Disabled children: Numbers, characteristics and local service provision

With the publication of the report, Aiming High for Disabled Children: Better Support for Families , the government has pledged to improve outcomes for disabled children and their families identifying three priority areas: access and empowerment; responsive services and timely support; and improving quality and capacity. In order to plan and deliver effective services, local authorities require good information about the numbers and needs of disabled children, and about the support they receive. Such data are also needed by central government to support policy development and monitor progress in improving outcomes. This report establishes numbers and characteristics of disabled children and the services provided to them, following a survey of all Directors of Children's Services in England

Efficacy of a National Hydrological Risk Communication Strategy: Domestic Wastewater Treatment Systems in the Republic of Ireland

A significant body of research has focused on the role of domestic wastewater treatment systems (DWWTSs) as sources of human-specific aquatic contaminants in both developed and developing regions. However, to date few studies have sought to investigate the awareness, attitudes and behaviours of DWWTS owners and the efficacy of associated communication initiatives. The current study provides an examination of a public national engagement campaign undertaken in the Republic of Ireland which seeks to minimise the impact of DWWTSs on human and ecological health via concurrent inspection and information dissemination. Overall, 1634 respondents were surveyed using a ‘‘before and after” study design to capture if and how awareness, attitudes and behaviours evolved over time. Findings suggest that whilst the campaign provided a modest baseline to raise general awareness associated with the basic operational and maintenance requirements of DWWTS, there has been little or no behavioural engagement as a result, suggesting a significant awareness-behaviour gap. Accordingly, efforts to minimise potential human and ecological impacts have been unsuccessful. Moreover, results suggest that public attitudes towards water-related regulation and policy became increasingly negative over the study period due to parallel political and economic issues, further complicating future engagement. Future strategies, both in Ireland and further afield, should focus on health-based demographically-focused message framing to achieve significant knowledge and attitudinal shifts amongst specific population cohorts, and thus bring about significant behavioural change. Study findings and recommendations may be used by myriad stakeholders including local, provincial and national authorities to effectively engage with individuals and communities prior to and during implementation of legislative and policy-based instruments within numerous spheres including climate change adaptation, environmental quality, hydrological risk, and hydro-ecology

Special educational needs and disability : Understanding local variation in prevalence, service provision and support

There is a growing recognition of the variation between local authorities in the proportions of children with SEN, the apparent composition of these groups, and the nature and quality of services provided to support them. Local area data collected on children with SEN, particularly the termly School Census and the annual SEN2 return by local authorities, show differences in the number of children with SEN, the nature of their recorded conditions and the Code of Practice level of support they are receiving. This variation was highlighted by the House of Commons Education and Skills Select Committee which commented on a ‘postcode lottery’ or a ‘lottery of provision’, and reports by the Audit Commission and Ofsted which also highlighted variation in provision and standards

Identifying schizophrenia patients who carry pathogenic genetic copy number variants using standard clinical assessment: retrospective cohort study

Background Copy number variants (CNVs) play a significant role in disease pathogenesis in a small subset of individuals with schizophrenia (~2.5%). Chromosomal microarray testing is a first-tier genetic test for many neurodevelopmental disorders. Similar testing could be useful in schizophrenia. Aims To determine whether clinically identifiable phenotypic features could be used to successfully model schizophrenia-associated (SCZ-associated) CNV carrier status in a large schizophrenia cohort. Method Logistic regression and receiver operating characteristic (ROC) curves tested the accuracy of readily identifiable phenotypic features in modelling SCZ-associated CNV status in a discovery data-set of 1215 individuals with psychosis. A replication analysis was undertaken in a second psychosis data-set (n = 479). Results In the discovery cohort, specific learning disorder (OR = 8.12; 95% CI 1.16–34.88, P = 0.012), developmental delay (OR = 5.19; 95% CI 1.58–14.76, P = 0.003) and comorbid neurodevelopmental disorder (OR = 5.87; 95% CI 1.28–19.69, P = 0.009) were significant independent variables in modelling positive carrier status for a SCZ-associated CNV, with an area under the ROC (AUROC) of 74.2% (95% CI 61.9–86.4%). A model constructed from the discovery cohort including developmental delay and comorbid neurodevelopmental disorder variables resulted in an AUROC of 83% (95% CI 52.0–100.0%) for the replication cohort. Conclusions These findings suggest that careful clinical history taking to document specific neurodevelopmental features may be informative in screening for individuals with schizophrenia who are at higher risk of carrying known SCZ-associated CNVs. Identification of genomic disorders in these individuals is likely to have clinical benefits similar to those demonstrated for other neurodevelopmental disorders

Clinical characteristics and outcome of dogs with presumed primary renal lymphoma

