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Researchers and practitioners need robust measurement tools for evaluating knowledge of child development to better support parents and their children during pregnancy and the transition to parenthood. We addressed this need by evaluating the psychometric properties of the Domains of Development Instrument (DoDI) for measuring knowledge of developmental milestones from birth to 3 years. We evaluated four types of validity evidence for the DoDI: test content, response processes, internal structure, and relations to other variables. We convened an expert panel to evaluate test content and conducted cognitive interviews with mothers to evaluate response processes. We also collected responses from a sample of 418 English-speaking pregnant women to evaluate internal structure and relations to other variables. We observed content validity and response process validity, as well as the predicted internal structure, internal consistency, test--retest reliability, and convergent validity. We conclude with recommendations for future research with the DoDI.

Among the estimated 800,000 children in the United Kingdom with disability, challenges include lack of access to leisureactivities, opportunities for independent development and social contact. Short breaks and residential trips (RTs) provide positive experiences, and help improve mental and physical wellbeing. However, evaluations involving young people (YP) with disabilities are lacking. We aimed to understand the value and outcomes of a RT, from the perspective of YP, their parents, and staff. YP with disabilities (N = 35) aged 12-17 years, attended outdooractivity based RTs in 2019 provided by Sparkle (South Wales) Ltd. A mixed methods approach was used for data collection; YP attended focus groups (N = 13), and parents (N = 21) and staff (N = 5) completed feedback questionnaires. The data was double coded and analysed thematically. In addition to enjoyment, interview data suggests the participants felt that the YP's emotional and social wellbeing improved. There were reported improvements in confidence, increased incidences of social communication behaviour, resilience and self-care. RTs have the potential to make a significant impact on YP and their families, and their role is an important consideration in the context of local authority funding cuts, and barriers to accessing short breaks.

Drawing on a review of international higher education (IHE) policies, priorities, and literature from the USA, Canada, Australia, and the UK over the course of a 16-year period (2000-2016), this article identifies a strong scholarly and policy preoccupation with the urgency of the global knowledge economy and cognate discourses of 'Asia Pacific century', an emerging economic and geopolitical configuration that is considered threatening to the historic and ideological Western superiority in IHE relations. As such, the export commodification and transnationalization of higher education of the last decade is conceptualized as Western responses to an increasingly Asia-driven global economic order. This, we suggest, is an analytical lens which approaches time--as in knowledge economic time--and space--as in the West and Asia--in rather absolute, contained, and hierarchized terms, overlooking how both the West's coming to terms with postcolonial Asia, and the postcolonial Asian states' desire for Western knowledge and modernity re-cast broader transnational inequities established by colonial practices. In contrast, the concept of 'spacetime entanglement' is proposed to develop a necessary analysis as well as a critique of the transnationalization of capitalist colonial relations via discourses and practices of contemporary IHE.

In the Manchester Pharmacy School, we first adopted summative on-line examinations in 2005. Since then, we have increased the range of question types to include short answers, short essays and questions incorporating chemical structures and we achieve time savings of up to 90% in the marking process. Online assessments allow two novel forms of feedback. An anonymised spreadsheet containing all the marked exam scripts is made available to all students. This enables students to see a variety of answers than are awarded good marks, rather than a single model answer. Secondly, "Smallvoice" a novel app provides confidential personalised feedback. Feedback statements, though written by the instructor, are selected by a computer in response to various aspects of a student's performance. Evidence of improved student satisfaction comes from the unit questionnaires and from the National Student Survey. Evidence of improved learning comes from comparing pre- and post-feedback assessments (typically course tests and end of unit examinations.).

The collaborative project UseMyAbility (UMA) sought to reduce discrimination and enhance disabled graduates' employability through equipping them with the skills to match employability skills and attributes. An outcome from the project, completed in 2011, was a web-based tool which gave students advice on how to improve their employability. Subsequently, an online self-audit questionnaire was developed, which allowed students to record and map their employability skills and attributes. This paper reports on two projects that used this UMA online questionnaire with undergraduate sports students at a UK University. The first group were students undertaking a second-year Physical Education (PE) module and the second were students undertaking internships in a variety of sporting contexts. Drawing on data gained from questionnaires and student and mentor interviews, the two projects sought to evaluate the effectiveness of the UMA questionnaire for the students in these two contexts. It aimed to enhance students' employability profiles, enable them to benchmark and track their development, provide practical help in preparing job applications, tackle interview questions and develop evidence-based curricula vitae. It is hoped that through identifying ways of adapting the use of the questionnaire to these contexts, learning from participant data from the completion of the questionnaires, and gaining a better understanding of students' and mentors' perceptions of its use, that insights may be gained that will aid the wider adoption of the online tool.

This study examined the effectiveness of a Blended Learning (BL) environment designed to facilitate the learning of study skills with a large (over 200) and diverse undergraduate student cohort in a Higher Education (HE) institution in the UK. A BL environment was designed using the model provided by Kerres & De Witt (2003), and was also designed to be consistent with Kolb's (1984) experiential learning cycle. Eight focus groups with six students were undertaken to examine student perceptions of their learning experience, and to establish if learning had taken place in each phase of Kolb's (1984) cycle. All students also completed a reflective study skills essay, and a sample of these were scrutinised for evidence of certain aspects of experiential learning. Student engagement in the module and the BL environment was examined through small group tutorials. The results suggest that the module encouraged a high level of student engagement, and learning in each stage of Kolb's (1984) experiential learning cycle, and that the use of a BL environment facilitated aspects of this experiential learning. Teachers in HE should therefore consider the potential benefits of a blended learning approach as a means of facilitating the experiential learning of study skills.

