Only connect: addressing the emotional needs of Scotland's children and young people

A report on the SNAP (Scottish Needs Assessment Programme) Child and Adolescent Mental Health Phase Two survey. It describes a survey of a wide range of professionals working with children and young people in Scotland, and deals with professional perspectives on emotional, behavioural and psychological problems. Conclusions and recommendations are presented

Social structure and the maintenance of biodiversity

Traditional ecological models assume well-mixed populations, where all members are equally likely to interact with one another. These models have been used successfully to explain competitive interactions; however, positive interactions such as intraspecific cooperation and interspecific facilitation cannot readily be captured. Previous work has highlighted the importance of spatial structure in explaining these behaviors as well as its role in maintaining biodiversity. These spatial structures have frequently been modeled using lattices, where all organisms have an equal number of interactions. Although these models capture the spatiality of interactions, natural populations are unlikely to follow such rigid patterns. There has been little work investigating the dynamics of populations with levels of social interactions that occur between these two extremes. In this work, we investigate the dynamics of a 3-strategy nontransitive system in populations with different social structures. We first describe how extending the neighborhood of interactions in traditional lattice models diminishes a population’s ability to maintain diversity. Populations are then moved to graphs where interactions are limited to cells within a defined distance of each other in Cartesian space. This method allows for a more fine-grained examination of the effects that increasing interactions have on maintaining diversity. Finally, we examine small world topologies and find that the introduction of random edges into the graph quickly disrupts the maintenance of diversity

Inequalities in the dental health needs and access to dental services among looked after children in Scotland: a population data linkage study

Background: There is limited evidence on the health needs and service access among children and young people who are looked after by the state. The aim of this study was to compare dental treatment needs and access to dental services (as an exemplar of wider health and well-being concerns) among children and young people who are looked after with the general child population. Methods: Population data linkage study utilising national datasets of social work referrals for ‘looked after’ placements, the Scottish census of children in local authority schools, and national health service’s dental health and service datasets. Results: 633 204 children in publicly funded schools in Scotland during the academic year 2011/2012, of whom 10 927 (1.7%) were known to be looked after during that or a previous year (from 2007–2008). The children in the looked after children (LAC) group were more likely to have urgent dental treatment need at 5 years of age: 23%vs10% (n=209/16533), adjusted (for age, sex and area socioeconomic deprivation) OR 2.65 (95% CI 2.30 to 3.05); were less likely to attend a dentist regularly: 51%vs63% (n=5519/388934), 0.55 (0.53 to 0.58) and more likely to have teeth extracted under general anaesthesia: 9%vs5% (n=967/30253), 1.91 (1.78 to 2.04). Conclusions: LAC are more likely to have dental treatment needs and less likely to access dental services even when accounting for sociodemographic factors. Greater efforts are required to integrate child social and healthcare for LAC and to develop preventive care pathways on entering and throughout their time in the care system

Resource abundance promotes the evolution of public goods cooperation

Understanding the evolution of cooperation as part of an evolutionary stable strategy (ESS) is a difficult problem that has been the focus of much work. The associated costs of cooperation may lower the fitness of an organism below that of its non-cooperating counterpart, allowing the more fit or-ganism to persist and outcompete the cooperator. Insight into these behaviors can help provide a better understand-ing of many aspects of the natural world, as well as provide future avenues for fighting disease. In this study, we use digital evolution to examine how the abundance of a required resource affects the coopera-tive production of a public good in an adverse environment. Evolutionary computation is an excellent tool for examining these problems, as it offers researchers complete access to or-ganisms and total control over their environment. We find that stable cooperation can occur in otherwise competitive environments at discrete levels corresponding to the avail-ability of a required resource. When resource levels are low, organisms focus solely on competitive behaviors. However, once resource levels cross a critical threshold, cooperation persists in populations. Further, this cooperation occurs in patches, where it is most likely to benefit relatives. Finally, we find that in some cases this cooperative behavior allows organisms to increase their competitive abilities as well

Paraoxonase 1 Phenotype and Mass in South Asian versus Caucasian Renal Transplant Recipients

