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Opinion: Struan Stevenson: As Iraq's corrupt elite squabble, young protesters could sweep them away

IRAQ’S prime ministerial merry-go-round continues to spin apace. Spy chief Mustafa al-Kadhimi, director of the country’s National Intelligence Service, is now the third prime minister designate this year, following the withdrawal of the two previous prospective candidates.




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Jamie Genevieve opens up about new BBC Scotland documentary

A glance through Jamie Genevieve's social media pages and a fairly intimidating impression emerges.




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Mary Contini's Orecchiette with Italian sausauges and greens

This typical dish from Puglia, the region in the south east of Italy where you see the beautiful white trulli houses in the holiday brochures, is one of our customers’ favourite dishes from the menu in our Valvona & Crolla Caffè Bar in Edinburgh.




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Aliens do exist

Ali Geake, Internal Communications Director, discusses the change living in another culture has had on her life and outlook.




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Gardening: Discover the best virtual gardens, podcasts and expert advice

If you're yearning for all the gardening shows that have been cancelled, you can still be inspired by exploring gorgeous virtual gardens now and throughout the summer, from the comfort of your armchair.




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Best botanic gardens: Inverness, St Andrews, Glasgow, Edinburgh and Dawyck

Inverness Botanic Gardens




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Police Scotland's good sense sets an example for police Twitter nonsense

GUTTING news for great swathes of the Great British public - eating chips is not exercise.




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Tom Gordon: Citizens Assembly backlash is of the SNP’s making

WELL that didn’t take long. Scotland’s latest experiment in direct democracy was all but killed off this week, barely two months after Nicola Sturgeon announced it.




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Quiz Yourself: What Does Census Data Tell Us About Education in the U.S.?

Quiz yourself: What do census statistics reveal about school enrollment, classroom diversity, and education outcomes, and how could the 2020 Census impact school services?




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Appeals Court Puts Kibosh on Deferred-Compensation Plan for NCAA Athletes

A three-judge panel from the 9th U.S. Circuit Court of Appeals ruled against a proposed plan that would have paid certain student-athletes as much as $5,000 annually in deferred compensation.




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Three Tenn. Teens Charged With Rape and Assault After Allegedly Hazing Teammate

Three high school basketball players in Tennessee were charged with aggravated rape and aggravated assault in late December after allegedly sending one of their 15-year-old teammates to the hospital.




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How's Discipline at Your School? Don't Just Look at Referral and Suspension Data, Get Perception Data

YouthTruth asked 104,000 school staff, students, and their families how they perceive the fairness of discipline at their schools. The results can help start conversations about discipline policy and leading by listening.




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Camley's Cartoon on Saturday, July 20: Pensioners' fear of banking app

Framed prints of Steven Camley's cartoons are available by calling 0141 302 6210




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Struan Stevenson: Assassination won’t end the evil that lurks in Iran’s regime

When the ruthless crime boss and Mafia Godfather Sam Giancana was gunned down in Illinois in 1975, he was quickly replaced by yet another murderous protégé from the Chicago Crime Syndicate, Tony Accardo.




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Snuff and non-sense leaves a bad taste in a Falkirk attic

BEING a sensible mother, Martha Bryson, from Falkirk, told her young daughter, Sue, never to sneak into the attic. Being a naughty scamp, Sue ignored this advice and got sneaky.




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The Coronavirus Just Might End School Privatization Nonsense

The pandemic has boosted appreciation for public schools; the next step is greater funding, argues education historian and activist Diane Ravitch.




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See the 29 Education Programs Trump Wants to Condense Into a Block Grant

The Education Department programs the president wants to consolidate into a block grant deal with English-language acquisition, charter schools, after-school activities, rural education, and more.




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What Happens When Your School Asks You to Reverse Course on Personalized Learning?

One teacher embraced the technique, with encouragement from a former district administrator. But he was told he had to reverse course, in part because of parent complaints.




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Old pals act: as an exhibition of his photographs of John Byrne opens in Edinburgh, David Eustace on his long friendship and working relationship with the artist and playwright

For three decades now, the artist and playwright John Byrne has been sitting regularly for photographer David Eustace, the Glasgow-born photographer who left school at 16 and joined first the navy and then the prison service before settling on a career behind a camera.




