Raising Awareness of Domestic Violence through the Application of Social Empathy to Game Design

Consisting of a game prototype Hannah: A Friend in Need and an accompanying exegesis, this research explores the application of Segal’s (2006; 2011) social empathy theory to game design to strengthen support networks for victim-survivors of domestic violence (DV). Informed by academic research, narrative and game design elements inspired by Segal’s (2006; 2011) work were implemented in the narrative and interactive elements of the game to raise awareness of DV and promote empathy for victim-survivors

Sustaining the Medical Home: How PROMETHEUS Payment Can Revitalize Primary Care

Argues for reforming the current fee-for-service payment system on the PROMETHEUS model of budgeting for a comprehensive episode of care for a condition. Analyzes the implications for a sustainable patient-centered medical home model of care delivery

Offspring ADHD as a risk factor for parental marital problems: Controls for genetic and environmental confounds

Background: Previous studies have found that child attention-deficit/hyperactivity disorder (ADHD) is associated with more parental marital problems. However, the reasons for this association are unclear. The association might be due to genetic or environmental confounds that contribute to both marital problems and ADHD. Method: Data were drawn from the Australian Twin Registry, including 1,296 individual twins, their spouses, and offspring. We studied adult twins who were discordant for offspring ADHD. Using a discordant twin pairs design, we examined the extent to which genetic and environmental confounds, as well as measured parental and offspring characteristics, explain the ADHD-marital problems association. Results: Offspring ADHD predicted parental divorce and marital conflict. The associations were also robust when comparing differentially exposed identical twins to control for unmeasured genetic and environmental factors, when controlling for measured maternal and paternal psychopathology, when restricting the sample based on timing of parental divorce and ADHD onset, and when controlling for other forms of offspring psychopathology. Each of these controls rules out alternative explanations for the association. Conclusion: The results of the current study converge with those of prior research in suggesting that factors directly associated with offspring ADHD increase parental marital problems

Upper limb rehabilitation in facioscapulohumeral dystrophy (FSHD): a patients perspective

Purpose: The study aims to identify exercise programmes used by Facioscapulohumeral dystrophy (FSHD) patients in the community, along with barriers and perceptions. Methods: A web based survey, distributed to patients on the UK FSHD registry, and focus groups were conducted. Thematic analysis was conducted on answers to survey questions supported by focus group notes, from seven FSHD patients. Results: A response rate of 43.6% was achieved with 232 out of 532 patients completing the survey. Only 44.4% engaged with exercises targeting the upper body. The themes from the data were: 1) Understanding of disease mechanism shaping exercise choice 2) Lack of understanding about the condition and how exercise interacts with it 3) Support from professionals 4) Barriers to exercise and 5) Thoughts about future research. Conclusion: Exercise selection was variable amongst FSHD patients. Lack of information, pain, fatigue, availability and access to facilities, cost and time were identified as barriers to exercise. Participants (92.2%) agreed additional research into upper limb exercises is needed and felt a 3-month arm cycling intervention with monthly clinical visits and MRI imaging would be appropriate. Further research is needed to develop evidence based exercise interventions and guidance for upper limb exercise prescription in FSHD.</jats:p

Upper Limb Rehabilitation in Facioscapulohumeral Muscular Dystrophy: A Patients' Perspective.

ObjectiveTo identify (1) what exercise modalities people living with facioscapulohumeral muscular dystrophy (FSHD) are undertaking in the community as a part of their ongoing rehabilitation and (2) what future research projects would gain the support of people with FSHD.DesignAn online questionnaire composed of open and closed questions. Conventional content analysis was used for open questions, and quantitative analysis was used for closed questions.SettingOnline questionnaire distributed to a United Kingdom FSHD registry.ParticipantsA total of 232 patients on the United Kingdom FSHD registry (N=232).InterventionsNone.Main outcome measuresNone.ResultsA response rate of 43.6% was achieved with 232 of 532 patients completing the survey. Despite 85.8% (n=199) of patients experiencing shoulder instability that affects daily living, only 44.4% (n=103) engaged with exercises targeting the upper body. The themes from the data were understanding of disease mechanism shaping exercise choice, lack of understanding about the condition and the benefit of exercise, support from professionals, barriers to exercise, and thoughts about future research. Participants (92.2%, n=214) agreed additional research into upper limb exercises is needed and felt a 3-month arm cycling intervention with monthly clinical visits and magnetic resonance imaging would be appropriate.ConclusionsExercise selection was variable among patients with FSHD, and lack of information, pain, fatigue, availability and access to facilities, cost, and time were identified as barriers to exercise. This may account for the limited engagement with upper limb rehabilitation despite the high percentage of shoulder instability in patients with FSHD. Further research is needed to develop evidence-based exercise interventions, and guidance for upper limb exercise prescription in FSHD, and patients are supportive of this

