Working parents home-schooling children with special educational needs during a pandemic: How best can mainstream schools help through digital technologies?

The competing demands of home-schooling and work commitments during the Covid-19 pandemic left working parents of primary school children with Special Educational Needs (SEN) exhausted, anxious about their ability to cope, and concerned for their children’s learning and their future. This case study explored how mainstream primary schools could best facilitate the numerous challenges of home education using digital technology. Using a qualitative approach, four interviews were conducted with two parents of SEN children, one each before the first lockdown and following the second lockdown. Transcription, facilitating data analysis, was done through Otter Artificial Intelligence software. Research questions focused on the nature and extent of digital communication from schools, adjustments during the second lockdown, inclusive practices, differentiated provision, and guidance to nurture the children’s emotional well-being. The results showed that online school contact with parents and children varied markedly in quality and frequency between different teachers, with more differentiated provision during the second lockdown particularly from the Special Educational Needs Coordinators (SENCOs) and Classroom Assistants (CAs). The value of these paraprofessionals establishing and maintaining online home-school links, namely, the SENCOs’ online engagement with parents to identify and manage new problems, and the CAs’ rapport and direct contact with the children offering practical help and coping strategies, was underlined. For future remote education, parents sought direction from mainstream schools about learning objectives, practical ways for children with special needs to understand abstract concepts, and weekly online activities with peers to work together in small groups and for social interaction. Appropriate levels of challenge were essential for SEN children linked to their developmental, physical and emotional needs, with consistent communication between parents, teachers and SENCOs, and the maintaining of records for subsequent assessment. Once schools re-opened fully, teachers needed to consider pastoral issues including coping strategies for pupils following extended periods of absence

The Complexity of Pebbling in Diameter Two Graphs*

Given a simple, connected graph, a pebbling configuration is a function from its vertex set to the nonnegative integers. A pebbling move between adjacent vertices removes two pebbles from one vertex and adds one pebble to the other. A vertex r is said to be reachable from a configuration if there exists a sequence of pebbling moves that places one pebble on r. A configuration is solvable if every vertex is reachable. We prove tight bounds on the number of vertices with two and three pebbles that an unsolvable configuration on a diameter two graph can have in terms of the size of the graph. We also prove that determining reachability of a vertex is NP-complete, even in graphs of diameter two

From gatekeeper to proto-online tutor: The role of parents in digital education

This paper presents a cross-national qualitative study examining the role of parents in digital education during the Covid-19 pandemic in five schools in each of four European countries—Cyprus, Ireland, Malta, and Northern Ireland. Unlike previous studies that largely document the unprepared transition to remote teaching during the first lockdown (March-June 2020), this research investigates how parents adapted to new roles, navigated complex circumstances, and maintained changes in their involvement in digital education during the subsequent lockdowns and reopening periods. The study also examines the impact of socio-economic status on parental engagement and the influence of school type on parental embrace of digital education. The findings indicate that while socio-economic status and school type have some impact, other factors such as access to resources, immigrant status, and language barriers play a significant role in parental engagement. Despite differences in educational systems and cultural contexts, similar challenges persisted across the countries. The paper argues for more context-sensitive strategies to enhance parental engagement in digital education

Trace element ratios in tooth enamel as palaeodietary indicators of seaweed consumption and coastal grazing, and their broader applicability

Ratios of barium and strontium concentrations in skeletal samples (e.g. in the logarithmic form lg(Ba/Sr)), are a possible alternative or supplementary marker to stable carbon isotope ratios (δ13C) for identification of marine food consumption. Previous studies have compared lg(Ba/Sr) values between different species of animals with differing diets, but few studies have been performed where animals of the same species consumed known diets ranging from completely terrestrial to completely marine. Additionally, how seaweed consumption affects dental and bone Ba, Sr and other trace element concentrations has not yet been directly investigated. In this study, tooth enamel from modern sheep (n = 15) that consumed known diets containing varying amounts of terrestrial grasses and seaweeds were analysed for their Sr, Ba, Ca, V, Mn, Co, Ni, As, and U concentrations. Additionally, δ13C values were analysed to enable comparison of δ13C and trace element ratios as markers of marine plant food consumption. The consumed vegetation types (grasses and seaweeds) were also analysed for trace element ratios, as were soils and sands from areas where the animals were pastured. To investigate how decay processes (i.e., diagenesis) may affect lg(Ba/Sr) in archaeological tooth enamel, teeth of 22 sheep from seven archaeological sites (ranging from ca. 5000 to 1000 years old) on the Orkney Islands, Scotland, were also analysed. The results show that tooth enamel from seaweed-eating sheep had significantly different lg(Ba/Sr) (−2.4 to −1.6) and δ13C values (−6.7‰ to −3.3‰) when compared to terrestrial-feeding sheep (lg(Ba/Sr) 0.6 to −0.5; δ13C −15.5‰ to −14.7‰), with a linear correlation between lg(Ba/Sr) and δ13C (R2 = 0.94). Vegetation, soil and sand results confirmed the assumed dependence of enamel lg(Ba/Sr) values on the (bioaccessible) Ba and Sr concentrations of the consumed matter. The archaeological samples had elevated relative amounts of U, V, As, Mn, Co, and Ni, attributable to diagenesis. However, the lg(Ba/Sr) values of the archaeological enamel followed the trend established using the modern samples, indicating that diagenesis did not cause significant changes in lg(Ba/Sr) in these samples. In conclusion, lg(Ba/Sr) values in enamel appear to be a useful indicator of the relative amount of marine food consumed, including seaweeds. This may be particularly advantageous for samples and locations where δ13C is unreliable or ambiguous as an indicator of marine food consumption