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Opinion: Doug Marr: No extension of house arrest for the over-70s, please

IN the years BC (Before Covid), my morning routine was consistent. First, perusal of the paper, starting with the sport followed by the death notices. Continued absence from the latter represented a pretty good start to the day. Omnipresent coronavirus has reversed that order. Now, my first port of call is the ever-expanding family notices. Worryingly, for a man in his eighth decade, the deaths section lengthens daily. Equally concerning, is my proximity to the average age of those whose demise




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In praise of Scotland's fish farms. Opinion by Struan Stevenson

THE most recent onslaught on Scotland’s farmed salmon industry has come from The Sustainable Inshore Fisheries Trust, who commissioned a report from Salmon & Trout Conservation Scotland claiming that the value of farmed salmon to the Scottish economy, and the number of people it employs, are both massively overestimated by a staggering 251%. The success of Scotland’s aquaculture industry and its employment of large numbers in remote, rural parts, has always rankled with the industry’s crit




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Survey: Teachers Are Conflicted About the Role of Suspensions

Most teachers say that school discipline is inconsistent or inadequate, a new study from the Fordham Institute finds.




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Education in 2017 Through the 'Top Performers' Lens

Marc Tucker's most-read blog posts in 2017.




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A U-Shaped Association Between Intensity of Internet Use and Adolescent Health

Internet use has rapidly become a commonplace activity, especially among adolescents. Poor mental health and several somatic health problems are associated with heavy Internet use by adolescents.

Results of this study provide evidence of a U-shaped relationship between intensity of Internet use and poorer mental health of adolescents. Heavy Internet users were also confirmed to be at increased risk for somatic health problems in this nationally representative sample of adolescents. (Read the full article)




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How Often Are Teens Arrested for Sexting? Data From a National Sample of Police Cases

Media reports suggest that adolescents are being charged with sex crimes and even placed on sex offender registries because of participating in the "sexting" of sexual images, but the nature and outcomes of such incidents have not been described empirically.

This is the first study to examine types of sexting cases handled by police. It informs clinicians by identifying characteristics of "aggravated" versus milder incidents and finding that most youth were not arrested. Sex offender registration was rare. (Read the full article)




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Antihypertensive Prescribing Patterns for Adolescents With Primary Hypertension

Primary hypertension is a growing concern in adolescents due to its association with the obesity epidemic. Recent studies have examined underdetection and underdiagnosis of hypertension in adolescents but medical management of primary hypertension in adolescents is not well-described.

Our study describes patterns of antihypertensive prescribing for adolescents with primary hypertension including the use of monotherapy versus combination therapy by physicians of different specialties and factors associated with receipt of antihypertensive therapy over a multi-year period. (Read the full article)




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Preterm Birth Alters the Maturation of Baroreflex Sensitivity in Sleeping Infants

Blood pressure and heart rate are altered by sleep state and postnatal age in healthy term and preterm infants. Preterm infants have altered blood pressure responses to head-up tilting during sleep.

Preterm birth has marked effects on the maturation of baroreflex sensitivity during sleep, which may contribute to the greater vulnerability of preterm infants to sudden infant death syndrome. (Read the full article)




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Early Childhood Overweight and Asthma and Allergic Sensitization at 8 Years of Age

Overweight has been associated with an increased risk of asthma in children, although the published literature is contradictory. How change in overweight status during childhood affects asthma risk has not been well studied.

Among children whose weight has normalized, high BMI during the first 4 years of life does not increase the risk of asthma at school age. Current high BMI is associated with increased risk of asthma and sensitization to inhalant allergens. (Read the full article)




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Citizens' Values Regarding Research With Stored Samples From Newborn Screening in Canada

Newborn screening (NBS) programs may store bloodspot samples and use them for secondary purposes, such as research. Recent public controversies and lawsuits over storage and secondary uses underscore the need to engage the public on these issues.

This public engagement study identifies values underlying citizens’ acceptance of and discomfort with research from NBS samples. Well-designed methods of public education and civic discourse on the risks and benefits of storage and secondary uses of NBS samples are required. (Read the full article)




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Public Attitudes Regarding the Use of Residual Newborn Screening Specimens for Research

The retention and use of residual bloodspots is a practice of many state newborn screening programs. This practice has become controversial, and little is known about public attitudes on the retention and research use of newborn residual bloodspots.

This study offers a detailed analysis of public attitudes regarding bloodspot retention and use for biomedical research. The results also offer insights on how education regarding this practice influences support for newborn screening and residual bloodspot use. (Read the full article)




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Pertussis Pseudo-outbreak Linked to Specimens Contaminated by Bordetella pertussis DNA From Clinic Surfaces

Pertussis is a poorly controlled vaccine-preventable disease. Verifying outbreaks is challenging owing to nonspecific clinical presentations and imperfect diagnostic tests. Exclusive reliance on highly sensitive polymerase chain reaction has been associated with pseudo-outbreaks.

Contamination of specimens with vaccine derived Bordetella pertussis DNA from pediatric clinic surfaces likely resulted in misdiagnoses. Standard practices, liquid transport medium, and lack of polymerase chain reaction cutoffs for discerning weakly positive (contaminant) DNA are contributory, but modifiable factors. (Read the full article)




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Prospective Analysis of Pulmonary Hypertension in Extremely Low Birth Weight Infants

Pulmonary hypertension is associated with bronchopulmonary dysplasia in extremely low birth weight infants and contributes to morbidity and mortality.

