Eating disorder services for young people in Ireland: perspectives of service providers, service users and the general adolescent population

Objectives: This paper illuminates how national eating disorder (ED) policy translates into day-to-day practice by exploring how ED services are experienced by those who deliver and use them. Methods: A mixed-methods approach was used, which combined qualitative and quantitative techniques. The paper collates data from three studies: (i) an interview study exploring the lived experiences of young people with EDs (n =8), their parents (n =5) and their healthcare professionals (n =3); (ii) a national survey of health professionals’ perspectives on existing ED services (n =171); (iii) a nationwide survey of secondary-school students’ eating concerns and patterns of help - seeking (n=290). Results: The qualitative interviews with young people and their parents revealed feelings of isolation and helplessness. Young people expressed interest in patient support groups, while parents desired greater support for the family unit. Parents were highly critical of available services, particularly in relation to access. These criticisms were echoed in the survey of healthcare professionals, who reported many barriers to delivering effective care. Clinicians were almost unanimous in calling for care pathways to be clarified via a standardised treatment protocol. The survey of adolescents indicated widespread reluctance to seek help regarding eating concerns: over one-third expressed concern about their own eating habits, but half of these had not divulged their concerns to anyone. Participants’ preferred pathways of help-seeking revolved around family and friends, and adolescents were unsure about routes of access to professional support. 3 Conclusions: The research demonstrates that many aspects of national ED policy have not been implemented in practice. The paper highlights specific gaps and suggests ways they can be redressed

Contract Governance and the Canadian Public Sector

This essay examines the changing character of public sector work in the Canadian federal public service context. It is based on an empirical examination of various forms of contractual relations currently operative within the Canadian state and on a comparative approach of other western liberal state reform initiatives. We argue that contract governance is an ongoing process involving distinct interrelations between the public and private sectors. In this context, we identify various forms of contract governance and flexibility schemes that have been enfolded and refolded into the conventional structures of governance, and unfolded into a liminal space between the state and civil society through the establishment of nonstandard work and the creation of alternative service delivery programmes

Prevalence And Predictors Of Attention Deficit Hyperactivity Disorder In Adolescent And Adult Males With Fragile X Syndrome And Autism Spectrum Disorder

Individuals with fragile X syndrome (FXS) experience disproportionate rates of diagnoses of attention-deficit/hyperactivity disorder (ADHD) when compared to the general population. Exact prevalence rates and outcomes for individuals with a diagnosis of FXS and ADHD is not well known. The current study assesses rates of ADHD diagnosis in individuals with FXS as well as tests the prediction of a diagnosis of ADHD from levels of autism spectrum disorder (ASD) symptom presentation. The present study included 30 individuals with FXS aged 13-25 and were assessed using a structured diagnostic interview. Interviews were conducted with individual’s parents’ due to low cognitive ability found in individuals with FXS. ASD symptoms were not found to be a significant predictor of ADHD in our sample. Diagnostic prevalence rates of ADHD were found to be 45% for the FXS sample. Individuals with FXS experience diagnostic rates of ADHD significantly higher than those found in the general population. The presence of ASD does not appear to account for the differences found in these rates

Chlorinated auxins–how does Arabidopsis thaliana deal with them?

Plant hormones have various functions in plants and play crucial roles in all developmental and differentiation stages. Auxins constitute one of the most important groups with the major representative indole-3-acetic acid (IAA). A halogenated derivate of IAA, 4-chloro-indole-3-acetic acid (4-Cl-IAA), has previously been identified in Pisum sativum and other legumes. While the enzymes responsible for the halogenation of compounds in bacteria and fungi are well studied, the metabolic pathways leading to the production of 4-Cl-IAA in plants, especially the halogenating reaction, are still unknown. Therefore, bacterial flavin-dependent tryptophan-halogenase genes were transformed into the model organism Arabidopsis thaliana. The type of chlorinated indole derivatives that could be expected was determined by incubating wild type A. thaliana with different Cl-tryptophan derivatives. We showed that, in addition to chlorinated IAA, chlorinated IAA conjugates were synthesized. Concomitantly, we found that an auxin conjugate synthetase (GH3.3 protein) from A. thaliana was able to convert chlorinated IAAs to amino acid conjugates in vitro. In addition, we showed that the production of halogenated tryptophan (Trp), indole-3-acetonitrile (IAN) and IAA is possible in transgenic A. thaliana in planta with the help of the bacterial halogenating enzymes. Furthermore, it was investigated if there is an effect (i) of exogenously applied Cl-IAA and Cl-Trp and (ii) of endogenously chlorinated substances on the growth phenotype of the plants

