Developing parental understanding of learning disabled children

The purposes for this research paper are two-fold. First, to survey the most significant literature which describes specific counseling methods that can be utilized by professionals to develop parental understanding of their learning disabled child. (Counseling methods will be divided into two categories, individual guidance and group discussion.) The second purpose of the present research is to describe various home management and remedial techniques for the parents

Improving the management of severe acute malnutrition in an area of high HIV prevalence.

AIM: To assess the clinical outcomes of a combined approach to the treatment of severe acute malnutrition in an area of high HIV prevalence using: (i) an initial inpatient phase, based on WHO guidelines and (ii) an outpatient recovery phase using ready-to-use therapeutic food. METHODS: An operational prospective cohort study implemented in a referral hospital in Southern Malawi between May 2003 and 2004. Patient outcomes were compared with international standards and with audits carried out during the year preceding the study. RESULTS: Inpatient mortality was 18% compared to 29% the previous year. Programme recovery rate was 58.1% compared to 45% the previous year. The overall programme mortality rate was 25.7%. Of the total known HIV seropositive children, 49.5% died. CONCLUSIONS: Inpatient mortality and cure rates improved compared to pre-study data but the overall mortality rate did not meet international standards. Additional interventions will be needed if these standards are to be achieved

Age-related biomarkers can be modulated by diet in the rat

This study seeks to establish the normal serum concentrations of biochemical markers related to nutrition, inflammation and disease, and to investigate how the levels change with age and diet in the rat. To this end, we fed rats from weaning on three diets differing in their protein, carbohydrate and fatty acid content. The diets consisted of a control, nutritionally balanced diet, this same diet supplemented with 10% (wt/wt) beef tallow, and a diet that was high in fat and carbohydrate and low in protein. Blood samples from rats at two different ages, 3 months and 12 months, were then analysed. In control rats, with advancing age there was a general decrease in potassium, iron and serum albumin concentrations and in the activities of aspartate aminotransferase and alanine aminotransferase, and an increase in total and HDL cholesterol. These changes were modulated by diet: many of the age-related changes (serum concentrations of potassium, iron and cholesterol, and liver enzyme activities) were not observed in animals eating the high fat diet. In contrast, the high carbohydrate, high fat, low protein diet-fed animals showed several additional changes (serum concentrations of sodium, urea, creatinine and TG, and activity of alkaline phosphatase) that can be related to kidney, liver and cardiovascular health

Social prescribing programmes to prevent or delay frailty in community-dwelling older adults

The increasing incidence of frailty is a health and social care challenge. Social prescription is advocated as an important approach to allow health professionals to link patients with sources of support in the community. This study aimed to determine the current evidence on the effectiveness of social prescribing programmes to delay or reduce frailty in frail older adults living in the community. A systematic literature review of published (DARE, Cochrane Database of Systematic Reviews, MEDLINE, EMBASE, CINAHL, NICE and SCIE, NHS Economic Evaluation Database) and unpublished databases (OpenGrey; WHO Clinical Trial Registry; ClinicalTrials.gov) were searched to July 2019. Studies were eligible if they reported health, social or economic outcomes on social prescribing, community referral, referral schemes, wellbeing programmes or interventions when a non-health link worker was the intervention provider to people who are frail living in the community. 1079 unique studies were screened for eligibility. No papers were eligible. There is therefore a paucity of evidence reporting the effectiveness of social prescribing programmes for frail older adults living in the community. Given that frailty is a clinical priority and social prescribing is considered a key future direction in the provision of community care, this is a major limitation

Galaxy and mass assembly (GAMA): End of survey report and data release 2

The Galaxy And Mass Assembly (GAMA) survey is one of the largest contemporary spectroscopic surveys of lowredshift galaxies. Covering an area of ~286 deg2 (split among five survey regions) down to a limiting magnitude of r < 19.8 mag, we have collected spectra and reliable redshifts for 238 000 objects using the AAOmega spectrograph on the Anglo-Australian Telescope. In addition, we have assembled imaging data from a number of independent surveys in order to generate photometry spanning the wavelength range 1 nm-1 m. Here, we report on the recently completed spectroscopic survey and present a series of diagnostics to assess its final state and the quality of the redshift data. We also describe a number of survey aspects and procedures, or updates thereof, including changes to the input catalogue, redshifting and re-redshifting, and the derivation of ultraviolet, optical and near-infrared photometry. Finally, we present the second public release ofGAMAdata. In this release, we provide input catalogue and targeting information, spectra, redshifts, ultraviolet, optical and near-infrared photometry, single-component Śersic fits, stellar masses, Hα-derived star formation rates, environment information, and group properties for all galaxies with r < 19.0 mag in two of our survey regions, and for all galaxies with r < 19.4 mag in a third region (72 225 objects in total). The data base serving these data is available at http://www.gama-survey.org/

The shape of the dark matter halo in the early-type galaxy NGC 2974

We present HI observations of the elliptical galaxy NGC 2974, obtained with the Very Large Array. These observations reveal that the previously detected HI disc in this galaxy (Kim et al. 1988) is in fact a ring. By studying the harmonic expansion of the velocity field along the ring, we constrain the elongation of the halo and find that the underlying gravitational potential is consistent with an axisymmetric shape. We construct mass models of NGC 2974 by combining the HI rotation curve with the central kinematics of the ionised gas, obtained with the integral-field spectrograph SAURON. We introduce a new way of correcting the observed velocities of the ionised gas for asymmetric drift, and hereby disentangle the random motions of the gas caused by gravitational interaction from those caused by turbulence. To reproduce the observed flat rotation curve of the HI gas, we need to include a dark halo in our mass models. A pseudo-isothermal sphere provides the best model to fit our data, but we also tested an NFW halo and Modified Newtonian Dynamics (MOND), which fit the data marginally worse. The mass-to-light ratio M/L_I increases in NGC 2974 from 4.3 (M/L_I)sun at one effective radius to 8.5 (M/L_I)sun at 5 Re. This increase of M/L already suggests the presence of dark matter: we find that within 5 Re at least 55 per cent of the total mass is dark.Comment: 17 pages, 20 figures, accepted by MNRA