Promoting positive communication environments: a service evaluation.

Purpose The purpose of this paper is to present an evaluation of a programme of training and support provided to staff, which aimed to encourage supported communication environments for people with learning disabilities. Design/methodology/approach Training, monitoring and support for communication, specifically augmentative and alternative communication (AAC) strategies, was provided by speech and language therapy staff to two residential services over 46 weeks. Staff and service user communications were observed pre- and post-intervention. Findings In one provision there was an increase in service user initiations and the use of some AAC strategies by support staff. In the other provision there was no change in service user initiations and a decrease in the range of AAC strategies used. It appears that some forms for AAC remain challenging for staff to implement. Originality/value This evaluation explores ways of using specialist support services to improve communication environments for people with learning difficulties. Possible reasons for differences in the outcome of the intervention are discussed. Future research into the types of communication interactions experienced by people with learning disabilities across the range of communication styles may be useful so that support staff can be better helped to provide sustained and enriched communication environments

Joint gravitational wave -- gamma-ray burst detection rates in the aftermath of GW170817

The observational follow-up campaign of the gravitational wave (GW) multi-messenger event GW170817/GRB170817A has shown that the prompt $\gamma$-rays are consistent with a relativistic structured jet observed from a wide viewing angle $\gtrsim 20$\deg. We perform Bayesian inference using the data from early and late EM observations to determine the jet profile of GRB170817A assuming a structured jet model. We use the geometric dependence on the burst luminosity to produce a short duration gamma-ray burst (sGRB) efficiency function with redshift, which folded in with binary neutron star detection rate, allows us to estimate the future joint GW/sGRB detection rates for LIGO and Virgo detectors. We show that, if the jet structured profile of GRB170817A is a relatively common feature of sGRBs, then there is a realistic probability of another off-axis coincident detection during the third aLIGO/Virgo observing run (O3). We also find that up to 4 yr$^{-1}$ joint events may be observed during the advanced LIGO run at design sensitivity and up to 10 yr$^{-1}$ by the upgraded advanced LIGO configuration A+. We show that the detection efficiencies for wide-angled sGRB emissions will be limited by GRB satellites as the GW detection range increases through proposed upgrades. Therefore, although the number of coincident detections will increase with GW detector sensitivity, the relative proportion of detected binary neutron stars with $\gamma$-ray counterparts will decrease; 11\% for O3 down to 2\% during A+.Comment: Updated to final accepted MNRAS versio

Effects of five years of frequent N additions, with or without acidity, on the growth and below-ground dynamics of a young Sitka spruce stand growing on an acid peat: implications for sustainability

International audienceA field manipulation study was established to demonstrate effects of simulated wet N and S deposition on a young (planted 1986) stand of Sitka spruce growing on a predominantly organic soil in an area of low (8?10 kg N ha-1 yr-1) background N deposition in the Scottish borders. From 1996, treatments (six) were applied to the canopies of ten-tree plots in each of four blocks. N was provided as NH4NO3, either with H2SO4 (pH 2.5) at 48 or 96 kg N ha-1 yr-1 inputs or without, at 48 kg N ha-1 yr-1 along with wet (rain water) and dry controls (scaffolding) and a S treatment (Na2SO4). Positive responses (+ >20% over 5 years) with respect to stem area increment were measured in response to N inputs, irrespective of whether acid was included. The positive response to N was not dose related and was achieved against falling base cation concentrations in the foliage, particularly with respect to K. The results suggest young trees are able to buffer the low nutrient levels and produce new growth when there is sufficient N. Inputs of 96 kg N ha-1 yr-1, in addition to ambient N inputs, on this site exceeded tree demand resulting in elevated foliar N, N2O losses and measurable soil water N. These excessive N inputs did not reduce stem area growth. Keywords: acid, canopy application, nitrogen, acid organic soil, simulated wet deposition, soil water, sulphur, young Sitka spruc

Feminism, Abortion and Disability: irreconcilable differences?