Purpose: This study assessed mothers' opinions about the feasibility and acceptability of using the ActiGraph GT3X+, Actiheart, and activPAL3 with their 2- to 3-year-old children, as well as with themselves and their husbands/partners, for an 8-day period. Method: Six focus groups were run with Pakistani and White British mothers ("n" = 17), in English or Urdu, at Children's Centers in Bradford, United Kingdom. Each accelerometer was shown to the mothers while its characteristics and wearing procedures were explained. Mothers were then asked about their opinion on the feasibility of use with their toddlers, themselves, and husbands/partners, as well as their monitor preference. Data were transcribed "verbatim" and analyzed through thematic analysis. Results: The ActiGraph was the most preferred accelerometer for use with children, while the Actiheart was the least favorable. The ActiGraph was also the most preferred accelerometer for use with both mothers and fathers. Main issues raised included unsuitability of the Actiheart for fathers due to chest hair, discomfort due to the large size of the activPAL3 in relation to children's thighs, and children pulling off the Actiheart or tampering with the device if its presence was noticed (ActiGraph/Actiheart). Conclusion: The most preferred/accepted accelerometer overall was the ActiGraph GT3X+ for both children and parents. Issues raised with the devices have potential to impact recruitment and compliance rates of studies targeting this population, which highlights the importance of assessing the feasibility/acceptability of different devices with the target population ahead of planning research involving physical activity measurement.

Secondary prevention programmes can be effective in reducing morbidity and mortality from coronary heart disease (CHD). In particular, UK guidelines, including those from the Department of Health, emphasize physical activity. However, the effects of secondary prevention programmes with an exercise component are moderate and uptake is highly variable. In order to explore patients' experiences of a pre-exercise screening and health coaching programme (involving one-to-one consultations to support exercise behaviour change), semi-structured telephone interviews were undertaken with 84 CHD patients recruited from primary care. The interviews focused on patients' experiences of the intervention including referral and any recommendations for improvement. A thematic analysis of transcribed interviews showed that the majority of patients were positive about referral. However, patients also identified a number of barriers to attending and completing the programme, including a belief they were sufficiently active already, the existence of other health problems, feeling unsupported in community-based exercise classes and competing demands. Our findings highlight important issues around the choice of an appropriate point of intervention for programmes of this kind as well as the importance of appropriate patient selection, suggesting that the effectiveness of health coaching may be under-reported as a result of including patients who are not yet ready to change their behaviours.

The government is consulting the sector on a new skills strategy and a simplified funding system for further education (FE). Some of the leading players were asked what they made of the government's vision and what they would like to see in the strategy. Brendan Barber warns that spending cuts will undermine many of the positive proposals in the government's skills strategy. Lynne Sedgmore says colleges have a key role to play in creating a genuinely demand-driven system that is responsive to local needs and circumstances. Graham Hoyle argues that the government must be bold and move towards a demand-led open skills market with a single FE budget open to all providers. Ian Searle advises to recognise that all kinds of learning can be worthwhile and give learners greater control over their destinies. Susan Anderson argues that the focus must be on a "bottom-up" approach with employers building partnerships with local providers. Peter Templeton says the proposals don't go far enough in creating a funding and policy framework that sustains adult learning, especially in the most disadvantaged communities. Tricia Hartley suggests that people must support the minister in ensuring that personal development and the joy of learning stand alongside employability in everything they do. Finally, Alastair Thomson says ministers have set out the government's priorities for adult education with energy and passion, but little of that vision appears to have made it into the consultation papers.

At the time of writing, UK Higher Education Institutions (HEIs) have either completed, or are part way through, implementation of the Framework Agreement (JNCHES 2003). This process was born out of the recommendations of the National Committee of Inquiry into Higher Education (1997) developed by Bett in his report two years later (Bett 1999). Summed up by the phrase "equal pay for work of equal value," the Agreement aims to modernize pay structures and thereby safeguard the recruitment, retention and equitable remuneration of all employees within the higher education sector. This paper presents a case study of how the Framework Agreement was implemented in a small HEI, at a time of rapid change and development for Bishop Grosseteste University College Lincoln, the institution concerned. It is written by a team of role analysts and has as its focus the role analysis part of the process. The authors found that the project has had wholly positive outcomes. The principal success was in completing a necessary process of change in a timely fashion and without compromising the institution's core values, which champion an ethos of mutual respect, trust and care. The principle indicators of this success were the lack of any overt resistance to the conduct of the project and the relatively low level of appeals against the decisions it produced. (Contains 1 figure.)

The Training and Development Agency sets national standards in the UK for qualified teacher status. These standards set out the areas of knowledge and skills that aspiring teachers should acquire during their training. One of these areas of knowledge and skills concerns the identification and teaching of pupils with special educational needs, yet the effectiveness of current training routes for teachers in this area remains a matter of ongoing debate. In this article, Nicola Barber, a senior educational psychologist working in Medway, and Mark Turner, who runs an online training company and is a part-time tutor at the University of East London and senior educational psychologist in Medway, focus on the experiences of newly-qualified teachers during their induction and first year of teaching. These authors sent out questionnaires to newly-qualified teachers working in primary schools in two local authorities and received 60 responses. Their results suggest that these teachers, during this opening phase of their careers, experienced an increase in confidence in relation to special educational needs and report that they feel more skilled in this area at the end of their first year of teaching. Nicola Barber and Mark Turner analyse the factors that contribute to this scenario and begin to draw out implications for future approaches to the training and induction of teachers with regard to special educational needs and inclusion.

