Paediatric neuropsychological assessment: an analysis of parents' perspectives

Purpose: Modern healthcare services are commonly based on shared models of care, in which a strong emphasis is placed upon the views of those in receipt of services. The purpose of this paper is to examine the parents' experiences of their child's neuropsychological assessment. Design/methodology/approach: This was a mixed-methodology study employing both quantitative and qualitative measures. Findings: The questionnaire measure indicated a high overall level of satisfaction. Qualitative analysis of parental interviews provided a richer insight into the parental experience and indicated four major themes. Practical implications: Implications covered three major areas. Firstly, whilst a high value was placed upon the assessment, the need for further comprehensive neurorehabilitation and intervention was highlighted. Secondly, this study highlights the significant adversity experienced by such families and subsequent unmet psychological needs which also require consideration. Finally, findings from the current study could assist in improving future measures of satisfaction in similar services. Originality/value: This is the first published study of parental experiences of and satisfaction with paediatric neuropsychological assessment in the UK. © Emerald Group Publishing Limited

Increasing leaf hydraulic conductance with transpiration rate minimizes the water potential drawdown from stem to leaf.

Leaf hydraulic conductance (k leaf) is a central element in the regulation of leaf water balance but the properties of k leaf remain uncertain. Here, the evidence for the following two models for k leaf in well-hydrated plants is evaluated: (i) k leaf is constant or (ii) k leaf increases as transpiration rate (E) increases. The difference between stem and leaf water potential (ΔΨstem-leaf), stomatal conductance (g s), k leaf, and E over a diurnal cycle for three angiosperm and gymnosperm tree species growing in a common garden, and for Helianthus annuus plants grown under sub-ambient, ambient, and elevated atmospheric CO₂ concentration were evaluated. Results show that for well-watered plants k leaf is positively dependent on E. Here, this property is termed the dynamic conductance, k leaf(E), which incorporates the inherent k leaf at zero E, which is distinguished as the static conductance, k leaf(0). Growth under different CO₂ concentrations maintained the same relationship between k leaf and E, resulting in similar k leaf(0), while operating along different regions of the curve owing to the influence of CO₂ on g s. The positive relationship between k leaf and E minimized variation in ΔΨstem-leaf. This enables leaves to minimize variation in Ψleaf and maximize g s and CO₂ assimilation rate over the diurnal course of evaporative demand

Highlighting the wider relevance of science centre evaluations: a reflection on the evaluation of a physics engagement programme

This paper reflects on the evaluation of and findings from a nationwide programme of physics engagement activities hosted by 10 science centres across the UK. We discuss our findings indicating the affordances of the programme with reference to the wider literature in order to draw out elements of the project that may be useful for other science learning and engagement initiatives. In particular, we discuss findings that relate to contemporary research and policy interests around the engagement of girls in science, the key ages at which young people’s views may best be influenced, the importance of explicating the nature of ‘real-world’ content and careers, and the value of collaborative partnerships

Drug-induced stress granule formation protects sensory hair cells in mouse cochlear explants during ototoxicity

Stress granules regulate RNA translation during cellular stress, a mechanism that is generally presumed to be protective, since stress granule dysregulation caused by mutation or ageing is associated with neurodegenerative disease. Here, we investigate whether pharmacological manipulation of the stress granule pathway in the auditory organ, the cochlea, affects the survival of sensory hair cells during aminoglycoside ototoxicity, a common cause of acquired hearing loss. We show that hydroxamate (-)-9, a silvestrol analogue that inhibits eIF4A, induces stress granule formation in both an auditory cell line and ex-vivo cochlear cultures and that it prevents ototoxin-induced hair-cell death. In contrast, preventing stress granule formation using the small molecule inhibitor ISRIB increases hair-cell death. Furthermore, we provide the first evidence of stress granule formation in mammalian hair cells in-vivo triggered by aminoglycoside treatment. Our results demonstrate that pharmacological induction of stress granules enhances cell survival in native-tissue, in a clinically-relevant context. This establishes stress granules as a viable therapeutic target not only for hearing loss but also other neurodegenerative diseases.EI:595 - Action on Hearing Loss; 091092/Z/09/Z - Wellcome Trust (Wellcome); MR/N004329/1 - RCUK | Medical Research Council (MRC)Published versio

A river health assessment of selected South-Western Cape Rivers : index of habitat integrity, water quality and the influence of surrounding land use

