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"This rule is about making sure children have the maximum amount of time learning and making sure there is the minimum disruption to learning in classes". Mr Chubb said students had plenty of opportunities outside lessons to use the toilet and pupils with a medical reason would not be refused permission.
Known co-existing medical or surgical diseases and disruption to learning due to repeated hospitalization are examples of such confounding factors.
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Consideration of more intensive school based interventions will need to take account of the cost, not just financial but also in terms of possible disruptions to learning, and ways of making these acceptable to parents, teachers, and children.
Wilshaw returned to a familiar theme, highlighting the damage that low-level disruption causes to learning in classrooms.
The chief inspector of schools, Sir Michael Wilshaw, has frequently highlighted the damage that low-level classroom disruption can cause to learning.
"We don't see the outrageous stuff so much, but there needed to be a focus on low-level disruption and poor attitudes to learning".
The chief inspector will also warn of poor discipline in the classroom, calling it "a culture of casual acceptance of low-level disruption and poor attitudes to learning.
He will say that "a culture of casual acceptance of low level disruption and poor attitudes to learning" exists in England - which is "a million miles away from the culture we see in some of the high performing Asian countries".
Although this may sound like a small difference, the professor told the site it translates to "almost a 20 per cent increase in the likelihood of being suspended during the year," adding: "Especially in primary school, even being suspended once is a really big disruption to the learning environment".
"While some people think we should spend more and do this faster, we continue to believe this is an aggressive, environmentally responsible plan that will cause minimum disruption to student learning and generate significant energy savings for the city and taxpayers in the long run," she said.
Schools, and some teachers in particular, were acutely aware of the possible disruption to the learning of final year high school students and they went to significant lengths to minimise this, even when teachers were themselves in home isolation.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com