A lad tried to get hold of my boobs, so I kicked him: an examination of attempts by adults with learning difficulties to initiate their own safeguarding

People with learning difficulties are considerably more likely to experience sexual and other forms of violence than non-disabled people. Nevertheless, several respondents in this study have demonstrated some self-protective competencies. Most knew of their right not to be violated and a number of participants described situations when they had attempted to initiate their own safeguarding. Some had asked others for help with this. However, appropriate assistance was not always provided. This indicates that risk may be aggravated by social barriers. This paper focuses on highlighting the resistance skills that are prevalent amongst some people with learning difficulties. It concludes with suggestions on ways in which individuals may be further supported to realise their potential to play a more active role in directing and regaining their own protection

Conversational Synchronization in Naturally Occurring Settings:A Recurrence-Based Analysis of Gaze Directions and Speech Rhythms of Staff and Clients with Intellectual Disability

<p>Past research has shown that rapport and cooperation between individuals is related to the level of nonverbal synchrony they achieve in their interactions. This study investigates the extent to which staff and clients with mild to borderline intellectual disability achieve interactional synchrony in daily social interactions. Whilst there has been work examining how staff can adapt their verbal communication to help achieve better mutual understanding, there has been an absence of work concerning the responsiveness of staff and clients regarding their nonverbal behavior. Nineteen staff members video-recorded a social interaction with one of their clients in which the client had a need for support. The recordings were analyzed using cross recurrence quantification analysis. In addition, fifteen staff members as well as clients with an intellectual disability completed a questionnaire on the quality of the nineteen video-recorded interactions. Analysis of the nonverbal patterns of interaction showed that the staff-client dyads achieved interactional synchrony, but that this synchrony is not pervasive to all nonverbal behaviors. The client observers appeared to be more sensitive to this synchrony or to value it more highly than the staff raters. Staff observers were sensitive to quantitative measures of talking. The more staff in the interactions talked, the lower the quality rating of the interaction. The more the clients talked, the more positively the staff observers rated the interactions. These findings have implications for how collaborative relationships between clients and support workers should be understood. © 2013 Springer Science+Business Media New York.</p>

COVID-19 prevalence and mortality in patients with cancer and the effect of primary tumour subtype and patient demographics: a prospective cohort study

Background Patients with cancer are purported to have poor COVID-19 outcomes. However, cancer is a heterogeneous group of diseases, encompassing a spectrum of tumour subtypes. The aim of this study was to investigate COVID-19 risk according to tumour subtype and patient demographics in patients with cancer in the UK. Methods We compared adult patients with cancer enrolled in the UK Coronavirus Cancer Monitoring Project (UKCCMP) cohort between March 18 and May 8, 2020, with a parallel non-COVID-19 UK cancer control population from the UK Office for National Statistics (2017 data). The primary outcome of the study was the effect of primary tumour subtype, age, and sex and on severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) prevalence and the case–fatality rate during hospital admission. We analysed the effect of tumour subtype and patient demographics (age and sex) on prevalence and mortality from COVID-19 using univariable and multivariable models. Findings 319 (30·6%) of 1044 patients in the UKCCMP cohort died, 295 (92·5%) of whom had a cause of death recorded as due to COVID-19. The all-cause case–fatality rate in patients with cancer after SARS-CoV-2 infection was significantly associated with increasing age, rising from 0·10 in patients aged 40–49 years to 0·48 in those aged 80 years and older. Patients with haematological malignancies (leukaemia, lymphoma, and myeloma) had a more severe COVID-19 trajectory compared with patients with solid organ tumours (odds ratio [OR] 1·57, 95% CI 1·15–2·15; p<0·0043). Compared with the rest of the UKCCMP cohort, patients with leukaemia showed a significantly increased case–fatality rate (2·25, 1·13–4·57; p=0·023). After correction for age and sex, patients with haematological malignancies who had recent chemotherapy had an increased risk of death during COVID-19-associated hospital admission (OR 2·09, 95% CI 1·09–4·08; p=0·028). Interpretation Patients with cancer with different tumour types have differing susceptibility to SARS-CoV-2 infection and COVID-19 phenotypes. We generated individualised risk tables for patients with cancer, considering age, sex, and tumour subtype. Our results could be useful to assist physicians in informed risk–benefit discussions to explain COVID-19 risk and enable an evidenced-based approach to national social isolation policies