This is the 85th annual report of the British Trust for Ornithology's Ringing Scheme, incorporating the report of the Nest Record Scheme and covering work carried out and data processed in 2021. In 2021, 105 Constant Effort Sites submitted data for the year. Long-term (1984–2020) declines in abundance were observed for five migrant, one partial migrant and five resident species, while long-term increases in abundance were recorded for two short-distance migrants and seven resident species. Ten species are exhibiting significant long-term declines in productivity, while only Chaffinch Fringilla coelebs shows a significant long-term increase. Long-term trends in survival indicate increases for 12 species and declines for seven. Short-term trends, which compare the current year to the five-year mean for 2016–20, show that the abundance of seven species increased significantly in 2021, with one species, Treecreeper Certhia familiaris, being recorded in higher numbers than in any previous year of CES monitoring. Significant decreases in abundance were recorded for four species. Productivity decreased significantly for seven migrant and 11 resident species in 2021, with six species recording their lowest breeding success since CES monitoring began; no species recorded a significant short-term increase. Significant changes in survival rate were observed for two species in 2021 compared to the five-year mean, with Song Thrush Turdus philomelos increasing and Chaffinch both declining and recording its lowest survival rate ever. The Garden CES trial continued in 2021, with 60 sites submitting data. The new winter ringing project also continued in 2021, with submissions received from 126 sites. The number of Retrapping Adults for Survival projects that were able to run and submit data in 2021 was 192, with data from one more project submitted too late to be included in this report and another four active projects unable to operate. In total, 60 species were monitored, with Starling Sturnus vulgaris (21 projects), House Sparrow Passer domesticus (20 projects), Pied Flycatcher Ficedula hypoleuca (19 projects), Reed Warbler Acrocephalus scirpaceus (nine projects) and Sand Martin Riparia riparia (nine projects) the species most studied. A total of 900 131 birds were ringed during the year, comprising 146 458 nestlings, 438 342 first-year birds, 291 127 adults (birds in their second calendar year or older) and 24 204 birds whose age could not be determined. In addition, there were 210 147 recaptures of ringed birds at or near the ringing site. In total, 42 328 recoveries (birds found dead, recaptured or resighted at least 5 km from the place of ringing) of BTO-ringed birds were reported in 2021. The Appendix highlights a selection of recoveries that have extended our knowledge of movements, as well as longevity records established during the year. A total of 41 096 NRS submissions were received in 2021. Mean laying dates for 2021 were significantly later than the average for 13 species and only one species significantly advanced its laying date. Five species displayed a significant change in fledglings per breeding attempt, with two recording increased productivity and three reduced productivity. Permits or licences to disturb breeding birds on Schedule 1 of the Wildlife and Countryside Act 1981 (as amended) were prepared and issued to 602 ringers and nest recorders in 2021. During 2021, 2588 marking endorsements, 868 sampling endorsements and 214 trapping endorsements were issued in the UK and overseas. [ABSTRACT FROM AUTHOR]

Describes issues of minority student achievement in the context of United Kingdom government policies and the government's Standards and Effectiveness Unit (SEU). Discusses: (1) the big picture; (2) data on ethnic student achievement; (3) SEU policies; (4) government approaches to the Ethnic Minority Achievement Grant; and (5) issues for the future. (SLD)

As the Science Co-ordinator at St Paul's RC Primary School, the author has been involved in producing and trialling resources for the Teacher Assessment in Primary Science (TAPS) project over the last four years. This article explains how St Paul's has used the Focused Assessments (FAs). The author has always tried to promote enquiry-based teaching, which addresses the needs and curiosity of the cohort whilst ensuring that all statutory content is covered, so felt that this should also be reflected in encouraging staff to employ a range of assessment methods. FAs are a resource to support, but not dictate, science assessment.

Immunosuppressive treatments inhibit vaccine-induced immunity against SARS-CoV-2. We evaluated whether a 2-week interruption of methotrexate treatment immediately after the COVID-19 vaccine booster improved antibody responses against the S1 receptor-binding domain (S1-RBD) of the SARS-CoV-2 spike protein compared with uninterrupted treatment in patients with immune-mediated inflammatory diseases. We did an open-label, prospective, two-arm, parallel-group, multicentre, randomised, controlled, superiority trial in 26 hospitals in the UK. We recruited adults from rheumatology and dermatology clinics who had been diagnosed with an immune-mediated inflammatory disease (eg, rheumatoid arthritis, psoriasis with or without arthritis, axial spondyloarthritis, atopic dermatitis, polymyalgia rheumatica, and systemic lupus erythematosus) and who were taking low-dose weekly methotrexate (≤25 mg per week) for at least 3 months. Participants also had to have received two primary vaccine doses from the UK COVID-19 vaccination programme. We randomly assigned the participants (1:1), using a centralised validated computer randomisation program, to suspend methotrexate treatment for 2 weeks immediately after their COVID-19 booster (suspend methotrexate group) or to continue treatment as usual (continue methotrexate group). Participants, investigators, clinical research staff, and data analysts were unmasked, while researchers doing the laboratory analyses were masked to group assignment. The primary outcome was S1-RBD antibody titres 4 weeks after receiving the COVID-19 booster vaccine dose, assessed in the intention-to-treat population. This trial is registered with ISRCT, ISRCTN11442263; following the pre-planned interim analysis, recruitment was stopped early. Between Sept 30, 2021 and March 3, 2022, we recruited 340 participants, of whom 254 were included in the interim analysis and had been randomly assigned to one of the two groups: 127 in the continue methotrexate group and 127 in the suspend methotrexate group. Their mean age was 59·1 years, 155 (61%) were female, 130 (51%) had rheumatoid arthritis, and 86 (34%) had psoriasis with or without arthritis. After 4 weeks, the geometric mean S1-RBD antibody titre was 22 750 U/mL (95% CI 19 314–26 796) in the suspend methotrexate group and 10 798 U/mL (8970–12 997) in the continue methotrexate group, with a geometric mean ratio (GMR) of 2·19 (95% CI 1·57–3·04; p<0·0001; mixed-effects model). The increased antibody response in the suspend methotrexate group was consistent across methotrexate dose, administration route, type of immune-mediated inflammatory disease, age, primary vaccination platform, and history of SARS-CoV-2 infection. There were no intervention-related serious adverse events. A 2-week interruption of methotrexate treatment for people with immune-mediated inflammatory diseases resulted in enhanced boosting of antibody responses after COVID-19 vaccination. This intervention is simple, low-cost, and easy to implement, and could potentially translate to increased vaccine efficacy and duration of protection for susceptible groups. National Institute for Health and Care Research. [ABSTRACT FROM AUTHOR]

