Child Sexual Abuse Crisis in the Irish Church 1996–2021: Guidelines and Canonical Response

When the sexual abuse crisis exploded in the Irish Church, the canonical expertise, experience and the administrative processes for dealing with and managing complaints and suspicions of child sexual abuse by clergy were simply not fit for purpose. Addressing the crisis in the Irish Church required not only a canonical but a multidimensional response involving pastoral supports to victims and other parties, preventative measures, education, guidelines, policies, procedures, training and monitoring. Four sets of guidelines (1996, 2005, 2008, 2016) document the Irish Church’s increasingly robust efforts to address this crisis supplemented by the clearer universal norms issued by the Holy See. The article highlights some of the significant developments in the guidelines and canonical legislation: the paramountcy principle; the issue of recognitio and the binding authority of these guidelines. The nature and value of guidelines is that it they can never be completely definitive, and are continually evolving to reflect changes in the statutory context, best practice, in canon law or otherwise as these arise

Increase in Soybean Cyst Nematode Virulence and Reproduction on Resistant Soybean Varieties in Iowa From 2001 to 2015 and the Effects on Soybean Yields

Management of the soybean cyst nematode (SCN) relies heavily on use of SCN-resistant soybean varieties to limit nematode reproduction and minimize yield loss. For Iowa, almost all SCNresistant soybean varieties contain SCN resistance genes from a breeding line named Plant Introduction (PI) 88788. Iowa State University conducts experiments to evaluate numerous SCNresistant and three to four SCN-susceptible soybean varieties in up to nine field experiments across Iowa each year. Data on SCN population density, virulence (SCN race and HG type), soybean yield, precipitation, and growing degree days frommore than 25,000 fourrow plots in field experiments conducted from 2001 to 2015 were analyzed to determine how these factors affected SCN reproduction and yield. SCN population densities were positively correlated with temperatures and negatively associated with precipitation during the growing seasons, indicating that SCN reproduction was greatest in hot, dry years. Over the years, virulence of SCN populations on PI 88788 increased in the fields in which the experiments were conducted, resulting in increased end-of-season SCN population densities and reduced yields of SCN-resistant soybean varieties with the PI 88788 source of resistance. These results indicate that soybean yield loss caused by SCN on resistant varieties with the common PI 88788 source of resistance likely will increase as virulence of SCN populations increases unless new sources of resistance become widely available and used in the future

An Analysis of Folic Acid Supplementation in Women Presenting For Antenatal Care

Background: Neural tube defects (NTDs) are major congenital malformations that are potentially preventable if the woman takes periconceptional folic acid (FA) supplements. A recent report found that NTD incidence had increased in Ireland. This study examined the usage of FA supplementation in women presenting for antenatal care in a maternity hospital

Duration of Periconceptual Folic Acid Supplementation in Women Booking for Antenatal Care

Objective: To provide accurate estimates of the commencement time, duration and dosage of folic acid (FA) supplementation taken by Irish women in the periconceptional period. The study also aimed to establish the factors associated with optimal FA supplementation practices. Design: Cross-sectional observational study. Women’s clinical and sociodemographic details were computerised. Maternal weight and height were measured before calculating BMI. Detailed FA supplementation questionnaires were completed under the supervision of a trained researcher. Setting: A large university maternity hospital, Republic of Ireland, January 2014–April 2016. Subjects: Women (n 856) recruited at their convenience in the first trimester. Results: While almost all of the women (97 %) were taking FA at enrolment, only one in four women took FA for at least 12 weeks preconceptionally (n 208). Among the 44% of women who were supplementing with FA preconceptionally, 44% (162/370) reported taking FA for less than the 12 weeks required to achieve optimal red-blood-cell folate levels for prevention of neural tube defects. On multivariate analysis, only planned pregnancy and nulliparity were associated with taking FA for at least 12 weeks preconceptionally. Among women who only took FA postconceptionally, almost two-thirds commenced it after day 28 of their pregnancy when the neural tube had already closed. Conclusions: As the timing of FA was suboptimal both before and after conception, we recommend that current national FA guidelines need to be reviewed

The Relationship between Socioeconomic Status and Nutritional knowledge in Women during Pregnancy

