Autism Spectrum Disorders (ASD) and inclusion: an exploration of learning facilitators’ experiences in mainstream schools.

Masters Degree. University of KwaZulu-Natal, Pietermaritzburg.The rates of Autism Spectrum Disorders (ASD) have risen exponentially within the last decade with the Centres for Disease Control and Prevention (CDC) identifying 1 in 59 children as having ASD in the United States (CDC, 2018). These dramatic prevalence rates are thought to be increasing worldwide. As the rates of ASD are rising, more children with ASD are being enrolled into mainstream schools as a result of the state’s inclusion policy, White Paper 6 (2001). Whilst past studies have illuminated the experiences and perceptions of educators who have taught ASD learners in inclusive environments and their experiences with working with learning facilitators, scarce information has been provided pertaining to those who work with these ASD learners as learning facilitators within a South African context. This interpretive qualitative study explored the perceptions and experiences of six learning facilitators who facilitate ASD children in mainstream schools. The results of the study suggest that the participants had doubts regarding the feasibility and implementation of the state’s legislation concerning educating ASD children in mainstream classrooms. Furthermore, in order to include ASD children more successfully into a mainstream classroom, a number of changes would need to be made. These changes include the restructuring of the schooling curriculum to cater to the atypical learning styles of ASD learners, an increase in resources or provisions to support services such as learning facilitation, the promotion and implementation of in-service training opportunities for mainstream educators and the fine tuning of the job definition and description of the role that teachers and facilitators respectively play in the mainstream classroom. Overall, the participants of this study were of the belief that ASD children should have the right to be included in mainstream schools and that this can be achieved should these areas of concerns be addressed

Demographic Responses of Least Terns and Piping Plovers to the 2011 Missouri River Flood—A Large-Scale Case Study

2011 led to substantial changes in abundance and distribution of unvegetated sand habitat. This river system is a major component of the breeding range for interior Least terns (Sternula antillarum; “terns”) and piping plovers (Charadrius melodus; “plovers”), both of which are Federally listed ground-nesting birds that prefer open, unvegetated sand and gravel nesting substrates on sandbars and shorelines. The 2011 flood inundated essentially all tern and plover nesting habitat during 2011, but it had potential to generate post-flood habitat conditions that favored use by terns and plovers in subsequent years. We compared several tern and plover demographic parameters during the pre-flood and post-flood periods on the Garrison Reach and Lake Sakakawea, North Dakota, to determine how this event influenced these species (both species on the Garrison Reach, and plovers only on Lake Sakakawea). The principal parameters we measured (nest survival, chick survival, and breeding population) showed spatial and temporal variation typical of opportunistic species occupying highly variable habitats. There was little evidence that nest survival of least terns differed between pre- and post-flood. During 2012 when habitat was most abundant on the Garrison Reach and Lake Sakakawea, piping plover nest survival was higher than in any other year in the study, but returned to rates comparable to pre-flood years in 2013. Chick survival for terns on the Garrison Reach and plovers on Lake Sakakawea showed a similar pattern to plover nest survival, with the 2012 rate exceeding all other years of the study, and the remaining pre-flood and post-flood years being generally similar but slightly higher in post-flood years. However, plover chick survival on the Garrison Reach in 2012 was similar to pre-flood years, and increased annually thereafter to its highest rate in 2014. Although wide confidence intervals precluded firm conclusions about flood effects on breeding populations, the general pattern suggested lower populations of plovers but higher populations of least terns immediately after the flood. Despite near total absence of breeding habitat on either study area during the flood of 2011, populations of both species persisted after the flood due to their propensity to disperse and/or forgo breeding for at least a year. Tern and plover populations have similarly persisted and recovered after the flood, but their mechanisms for persistence likely differ. Data on tern dispersal is generally lacking, but they are thought to show little fidelity to their natal grounds, have a propensity to disperse potentially long distances, and routinely forgo breeding until their second year, thus a lost opportunity to breed in a given area may be easily overcome. Plovers exhibit stronger demographic ties to the general area in which they previously nested, yet they occupy much broader nesting habitat features than terns and exploit three major landforms in the Dakotas (free-flowing rivers, reservoir shorelines, and wetland shorelines). Consequently, dispersal to and from non-Missouri River habitats and potential to exploit non-traditional habitats likely sustained the Northern Great Plains population through the flood event. Terns and plovers normally occupy similar habitats on the Missouri River and both species experienced similar loss of a breeding season due to the flood. Persistence of these populations after the flood underscores the importance of understanding their unique demographic characteristics and the context within which the Missouri River operates

Digital technology to facilitate Proactive Assessment of Obesity Risk during Infancy (ProAsk): a feasibility study