Good communication is fundamental to provision of information and patient engagement in orthodontic treatment. Images can be used to support verbal and written information, but little is known about how laypeople interpret orthodontic images. To explore laypeople's understanding and preferences for images (clinical photographs and medical illustrations) relating to orthodontic diagnoses and treatments. Cross-sectional survey. UK. Laypeople aged ⩾16 years. Participants were recruited through social media to complete an online questionnaire containing six pairs of images (clinical photograph and medical illustration) relating to orthodontic diagnoses and treatment. Photographs were selected from a bank with input from laypeople, then a matching medical illustration was created. Images were presented with questions relating to interpretation, preferences and reasons for preferences. A total of 898 people completed the questionnaire. Interpretation of images by laypeople was variable and, in some cases, normal intra-oral features and image orientation caused confusion. A combination of photograph and illustration were preferred for images representing diagnosis (by 41%–50% participants), whereas the illustration alone or both photograph and illustration together was preferred for explaining treatment (43%–48% and 35%–44%, respectively). Photographs were liked for their realism and relatability, while illustrations were often found to be clearer. Arrows aided participants' understanding of the images, but annotations were requested to further improve the value of images. Only 26% of participants reported having previously been shown dental images, but 96% felt they would be helpful to support verbal and written information. Laypeople may not interpret orthodontic images in the way that professionals expect, and unfamiliar intra-oral features may distract people from the intended focus of the image. A combination of photographs and illustrations together may improve the usefulness of images, alongside annotation or explanation. [ABSTRACT FROM AUTHOR]

Presents accounts from primary teachers as they worked toward fostering questioning. Techniques included providing good stimuli for questions, having students share thoughts in groups of increasing size, and modeling good questions and question-asking. (PVD)

To establish UK orthodontic treatment providers' knowledge of, and attitudes to, shared decision-making (SDM). SDM involves patients as equal partners in decisions about treatment. Cross-sectional survey. Online survey across the UK. Dentists and orthodontists providing orthodontic treatment in the UK. Potential participants were contacted through the British Orthodontic Society mailing lists. An online survey was developed to examine knowledge of, and attitudes to, SDM using a combination of evidence-based statements and free text boxes. Questions regarding previous training in SDM and preferences for further training were also included. The survey was completed by 210 respondents, yielding an approximate response rate of 15%. Respondents were mainly consultants (34%) and specialist orthodontists (42%). SDM was well described in terms of the people involved in this process, how it is approached, the components and topics of discussion, and the overall purpose of SDM. Generally, there was consistency in attitudinal responses, with the largest variance in responses to questions about the professional–patient partnership, the interface between SDM and clinical guidelines, and accepting a decision that is discordant with the professional's opinion. Fifty-one respondents reported having some previous teaching/training in SDM, with the majority (87%) indicating that they would like more training. Clinicians providing orthodontic treatment in the UK have a good understanding of the meaning of shared decision-making. Concerns raised about using SDM and knowledge gaps suggest there is value in providing SDM training for the orthodontic team and that orthodontic providers would welcome it. [ABSTRACT FROM AUTHOR]

The follow-up care of people diagnosed with early breast cancer varies across the world. In the UK, services have evolved in an ad hoc way, with no standardized approach nationally. Some people are seen face to face at regular intervals, others are discharged at two years, while others are followed up over the telephone. This is creating confusion for patients as to what is best practice. The lack of evidence to support intensive surveillance is frequently cited as the main reason to reduce or indeed review the benefits of face to face clinical consultations in the hospital/community setting. In addition, a lack of specific recommendations in current guidelines compounds this. Although primary disease stage and treatment are strong indicators of survival, and time to recurrence (both local and distant) is extending, patterns of follow-up care in the UK differ depending on where you live. Yet, European and American guidelines, where survival is frequently reported as being better than the UK, continue to recommend follow-up at regular intervals as part of their overall management approach; to ensure new and changing ways of treating early breast cancer are initiated, managed and monitored accordingly. Indeed their guidelines are increasing rather than decreasing follow-up. While their health systems may differ, survival outcome reporting is not adjusted to reflect these differences. This paper provides an overview of breast cancer follow-up guidance across the world and opens up a debate about whether patterns of follow up care will affect survival outcomes into the future. • Breast cancer guidelines across the world differ in relation to follow-up practice. • There is a lack of consensus globally as to how, when and by whom, follow up care is provided. • The treatments available for early breast cancer require long-term monitoring. • Patients receive different follow-up approaches dependent on where they live. [ABSTRACT FROM AUTHOR]

