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The Family Outcomes Survey–Revised (FOS-R) measures family outcomes of services for young children with disabilities or developmental delays, and it can be used to investigate change in outcome achievement over time. To confirm the validity of FOS-R change scores, it must be established that the FOS-R measures the same construct over time; if so, score changes can be attributed to family outcome achievement. However, if not, interpretation of change scores may be misleading. Caregivers (N = 349) of Singaporean children with developmental delays receiving early intervention services completed the FOS-R Part A twice, approximately 1 year apart. Factor analysis was used to confirm the structure of the FOS-R Part A and to assess whether the scale measures the same thing across time (i.e., longitudinal measurement invariance). Results provided support for partial longitudinal measurement invariance, indicating that change scores on this scale can be validly interpreted with certain caveats. [ABSTRACT FROM AUTHOR]

Patient: Female, 48-year-old Final Diagnosis: COVID 19 infection Symptoms: Cough * diarrhea * dyspena * fatigue *nausea * sore throat * vomiting Medication: -- Clinical Procedure: -- Specialty: Infectious Diseases Objective: Unusual clinical course Background: During the global Coronavirus Disease-2019 (COVID-19) pandemic, the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO) have identified and monitored variants of concerns (VOCs) of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). P.1 (Gamma) variant was initially identified in northern Brazil but has now spread worldwide. This is a report of a 48-year-old female resident of southern Florida with confirmed reinfection with P.1 variant 9 months following the initial infection. This patient was not immunocompromised and was not vaccinated. Case Report: A 48-year-old woman residing in southern Florida presented with symptoms of COVID-19 and tested positive for SARS-CoV-2 with oral swab polymerase chain reaction (PCR) in September 2020. Her symptoms resolved spontaneously after 5 days. Nine months later, the patient again presented with respiratory, digestive, and constitutional symptoms. The nasopharyngeal swab SARS-CoV-2 PCR was positive. At that time, she had not received any vaccinations against SARS-CoV-2. Whole-genome sequencing (WGS) of viral RNA from the patient's second infection confirmed that the viral strain was P.1 variant containing the E484K spike protein substitution. Conclusions: This report has identified a confirmed case of reinfection with P.1 variant of SARS-CoV-2 outside Brazil. This case supports recent epidemiological findings that indicate this VOC may have increased infectivity and virulence, and highlights the importance of SARS-CoV-2 vaccination for everyone. [ABSTRACT FROM AUTHOR]

The 2020 COVID-19 pandemic resulted in worldwide school closures, moving children's education to the home setting, with parents taking over the responsibility of supporting their child's learning while managing other aspects of living with the pandemic. The impact of emergency remote learning has increased significance for children with disabilities who, abruptly, no longer had access to the specialized instruction and expertise of educators and service providers in the school setting. Employing an ecological systems framework, this study sought to examine the impact of emergency remote learning on the families of school-aged children with a range of disabilities in Singapore. Semi-structured interviews were conducted with 42 parents of children with disabilities from primary and special schools. Findings revealed parents took on multiple roles while balancing several responsibilities in supporting their child's emergency remote learning, with the additional or intensified demands heightening challenges. Several factors were found to either facilitate or challenge parents' ability to engage in supporting their child's emergency remote learning such as flexibility in meeting schoolwork deadlines, having regular check-ins with the child and family, technological familiarity, and, at a macro-level, having supportive employers. Implications for practice and policy include the need to equip students with technology and self-management skills, providing more coordinated supports for students and their families across government and educational bodies to reduce learning loss while alleviating pressure on parents. Highlights: Parents of children with disabilities across primary schools and special schools in Singapore participated in semi-structured interviews regarding their experience of emergency remote learning. Key parental challenges during the pandemic lay in new or abruptly intensified work and family responsibilities. Coordinated supports at the various levels of the ecological systems framework are needed to support families through large-scale school closures. [ABSTRACT FROM AUTHOR]

