The Kindest Cut of All

Spaying and neutering young kittens and puppie

The Kindest Cut of All

Spaying and neutering young kittens and puppie

Factors Influencing the Decision to Transfer as Perceived by Students Currently Enrolled in a Four -Year University Who Have Transferred From Another Four -Year University.

The purpose of this study is to identify and describe selected perceptual, academic, and personal demographic characteristics of transfer students that transfer from four-year to four-year institutions to facilitate implementation of policies, intervention procedures for retention, and recruitment. The population was students currently enrolled in one public funded, Carnegie Class Masters-II, four-year university in the southern region of the United States who have transferred from another four-year institution within the previous year. Data for the study was collected as part of a two-stage process, and includes both primary and secondary information. Primary data collection was the information provided by the respondents to the questions listed on the Transfer Student Survey. Secondary data was obtained from the official records of the university student information system and served as a source for verification of academic and demographic information. The demographic findings described the respondents as 69.2% female; a majority were single (55.8%); had a sophomore classification status; a reported educational level of fathers was 51.2% with no college; expected to earn a bachelor or post graduate degree in their lifetime (75%); had little or no campus involvement; and had an annual income of less than $19,999. The respondents perceived Quality of Instruction the most important factor a university could provide and Quality of Academic Programs at the highest perceived rated educational service provided by their prior and current institution. Discriminant analysis was used to identify a model that explained 19.4% of the variance of the factors affecting whether a student will transfer. In addition, the model correctly classified 80.8% of the cases. The researcher recommended that student development professionals, administrations, and state agencies enhance their effort to better understand the perceived quality of instruction and academic programs. It is recommended that the admission application serve as an identification tool for targeting potential transfer students for intervention purposes. Further research is recommended to replicate and expand this study to include testing of the classification model. And finally, further research is recommended to determine whether these finds are generalizable to other college/university settings

Severe mandibular osteomyelitis and exfoliation of a mandibular canine tooth in a vietnamese potbellied pig

∙Preventative care of miniature companion pigs should include regular oral examinations and incorporate routine tusk maintenance. ∙Severe dental disease can lead to significant sequelae, including osteomyelitis leading to loss of mandibular structural integrity. ∙Diagnostic imaging is a useful tool for assessment of dental disease in miniature companion pigs

Patient Perspective on the Value of Genetic Counselling for Familial Pancreas Cancer

<p>Abstract</p> <p>Purpose</p> <p>To assess patient views regarding the value of genetic counselling for familial pancreas cancer in the absence of predictive genetic testing.</p> <p>Patients and methods</p> <p>At-risk adults with three or more relatives with pancreas cancer received genetic counselling prior to research screening via endoscopic ultrasound. Questionnaires were mailed after the visit to assess perceived value of the counselling session.</p> <p>Results</p> <p>Ninety-three percent of respondents felt genetic counselling for pancreas cancer was helpful despite the lack of a causative gene, while only 7% felt that it should not be offered until such a gene is discovered. Over half of respondents believed the pancreas cancer in their family was caused by a gene mutation, and 42% thought they had inherited the mutation. The average perceived lifetime risk of developing pancreas cancer was 51%, and 87% of respondents would ultimately seek predictive genetic testing. When more information is gained, 89% would be interested in another genetic counselling session, and 82% would recommend current genetic counselling for pancreas cancer to a friend or relative with a family history of the disease.</p> <p>Conclusion</p> <p>Despite the lack of an identified major causative gene for pancreas cancer, respondents found genetic counselling for this malignancy to be helpful. These patients perceive their personal cancer risk to be high, and would seek predictive genetic testing if it were available. Referral for genetic counselling should be offered to appropriate individuals.</p

