Self-reported Perceptions of Weight and Eating Behavior of School Children in Sunderland, England

The main aim of this study was to determine the self-reported perceptions of weight and eating behaviors of school-age children in Sunderland in the North East of England. The results presented are derived from data collected by a Health-Related Behaviour Survey developed by Schools and Students Health Education Unit at Exeter University, and this study is based on analysis of the data set collected for Sunderland. A total of 12,213 pupils from nine secondary schools completed the questionnaire biennially from 1996 to 2012. The sample included 12 and 13 year olds and 14 and 15 year olds. Various health and social issues related to perceptions of weight and eating behaviors were determined. Trends related to these issues were identified according to age and gender of respondents, and differences between the groups were highlighted. From the analysis, some interesting findings relating to eating patterns and weight perception amongst young people were ascertained. Females of both age groups reported a greater desire to lose weight than their male counterparts. The percentage of school children who reported having breakfast at home has increased progressively, as have those having lunch at school. The percentage of school children purchasing lunch from takeaway outlets has dramatically decreased. This is pleasing since health policy of limiting take out provision is high on government agenda and these trends can be used by policy makers to focus on continuing to improve school meals. The findings partly support other national data but also contradict the widely held beliefs around food and obesity in the North East of England

Una revisión de la genética del autismo.

El autismo es un severo trastorno del desarrollo neuropsicológico, caracterizado por una alteración de la comunicación y de la interacción social, y por restringidas, repetitivas y obsesivas pautas de conducta. Afecta más a hombres que a mujeres y, con frecuencia, existe un bajo cociente intelectual. Recientes estimaciones de su prevalencia en California muestran un creciente aumento. Se piensa en posibles causas genéticas y ambientales con un carácter fuertemente hereditario. Existen progresos recientes en lo que respecta al aislamiento de los genes de susceptibilidad, habiéndose confirmado definitivamente los factores de predisposición no ambientales. En la presente revisión se exponen los más recientes hallazgos epidemiológicos, así como los resultados de los actuales estudios sobre la genética del trastorno

Una revisión de la genética del autismo.

El autismo es un severo trastorno del desarrollo neuropsicológico, caracterizado por una alteración de la comunicación y de la interacción social, y por restringidas, repetitivas y obsesivas pautas de conducta. Afecta más a hombres que a mujeres y, con frecuencia, existe un bajo cociente intelectual. Recientes estimaciones de su prevalencia en California muestran un creciente aumento. Se piensa en posibles causas genéticas y ambientales con un carácter fuertemente hereditario. Existen progresos recientes en lo que respecta al aislamiento de los genes de susceptibilidad, habiéndose confirmado definitivamente los factores de predisposición no ambientales. En la presente revisión se exponen los más recientes hallazgos epidemiológicos, así como los resultados de los actuales estudios sobre la genética del trastorno

Navigating the choppy waters to Nirvana: A critical reflective account of caring for ageing parents in the fourth age

This article revisits a paper and from an autoethnographic/critical reflective biographical approach re-examines seven cultural notions or myths, which may encourage ageism. It is framed within my experiential knowledge of caring for my ageing parents, with the tensions and challenges around problematising the value of expertise based on experience, communication, grief, and autonomy and freedom versus safety. The commentary emphasises that by analysing the impact of our personal life experiences, we can start to understand both the intended and unintended consequences of policy and practice affecting those in the fourth age. As a social work educator, I wanted to reflect upon how my tacit experiential knowledge, if made explicit, could impact upon my own and others’ learning. The recent death of my father has allowed for a period of reflection on my own caring and indeed my professional social work experience, knowledge, skills and practice. It is argued that the ageing process is unequal as class and socio-economic factors, i.e. geography, age, gender, religion and ethnicity, all play parts in determining how someone ages, and indeed upon the care an individual older person receives. A fuller understanding of negotiating the role of one stakeholder, that of a family carer in the ageing process, is elicited in this paper

Culture of airway epithelial cells from neonates sampled within 48-hours of birth

Peer reviewedPublisher PD

Primary Paediatric Bronchial Airway Epithelial Cell in Vitro Responses to Environmental Exposures