Aims: This study sought to investigate the predictors of spontaneous Picture Exchange Communication System (PECS) use in a naturalistic school setting. Method: The study recruited 44 students (36 boys and eight girls), aged between 6 to 18 years and their teachers (26 teachers and two teaching assistants). Teaching staff completed measures of student's communicative ability, autism symptomology and PECS abilities. Teachers also provided information of their PECS training history and PECS teaching experience. Findings: Stepwise Multiple Regression Analysis revealed that: (1) teacher's intentional pre-planning of PECS; (2) context in which PECS is used; (3) PECS phase level; and (4) the number of months of PECS teaching experience teachers had significantly predicted spontaneous PECS use. Child-dependent variables such as the severity of student's autism symptomology and level of student's mastery and age did not significantly predict spontaneous PECS use. Limitations: The limitations of this study are the small sample size, teachers' self-reported bias, and the lack of exploring other potential factors. Conclusions: The findings of the study highlight the importance for professionals, such as Educational Psychologists (EPs), to consider implementation factors that will impact the efficacy of intervention. In this study, it was the orchestration of how PECS is taught that had significantly predicted better PECS spontaneous use, rather than within-child factors. This suggests that PECS is suitable for a wide range of ASD learners. Additionally, it provides new insights for EPs to emphasise certain components over others during PECS teachers' trainings. [ABSTRACT FROM AUTHOR]

Agricultural policy frameworks such as Growing Forward are intended to enhance the productivity and competitiveness of the Canadian agricultural sector and to stabilize farm income. This paper examines the relationship between production efficiency and government program payments. First, we find evidence of heterogeneity in production efficiency across farms. Second, we find a negative correlation between production efficiency and the share and level of program payments. The result of this study underscores the importance of understanding the link between technical inefficiency and government payments. Les cadres stratégiques agricoles comme Cultivons l'avenir existent pour favoriser la productivité et la compétitivité du secteur agricole canadien et pour stabiliser les revenus des exploitations agricoles. Cet article examine la relation entre l'efficience de la production et les programmes gouvernementaux de paiements. En premier lieu, nous avons trouvé des preuves d'hétérogénéité dans l'efficience de la production dans toutes les exploitations agricoles. Ensuite, nous avons identifié une corrélation négative entre la production efficiente,et la part et niveau des programmes de paiements. Le résultat de cette étude met en relief l'importance de comprendre le lien entre les inefficiences techniques et les paiements gouvernementaux. [ABSTRACT FROM AUTHOR]

The author examined how individuals with intellectual disability ( ID) are supported in Singapore and what are the needs for further service development. Service provision for individuals with disabilities in Singapore is broadly reflective of its changing needs as a developing nation. Disability service provision began in the pre-World War II period and then advanced greatly during the last 20 years with the proliferation of early intervention and specialized programs for school-aged children as well an expansion of adult-focused supports. Social services are organized along the 'Three Ps Model' (public, private, and people), involving a collaboration of nongovernmental organizations, the government, and the corporate sector. With respect to school-age services, although a fairly comprehensive system has been put in place to support the education of students with disabilities, the system continues to evolve. The situation is more limited with respect to supports for adults. With Singapore reaching high levels of employment, there is an impetus for some individuals with ID to be part of the workforce; for those without work skills, day options for some include workshops and developmental activity centers. For parent carers, supports remain limited and there is a disparity between the goals outlined in the World Disability Report and currently available options for most adults and their families. Recommendations include studies to better understand the population of persons with ID and their needs, a reexamination of the diffused responsibility for disability-related services within the government, and an evaluation of the way services are delivered by the voluntary sector. [ABSTRACT FROM AUTHOR]

