The Homemaker-Home Health Aide

For the past several years, many social workers have utilized the services of various disciplines as members of interdisciplinary teams as one approach to practice. There is ample evidence that social workers are increasingly beginning to utilize the newly constructed service of the Homemaker-Home Health Aide (H/HHA) when working with various client populations.1 In the United States, there are approximately 74,000 H/HHAs who provide social welfare and health services to the aged, disabled, and chronically ill. 2 By 1985, there is a projected need for three times this number.

Introductory comments for the scientific ethics theme.

In this letter, the three Guest Editors for JMBE's first-ever themed section introduce the topic of scientific ethics and decribe the organization of essays within the special section.\u

Hearing Characteristics and Doppler Shift Compensation in South Indian CF-FM Bats

1. Echolocation pulses, Doppler shift compensation behaviour under laboratory conditions and frequency response characteristics of hearing were recorded inRhinolophus rouxi, Hipposideros speoris andHipposideros bicolor. 2. The frequencies of the constant frequency portions of the CF-FM pulses lie at about 82.8 kHz forR. rouxi from Mahabaleshwar, at 85.2 kHz forR. rouxi from Mysore. Hipposiderid bats have considerably higher frequencies at 135 kHz inH. speoris and 154.5 kHz inH. bicolor. The mean sound durations were 50 ms, 6.4 ms and 4.7 ms, respectively. 3. R. rouxi compensates for Doppler shifts in a range up to typically 4 kHz of positive Doppler shifts (Fig. 2). The Doppler shift compensation behaviour is almost identical to that ofR. ferrumequinum. 4. H. speoris andH. bicolor do not compensate for Doppler shifts under laboratory conditions. Doppler shifts in the echoes induce emission frequency changes which are not correlated to the presented Doppler shifts (Fig. 3). 5. The frequency response characteristics of hearing ofR. rouxi show characteristic sensitivity changes near the bat's reference frequency as also found inR. ferrumequinum. The threshold differences between the low threshold at the reference frequency and a few hundred Hz below are 40 to 50 dB in awake bats (Fig. 5). 6. Frequency sensitivity changes near the emitted CF-frequency of the bats are less pronounced inH. speoris or almost absent inH. bicolor

7‑hydroxymitragynine is an active metabolite of mitragynine and a key mediator of its analgesic effects

Mitragynina speciosa, more commonly known as kratom, is a plant native to Southeast Asia, the leaves of which have been used traditionally as a stimulant, analgesic, and treatment for opioid addiction. Recently, growing use of the plant in the United States and concerns that kratom represents an uncontrolled drug with potential abuse liability, have highlighted the need for more careful study of its pharmacological activity. The major active alkaloid found in kratom, mitragynine, has been reported to have opioid agonist and analgesic activity in vitro and in animal models, consistent with the purported effects of kratom leaf in humans. However, preliminary research has provided some evidence that mitragynine and related compounds may act as atypical opioid agonists, inducing therapeutic effects such as analgesia, while limiting the negative side effects typical of classical opioids. Here we report evidence that an active metabolite plays an important role in mediating the analgesic effects of mitragynine. We find that mitragynine is converted in vitro in both mouse and human liver preparations to the much more potent mu-opioid receptor agonist 7-hydroxymitragynine, and that this conversion is mediated by cytochrome P450 3A isoforms. Further, we show that 7-hydroxymitragynine is formed from mitragynine in mice and that brain concentrations of this metabolite are sufficient to explain most or all of the opioid-receptor-mediated analgesic activity of mitragynine. At the same time, mitragynine is found in the brains of mice at very high concentrations relative to its opioid receptor binding affinity, suggesting that it does not directly activate opioid receptors. The results presented here provide a metabolism-dependent mechanism for the analgesic effects of mitragynine and clarify the importance of route of administration for determining the activity of this compound. Further, they raise important questions about the interpretation of existing data on mitragynine and highlight critical areas for further research in animals and humans.</p

Collicular Responses to the Frequency Modulated Final Part of Echolocation Sounds in Rhinolophusferrum equinum