OBJECTIVE: To assess the feasibility and acceptability of using digital technology for Proactive Assessment of Obesity Risk during Infancy (ProAsk) with the UK health visitors (HVs) and parents. DESIGN: Multicentre, pre- and post-intervention feasibility study with process evaluation. SETTING: Rural and urban deprived settings, UK community care. PARTICIPANTS: 66 parents of infants and 22 HVs. INTERVENTION: ProAsk was delivered on a tablet device. It comprises a validated risk prediction tool to quantify overweight risk status and a therapeutic wheel detailing motivational strategies for preventive parental behaviour. Parents were encouraged to agree goals for behaviour change with HVs who received motivational interviewing training. OUTCOME MEASURES: We assessed recruitment, response and attrition rates. Demographic details were collected, and overweight risk status. The proposed primary outcome measure was weight-for-age z-score. The proposed secondary outcomes were parenting self-efficacy, maternal feeding style, infant diet and exposure to physical activity/sedentary behaviour. Qualitative interviews ascertained the acceptability of study processes and intervention fidelity. RESULTS: HVs screened 324/589 infants for inclusion in the study and 66/226 (29%) eligible infants were recruited. Assessment of overweight risk was completed on 53 infants and 40% of these were identified as above population risk. Weight-for-age z-score (SD) between the infants at population risk and those above population risk differed significantly at baseline (-0.67 SD vs 0.32 SD). HVs were able to collect data and calculate overweight risk for the infants. Protocol adherence and intervention fidelity was a challenge. HVs and parents found the information provided in the therapeutic wheel appropriate and acceptable. CONCLUSION: Study recruitment and protocol adherence were problematic. ProAsk was acceptable to most parents and HVs, but intervention fidelity was low. There was limited evidence to support the feasibility of implementing ProAsk without significant additional resources. A future study could evaluate ProAsk as a HV-supported, parent-led intervention. TRIAL REGISTRATION NUMBER: NCT02314494 (Feasibility Study Results).This work was supported by the Medical Research Council – Public Health Intervention Development Scheme, grant number PHIND 01/14-15

Exploring what teams perceive by 'culture' when implementing new models of care.

Health and social care organizations continually face change to coordinate efforts, improve care quality and better meet patient needs in the context of growing pressure on services. NHS 'vanguard' teams funded to pilot organizational change in England have argued that alongside new structures, policies and governance, a shift in 'workplace culture' is needed to implement change. Although now defined in the literature and seen as an important driver of quality care, it was not clear what teams themselves meant when discussing workplace culture.MethodsIn a qualitative study nested in a wider behavioural science programme, 34 managers and frontline NHS staff took part in interviews and focus groups on the role and meaning of 'workplace culture' in their experience of change. Participants were from organizations in four NHS England vanguards implementing new models of care. Inductive thematic analysis revealed six interlinking themes: unity, emotions, support, consistency, openness to innovation and performance.ResultsThe term 'workplace culture' was nuanced and used in various ways. It was seen as a determinant, measure and/or consequence of change and linked to workplace behaviours, emotions and cognitions. Participants agreed that imposed top-down change in new models of care was a common cause of damaged culture and had knock-on effects on care quality, despite manager accounts of the importance of staff ideas.DiscussionOur findings suggest that exploring teams' own meanings of culture and behaviour change barriers, gathering ideas and co-developing tailored support would help overcome cultural challenges in implementing new models of care

Impacts of extreme environmental disturbances on piping plover survival are partially moderated by migratory connectivity

Effective conservation for listed migratory species requires an understanding of how drivers of population decline vary spatially and temporally, as well as knowledge of range-wide connectivity between breeding and nonbreeding areas. Environmental conditions distant from breeding areas can have lasting effects on the demography of migratory species, yet these consequences are often the least understood. Our objectives were to 1) evaluate associations between survival and extreme environmental disturbances at nonbreeding areas, including hurricanes, harmful algal blooms, and oil spills, and 2) estimate migratory connectivity between breeding and nonbreeding areas of midcontinental piping plovers (Charadrius melodus). We used capture and resighting data from 5067 individuals collected between 2002 and 2019 from breeding areas across the midcontinent, and nonbreeding areas throughout the Gulf of Mexico and southern Atlantic coasts of North America. We developed a hidden Markov multistate model to estimate seasonal survival and account for unobservable geographic locations. Hurricanes and harmful algal blooms were negatively associated with nonbreeding season survival, but we did not detect a similarly negative relationship with oil spills. Our results indicated that individuals from separate breeding areas mixed across nonbreeding areas with low migratory connectivity. Mixing among individuals in the nonbreeding season may provide a buffering effect against impacts of extreme events on any one breeding region. Our results suggest that understanding migratory connectivity and linking seasonal threats to population dynamics can better inform conservation strategies for migratory shorebirds