South Asian renal transplant recipients have a higher incidence of cardiovascular disease compared with Caucasian renal transplant recipients. We carried out a study to determine whether paraoxonase 1, a novel biomarker for cardiovascular risk, was decreased in South Asian compared with Caucasian renal transplant recipients. Subjects were matched two to one on the basis of age and sex for a total of 129 subjects. Paraoxonase 1 was measured by mass, arylesterase activity, and two-substrate phenotype assay. Comparisons were made by using a matched design. The frequency of PON1 QQ, QR and RR phenotype was 56%, 37%, and 7% for Caucasian subjects versus 35%, 44%, and 21% for South Asian subjects (χ2 = 7.72, P = 0.02). PON1 mass and arylesterase activity were not significantly different between South Asian and Caucasian subjects. PON1 mass was significantly associated with PON1 phenotype (P = 0.0001), HDL cholesterol (P = 0.009), LDL cholesterol (P = 0.02), and diabetes status (P < 0.05). Arylesterase activity was only associated with HDL cholesterol (P = 0.003). Thus the frequency of the PON1 RR phenotype was higher and that of the QQ phenotype was lower in South Asian versus Caucasian renal transplant recipients. However, ethnicity was not a significant factor as a determinant of PON1 mass or arylesterase activity, with or without analysis including PON1 phenotype. The two-substrate method for determining PON1 phenotype may be of value for future studies of cardiovascular complications in renal transplant recipients

Modeling the evolutionary dynamics of plasmids in spatial populations

One of the processes by which microorganisms are able to rapidly adapt to changing conditions is horizontal gene trans-fer, whereby an organism incorporates additional genetic material from sources other than its parent. These genetic elements may encode a wide variety of beneficial traits. Un-der certain conditions, many computational models capture the evolutionary dynamics of adaptive behaviors such as toxin production, quorum sensing, and biofilm formation, and have even provided new insights into otherwise unknown or misunderstood phenomena. However, such models rarely incorporate horizontal gene transfer, so they may be inca-pable of fully representing the vast repertoire of behaviors exhibited by natural populations. Although models of hori-zontal gene transfer exist, they rarely account for the spatial structure of populations, which is often critical to adaptive behaviors. In this work we develop a spatial model to examine how conjugation, one mechanism of horizontal gene transfer, can be maintained in populations. We investigate how both the costs of transfer and the benefits conferred affect evolution-ary outcomes. Further, we examine how rates of transmis-sion evolve, allowing this system to adapt to different en-vironments. Through spatial models such as these, we can gain a greater understanding of the conditions under which horizontally-acquired behaviors are evolved and are main-tained

Cardiovascular disease risk profile and microvascular complications of diabetes: comparison of Indigenous cohorts with diabetes in Australia and Canada

<p>Abstract</p> <p>Background</p> <p>Indigenous populations of Australia and Canada experience disproportionately high rates of chronic disease. Our goal was to compare cardiovascular (CVD) risk profile and diabetes complications from three recent comprehensive studies of diabetes complications in different Indigenous populations in Australia and Canada.</p> <p>Methods</p> <p>We compared participants from three recent studies: remote Indigenous Australians (2002-2003, n = 37 known diabetes), urban Indigenous Australians (2003-2005, n = 99 known diabetes), and remote Aboriginal Canadians (2001-2002, n = 188 known diabetes).</p> <p>Results</p> <p>The three groups were similar for HbA1c, systolic BP, diabetes duration. Although leaner by body-mass-index criteria, remote Indigenous Australians displayed a more adverse CVD risk profile with respect to: waist-hip-ratio (1.03, 0.99, 0.94, remote Indigenous Australians, urban Indigenous Australians, remote Canadians, p < 0.001); HDL-cholesterol (0.82, 0.96, 1.17 mmol/L, p < 0.001); urine albumin-creatinine-ratio (10.3, 2.4, 4.5 mg/mmol); and C-reactive protein. With respect to diabetes complications, microalbuminuria (50%, 25%, 41%, p = 0.001) was more common among both remote groups than urban Indigenous Australians, but there were no differences for peripheral neuropathy, retinopathy or peripheral vascular disease.</p> <p>Conclusions</p> <p>Although there are many similarities in diabetes phenotype in Indigenous populations, this comparison demonstrates that CVD risk profiles and diabetes complications may differ among groups. Irrespective, management and intervention strategies are required from a young age in Indigenous populations and need to be designed in consultation with communities and tailored to community and individual needs.</p