Abscisic acid acts essentially on stomata, not on xylem, to improve drought resistance in tomato

Drought resistance is essential for plant production under water-limiting environments. Abscisic acid (ABA) plays a critical role in stomata but its impact on hydraulic function beyond the stomata is far less studied. We selected genotypes differing in their ability to accumulate ABA to investigate its role in drought-induced dysfunction. All genotypes exhibited similar leaf and stem embolism resistance regardless of differences in ABA levels. Their leaf hydraulic resistance was also similar. Differences were only observed between the two extreme genotypes: sitiens (sit; a strong ABA-deficient mutant) and sp12 (a transgenic line that constitutively overaccumulates ABA), where the water potential inducing 50% embolism was 0.25 MPa lower in sp12 than in sit. Maximum stomatal and minimum leaf conductances were considerably lower in plants with higher ABA (wild type [WT] and sp12) than in ABA-deficient mutants. Variations in gas exchange across genotypes were associated with ABA levels and differences in stomatal density and size. The lower water loss in plants with higher ABA meant that lethal water potentials associated with embolism occurred later during drought in sp12 plants, followed by WT, and then by the ABA-deficient mutants. Therefore, the primary pathway by which ABA enhances drought resistance is via declines in water loss, which delays dehydration and hydraulic dysfunction

Development of genomic markers associated to growth-related traits and sex determination in lumpfish (Cyclopterus lumpus)

Cleaner fish species have gained great importance in the control of sea lice, among them, lumpfish (Cyclopterus lumpus) has become one of the most popular. Lumpfish life cycle has been closed, and hatchery reproduction is now possible, however, current production is reliant on wild caught broodstock to meet the increasing demand. Selective breeding practices are called to play an important role in the successful breeding of most aquaculture species, including lumpfish. In this study, we analysed a lumpfish population for the identification of genomic markers linked to production traits. Sequencing of RAD libraries allowed us to identify, 7193 informative markers within the sampled individuals. Genome wide association analysis for sex, weight, condition factor and standard length was performed. One single major QTL region was identified for sex, while nine QTL regions were detected for weight, and three QTL regions for standard length. A total of 177 SNP markers of interest (from QTL regions) and 399 high Fst SNP markers were combined in a low-density panel, useful to obtain relevant genetic information from lumpfish populations. Moreover, a robust combined subset of 29 SNP markers (10 associated to sex, 14 to weight and 18 to standard length) provided over 90% accuracy in predicting the animal's phenotype by machine learning. Overall, our findings provide significant insights into the genetic control of important traits in lumpfish and deliver important genomic resources that will facilitate the establishment of selective breeding programmes in lumpfish

A risk-adjusted and anatomically stratified cohort comparison study of open surgery, endovascular techniques and medical management for juxtarenal aortic aneurysms-the UK COMPlex AneurySm Study (UK-COMPASS): a study protocol.

Funder: Health Technology Assessment Programme; Grant(s): Award ID: 15/153/02INTRODUCTION: In one-third of all abdominal aortic aneurysms (AAAs), the aneurysm neck is short (juxtarenal) or shows other adverse anatomical features rendering operations more complex, hazardous and expensive. Surgical options include open surgical repair and endovascular aneurysm repair (EVAR) techniques including fenestrated EVAR, EVAR with adjuncts (chimneys/endoanchors) and off-label standard EVAR. The aim of the UK COMPlex AneurySm Study (UK-COMPASS) is to answer the research question identified by the National Institute for Health Research Health Technology Assessment (NIHR HTA) Programme: 'What is the clinical and cost-effectiveness of strategies for the management of juxtarenal AAA, including fenestrated endovascular repair?' METHODS AND ANALYSIS: UK-COMPASS is a cohort study comparing clinical and cost-effectiveness of different strategies used to manage complex AAAs with stratification of physiological fitness and anatomical complexity, with statistical correction for baseline risk and indication biases. There are two data streams. First, a stream of routinely collected data from Hospital Episode Statistics and National Vascular Registry (NVR). Preoperative CT scans of all patients who underwent elective AAA repair in England between 1 November 2017 and 31 October 2019 are subjected to Corelab analysis to accurately identify and include every complex aneurysm treated. Second, a site-reported data stream regarding quality of life and treatment costs from prospectively recruited patients across England. Site recruitment also includes patients with complex aneurysms larger than 55 mm diameter in whom an operation is deferred (medical management). The primary outcome measure is perioperative all-cause mortality. Follow-up will be to a median of 5 years. ETHICS AND DISSEMINATION: The study has received full regulatory approvals from a Research Ethics Committee, the Confidentiality Advisory Group and the Health Research Authority. Data sharing agreements are in place with National Health Service Digital and the NVR. Dissemination will be via NIHR HTA reporting, peer-reviewed journals and conferences. TRIAL REGISTRATION NUMBER: ISRCTN85731188

