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Attainment and adjustment in two geographical areas. II--The prevalence of specific reading retardation.

Specific reading retardation was found to occur in a minimum of 9-9 per cent of ten-year-old 'indigenous' children in one inner London borough. This rate was nearly three times that (3-9 per cent) in Isle of Wight children. There was a comparably higher rate of general reading backwardness in London (19-0 per cent vs 8-3 per cent). Since the same epidemiological methods were followed in the two areas, and since the reading-retarded children had similar psychological characteristics in both cases, it is concluded that there is a real difference between London and the Isle of Wight in the prevalence of reading retardation and of reading backwardness.

Achievement↗

Attainment and adjustment in two geographical areas: III--Some factors accounting for area differences.

It was found that emotional disorders, conduct disorders and specific reading retardation were all twice as common in ten-year-old children attending schools in an inner London borough as in children of the same age on the Isle of Wight. The correlates of these disorders in the two areas were investigated in order to explore possible reasons for these differences in prevalence. It was possible to identify four sets of variables (family discord, parental deviance, social disadvantage and certain school characteristics) which were associated with child disorder and deviance within both the two areas. As in almost all cases these same adverse factors were more commonly found in London, it may be concluded that the high rates of psychiatric disorder and specific reading retardation in London ten-year-olds are due in part to the fact that a relatively high proportion of London families experience marital discord and disruption, that many of the parents show mental disorder and antisocial behaviour, that families often live in poor social circumstances, and that the schools are more often characterized by a high rate of turnover in staff and pupils. The evidence suggests that these problems stemmed from living in an inner London borough, but further research is required to identify what it is about life in a metropolitan area that predisposes to the development of disorder and deviance.

Affective Symptoms↗

Comparison of hematologic and biochemical reference ranges between captive populations of northern bald ibises (Geronticus eremita).

Hematologic and biochemical reference ranges for two captive populations of northern bald ibises (Geronticus eremita) were compared. The first consisted of 11 birds at an in-situ breeding colony in Bireçik, southern Turkey. The second consisted of 27 birds housed at the Durrell Wildlife Conservation Trust in Jersey, British Channel Isles (UK). Blood samples were collected in February 1992 by basilic venipuncture under manual restraint. Bireçik birds had higher packed cell volumes and red blood counts but lower white blood cell and lymphocyte counts than Jersey birds. Bireçik birds also had higher total protein, albumin, total globulin, calcium, phosphorus, blood urea nitrogen, and total bilirubin values; higher albumin to globulin ratios; but lower uric acid values and calcium to phosphorus ratios than Jersey birds. Finally, Bireçik birds had higher lactate dehydrogenase but lower gamma glutamyl transferase values than Jersey birds. Male Jersey birds had higher calcium and alkaline phosphatase values, but lower white blood cell and heterophil counts than female Jersey birds. The apparent differences between the two populations are not thought to be biologically significant and may be related to diet and state of hydration.

Animals↗

Poor relations.

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Channel Islands↗

Organisational development. Reigning cats and dogs.

Research into the culture of two trusts involved in a merger revealed significant differences. This provided a valuable framework for developing the new organisation and convinced the board of the need for change. Annual appraisals for all staff, 360 degrees feedback for senior managers and clinicians and more comprehensive selection procedures have been introduced.

Channel Islands↗

A nurse-led service to provide palliative care in the community.

Jersey Hospice Care, established in 1982, provides a care and support service for the community. The service includes provision of palliative care, focusing on pain assessment and control. Mainly a home-care service, it is supported by a day hospice, lymphoedema service, the provision of complementary therapies, a six-bed in-patient unit and a bereavement service.

Adult↗

Some mortality data for Grimsby "lumpers" and fishermen.

All death certificates supplied to Grimsby District Health Authority for the years 1967-1980 were examined. Certificates showing the occupation on fisherman (or similar term) or lumper were extracted. Brief analysis of the data on the age and cause of death stated on those certificates is presented. There was no indication that the mortality pattern differed significantly between the two groups or from that of the community from which the lumpers and fishermen came.

Adult↗

The dental caries experience of 14-year-old children in England and Wales. Surveys co-ordinated by the British Association for the Study of Community Dentistry in 2002/2003.