This is the 81st annual report of the British Trust for Ornithology's Ringing Scheme, incorporating the report of the Nest Record Scheme and covering work carried out and data collected and processed in 2017. Demographic data contributed to several research studies during the year, including a review of the conservation status of Raven Corvus corax and the impacts of licensed control. This quantified the extent to which non-breeding birds could be removed without impacting overall population sustainability, as well as the data permitted, but noted that a better understanding of age-specific survival rates was required. Nest Record Scheme data contributed to a large-scale collaborative study investigating the impact that temperature and rainfall have on the timing of events throughout the annual cycles of 10 000 animal and plant species across different trophic levels. The results indicated that the speed of response was greatest at low trophic levels. Future changes under a range of emission scenarios were estimated; these results indicated that advances in timing would be greatest for primary consumers. A statistical method was developed, using nest record data, to quantify nest failure, taking into account uncertainties generated during data collection. The method was applied to Blackbird Turdus merula records to compare survival rates of nests in gardens with those in the wider countryside. Survival in suburban areas was found to be higher than in urban or rural areas, and nests survived better in wetter conditions across all habitats. In order to quantify any welfare impacts of capturing wild birds, we examined the frequency with which passerines were reported to have died either whilst in the net or during handling. Analyses of capture data submitted from 2005 to 2013 indicated that the average mortality rate is around 0.1%, and that this is consistent between years. Most fatalities occurred before individuals had been extracted from the nets and juveniles appeared to be at greater risk than adults. In 2017, 135 CE sites submitted data. Long-term (1984–2016) declines in abundance were observed in four migrant, one partial migrant and one resident species and concurrent increases in abundance continued to be recorded in two short-distance migrants and four resident species. There was no change to the 10 species which exhibited significant long-term declines in productivity; only one species, Chaffinch Fringilla coelebs, exhibited a significant long-term increase in productivity. Compared to the five-year mean (2012–16), the abundance of six species increased significantly in 2017; Treecreepers Certhia familiaris were seen in greater numbers in 2017 than in any other year since CES monitoring began. Conversely, the abundance of six species fell significantly in 2017, with Chaffinch and Greenfinch Chloris chloris numbers at their lowest since CES monitoring began. Productivity increased significantly for three species in 2017 and decreased for eight species. The only significant change in survival rates between 2017 and the five-year mean was for Wren Troglodytes troglodytes, although the survival rate for Song Thrush Turdus philomelos was at its highest. The number of Retrapping Adults for Survival submissions fell slightly in 2017 to 195; 11 projects ran for the first time. In total, 58 species were monitored, with Pied Flycatcher Ficedula hypoleuca (20 projects), House Sparrow Passer domesticus (16), Starling Sturnus vulgaris (15) and Sand Martin Riparia riparia (11) continuing to be the most-studied species. Once again, over a million birds (1 020 356) were ringed during the year, comprising 165 565 nestlings, 500 580 first-year birds, 321 945 adults (birds in their second calendar year or older) and 32 266 birds where the age could not be determined. In addition, there were 242 719 recaptures of ringed birds at or near the ringing site. In total, 41 049 recoveries (birds found dead, recaptured or resighted at least 5 km from the place of ringing) of BTO-ringed birds were reported in 2017. The Appendix highlights a selection of recoveries that have extended our knowledge of movements, as well as longevity records established during the year. NRS submissions in 2017 exceeded 4 0 000 for the eighth consecutive year, with a total of 43 570 records received. Mean laying dates for 22 species were significantly earlier than the five-year mean (2012–16) with none of the 52 species analysed laying significantly later. There was a significant increase in breeding success (fledglings per breeding attempt) for two species in 2017, compared to the five-year mean, with one decreasing significantly. Permits or licences to disturb breeding birds on Schedule 1 of the Wildlife and Countryside Act 1981 (as amended), were prepared and issued to 580 ringers and nest recorders in 2017. During 2017, the use of special methods was authorised for 584 marking projects and 67 trapping projects, a 4% decrease from 2016. [ABSTRACT FROM AUTHOR]

A cohesive multidisciplinary team approach is key in the management of HIV in pregnancy. The primary aim is to prevent transmission to the neonate but also to support the mother in any issues arising from her pre-existing, or new, diagnosis of HIV. Specialist advice should be sought, wherever possible. Key areas discussed in this review include antenatal management of the mother (particularly pharmacological management), obstetric management, pharmacological treatment for the neonate and infant feeding. Due to progress made in both in HIV testing, and in the way all patients with HIV in the UK are managed over the last few decades, most women who present with HIV in pregnancy are aware of their diagnosis and on treatment. However, it is not entirely uncommon for women to be diagnosed in pregnancy and it is these cases that present the greater challenge. The cases in this review cover the most common scenarios encountered. [ABSTRACT FROM AUTHOR]

A significant proportion of the United Kingdom's (UK's) healthcare workforce comprises people from Black and Minority Ethnic (BME) backgrounds. Evidence shows that this population is under-represented at senior management levels. A collaborative leadership development initiative for BME nurses and midwives, by involving their line managers and mentors, was designed and implemented in a Scottish Health Board. This paper affirms the importance of a collaborative initiative that is targeted to support BME nurses and midwives for leadership development and career progression, and the promotion of an inclusive organisational culture to improve team work, and service standards. This initiative adopted an Action Research approach. The programme began with collectively exploring participants' understanding of BME workforce development challenges, then planning and delivering a targeted leadership development training, and then evaluating it, in a cyclical way. With support from the project facilitators, line managers and mentors, a significant number of BME participants have gone on to achieve career progression. Participating line-managers and mentors have gained an in-depth and nuance understanding of workforce diversity, individuals' potentials, unconscious biases, and the importance of an inclusive organisational culture. All participants reported that they have learned to become more reflective in their professional practice, and more able to explore, embrace, and promote inclusive workplace culture. BME participants reported feeling that they were valued members of staff, and that this had led to a positive impact on team work and better patientcare outcome. The project has opened a new window into the world of the BME workforce. Findings highlight the value of a diverse workforce, and of an inclusive organisational culture being crucial for effective team work, and of overall benefit to workforce management. Finally, a collaborative initiative like this can successfully improve team work to deliver better patient care. [ABSTRACT FROM AUTHOR]