Risk balancing refers to the balancing of business risk (BR) and financial risk (FR) by firms through their investment and borrowing decisions. Assuming the concept holds, a decrease in income variability (BR) prompts the firm to incur greater debt levels thereby increasing FR. Reducing (BR), which continues to be the central objective of Canadian agricultural policy through programs such as Canadian Agricultural Income Stabilization Program (CAIS)/AgriStability, may lead farmers to take on more FR than they would take otherwise, which, in turn, increases the risk of equity loss. However, it is not known whether Canadian business risk management (BRM) programs offset BR as intended, and whether any potential reduction leads to increased FR (risk balancing) and possibly higher levels of overall risk for individual farm operations. This paper represents the first attempt to shed light on whether Canadian BRM programs fail to reduce farm risk as a result of farmers' risk balancing behavior using a longitudinal farm-level data set from Ontario. Results are mixed: (1) BRM payments reduce BR for beef farms but not for field crops farms (though the latter result may be due to the lack of data on Crop Insurance payments); (2) risk balancing holds particularly for the larger farms, and (3) BRM programs overall have no significant effect on the likelihood of increased debt use for either sector, on average; however, participation in CAIS/AgriStability increases the probability that farms take on more debt than they would take otherwise for both sectors. Further analysis is needed to determine whether BRM programs increase the probability of default for farms. [ABSTRACT FROM AUTHOR]

This study sought to understand the perspectives of four youth with high-functioning autism spectrum disorders (HFA) regarding their experiences in Singapore secondary schools. Qualitative analyses of in-depth interviews revealed that youth with HFA actively construct their experience of being a person with HFA. The extent to which the youth were engaged or disengaged in school appears to be related to the support provided by the environment. Implications of the findings for practice are discussed. The role of the phenomenological approach to providing insights into the lives of persons with HFA is also discussed. [ABSTRACT FROM AUTHOR]

Highlights: [•] The construct validity of the FOS-R was examined for Singapore. [•] There was a fit between the current data set and the FOS-R structure. [•] Caregivers reported moderately high attainment of family outcomes. [•] Cross-cultural application of instruments is possible but cannot be assumed. [Copyright &y& Elsevier]

Canada has four major sources of information on the financial and production aspects of agriculture: the Census of Agriculture, the Farm Financial Survey, the Agricultural Taxation Data Program, and administrative data resulting from Business Risk Management programs. These data sets form the basis for the analysis of Canadian agricultural policy, which has shifted from a focus on farm family income enhancement, to commodity-specific supply stabilization, to enhancing the competitiveness of the sector and individual operations. The changing focus of agricultural policy together with the growing heterogeneity of the farm sector has significant implications for the forms of analysis conducted and the suitability of the data collected for analysis. No single data set supplies all the data necessary to determine the need for and effect of farm support programs. Census data provide descriptive measures of total production but lack detailed farm financial information. Such data is provided by tax data but information is not provided on assets/liabilities, inputs/outputs, and demographics. Proposals to consider the individuals behind a unit of production in the determination of support eligibility would drive an even larger gap between data demands and the current supply of publicly provided data. [ABSTRACT FROM AUTHOR]

Research on the reading skills of monolingual children has established a convergent skills model for acquisition involving context-free decoding, language comprehension, and visual and phonological processing. This study sought to identify the predictors of Primary One bilingual children's reading accuracy and reading comprehension in English. Eighty English−Mandarin-speaking girls (aged 6.5 years) attending Singapore schools were administered a battery of tests measuring phonological awareness (phoneme deletion), receptive vocabulary, receptive grammar, short-term memory (digit span), reading accuracy, and reading comprehension. Hierarchical regression analyses revealed that phonological awareness significantly predicts reading accuracy and reading comprehension skills. Reading accuracy significantly predicts reading comprehension. Receptive grammar significantly predicts reading comprehension, but not reading accuracy. Unlike studies conducted with monolingual children, memory and vocabulary were not predictive of reading accuracy and comprehension. Possible reasons for this discrepancy are discussed. [ABSTRACT FROM AUTHOR]

Contemporary descriptions of service delivery for children with disabilities in Singapore have highlighted the presence of a dual education system, with mainstream education at one end and special education schools at the other. In this article, we present a background and brief history of how special education evolved in Singapore. Current programs and practices available for students with disabilities and some future directions are also discussed. [ABSTRACT FROM PUBLISHER]

