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Background: During the COVID-19 pandemic, Ireland implemented a series of stringent public health measures, including lockdowns and suspension of non-urgent clinical services. Aims: To investigate the impact of the COVID-19 pandemic on the demand for and delivery of speech and language therapy (SLT) services in Ireland in 2020. Methods & Procedures: Two iterations of a cross-sectional, mixed-methods online survey were distributed to speech and language therapists (SLTs) and SLT students in Ireland in the spring and autumn of 2020 using a combination of purposive and snowball sampling. The spring survey yielded 407 responses (including 14 from SLT students), while 197 respondents took part in the autumn (13 students). Survey analysis focused on questions related to the impact of the COVID-19 pandemic on delivery and demand for SLT services (student responses were excluded from analysis owing to low response rate). The largest group in respect of experience were senior SLTs (58% in both surveys). The work settings most strongly represented were HSE primary care (34.4%) and disability services (26.5%) in the spring, and HSE primary care (39.1%), acute hospitals (22.8%) and disability services (20.8%) in the autumn. We used descriptive statistics, including distribution analysis, to analyse the quantitative data. Free text data were interrogated through a variant of a conventional qualitative content analysis. Outcomes & Results: In the spring, cessation of face-to-face services featured prominently (reported by 65.6% versus 14.2% in the autumn), across SLTs' work settings, except acute hospitals. Lower demand was reported by 42.5% in the spring, while in the autumn, 48.7% indicated that demand was higher. SLTs experienced large-scale redeployment (spring: 45.9%, autumn: 38.4%), with HSE primary care SLTs redeployed most (spring: 71.7%; autumn: 62.3%). The need to suddenly pivot to telehealth was a significant challenge in terms of training, technology and logistics. New ways of working emerged and gradually, telehealth became more embedded. SLTs also had to adapt to working with evolving public health measures, such as space restrictions and personal protective equipment (PPE) requirements. Across the two survey iterations, SLTs reported tensions between demands and capacity: while referrals and demand initially decreased in the spring, this led to increased backlog and longer waiting lists, ongoing and increasing pressure on clinicians and services, and negatively impacted clients and families. Conclusions & Implications: The COVID-19 pandemic had a significant negative impact on SLT services in Ireland. Going forward, the SLT profession and its services will require sustained support to mitigate long-term negative consequences, such as increased waiting lists.

The COVID-19 pandemic has brought significant changes across society. This Delphi study aimed to gain expert consensus on challenges faced and resource needs for autistic children during the COVID-19 pandemic. Round 1 of the Delphi method employed semi-structured interviews with experts (N = 24) which were thematically analysed in order to identify needs, resource targets and resource development. In a follow-up Round 2 survey participants rated emergent need and resource in order of priority. Round 2 provided consensus on challenges faced with anxiety, routine and wellbeing ranked most important. Direction on resource design was also obtained. Consensus on the challenges and resources was achieved and is being integrated into a needs-based transition resources toolkit. Future studies could make use of the Delphi method to quickly gain consensus on focus of needs in other contexts and communities.

Internet-mediated focus groups (FGs) have become a feature of qualitative research over the last decade; however, their use within social sciences has been adopted at a slower pace than other disciplines. This paper considers the advantages and disadvantages of internet-mediated FGs and reflects on their use for researching culturally sensitive issues. It reports on an innovative study, which utilised text-based asynchronous internet-mediated FGs to explore attitudes to abortion, and abortion as a workplace issue. The authors identify three key elements of text-based asynchronous online FGs as particularly helpful in researching culturally sensitive issues -- safety, time and pace. The authors demonstrate how these elements, integral to the actual process, contributed to 'opinion change/evolution' and challenged processes of stigmatisation centred on over-simplification, misinformation as to the incidence of a culturally sensitive issue in a population, and discrimination.

Set against a body of research which tends to either overlook ideological differences between Eastern and Western conceptualizations of motivation or which positions Chinese students as ideologically monolithic, this study aims to explore the dynamic interaction between neoliberal and Neo-Confucian paradigms in shaping motivation for English language learning. By incorporating primary concepts from the Neo-Confucian motivational construct and Dörnyei's (2005) second language (L2) Motivational Self System, this study bridges the gap between Eastern and Western L2 motivational research and investigates how neoliberal/Neo-Confucian ideologies interact to influence Chinese university students' motivations for learning English. More specifically, it explores how this develops during study abroad in Ireland. It was found that the motivational trajectories of eight participants comprised a complex synthesis of both ideologies during study abroad. Furthermore, their ought-to L2 selves and ideal L2 self imagery underwent dramatic alterations. [ABSTRACT FROM AUTHOR]

Background: During the COVID‐19 pandemic, Ireland implemented a series of stringent public health measures, including lockdowns and suspension of non‐urgent clinical services. Aims: To investigate the impact of the COVID‐19 pandemic on the demand for and delivery of speech and language therapy (SLT) services in Ireland in 2020. Methods & Procedures: Two iterations of a cross‐sectional, mixed‐methods online survey were distributed to speech and language therapists (SLTs) and SLT students in Ireland in the spring and autumn of 2020 using a combination of purposive and snowball sampling. The spring survey yielded 407 responses (including 14 from SLT students), while 197 respondents took part in the autumn (13 students). Survey analysis focused on questions related to the impact of the COVID‐19 pandemic on delivery and demand for SLT services (student responses were excluded from analysis owing to low response rate). The largest group in respect of experience were senior SLTs (58% in both surveys). The work settings most strongly represented were HSE primary care (34.4%) and disability services (26.5%) in the spring, and HSE primary care (39.1%), acute hospitals (22.8%) and disability services (20.8%) in the autumn. We used descriptive statistics, including distribution analysis, to analyse the quantitative data. Free text data were interrogated through a variant of a conventional qualitative content analysis. Outcomes & Results: In the spring, cessation of face‐to‐face services featured prominently (reported by 65.6% versus 14.2% in the autumn), across SLTs' work settings, except acute hospitals. Lower demand was reported by 42.5% in the spring, while in the autumn, 48.7% indicated that demand was higher. SLTs experienced large‐scale redeployment (spring: 45.9%, autumn: 38.4%), with HSE primary care SLTs redeployed most (spring: 71.7%; autumn: 62.3%). The need to suddenly pivot to telehealth was a significant challenge in terms of training, technology and logistics. New ways of working emerged and gradually, telehealth became more embedded. SLTs also had to adapt to working with evolving public health measures, such as space restrictions and personal protective equipment (PPE) requirements. Across the two survey iterations, SLTs reported tensions between demands and capacity: while referrals and demand initially decreased in the spring, this led to increased backlog and longer waiting lists, ongoing and increasing pressure on clinicians and services, and negatively impacted clients and families. Conclusions & Implications: The COVID‐19 pandemic had a significant negative impact on SLT services in Ireland. Going forward, the SLT profession and its services will require sustained support to mitigate long‐term negative consequences, such as increased waiting lists. WHAT THIS PAPER ADDS: What is already known on this subject: The negative impact of the COVID‐19 pandemic on SLT services has been examined in several countries. Ireland imposed more stringent pandemic‐management measures than many other countries, and it was therefore warranted to investigate how SLT services in the country were affected. What this study adds to the existing knowledge: Face‐to‐face SLT services effectively ceased in most non‐urgent contexts in spring 2020. This coincided with large‐scale redeployment of SLTs to non‐SLT contexts. By autumn 2020, demand had increased again, but not all services had recommenced, and redeployment was still a factor. Although SLTs adapted to the ongoing changes imposed by the pandemic, they voiced concern about increasing backlogs and longer waiting lists, ongoing and increasing pressure on both SLTs and services, and negative impacts on clients and families. What are the actual and clinical implications of this work?: The COVID‐19 pandemic had a significant negative impact on SLT services in Ireland. Going forward, the SLT profession and its services will require sustained support to mitigate long‐term negative consequences, such as increased waiting lists. [ABSTRACT FROM AUTHOR]