A suite of twenty organophosphorus flame retardant compounds have been determined in blubber and liver tissue of twenty harbour porpoises stranded or bycaught in the UK during 2012 in order to establish current levels of contamination. Fourteen of the twenty compounds were below the limits of quantification in all samples. Six could be quantified at maximum concentrations (in blubber) between 6.7 and 246 μg kg −1 wet weight. These levels do not suggest a high level of concern regarding potential impacts and do not indicate that routine monitoring in UK porpoises is warranted at this time. [ABSTRACT FROM AUTHOR]

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In 2014, the UK Forensic Science Regulator (FSR) commissioned a collaborative trial to assess the methods used by forensic service providers (FSPs) in the UK and Ireland for analysis, interpretation and reporting of mixed DNA profiles. Five different mixed samples of varying complexity with supporting mock case circumstances were tested using SGMPlus™ and the newly introduced DNA-17(+) multiplexes and reported by participating laboratories. The results demonstrated a high degree of consistency in analytical methods and allele designations, but some variation in the statistical evaluation and reporting of results. Some of the differences noted were attributable to the major technology change to 17(+)-STR systems which had recently been implemented across the UK at that time. The FSR made recommendations based on the trial outcomes which were intended to produce a more consistent approach to mixtures analysis, interpretation and reporting. Four years later, the Association of Forensic Science Providers (AFSP) repeated the trial, with all major UK and Ireland FSPs (both public sector and private companies) again participating. This second trial used the same mixture set as the 2014 trial but was focussed on the methods for interpretation and evaluation. Since 2014, all UK and Ireland FSPs have implemented probabilistic statistical software using continuous models enabling statistical evaluation of more complex mixtures than was possible in 2014. The trial was therefore aimed at investigating the value of these improved capabilities and also to investigate if there appeared to be marked differences between the different software tools in use in the UK. The results demonstrate a high degree of concordance within and between FSPs and across different evaluation models, and will provide important support for the use of such models in evaluation of mixed DNA profiles. • 2014 trial assessed analysis & interpretation methods used by UK & Irish providers. • Mixtures of varying complexity profiled with SGM+, GlobalFiler & DNA-17 multiplexes. • Recommendations made covering interpretation, statistics, software and reporting. • Repeated in 2018 with same samples to ascertain effect of recommendations. • Wider use of probabilistic software, interpretation improvements & less variation. [ABSTRACT FROM AUTHOR]

This is the 75th annual report of the British Trust for Ornithology's Ringing Scheme, covering data received and work carried out in 2011. A review of priorities for the Scheme identified the need to increase submission of nest records through the Nest Record Scheme and to extend the network of Retrapping Adults for Survival (RAS) studies. Collection of different demographic parameters from the same site (eg nest records, numbers of breeding pairs, adult survival, etc) can provide a powerful tool to identify reasons for population change. Constant Effort Sites (CES) data showed long-term declines in abundance for four migrants (Willow Warbler Phylloscopus trochilus, Lesser Whitethroat Sylvia curruca, Sedge Warbler Acrocephalus schoenobaenus and Reed Warbler Acrocephalus scirpaceus) and three resident species (Willow Tit Poecile montana, Song Thrush Turdus philomelos and Reed Bunting Emberiza schoeniclus). Robin Erithacus rubecula and Reed Bunting had the lowest survival rates since CES began and survival-rate estimates were also significantly below average for Long-tailed Tit Aegithalos caudatus and Wren Troglodytes troglodytes, two small resident species that are particularly vulnerable to cold weather. Abundance of Blue Tit Cyanistes caeruleus, Great Tit Parus major, Goldfinch Carduelis carduelis and Bullfinch Pyrrhula pyrrhula recorded by CES increased. Nine of the 16 resident species covered by CES also had higher-than-average productivity, in particular the highest ever recorded for Dunnock Prunella modularis, Chaffinch Fringilla coelebs and Bullfinch. The number of Constant Effort Sites increased in 2011, with a higher percentage of reedbed habitat covered by the scheme, but fewer dry and wet scrub sites. In 2011 the number of RAS projects increased by 34 to 158. Survival trends were generated for 46 species and the use of colour marks has been promoted to increase the resighting probability of trap-shy species such as House Sparrow Passer domesticus and Starling Sturnus vulgaris, and for species with low recapture probability such as seabirds. As in 2010, the total number of birds ringed in 2011 (1,151,665) was the highest ever. It included 540,696 first-year birds, 383,136 adults (birds in their second calendar year or later) and 27,495 unaged birds. All ringing data for 2011 were computerised. In addition, there were 166,061 recaptures of ringed birds at or near the ringing site. The increased numbers of fully grown birds ringed is probably due to three main factors: high survival of some species, as suggested by CES results, combined with high productivity in 2011 and the increasing number of ringers in the Scheme catching higher numbers of birds. In total 20,702 BTO-ringed birds were recovered (found dead or recaptured away from the ringing site) in 2011, the highest ever as a result of the increased number of birds ringed in the past decade, combined with efforts to increase reports of ringed birds by the public, an increasing number of colour-ringing projects and associated resightings, and a change in the way recoveries are processed. Recoveries of 17 BTO- and 13 foreign-ringed birds that have extended our existing knowledge of movements of a species, are unusual movements, or are a new longevity record are also presented. In 2011 40,845 nest records were submitted (over 70% electronically), the highest total since 1998. Of these, 82% originated from England, 9% from Wales and 8% from Scotland, with the remaining 1% divided equally between Northern Ireland and the Republic of Ireland. Long-term nest productivity trends (1966–2010) were significant for 36 of the 71 species for which sufficient data were available, and seven of these (Nightjar Caprimulgus europaeus, Tree Pipit Anthus trivialis, Willow Warbler, Bullfinch, Coal Tit Periparus ater, Treecreeper Certhia familiaris and Chaffinch) showed a significant decline over time. The 2011 breeding season was characterised by an early start compared to the previous five years, possibly due to the warmest April on record. [ABSTRACT FROM AUTHOR]

