Children’s Mental Health and Emotional Well-being in Primary Schools: A Whole School Approach

This text is written for all those working in primary schools and who are involved in supporting children and young people. It supports professionals to develop strategies to enhance the importance of mental health and emotional wellbeing, to work on preventative strategies and to support children when they need more intervention. The text explores what we mean by mental health and wellbeing. It is written for teacher trainees and those studying Child and Adolescent Mental Health

Working in Partnership: Using Students as Change Agents and Active Participants in Course Development

An examination of how working in partnership with undergraduate students can enhance student engagement in their course

Fostering a Sense of Belonging and Empowerment for Male Students in Undergraduate Teacher Education Courses

How supporting males on an undergraduate course can support their engagement

Travel, modernity and rural landscapes in nineteenth century Liguria

New roads and later railways were essential for the modernisation and rapid economic development of North-western Italy in the early nineteenth century. The new routes also encouraged an increasing number of foreign travellers to visit the region. They opened up fresh tracts of countryside and provided novel viewpoints and points of interest; many travellers took the opportunity to record these views with topographical drawings and watercolours. In this paper we make use of some of these views to examine how the modernized transport routes released new places to be celebrated by tourists and became themselves features and objects of especial interest and comment. We examine the works of three artists, one English and two Italian, who depicted landscapes of contrasting rural Ligurian landscapes. Their drawings and prints are contextualised and interpreted with maps, field data, archival documents and contemporary descriptions of roads and railways by travellers and in guidebooks

Geoeconomic variations in epidemiology, ventilation management, and outcomes in invasively ventilated intensive care unit patients without acute respiratory distress syndrome: a pooled analysis of four observational studies

Background: Geoeconomic variations in epidemiology, the practice of ventilation, and outcome in invasively ventilated intensive care unit (ICU) patients without acute respiratory distress syndrome (ARDS) remain unexplored. In this analysis we aim to address these gaps using individual patient data of four large observational studies. Methods: In this pooled analysis we harmonised individual patient data from the ERICC, LUNG SAFE, PRoVENT, and PRoVENT-iMiC prospective observational studies, which were conducted from June, 2011, to December, 2018, in 534 ICUs in 54 countries. We used the 2016 World Bank classification to define two geoeconomic regions: middle-income countries (MICs) and high-income countries (HICs). ARDS was defined according to the Berlin criteria. Descriptive statistics were used to compare patients in MICs versus HICs. The primary outcome was the use of low tidal volume ventilation (LTVV) for the first 3 days of mechanical ventilation. Secondary outcomes were key ventilation parameters (tidal volume size, positive end-expiratory pressure, fraction of inspired oxygen, peak pressure, plateau pressure, driving pressure, and respiratory rate), patient characteristics, the risk for and actual development of acute respiratory distress syndrome after the first day of ventilation, duration of ventilation, ICU length of stay, and ICU mortality. Findings: Of the 7608 patients included in the original studies, this analysis included 3852 patients without ARDS, of whom 2345 were from MICs and 1507 were from HICs. Patients in MICs were younger, shorter and with a slightly lower body-mass index, more often had diabetes and active cancer, but less often chronic obstructive pulmonary disease and heart failure than patients from HICs. Sequential organ failure assessment scores were similar in MICs and HICs. Use of LTVV in MICs and HICs was comparable (42\ub74% vs 44\ub72%; absolute difference \u20131\ub769 [\u20139\ub758 to 6\ub711] p=0\ub767; data available in 3174 [82%] of 3852 patients). The median applied positive end expiratory pressure was lower in MICs than in HICs (5 [IQR 5\u20138] vs 6 [5\u20138] cm H2O; p=0\ub70011). ICU mortality was higher in MICs than in HICs (30\ub75% vs 19\ub79%; p=0\ub70004; adjusted effect 16\ub741% [95% CI 9\ub752\u201323\ub752]; p<0\ub70001) and was inversely associated with gross domestic product (adjusted odds ratio for a US$10 000 increase per capita 0\ub780 [95% CI 0\ub775\u20130\ub786]; p<0\ub70001). Interpretation: Despite similar disease severity and ventilation management, ICU mortality in patients without ARDS is higher in MICs than in HICs, with a strong association with country-level economic status. Funding: No funding

Convergent radial tracing of viral and solute transport in Gneiss Saprolite

Deeply weathered crystalline rock aquifer systems comprising unconsolidated saprolite and underlying fractured bedrock (saprock) underlie 40% of sub-Saharan Africa. The vulnerability of this aquifer system to contamination, particularly in rapidly urbanizing areas, remains poorly understood. In order to assess solute and viral transport in saprolite derived from Precambrian gneiss, forced-gradient tracer experiments using chloride and Escherichia coli phage ΦX174 were conducted in southeastern Uganda. The bacteriophage tracer was largely unrecovered; adsorption to the weathered crystalline rock matrix is inferred and enabled by the low pH (5.7) of site ground water and the bacteriophage's relatively high isoelectric point (pI = 6.6). Detection of the applied ΦX174 phage in the pumping well discharge at early times during the experiment traces showed, however, that average ground water flow velocities exceed that of the inert solute tracer, chloride. This latter finding is consistent with observations in other hydrogeological environments where statistically extreme sets of microscopic flow velocities are considered to transport low numbers of fecal pathogens and their proxies along a selected range of linked ground water pathways. Application of a radial advection-dispersion model with an exponentially decaying source term to the recovered chloride tracer estimates a dispersivity (α) of 0.8 ± 0.1 m over a distance of 4.15 m. Specific yield (Sy) is estimated to be 0.02 from volume balance calculations based on tracer experiments. As single-site observations, our estimates of saprolite Sy and α are tentative but provide a starting point for assessing the vulnerability of saprolite aquifers in sub-Saharan Africa to contamination and estimating quantitatively the impact of climate and abstraction on ground water storage