This article proposes using the sibling relationship as an historical lens into nineteenth-century Ireland. Often taken for granted in historiography, brothers and sisters influenced family financial decisions and provided emotional support to each other in childhood, adulthood, and into old age. They were members of each other's social networks and could be a cause of worry, conflict, and tension within the home. As the longest-lasting relationship an individual experiences, siblings provide a unique vantage point for the historian to explore the role of family in society across the life cycle. Their presence, or lack thereof, is vital to a sibling's identity. Whilst individuals shape their own identity in relation to their family and peers, people have their own ambitions, successes, and failures. Tracing these interactions allow the historian to similarly trace wider social and cultural change. This article uses two sets of siblings to explore how brothers and sisters consciously kept family connection, utilised it in times of crisis, and benefited from sibling support networks. Separated through migration, the migrant letters exchanged between the Sinclair family in County Tyrone and Philadelphia shed light on the emotional toll of migration and provide insight into everyday life in rural Ireland. Making use of genealogical methodologies and digitised collections, this article reveals how family stories can be pieced together using fragmentary sources across a diverse range of archives. A horizontal approach elucidates wider societal changes over generations of the family. This article uses the sibling relationship to unravel complex family networks and explore nineteenth-century Irish society through the family lens. [ABSTRACT FROM AUTHOR]

This paper investigates the occurrence and nature of barriers to social inclusion in distinct geographical settings. Utilising a unique administrative dataset from Ireland's dominant social inclusion programme, this study examines how location impacts the occurrence of these barriersat a small-area level. Ireland's high growth rates have raised concerns about uneven effects, making it an interesting case study for 'left behind' places. The findings reveal that barriers associated with social inclusion, related to economic participation, are more prevalent in ' independent urban towns ' compared to both more urban and more rural areas, over and above area-level deprivation. This implies that existing policies, which traditionally employs a simplistic urban/rural dichotomy, lacks effective targeting, and would benefit from adopting a more precise spatial perspective. [ABSTRACT FROM AUTHOR]

Background: This study aimed to explore the process, clinical, and patient-reported outcomes of older adults who received an interdisciplinary Comprehensive Geriatric Assessment (CGA) in the emergency department (ED) over a six-month period after their initial ED attendance. Patients and Methods: A prospective cohort study recruited older adults aged ≥ 65 years who presented to the ED of a university teaching hospital in Ireland. Baseline assessment data comprising a battery of demographic variables and validated indices were obtained at the index ED attendance. Telephone interviews were completed with participants at 30- and 180-day follow-up. The primary outcome was incidence of hospital admission following the index ED attendance. Secondary outcomes included participant satisfaction, incidence of functional decline, health-related quality of life, incidence of unscheduled ED re-attendance(s), hospital (re)admission(s), nursing home admission, and death. Results: A total of 133 participants (mean age 82.43 years, standard deviation = 6.89 years; 71.4% female) were recruited; 21.8% of the cohort were admitted to hospital following the index ED attendance with a significant decline in function reported at hospital discharge (Z = 2.97, p = 0.003). Incidence of 30- and 180-day unscheduled ED re-attendance was 10.5% and 24.8%, respectively. The outcome at the index ED attendance was a significant predictor of adverse outcomes whereby those who were discharged home had significantly lower odds of multiple adverse process outcomes at 30- and 180-day follow-up, and significantly higher function and health-related quality of life at 30-day follow-up. Conclusion: While this study was observational in nature, findings suggest CGA in the ED may improve outcomes by mitigating against the adverse effects of potentially avoidable hospital admissions and focusing on a longitudinal approach to healthcare delivery at the primary-secondary care interface. Future research should be underpinned by an experimental study design to address key limitations in this study. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic has brought significant changes across society. This Delphi study aimed to gain expert consensus on challenges faced and resource needs for autistic children during the COVID-19 pandemic. Round 1 of the Delphi method employed semi-structured interviews with experts (N = 24) which were thematically analysed in order to identify needs, resource targets and resource development. In a follow-up Round 2 survey participants rated emergent need and resource in order of priority. Round 2 provided consensus on challenges faced with anxiety, routine and wellbeing ranked most important. Direction on resource design was also obtained. Consensus on the challenges and resources was achieved and is being integrated into a needs-based transition resources toolkit. Future studies could make use of the Delphi method to quickly gain consensus on focus of needs in other contexts and communities. [ABSTRACT FROM AUTHOR]

Background: Utilisation of the Emergency Department (ED) for non-urgent care increases demand for services, therefore reducing inappropriate or avoidable attendances is an important area for intervention in prevention of ED crowding. This study aims to develop a consensus between clinicians across care settings about the "appropriateness" of attendances to the ED in Ireland. Methods: The Better Data, Better Planning study was a multi-centre, cross-sectional study investigating factors influencing ED utilisation in Ireland. Data was compiled in patient summary files which were assessed for measures of appropriateness by an academic General Practitioner (GP) and academic Emergency Medicine Consultant (EMC) National Panel. In cases where consensus was not reached charts were assessed by an Independent Review Panel (IRP). At each site all files were autonomously assessed by local GP-EMC panels. Results: The National Panel determined that 11% (GP) to 38% (EMC) of n = 306 lower acuity presentations could be treated by a GP within 24-48 h (k = 0.259; p < 0.001) and that 18% (GP) to 35% (EMC) of attendances could be considered "inappropriate" (k = 0.341; p < 0.001). For attendances deemed "appropriate" the admission rate was 47% compared to 0% for "inappropriate" attendees. There was no consensus on 45% of charts (n = 136). Subset analysis by the IRP determined that consensus for appropriate attendances ranged from 0 to 59% and for inappropriate attendances ranged from 0 to 29%. For the Local Panel review (n = 306) consensus on appropriateness ranged from 40 to 76% across ED sites. Conclusions: Multidisciplinary clinicians agree that "inappropriate" use of the ED in Ireland is an issue. However, obtaining consensus on appropriateness of attendance is challenging and there was a significant cohort of complex heterogenous presentations where agreement could not be reached by clinicians in this study. This research again demonstrates the complexity of ED crowding, the introduction of evidence-based care pathways targeting avoidable presentations may serve to alleviate the problem in our EDs. [ABSTRACT FROM AUTHOR]