Collicular evoked potentials in Rhinolophus ferrum equinum show very prominent responses to the final frequency modulated part of a acoustic stimulus, simulating the natural echolocation sound

Immunohistochemical localization of fibronectin as a tool for the age determination of human skin wounds

We analyzed the distribution of fibronectin in routinely embedded tissue specimens from 53 skin wounds and 6 postmortem wounds. In postmortem wounds a faint but focal positive staining was exclusively found at the margin of the specimens which dit not extend into the adjacent stroma. Vital wounds were classified into 3 groups. The first comprising lesions with wound ages ranging from a few seconds to 30 min, the second comprising those with wound ages upt to 3 weeks, and the third group with lesions more than 3 weeks old. Ten out of 17 lesions with a wound age up to 30 min showed a clear positive reaction within the wound area. Three specimens in this group were completely negative, while in 4 additional cases the result was not significantly different from postmortem lesions. These 7 cases were characterized by acute death with extremely short survival times (only seconds). In wounds up to 3 weeks old fibronectin formed a distinct network containing an increasing number of inflammatory cells corresponding to the wound age. In 2 cases with a survival time of 17 days and in all wounds older than 3 weeks fibronectin was restricted to the surface of fibroblasts and to parallel arranged fibers in the granulation tissue without any network structures. We present evidence that fibronectin is a useful marker for vital wounds with a survival time of more than a few minutes. Fibronectin appears before neutrophilic granulocytes migrate into the wound area. Since a faint positive fibronectin staining is seen in postmortem lesions and bleedings, we propose that only those wounds which show strong positive fibronectin staining also extending into the adjacent stroma should be regarded as vital

Rotational Stocking with Virtual Fences: Effects on Grassland Diet Digestibility, Livestock Performance and Stress Levels of Heifers

Virtual fencing is an innovative technology for simplified, less laborious dynamic grazing management and remote animal monitoring. The effect of this novel technology on animal welfare is still a matter of debate. Previous research suggests no differences in stress experience responses of cattle between the two fencing systems on continuously stocked pastures. This study investigated differences in diet organic matter digestibility, livestock performance and fecal cortisol metabolite concentrations of heifers on pastures in a rotational grazing system, fenced with a virtual fence (Nofence, Batnfjordsøra Norway) compared to heifers fenced with a traditional electric wire fence. The study was conducted in 8 weeks from July to September 2021 using 32 heifers divided into four groups allocated to the two fencing systems (two replicates). The experimental pasture of each group was subdivided into four paddocks for rotational grazing. Fecal samples were collected the first day and last day on pasture of each rotation period. Grassland herbage samples were taken by hand plucking pre- and post-grazing and analyzed using near infrared reflectance spectroscopy. Heifers were weighed prior to and after each rotation. The results suggest that no differences occur between the two fencing treatments with respect to diet digestibility, livestock performance or stress level, pointing at no trade-off to livestock performance or animal welfare when using virtual fencing

Localization of tenascin in human skin wounds

A total of 56 surgically treated human skin wounds with a wound age between 8h and 7 months were investigated. Tenascin was visualized by immunohistochemistry and appeared first in the wound area pericellularly around fibroblastic cells approximately 2 days after wounding. A network-like interstitial positive staining pattern was first detectable in 3-day-old skin wounds. In all wounds with an age of 5 days or more, intensive reactivity for tenascin could be observed in the lesional area (dermal-epidermal junction, wound edge, areas of bleeding). In wounds with an age of more than approximately 1.5 months no positive staining occurred in the scar tissue. In conclusion, for forensic purposes, positive staining for tenascin restricted to the pericellular area of fibroblastic cells indicates a wound age of at least 2 days. Network-like structures appear after approximately 3 days or more. Since tenascin seems to be regularly detectable in skin wounds older than 5 days, the lack of a positive reaction in a sufficient number of specimens indicates a wound age of less than 5 days. The lack of a positive reaction in the granulation tissue of wounds with advanced wound age indicates a survival time of more than about 1.5 months, but a positive staining in older wounds cannot be excluded