Since 1990, tissue samples from UK-stranded and -bycaught cetaceans have been available for study of contaminant burdens. These have been used to study spatial and temporal trends in concentrations in UK waters, and to investigate potential associations between contaminants and health status. We describe the current status of cetaceans (primarily harbour porpoises, Phocoena phocoena ) in UK waters in relation to pollution. Concentrations of BDEs, HBCD, and the organochlorine pesticides are declining. In contrast, concentrations of CBs have plateaued following earlier reductions due to regulation of use, and further reductions are likely to take decades. Blubber PCB concentrations are still at toxicologically significant levels in many harbour porpoises and regularly occur at even higher levels in bottlenose dolphins and killer whales due to their higher trophic level in marine food chains. Further reductions in PCB inputs into the marine environment are needed to mitigate risk from PCB exposure in these species. [ABSTRACT FROM AUTHOR]

This is the 74th annual report of the British Trust for Ornithology's Ringing Scheme, covering data received and work carried out in 2010. Analytical work in the year concentrated on considering how we can improve demographic monitoring, an increasing focus for the Scheme. A broad review of the availability of demographic and count data for terrestrial-breeding species was carried out. This work will be further extended in 2011. To inform conservation we need to build population models for species with a range of ecologies and occupying different habitats. Reports of ringed birds make a large contribution to our understanding of two key demographic parameters – survival and dispersal. An analysis of Chiffchaff Phylloscopus collybita recovery data from across Europe suggested they are tending to migrate south later and north earlier over time. There is also a suggestion that the migratory journey is shortening. Analysis of biometrics of birds wintering in Britain showed that they are largely from the breeding populations of the nominate race in Britain and the near Continent. Constant Effort Sites (CES) data showed that, for seven of the 24 species monitored, there was a significant decrease in adult abundance compared to the mean of the previous five years. As six of these species were residents, this may have been a result of the second severe winter in succession, although there was a short-term increase for Long-tailed Tit Aegithalos caudatus, which is usually affected by cold winters. The adult abundance of several long-distance migrants also increased. A long-term decline (1984–2000) is, however, still evident for five migrants and three residents, although for Willow Tit Poecile montana and Linnet Carduelis cannabina the sample sizes are low. The abundance of the short-distance migrants, Blackcap Sylvia atricapilla and Chiffchaff, has increased, possibly as a result of climate change. Productivity was higher than the mean of the previous five years for 12 species with the long-term trend increasing for eight species – four migrants and four residents. The only significant decreases were for Blackbird Turdus merula and Long-tailed Tit, possibly as these species breed early and were affected by the severe winter. Dry summer weather is also likely to have contributed to the low productivity of Blackbirds and increasingly dry summers may be implicated in the long-term declines in productivity for both Blackbird and Song Thrush Turdus philomelos. Long-term trends in survival rates were produced using CES data for the first time in 2010. These suggested that the cold winter weather in 2009–10 reduced the survival rate of resident ground-feeding insectivores such as Dunnock Prunella modularis, Blackbird, Wren Troglodytes troglodytes and Robin Erithacus rubecula. Survival rates of migrants were relatively high, particularly for Garden Warbler Sylvia borin and Sedge Warbler Acrocephalus schoenobaenus, possibly as a result of good conditions on the wintering grounds or passage sites. Data for 129 Retrapping Adults for Survival (RAS) studies covering 39 species were submitted. For the first time we were able to calculate good or moderate annual estimates of survival for 18 species. A list of priority species for RAS was developed and promoted to volunteers. The total number of birds ringed (1,096,533) was the highest ever recorded, as well as being the first time the annual total has surpassed 1 million. It was 28% higher than the mean of the previous five years and 17% higher than in 2009. However, the total number of pulli ringed in 2009 (193,554) was only 12% higher than the preceding five-year mean, while that of fully grown birds (902,979) was 32% higher. The recovery total (17,315) was also the highest ever. This is partly due to changes in the way that records of colour-ringed and other specially marked birds are stored, but also reflects the increasing number of birds being ringed by a growing number of ringers. The number of recoveries of foreign-ringed birds (2,427) was higher than the mean of the preceding five years; this figure was influenced by varying response times of different ringing schemes, but was also partly as a result of multiple sightings. Recovery details for 221 individual birds are given in the final section of the report. They include movements that confirm suspected or known migration patterns, unexpected movements and longevity records. [ABSTRACT FROM AUTHOR]

The article reports on the 2009 bird Ringing Scheme of the British Trust for Ornithology (BTO) covering Great Britain and Ireland to better understand population change. Due to low productivity in 2007 and 2008 and freezing winters, there were decreases in species such as Wren Troglodytes troglodytes, Sedge Warbler Acrocephalus schoenobaenus and Reed Warbler A. scirpaceus. The number of birds ringed was the highest recorded at 935,867 and recovery total was also high at 14,643.

