274 research outputs found

    Universal Wellbeing Practices in Schools: Framing Evidence-Informed Practice Within the Five Ways to Wellbeing

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    In 2017, the UK Government published Transforming Children and Young People’s Mental Health Provision: A Green Paper (Department for Education & Department of Health, 2017), making clear that their intention is to place schools at the forefront of a national strategy to improve the mental wellbeing of children. The Special Educational Needs and Disability Code of Practice (SEND CoP; Department for Education & Department of Health, 2015) includes Social, Emotional and Mental Health as one primary area of SEND, emphasising a graduated approach to intervention, beginning with high-quality teaching. Taken together, the clear implication is that schools should arrange provision to promote children’s wellbeing at the universal level, not just at the targeted and specialist levels. With its emphasis upon evidence-based actions, the New Economics Foundation’s (NEF’s) Five Ways to Wellbeing (Aked et al., 2008) is proposed here as a framework for organising provisions. Relevant evidence-based programs, as well as strategies and procedures, are presented, each of which is universally applicable, relevant across primary and secondary phases, and linked to the NEF’s Five Ways

    Performance of human papillomavirus DNA detection in residual specimens taken for Chlamydia trachomatis and Neisseria gonorrhoeae nucleic acid amplification testing in men who have sex with men

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    OBJECTIVES: Rectal swab specimens, either alone or pooled with first-void urine (FVU) and pharyngeal swab specimens, are used to test for Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) infection in men who have sex with men (MSM). Following introduction of human papillomavirus (HPV) vaccination for MSM attending UK sexual health services (SHSs), HPV testing of residual CT/NG test specimens has been proposed to monitor HPV prevalence in this population. Performance of HPV detection in such specimens has not been evaluated previously. METHODS: MSM attending a UK SHS provided three specimens: (1) rectal swab for CT/NG, (2) pooled rectal/pharyngeal/FVU specimen for CT/NG and (3) dedicated anal swab for HPV. Specimen 3 and residual material from specimens 1 and 2 were tested for type-specific HPV DNA. HPV detection was by an in-house multiplex PCR and luminex-based genotyping assay. RESULTS: A total of 129 MSM were recruited with a mean age of 38.1 years; 24% were HIV-positive. Of the 129 MSM, 92 (71%) had any type-specific HPV DNA in ≥1 specimen; 80 (62%) had high risk (HR) HPV. Of 123 participants with sufficient residual pooled and dedicated specimens, 70 (56.9%) had detectable HPV on both, and 40 (32.5%) were negative on both; overall concordance was 89% (95% CI 83% to 94%), and kappa statistic was 0.78 (95% CI 0.66 to 0.89). Pooled samples had a 4.1% (95% CI -1.9% to 10.0%) higher test positivity rate than dedicated samples.Of 125 participants with sufficient residual rectal and specimens, 74 (59.2%) had detectable HPV on both, and 36 (28.8%) were negative on both; overall concordance was 88% (95% CI 81% to 93%), and kappa statistic was 0.74 (95% CI 0.61 to 0.86). Residual rectal samples had 5.6% (95%CI -0.6% to 11.8%) higher test positivity than dedicated samples. CONCLUSIONS: We observed high concordance between the dedicated and residual STI test specimens. Our data support the strategy of testing residual specimens for HPV prevalence monitoring in MSM to evaluate the impact of the targeted vaccination programme

    Reduction in HPV 16/18 prevalence in sexually active young women following the introduction of HPV immunisation in England.

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    BACKGROUND: Reduction in the prevalence of vaccine type HPV infection in young women is an early indication of the impact of the HPV immunisation programme and a necessary outcome if the subsequent impact on cervical cancer is to be realised. METHODS: Residual vulva-vaginal swab (VVS) specimens from young women aged 16-24 years undergoing chlamydia screening in community sexual health services (formerly known as family planning clinics), general practice (GP), and youth clinics in 2010-2012 were submitted from 10 laboratories in seven regions around England. These specimens were linked to demographic and sexual behaviour data reported with the chlamydia test, anonymised, and tested for type-specific HPV DNA using a multiplex PCR and Luminex-based genotyping test. Estimated immunisation coverage was calculated and findings were compared to a baseline survey conducted prior to the introduction of HPV immunisation in 2008. RESULTS: A total of 4664 eligible specimens were collected and 4178 had a valid test result. The post-immunisation prevalence of HPV 16/18 infection was lowest in this youngest age group (16-18 years) and increased with age. This increase with age was a reversal of the pattern seen prior to immunisation and was inversely associated with estimates of age-specific immunisation coverage (65% for 16-18 year olds). The prevalence of HPV 16/18 infection in the post-immunisation survey was 6.5% amongst 16-18 year olds, compared to 19.1% in the similar survey conducted prior to the introduction of HPV immunisation. CONCLUSIONS: These findings are the first indication that the national HPV immunisation programme is successfully preventing HPV 16/18 infection in sexually active young women in England. The reductions seen suggest, for the estimated coverage, high vaccine effectiveness and some herd-protection benefits. Continued surveillance is needed to determine the effects of immunisation on non-vaccine HPV types