Introduction: The main pre-hospital screening tool used for stroke in Ireland and the United Kingdom is the FAST (face, arms, speech, time) test. However, posterior circulation stroke (PCS) patients may be FAST negative on exam, presenting with sudden dizziness, headaches, visual problems, nausea and vomiting and balance/co-ordination problems. There is a lack of research into paramedic recognition of PCS, and this study sought to evaluate recognition rates among paramedics (Ps) and advanced paramedics (APs) in Ireland. Methods: A cross-sectional sequential exploratory design was chosen. An anonymous online survey was carried out, which informed focus group discussions. The survey contained six clinical vignettes, two of which were PCS presentations. Correct diagnosis, hospital destination and type of pre-alert were recorded. Focus groups were chaired by an independent moderator via Zoom. Recordings were transcribed and thematic analysis was carried out to create codes and themes. Results: One hundred and fifty-one staff members (91 Ps, 60 APs) completed the survey (response rate 40%). Of these, 67% did not recognise PCS symptoms and 77% did not choose to transport to a stroke unit. For those correctly suspecting PCS, 42% requested resus at the stroke unit and 18% requested resus in the local emergency department (ED). Two focus groups of four practitioners (n = 8) took place. Three main themes were created: (1) comfort levels with posterior stroke, with subthemes of recognition and personal experiences; (2) education, with subthemes of clinical practice guideline (CPG) issues and training issues; and (3) hospital factors, with subthemes of pre-alerting and disconnect between hospital and emergency medical services. Participants were uncomfortable with PCS recognition and bypassing their local ED. More training was called for, with a dedicated CPG. Relationships with hospital staff affected willingness to pre-alert. Conclusions: In this sample group, recognition of PCS and onward transfer to a stroke unit was low. Focus groups showed that practitioners were uncomfortable recognising PCS and bypassing a local ED without adequate training and a dedicated CPG. Relationships with hospital staff also affected pre-alert decisions. [ABSTRACT FROM AUTHOR]

Background frailty screening facilitates the stratification of older adults at most risk of adverse events for urgent assessment and subsequent intervention. We assessed the validity of the Identification of Seniors at Risk (ISAR), Clinical Frailty Scale (CFS), Programme on Research for Integrating Services for the Maintenance of Autonomy seven item questionnaire (PRISMA-7) and InterRAI-ED at predicting adverse outcomes at 30 days and 6 months amongst older adults presenting to the Emergency Department (ED). Methods a prospective cohort study of adults ≥65 years who presented to the ED was conducted. The ISAR, CFS, PRISMA-7 and InterRAI-ED were assessed. Blinded follow-up telephone interviews were completed at 30 days and 6 months to assess the incidence of mortality, ED re-attendance, hospital readmission, functional decline and nursing home admission. The sensitivity, specificity, negative predictive value and positive predictive value of the screening tools were calculated using 2 × 2 tables. Results a total of 419 patients were recruited; 47% female with a mean age of 76.9 (Standard deviation = 7.2). The prevalence of frailty varied across the tools (CFS 57% versus InterRAI-ED 70%). At 30 days, the mortality rate was 5.1%, ED re-attendance 18.1%, hospital readmission 14%, functional decline 47.6% and nursing home admission 7.1%. All tools had a high sensitivity and positive predictive value for predicting adverse outcomes. Conclusion older adults who screened positive for frailty were at significantly increased risk of experiencing an adverse outcome at 30 days with the ISAR being the most sensitive tool. We would recommend the implementation of the ISAR in the ED setting to support clinicians in identifying older adults most likely to benefit from specialised geriatric assessment and intervention. [ABSTRACT FROM AUTHOR]

The present paper provides an overview of child sexual exploitation in Northern Ireland and related issues. It focuses on Barnardo's response to the problem of sexual exploitation and sets it in both a historical and a contemporary context. The paper considers the importance of recognising exploitation as child abuse and addresses specific myths associated with this. It makes use of recent research and campaigning by Barnardo's to challenge and change public perception. The paper presents a range of risk factors and indicators that are used to identify children and young people who are most likely to experience or be at risk from sexual exploitation. It examines the who, what and why of sexual exploitation of children in Northern Ireland, presenting local research and anecdotal evidence to demonstrate the extent and range of the problem, while acknowledging the often hidden nature of this activity. As well as focusing on young people abused through prostitution, the paper also makes reference to the issue of human trafficking and the increasing problems of abuse via the Internet and mobile phone technology. The paper draws on international human rights standards and domestic legislation in relation to child sexual exploitation and explores the existing legislative context in Northern Ireland. Included is a summary of the Barnardo's Beyond the Shadows Service established to respond to this issue. The paper lays out the four main aims of the service and provides an overview of its work. It concludes by challenging the audience, legislators, policy-makers and service providers to respond strategically and operationally to the experiences and needs of children and young people who are sexually exploited or at risk of this. (Contains 3 figures.)

Linden Services for Children is part of Extern, which is a charity within the voluntary sector. The organisation's mission is to promote social inclusion and help reduce the incidence of offending behaviour. Extern operates in both the North and South of Ireland and works with children, families, adults and communities. It aims, through assessment and carefully tailored services, to meet complex needs. Linden is one of a range of innovative interventions designed to work with young people aged 13-17 years and their families, combining both short-term residential placement and a community-based approach using Multisystemic Therapy. This article is a description of the service that is provided and how it draws upon other support programmes within the organisation and in so doing fulfils the requirements of both the Children (NI) Order 1995 and the Criminal Justice (Children) Order 1998. It explains how Extern and Linden Services helps young people avoid long-term reliance on residential care or custody and empowers and strengthens the family.

In March 2002 an evaluation report was produced on the details of the work undertaken by Barnardo's Young People's Therapeutic Project (YPTP)during its initial 3-year pilot phase. One of the aims of the report was to demonstrate the effectiveness of intervention in this sensitive area of work with young people and to evaluate activity levels. The challenge is to build on the findings of this report to inform policy, practice and strategic planning for this group of young people. The full report contains the findings of the pilot phase of the project, October 1998-June 2001. It considers the origins of the project and why it remains so valuable. It examines the young people referred to the project, the behaviour that led to the referral, the work that was undertaken with the young people, and measures some pre-involvement and post-involvement outcomes. The report then presents the views of young people, parents, carers and professionals before finally seeking to draw out of the analysis some key findings, discussion points and recommendations for the future work of the YPTP, or for other similar projects. This article provides a summary of this report.

The epidemiology of inborn errors of immunity (IEI) in the Republic of Ireland was first published in 2005 but has not been updated since. IEI prevalence data from Northern Ireland was last published in 2018. Using data from the United Kingdom Primary Immune Deficiency (UKPID) and European Society for Immunodeficiencies (ESID) registries, we reviewed all registered cases of IEI affecting adult patients ≥ 18 years of age from the two largest immunology specialist centres in Northern Ireland and the Republic of Ireland, respectively and calculated the combined minimum adult prevalence of IEI on the island of Ireland for the first time. We also recorded data pertaining to presenting symptoms of IEI, diagnostic delay, immunoglobulin data, and genetic testing, as well as briefly reporting data pertaining to secondary immunodeficiency in both countries. As of 1 May 2020, we identified a minimum adult IEI prevalence in Ireland of 8.85/100,000 population. [ABSTRACT FROM AUTHOR]

Introduction: Posterior circulation strokes account for 20% of ischaemic strokes, but may present differently to their anterior circulation counterparts. Patients may not exhibit unilateral facial weakness, speech disturbances and unilateral limb weakness, but instead present with more vague symptoms of sudden headache, dizziness, loss of balance and visual problems. This case describes a patient displaying signs and symptoms of a posterior stroke, but who eluded the FAST (face, arm, speech, time) test. Case presentation: An ambulance was called for a 60-year-old man who had a sudden onset of generalised weakness, diaphoresis and one episode of emesis at home in rural Ireland. He had a history of hypertension, hypercholesterolaemia, angina and a coronary stent placed 4 months previously. Cardiac, respiratory, abdominal, urinary and gastrointestinal exams were unremarkable. Vital signs and 12-lead electrocardiogram were normal. He was FAST negative on exam. Due to persistent dizziness, further neurological exams were carried out, showing a left visual field neglect, new nystagmus, left-sided dysmetria on finger-to-nose and heel-toshin tests and he was unable to walk unassisted upon standing. A posterior circulation stroke was suspected, and the nearest stroke unit was pre-alerted en route. A rapid assessment and computed tomography took place at hospital, with timely thrombolysis with tissue plasminogen activator. The patient subsequently had a full neurological recovery. Conclusion: This case describes a patient displaying signs and symptoms of a posterior circulation stroke albeit being FAST negative on exam. There is potential here to improve our recognition of posterior stroke in the pre-hospital field by including additional neurological exams to the FAST test. Use of ‘BEFAST’ (balance, eyes, face, arm, speech, time), the finger-to-nose test, and the ‘5 Ds’ and ‘DANISH’ mnemonics may help increase recognition of these subtle presentations. [ABSTRACT FROM AUTHOR]

