Deprivation, ethnicity and the prevalence of intellectual and developmental disabilities

Background Social gradients and ethnic disparities have been reported in some forms of intellectual and developmental disabilities. However, information on the association between area deprivation, ethnicity and other forms of intellectual and developmental disabilities are inconclusive. Aim To estimate the independent association between household disadvantage, local area deprivation, ethnicity and the identification of intellectual and developmental disability. Methods Cross-sectional survey involving multilevel multivariate analyses of data extracted from educational records on household disadvantage, local area deprivation, ethnicity and identified intellectual and developmental disability in a sample of English children aged 7–15 years (n=5.18 million). Results Lower household socio-economic position was associated with increased rates of identification of intellectual and developmental disabilities especially less severe forms of intellectual disability. Higher area deprivation was independently associated with increased rates of identification of less severe forms of intellectual disability but decreased rates of identification of profound multiple intellectual disability and autism spectrum disorder. Minority ethnic status was, in general, associated with lower rates of identification of intellectual and developmental disabilities. Exceptions to this general pattern included higher rates of identification of less severe forms of intellectual disability among Gypsy/Romany and Traveller children of Irish heritage, and higher rates of identification of more severe forms of intellectual disability among children of Pakistani and Bangladeshi heritage. Conclusions Children whose development is already compromised (and especially children with less severe intellectual disabilities) are at increased risk of exposure to social conditions that are themselves inimical to healthy development

Health Inequalities and People with Learning Disabilities in the UK

This briefing paper will assist Primary, Acute and Specialist NHS Trusts in fulfilling their responsibilities. In this report we summarise the most recent evidence from the UK on the health status of people with learning disabilities and the determinants of the health inequalities they face. Later in the autumn, IHaL will be producing a briefing for GP Commissioning Consortia and PCTs on practical commissioning actions to help address the issues identified in this report

Biotic control of LNAPL longevity - laboratory and field- scale studies

2017 Spring.Includes bibliographical references.Natural source zone depletion (NSZD) is an emerging strategy for managing light nonaqueous phase liquids (LNAPLs). Unfortunately, little is known about NSZD rates over extended periods of time, where heterogeneous redox conditions and changing LNAPL saturations may influence processes governing losses. Understanding long-term rates is central to anticipating LNAPL longevity under both natural and engineered conditions. Herein, laboratory and field-scale modeling studies were conducted to evaluate LNAPL longevity. Laboratory studies evaluated loss rates as a function of total contaminant concentration under sulfate-reducing (SR) and methanogenic (MG) conditions. Biotic and abiotic loss rates were determined via tracking biodegradation products and hydrocarbons in column effluents and produced gasses over time. Furthermore, compositional weathering of LNAPL was evaluated. Loss rates with elevated sulfate averaged 39.8 mmole carbon/day/m3 (±9.1 mmole carbon/day/m3). Once sulfate in the soil was depleted to influent water sulfate concentrations of 20 mg/L, subsequent average loss rates were 39.7 mmole carbon/day/m3 (±19.6 mmole carbon/day/m3). Overall, loss rates with and without elevated sulfate were similar. Furthermore, results suggested that loss rates are independent of LNAPL concentration over the range of 9,000 to 37,000 mg/kg and redox conditions observed. Loss rates independent of LNAPL concentrations indicated that biologically mediated NSZD follows zero-order kinetics over the range of conditions evaluated. Column loss rates were compared to field-measured loss rates assuming an LNAPL thickness of three meters. Given this assumption, mean observed early- and late-loss rates are 1.38 and 1.41 μmole carbon/m2/sec, respectively. Assuming decane as a representative LNAPL, observed loss rates are equivalent to 7890 and 8060 L/hectare/year. A column was sacrificed at the completion of the study. Predicted mass losses of the study equate to approximately 1% total initial LNAPL mass lost. Total petroleum hydrocarbons (TPH) soil analysis of initial and final grab samples of column soil did not detect significant mass losses. Moreover, no significant shifts in the LNAPL composition were seen during the course of the study. Mass losses in this range are difficult to accurately quantify via soil-phase hydrocarbon analyses, thus highlighting the utility of the approach used herein. An LNAPL longevity model (The Glide Path Model) was applied at a field site using a zero-order rate model for biological NSZD. LNAPL Longevity ranged from 35 to 105 years using a mean NSZD rate, plus or minus factors of 2 and ½, respectively. Active recovery was shown to have little effect on the longevity of LNAPL

The Influence of Baby Boomers’ Perceptions of Well-Being on Their Preference in Post-retirement Residential Alternatives as Moderated by Their Affinity for Technology

This study was premised on the idea that baby boomers, like anyone else, desire to maximize their well-being. That is, they seek situations that provide positive emotion, engagement, relationships, meaning and accomplishment (PERMA) which determine their personal appraisal of well-being based on both objective and subjective measures. Thus, the purpose of the research was to identify the most important PERMA elements of well-being that the baby boomer cohort who have decided to retire but have not yet done so (i.e., pre-retirees), seek in their preference in post-retirement residence. Moreover, this study investigates the degree to which this group sees that choice being influenced by their affinity for technology. The data for this correlational study was collected through a survey instrument administered to respondents electronically. The responses were analyzed utilizing logistic regression to generate research findings and implications. The results of this study suggest there is a relationship between the PERMA elements of well-being, singly and collectively, and their preference in post-retirement residence. Further, when considering the impact of affinity for technology on these two variables, the hypothesis of moderation was not significant. Future research in these two areas is warranted as technological innovations continue to impact the delivery of the elements of well-being, and as baby boomers move through their retirement years, to consider the potential impact on their preferred post-retirement residential alternatives

