CATALISE: A multinational and multidisciplinary Delphi consensus study. Identifying language impairments in children

Delayed or impaired language development is a common developmental concern, yet thereis little agreement about the criteria used to identify and classify language impairments inchildren. Children's language difficulties are at the interface between education, medicineand the allied professions, who may all adopt different approaches to conceptualising them.Our goal in this study was to use an online Delphi technique to see whether it was possibleto achieve consensus among professionals on appropriate criteria for identifying childrenwho might benefit from specialist services. We recruited a panel of 59 experts representingten disciplines (including education, psychology, speech-language therapy/pathology, paediatricsand child psychiatry) from English-speaking countries (Australia, Canada, Ireland,New Zealand, United Kingdom and USA). The starting point for round 1 was a set of 46statements based on articles and commentaries in a special issue of a journal focusing onthis topic. Panel members rated each statement for both relevance and validity on a sevenpointscale, and added free text comments. These responses were synthesised by the firsttwo authors, who then removed, combined or modified items with a view to improving consensus.The resulting set of statements was returned to the panel for a second evaluation(round 2). Consensus (percentage reporting 'agree' or 'strongly agree') was at least 80 percentfor 24 of 27 round 2 statements, though many respondents qualified their responsewith written comments. These were again synthesised by the first two authors. The resultingconsensus statement is reported here, with additional summary of relevant evidence, and aconcluding commentary on residual disagreements and gaps in the evidence base.</p

Phase 2 of CATALISE: a multinational and multidisciplinary Delphi consensus study of problems with language development: Terminology.

Background: Lack of agreement about criteria and terminology for children’s language problems affects access to services as well as hindering research and practice. We report the second phase of a study using an online Delphi method to address these issues. In the first phase, we focused on criteria for language disorder. Here we consider terminology.Methods: The Delphi method is an iterative process in which an initial set of statements is rated by a panel of experts, who then have the opportunity to view anonymised ratings from other panel members. On this basis they can either revise their views or make a case for their position. The statements are then revised based on panel feedback, and again rated by and commented on by the panel. In this study, feedback from a second round was used to prepare a final set of statements in narrative form. The panel included 57 individuals representing a range of professions and nationalities. Results: We achieved at least 78% agreement for 19 of 21 statements within two rounds of ratings. These were collapsed into 12 statements for the final consensus reported here. The term ‘Language Disorder’ is recommended to refer to a profile of difficulties that causes functional impairment in everyday life and is associated with poor prognosis. The term, ‘Developmental Language Disorder’ (DLD) was endorsed for use when the language disorder was not associated with a known biomedical aetiology. It was also agreed that (a) presence of risk factors (neurobiological or environmental) does not preclude a diagnosis of DLD, (b) DLD can co-occur with other neurodevelopmental disorders (e.g. ADHD) and (c) DLD does not require a mismatch between verbal and nonverbal ability. Conclusions: This Delphi exercise highlights reasons for disagreements about terminology for language disorders and proposes standard definitions and nomenclature. </p

Soil Culture: Bringing the Arts down to Earth

Initiated by the Centre for Contemporary Art and the Natural World (CCANW), Soil Culture is a three year programme which reveals how arts and culture explore the vital, ecological importance of soil. Soil Culture demonstrates the UK contribution to the United Nations International Year of Soils, 2015. The programme consists of various events, in particular 12 artist residencies (featuring Touchstone Collaborations, Bristol, and Karen Guthrie, among others) aimed at encouraging an exploration of the ecology and importance of soil. The project has climaxed with a major group exhibition, Soil Culture: Deep Roots (Falmouth Art Gallery and Plymouth Peninsula Arts in 2015/16), which brings together the work of six important international environmental artists: Paolo Barrile, Mel Chin, herman de vries, Richard Long, Ana Mendieta, and Claire Pentecost. The range of artworks includes work by Mel Chin, who uses plants to extract heavy metals from contaminated land, to that of Claire Pentecost who has sculpted soil into the shapes of gold ingots to reflect its true worth. Also featured are works by seven British artists, including Chris Drury, Andy Goldsworthy, and David Nash. A Gaia Project and CCANW/Falmouth Art Gallery co-publication, this book documents all aspects of the Soil Culture programme and features exclusive essays

Managing Soils for Recovering from the COVID-19 Pandemic

The COVID-19 pandemic has disrupted the global food supply chain and exacerbated the problem of food and nutritional insecurity. Here we outline soil strategies to strengthen local food production systems, enhance their resilience, and create a circular economy focused on soil restoration through carbon sequestration, on-farm cycling of nutrients, minimizing environmental pollution, and contamination of food. Smart web-based geospatial decision support systems (S-DSSs) for land use planning and management is a useful tool for sustainable development. Forensic soil science can also contribute to cold case investigations, both in providing intelligence and evidence in court and in ascertaining the provenance and safety of food products. Soil can be used for the safe disposal of medical waste, but increased understanding is needed on the transfer of virus through pedosphere processes. Strengthening communication between soil scientists and policy makers and improving distance learning techniques are critical for the post-COVID restoration