Literacy Support For Children With Autism

For many years, children diagnosed with autism spectrum disorders were often a mystery to both doctors and researchers. While exact causes are unknown, there are a variety of ways to lead these children down a successful educational path. Starting at a young age, treatments and educational approaches can support healthy and productive lifestyles, and enhance learning in the classroom. While many people who are autistic excel in art and other creative subjects, without proper instructional techniques, becoming a proficient reader can be a great challenge. This study explored the benefits and drawbacks of existing reading techniques and strategies for children with autism spectrum disorders. The researcher implemented the strategies, as well as developed some new ones as a result of the experiences working with Matthew*, an eleven-year-old child with autism. Developed and implemented lesson plans through trial and error in order to discover what worked most effectively

A search for dispersed radio bursts in archival Parkes Multibeam Pulsar Survey data

A number of different classes of potentially extra-terrestrial bursts of radio emission have been observed in surveys with the Parkes 64m radio telescope, including "Rotating Radio Transients", the "Lorimer burst" and "perytons". Rotating Radio Transients are radio pulsars which are best detectable in single-pulse searches. The Lorimer burst is a highly dispersed isolated radio burst with properties suggestive of extragalactic origin. Perytons share the frequency-swept nature of the Rotating Radio Transients and Lorimer burst, but unlike these events appear in all thirteen beams of the Parkes Multibeam receiver and are probably a form of peculiar radio frequency interference. In order to constrain these and other radio source populations further, we searched the archival Parkes Multibeam Pulsar Survey data for events similar to any of these. We did not find any new Rotating Radio Transients or bursts like the Lorimer burst. We did, however, discover four peryton-like events. Similar to the perytons, these four bursts are highly dispersed, detected in all thirteen beams of the Parkes multibeam receiver, and have pulse widths between 20--30 ms. Unlike perytons, these bursts are not associated with atmospheric events like rain or lightning. These facts may indicate that lightning was not responsible for the peryton phenomenon. Moreover, the lack of highly dispersed celestial signals is the evidence that the Lorimer burst is unlikely to belong to a cosmological source population.Comment: Accepted for publication in MNRAS; 7 pages, 3 figures, 1 tabl

Atmospheric deposition at groundwater dependent wetlands phase 2 : nutrient source apportionment case studies from England and Wales

Groundwater dependent terrestrial ecosystems (GWDTEs) face multiple pressures from both atmospheric and terrestrial sources, resulting in the loss of protected habitats and biodiversity. One of the most critical issues facing GWDTEs in England and Wales is anthropogenic pollution from nutrients. Anthropogenic nutrients can originate from a wide range of sources including industry and agriculture, and can be transmitted via multiple pathways including; surface waters, catchment runoff, groundwater, and atmospheric deposition. These multiple pathways pose a problem for environmental regulators and managers. In order to reduce nutrient damage to wetlands, environmental regulators must first have the tools to identify the dominant sources and pathways (source attribution) of nutrients. Environmental regulators need cost effective tools to identify the most common source of nutrients in order to implement effective measures to reduce pressures. However there are a lack of source apportionment studies for GWDTEs, and no framework by which to assess multiple sources of nitrogen. This report aims to bridge that gap by considering both atmospheric and terrestrial sources of nitrogen in one study. Three GWDTEs were studied all characterised during previous Water Framework Directive investigations; Wybunbury Moss, Newbald Becksies and Cors Bodeilio. Each site benefited from existing monitoring data and an evidenced based conceptual model, significantly reducing costs to this project. Field data collection included; inorganic chemistry of groundwater, surface water and rainfall, nitrogen and oxygen isotopes and CFC /SF6 and NH3 /NO2 diffusion tubes deployed to quantify atmospheric dry gaseous deposition. Desk based analysis included; modeled atmospheric source apportionment from www.APIS.ac.uk, catchment nutrient modelling using the ‘Farmscoper’ tool and calculation and comparison of nutrient fluxes against site relevant critical loads from both modeled and measured atmospheric deposition data. We found that; Modelled atmospheric deposition data (www.APIS.ac.uk) was broadly comparable to our monthly on-site data collected at the three GWDTEs, but individual sites showed differing variability in ammonia concentrations compared with the national data. Modeled data provides a reliable way to quickly assess atmospheric loading at GWDTEs for national scale assessments, however site specific assessments should undertake their own measurements of ammonia concentrations. Detailed on site assessments of the pressure from atmospheric deposition to individual habitats are possible using National Vegetation Classification (NVC) mapping combined with Critical Load thresholds and modelled atmospheric deposition. Together these can provide a high resolution picture at site scale, provided vegetation mapping is available Open access modelling tool FarmScoper (ADAS) was successfully applied, however in both examples the modelling shows that even with land use changes the reduction in terrestrial nitrate would not be significant enough to meet the proposed groundwater ‘threshold’ values for nitrate