Pulmonary hypertension affects at least 1 in 6 extremely low birth weight infants and persists to discharge in most survivors. Routine screening of these infants with echocardiography at 4 weeks of age identifies only one-third of those affected. (Read the full article)




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Community Asthma Initiative: Evaluation of a Quality Improvement Program for Comprehensive Asthma Care

Comprehensive home visits conducted by Community Health Workers including environmental remediation and office-based nurse case management improve asthma outcomes.

Implementation of a comprehensive quality improvement program as part of enhanced care of pediatric asthma patients with a history of hospitalizations or emergency department visits can improve health outcomes and be cost-effective as well as reduce health disparities. (Read the full article)




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Computer-Facilitated Substance Use Screening and Brief Advice for Teens in Primary Care: An International Trial

Primary care settings provide an important venue for early detection of substance use and intervention, but adolescent screening rates need improvement. Screening and brief interventions appear effective in reducing adult problem drinking but evidence for effectiveness among adolescents is needed.

A computer-facilitated system for screening, feedback, and provider brief advice for primary care can increase adolescent receipt of substance use screening across a variety of practice settings, and shows promise for reducing adolescents’ use of alcohol and cannabis. (Read the full article)




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Brief Motivational Interviewing Intervention for Peer Violence and Alcohol Use in Teens: One-Year Follow-up

Youth violence and alcohol misuse are a preventable public health problem. Previous studies have demonstrated the efficacy of brief interventions in the emergency department (ED) in reducing alcohol misuse and related consequences among older adolescents and adults.

This study supports the efficacy of brief interventions in the ED in reducing peer aggression and victimization 12 months after ED visit. The previous reductions in alcohol consequences noted at 6 months follow-up were not sustained at 12 months. (Read the full article)




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Tactile Sensory Capacity of the Preterm Infant: Manual Perception of Shape From 28 Gestational Weeks

Preterm infants from 33 gestational weeks can detect specific shape features (prism and cylinder) by touch (without visual control), and remember them; however, nothing is known about such abilities earlier in development.

The preterm infant, even when very immature (from 28 gestational weeks), is endowed with tactile sensory abilities: the exploration and memorization of an object by touch, the discrimination of a novel object, and the recognition of a familiar object after interference. (Read the full article)




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Bone Mineral Density and Vitamin D Status Among African American Children With Forearm Fractures

Forearm fractures are unique injuries which are associated with lower bone mineral density in adults and white children. The relationships among bone mineral density, 25-hydroxyvitamin D status, and risk for forearm fracture have not been investigated in African American children.

Our data support an association between both lower bone mineral density and vitamin D deficiency and increased odds of forearm fracture in African American children. Promotion of bone health is indicated in this population. (Read the full article)




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Tanner Stage 4 Breast Development in Adults: Forensic Implications

There are no studies to support the clinical awareness of persistent Tanner stage (TS) 4 breast development in adulthood, and forensic experts continue to use TS 4 as evidence of age <18 years in cases of alleged child pornography.

One-fourth of nonclinical images of women over 18 years of age could be considered by a single forensic expert to represent TS 4. This observation, and substantial discordance in interpretation by pediatric endocrinologists, renders testimony based on this distinction invalid. (Read the full article)




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Decline in Gastroenteritis-Related Triage Calls After Rotavirus Vaccine Licensure

Rotavirus is a major cause of acute gastroenteritis among children worldwide. Vaccines targeting rotavirus have been demonstrated to be highly efficacious against severe disease in clinical trials and postlicensure studies. Vaccine impact on mild gastroenteritis has not been well studied.

We used a novel surveillance platform consisting of telephone triage data to capture mild gastroenteritis not detected in other surveillance systems. Since rotavirus vaccine licensure, gastroenteritis-related call proportions have declined, and peak gastroenteritis-related calls are correlated with community norovirus circulation. (Read the full article)




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Hypertension Screening During Ambulatory Pediatric Visits in the United States, 2000-2009

The American Academy of Pediatrics and National Heart, Lung, and Blood Institute recommend routine blood pressure measurement in children. Little is known about the frequency with which blood pressure is currently measured in ambulatory pediatric settings in the United States.

Between 2000 and 2009, providers measured blood pressure during only one-third of ambulatory pediatric visits and two-thirds of pediatric preventive visits. The current rate of screening is especially low for children aged 3 to 7 years. (Read the full article)




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Impact of Neonatal Intensive Care on Late Preterm Infants: Developmental Outcomes at 3 Years

Children born late preterm (34–36 weeks’ gestation) are at increased risk of adverse early childhood outcomes compared with term-born children. The impact of the neonatal experience on longer-term outcomes of these infants has not yet been well considered.