Acknowledgments: The authors are grateful to the children who participated in this study and their parents. The authors would like to thank the following colleagues in the department of Ear Nose and Throat Surgery at NHS Grampian for allowing us to recruit their patients: Nicola Kryle, Derek Veitch, Kim Ah-See, Bhaskar Ram, Sangeeta Maini and Clive Brewis. We are also grateful to Tenovus Scotland whose funds enabled analysis of the samples (Grant reference G13_17) but did not include open access publishing fees.Peer reviewedPublisher PD

A genetic study of autism in Costa Rica: multiple variables affecting IQ scores observed in a preliminary sample of autistic cases

BACKGROUND: Autism is a heritable developmental disorder of communication and socialization that has not been well studied in Hispanic populations. Therefore, we are collecting and evaluating all possible cases of autism from a population isolate in the Central Valley of Costa Rica (CVCR) for a clinical and genetic study. METHODS: We are assessing all subjects and parents, as appropriate, using the newly translated Spanish versions of the Autism Diagnostic Interview-Revised (ADI-R) and the Autism Diagnostic Observation Schedule (ADOS) as well as tests of intelligence and adaptive behavior. Detailed obstetric and family medical/psychiatric histories are taken. All cases are tested for Fragile X and will be extensively evaluated for cytogenetic abnormalities. RESULTS: To date we have obtained clinical evaluations on over 76 cases of possible autism referred to our study and report data for the initial 35 complete cases. The mean age of the probands is 6.7 years, and 31 of the 35 cases are male. Twenty-one of the cases have IQs <50 and only 6 cases have IQs ≥ 70. Over half of the mothers had complications during pregnancy and/or delivery. No cases have tested positively for Fragile X or PKU. Chromosomal G-banding is not yet complete for all cases. CONCLUSION: Diagnostic data gathered on cases of autism in the CVCR using Spanish versions of the ADI-R and ADOS look similar to that generated by studies of English-speaking cases. However, only 17% of our cases have IQs within the normal range, compared to the figure of 25% seen in most studies. This result reflects an ascertainment bias in that only severe cases of autism come to treatment in the CVCR because there are no government-sponsored support programs or early intervention programs providing an incentive to diagnose autism. The severity of mental retardation seen in most of our cases may also be exaggerated by the lack of early intervention programs and the use of IQ tests without Costa Rican norms. Still, we must formally train healthcare providers and teachers to recognize and refer autistic cases with normal or near normal IQs that are not seen in treatment

A Retrospective Real-World Study of the Effectiveness and Tolerability of Tildrakizumab in UK Adults with Moderate-to-Severe Chronic Plaque Psoriasis

INTRODUCTION: As with most medicines historically, clinicians prescribing tildrakizumab have relied on information derived from registration studies undertaken in a prospective controlled clinical trial setting. More recently, clinicians, policymakers, and commissioners increasingly rely on real-world data to inform both policy and practice. METHODS: A retrospective real-world data study was undertaken at four specialist dermatology departments in the United Kingdom. All adult patients treated with tildrakizumab for moderate-to-severe plaque psoriasis were included, with data being collected for 122 patients. RESULTS: Psoriatic patients on tildrakizumab tended to be overweight (median body mass index of 32 (range 19–59) (n = 61); 26/68 (38%)  120 kg). The study population had high levels of comorbidities (83/116, 72%), multiple special sites (39/117, 33%), and histories of biological treatments (81/100, 81%). Most patients (61/80, 76%) initiated on tildrakizumab were switched from another biological treatment. Tildrakizumab was effective, with 91/122 (75%) patients remaining on treatment for the duration of the study—a median of 12 months per patient (range 1–29 months)—and achieving a change in median Psoriasis Area and Severity Index (PASI) from 12 to 0.35 and in Dermatology Life Quality Index (DLQI) from 20 to 0. The response rate was 57/66 (86%) when tildrakizumab was used as the first- or second-line biologic compared to 19/31 (61%) when used as the third- to seventh-line. Thirty-three (78.6%) patients over 90 kg of weight received the 200-mg dose of tildrakizumab. All but one (n = 8) patient with body weight over 120 kg maintained response over time. There was one treatment discontinuation; a patient who had a local sensitivity reaction. CONCLUSIONS: In UK clinical practice, tildrakizumab was well tolerated and effective at doses of 100 mg or 200 mg in a range of patient phenotypes