Copyright of Pharmacy Practice (1886-3655) is the property of Centro de Investigaciones y Publicaciones Farmaceuticas S.L. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Summary: This UK national survey set out to find the most commonly used gastrostomy insertion technique and to estimate the number of cases of gastrostomy site tumour seeding experienced over the last 3 years. Questionnaires were sent to one maxillofacial consultant of 154 UK hospitals, details of whom were obtained using the directory of the British Association of Oral and Maxillofacial Surgeons. Questionnaires were returned from 65% (100/154) of hospitals. Overall 61% of maxillofacial surgeons stated that gastrostomies were inserted in their hospital for head and neck (H&N) cancer patients. Percutaneous endoscopic gastrostomies (PEGs) were the routine choice for insertion of gastrostomy in 82% of hospitals, and a small number of hospitals used PEG and radiologically inserted gastrostomy (RIG). Pull through was the predominant technique used for PEG replacement in 77% of hospitals. Only 5% (3/58) hospitals had seen any cases of gastrostomy site tumour seeding in the last 3 years. The incidence of seeding was estimated as 3 per 5000 cases requiring gastrostomy insertion. Most units still use the pull through technique of PEG insertion in spite of guidelines from the British Society of Gastroenterologists advocating push insertion. Gastrostomy site seeding was estimated to have occurred in only 5% of units over a 3 year period. [Copyright &y& Elsevier]

The article discusses a court case on whether the British Crown Court prevented from increasing the amount of confiscation order under Section 16(4) of the Drug Trafficking Act 1994 following acquisition of assets by the defendant. In R. v. Griffin, the appellant pleaded guilty to conspiracy to supply heroin, a class A controlled drug, and was ordered by the court to pay £33,897 within six months as a result of the revision of a confiscation order previously issued against the appellant.

This article describes a method of deliberate interpersonal teaching to amalgamate the relationship between knowledge and practice in Great Britain National Health Service (NHS). The curriculum landscape for education in NHS has changed since the entry over a decade ago of NHS teachers into higher education. An imperative for change in mental health care is ever present for NHS and university teachers as the result of health and social care policy initiatives. As a newly formed department of mental health and learning disabilities in 1998, one knew from staff and students after their Project 2000 pre-registration nursing curriculum, about shortfalls in clinical skills, clinical knowledge, and shortcomings in the link lecturer role during the 1990s. The new agenda refers to the modernization of the NHS in psychiatry, e.g. emphasizing prevention and early detection in primary care with community mental health teams, establishing new treatment initiatives, e.g. out-reach services to prevent relapse for people with serious mental illness, and crisis intervention that could also prevent admission to psychiatric hospital.

This article contains information about women's limited influence in public policy making arenas where consultation and representation are required for developing the sustainability agenda. "Agenda 21" of the United Nations provided part of the basis for a study that was carried out during the Gender 21 Network. "Agenda 21" was developed in order to review the extent to which women's organizations had been involved in developing local and national strategies for sustainable development in Great Britain and to offer suggestions as to how to improve women's representation in consultative processes associated with these.

The article examines the history of the relationship between art and diplomacy on the Baroque allegorical drawing attributed to the artist Peter Strudel in Great Britain. According to the author, this history involves political context and considerations since it represents artistic challenge and enthusiastic response that were abandoned by political circumstances. In addition, the confirmation that the drawing belongs to Strudel is based on the comparison between the hand of the description and Strudel's autograph letters.

The objective of this study was to investigate the self-reported well-being of employees facing organizational change, and the effect of an intervention. It was a controlled intervention study. Subjects were allocated to study and control groups, and brief individual counselling was offered to the subjects in the study groups. Questionnaire measures were administered before and after counselling (a 3-month interval), and non-counselled subjects also completed questionnaires at the same times. The setting was 15 estate offices in an urban local authority Housing Department. Subjects comprised the total workforce of the Housing Management division: 193 employees, male and female, aged 22–62 years, facing compulsory competitive tendering between 1994–97. Main outcome measures were baseline and comparative measures of psychological morbidity, including the General Health Questionnaire (GHQ) and the Occupational Stress Indicator (OSI). Questionnaire response rates were 72% and 47% on first and second occasions respectively. The uptake of counselling was 37%. In comparison with (1) the UK norms for the OSI and (2) the norms for a similar occupational group, this group of workers were under more work-related pressure and their self-reported health was markedly poorer. They were not however at a disadvantage in terms of coping strategies. Those accepting the offer of counselling were subject to greater levels of work stress, had poorer self-reported health and markedly lower levels of job satisfaction than those who did not. Questionnaire scores were not significantly different before and after counselling, giving no evidence of treatment effects on symptomatology. However, almost all subjects rated counselling as having been extremely helpful. This study suggests that adverse effects on staff facing organizational change may be ameliorated by improved management practice. [ABSTRACT FROM PUBLISHER]

The article discusses creditors as shadow directors in the context of the creditor giving advice to the debtor company, using the English case, Secretary of State for Trade and Industry v. Deverell. Topics include the Companies Act 1993's definition of a shadow director and the test for shadow director. The author also presents the factors for when mere advice arises to the level of shadow directorship under Deverell, including influence through instruction and direction.

We report on concentrations of polybrominated diphenylethers (PBDEs), polychlorinated biphenyls (PCBs), dichlorodiphenyldichloroethylene (p,p ′-DDE) and hexachlorobenzene (HCB) measured in the adipose fins of returning adult Atlantic salmon (Salmo salar) and sea trout (Salmo trutta) to the river Tees in the Northeast of England. Overall, higher concentrations of these contaminants were found in sea trout samples, where detected congeners reflected the more widely used commercial formulations, in particular for the PBDEs. Our results suggest that these fish could be bioaccumulating persistent organic pollutants via diet during their migratory routes (North Sea and the Norwegian Sea) and, in addition, some level of re-mobilisation of these compounds could still be occurring in the UK eastern coastal areas. The use of adipose fin of returning salmonids could be further developed as a non-lethal approach to assess whether persistent contaminants are being accumulated during the juvenile to adult phase of salmonids originating from UK rivers. • Persistent organic pollutants measured in returning salmonids to the river Tees (UK) • Adipose fin used for the first time as a non-lethal approach • Detected congeners reflected used commercial formulations, mainly for PBDEs. • Overall higher concentrations found in sea trout [ABSTRACT FROM AUTHOR]