Objective: Little is known about the treatment outcomes of undocumented Hispanic immigrants with HIV infection. We sought to compare the treatment outcomes of undocumented and documented patients 12-months after entering HIV care. Methods: We conducted a retrospective cohort study of antiretroviral-naive patients 18 years and older attending their first visit at Thomas Street Health Center in Houston, Texas, between 1/1/2003 and 6/30/2008. The study population of 1,620 HIV-infected adults included 186 undocumented Hispanic, 278 documented Hispanic, 986 Black, and 170 White patients. The main outcome measures were retention in care (quarter years with at least one completed HIV primary care provider visit) and HIV suppression (HIV RNA <400 copies/mL), both measured 12-months after entering HIV care. Results: Undocumented Hispanic patients had lower median initial CD4 cell count (132 cells/mm3) than documented Hispanic patients (166 cells/mm3; P = 0.186), Black patients (226 cells/mm3; P<0.001), and White patients (264 cells/mm3; P = 0.001). However, once in care, undocumented Hispanic patients did as well or better than their documented counterparts. One year after entering HIV care, undocumented Hispanics achieved similar rates of retention in care and HIV suppression as documented Hispanic and White patients. Of note, black patients were significantly less likely to have optimal retention in care (adjusted odds ratio [aOR] 0.65, CI = 0.45–0.94) or achieve HIV suppression (aOR 0.32, CI = 0.17–0.61) than undocumented Hispanics. Conclusions: Undocumented Hispanic persons with HIV infection enter care with more advanced disease than documented persons, suggesting testing and/or linkage to care efforts for this difficult-to-reach population need intensification. Once diagnosed, however, undocumented Hispanics have outcomes as good as or better than other racial/ethnic groups. Safety net providers for undocumented immigrants are vital for maintaining individual and public health. [ABSTRACT FROM AUTHOR]

The extent to which early social communication behaviors predict later communication and intellectual outcomes was investigated via retrospective video analysis. Joint attention, imitation, and complex object play behaviors were coded from edited home videos featuring scenes of 29 children with ASD at 9-12 and/or 15-18 months. A quantitative interval recording of behavior and a qualitative rating of the developmental level were applied. Social communication behaviors increased between 9-12 and 15-18 months. Their mean level during infancy, but not the rate of change, predicted both Vineland Communication scores and intellectual functioning at 3-7 years. The two methods of measurement yielded similar results. Thus, early social communicative behaviors may play pivotal roles in the development of subsequent communication and intellectual functioning. [ABSTRACT FROM AUTHOR]

This study sought to understand the profile of and the factors which impact upon challenging behaviors among children with autism spectrum disorders (ASD) and multiple disabilities (MD). Teachers of 322 and 132 children with ASD and MD, respectively, attending special schools in Singapore, completed the Developmental Behavior Checklist, Teacher Version (DBC-T; ). The findings suggest that children with ASD exhibit elevated levels of challenging behavior in all areas, relative to children with MD. Multiple regression analyses also indicate that diagnostic category was associated with all aspects of challenging behavior measured by the DBC-T. In addition, age was associated with only disruptive/antisocial behaviors in this study. Theoretical and practical implications were discussed. [Copyright &y& Elsevier]

Purpose – The purpose of this paper is to examine the factors affecting the relative variability in farm and off-farm income for Canadian farm operators. Design/methodology/approach – Variability of farm and off-farm income is analyzed using a dataset of 17,000 farm operators from 2001 to 2006. Relative ranking of the coefficients of variation (CV) for farm and off-farm income are compared across farm types and are regressed against factors conditioning the variations. Findings – Greater reliance on farm income results in lower (greater) relative variability in farm (off-farm) income. Larger commercial operations experience larger farm income volatility because they are less risk averse or they can manage more risk. Diversification and off-farm employment appear to be risk management strategies for commercial operations. Research limitations/implications – Government payments have a small, positive effect on farm and off-farm income variability, indicating this support leads farmers to take on more risky activities and/or reduce the use of self-insurance activities. Results could also be due to the lag between the time of the income reduction and the time in which the aid is received. Further research is necessary to decipher the effects of government support on farm decisions. Practical implications – The results on relative variation in the farm and off-farm income across farm type raises questions about whether government programs should target specific operations. Originality/value – While income variation remains a focus of public policy, factors affecting its variability are not well-understood. Studies have examined the level of farm income and the decision to participate in off-farm employment but none has examined the variance in both income sources. [ABSTRACT FROM AUTHOR]