Investigating the global dispersal of chickens in prehistory using ancient mitochondrial dna signatures

Data from morphology, linguistics, history, and archaeology have all been used to trace the dispersal of chickens from Asian domestication centers to their current global distribution. Each provides a unique perspective which can aid in the reconstruction of prehistory. This study expands on previous investigations by adding a temporal component from ancient DNA and, in some cases, direct dating of bones of individual chickens from a variety of sites in Europe, the Pacific, and the Americas. The results from the ancient DNA analyses of forty-eight archaeologically derived chicken bones provide support for archaeological hypotheses about the prehistoric human transport of chickens. Haplogroup E mtDNA signatures have been amplified from directly dated samples originating in Europe at 1000 B.P. and in the Pacific at 3000 B.P. indicating multiple prehistoric dispersals from a single Asian centre. These two dispersal pathways converged in the Americas where chickens were introduced both by Polynesians and later by Europeans. The results of this study also highlight the inappropriate application of the small stretch of D-loop, traditionally amplified for use in phylogenetic studies, to understanding discrete episodes of chicken translocation in the past. The results of this study lead to the proposal of four hypotheses which will require further scrutiny and rigorous future testingExcavations in Fais by MI were made possible by a Grant-in-Aid for Scientific Research from the Japan Society for the Promotion of Science. DB gratefully acknowledges support from the Marsden Fund, and the Allan Wilson Centre for Molecular Ecology and Evolution. During the course of this research AS was supported by a Postgraduate Scholarship from the University of Auckland and a Fellowship from the Allan Wilson Centre for Molecular Ecology and Evolutio

É permitido proibir: a práxis sonora da pacificação

O artigo reflete sobre os impactos da implantação das assim chamadas Unidades de Polí­cia Pacificadora (UPPs) em áreas favelizadas da cidade do Rio de Janeiro e, em particular, sobre práticas e eventos musicais e públicos aos mesmos relacionados, em um conjunto especí­fico de favelas, a Maré. Para tal, entrecruza a análise de bibliografia selecionada e os resultados de pesquisas de campo junto a MCs, DJs e produtores de eventos, antes e depois do iní­cio da ocupação militar da Maré, com vistas à implantação de UPPs na região. Conclui-se que, seguindo tendências imemoriais de clientelismo e assistencialismo que encobrem padrões de autoritarismo, alienação e extermí­nio de setores percebidos como vulneráveis a uma sociedade desigual, as referidas polí­ticas públicas reproduzem ou reforçam estereótipos culturais associados às classes perigosas e abrem caminho a "leis" de exceção em torno de práticas musicais, solapando fundamentos básicos a um Estado democrático e de direitos

Serum IL-33, a new marker predicting response to rituximab in rheumatoid arthritis

Background. Recent works have suggested a possible link between IL-33 and B-cell biology. We aimed to study in different cohorts and with an accurate ELISA assay the possible association between serum IL-33 detection and response to rituximab (RTX) in rheumatoid arthritis (RA) patients. Method. Serum IL-33, rheumatoid factor (RF), anti-citrullinated cyclic peptide antibodies (anti-CCP), high serum IgG level were assessed in 111 RA patients receiving a first course of 2 grams RTX (cohort 1) in an observational study and in 74 RA patients treated with the same schedule in routine care (cohort 2). Uni and multivariate analyzes identified factors associated with a European League Against Rheumatism response at 24 weeks. Results. At week 24, 84/111 (76%) and 54/74 (73%) patients reached EULAR response in the cohorts 1 and 2, respectively. Serum IL-33 was detectable in only 33,5% of the patients. In the combined cohorts, presence of RF or anti-CCP (OR 3.27, 95%CI [1.13-9.46]; p=0.03), high serum IgG (OR 2.32, 95%CI [1.01-5.33]; p=0.048) and detectable serum IL-33 (OR 2.40, 95%CI [1.01-5.72]; p=0.047) were all associated with RTX response in multivariate analysis. Combination of these 3 factors increased the likelihood to response to RTX. When serum IL-33 detection was added to seropositivity and serum IgG level, 100% of the patients with the 3 risk factors (corresponding to 9% of the population) responded to RTX (OR versus patients with none of the 3 risk factors = 29.61; 95% CI [1.30-674.79] p=0.034) Conclusion. Detectable serum IL-33 may predict clinical response to RTX, independently of and synergistically with autoantibodies and serum IgG level