LESSONS

I am learning through these lessons. The following document includes my convoluted musings about my work, making process, and body leading up to my thesis exhibition, Avoidance Kitchen. My struggle with my reflected image comes from my struggle with my self-perceived physical image. What does it mean for a piece to disappear, only to find the reflection of someone else\u27s work or body in its place? Is my craft rendered obsolete if all you want to do is take a funny selfie? Is my work unacknowledged if all you see is the sculpture across the room, in reverse? What happens when an object or installation is elevated and ignored within the same space

Survival of motor neurone protein is required for normal postnatal development of the spleen

Funding S.H.P. received an Anatomical Society PhD Studentship award for A.K.T. T.H.G. received an Anatomical Society PhD Studentship award for R.A.P. and funding from the SMA Trust (UK SMA Research Consortium), Euan MacDonald Centre for Motor Neurone Disease Research, and Muscular Dystrophy UK. K.J.S received funding for pathologic studies in human subjects from NICHD grant R01-HD054599.Peer reviewedPostprin

Positive Surgical Margins in the 10 Most Common Solid Cancers.

A positive surgical margin (PSM) following cancer resection oftentimes necessitates adjuvant treatments and carries significant financial and prognostic implications. We sought to compare PSM rates for the ten most common solid cancers in the United States, and to assess trends over time. Over 10 million patients were identified in the National Cancer Data Base from 1998-2012, and 6.5 million had surgical margin data. PSM rates were compared between two time periods, 1998-2002 and 2008-2012. PSM was positively correlated with tumor category and grade. Ovarian and prostate cancers had the highest PSM prevalence in women and men, respectively. The highest PSM rates for cancers affecting both genders were seen for oral cavity tumors. PSM rates for breast cancer and lung and bronchus cancer in both men and women declined over the study period. PSM increases were seen for bladder, colon and rectum, and kidney and renal pelvis cancers. This large-scale analysis appraises the magnitude of PSM in the United States in order to focus future efforts on improving oncologic surgical care with the goal of optimizing value and improving patient outcomes

Effectiveness of a community football programme on improving physiological markers of health in a hard-to-reach male population: the role of exercise intensity

© 2015 Taylor & Francis. The present study evaluated the effectiveness of participation in recreational football during a community health programme, on physiological markers of health within a hard to reach population. Nine men (Age: 33 ± 9 years, Mass: 75.4 ± 13.7 kg, Height: 1.74 ± 0.07 m and Body Fat: 19 ± 2%) were recruited to participate in the study in collaboration with an English Premier League Football Club. Participants completed the 12-week football-based programme which included two coached football sessions each week. Physiological tests for blood pressure, resting heart rate, cholesterol and an anthropometrical test for body composition were completed at three time points during the study (Weeks – 1, 6 and 12) in an attempt to evaluate the impact of the intervention on health. During each training session, measurements of intensity (%HRmax, identified from the yoyo intermittent level 1 test), duration and rating of perceived exertion were made. The 12-week programme (mean HRmax throughout programme = 75 ± 4% beats min−1; mean RPE throughout programme = 6 ± 1) elicited few changes in physiological markers of health with the only significant change been a decrease in resting heart rate from weeks 6 to 12 (87 ± 22 beats min−1 at week-6, to 72 ± 17 beats min−1; p < 0.05). These data would suggest that the current community football-related health project was not effective in improving physiological markers of health, but was able to maintain their level of health. A lack of improvement may be due to the low intensity of sessions and a lack of coach education for the promotion of sessions that aim to improve health