This study investigated how children with autism spectrum disorders (ASD) make social judgments of social situations and provide justifications for their responses. Fifteen children with ASD and 15 typically developing children (ages from 9 to 13 years old) were presented with eight vignettes, based on the Dewey Story Test (Dewey, 1991) and developed for the purposes of this study. The participants rated the appropriateness (on a 4-point Likert scale) of the socially inappropriate event (test item) and non-social appropriate event (control item) in each vignette. Justifications for each rating were also elicited at the end of each vignette. The children with ASD rated socially inappropriate behaviors in vignettes no differently from their typically developing peers but rated control items as stranger. They also had a higher tendency to provide inappropriate/bizarre and don’t know/no response justifications instead of appropriate/social justifications (that reflect social awareness). The impact of the method of eliciting social judgments of social situations and its impact on findings are discussed. [ABSTRACT FROM AUTHOR]

Nitrovasodilators, such as nitroglycerin, cause endothelium-independent dilatation of arterial and capacitance vessels via the release of nitric oxide (NO). This study examined the venodilator effect of CpCr(NO)2Cl (organotransition-metal nitrosyl complex) relative to that of nitroglycerin in conscious, unrestrained rats. Organotransition-metal nitrosyl complexes have releasable NO directly attached to metal centres. The dose–response effects of CpCr(NO)2Cl and nitroglycerin on the mean arterial pressure and the mean circulatory filling pressure (index of the body venous tone) were obtained in rats continuously infused with either normal saline or noradrenaline. The results show that both CpCr(NO)2Cl and nitroglycerin reduced the mean arterial pressure in rats with normal or elevated vasomotor tone. However, maximum depressor response of CpCr(NO)2Cl was greater than that of nitroglycerin. In vehicle-treated rats, both compounds increased the mean circulatory filling pressure. In rats with elevated vasomotor tone through the infusion of noradrenaline, both agents reduced the mean circulatory filling pressure. These results show that CpCr(NO)2Cl is an efficacious depressor and venodilator agent. [Copyright &y& Elsevier]

It has been reported that there is a rise in the number of individuals being diagnosed with autism spectrum disorder (ASD) in Singapore along with evolving changes in public awareness, attitudes, and levels of financial support occurring in the field in recent years. As such, this column presents the current status and issues related to the identification of individuals with ASD and the provision of early intervention services, education, and transition services for these people in Singapore. Additional needs and future recommendations are also included. [ABSTRACT FROM AUTHOR]