Thesis (MSc)--University of Stellenbosch, 2003.ENGLISH ABSTRACT: The River Health Programme (RHP) is an assessment tool for monitoring the ecological state of rivers to ensure that they remain fit for use by present and future generations. This study, forming part of a RHP assessment conducted on the south-western Cape Hout Bay, Lourens and Palmiet Rivers, has the aim to (1) zone the rivers for representative site selection, (2) assess their habitat integrity (HI), (3) determine the influence of land use on riverine HI and (4) assess the river water quality at the time of the RHP assessments. (1) The desktop geomorphological zonation method used in RHP assessments has not been sufficiently previously tested on short rivers draining the Western Cape Mountains. The Lowland River Zone of the rivers studied, as well as the Hout Bay River’s Upper Foothill Zone, were found to have steeper gradients than expected, probably due to these rivers being shorter and consequently steeper than any on which the method was previously tested. The notion of one gradient river classification system being applicable throughout South Africa, with its diverse geology and climate, is unlikely. Rather a classification system modified for various physiographic features regions or by a factor based on river length is more realistic. (2) Although there is a general longitudinal decrease in HI downstream along the Hout Bay and Lourens Rivers, coinciding with increased anthropogenic activities, HI improves in the Palmiet River’s lower reaches through the Kogelberg Nature Reserve. Surrounding land use thus seems to be a major determinant of HI. Although the Index of Habitat Integrity (IHI) used appears to achieve its aim, it was found to be subjective. Categorisation of the IHI scoring is suggested. (3) The amount of natural versus disturbed land use occurring upstream of a site at a regional and local scale, is a good predictor of riverine HI. Regional alien forestry and local urbanisation have significantly strong negative effects on instream (r2 = -0.80, r2 = 0.80, p<0.05) and riparian (r2 = -0.81, r2 = -0.83, p<0.05) HI. Different land use types therefore appear to affect riverine HI at differing scales and thus managers must not only think on a local but also a catchment scale. (4) In the Hout Bay River, a filtering system (e.g. wetland) appears to improve the water quality between the middle and lower reaches. Along the Lourens River, high total dissolved salts, conductivity and inorganic nitrogen concentrations in the middle reaches are cause for concern. Along the Palmiet River there appeared to be insufficient oxygen to support most aquatic life forms at Grabouw. Impoundments in the middle reaches act as sinks for nutrients and salts, but the Huis and Krom tributaries downstream then appear to degrade the water quality of the Palmiet River’s lower reaches within the Kogelberg Nature Reserve. Together with the results of simultaneous biotic assessments, these results should be used to develop management actions to improve the ecological health of these rivers. The results have been used in a State-of-Rivers Report for the south-western Cape.AFRIKAANSE OPSOMMING: Die Riviergesondheidsprogram (RGP) is 'n asseseringsinstrument wat die ekologiese stand van riviere monitor om te verseker dat hulle steeds bruikbaar bly vir huidige en toekomstige geslagte. Hierdie studie maak deel uit van 'n RGP-assessering van die Lourens-, Houtbaai- en Palmietrivier in die Suidwes-Kaap en het ten doel om (1) die riviere te soneer vir verteenwoordigende terreinseleksie, (2) die habitat-integriteit (HI) te assesseer, (3) die invloed van grondgebruik op rivier-HI te bepaal en (4) die kwaliteit van rivierwater tydens die RGP-assesserings te bepaal. (1) Die geomorfologiese-soneringsmetode wat in RGP-assesserings gebruik word, is nog nie voorheen genoegsaam vir die kort riviere wat die Wes-Kaapse berge dreineer, getoets nie. Daar is bevind dat die studiegebied riviere in die laagland-sones skerper gradiënte het as verwag, gehad het. Dit kan moontlik toegeskryf word aan die riviere wat korter en dus steiler is as enige van dié wat voorheen met die metode getoets is. Die moontlikheid dat een gradiëntklassifikasiestelsel vir riviere regdeur Suid-Afrika met sy diverse geologie en klimaat toegepas kan word, is onwaarskynlik. 'n Klassifikasiestelsel aangepas vir verskillende fisiografiese streke of met 'n faktor gebaseer op rivierlengte, is meer realisties. (2) Alhoewel HI stroomaf langs die Lourens- en Houtbaairivier in die algemeen longitudinaal saam met die toename in antropogeniese aktiwiteite afneem, verbeter die Palmietrivier se HI waar dit laer af deur die Kogelbergnatuurreservaat vloei. Die gebruike van aanliggende grond blyk dus 'n belangrike bepaler van HI te wees. Die Indeks van Habitatintegriteit (IHI) bereik klaarblyklik die vereiste doel, maar is te subjektief. Kategorisering van die IHI-waardes word voorgestel. (3) 'n Goeie voorspeller van rivier-HI is die hoeveelheid natuurlike teenoor versteurde grondgebruik stroomop van 'n terrein op 'n streeks- en lokale skaal. Die sterk negatiewe effek van uitheemse plantegroei in die omgewing en lokale verstedeliking op stroom- (r² = -0.80, r² = 0.80, p<0.05 ) en oewer-HI (r² = -0.81, r² = -0.83, p<0.05) is beduidend. Verskille in tipe grondgebruik beïnvloed rivier-HI op verskillende vlakke; bestuurders moet dus plaaslik en aan die opvanggebied dink. (4) In die Houtbaairivier lyk dit asof 'n filtreringstelsel (bv. vleigrond) die waterkwaliteit tussen die middel- en lae gedeeltes verbeter. In die loop van die Lourensrivier is hoë totale opgeloste soute, geleidingsvermoë en anorganiese stikstofkonsentrasies in die middelgedeelte 'n rede tot kommer. In die Palmietrivier by Grabouw was die suurstof te min om die meeste akwatiese lewensvorme te onderhou. Opgedamde water in die middel gedeeltes dien as 'n sink vir voedingstowwe en soute, maar dit lyk asof die Huis- en Kromrivier die waterkwaliteit van die Palmietrivier stroomaf in die Kogelbergnatuurreservaat degradeer. Saam met die resultate van gelyktydige biotiese assesserings, kan hierdie resultate gebruik word vir die ontwikkeling van bestuursaksies om die ekologiese toestand van hierdie riviere te verbeter. Die resultate is gebruik in 'n toestand-van-riviere-verslag vir die Suidwes-Kaap