Gestational age at delivery and special educational need: retrospective cohort study of 407,503 schoolchildren

<STRONG>Background</STRONG> Previous studies have demonstrated an association between preterm delivery and increased risk of special educational need (SEN). The aim of our study was to examine the risk of SEN across the full range of gestation. <STRONG>Methods and Findings</STRONG> We conducted a population-based, retrospective study by linking school census data on the 407,503 eligible school-aged children resident in 19 Scottish Local Authority areas (total population 3.8 million) to their routine birth data. SEN was recorded in 17,784 (4.9%) children; 1,565 (8.4%) of those born preterm and 16,219 (4.7%) of those born at term. The risk of SEN increased across the whole range of gestation from 40 to 24 wk: 37–39 wk adjusted odds ratio (OR) 1.16, 95% confidence interval (CI) 1.12–1.20; 33–36 wk adjusted OR 1.53, 95% CI 1.43–1.63; 28–32 wk adjusted OR 2.66, 95% CI 2.38–2.97; 24–27 wk adjusted OR 6.92, 95% CI 5.58–8.58. There was no interaction between elective versus spontaneous delivery. Overall, gestation at delivery accounted for 10% of the adjusted population attributable fraction of SEN. Because of their high frequency, early term deliveries (37–39 wk) accounted for 5.5% of cases of SEN compared with preterm deliveries (<37 wk), which accounted for only 3.6% of cases. <STRONG>Conclusions</STRONG> Gestation at delivery had a strong, dose-dependent relationship with SEN that was apparent across the whole range of gestation. Because early term delivery is more common than preterm delivery, the former accounts for a higher percentage of SEN cases. Our findings have important implications for clinical practice in relation to the timing of elective delivery

Where There Is No Engineer Chapter 06

This chapter summarises the learning outcomes from the design program

An Cuardach ar Infreastruchtur Pobail - Bhainistithe Athleimneach in Eirinn

This presentation explores the search for resilient community infrastructure provision. Chun Straitéis Chomhtháite a fhorbairt d’Éireann, teastaíonn: Smaoineamh Nuálach, Teicneolaíochtaí Inbhuanaithe agus Athléimneach, Leasú ar churaclam oideachais, Gníomhaíocht Rialtais agus Phobail Comhordaithe, •Tuiscint do bháisteach agus fuíolluisce mar acmhainní luachmhara

Rainwater Harvesting and Grey Water Recycling Systems

The benefits of water efficiency measures, rainwater harvesting and greywater reuse are principally water savings and reduced volume of consumption. Cost savings can accrue to the water supplier and water user. These benefits can be felt at a local level. Only with widespread use of such technology will reduced pressure on water resources and the supply infrastructure be realised. These technologies should be considered in the context of an overall water conservation strategy and each situation evaluated separately. A water audit should be undertaken to establish existing water usage and possible demands that can be met by using these technologies. A programme to develop public awareness and to source and promote these technologies is also required. Standards for fittings and legal standards for rainwater quality are required if these technologies are to become generally installed. The use of these technologies should be driven by the need to develop a sustainable strategy of urban water demand management

Where There Is No Engineer - Designing for Community Resilience

Where There Is No Engineer – Designing for Community Resilience” is a design initiative coordinated by the Development Technology in the Community (DTC) Research Group, Technological University Dublin (DIT) and Engineers Without Borders (EWB) Ireland. The programme is delivered in partnership with various development partners and Engineers Ireland. It provides participants with the opportunity to learn about design, teamwork and communication through real, inspiring, sustainable and crosscultural development projects. By participating in the programme, students and professionals will have the opportunity to design creative solutions to real life development projects. This initiative formed part of the DIT team submission which received the Inaugural Engineers Ireland Education Award Best in Class 2017. The design brief is based on a set of six global development themes; • Climate Resilient Infrastructure • Self-Supply Water and Sanitation • Community Participatory Health • On and Off (Micro) Grid Energy Systems • Food Security • Applying Big Data in the Community Each theme explores the relationship between People, Technology and the Environment. The setting for this programme varies on an annual basis. The programme is open to students and professionals across the disciplines of engineering, architecture, urban planning, science, business, social science, arts, media etc

Thermal inactivation analysis of water-related pathogens in domestic hot water systems

This study aims to investigate whether hot water systems supplied with harvested rainwater present an increased risk to health over hot water systems supplied with potable mains water. It reviews previous studies investigating the health effects of utilising rainwater within domestic systems. The main risk to public health of mains-supplied hot water systems is the operation, maintenance, age, location and temperature of the system. Rainwater-harvesting systems contain an inherent water treatment train consisting of flocculation, settlement, sorption and bioreaction, and stored rainwater quality improves as metal and chemical contaminants settle to form sludge. Laboratory experiments were conducted using a variety of water-related bacteria to determine the time required to reduce a bacterial population by 90% at a given temperature. The results of this study show that after 5 min of exposure at 60 and 55°C, respectively, Salmonella, Pseudomonas aeruginosa and total viable count at 22 and 37°C concentrations were reduced to zero. Irish standards require hot water systems to be maintained at temperatures at or above 60°C. The conclusion from this pilot study is that hot water systems supplied with harvested rainwater do not present an increased risk to health over hot water systems fed with mains water

Rainwater Harvesting - A Zero Waste Approach to Water

This keynote presentation explores the concept of a zero waste approach to water supply. This is a precursor to the circular economy of water

Maternal smoking during pregnancy and scholastic achievement in childhood: evidence from the LIFECOURSE cohort study.

To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked FilesResearch on the impact of maternal smoking during pregnancy (MSDP) on scholastic achievement in the offspring has shown conflicting findings. The objective of this study was to assess the impact of MSDP on scholastic achievement in a birth cohort of children in 4th, 7th and 10th grades.We analysed data from the LIFECOURSE study, a cohort study of risk and protective factors in all children born in Reykjavik, Iceland, in the year 2000 (N = 1151, girls = 49.3%). Retrospective registry data for 2014-2015 were merged with prospective survey data that were collected in April 2016. Data on MSDP were assessed during regular antenatal visits at the end of the first trimester. Standardized academic achievement scores were obtained from official school transcripts. Data were analysed using OLS regressions that were entered in three hierarchical blocks.Children of mothers who smoked tobacco during the first trimester consistently revealed between 5% and 7% lower scores on standardized academic achievement in 4th, 7th and 10th grade (∼6-8 points on a normally distributed 120 point scale) than those of mothers who had not smoked tobacco during this period (P < 0.05). These findings held after controlling for several factors associated with the time of birth (e.g. birth weight, maternal age at birth, birth order, parental cohabitation and household income), as well as the year of scholastic assessment (parental cohabitation, household income and parental education).Maternal smoking during pregnancy was negatively related to scholastic achievement in the offspring during 4th, 7th and 10th grade.European Research Counci

Lynches Lane Reed & Willow Bed Facility Final Report South Dubin County Council

This final report will present results from a two year study to monitor the performance of a hybrid reed willow bed facility at Lynches Lane, in the administrative area of South Dublin County Council (SDCC). Design specifications for the facility are presented. Monitoring results for a two year period including influent and effluent parameters, rainfall, potential evapotranspiration, and soil classification are also presented and discussed. During the two year monitoring period the system achieved a zero discharge. This report will discuss the potential application of similar systems within South Dublin County Council administrative area. This is in the context of a recent EU judgment which declared that Ireland has failed to fulfill its obligations regarding domestic wastewaters disposed of through individual waste water treatment systems. The development of an appropriate zero discharge wastewater facility similar to the one operating successfully at Lynches Lane, has the potential to address this source of environmental pollution in Ireland