This study provides information regarding the development of late preterm infants at 3 years. Late preterm infants who received neonatal intensive or high-dependency care had similar developmental outcomes to children born late preterm who did not receive this care. (Read the full article)




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Impact of Sleep Extension and Restriction on Children's Emotional Lability and Impulsivity

Healthy sleep is essential for supporting alertness and other key functional domains required for academic success. Research involving the impact of modest changes in sleep duration on children’s day-to-day behavior in school is limited.

This study shows that modest changes in sleep duration have significant impact on the behavior of typically developing children in school. Modest sleep extension resulted in detectable improvement in behavior, whereas modest sleep restriction had the opposite effect. (Read the full article)




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Identifying Teens at Risk: Developmental Pathways of Online and Offline Sexual Risk Behavior

Today’s adolescents increasingly use the Internet to explore their sexual identity. There is public concern that the Internet, because of its accessibility, affordability, and anonymity, stimulates adolescents to engage in online sexual risk behavior (eg, sending sexual images to strangers).

This 4-wave panel study is the first to delineate the typical development of online sexual risk behavior, its relationship with offline sexual risk behavior, and the factors (eg, sensation seeking, family cohesion, life satisfaction, education, online communication) that predict both behaviors. (Read the full article)




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Nonsteroidal Antiinflammatory Drugs in Late Pregnancy and Persistent Pulmonary Hypertension of the Newborn

Knowledge is limited regarding the epidemiology of persistent pulmonary hypertension of the newborn (PPHN). Previous work has implicated a host of perinatal risk factors and a few antenatal antecedents of PPHN, including maternal consumption during pregnancy of nonsteroidal antiinflammatory medications.

In contrast to results of previous studies, we found no association between PPHN and maternal consumption during late pregnancy of nonsteroidal antiinflammatory drugs in general or ibuprofen in particular. (Read the full article)




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Association of Nutrient-Dense Snack Combinations With Calories and Vegetable Intake

The eating of non–nutrient dense snack foods is considered a major factor contributing to childhood obesity. Parents are often ineffective at encouraging healthier snacking habits.

Children consumed fewer calories when snacking on nutrient-rich cheese and vegetables compared with when they were served potato chips. (Read the full article)




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Prehypertension and Hypertension in Community-Based Pediatric Practice

Prevalence of hypertension in children increased significantly over the past few decades, tracks into adulthood, and is a major risk factor for cardiovascular disease. However, current prevalence estimates in children have largely been based on studies conducted in school environments.

The current study reports the prevalence of childhood hypertension in community pediatric practice, which provides a typical pediatric examination environment, unlike blood pressure measured in school. The results show a significantly lower prevalence than what has previously been reported. (Read the full article)




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Potential Sources of Bisphenol A in the Neonatal Intensive Care Unit

Bisphenol A (BPA) is an environmental endocrine disruptor that can leach from polycarbonate plastics and epoxy resins, leading to widespread exposure. Fetal and early postnatal periods are particularly vulnerable to exposure to BPA.

This study identified medical devices as a potential source of exposure to BPA among premature infants in the NICU, even when efforts to reduce polycarbonate plastics were taken. (Read the full article)




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Reasons for Not Vaccinating Adolescents: National Immunization Survey of Teens, 2008-2010

The reasons why teens are not immunized are related to parental lack of knowledge and the need for provider recommendations.

The reasons for vaccine refusal for human papillomavirus vaccine differ from other teen vaccines, and concerns about its safety are increasing over time. (Read the full article)




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Use of Antihypotensive Therapies in Extremely Preterm Infants

Extremely preterm infants who receive antihypotensive therapy have worse outcomes than untreated infants. The reasons for this are not clear. High-quality randomized trials have not been performed to date because of logistical challenges, thereby necessitating alternative methods of investigation.

Antihypotensive therapy administration was not associated with improved in-hospital outcomes for any of the 15 definitions of low blood pressure investigated. Alternative methods of deciding who to treat are needed to maximize patient benefit and minimize harm. (Read the full article)




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Perceptions of 24/7 In-Hospital Intensivist Coverage on Pediatric Housestaff Education

Increasing numbers of hospitals are instituting 24/7 in-hospital pediatric intensivist coverage. Data regarding patient outcomes are mixed and the impact on housestaff education remains unknown.

This study quantifies the perceived impact of in-hospital attending coverage on pediatric resident and critical care fellow education and also investigates the growing concern that increasing supervision may contribute to housestaff being less well prepared for independent clinical practice. (Read the full article)