Biosecurity is an increasingly prominent concern to the Canadian agri-food sector given heightened public awareness of animal welfare and the continued importance of trade. Due to the potential for large-scale animal depopulation and uncertain trade flow restrictions, the economic costs and animal welfare implications of disease outbreaks have prompted efforts to control their spread within and across trade boundaries. We build a partial equilibrium model of the beef supply chain in Ontario to examine the welfare impacts of a foot-and-mouth disease outbreak inside and outside the province. Somewhat surprisingly, economic impacts for Ontario are not dramatically different between an outbreak within the province versus an outbreak in western Canada: losses total $245 and $217 million, respectively. When the outbreak occurs outside Ontario and provincial zoning is recognized, losses total only $93 million. Restrictions on international and, inter- and intra-provincial movement of livestock and beef products are the main driver of losses. A strength of our model is that we are able to disaggregate these impacts across the various market participants (i.e., producers, processors, retailers, consumers). Retailers and consumers incur little to no losses as imports from the United States easily fill shortages in supply. Production losses from livestock movement restrictions and depopulation are partially offset by higher prices, while processors bear the brunt of the losses due to reduced supply and higher livestock prices. La biosécurité revêt de plus en plus d'importance dans le secteur agroalimentaire canadien en raison de la sensibilisation accrue du public au bien-être animal et de l'importance soutenue du commerce. Compte tenu de l'éventualité d'un dépeuplement animal à grande échelle et de mesures pouvant restreindre le flux des échanges commerciaux, le coût économique des éclosions de maladies et leurs répercussions sur le bien-être animal ont stimulé les efforts afin de maîtriser leur propagation tant à l'intérieur qu'à l'extérieur des frontières commerciales. Dans la présente étude, nous avons élaboré un modèle d'équilibre partiel de la chaîne d'approvisionnement du bœuf en Ontario afin d'examiner les répercussions d'une éclosion de fièvre aphteuse à l'intérieur et à l'extérieur de la province. Étonnamment, que l'éclosion survienne en Ontario ou dans l'Ouest canadien, l'impact économique pour l'Ontario ne diffère pas considérablement : les pertes totales étant de 293 millions de dollars (M$) et de 267 M$ respectivement. Lorsque l'éclosion survient à l'extérieur de l'Ontario et que les zones de contrôle provinciales sont déterminées, les pertes totales s'élèvent à 27 M$ seulement. Les restrictions concernant le déplacement du bétail et des produits de bœuf entre pays, entre provinces et à l'intérieur d'une même province constituent les principaux facteurs entrainant des pertes. L'une des forces de notre modèle tient au fait que nous avons été en mesure de désagréger les impacts entre les différents acteurs dans le marché (producteurs, transformateurs, détaillants et consommateurs). Les détaillants et les consommateurs subissent peu ou pas de pertes étant donné que les importations en provenance des États-Unis comblent facilement les pénuries de l'offre. Du côté des producteurs, les pertes causées par le déplacement et le dépeuplement du bétail sont en partie contrebalancées par des prix élevés, tandis que les transformateurs essuient les pertes les plus lourdes en raison d'une diminution de l'offre et du prix du bétail élevé. [ABSTRACT FROM AUTHOR]

Behavioral regulation supports children to control their cognitive and emotional skills and participate fully in classroom learning and interactions. Teacher ratings are frequently used to collect data but are highly susceptible to the teacher's response bias, meaning much child level variance is attributable to the teacher level. Multilevel modeling techniques are commonly used to assess the psychometric properties of measures at different levels by disaggregating within- and between-teacher variation in student behaviors. In this study, we attempt to identify the factor structure at each level using teacher ratings on the Child Behavior Rating Scale (CBRS). The sample of 1,375 preschool children (49.2% males) was drawn from a longitudinal study in Singapore. The teacher ratings of these children were collected at three time points (average age at Time 1 was 58.5 months, Time 2 was 69.8 months, and Time 3 was 80.9 months). Using multilevel exploratory and confirmatory factor analyses, a three-factor model at the within level and a two-factor model at the between level best fit the data. At the within level, the three factors were identified as basic interpersonal skills, advanced interpersonal skills, and learning-related social skills. The three factors showed good internal consistency and differential correlates. The two factors at the between level may be related to teacher and classroom characteristics. This study provides empirical support for (a) differential factor structures of CBRS at the within and between levels; and (b) two distinct interpersonal skills. Future studies should aim at exploring the sources of between level variability. Public Significance Statement: This present study provides information regarding validity and reliability of the Child Behavior Rating Scale (CBRS), a measure assessing children's interpersonal and learning-related social skills in the classroom. Results indicate that children's interpersonal social skills can be manifested into two types (i.e., basic and advanced). The findings also indicate that teacher characteristics and practices could influence teacher ratings of children's social behavior in the classroom. [ABSTRACT FROM AUTHOR]