AUF1/hnRNP D Represses Expression of VEGF in Macrophages

Vascular endothelial growth factor (VEGF) is a regulator of vascularization in development and is a key growth factor in tissue repair. In disease, VEGF contributes to vascularization of solid tumors and arthritic joints. This study examines the role of the mRNA-binding protein AUF1/heterogeneous nuclear ribonucleoprotein D (AUF1) in VEGF gene expression. We show that overexpression of AUF1 in mouse macrophage-like RAW-264.7 cells suppresses endogenous VEGF protein levels. To study 3′ untranslated region (UTR)–mediated regulation, we introduced the 3′ UTR of VEGF mRNA into a luciferase reporter gene. Coexpression of AUF1 represses VEGF-3′ UTR reporter expression in RAW-264.7 cells and in mouse bone marrow–derived macrophages. The C-terminus of AUF1 contains arginine–glycine–glycine (RGG) repeat motifs that are dimethylated. Deletion of the RGG domain of AUF1 eliminated the repressive effects of AUF1. Surprisingly, expression of an AUF1-RGG peptide reduced endogenous VEGF protein levels and repressed VEGF-3′ UTR reporter activity in RAW-264.7 cells. These findings demonstrate that AUF1 regulates VEGF expression, and this study identifies an RGG peptide that suppresses VEGF gene expression

Whose Preferences Matter? A Patient-Centered Approach for Eliciting Treatment Goals

BACKGROUND: Patients facing a high-stakes clinical decision are often confronted with an overwhelming array of options. High-quality decisions about treatment should reflect patients\u27 preferences as well as their clinical characteristics. Preference-assessment instruments typically focus on pre-selected clinical outcomes and attributes chosen by the investigator. OBJECTIVE: We sought to develop a patient-centered approach to elicit and compare the treatment goals of patients with multiple sclerosis (MS) and healthcare providers (HCPs). METHODS: We conducted five nominal group technique (NGT) meetings to elicit and prioritize treatment goals from patients and HCPs. Five to nine participants in each group responded silently to one question about their treatment goals. Responses were shared, consolidated, and ranked to develop a prioritized list for each group. The ranked lists were combined. Goals were rated and sorted into categories. Multidimensional scaling and hierarchical cluster analysis were used to derive a visual representation, or cognitive map, of the data and to identify conceptual clusters, reflecting how frequently items were sorted into the same category. RESULTS: Five NGT groups yielded 34 unique patient-generated treatment goals and 31 unique HCP-generated goals. There were differences between patients and HCPs in the goals generated and how they were clustered. Patients\u27 goals tended to focus on the impact of specific symptoms on their day-to-day lives, whereas providers\u27 goals focused on slowing down the course of disease progression. CONCLUSIONS: Differences between the treatment goals of patients and HCPs underscore the limitations of using HCP- or investigator-identified goals. This new adaptation of cognitive mapping is a patient-centered approach that can be used to generate and organize the outcomes and attributes for values clarification exercises while minimizing investigator bias and maximizing relevance to patients

Effect of Three Cueing Devices for People with Parkinson’s disease with Gait Initiation Difficulties

Background: Freezing of gait (FOG) remains one of the most common debilitating aspects of Parkinson’s disease and has been linked to injuries, falls and reduced quality of life. Although commercially available portable cueing devices exist claiming to assist with overcoming freezing; their immediate effectiveness in overcoming gait initiation failure currently unknown. This study investigated the effects of three different types of cueing device in people with Parkinson’s disease who experience freezing. Methods: Twenty participants with idiopathic Parkinson’s disease who experienced freezing during gait but who were able to walk short distances indoors independently were recruited. At least three attempts at gait initiation were recorded using a ten camera Qualisys motion analysis system and four force platforms. Test conditions were: laser cane, sound metronome, vibrating metronome, walking stick and no intervention. Results: During testing 12 of the 20 participants had freezing episodes, from these participants 100 freezing and 91 non-freezing trials were recorded. Clear differences in the movement patterns were seen between freezing and non-freezing episodes. The laser cane was most effective cueing device at improving the forwards/backwards and side to side movement and had the least number of freezing episodes. The walking stick also showed significant improvements compared to the other conditions. The vibration metronome appeared to disrupt movement compared to the sound metronome at the same beat frequency. Conclusion: This study identified differences in the movement patterns between freezing episodes and non-freezing episodes, and identified immediate improvements during gait initiation when using the laser cane over the other interventions