Epidemiological data have shown that socioeconomic status affects nutritional knowledge and dietary quality(1). Irish national food surveys have also suggested that socioeconomic differences in food group, nutrient intakes, dietary attitudes and health behaviours exist (2,3). It is known that pregnancy can enhance a women’s nutritional awareness (4). The aim of the present study was to assess whether nutritional knowledge in pregnant women in Ireland is affected by socioeconomic status. One hundred and sixteen pregnant women aged 16–41 years (mean age of 29.5 years) were recruited at their initial antenatal booking visit (10–15 weeks gestation) at a large Dublin maternity hospital. Formal education and material deprivation were used to assess the socioeconomic status of respondents. The women were classified into three educational categories: no formal education to lower secondary education, upper secondary education and third level education. Deprivation status was assessed by determining the number of basic necessities(5) respondents had had to forego in the previous year due to lack of money, with respondents categorised into three groupings: low(none), medium(1–2) and high (3 + ). The women’s level of nutritional knowledge was assessed using a self-administered questionnaire of 12 multiple choice questions. The questions were formulated from the Best Practice for Infant Feeding in Ireland guidelines published by the Food Safety Authority of Ireland in 2012(6). The questionnaire assessed respondents’ knowledge regarding essential food groups and nutrients in pregnancy as well as lifestyle factors such as smoking and exercise. Each respondent received a score out of 12 on their nutritional knowledge questionnaire (max. = 11, min. = 1), with participants then categorised as having high (score \u3e7) or low (scor

Does High Medial Elbow Stress During Pitching Compromise the Dynamic Stabilizers of The Elbow?

# Background The flexor carpi ulnaris (FCU) and flexor digitorum superficialis (FDS) are thought to provide dynamic stability to the medial elbow, with a lesser contribution from the pronator teres (PT). # Hypothesis/Purpose The purpose of this study was to determine if baseball pitchers with higher valgus elbow torque experience greater FCU and FDS strength loss. # Study Design Controlled Laboratory Study # Methods A pilot study was performed to determine if middle and ring finger flexion strength tests preferentially activated the FCU and FDS versus the PT (10 men age 36±12 yr). EMG amplitudes, expressed as percent of maximal voluntary contraction (MVC) were compared between tests and muscles. In a field study of college baseball pitchers, middle finger, ring finger and grip strength were tested prior to, immediately after, and one day after 14 pitching performances in 10 pitchers (21±2 yr). Elbow valgus torque was measured from an inertial measurement unit, housed in a compression sleeve and pitchers were categorized as having high or low valgus torque. # Results For the pilot study EMG activations were 74% FDS, 66% FCU and 35% PT for the middle finger test (muscle effect p=0.032) and 93% FCU, 61% FDS and 23% PT for the ring finger test (muscle effect p=0.005). In the field study, pitchers with high valgus torque showed marked post-game middle finger fatigue (88% of baseline) and incomplete recovery the following day (95%), while pitchers with low valgus torque showed no strength loss (107% post game, 106% a day later; group x time p=0.022). Results were similar for ring finger strength (high torque: 94% post game 96% a day later; low torque: 114% post game 107% a day later; group x time p=0.048). By contrast, grip strength was not different between pitchers with high versus low valgus torque (p=0.143). # Conclusion High medial elbow stress during pitching fatigues the dynamic stabilizers of the medial elbow. # Level of Evidence Level 3 ©The Author(s

Breast-feeding and Postpartum Maternal Weight Trajectories

We examined whether breast-feeding, and in particular exclusive breast-feeding, was associated with maternal weight and body composition changes at 4 months postpartum independently of other maternal variables

An Estimation of Periconceptional Under-reporting of Dietary Energy Intake

Background The purpose of this cross-sectional study was to examine periconceptional misreporting of energy intake (EI) using the Willet food frequency questionnaire (WFFQ). Methods Women were recruited in the first trimester. Women completed a semi-quantitative WFFQ. Maternal body composition was measured using eight-electrode bioelectrical impedance analysis. Under-reporters were those whose ratio of EI to their calculated basal metabolic rate fell below the calculated plausible threshold for their physical activity category. Results The mean age was 30.1+5.3 years (n ¼ 524). The mean body mass index (BMI) was 25.4+5.6 kg/m2 , and 16.6% were obese (BMI 30.0 kg/m2 ). Under-reported EI was observed in 122 women (23.3%) with no over-reporters in the sample. Under-reporters were younger (P , 0.001), less likely to have a normal BMI (P ¼ 0.002) and more likely to be obese (P , 0.001) than plausible reporters. Under-reporters had higher percentage of body-fat and lower percentage of body fat-free mass (P , 0.001), were more likely to be at risk of relative deprivation (P ¼ 0.001) and reported a higher percentage of EI from carbohydrate (P ¼ 0.02) than plausible reporters. Conclusions Observed differences between under-reporters and plausible reporters suggest that the exclusion of these under-reporters represents an important potential source of bias in obesity research among women in the periconceptional period

Maternal Nutrient Intakes From Food and Drinks Consumed in Early Pregnancy in Ireland

Background: The aim of this observational study was to measure food, macronutrient and micronutrient intakes of women presenting for antenatal care and assess compliance with current nutritional recommendations