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Ireland's "mathematics problem" is well-documented and extensively reported in the media and elsewhere (Expert Group on Future Skills Needs (EGFSN) 2008; Task Force on the Physical Sciences 2002). Concern primarily lies with post-primary students' underperformance in mathematics coupled with a failure to make a successful transition to third level scientifically and mathematically orientated undergraduate courses. Teacher qualification is believed to be one of the most important factors affecting students' mathematical learning. Research has demonstrated that students learn more from teachers who are skilled, experienced, and know what and how to teach (Darling-Hammond 2000). The aim of this study is to investigate the level of out-of-field teaching occurring in Irish post-primary mathematics classrooms and the deployment of these teachers in Irish second level school. Findings reveal that 48% of teachers teaching mathematics in this study are unqualified to do so and are primarily assigned Junior Cycle classes, non-exam years and Ordinary level or lower mathematics. (Contains 2 figures and 5 tables.)

This article reports on the mathematical competency of students entering third-level education in the University of Limerick (UL). Data from diagnostic testing, gathered on 5,949 students between the years 1998 and 2008, are used to demonstrate the changes in competency levels of students entering UL. There has been a significant decline in the performance of students in the diagnostic test over time. The performance, on average, of students with the same leaving certificate mathematics grade on entry into university has not changed significantly over time. However, the profile of the entrants has changed considerably and this is contributing to the overall decline in mathematical competency.

Hunt and Lawson 1 displayed the evidence of decline in the mathematical standards of first-year students in Coventry University between 1991 and 1995. Gill 2 sought to investigate if this was also the case in the University of Limerick (UL). The results of diagnostic tests administered to first-year undergraduates in the science and technology groups (service mathematics courses) between 1997 and 2002 displayed the evidence that the mathematical standard of students entering the university of Limerick service mathematics courses had declined over the 6 years studied. In this article, the authors revisit the university of Limerick database, which currently holds data for over 6200 students, to investigate current mathematical entry standards of students in service mathematics courses. The university of Limerick responses to the "Mathematics Problem" are also described. Ireland presents a unique situation in terms of the mathematical homogeneity of its third-level students; most students enter via the same route, i.e. the Leaving Certificate, on completion of 13 years of formal mathematics education. However, while research results and coping mechanisms in terms of learning support are not generalizable, they are portable. It is hoped that mathematics educators worldwide can learn from the Irish situation. (Contains 5 tables and 8 figures.)

The aim of this study was to identify, using cluster analysis, novel sleep phenotypes in a population based cohort of infants, and to explore the associations between infant sleep profiles and their mothers' health and well-being. 11,134 mothers of 9-month old infants were interviewed as part of the Growing Up in Ireland National Longitudinal study and reported on their health and infant's sleep patterns. 16 infant sleep variables were recorded together with measures of parental stress, depression, health and well-being. Multiple iterations of a two-step hierarchical cluster analysis were carried out to identify the optimum number of clusters and the subset of parental-reported sleep variables required to identify distinct sleep profiles. Four distinct sleep profiles were identified based on the following variables; (1) infant sleep duration at night, (2) parental sleep duration, (3) does baby wake during night (yes, no)? (4) Usual sleep location for most of the night and, (5) parental reporting of problem infant sleep patterns. This identified two less favorable profiles with both infants and mothers sleeping less and where mothers are more likely to report their infants' sleep patterns as problematic. Mothers of infants belonging to these sleep profiles were more likely to have higher levels of stress, depressive symptoms, and poorer self-reported health than other sleep profiles. Breastfeeding was associated with both groups and rates were highest in a group of infants that were more likely to co-sleep with their parents and have diverse ethnic backgrounds. This study demonstrates, for the first time, two infant sleep profiles with distinct phenotypical frameworks that are significantly associated with maternal stress, depression, and poorer self-report of health., Author(s): Aoife Hughes [sup.1] [sup.2] , Stephen Gallagher [sup.3] , Ailish Hannigan [sup.2] Author Affiliations: (1) University Hospital Limerick, Dooradoyle, Limerick, Ireland (2) Graduate Entry Medical School, University of Limerick, [...]