There has been considerable discussion of the political allegiance between the feminist and disability movements, but the question of abortion remains a thorny one. Disability rights advocates have been keen to demonstrate that it is possible to believe in a woman's right to sovereignty over the body and, yet, be opposed to the selective abortion of an impaired foetus – describing the latter as a form of 'weak' eugenics. The aim of this paper is to show that whilst there may be some points of agreement between the feminist and disability movements on the question of abortion, there exist fundamental and irreconcilable differences

An unblinded, randomised phase II study of platinum-based chemotherapy with vitamin B12 and folic acid supplementation in the treatment of lung cancer with plasma homocysteine blood levels as a biomarker of severe neutropenic toxicity

BACKGROUND: Vitamin B12 and folic acid (referred to as vitamin supplementation) improves the toxicity profile of pemetrexed containing regimens. Low baseline vitamin B12 and folate levels are reflected in a raised total homocysteine level (HC). Studies have suggested that pretreatment HC levels predict neutropenia toxicity. We have tested supplementation with vitamin B12 and folate in non-pemetrexed platinum-based regimens to decrease treatment-related toxicity and looked for a correlation between toxicity and change in homocysteine levels. PATIENT AND METHOD: Eighty-three patients with advanced lung cancer and malignant mesothelioma were randomly assigned to receive platinum-based chemotherapy with (arm A) or without (arm B) vitamin B12 and folic acid supplementation. The primary end point was grade 3/4 neutropenia and death within 30 days of treatment. Secondary end points included quality of life, overall survival (OS) and the relationship between baseline and post supplementation HC levels and toxicity. RESULTS: In the intention-to-treat population, no significant difference was seen between the two groups with respect to chemotherapy-induced grade 3/4 neutropenia and death within 30 days of chemotherapy (36% vs 37%; p=0.966, emesis (2% vs 6%; p=0.9) or OS (12.3 months vs 7 months; p=0.41). There was no significant difference in survival rates by baseline HC level (p=0.9). Decrease in HC with vitamin supplementation was less frequent than expected. High baseline HC levels decreased with vitamin supplementation in only 9/36 (25%) patients (successful supplementation). Post hoc analysis showed that patients in arm A who were successfully supplemented (9/36=25%) had less neutropenic toxicity (0% vs 69%; p=0.02) compared to unsupplemented patients. CONCLUSIONS: The addition of vitamin B12 and folic acid to platinum-containing regimens did not overall improve the toxicity, quality of life or OS. Rates of grade 3/4 neutropenia at 36/37% was as predicted. Further studies to increase the rate of successful supplementation and to further test the biomarker potential of post supplementation HC levels in predicting chemotherapy-induced neutropenia in platinum-based chemotherapy are warranted. TRIAL REGISTRATION NUMBER: EudracCT 2005-002736-10 ISRCTN8734355

The Middle Way: East Asian masters students’ perceptions of critical argumentation in U.K. universities.

The paper explores the learning experiences of East Asian masters students in dealing with Western academic norms of critical thinking in classroom debate and assignment writing. The research takes a cultural approach, and employs grounded theory and case study methodology, the aims being for students to explain their perceptions of their personal learning journeys. The data suggest that the majority of students interviewed rejected full academic acculturation into Western norms of argumentation. They instead opted for a ‘Middle Way’ that synergizes the traditional cultural academic values held by many East Asian students with those elements of Western academic norms that are perceived to be aligned with these. This is a relatively new area of research which represents a challenge for British lecturers and students

The Science Case for PILOT I: Summary and Overview

Original article can be found at: http://www.publish.csiro.au/?nid=139&aid=108 DOI: 10.1071/AS08048 [Open access article]PILOT (the Pathfinder for an International Large Optical Telescope) is a proposed 2.5-m optical/infrared telescope to be located at Dome C on the Antarctic plateau. Conditions at Dome C are known to be exceptional for astronomy. The seeing (above ∼30 m height), coherence time, and isoplanatic angle are all twice as good as at typical mid-latitude sites, while the water-vapour column, and the atmosphere and telescope thermal emission are all an order of magnitude better. These conditions enable a unique scientific capability for PILOT, which is addressed in this series of papers. The current paper presents an overview of the optical and instrumentation suite for PILOT and its expected performance, a summary of the key science goals and observational approach for the facility, a discussion of the synergies between the science goals for PILOT and other telescopes, and a discussion of the future of Antarctic astronomy. Paper II and Paper III present details of the science projects divided, respectively, between the distant Universe (i.e. studies of first light, and the assembly and evolution of structure) and the nearby Universe (i.e. studies of Local Group galaxies, the Milky Way, and the Solar System).Peer reviewe