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A survey of 569 young people with sickle cell disorder (SCD) in England has found such pupils miss considerable periods of time from school, typically in short periods of two or three days. One in eight has school absences equating to government‐defined ‘persistent absence’. Students with SCD report that they are not helped to catch up after these school absences. Half the children reported not being allowed to use the toilet when needed and not being allowed water in class; a third reported being made to take unsuitable exercise and being called lazy when tired. Children perceived both physical environment (temperature, school furniture) and social environment (being upset by teachers or other pupils) as triggers to episodes of their illness. Policy initiatives on school absences; preventive measures to ensure maintenance of good health; and measures to prevent perceived social attitudes precipitating ill health would also support children with other chronic illnesses at school.  相似文献   
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This article explores the considerable developments in both early years policy and in the provision of services for young children in England since 1997, noting the role that such services have had in informing the broader Every child matters agenda. Many challenges remain, however, not least the numbers of children and families who still live in poverty and the continuing gap between those children who do well and those who do not. In examining how this gap can be narrowed, through intervention and support during the early years, the work of the Narrowing the Gap project is described, a project that continues with the Centre for Excellence and Outcomes in Children’s Services (C4EO). Whilst high‐quality early years services provide a very positive start in life for young children, reducing inequality remains the key priority.  相似文献   
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Despite the fairly extensive literature on the developmental benefits of youth's participation in organised, out‐of‐school activities, little is known about the participation of school‐aged children with physical disabilities in formal recreation and leisure activities, both in comparison with their participation in informal activities and with children who are typically developing. Enjoyment of formal and informal activities was examined for 427 children with physical disabilities and 354 children without disabilities, aged 6–14 years. It was predicted that children without disabilities would report significantly greater enjoyment of formal than informal activities, whereas this would not be the case for children with disabilities. This prediction was confirmed. Children with disabilities also participated in significantly fewer formal and informal activities, and participated in these activities less intensely than did children without disabilities. The mechanisms responsible for psychological engagement, enjoyment, and the developmental benefits of participation in activities are discussed, along with implications for research and clinical practice.  相似文献   
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Since 1980 the staff student ratio in the UK has halved. This has been contributed to, amongst other factors, by the massification policy of the UK government. The requirement to publish, the view of students as consumers, an increase in managerialism, and reduction in real pay levels as well as the threat of compulsory redundancies have also been changes which have affected the attitudes of staff. As a result of these factors, the experience of both academics and students has deteriorated, and this is likely to continue. This paper uses survey data from three higher education institutions, which indicates a reduction in the satisfaction of staff over a number of years. Interviews with key informants and a literature review also support the view that levels of stress are increasing amongst academic staff within UK Higher Education institutions.  相似文献   
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