Purpose: Profiling activity behaviors in young children is important to understand changes in weight status over time. The purpose of this study is to identify activity profiles from self- and parental-reported Physical Activity (PA) and Sedentary Behavior (SB) variables by gender, and determine if the identified profiles are predictive of weight change from age 9-13 years. Methods: Cluster analysis was used to generate activity profiles for the National Longitudinal Study of 8570 9-year-old children (Growing Up in Ireland). Results: 5.4% of boys were found to be obese. Four cohesive activity profiles were identified for boys, with 7.3% of boys in the least active group identified as obese compared with 4.1% in the most active group. The odds of a normal weight 9-year-old boy in the least active profile becoming overweight or obese at age 13 were over twice those in most active profile (OR = 2.5, 95% CI: 1.9, 3.5). No coherent activity profiles were identified for girls. Conclusions: This study suggests that self- and parental-reported data can identify meaningful activity profiles for boys, which are predictive of weight changes over time. Future research should consider potential gender differences in self- and parental-reported PA and SB variables. [ABSTRACT FROM AUTHOR]

Background: Social exclusion is a complex concept that is recognised as a key determinant of health. Many measurement tools developed looked at people from single excluded groups in isolation. We know from experience and literature that exclusion is often intersectional and multi-layered. Therefore, the aim of this research was to develop a social exclusion measurement tool for use in healthcare settings with individuals from any excluded group that would include questions to investigate socioeconomic elements and subjective experiences in their lives. Methods: Inductive and deductive methods were used to develop the tool. Early drafts were tested with experts (both academic and experts by experience) and modified in line with feedback received. The tool was then piloted with people in the community, and this allowed us to assess the internal consistency and validity of the tool. Exploratory factor analysis was carried out as part of this evaluation. Results: The measurement tool was initially evaluated by 17 academic and 'real world' experts. It was then piloted with seven experts by experience, two gatekeepers and two participants who were presumed not to be excluded, resulting in the development of the final tool. This was then tested with 276 participants (127 presumed excluded, 149 presumed not excluded). The socioeconomic characteristics of these participants were documented, and exploratory factor analysis was carried out on data relating to subjective items. A four-factor structure emerged comprising 22 items. Internal consistency of the factors was high, and their ability to discriminate between the two groups was notable. Conclusions: A tool for measuring the social exclusion of individuals has been developed by engaging with people from a variety of excluded groups. Socioeconomic indicators were combined with subjective items. The input of experts by experience, academics and others was sought to enhance the tool. The tool was applied to two distinct samples, showing obvious differences both in the socioeconomic items, and the items included in the factor analysis. The potential use of this tool could have positive implications for people who are excluded. [ABSTRACT FROM AUTHOR]

Background: As prevalence of multimorbidity and polypharmacy rise, health care systems must respond to these challenges. Data is needed from general practice regarding the impact of age, number of chronic illnesses and medications on specific metrics of healthcare utilisation. Methods: This was a retrospective study of general practices in a university-affiliated education and research network, consisting of 72 practices. Records from a random sample of 100 patients aged 50 years and over who attended each participating practice in the previous two years were analysed. Through manual record searching, data were collected on patient demographics, number of chronic illnesses and medications, numbers of attendances to the general practitioner (GP), practice nurse, home visits and referrals to a hospital doctor. Attendance and referral rates were expressed per person-years for each demographic variable and the ratio of attendance to referral rate was also calculated. Results: Of the 72 practices invited to participate, 68 (94%) accepted, providing complete data on a total of 6603 patients' records and 89,667 consultations with the GP or practice nurse; 50.1% of patients had been referred to hospital in the previous two years. The attendance rate to general practice was 4.94 per person per year and the referral rate to the hospital was 0.6 per person per year, giving a ratio of over eight attendances for every referral. Increasing age, number of chronic illnesses and number of medications were associated with increased attendance rates to the GP and practice nurse and home visits but did not significantly increase the ratio of attendance to referral rate. Discussion: As age, morbidity and number of medications rise, so too do all types of consultations in general practice. However, the rate of referral remains relatively stable. General practice must be supported to provide person centred care to an ageing population with rising rates of multi-morbidity and polypharmacy. [ABSTRACT FROM AUTHOR]

Background Care is regularly provided on an informal basis by family and friends and it is well established that caregivers experience high rates of depression. The majority of research on caregivers tends to focus on older, full-time caregivers, with less attention paid to working caregivers (in paid employment). The aim of this study is to explore the impact of work status on depression in caregivers. Methods A sample of individuals from the 2014 European Social Survey dataset, aged 18 and older, who reported being a caregiver, were investigated (n  = 11 177). Differences in sociodemographic, mental and physical health and social network variables, between working and non-working caregivers, were investigated. Hierarchical logistic regression models were used to investigate associations between the caregivers' work status and depression. This study was developed in partnership with a panel of caregivers who contributed to the conceptualization and interpretation of the statistical analysis. Results Findings showed that 51% of caregivers reported being in paid employment. Non-working caregivers were more likely to be female, older, widowed, have lower education levels and provide intensive caring hours. They were also more likely to report depressive symptoms than working caregivers after controlling for sociodemographic, social networks and intensity of caring (adjusted odds ratio = 1.77, 95% confidence interval = 1.54–2.03). The panel considered policies to support continued work important as a means of maintaining positive mental health for caregivers. Conclusions Supportive policies, such as flexible working and care leave, are recommended to allow caregivers to continue in paid work and better manage their health, caring and working responsibilities. [ABSTRACT FROM AUTHOR]