OBJECTIVE: This paper reports the results of standardised clinical caries examinations of 77,693 14-year-old children from across England, Wales, Jersey and the Isle of Man. These 2002/3 coordinated surveys are the latest in a series which seeks to monitor the dental health of children and to assess the delivery of dental services. METHOD: The criteria and conventions of the British Association for the Study of Community Dentistry were used. Representative samples were drawn from participating health authorities and boards and caries was diagnosed at the caries into dentine (D3) threshold using a visual method without radiography or fibre-optic transillumination. RESULTS: These demonstrated, once again, a wide variation in prevalence across the area surveyed, with mean values for D3MFT for the current English government offices (of the National Health Service) and the local Health Boards in Wales ranging from 0.99 in the South East to 2.10 in Wales (2.41 in the Isle of Man). The mean value for across England and Wales was 1.48 (D3T=0.56, MT=0.10, FT=0.82). Overall 49 per cent of 14-year-old children in England and Wales had evidence of dentinal caries experience (D3MFT>0), the regional/country means ranged between 37 per cent (South-East) and) and 60 percent in Wales (65 per cent, Isle of Man). The mean D3MFT for those with disease at this threshold was 3.03. Trends over time demonstrate an improvement of 4% in overall D3MFT for England and Wales, there has been only small improvement in mean MT since 1994/95, while FT and care index have fallen. The number of fillings provided in 2002/3 and thus the care index, remains low, on average across England and Wales, only 55% of the dentinal caries experience identified by survey examinations of permanent teeth was seen as fillings (range in individual areas: 28% to 83%). CONCLUSION: These findings demonstrate a modest overall improvement in oral health, but a continuing need for more effective preventive strategies and treatment services for permanent teeth in this important age group. An average of half of the 14 year old children examined being affected by dentinal decay and a mean of three permanent teeth decayed into dentine for those children affected at this level of diagnosis is a poor start to charting oral health in the 21st Century in England and Wales.

Adolescent↗

Bridging the distance.

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Channel Islands↗

The complement system in cryoglobulinaemia. Interaction with immunoglobulins and lipoproteins.

Serum from a patient with an IgM-lipoprotein cryoglobulin, both before and after removal of the cryoprecipitate at 0 degrees C, had extremely low levels of whole complement (C), C1, C4 and C2, while amounts of the remaining components were normal or only slightly reduced. The cryopredipitate, when added to fresh normal human serum, reproduced this pattern of C fixation. Separation of the patients's serum at 37 degrees C into its lipoprotein, IgG and IgM fractions revealed that the IgM alone would precipitate at 0 degrees C. This precipitation was unaffected by the patients's IgG, but was markedly enhanced by extremely small amounts of the patient's d less than 1-075 lipoprotein fraction or of homologous very low density lipoprotein (VLDL). Aggregation occurred even at 37 degrees C in the presence of VLDL. Fixation of semi-purified human C1 paralleled these results closely: it occurred with the patient's IgM alone at 0 degrees but not at 37 degrees C, while IgM in the presence of the patient's lipoprotein, or of VLDL from normal serum, fixed C1 strongly at 37 degrees as well as at 0 degrees C. Fab dimers and monomers prepared from the patient's IgM did not aggregate in the cold, even in the presence of lipoprotein, and did not inhibit the aggregation of intact IgM in the presence of VLDL, at any temperature. All three highly purified IgM cryoglobulins, and three of four IgG cryoglobulins, fixed C1 strongly. The IgG preparation which failed to fix C1 was the only one which had lost its cryoprecipitability during purification. Measurement of C3 or whole C levels may be an insensitive method for detecting C fixation in cryoglobulinaemia. It is suggested that analysis for C1, C4 or C2 should be employed instead.

Aged↗

The challenge of eye disease: the patient's perspective.

An educational symposium was organized to allow patients to be instructors by encouraging them to discuss their conditions, how they perceived their eye problems and the care they received, and the effect of their experience on their lives. Patients repeatedly stressed the need they felt for more time to discuss their disorders and more communication at all levels. An increasing use of patient information material, using printed materials and video, may partially alleviate the problem of a lack of communication.

Attitude to Health↗