Background: Internationally Emergency Department (ED) crowding is a significant health services delivery issue posing a major risk to population health. ED crowding affects both the quality and access of health services and is associated with poorer patient outcomes and increased mortality rates. In Ireland the practising of "Corridor Medicine" and "Trolley Crises" have become prevalent. The objectives of this study are to describe the demographic and clinical profile of patients attending regional EDs and to investigate the factors influencing ED utilisation in Ireland.Methods: This was a multi-centre, cross-sectional study and recruitment occurred at a selection of urban and rural EDs (n = 5) in Ireland throughout 2020. At each site all adults presenting over a 24 h census period were eligible for inclusion. Clinical data were collected via electronic records and a questionnaire provided information on demographics, healthcare utilisation, service awareness and factors influencing the decision to attend the ED.Results: Demographics differed significantly between ED sites in terms of age (p ≤ 0.05), socioeconomic status (p ≤ 0.001), and proximity of health services (p ≤ 0.001). Prior to ED attendance 64% of participants accessed community health services. Most participants (70%) believed the ED was the "best place" for emergency care or attended due to lack of awareness of other services (30%). Musculoskeletal injuries were the most common reason for presentation to the ED in this study (24%) and almost a third of patients (31%) reported presenting to the ED for an x-ray or scan.Conclusions: This study has identified regional and socioeconomic differences in the drivers of ED presentations and factors influencing ED attendance in Ireland from the patient perspective. Improved awareness of, and provision of alternative care pathways could potentially decrease ED attendances, which would be important in the context of reducing ED crowding during the COVID-19 pandemic. New strategies for integration of acute care in the community must acknowledge and plan for these issues as a universal approach is unlikely to be implemented successfully due to regional factors. [ABSTRACT FROM AUTHOR]

The article discusses defining the field of Irish-Australian Literature, challenges and conundrums. A trans- and post-national moment, a study of Irish-Australian literature runs the risk of being misconstrued (as a nationalist manoeuvre, which it is emphatically not), and might be thought of as ill-timed, even quixotic.

Background: Older adults frequently attend the emergency department (ED) and experience high rates of adverse events following ED presentation. This randomised controlled trial evaluated the impact of early assessment and intervention by a dedicated team of health and social care professionals (HSCPs) in the ED on the quality, safety, and clinical effectiveness of care of older adults in the ED.Methods and Findings: This single-site randomised controlled trial included a sample of 353 patients aged ≥65 years (mean age = 79.6, SD = 7.01; 59.2% female) who presented with lower urgency complaints to the ED a university hospital in the Mid-West region of Ireland, during HSCP operational hours. The intervention consisted of early assessment and intervention carried out by a HSCP team comprising a senior medical social worker, senior occupational therapist, and senior physiotherapist. The primary outcome was ED length of stay. Secondary outcomes included rates of hospital admissions from the ED; hospital length of stay for admitted patients; patient satisfaction with index visit; ED revisits, mortality, nursing home admission, and unscheduled hospital admission at 30-day and 6-month follow-up; and patient functional status and quality of life (at index visit and follow-up). Demographic information included the patient's gender, age, marital status, residential status, mode of arrival to the ED, source of referral, index complaint, triage category, falls, and hospitalisation history. Participants in the intervention group (n = 176) experienced a significantly shorter ED stay than the control group (n = 177) (6.4 versus 12.1 median hours, p < 0.001). Other significant differences (intervention versus control) included lower rates of hospital admissions from the ED (19.3% versus 55.9%, p < 0.001), higher levels of satisfaction with the ED visit (p = 0.008), better function at 30-day (p = 0.01) and 6-month follow-up (p = 0.03), better mobility (p = 0.02 at 30 days), and better self-care (p = 0.03 at 30 days; p = 0.009 at 6 months). No differences at follow-up were observed in terms of ED re-presentation or hospital admission. Study limitations include the inability to blind patients or ED staff to allocation due to the nature of the intervention, and a focus on early assessment and intervention in the ED rather than care integration following discharge.Conclusions: Early assessment and intervention by a dedicated ED-based HSCP team reduced ED length of stay and the risk of hospital admissions among older adults, as well as improving patient satisfaction. Our findings support the effectiveness of an interdisciplinary model of care for key ED outcomes.Trial Registration: ClinicalTrials.gov NCT03739515; registered on 12 November 2018. [ABSTRACT FROM AUTHOR]

Background Preventing transmission of COVID-19 within prisons is both important and challenging. The confined conditions in prisons can encourage person-to-person spread with the potential for outbreaks occurring. Contact tracing is an important contributor to the longer-term management strategy for COVID-19 in prisons as well as in the community but is highly resource-intensive. This paper describes the approach to contact tracing taken by the Irish Prison Service (IPS). Methods The IPS National Infection Control Team, in collaboration with the National Quality Improvement (QI) team and Health Service Executive (HSE) in Ireland, implemented a programme to develop and train in-prison contact tracing teams (CTTs). CTTs were run by prison staff with experience of working with detainees, prison IT systems and CCTV. Protocols for undertaking contact tracing for both detainee and staff cases of COVID-19 were established. Results All prisons, and two support agencies, within the IPS now have fully functional in-prison CTTs. Every CTT has responded to at least one case COVID-19, undertaken contact tracing and instigated quarantine of contacts. Conclusions A partnership approach with development of prison-led CTTs can provide an effective mechanism for contact tracing of COVID-19 cases within the prison setting. [ABSTRACT FROM AUTHOR]

In 2016 the National Forum for the Enhancement of Teaching and Learning in Higher Education funded three Irish academic libraries to review, implement and evaluate a new National Professional Development Framework for All Staff who Teach in Higher Education over two years. The Framework situates professional development as a process that starts with the 'self' in teaching and learning, but also emphasises communication and dialogue, and can be formal or informal. Its flexible, inclusive design encourages all staff who contribute to student learning to tailor it to their individual and group needs throughout their careers. The present study explains how project participants used reflective practice, action research, communities of practice, seminars and workshops to interrogate and apply the Framework, and reflects on what they learned from their experiences, and how it has influenced library practice in Ireland. Project outcomes include a website hosting reusable learning objects, an open access book evidencing reflection and scholarly communication skills, and insights into the identity of librarians as teachers and the role of personal, professional and organisational values and philosophy in professional development. [ABSTRACT FROM AUTHOR]

One law teachers's experience in teaching a legal research and writing course in Ireland is discussed. A primary course objective was to raise law students' consciousness of the political aspects of legal research and literature through legal examination of a film categorized as pornographic. (MSE)