Distribution and characteristics of overdeepenings beneath the Greenland and Antarctic ice sheets: Implications for overdeepening origin and evolution

Glacier bed overdeepenings are ubiquitous in glacier systems and likely exert significant influence on ice dynamics, subglacial hydrology, and ice stability. Understanding of overdeepening formation and evolution has been hampered by an absence of quantitative empirical studies of their location and morphology, with process insights having been drawn largely from theoretical or numerical studies. To address this shortcoming, we first map the distribution of potential overdeepenings beneath the Antarctic and Greenland ice sheets using a GIS-based algorithm that identifies closed-contours in the bed topography and then describe and analyse the characteristics and metrics of a subset of overdeepenings that pass further quality control criteria. Overdeepenings are found to be widespread, but are particularly associated with areas of topographically laterally constrained ice flow, notably near the ice sheet margins where outlet systems follow deeply incised troughs. Overdeepenings also occur in regions of topographically unconstrained ice flow (for example, beneath the Siple Coast ice streams and on the Greenland continental shelf). Metrics indicate that overdeepening growth is generally allometric and that topographic confinement of ice flow in general enhances overdeepening depth. However, overdeepening depth is skewed towards shallow values – typically 200 to 300 m – indicating that the rate of deepening slows with overdeepening age. This is reflected in a decline in adverse slope steepness with increasing overdeepening planform size. Finally, overdeepening long-profiles are found to support headward quarrying as the primary factor in overdeepening development. These observations support proposed negative feedbacks related to hydrology and sediment transport that stabilise overdeepening growth through sedimentation on the adverse slope but permit continued overdeepening planform enlargement by processes of headward erosion

Using interactive digital technology to predict and prevent childhood overweight

Special Issue: 27th congress of the European Childhood Obesity Group, ECOG abstracts in 2017, 15–17 November 2017, Rome, Ital

A defect in myoblast fusion underlies Carey-Fineman-Ziter syndrome

Multinucleate cellular syncytial formation is a hallmark of skeletal muscle differentiation. Myomaker, encoded by Mymk (Tmem8c), is a well-conserved plasma membrane protein required for myoblast fusion to form multinucleated myotubes in mouse, chick, and zebrafish. Here, we report that autosomal recessive mutations in MYMK (OMIM 615345) cause Carey-Fineman-Ziter syndrome in humans (CFZS; OMIM 254940) by reducing but not eliminating MYMK function. We characterize MYMK-CFZS as a congenital myopathy with marked facial weakness and additional clinical and pathologic features that distinguish it from other congenital neuromuscular syndromes. We show that a heterologous cell fusion assay in vitro and allelic complementation experiments in mymk knockdown and mymk insT/insT zebrafish in vivo can differentiate between MYMK wild type, hypomorphic and null alleles. Collectively, these data establish that MYMK activity is necessary for normal muscle development and maintenance in humans, and expand the spectrum of congenital myopathies to include cell-cell fusion deficits

Patterns of spatial and temporal variability of UV transparency in Lake Tahoe, California-Nevada

Lake Tahoe is an ultra-oligotrophic subalpine lake that is renowned for its clarity. The region experiences little cloud cover and is one of the most UV transparent lakes in the world. As such, it is an ideal environment to study the role of UV radiation in aquatic ecosystems. Long-term trends in Secchi depths showed that water transparency to visible light has decreased in recent decades, but limited data are available on the UV transparency of the lake. Here we examine how ultraviolet radiation varies relative to longer-wavelength photosynthetically active radiation (PAR, 400-700 nm, visible wavelengths) horizontally along inshore-offshore transects in the lake and vertically within the water column as well as temporally throughout 2007. UV transparency was more variable than PAR transparency horizontally across the lake and throughout the year. Seasonal patterns of Secchi transparency differed from both UV and PAR, indicating that different substances may be responsible for controlling transparency to UV, PAR, and Secchi. In surface waters, UVA (380 nm) often attenuated more slowly than PAR, a pattern visible in only exceptionally transparent waters with very low dissolved organic carbon. On many sampling dates, UV transparency decreased progressively with depth suggesting surface photobleaching, reductions in particulate matter, increasing chlorophyll a, or some combination of these increased during summer months. Combining these patterns of UV transparency with data on visible light provides a more comprehensive understanding of ecosystem structure, function, and effects of environmental change in highly transparent alpine and subalpine lakes such as Tahoe