Estimating the bispectrum of the Very Small Array data

We estimate the bispectrum of the Very Small Array data from the compact and extended configuration observations released in December 2002, and compare our results to those obtained from Gaussian simulations. There is a slight excess of large bispectrum values for two individual fields, but this does not appear when the fields are combined. Given our expected level of residual point sources, we do not expect these to be the source of the discrepancy. Using the compact configuration data, we put an upper limit of 5400 on the value of f_NL, the non-linear coupling parameter, at 95 per cent confidence. We test our bispectrum estimator using non-Gaussian simulations with a known bispectrum, and recover the input values.Comment: 17 pages, 16 figures, replaced with version accepted by MNRAS. Primordial bispectrum recalculated and figure 11 change

The Development and Use of Sustainability Criteria in SuRF-UK’s Sustainable Remediation Framework

Sustainability considerations have become widely recognised in contaminated land management and are now accepted as an important component of remediation planning and implementation around the world. The Sustainable Remediation Forum for the UK (SuRF-UK) published guidance on sustainability criteria for consideration in drawing up (or framing) assessments, organised across 15 “headline” categories, five for the environment element of sustainability, five for the social, and five for the economic. This paper describes how the SuRF-UK indicator guidance was developed, and the rationale behind its structure and approach. It describes its use in remediation option appraisal in the UK, and reviews the international papers that have applied or reviewed it. It then reviews the lessons learned from its initial use and the opinions and findings of international commentators, and concludes with recommendations on how the indicator categories might be further refined in the future. The key findings of this review are that the SuRF-UK framework and indicator guidance is well adopted into practice in the UK. It is widely recognised as the most appropriate mechanism to support sustainability-based decision making in contaminated land decision making. It has influenced the development of other national and international guidance and standards on sustainable remediation. However, there is room for some fine tuning of approach based on the lessons learned during its application

High sensitivity measurements of the CMB power spectrum with the extended Very Small Array

We present deep Ka-band ($\nu \approx 33$ GHz) observations of the CMB made with the extended Very Small Array (VSA). This configuration produces a naturally weighted synthesized FWHM beamwidth of $\sim 11$ arcmin which covers an $\ell$-range of 300 to 1500. On these scales, foreground extragalactic sources can be a major source of contamination to the CMB anisotropy. This problem has been alleviated by identifying sources at 15 GHz with the Ryle Telescope and then monitoring these sources at 33 GHz using a single baseline interferometer co-located with the VSA. Sources with flux densities \gtsim 20 mJy at 33 GHz are subtracted from the data. In addition, we calculate a statistical correction for the small residual contribution from weaker sources that are below the detection limit of the survey. The CMB power spectrum corrected for Galactic foregrounds and extragalactic point sources is presented. A total $\ell$-range of 150-1500 is achieved by combining the complete extended array data with earlier VSA data in a compact configuration. Our resolution of $\Delta \ell \approx 60$ allows the first 3 acoustic peaks to be clearly delineated. The is achieved by using mosaiced observations in 7 regions covering a total area of 82 sq. degrees. There is good agreement with WMAP data up to $\ell=700$ where WMAP data run out of resolution. For higher $\ell$-values out to $\ell = 1500$, the agreement in power spectrum amplitudes with other experiments is also very good despite differences in frequency and observing technique.Comment: 16 pages. Accepted in MNRAS (minor revisions

The rapid development and deployment of a new multidisciplinary CPAP service outside of a critical care environment during the early stages of the COVID-19 pandemic

The COVID-19 pandemic has led to a dramatic increase in patients presenting with type 1 respiratory failure. In order to protect our limited critical care capacity, we rapidly developed a new ward-based inpatient continuous positive airway pressure (CPAP) service with direct input from the respiratory, infectious diseases and critical care teams. Close collaboration between these specialties and new innovative solutions were required to facilitate this. CPAP equipment (normally reserved for domiciliary care) was adapted to reduce the pressure on our strained oxygen infrastructure. Side rooms on the infectious diseases ward were swiftly converted into new negative pressure areas using temporary installed ventilatory equipment, reducing the viral aerosol risk for staff. Novel patient monitoring solutions were used to protect staff while also ensuring patient safety. Staff training and specialist oversight was organised within days. The resulting service was successful, with over half (17/26 (65%)) of patients avoiding invasive ventilation

The Malaria Testing and Treatment Market in Kinshasa, Democratic Republic of the Congo, 2013