Modeling the power requirements of a rotary feeding and cutting system

The purpose of this study was to develop an analytical model that could be used by the designers of a rotary feeding and cutting system (RFCS) to identify the power demand of the RFCS with limited or no required field or laboratory data. Two separate RFCS were investigated, incorporated with either a low-speed cutting process (LSCP) or a high-speed cutting process (HSCP). The results from the laboratory and field trials were used to create and validate the analytical model. Laboratory tests were completed with the LSCP RFCS and these concluded that counter-knife sharpness, serrations and bevel angle all had significant effects on the specific energy required by the LSCP RFCS when processing cereal straw and alfalfa. The specific energy required by the LSCP RFCS, while processing cereal straw, increased by 0.35 kW∙h/tonne (or 96%) when the sharpness of the counter-knives decreased from 0.13 to 0.63 mm (where the sharpness was recorded by the leading-edge-width of the counter-knives). With the same decrease in sharpness, the specific energy required by the LSCP RFCS while processing alfalfa increased by 0.04 kW∙h/tonne (or 32%). The specific energy required by the LSCP RFCS while processing cereal straw with sharp counter-knives (counter-knives with a leading edge width of 0.13 mm) increased by 0.11 kW∙h/tonne (or 51%) when serrated counter-knives were used instead of un-serrated counter-knives. However, counter-knife serrations did not have a significant effect on the specific energy demand of the LSCP RFCS when sharp counter-knives were used to process alfalfa. The increase in bevel angle from 15 to 90° caused the specific energy required to process cereal straw and alfalfa to approximately triple. The moisture content of alfalfa also had a significant effect on the specific energy required to process alfalfa with the LSCP RFCS. The specific energy demand of the LSCP RFCS was at a maximum when alfalfa at a moisture content of 53% on a wet basis (w.b.) was processed and decreased slightly (approximately 0.04 kW∙h/tonne or 10%) when dryer and wetter alfalfa was processed. Field tests were completed with the HSCP RFCS and it was concluded that in general, there was a direct relationship between the specific energy required by the HSCP RFCS and the moisture content of the straw, counter-knife engagement and throughput. Further, it was also concluded that the specific energy requirements of the HSCP RFCS were more sensitive to counter-knife engagement when higher moisture content straw was processed. Depending on the type of chopper used, the specific energy required by the HSCP RFCS increased anywhere from 0.15 to 0.77 kW∙h/tonne (or 22 to 61%) when the counter-knife engagement was increased from 0 to 100% (or fully removed to fully engaged). Again, depending on the type of chopper used, when the moisture content of the straw processed by the chopper increased from approximately 7 to 25% w.b. the specific energy required by the chopper increased by 0.14 to 0.96 kW∙h/tonne (or 28 to 84%). The effect of throughput on the specific energy demand of the HSCP RFCS was dependent on the type of chopper used. For one of the choppers, an increase in throughput from 10.5 to 13.5 tonne/h caused the specific energy required by the HSCP RFCS to increase by 0.24 kW∙h/tonne (or 35%); however for a different chopper, an increase in throughput from 12 to 13 tonne/h caused the specific energy demand of the HSCP RFCS to decrease by 0.16 kW∙h/tonne (or 19%). The analytical model was validated using a subset of the data that were collected while employing each cutting device under field conditions and the data collected with the use of a custom-designed material properties test stand. The output of the analytical model fell within the 95% confidence interval of the measured power demand for each of the rotary feeding and cutting systems, and the analytical model was therefore deemed sufficiently accurate. Based on the analytical model, the total power demand of both the LSCP and HSCP rotary feeding and cutting systems was largely attributed to the power required to transport plant material. Further, the power required to transport the plant material along the sides of the counter-knives was much greater than the power required to transport the plant material along the rotor bed and along the leading edge of the tines. Because of the excessive power required to transport plant material along the sides of the counter-knives, three techniques were identified as potential strategies to decrease the power demand of the RFCS. The first technique involved removing half of the tines from the RFCS, and modifying the remaining tines to decrease the amount of plant material that is entrapped between sides of the counter-knives and the tines. The second technique involved coating the inside surface of the tines with a baked Teflon, to decrease the coefficient of friction between the plant material and the RFCS. The third technique involved reshaping the counter-knives, to decrease the surface area over which plant material was transported along the side of the counter-knives. According to the analytical model, employing any of the three techniques would result in the total power demand of the RFCS to decrease by 15 to 26%. For the HSCP RFCS, a stochastic model was developed to identify which of the four choppers tested during field trials would have the best performance when subjected to the same operating conditions. The chopper with the best performance was the WR chopper as its use resulted in the minimum geometric mean length of material exiting the combine harvester while also consuming the least amount of specific energy

Centerscope

Centerscope, formerly Scope, was published by the Boston University Medical Center "to communicate the concern of the Medical Center for the development and maintenance of improved health care in contemporary society.

Australian indigenous children with low cognitive ability:family and cultural participation

Family and cultural inclusion are essential for the healthy development of young Australian Indigenous peoples with low cognitive ability. To date, this issue has received limited research attention. A secondary analysis of data collected in Wave 4 of Footprints in Time, Australia’s Longitudinal Study of Indigenous Children, was conducted to help address this research gap. The study results indicated that in some areas, Indigenous children with low cognitive ability are at a higher risk of social exclusion than their peers. We discuss the policy implications of these findings with regards to addressing Indigenous disadvantag