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This paper presents a follow-up review of restrictive practice audits conducted within a supported living organisation in South Wales in 2020, 2022, and 2024. The audits examined a broad range of restrictive practices across everyday domains of life, including freedom of movement, personal care, privacy, health, and social participation. Building on the initial audit, this review evaluates the organisation’s progress in documentation, legal compliance, and organisational culture. While the overall number of restrictions did not significantly decrease, substantial improvements were made in consent and best interest recording, data sharing, and staff involvement through Restrictive Practice Champions. Ongoing challenges in specific domains highlight the complexity of achieving least restrictive practice. The paper reflects on organisational learning and future directions for strengthening rights-based care. Easy to read summary ■ Restrictions are actions or rules that stop a person from doing things that most other people are free to do. ■ The service reviewed how often restrictions were used in 2020, 2022 and 2024, and whether they were lawful, needed, and properly written down. ■ While the overall number of restrictions has stayed similar, the organisation has greatly improved how it records consent, best-interest decisions, and how information is shared. ■ Some restrictions are still hard to reduce, particularly those linked to safety and freedom of movement, showing that more work is needed in these areas. ■ The purpose of these audits is to make sure restrictions are only used when truly needed, and to support people with learning disabilities to have more independence and control over their lives.

This paper addresses the problem of learning linear dynamical systems from noisy observations. In this setting, existing algorithms either yield biased parameter estimates or have large sample complexities. We resolve these issues by adapting the instrumental variable method and the bias compensation method, originally proposed for error-invariables models, to our setting. We provide refined non-asymptotic analysis for both methods. Under mild conditions, our algorithms achieve superior sample complexities that match the best-known sample complexity for learning a fully observable system without observation noise.

Virtue theory has occupied a place of relative prominence within the Christian intellectual tradition. But there is a problem facing it: how one contemplates the virtues and vices will ultimately depend upon deeper accounts of the good and the right. Accordingly, virtue theory is incomplete, at least when taken by itself. Our task in this paper is to show that neither of the standard approaches to explaining the metaphysical foundations of morality within the Christian tradition—natural law theory and divine command theory—are sufficient to fix this incompleteness. We thus propose a combination of natural law theory and divine command theory to remedy the matter. The upshot of our argument, then, is this: what counts as a virtue ultimately depends upon the natural law and divine commands.

Abstract BackgroundGiven high attrition rates and lack of interest in faculty careers, it is crucial to understand how doctoral engineering students conceptualize academia and academic careers.Purpose/HypothesisThis study aims to characterize the development of academic disenchantment among engineering students who have considered departure from their doctoral programs. Schema theory was used to explore how students develop and evolve in their conceptualizations of academia through their lived experiences.Design/MethodData were collected from 42 graduate students from research‐intensive universities across the United States who participated in qualitative, semi‐structured interviews investigating expectations for graduate school, experiences, attrition and persistence considerations, and career trajectories. The transcripts were thematically analyzed through open and axial coding to understand how students constructed their schemas of the academy.FindingsExperiences and quotations of four participants are presented to describe the results of the transcripts. Participants' misaligned expectations of their graduate program's values and practices, coupled with a lack of agency and support, led them to see their graduate programs as antagonistic to their short‐ and long‐term career success. Even for students who may likely persist through to PhD degree completion, the development of disenchantment dissuades students—even those who once desired a faculty career—from interest in the academy.ConclusionsBy understanding how disenchantment arose in our participants' experiences, we better understand how to equip students with resources that will help them navigate graduate programs. This research advances the literature by identifying underutilized opportunities to prepare students to cope with the challenges of engineering doctoral education.

Solid Papillary Carcinoma (SPC) of the breast is a rare tumor accounting for less than 1% of all breast tumors. It mainly affects elderly females. It is morphologically characterized by well-defined nodules with low-grade nuclear features associated with fibrovascular cores and shows neuroendocrine differentiation. SPC can be in-situ or invasive but has a favorable prognosis. It is a morphological mimicker of some pre-malignant conditions leading to its frequent misdiagnosis. An appropriate immunohistochemical (IHC) panel workup helps in distinguishing this tumor from its various morphological mimics. In this report, we present one such case of SPC in a 60 year old female patient

Traditionally, science courses focus on knowledge and practices within specific disciplines. There has long been a call, however, to increase the focus on the nature and process of science as a way to improve scientific literacy and increase the transfer of knowledge. Despite this, there are few systematic studies that seek to understand the impact of this approach. Revising a STEM course in a liberal arts curriculum to primarily focus on the nature and process of science rather than on the content of a specific discipline increased student scores on the Test of Scientific Literacy Skills and improved perceptions of STEM. In the revised course, students self-reported higher levels of confidence in their ability to learn scientific information and their ability to contribute to scientific progress compared to traditional methods. These data and other literature suggest that the traditional knowledge-focused approach to science education is insufficient to facilitate scientific literacy and address equity gaps in STEM. Proposed is a model where scientific literacy and feelings of inclusion in STEM are the product of direct engagement in the process of science and careful evaluation of the nature of science. Long-term, a holistic approach that includes an authentic discussion of the enterprise of sciences is needed to prepare students to engage in future problems that are best solved by cross-disciplinary collaboration.

Her dissertation research broadly focused on global issues related to

Pediatric fractures are common in Malawi, and surgical care, when needed, remains inaccessible to many. Understanding which children in Malawi receive surgery or nonsurgical treatment would help set priorities for trauma system development. We used multivariate logistic regression to evaluate associations between surgical treatment and age, sex, school enrollment, injury mechanism, fracture type, open fracture, referral status, hospital of presentation, delayed presentation (≥2 days), healthcare provider, and inpatient vs outpatient treatment. From 2016 to 2020, 10,400 pediatric fractures were recorded in the Malawi Fracture Registry. Fractures were most commonly of the wrist (26%), forearm (17%), and elbow (14%). Surgical fixation was performed on 4.0% of patients, and 24 (13.0%) open fractures were treated nonsurgically, without débridement or fixation. Fractures of the proximal and diaphyseal humerus (odds ratio [OR], 3.72; 95% confidence interval [CI], 2.36 to 5.87), knee (OR, 3.16; 95% CI, 1.68 to 5.95), and ankle (OR, 2.63; 95% CI, 1.49 to 4.63) had highest odds of surgery. Odds of surgical treatment were lower for children referred from another facility (OR, 0.62; 95% CI, 0.49 to 0.77). Most Malawian children with fractures are treated nonsurgically, including many who may benefit from surgery. There is a need to increase surgical capacity, optimize referral patterns, and standardize fracture management in Malawi.