Belief in the benefits of industrial protection had long been a cornerstone of nationalist ideology. Cumann na nGaedheal followed a policy of selective protection while Fianna Fáil was ideologically committed not just to import-substituting industrialisation but to as high a degree of self-sufficiency as possible. The Departments of Finance and Industry and Commerce differed sharply on the costs and benefits of trade restrictions. This article explores the perspective of the Department of Finance and in particular that of J. J. McElligott, Assistant Secretary from 1923 and Secretary of the Department from 1927 to 1953. It demonstrates the strong continuity between his position and that of T. K. Whitaker, who became Secretary in 1956 and whose 1958 report on Economic Development is widely credited with providing the intellectual foundation for the trade liberalisation process of the following decades. [ABSTRACT FROM AUTHOR]

Introduction: Utilization of the Emergency Department (ED) for non-urgent care increases demand for services, therefore reducing avoidable attendance is an important area for intervention in the prevention of ED crowding. This study aims to develop a consensus among clinicians across care settings about the "appropriateness" of attendance at the ED in Ireland. Method: The Better Data, Better Planning study was a multi-center, cross-sectional study investigating factors influencing ED utilization in Ireland. Following ethical approval, data was compiled in patient summary files which were assessed for measures of appropriateness by an academic General Practitioner (GP) and academic Emergency Medicine Consultant (EMC) National Panel. In cases where consensus was not reached charts were assessed by an Independent Review Panel (IRP). At each site all files were autonomously assessed by local GP-EMC panels. Results: The National Panel determined that 11% (GP) to 38% (EMC) of n=306 lower acuity presentations could be treated by a GP within 24-48h (k=0.259; p<0.001) and that 18% (GP) to 35% (EMC) of attendances could be considered "inappropriate" (k=0.341; p<0.001). For attendances deemed "appropriate" the admission rate was 47% compared to 0% for "inappropriate" attendees. There was no consensus on 45% of charts (n=136). Subset analysis by the IRP determined that consensus for appropriate attendances ranged from 0-59% and for inappropriate attendances ranged from 0-29%. For the Local Panel review (n=306) consensus on appropriateness ranged from 40-76% across sites. Conclusion: Multidisciplinary clinicians agree that "inappropriate" use of Irish EDs is an issue. However, obtaining consensus on appropriateness of attendance is challenging and there was a significant cohort of complex heterogeneous presentations where agreement could not be reached by clinicians in this study. This research again demonstrates the complexity of ED crowding, the introduction of evidence-based care pathways targeting avoidable presentations may serve to alleviate the problem in our EDs. [ABSTRACT FROM AUTHOR]

Purpose: Observational studies link high whole grain intakes to reduced risk of many chronic diseases. This study quantified whole grain intakes in the Irish adult population and examined the major contributing sources. It also investigated potential dietary strategies to improve whole grain intakes. Methods: Whole grain intakes were calculated in a nationally representative sample of 1500 Irish adults using data from the most recent national food survey, the National Adult Nutrition Survey (NANS). Food consumption was assessed, at brand level where possible, using a 4-day semi-weighed food diary with whole grain content estimated from labels on a dry matter basis. Results: Mean daily whole grain intakes were 27.8 ± 29.4 g/day, with only 19% of the population meeting the quantity-specific recommendation of 48 g per day. Wheat was the highest contributor to whole grain intake at 66%, followed by oats at 26%. High whole grain intakes were associated with higher dietary intakes of fibre, magnesium, potassium, phosphorus, and a higher alternative Mediterranean Diet Score. Whole grain foods were most frequently eaten at breakfast time. Regression analysis revealed that consumption of an additional 10 g of whole grain containing 'ready-to-eat breakfast cereals', 'rice or pastas', or 'breads' each day would increase intake of whole grains by an extra 5, 3.5, and 2.7 g, respectively. Conclusions: This study reveals low intakes of whole grains in Irish adults. Recommending cereals, breads, and grains with higher whole grain content as part of public health campaigns could improve whole grain intakes. [ABSTRACT FROM AUTHOR]

Objective: Our objective was to develop a value set based on Irish utility values for the EuroQol 5-Dimension, 5-Level instrument (EQ-5D-5L).Methods: The research design and data collection followed a protocol developed by the EuroQol Group. The EuroQol Valuation Technology (EQ-VT) software was administered using computer-assisted personal interviews to a representative sample of adults resident in Ireland between 2015 and 2016. Utility values were elicited using two stated-preference techniques: time trade-off (TTO) and discrete-choice experiment (DCE). Each respondent completed a valuation exercise in which the EQ-VT system randomly selected one block of ten TTO questions from ten blocks relating to a possible 86 health states. One block of seven DCE pairs from 28 blocks of a possible 196 pairs of health states were randomly selected to accompany this. The relationship between utility values and health states was analysed using a hybrid regression model that combined data from the TTO and DCE techniques and expressed these as a function of the health state presented to the individual. This model estimated coefficients for 20 dummy variables that characterised each health state in the EQ-5D-5L framework, with the lowest level of severity providing the reference category in each domain. The relationship between weighted and unweighted TTO and DCE analyses of main effects was analysed separately.Results: Comparison of weighted and unweighted models revealed no substantive differences in results with respect to either DCE or TTO models. The unweighted hybrid model produced estimated effects, the ordering of which was intuitively consistent within each domain: lower levels of health were associated with lower utility values. Differences were evident between domains with respect to valuations; the disutility associated with conditions related to anxiety/depression and pain/discomfort was higher than for other domains. The decrement in utility associated with movement from the highest to the lowest level of health was 0.344 for mobility, 0.287 for self-care, 0.187 for usual activities, 0.510 for pain/discomfort and 0.646 for anxiety/depression.Discussion: The results present the first value set based on the EQ-5D-5L framework for a representative sample of residents in Ireland. The set reveals a higher decrement in utility associated with anxiety/depression than with other domains of health. Caution is warranted in comparisons with other value sets. That said, those in England, the Netherlands, Uruguay and China reveal that, whereas Irish values are broadly consistent with respect to mobility, self-care and usual activities, residents of Ireland attach a higher decrement to pain/discomfort and anxiety/depression than do other populations. [ABSTRACT FROM AUTHOR]

This error is corrected in the affiliations list of this Correction article and the original article [[1]] has been updated. Following publication of the original article [[1]], the authors identified errors in the affiliation assignment, caused by a typesetting mistake: affiliation 3 (Ageing Research Centre, Health Research Institute, University of Limerick, Limerick, Ireland) was incorrectly omitted for the first author, Niamh Cummins. Clinician consensus on "Inappropriate" presentations to the Emergency Department in the Better Data, Better Planning (BDBP) census: a cross-sectional multi-centre study of emergency department utilisation in Ireland. [Extracted from the article]

Cultural heritage researchers have recently begun applying Building Information Modelling (BIM) to historic buildings. The model is comprised of intelligent objects with semantic attributes which represent the elements of a building structure and are organised within a 3D virtual environment. Case studies in Ireland are used to test and develop the suitable systems for (a) data capture/digital surveying/processing (b) developing library of architectural components and (c) mapping these architectural components onto the laser scan or digital survey to relate the intelligent virtual representation of a historic structure (HBIM). While BIM platforms have the potential to create a virtual and intelligent representation of a building, its full exploitation and use is restricted to narrow set of expert users with access to costly hardware, software and skills. The testing of open BIM approaches in particular IFCs and the use of game engine platforms is a fundamental component for developing much wider dissemination. The semantically enriched model can be transferred into a WEB based game engine platform. [ABSTRACT FROM AUTHOR]

