interviews (UK and NL). A postal survey in the UK produced a more efficient version of the ASQoL, which was tested for scaling properties, reliability, internal consistency, and validity in a further postal survey in each country. Results: A 41 item questionnaire was derived from interview transcripts. Field testing interviews confirmed acceptability. Rasch analysis of data from the first survey (n=121) produced a 26 item questionnaire. Rasch analysis of data from the second survey (UK: n=164; NL: n=154) showed some item misfit, but showed that items formed a hierarchical order and were stable over time. Problematic items were removed giving an 18 item scale. Both language versions had excellent internal consistency (α=0.89–0.91), test-retest reliability (r(s)=0.92 UK and r(s)=0.91 NL), and validity. Conclusions: The ASQoL provides a valuable tool for assessing the impact of interventions for AS and for evaluating models of service delivery. It is well accepted by patients, taking about four minutes to complete, and has excellent scaling and psychometric properties

Macroeconomics modelling on UK GDP growth by neural computing

This paper presents multilayer neural networks used in UK gross domestic product estimation. These networks are trained by backpropagation and genetic algorithm based methods. Different from backpropagation guided by gradients of the performance, the genetic algorithm directly evaluates the performance of multiple sets of neural networks in parallel and then uses the analysed results to breed new networks that tend to be better suited to the problems in hand. It is shown that this guided evolution leads to globally optimal networks and more accurate results, with less adjustment of the algorithm needed

The Impact of Price Regulation on the Launch Delay of New Drugs - Evidence from Twenty-Five Major Markets in the 1990s

This study analyzes the effect of pharmaceutical price regulation on delays in new drug launches. Because low price in one market may 'spill-over' to others, though parallel trade and external referencing, manufacturers may rationally prefer longer delay or non-launch to accepting a low price. We use a Cox proportional hazard model to analyze the launch experience in 25 major markets of 85 new chemical entities (NCEs) launched in the UK or US between 1994 and 1998. There are 1,167 observed launches, or about 55% of the maximum. The US leads with 73 launches, followed by Germany (66) and the UK (64). Only 13 NCEs launched in Japan, 26 in Portugal and 28 in New Zealand. Countries with fewer launches also have longer average launch lags. The launch hazard is positively related to expected price and to expected volume, controlling for income per capita. The originator firm(s) characteristics, specifically, launch in home country and global experience, also significantly reduce launch delay. Within the EU, likely parallel export countries have the most negative effects. Our results suggest that countries with lower expected prices or smaller expected market size experience longer delays in new drug access, controlling for per capita income and other country and firm characteristics.

Organic plant breeding

This report was presented at the UK Organic Research 2002 Conference. To a major extent, organic farming depends currently on plant and animal varieties that have been bred for non-organic farming and that are often not suited to organic production. This position is inconsistent with a holistic approach to organic agriculture. Organically-bred plant varieties are needed to develop both the potential of organic agriculture and its integrity. A first attempt at developing a concept for organic plant breeding methodology has been proposed. A novel approach to breeding for organic production has also been started. Further development needs a parallel approach to animal breeding for organic systems