1,295 research outputs found

    A grounded theory of the experience of destitution among people seeking asylum in the UK

    Get PDF
    Children and young people’s right to participate in the decisions made about them is enshrined in national and international Acts and Charters: the Children Act 1989 and the UN Convention on the Rights of the Child 1999. This right takes on particular importance for Looked After Children and Young People, a frequently excluded group, as it concerns major decisions about their lives. This study sought to explore the views of 10 young people between the ages of 16 and 19 in looked after care on decision making in review and planning meetings. A critical realist grounded theory was deemed to be the most appropriate methodology for the research, partly because it allowed interviews and research directions to be led by the participants. Interviews and analyses yielded interesting and novel results but also reflected many themes that have been found in previous research. The core category generated by the research was the ongoing process of Pushing and Decision Making. The main categories that comprise that core category were: Becoming Active and Involved, Wanting more than just ‘Good Enough’, Making Oneself Heard and Coming of Age in the Care System. The core and four main categories are discussed with reference to other research into participation and decision making, and in terms of the young people getting their needs met within the context of the care system and corporate parenting

    Atypical APC/C-dependent degradation of Mcl-1 provides an apoptotic timer during mitotic arrest

    Get PDF
    The initiation of apoptosis in response to the disruption of mitosis provides surveillance against chromosome instability. Here, we show that proteolytic destruction of the key regulator Mcl-1 during an extended mitosis requires the anaphase-promoting complex or cyclosome (APC/C) and is independent of another ubiquitin E3 ligase, SCF Using live-cell imaging, we show that the loss of Mcl-1 during mitosis is dependent on a D box motif found in other APC/C substrates, while an isoleucine-arginine (IR) C-terminal tail regulates the manner in which Mcl-1 engages with the APC/C, converting Mcl-1 from a Cdc20-dependent and checkpoint-controlled substrate to one that is degraded independently of checkpoint strength. This mechanism ensures a relatively slow but steady rate of Mcl-1 degradation during mitosis and avoids its catastrophic destruction when the mitotic checkpoint is satisfied, providing an apoptotic timer that can distinguish a prolonged mitotic delay from normal mitosis. Importantly, we also show that inhibition of Cdc20 promotes mitotic cell death more effectively than loss of APC/C activity through differential effects on Mcl-1 degradation, providing an improved strategy to kill cancer cells

    Obstructive pancreatolithiasis in a cat with triaditis and concurrent hypercalcaemia.

    Get PDF
    CASE SUMMARY: A 7-year-old neutered female domestic longhair cat was presented for further investigation of suspected hepatobiliary disease. Increases in serum 1,2-o-dilauryl-rac-glycero-3-glutaric acid-(6'-methylresorufin) ester lipase and hepatobiliary enzymes, with concurrent hypoalbuminaemia, were documented on blood biochemistry. Abdominal ultrasonography findings were consistent with acute pancreatitis with multiple pancreatoliths visualised within the pancreatic duct. Treatment for suspected triaditis was initiated with a hydrolysed protein diet, amoxicillin-clavulanate, hepatoprotectants and buprenorphine. Fifty-three days later, the patient presented with hypercalcaemia and obstructive pancreatolithiasis, and was euthanased. Post-mortem examination revealed severe chronic active pancreatitis with moderate chronic lymphocytic, plasmacytic cholangiohepatitis and mild chronic lymphocytic-plasmacytic duodenal enteritis (triaditis). Multiple calcium carbonate pancreatoliths present within the pancreatic ducts had resulted in pancreatic duct obstruction. RELEVANCE AND NOVEL INFORMATION: Pancreatolithiasis is a very rare condition in cats, with only five reports to date. In human medicine, pancreatolithiasis is often a sequala to chronic pancreatitis, seen in up to 50-90% of patients. However, in cats the aetiology of pancreatolithiasis, and indeed chronic pancreatitis, is poorly understood. This report describes a case of obstructive pancreatolithiasis in a cat with histopathological confirmation of triaditis and is the first report of hypercalcaemia in a cat with obstructive pancreatolithiasis. This further adds to the evidence base that pancreatolithiasis may have a similar pathogenesis to humans and can develop secondarily to chronic pancreatitis in cats

    Doctors are inconsistent in estimating survival after CPR and are not using such predictions consistently in determining DNACPR decisions

    Get PDF
    Background: It is unclear whether doctors base their resuscitation decisions solely on their perceived outcome. Through the use of theoretical scenarios, we aimed to examine the ‘do not attempt cardiopulmonary resuscitation’ (DNACPR) decision-making. Methods: A questionnaire survey was sent to consultants and specialty trainees across two Norfolk (UK) hospitals during December 2013. The survey included demographic questions and six clinical scenarios with varying prognosis. Participants were asked if they would resuscitate the patient or not. Identical scenarios were then shown in a different order and doctors were asked to quantify patients’ estimated chance of survival. Results: A total of 137 individuals (mean age 41 years (SD 7.9%)) responded. The response rate was 69%. Approximately 60% were consultants. We found considerable variation in clinician estimates of median chance of survival. In three out of six of our scenarios, the survival estimated varied from <1% to 95%. There was a statistically significant difference identified in the estimated median survival between those clinicians who would or would not resuscitate in four of the six scenarios presented. Conclusion: This study has highlighted the wide variation between clinicians in their estimates of likely survival and little concordance between clinicians over their resuscitation decisions. The diversity in clinician decision-making should be explored further

    Testosterone and social behavior

    Get PDF
    &quot;Testosterone poisoning,&quot; now part of the language, is a popular explanation for excessive &quot;manly&quot; behaviors such as boasting, violence and pugnaciousness. Middle-aged and older men think sagging libido and fatigue stem from their declining testosterone. In fact, there is little empirical support for these popular assertions. We cannot say that they are all false because research literature is not conclusive. But it is already clear that there is no simple one-to-one relationship between testosterone and machoism or aggressiveness or sexuality (Mazur and Booth 1998). It seems wiser to view testosterone as one component in a confluence of interacting physiological, psychological and social influences that affect behavior. The focus of this research is variables of interest to sociologists. Gaining, maintaining and losing status is a theme found in a great deal of sociological research. Many testosterone studies have focused on status change under the rubric of competition. Sociologists who focus on deviance and social integration will be interested in testosterone studies that focus on problem behavior, and the nature and quality of peer and family relations. Those who work in the area of health and social behavior will find studies of testosterone&apos;s link to depression. Those who study gendered behavior will be interested in the differences and symmetries in the links between testosterone and social behavior for males and females. Finally, sociologists will be interested to learn that the social environment has a key role in defining testosterone-behavioral links. This article is dedicated to the memory of James M. Dabbs, a pioneer in the fi eld of testosterone research who greatly enriched our knowledge methodologically and substantively
    corecore