No single solution currently exists to achieve the utopian desire of zero fossil fuel electricity generation. Until such time, it is evident that the energy mix will contain a large variation in stochastic and intermittent sources of renewable energy such as wind power. The increasing prominence of wind power in pursuit of legally binding European energy targets enables policy makers and conventional generating companies to plan for the unique challenges such a natural resource presents. This drive for wind has been highly beneficial in terms of security of energy supply and reducing greenhouse gas emissions. However, it has created an unusual ally in natural gas. This paper outlines the suitability and challenges faced by gas generating units in their utilisation as key assets for renewable energy integration and the transition to a low carbon future. The Single Electricity Market of the Republic of Ireland and Northern Ireland and the British Electricity Transmission Trading Agreement Market are the backdrop to this analysis. Both of these energy markets have a reliance on gas generation matching the proliferation of wind power. The unlikely and mostly ignored relationship between natural gas generation and wind power due to policy decisions and market forces is the necessity of gas to act as a bridging fuel. This review finds gas generation to be crucially important to the continued growth of renewable energy. Additionally, it is suggested that power market design should adequately reward the flexibility required to securely operate a power system with high penetrations of renewable energy, which in most cases is provided by gas generation. [ABSTRACT FROM AUTHOR]

Imbalances in dietary fat intakes are linked to several chronic diseases. This study describes dietary intakes and food sources of fat and fatty acids in 1051 Irish adults (aged 18–90 years), using data from the 2011 national food consumption survey, the National Adult Nutrition Survey. It also compares current intakes for 18–64-year-olds with those reported in the last such survey in 2001, the North/South Ireland Food Consumption Survey. Dietary fat intakes were estimated using data from 4-d semi-weighed (2011) and 7-d estimated (2001) food diaries. In 2011, intakes for 18–64-year-olds were as follows: total fat, 34·1 (sd 6·1) % total energy (%TE); SFA, 13·3 (sd 3·3) %TE; MUFA, 12·5 (sd 2·6) %TE; PUFA, 6·1 (sd 2·2) %TE; and trans-fat, 0·511 (sd 0·282) %TE. Apart from MUFA, intakes decreased (P<0·001) compared with 2001. There was no statistically significant difference in intakes of EPA and DHA by 18–64-year-olds in 2011 (269·0 (sd 515·0) mg/d) and 2001 (279·1 (sd 497·5) mg/d). In 2011, adults aged >65 years had the highest intakes of SFA; however, intakes were typically higher than UK-recommended values for all groups. In contrast, intakes of long-chain n-3 fatty acids were lowest in younger age groups. Intakes of trans-fat were well within UK-recommended levels. Although there have been some improvements in the profile of intakes since 2001, imbalances persist in the quantity and quality of dietary fat consumed by Irish adults, most notably for total and SFA and for younger age groups for long-chain n-3 fatty acids. [ABSTRACT FROM AUTHOR]

Two cable logging systems were reviewed to compare the efficiency of potential biomass extraction from remote forest sites in Ireland based on productive machine hour (PMH) and unit cost of operation (€/m3). Three operational scenarios (SC) were analysed where SC I was a three man crew operation (choker setter, the carriage operator and unhooking chokers). SC II was a variation of this with a two man crew operation. SC III was operating radio controlled chokers there was a two man crew (choker setter and carriage operator). The study aims to assess how operations in Ireland perform against previous known cable studies to determine whether the cost of timber extraction on remote forest sites inaccessible for mechanised felling, has a future given the increased demand for wood fibre in Ireland, both from the saw milling industries and the wood for energy sector. The volume per PMH was recorded at 17.97 for SC I, 15.09 for SC II and 20.58 m3 for SC III. The difference in productivity versus SC III remote controlled chokers is 5.49 m3/PMH for SC II crew and 2.61 m3/PMH for SC I. The decrease in total volume extracted from SCs I and II versus SC III was recorded at 15.69 m3 (15%) and 32.97 m3 (36%) product respectively. In value terms, the unit cost (€/m3) varied from 6.29 (SC I) to 6.43 (SC II) to 4.57 (SC III). When looking at the production unit costs of normal wood energy supply chains in Ireland, the figures are similar ranging from 3.17 €/m3 to 8.01 €/m3. The value of the end product of course will always determine which market the eventually goes to but given that cable log wood fibre has been unthinned and unmaintained then the biomass sector may be an ever increasing demand point in the search for increased woody biomass given that the unit costs can be competitive with other wood energy supply chains. [ABSTRACT FROM AUTHOR]

Willow Salix sp. is currently cultivated as a short rotation forestry crop in Ireland as a source of biomass to contribute to renewable energy goals. The aim of this study is to evaluate the energy requirements and environmental impacts associated with willow ( Salix sp .) cultivation, harvest, and transport using life cycle assessment ( LCA). In this study, only emissions from the production of the willow chip are included, end-use emissions from combustion are not considered. In this LCA study, three impact categories are considered; acidification potential, eutrophication potential and global warming potential. In addition, the cumulative energy demand and energy ratio of the system are evaluated. The results identify three key processes in the production chain which contribute most to all impact categories considered; maintenance, harvest and transportation of the crop. Sensitivity analysis on the type of fertilizers used, harvesting technologies and transport distances highlights the effects of these management techniques on overall system performance. Replacement of synthetic fertilizer with biosolids results in a reduction in overall energy demand, but raises acidification potential, eutrophication potential and global warming potential. Rod harvesting compares unfavourably in comparison with direct chip harvesting in each of the impact categories considered due to the additional chipping step required. The results show that dedicated truck transport is preferable to tractor-trailer transport in terms of energy demand and environmental impacts. Finally, willow chip production compares favourably with coal provision in terms of energy ratio and global warming potential, while achieving a higher energy ratio than peat provision but also a higher global warming potential. [ABSTRACT FROM AUTHOR]

Abstract: The biofuels penetration rate target in Ireland for 2013 is 6% by volume. In 2012 the fuel blend reached 3%, with approximately 70 million litres of biodiesel and 56 million litres of ethanol blended with diesel and gasoline respectively. For January and February 2013, the blend rate had only reached 2.7%. The target of 10% by 2020 remains which equates to approximately 420 million litres. Achieving the biofuels target would require 345ktoe by 2020 (14,400TJ). Utilising the indigenous biofuels outlined in this paper leaves a shortfall of approximately 12,000TJ or 350 million litres (achieving 17% of the 10% target) that must be either be imported or met by other renewables. 70% of indigenous production from one biodiesel plant is currently from TME and UCOME. If this remains for 2020 then only 30% remains equating to approximately 10 million litres indigenous production for a second biodiesel plant (30% of 21+13 million litres) which has planned capacity of 40 million litres (36,000t). In terms of the EU biofuels sustainability criteria, up to 2017, a 35% GHG emissions reduction is required compared to fossil fuels. From 2017 onwards, a 50% GHG reduction is required for existing installations and a 60% reduction for new installations. [Copyright &y& Elsevier]