    The Psychological Foundations of The Mediating Learning Support Assistant (MeLSA) Training Programme

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    It is estimated that a quarter of the mainstream school workforce in the UK are learning support staff. This is a substantial number of adults who have the potential to foster learning. This paper provides a brief summary regarding the impact of support staff on children and young people’s learning. It describes how the Mediating Learning Support Assistant (MeLSA) training programme was developed to meet a training gap identified in the literature. This paper also details the psychological theories and research evidence which provide the foundations for MeLSA and describes the format of the training programme, which consists of six days (mediating learning and mindset, thinking about thinking, memory and recall, mathematics, literacy, and implementation) followed by ongoing supervision. The aim of MeLSA is to ensure that learning support staff have the psychological and evidence-informed expertise to enable those with whom they are working to become competent and independent learners

    Receptor modelling of both particle composition and size distribution from a background site in London, UK – a two-step approach

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    Some air pollution datasets contain multiple variables with a range of measurement units, and combined analysis using positive matrix factorization (PMF) can be problematic but can offer benefits through the greater information content. In this work, a novel method is devised and the source apportionment of a mixed unit dataset (PM10 mass and number size distribution, NSD) is achieved using a novel two-step approach to PMF. In the first step the PM10 data are PMF-analysed using a source apportionment approach in order to provide a solution which best describes the environment and conditions considered. The time series G values (and errors) of the PM10 solution are then taken forward into the second step, where they are combined with the NSD data and analysed in a second PMF analysis. This results in NSD data associated with the apportioned PM10 factors. We exemplify this approach using data reported in the study of Beddows et al. (2015), producing one solution which unifies the two separate solutions for PM10 and NSD data datasets together. We also show how regression of the NSD size bins and the G time series can be used to elaborate the solution by identifying NSD factors (such as nucleation) not influencing the PM10 mass.</p

    Analysis of new particle formation (NPF) events at nearby rural, urban background and urban roadside sites

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    New particle formation (NPF) events have different patterns of development depending on the conditions of the area in which they occur. In this study, particle size distributions in the range of 16.6–604&thinsp;nm (7 years of data) were analysed and NPF events occurring at three sites of differing characteristics – rural Harwell (HAR), urban background North Kensington (NK), urban roadside Marylebone Road (MR), London, UK – were extracted and studied. The different atmospheric conditions in each study area not only have an effect on the frequency of the events, but also affect their development. The frequency of NPF events is similar at the rural and urban background locations (about 7&thinsp;% of days), with a high proportion of events occurring at both sites on the same day (45&thinsp;%). The frequency of NPF events at the urban roadside site is slightly less (6&thinsp;% of days), and higher particle growth rates (average 5.5&thinsp;nm&thinsp;h−1 at MR compared to 3.4 and 4.2&thinsp;nm&thinsp;h−1 at HAR and NK respectively) must result from rapid gas-to-particle conversion of traffic-generated pollutants. A general pattern is found in which the condensation sink increases with the degree of pollution of the site, but this is counteracted by increased particle growth rates at the more polluted location. A key finding of this study is that the role of the urban environment leads to an increment of 20&thinsp;% in N16–20&thinsp;nm in the urban background compared to that of the rural area in NPF events occurring at both sites. The relationship of the origin of incoming air masses is also considered and an association of regional events with cleaner air masses is found. Due to lower availability of condensable species, NPF events that are associated with cleaner atmospheric conditions have lower growth rates of the newly formed particles. The decisive effect of the condensation sink in the development of NPF events and the survivability of the newly formed particles is underlined, and influences the overall contribution of NPF events to the number of ultrafine particles in an area. The other key factor identified by this study is the important role that pollution, both from traffic and other sources in the urban environment (such as heating or cooking), plays in new particle formation events.</p
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