Objectives: To characterise the presentation, clinicopathologic data and outcome of 29 dogs with presumed primary renal lymphoma. Materials and methods: Retrospective analysis of medical records of dogs with suspected primary renal lymphoma from 11 institutions. Results: All dogs were substage b, and lethargy and gastrointestinal signs were common presenting complaints, as were azotaemia (n=25; 86%) and erythrocytosis (n=15; 51%) on biochemical testing. Ultrasonography typically revealed bilateral renal lesions (n=23; 79%), renomegaly (n=22; 76%) and abdominal lymphadenopathy (n=14; 48%). Chemotherapy was the only treatment in 23 dogs, of which 11 responded, all considered partial responses. For all dogs the median progression-free survival and median overall survival times were 10 days (range: 1 to 126) and 12 days (range: 1 to 212), respectively, and for dogs that responded to chemotherapy 41 days (range: 10 to 126) and 47 days (range: 10 to 212), respectively. Clinical significance: Primary renal lymphoma in dogs appears to be associated with a poor prognosis and short-lived response to chemotherapy

Patients experiences of Polymyalgia Rheumatica: a Qualitative Literature Synthesis Review

Background Qualitative research is needed to better understand the concepts of remission and relapse in Polymyalgia Rheumatica (PMR). Remission, relapse, and disease activity have been defined heterogeneously in clinical studies which exclude the patient view leading to a discrepancy between physician and patient perspectives when evaluating disease activity. Aims The present work is part of a project of the PMR Working Group of Outcome Measures in Rheumatology (OMERACT), which is a global, volunteer-driven, non-profit research group aiming to improve outcome measures in rheumatic diseases. We carried out a synthesis of findings from multiple qualitative studies to provide a range and depth of meanings, experiences, and perspectives of participants across health-care contexts to explore the patient perspectives of disease activity in PMR. Methods A professional librarian carried out systematic search of the qualitative research literature across Ovid (Medline), EMBASE and CINAHL to identify studies of interest. Research synthesis was carried out in accordance with the ENTERQ criteria by three researchers with qualitative research experience. Results The search was carried out from each of the database point of inception to 19/10/2023. Review of abstracts, and hand searching reference lists of manuscripts identified 12 studies of interest. There were three main over-arching ideas identified within the published work: 1. Pathway to diagnosis, 2. Managing uncertainty and 3. Challenges to everyday life. Within these three over-arching ideas there were sub-themes identified within the conceptual scaffold which were underpinned with the expression of self and control. The domain of pathway diagnosis included making sense of the condition, normalisation of symptoms and struggles navigating care systems. Within the domain of manging uncertainty where the concepts of self and illness and the positive and negative effects of steroids. The Challenges to everyday life domain comprised day to day living, adaptation and psycho-social burden of disease. Conclusion This research synthesis of qualitative work on PMR has identified three over-arching domains providing a rich narrative of lived experience which point to why discrepancies exist within current physician-focused definitions of remission and relapse. Disclosure Nonspecific to this study

Limits on WWZ and WW\gamma couplings from p\bar{p}\to e\nu jj X events at \sqrt{s} = 1.8 TeV

We present limits on anomalous WWZ and WW-gamma couplings from a search for WW and WZ production in p-bar p collisions at sqrt(s)=1.8 TeV. We use p-bar p -> e-nu jjX events recorded with the D0 detector at the Fermilab Tevatron Collider during the 1992-1995 run. The data sample corresponds to an integrated luminosity of 96.0+-5.1 pb^(-1). Assuming identical WWZ and WW-gamma coupling parameters, the 95% CL limits on the CP-conserving couplings are -0.33<lambda<0.36 (Delta-kappa=0) and -0.43<Delta-kappa<0.59 (lambda=0), for a form factor scale Lambda = 2.0 TeV. Limits based on other assumptions are also presented.Comment: 11 pages, 2 figures, 2 table

OpenSimRoot: widening the scope and application of root architectural models

Research Conducted and Rationale: OpenSimRoot is an open sourced, functional- structural plant model and mathematical description of root growth and function. We describe OpenSimRoot and its functionality to broaden the benefits of root modeling to the plant science community. Description: OpenSimRoot is an extended version of SimRoot, established to simulate root system architecture, nutrient acquisition, and plant growth. OpenSimRoot has a plugin, modular infrastructure, coupling single plant and crop stands to soil nutrient, and water transport models. It estimates the value of root traits for water and nutrient acquisition in environments and plant species. Key results and unique features: The flexible OpenSimRoot design allows upscaling from root anatomy to plant community to estimate 1) resource costs of developmental and anatomical traits, 2) trait synergisms, 3) (inter species) root competition. OpenSimRoot can model 3D images from MRI and X-ray CT of roots in soil. New modules include: 1) soil water dependent water uptake and xylem flow, 2) tiller formation, 3) evapotranspiration, 4) simultaneous simulation of mobile solutes, 5) mesh refinement, and 6) root growth plasticity. Conclusion: OpenSimRoot integrates plant phenotypic data with environmental metadata to support experimental designs and gain mechanistic understanding at system scales

Search For Heavy Pointlike Dirac Monopoles

We have searched for central production of a pair of photons with high transverse energies in $p\bar p$ collisions at $\sqrt{s} = 1.8$ TeV using $70 pb^{-1}$ of data collected with the D\O detector at the Fermilab Tevatron in 1994--1996. If they exist, virtual heavy pointlike Dirac monopoles could rescatter pairs of nearly real photons into this final state via a box diagram. We observe no excess of events above background, and set lower 95% C.L. limits of $610, 870, or 1580 GeV/c^2$ on the mass of a spin 0, 1/2, or 1 Dirac monopole.Comment: 12 pages, 4 figure