Background The Democratic Republic of Congo (DRC) is one of the two most leading contributors to the global burden of disease due to malaria. This paper describes the malaria testing and treatment market in the nation’s capital province of Kinshasa, including availability of malaria testing and treatment and relative anti-malarial market share for the public and private sector. Methods A malaria medicine outlet survey was conducted in Kinshasa province in 2013. Stratified multi-staged sampling was used to select areas for the survey. Within sampled areas, all outlets with the potential to sell or distribute anti-malarials in the public and private sector were screened for eligibility. Among outlets with anti-malarials or malaria rapid diagnostic tests (RDT) in stock, a full audit of all available products was conducted. Information collected included product information (e.g. active ingredients, brand name), amount reportedly distributed to patients in the past week, and retail price. Results In total, 3364 outlets were screened for inclusion across Kinshasa and 1118 outlets were eligible for the study. Among all screened outlets in the private sector only about one in ten (12.1%) were stocking quality-assured Artemisinin-based Combination Therapy (ACT) medicines. Among all screened public sector facilities, 24.5% had both confirmatory testing and quality-assured ACT available, and 20.2% had sulfadoxine-pyrimethamine (SP) available for intermittent preventive therapy during pregnancy (IPTp). The private sector distributed the majority of anti-malarials in Kinshasa (96.7%), typically through drug stores (89.1% of the total anti-malarial market). Non-artemisinin therapies were the most commonly distributed anti-malarial (50.1% of the total market), followed by non quality-assured ACT medicines (38.5%). The median price of an adult quality-assured ACT was $6.59, and more expensive than non quality-assured ACT ($3.71) and SP ($0.44). Confirmatory testing was largely not available in the private sector (1.1%). Conclusions While the vast majority of anti-malarial medicines distributed to patients in Kinshasa province are sold within the private sector, availability of malaria testing and appropriate treatment for malaria is alarmingly low. There is a critical need to improve access to confirmatory testing and quality-assured ACT in the private sector. Widespread availability and distribution of non quality-assured ACT and non-artemisinin therapies must be addressed to ensure effective malaria case management

Comparison of body mass index (BMI) with the CUN-BAE body adiposity estimator in the prediction of hypertension and type 2 diabetes

Background Obesity is a world-wide epidemic whose prevalence is underestimated by BMI measurements, but CUN-BAE (Clínica Universidad de Navarra - Body Adiposity Estimator) estimates the percentage of body fat (BF) while incorporating information on sex and age, thus giving a better match. Our aim is to compare the BMI and CUN-BAE in determining the population attributable fraction (AFp) for obesity as a cause of chronic diseases. Methods We calculated the Pearson correlation coefficient between BMI and CUN-BAE, the Kappa index and the internal validity of the BMI. The risks of arterial hypertension (AHT) and diabetes mellitus (DM) and the AFp for obesity were assessed using both the BMI and CUN-BAE. Results 3888 white subjects were investigated. The overall correlation between BMI and CUN-BAE was R2 = 0.48, which improved when sex and age were taken into account (R2 > 0.90). The Kappa coefficient for diagnosis of obesity was low (28.7 %). The AFp was 50 % higher for DM and double for AHT when CUN-BAE was used. Conclusions The overall correlation between BMI and CUN-BAE was not good. The AFp of obesity for AHT and DM may be underestimated if assessed using the BMI, as may the prevalence of obesity when estimated from the percentage of BF

Promoting mental health in small-medium enterprises: An evaluation of the "Business in Mind" program

<p>Abstract</p> <p>Background</p> <p>Workplace mental health promotion (WMHP) aims to prevent and effectively manage the social and economic costs of common mental illnesses such as depression. The mental health of managers and employees within small-medium enterprises (SMEs) is a neglected sector in occupational health research and practice, despite the fact that this sector is the most common work setting in most economies. The availability and propensity of SME staff to attend face-to-face training/therapy or workshop style interventions often seen in corporate or public sector work settings is a widely recognised problem. The 'Business in Mind' program employs a DVD mode of delivery that is convenient for SME managers, particularly those operating in regional and remote areas where internet delivery may not be optimal. The objective of the intervention program is to improve the mental health of SME managers, and examine whether employees of managers' whose mental health improves, report positive change in their psychosocial work environment. The mechanisms via which we aim to improve managers' mental health are through the development of their psychological capital (a higher order construct comprised of hope, self efficacy, resilience and optimism) and their skills and capacities for coping with work stress.</p> <p>Methods/Design</p> <p>The effectiveness of two versions of the program (self administered and telephone facilitated) will be assessed using a randomised trial with an active control condition (psychoeducation only). We aim to recruit a minimum of 249 managers and a sample of their employees. This design allows for 83 managers per group, as power analyses showed that this number would allow for attrition of 20% and still enable detection of an effect size of 0.5. The intervention will be implemented over a three month period and postal surveys will assess managers and employees in each group at baseline, intervention completion, and at 6 month follow up. The intervention groups (managers only) will also be assessed at 12 and 24 month follow-up to examine maintenance of effects. Primary outcomes are managers' levels of psychological capital (hope, resilience, self-efficacy and optimism), coping strategies, anxiety and depression symptoms, self-reported health, job satisfaction and job tension. Secondary outcomes are participating managers subordinates' perceptions of manager support, relational justice, emotional climate and job tension. In order to provide an economic evaluation of the intervention, both employees and manager rates of absenteeism and presenteeism will also be assessed.</p> <p>Discussion</p> <p>The intervention being trialled is expected to improve both primary and secondary outcomes. If proven efficacious, the intervention could be disseminated to reach a much larger proportion of the business community.</p> <p>Trial registration</p> <p>Current controlled trials ISRCTN 62853520</p