BackgroundRecent community-based research has suggested that psychotic experiences act as markers of severity of psychopathology. There has, however, been a lack of clinic-based research. We wished to investigate, in a clinical sample of adolescents referred to a state-funded mental health service, the prevalence of (attenuated or frank) psychotic experiences and the relationship with (i) affective, anxiety and behavioural disorders, (ii) multimorbid psychopathology, (iii) global functioning, and (iv) suicidal behaviour.MethodThe investigation was a clinical case–clinical control study using semi-structured research diagnostic psychiatric assessments in 108 patients newly referred to state adolescent mental health services.ResultsPsychotic experiences were prevalent in a wide range of (non-psychotic) disorders but were strong markers of risk in particular for multimorbid psychopathology (Z = 3.44, p = 0.001). Young people with psychopathology who reported psychotic experiences demonstrated significantly poorer socio-occupational functioning than young people with psychopathology who did not report psychotic experiences, which was not explained by multimorbidity. Psychotic experiences were strong markers of risk for suicidal behaviour. Stratified analyses showed that there was a greatly increased odds of suicide attempts in patients with a major depressive disorder [odds ratio (OR) 8.89, 95% confidence interval (CI) 1.59–49.83], anxiety disorder (OR 15.4, 95% CI 1.85–127.94) or behavioural disorder (OR 3.13, 95% CI 1.11–8.79) who also had psychotic experiences compared with patients who did not report psychotic experiences.ConclusionsPsychotic experiences (attenuated or frank) are an important but under-recognized marker of risk for severe psychopathology, including multimorbidity, poor functioning and suicidal behaviour in young people who present to mental health services. [ABSTRACT FROM PUBLISHER]

Highlights: [•] Wood energy supply chains are analysed for energy requirements and GHG emissions. [•] Use of residues and stumps for energy is evaluated for Irish conditions. [•] Results highlight transportation as the most energy and GHG emission intensive step. [•] Wood energy compares favourably with other biomass sources and fossil fuels. [ABSTRACT FROM AUTHOR]

Highlights: [•] 18 Sawmills, 3 board plants and the 3 peat fired power stations were included. [•] Cost of transport to Energy sector ranged from €306043 to €996842 in Scenario 2015. [•] The increased demand in 2030 led to a range of between €1,132,831 and €4,926,040. [•] A subsidy of between 140 and 170€TJ−1 is needed for Scenario 2015. [•] The subsidy decreases to 30 and 70€TJ−1 for Scenario 2030. [ABSTRACT FROM AUTHOR]

Purpose – The purpose of this paper is to discuss the case study of an older woman who was subject to elder financial abuse by a home help in the Republic of Ireland. Design/methodology/approach – The design of the research is a case study. Findings – It considers the indicators which alerted professionals to the concerns and the measures taken to protect the woman. The paper particularly highlights the co-operation of the large number of inter-agency multi-disciplinary professionals involved in resolving the case. The paper also considers the issue of capacity and the current legal background in the Republic of Ireland and internationally relevant to protecting older people from elder abuse. Originality/value – The paper has not identified any published case studies of elder financial abuse within the Republic of Ireland, despite hundreds of cases being reported annually. Case reports may be of interest to those working in the field as a means of describing successful management strategies, and may highlight practical areas of difficulty such as conflict or lack of communication between agencies. They may also serve to heighten awareness of abuse in general. [ABSTRACT FROM AUTHOR]

Under the Biofuels Obligation Scheme in Ireland, the biofuels penetration rate target for 2013 was set at 6% by volume from a previous 4% from 2010. In 2012 the fuel blend reached 3%, with approximately 70 million L of biodiesel and 56 million L of ethanol blended with diesel and gasoline, respectively. Up to and including April 2013, the current blend rate in Ireland for biodiesel was 2.3% and for bioethanol was 3.7% which equates to approximately 37.5 million L of biofuel for the first four months of 2013. The target of 10% by 2020 remains, which equates to approximately 420 million L yr-1. Achieving the biofuels target would require 345 ktoe by 2020 (14,400 TJ). Utilizing the indigenous biofuels in Ireland such as tallow, used cooking oil and oil seed rape leaves a shortfall of approximately 12,000 TJ or 350 million L (achieving only 17% of the 10% target) that must be either be imported or met by other renewables. Other solutions seem to suggest that microalgae (for biodiesel) and macroalgae (for bioethanol) could meet this shortfall for indigenous Irish production. This paper aims to review the characteristics of algae for biofuel production based on oil yields, cultivation, harvesting, processing and finally in terms of the European Union (EU) biofuels sustainability criteria, where, up to 2017, a 35% greenhouse gas (GHG) emissions reduction is required compared to fossil fuels. From 2017 onwards, a 50% GHG reduction is required for existing installations and from 2018, a 60% reduction for new installations is required. [ABSTRACT FROM AUTHOR]

A growing body of evidence supports the inclusion of whole grain foods in the diet to help prevent certain chronic diseases. Although much of the research has been conducted in adult cohorts, it is thought that younger populations may also benefit from whole-grain-rich diets. The aim of the present study was to quantify the intake of whole grain in Irish children and teenagers, and assess the major sources of intake. Data used in the present study were from the National Children's Food Survey and the National Teens' Food Survey, which used 7 d food diaries to collect data on habitual food and beverage consumption in representative samples of Irish children and teenagers. Results showed that over 90 % of children (5–12 years) and over 86 % of teenagers (13–17 years) are consumers of whole grain, with mean daily intakes of 18·5 and 23·2 g/d, respectively. Ready-to-eat breakfast cereals made the greatest contribution to whole grain intakes for both children and teenagers (59·3 and 44·3 %), followed by bread (14·4 and 26·5 %), with wheat being the major source of intake, accounting for over 65 % of all whole grains consumed. Whole grain consumers had significantly higher intakes of fibre, P and Mg in comparison with non-consumers of whole grain, even though whole grain intakes in this sample were well below the recommendation of three servings or 48 g/d. The present study characterises, for the first time, the patterns of whole grain consumption in Irish children and teenagers and shows whole grain intake to be low. [ABSTRACT FROM PUBLISHER]

Abstract: The environmental impact of bioenergy supply systems can be determined using life cycle assessment methodologies. This study focuses on the impact of production of Miscanthus pellets and briquettes, potentially used to satisfy renewable energy requirements in Ireland. The impact categories considered are particularly important when assessing bioenergy systems; global warming potential, acidification potential, eutrophication potential, and energy demand. The scope of the study incorporates Miscanthus cultivation, harvest, processing and transport to a biomass distributor. The aim of the research is to evaluate the effects of changes in keys variables on the overall environmental impacts of the system. The scenarios examined include replacement of synthetic fertilisers with biosolids, Miscanthus processing by pelleting and briquetting, and transport distances of 50 and 100km. Results indicate that maintenance and processing of the Miscanthus crop have the most environmental impacts with transport having less of an effect. Replacing synthetic fertiliser with biosolids results in a reduction in global warming potential of 23–33% and energy demand of 12–18%, but raises both acidification and eutrophication potential by 290–400% and 258–300%, respectively. Pelleting of Miscanthus requires more energy than briquetting, hence has higher impacts in each category assessed. Increasing the transport distance from 50 to 100km, results in a small increase in each impact category. Miscanthus briquette production compares favourably with wood pellet, kerosene, and coal production, with Miscanthus pelleting proving more environmentally damaging. [Copyright &y& Elsevier]