Patient/Family Education for Newly Diagnosed Pediatric Oncology Patients

There is a paucity of data to support evidence-based practices in the provision of patient/family education in the context of a new childhood cancer diagnosis. Since the majority of children with cancer are treated on pediatric oncology clinical trials, lack of effective patient/family education has the potential to negatively affect both patient and clinical trial outcomes. The Children’s Oncology Group Nursing Discipline convened an interprofessional expert panel from within and beyond pediatric oncology to review available and emerging evidence and develop expert consensus recommendations regarding harmonization of patient/family education practices for newly diagnosed pediatric oncology patients across institutions. Five broad principles, with associated recommendations, were identified by the panel, including recognition that (1) in pediatric oncology, patient/family education is family-centered; (2) a diagnosis of childhood cancer is overwhelming and the family needs time to process the diagnosis and develop a plan for managing ongoing life demands before they can successfully learn to care for the child; (3) patient/family education should be an interprofessional endeavor with 3 key areas of focus: (a) diagnosis/treatment, (b) psychosocial coping, and (c) care of the child; (4) patient/family education should occur across the continuum of care; and (5) a supportive environment is necessary to optimize learning. Dissemination and implementation of these recommendations will set the stage for future studies that aim to develop evidence to inform best practices, and ultimately to establish the standard of care for effective patient/family education in pediatric oncology

Advancing national climate change risk assessment to deliver national adaptation plans

A wide range of climate vulnerability and risk assessments have been implemented using different approaches at different scales, some with a broad multi-sectoral scope and others focused on single risks or sectors. This paper describes the novel approach to vulnerability and risk assessment which was designed and put into practice in the United Kingdom's Second Climate Change Risk Assessment (CCRA2) so as to build upon its earlier assessment (CCRA1). First, we summarize and critique the CCRA1 approach, and second describe the steps taken in the CCRA2 approach in detail, providing examples of how each was applied in practice. Novel elements of the approach include assessment of both present day and future vulnerability, a focus on the urgency of adaptation action, and a structure focused around systems of receptors rather than conventional sectors. Both stakeholders and reviewers generally regarded the approach as successful in providing advice on current risks and future opportunities to the UK from climate change, and the fulfilment of statutory duty. The need for a well-supported and open suite of impact indicators going forward is highlighted

A New Self-Report Measure of Self-Management of Type 1 Diabetes for Adolescents

The development of instruments to measure self-management in youth with type 1 diabetes has not kept up with current understanding of the concept

European Union crises and Irish public opinion: continuity and change in patterns of support

© 2019, © 2019 Political Studies Association of Ireland. Individuals in Ireland are among the most enthusiastic supporters of European integration since European Union (EU) accession in 1973, and are often labelled ‘good Europeans with a pro-integrationist attitude’. The 2008 financial crisis is regarded as a turning point in Ireland’s relationship with the EU as a result of the economic downturn and the widening of economic disparities experienced by individuals. Meanwhile, Brexit poses significant and specific challenges to Ireland and has the capacity to impact Irish attitudes towards the EU. Using a combination of Standard Eurobarometer data from 2007 to 2018 and a variety of opinion polling data, this paper examines how the economic crisis and Brexit have shaped Irish attitudes towards the EU

H α Emission and H ii Regions at the Locations of Recent Supernovae in Nearby Galaxies

We present a statistical analysis of the local, ≈50–100 pc scale, Hα emission at the locations of recent (≤125 yr) supernovae (SNe) in nearby star-forming galaxies. Our sample consists of 32 SNe in 10 galaxies that are targets of the PHANGS-MUSE survey. We find that 41% (13/32) of these SNe occur coincident with a previously identified H ii region. For comparison, H ii regions cover 32% of the area within ±1 kpc of any recent SN. Contrasting this local covering fraction with the fraction of SNe coincident with H ii regions, we find a statistical excess of 7.6% ± 8.7% of all SNe to be associated with H ii regions. This increases to an excess of 19.2% ± 10.4% when considering only core-collapse SNe (CCSNe). These estimates appear to be in good agreement with qualitative results from new, higher-resolution Hubble Space Telescope Hα imaging, which also suggests many CCSNe detonate near but not in H ii regions. Our results appear consistent with the expectation that only a modest fraction of stars explode during the first ≲5 Myr of the life of a stellar population when Hα emission is expected to be bright. Of the H ii region associated SNe, 85% (11/13) also have associated detected CO (2–1) emission, indicating the presence of molecular gas. The SNe associated with H ii regions have typical extinctions of A V ∼ 1 mag, consistent with a significant amount of pre-clearing of gas from the region before the SNe explode