Patient-reported outcomes in the ProtecT randomized trial of clinically localized prostate cancer treatments: Study design, and baseline urinary, bowel and sexual function and quality of life

Objectives: To present the baseline patient-reported outcome measures (PROMs) in the Prostate Testing for Cancer and Treatment (ProtecT) randomized trial comparing active monitoring, radical prostatectomy and external-beam conformal radiotherapy for localized prostate cancer and to compare results with other populations. Materials and Methods: A total of 1643 randomized men, aged 50-69 years and diagnosed with clinically localized disease identified by prostate-specific antigen (PSA) testing, in nine UK cities in the period 1999-2009 were included. Validated PROMs for disease-specific (urinary, bowel and sexual function) and condition-specific impact on quality of life (Expanded Prostate Index Composite [EPIC], 2005 onwards; International Consultation on Incontinence Questionnaire-Urinary Incontinence [ICIQ-UI], 2001 onwards; the International Continence Society short-form male survey [ICSmaleSF]; anxiety and depression (Hospital Anxiety and Depression Scale [HADS]), generic mental and physical health (12-item short-form health survey [SF-12]; EuroQol quality-of-life survey, the EQ-5D-3L) were assessed at prostate biopsy clinics before randomization. Descriptive statistics are presented by treatment allocation and by men's age at biopsy and PSA testing time points for selected measures. Results: A total of 1438 participants completed biopsy questionnaires (88%) and 77-88% of these were analysed for individual PROMs. Fewer than 1% of participants were using pads daily (5/754). Storage lower urinary tract symptoms were frequent (e.g. nocturia 22%, 312/1423). Bowel symptoms were rare, except for loose stools (16%, 118/754). One third of participants reported erectile dysfunction (241/735) and for 16% (118/731) this was a moderate or large problem. Depression was infrequent (80/1399, 6%) but 20% of participants (278/1403) reported anxiety. Sexual function and bother were markedly worse in older men (65-70 years), whilst urinary bother and physical health were somewhat worse than in younger men (49-54 years, all P < 0.001). Bowel health, urinary function and depression were unaltered by age, whilst mental health and anxiety were better in older men (P < 0.001). Only minor differences existed in mental or physical health, anxiety and depression between PSA testing and biopsy assessments. Conclusion: The ProtecT trial baseline PROMs response rates were high. Symptom frequencies and generic quality of life were similar to those observed in populations screened for prostate cancer and control subjects without cancer

Trappin-2/Elafin Modulate Innate Immune Responses of Human Endometrial Epithelial Cells to PolyI∶C

BACKGROUND: Upon viral recognition, innate and adaptive antiviral immune responses are initiated by genital epithelial cells (ECs) to eradicate or contain viral infection. Such responses, however, are often accompanied by inflammation that contributes to acquisition and progression of sexually transmitted infections (STIs). Hence, interventions/factors enhancing antiviral protection while reducing inflammation may prove beneficial in controlling the spread of STIs. Serine antiprotease trappin-2 (Tr) and its cleaved form, elafin (E), are alarm antimicrobials secreted by multiple cells, including genital epithelia. METHODOLOGY AND PRINCIPAL FINDINGS: We investigated whether and how each Tr and E (Tr/E) contribute to antiviral defenses against a synthetic mimic of viral dsRNA, polyinosine-polycytidylic acid (polyI:C) and vesicular stomatitis virus. We show that delivery of a replication-deficient adenovector expressing Tr gene (Ad/Tr) to human endometrial epithelial cells, HEC-1A, resulted in secretion of functional Tr, whereas both Tr/E were detected in response to polyI:C. Moreover, Tr/E were found to significantly reduce viral replication by either acting directly on virus or through enhancing polyI:C-driven antiviral protection. The latter was associated with reduced levels of pro-inflammatory factors IL-8, IL-6, TNFα, lowered expression of RIG-I, MDA5 and attenuated NF-κB activation. Interestingly, enhanced polyI:C-driven antiviral protection of HEC-Ad/Tr cells was partially mediated through IRF3 activation, but not associated with higher induction of IFNβ, suggesting multiple antiviral mechanisms of Tr/E and the involvement of alternative factors or pathways. CONCLUSIONS AND SIGNIFICANCE: This is the first evidence of both Tr/E altering viral binding/entry, innate recognition and mounting of antiviral and inflammatory responses in genital ECs that could have significant implications for homeostasis of the female genital tract