Across Asia, countries have signed the UNCRPD and to a greater or lesser extent are pursuing inclusive education (IE). In this article, we present case studies from Singapore, Indonesia, Philippines, and China analyzing them for common themes around the education of students intellectual and developmental disabilities (IDD), and noting commonalities, challenges, and emerging issues. While the definition of IE (being the philosophy, process and practice of welcoming, valuing and supporting all learners in general education environments) and the conceptual distinction between integration and segregation are clear in the UNCRPD and subsequent comments, the terminology used in some of the countries is inconsistent with these definitions. This makes interpretation of reports from government instrumentalities difficult. In some cases, misuse of terminology allows justification of practices that are contrary to the UNCRPD. Terminology differences coupled with challenges of finding data related to the education of children with IDD, if the data exist, make a regional analysis of progress towards IE complex. In our paper, we have drawn on previous reviews and reports to discuss common issues and make suggestions for ways forward. Our findings add to the few other reviews from Asia on IE and draw attention to the continuing need for improved access to any education at all for learners with IDD. Provision of IE is caught up in dilemmas in the region about teacher preparation and professional learning, and how to provide specialist support in inclusive settings. School structure decisions including staffing provision and class sizes affect the education outcomes of students with IDD. School leadership, with the fundamental role of translating policy into practice, is critical for the development of IE and must be aligned with system and country priorities. Collaboration across the region has the potential to share best practice and continue to improve the educational opportunities for learners with IDD. [ABSTRACT FROM AUTHOR]

Anxiety-related problems are among the most frequently reported mental health difficulties in autism spectrum disorder. As most research has focused on clinical samples or high-functioning children with autism spectrum disorder, less is known about the factors associated with anxiety in community samples across the ability range. This cross-sectional study examined the association of gender, age, adaptive functioning and autism symptom severity with different caregiver-reported anxiety symptoms. Participants were caregivers of 241 children (6–18 years old) with autism spectrum disorder attending special schools in Singapore. Measures included the Spence Children’s Anxiety Scale and assessments of overall emotional, behavioural and adaptive functioning. Caregivers reported more anxiety symptoms in total, but fewer social anxiety symptoms, than Spence Children’s Anxiety Scale Australian/Dutch norms. There were no gender differences. Variance in total anxiety scores was best explained by severity of repetitive speech/stereotyped behaviour symptoms, followed by adaptive functioning. Severity of repetitive speech/behaviour symptoms was a significant predictor of separation anxiety, generalized anxiety, panic/agoraphobia and obsessive–compulsive subscale symptoms, but not of social phobia and physical injury fears. Adaptive functioning and chronological age predicted social phobia and generalized anxiety symptoms only. Severity of social/communication autism symptoms did not explain any anxiety symptoms, when the other variables were controlled for. Findings are discussed in relation to the existing literature. Limitations and possible implications for prevention, assessment and intervention are also discussed. [ABSTRACT FROM AUTHOR]

The article presents information on the Second Asia-Pacific Conference of the International Association for the Scientific Study of Intellectual Disability (IASSID). The conference had the theme "creating possibilities for an inclusive society." At the conference, more than 350 papers were submitted to the Scientific Program Committee for peer review.

Background: With family centred practice as one of the tenets in early childhood intervention (ECI), it is important to understand family outcomes as a means of assessing the effectiveness of ECI services.Aims: The present paper investigates the psychometric properties of an expanded measure of caregivers' perceptions of helpfulness of ECI services, the Family Outcomes Survey - Revised, Expanded Part B (FOS-RE B).Methods and Procedures: Two-hundred and forty-six caregivers of children enrolled in an ECI programme in Singapore completed the FOS-RE B, as well as convergent validity measures (FOS-R Part A, Depression, Stress and Anxiety Scale and questions addressing perceptions of family situation and optimism for the child's future). Confirmatory factor analysis was used to examine the factor structure of the FOS-RE B and correlations were used to examine convergent validity.Outcomes and Results: The factor structure of the FOS-RE B was found to mirror the structure of the FOS-R A, as hypothesized. Evidence for convergent validity, in the form of correlations with family well-being measures was found, as well as evidence for good internal consistency reliability.Conclusions and Implications: It is concluded that the FOS-RE B presents a promising measure of perceived helpfulness of ECI services. [ABSTRACT FROM AUTHOR]