Dynamic Radio-Frequency Transverse Susceptibility in Magnetic Nanoparticle Systems

A novel resonant method based on a tunnel-diode oscillator (TDO) is used to study the dynamic transverse susceptibility in a Fe nanoparticle system. The magnetic system consists of an aggregate of nanometer-size core (Au)-shell (Fe) structure, synthesized by reverse micelle methods. Static and dynamic magnetization measurements carried out in order to characterize the system reveal a superparamagnetic behavior at high temperature. The field-dependent transverse susceptibility at radio-frequencies (RF), for different temperatures reveals distinct peak structure at characteristics fields (H_k, H_c) which changes with temperature. It is proposed that relaxation processes could explain the influence of the temperature on the field dependence of the transverse susceptibility on the MI.Comment: 3 pages, 2-column, 3 figures, To be published in J. Appl. Phys. 2000 (44th Annual MMM proceedings

Prediction of 24-hour milk yield and composition in dairy cows from a single part-day yield and sample

peer-reviewedTeagasc PublicationIrish Journal of Agricultural and Food Research | Volume 58: Issue 1 Prediction of 24-hour milk yield and composition in dairy cows from a single part-day yield and sample S. McParlandemail , B. Coughlan , B. Enright , M. O’Keeffe , R. O’Connor , L. Feeney and D.P. Berry DOI: https://doi.org/10.2478/ijafr-2019-0007 | Published online: 09 Aug 2019 PDF Abstract Article PDF References Recommendations Abstract The objective was to evaluate the accuracy of predicting 24-hour milk yield and composition from a single morning (AM) or evening (PM) milk weight and composition. A calibration dataset of 37,481 test-day records with both AM and PM yields and composition was used to generate the prediction equations; equations were validated using 4,644 test-day records. Prediction models were developed within stage of lactation and parity while accounting for the inter-milking time interval. The mean correlation between the predicted 24-hour yields and composition of milk, fat and protein and the respective actual values was 0.97 when based on just an AM milk yield and composition with a mean correlation of 0.95 when based on just a PM milk yield and composition. The regression of predicted 24-hour yield and composition on the respective actual values varied from 0.97 to 1.01 with the exception of 24-hour fat percentage predicted from a PM sample (1.06). A single AM sample is useful to predict 24-hour milk yield and composition when the milking interval is known

Lifetime Measurement of the 8s Level in Francium

We measure the lifetime of the 8s level on a magneto-optically trapped sample of ^{210}Fr atoms with time-correlated single-photon counting. The 7P_{1/2} state serves as the resonant intermediate level for two-photon excitation of the 8s level completed with a 1300 nm laser. Analysis of the fluorescence decay through the the 7P_{3/2} level gives 53.30 +- 0.44 ns for the 8s level lifetime.Comment: 4 pages, 4 figure

Reflections on a coaching pilot project in healthcare settings

This paper draws on personal reflection of coaching experiences and learning as a coach to consider the relevance of these approaches in a management context with a group of four healthcare staff who participated in a pilot coaching project. It explores their understanding of coaching techniques applied in management settings via their reflections on using coaching approaches and coaching applications as healthcare managers. Coaching approaches can enhance a manager’s skill portfolio and offer the potential benefits in terms of successful goal achievement, growth, mutual learning and development for both themselves and staff they work with in task focused scenarios

SCOOTER: A compact and scalable dynamic labeling scheme for XML updates

Although dynamic labeling schemes for XML have been the focus of recent research activity, there are significant challenges still to be overcome. In particular, though there are labeling schemes that ensure a compact label representation when creating an XML document, when the document is subject to repeated and arbitrary deletions and insertions, the labels grow rapidly and consequently have a significant impact on query and update performance. We review the outstanding issues todate and in this paper we propose SCOOTER - a new dynamic labeling scheme for XML. The new labeling scheme can completely avoid relabeling existing labels. In particular, SCOOTER can handle frequently skewed insertions gracefully. Theoretical analysis and experimental results confirm the scalability, compact representation, efficient growth rate and performance of SCOOTER in comparison to existing dynamic labeling schemes