Abstract: The purpose of this study was to analyse how biomass based haulage in Ireland performed as a measure of efficiency under 4 main criteria; distance travelled, fuel consumption, fuel consumption per unit of biomass hauled and diesel CO2 emissions. The applicability of truck engine diagnostic equipment was tested to analyse the schedule of engine data that could be recorded in real-time from a 5 axle articulated biomass truck. This identified how new on board truck technology in Ireland could be used to monitor data in real-time, specifically fuel consumption, litre/km, litre/ton and distance to allow for informed analysis of how efficient new biomass trucking operations currently are in Ireland. Fleet Management System (FMS) monitoring systems are a relatively new technology in biomass and log transport in Ireland. They are more common place in the food supply chain with refrigerated units travelling across continental Europe where food temperature and truck movements are controlled data from a central dispatch. A GPS asset tracking monitoring system was also installed on the truck over the test period to record trip log data. The BT (biomass truck) was a 5 axle, 2004 DAF XF Euro III 430hp 4*2. Initial results showed that for the BT, the average daily fuel consumption varied from 0.23 L/km to 0.47 L/km. The thresholds of travelled distance were between 20.92 km and 434.91 km respectively with average fuel consumption per tonnage of woodchips of 0.16 L/ton and 5.68 L/ton. When the total daily distance is limited to 1 load within 200 km roundtrip versus 1 load at approximately 400 km trip, the % difference in logistic cost (€/T) is 56%. Delivering 2 loads per 400 km trip shows a 5.4% decrease in logistic costs versus the Trip 1 scenario confirming the increased efficiency of a more localised transport approach. A maximum percentage difference in costs of 45% that exists between a 2 load and 1 load trip occurs for Trip 22 and Trip 5 but this increases to 72% when analysing for 2 load versus 1 load for distances over 400 km. Trip 7 and 12 are both below 50 km and seem to be the exception and to compare could possibly show an element of distortion. The closest logistic cost to Trip 12 is Trip 5 with 113% higher costs confirming how a 50 km roundtrip can impact significantly on lowering biomass transport costs. [Copyright &y& Elsevier]

Background: Epidemiological research has shown that hallucinations and delusions, the classic symptoms of psychosis, are far more prevalent in the population than actual psychotic disorder. These symptoms are especially prevalent in childhood and adolescence. Longitudinal research has demonstrated that psychotic symptoms in adolescence increase the risk of psychotic disorder in adulthood. There has been a lack of research, however, on the immediate clinicopathological significance of psychotic symptoms in adolescence.Aims: To investigate the relationship between psychotic symptoms and non-psychotic psychopathology in community samples of adolescents in terms of prevalence, co-occurring disorders, comorbid (multiple) psychopathology and variation across early v. middle adolescence.Method: Data from four population studies were used: two early adolescence studies (ages 11-13 years) and two mid-adolescence studies (ages 13-16 years). Studies 1 and 2 involved school-based surveys of 2243 children aged 11-16 years for psychotic symptoms and for emotional and behavioural symptoms of psychopathology. Studies 3 and 4 involved in-depth diagnostic interview assessments of psychotic symptoms and lifetime psychiatric disorders in community samples of 423 children aged 11-15 years.Results: Younger adolescents had a higher prevalence (21-23%) of psychotic symptoms than older adolescents (7%). In both age groups the majority of adolescents who reported psychotic symptoms had at least one diagnosable non-psychotic psychiatric disorder, although associations with psychopathology increased with age: nearly 80% of the mid-adolescence sample who reported psychotic symptoms had at least one diagnosis, compared with 57% of the early adolescence sample. Adolescents who reported psychotic symptoms were at particularly high risk of having multiple co-occurring diagnoses.Conclusions: Psychotic symptoms are important risk markers for a wide range of non-psychotic psychopathological disorders, in particular for severe psychopathology characterised by multiple co-occurring diagnoses. These symptoms should be carefully assessed in all patients. [ABSTRACT FROM AUTHOR]

This study involved a detailed standardized initial research assessment which was carried out with 100 young people aged 12–15 years newly referred to a child and adolescent mental health service. The assessment involved the K-SADS interview with the young person and their parent, the Strengths and Difficulties Questionnaire, the Clinical Global Impression Scale, and the Children’s Global Assessment Scale. Diagnoses resulting from these ‘research assessments’ were compared with clinical diagnoses, which were determined by case note analysis and discussion with the key clinician. Results showed that a clinical diagnosis of depressive disorder was made in only one-third of those who received a ‘research assessment’ diagnosis of depressive disorder, and suicidality was missed in a significant proportion of cases. Those with a diagnosis of depressive disorder had significantly more problems, more comorbidity, more suicidality and greater functional impairment than those without. It is important to keep depression and suicidality in mind when assessing young people with complex mental health difficulties. Unless specific pointers are sought, it is easy to miss these, which may mean that vulnerable young people do not benefit from potentially effective treatments. [ABSTRACT FROM PUBLISHER]

The article offers information related to youth work and policy in Ireland from 1983 to 2008. It states that the National Youth Policy Committee (NYPC) of the Costello Committee, as it became known, was appointed at a time when almost half the population was under 25 and when the combination of rapid urbanized society, an economy in stagnation and a high rate of youth unemployment had led to heightened political concern. In addition, the NYPC decided to uphold the primacy of the voluntary youth organizations as the direct providers of youth work programmers and services. Further information on the NYPC is presented and discussed.

Since the 1970s, decision support systems (DSS) have become popular as computer technology has developed. A DSS aims to support the solving of specific problems with both human and computer techniques. The purpose of this research was to design and develop a DSS for application to cost and revenue calculations of contracted timber haulage in Ireland. The DSS allows the costs and revenue of timber haulage to be calculated on a daily basis and on a route-specific basis. This implies that the user interface allows certain criteria to be selected, such as truck configuration, truck model, engine size, horsepower, and design gross vehicle weight. Both the revenue and running costs are directly related to the payload weight and the distance traveled. To generate the routes traveled and provide a sophisticated interface for spatial road map information, a Geographic Information System (GIS) was used; ESRI's ArcView 8.3 provides its own application programming in the form of Visual Basic for Applications (VBA). [ABSTRACT FROM AUTHOR]

Linden Services for Children is part of Extern, which is a charity within the voluntary sector. The organisation's mission is to promote social inclusion and help reduce the incidence of offending behaviour. Extern operates in both the North and South of Ireland and works with children, families, adults and communities. It aims, through assessment and carefully tailored services, to meet complex needs. Linden is one of a range of innovative interventions designed to work with young people aged 13–17 years and their families, combining both short-term residential placement and a community-based approach using Multisystemic Therapy. This article is a description of the service that is provided and how it draws upon other support programmes within the organisation and in so doing fulfils the requirements of both the Children (NI) Order 1995 and the Criminal Justice (Children) Order 1998. It explains how Extern and Linden Services helps young people avoid long-term reliance on residential care or custody and empowers and strengthens the family. [ABSTRACT FROM AUTHOR]

Media representations of young people are an important part of society's ongoing discussion with itself about ‘the state of its youth’. This article sets out to explore how the Irish media address the issue of young people and sexuality. Adopting a broadly social constructionist perspective, it presents qualitative case studies of the verbal and visual content of selected feature items hi the press and concludes that, at least where sexuality is at issue, young people are envisaged and presented as ‘Other’, as something puzzling arid mysterious. The tabloid and broadsheet press employ similar sets of rhetorical devices to construct this representation and to ‘make a spectacle’ of the young, often with marked gender differences. There is a consistent ‘metaphor of discovery’: the ‘lifting of a lid’ on what young people are ‘getting up to’, unknown to their parents. There is a pervasive sense of alarm, dismay, of loss and even (ambivalently) of betrayal. It is suggested that in consistently treating young people as ‘Other’, as predominantly different and difficult, these media representations may themselves be helping to construct and sustain the ‘problem’ of intergenerational relations. [ABSTRACT FROM AUTHOR]