100 research outputs found

    Gender and Identity in Rural Maine Women and The Maine Farmer, 1870-1875

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    The article reviews the history and impact of, and response to, the Women\u27s Department section of The Maine Farmer periodical

    Diffuse degassing at Longonot volcano, Kenya: implications for CO2 flux in continental rifts

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    Magma movement, fault structures and hydrothermal systems influence volatile emissions at rift volcanoes. Longonot is a Quaternary caldera volcano located in the southern Kenyan Rift, where regional extension controls recent shallow magma ascent. Here we report the results of a soil carbon dioxide (CO2) survey in the vicinity of Longonot volcano, as well as fumarolic gas compositions and carbon isotope data. The total non-biogenic CO2 degassing is estimated at < 300 kg d− 1, and is largely controlled by crater faults and fractures close to the summit. Thus, recent volcanic structures, rather than regional tectonics, control fluid pathways and degassing. Fumarolic gases are characterised by a narrow range in carbon isotope ratios (δ13C), from − 4.7‰ to − 6.4‰ (vs. PDB) suggesting a magmatic origin with minor contributions from biogenic CO2. Comparison with other degassing measurements in the East African Rift shows that records of historical eruptions or unrest do not correspond directly to the magnitude of CO2 flux from volcanic centres, which may instead reflect the current size and characteristics of the subsurface magma reservoir. Interestingly, the integrated CO2 flux from faulted rift basins is reported to be an order of magnitude higher than that from any of the volcanic centres for which CO2 surveys have so far been reporte

    Mini-AFTERc: a controlled pilot trial of a nurse-led psychological intervention for fear of breast cancer recurrence

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    Funding: The study was funded by the Chief Scientist Ofce (CSO), which is part of the Scottish Government Health Directorates (reference: HIPS/17/57).Objectives   To determine the feasibility and acceptability of implementing the Mini-AFTERc intervention. Design   Non-randomised cluster-controlled pilot trial. Setting  Four NHS out-patient breast cancer centres in Scotland. Participants  Ninety-two women who had successfully completed primary treatment for breast cancer were screened for moderate levels of fear of cancer recurrence (FCR). Forty-five were eligible (17 intervention and 28 control) and 34 completed 3-month follow-up (15 intervention and 21 control). Intervention   Mini-AFTERc, a single brief (30 min) structured telephone discussion with a specialist breast cancer nurse (SBCN) trained to target the antecedents of FCR. Outcomes   Feasibility and acceptability of Mini-AFTERc and the study design were assessed via recruitment, consent, retention rates, patient outcomes (measured at baseline, 2, 4, and 12 weeks), and post-study interviews with participants and SBCNs, which were guided by Normalisation Process Theory. Results   Mini-AFTERc was acceptable to patients and SBCNs. SBCNs believe the implementation of Mini-AFTERc to be feasible and an extension of discussions that already happen routinely. SBCNs believe delivery, however, at the scale required would be challenging given current competing demands for their time. Recruitment was impacted by variability in the follow-up practices of cancer centres and COVID-19 lockdown. Consent and follow-up procedures worked well, and retention rates were high. Conclusions   The study provided invaluable information about the potential challenges and solutions for testing the Mini-AFTERc intervention more widely where limiting high FCR levels is an important goal following recovery from primary breast cancer treatment.Publisher PDFPeer reviewe

    Age-appropriate services for people diagnosed with young onset dementia (YOD): a systematic review.

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    BACKGROUND: Literature agrees that post-diagnostic services for people living with young onset dementia (YOD) need to be age-appropriate, but there is insufficient evidence of 'what works' to inform service design and delivery. OBJECTIVE: To provide an evidence base of age-appropriate services and to review the perceived effectiveness of current interventions. METHODS: We undertook a systematic review including all types of research relating to interventions for YOD. We searched PubMed, CINHAL Plus, SCOPUS, EBSCO Host EJS, Social Care Online and Google Scholar, hand-searched journals and carried out lateral searches (July-October 2016). Included papers were synthesised qualitatively. Primary studies were critically appraised. RESULTS: Twenty articles (peer-reviewed [n = 10], descriptive accounts [n = 10]) discussing 195 participants (persons diagnosed with YOD [n = 94], caregivers [n = 91] and other [n = 10]) were identified for inclusion. Services enabled people with YOD to remain living at home for longer. However, service continuity was compromised by short-term project-based commissioning and ad-hoc service delivery. CONCLUSION: The evidence on the experience of living with YOD is not matched by research and the innovation needed to mitigate the impact of YOD. The inclusion of people with YOD and their caregivers in service design is critical when planning support in order to delay institutional care

    Social capital theory: a cross-cutting analytic for teacher/therapist work in integrating children's services?

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    Reviewing relevant policy, this article argues that the current 'integration interlude' is concerned with reformation of work relations to create new forms of 'social capital'. The conceptual framework of social capital has been used by government policy-makers and academic researchers to examine different types, configurations and qualities of relationships, including professional relations, and how these may function as resources. Focusing on the co-work of teachers and speech and language therapists, this analysis introduces social capital as a means of understanding the impact of integrating children's services on professional practitioner groups and across agencies. Social capital theory is compared to alternative theoretical perspectives such as systems and discourse theories and explored as an analytic offering a multi-level typology and conceptual framework for understanding the effects of policy and governance on interprofessional working and relationships. A previous application of social capital theory in a literature review is introduced and analysed, and instances of the additionality provided by a social capital analysis is offered. The article concludes that amongst the effects of current policy to re-design children's services are the reconstruction of professionals' knowledge/s and practices, so it is essential that such policy processes that have complex and far-reaching effects are transparent and coherent. It is also important that new social capital relations in children's services are produced by groups representative of all involved, importantly including those practitioner groups charged in policy to work differently together in future integrated services

    Tourist Photographers and the Promotion of Travel: the Polytechnic Touring Association, 1888–1939

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    The Polytechnic Touring Association (PTA) was a London-based, originally philanthropic turned commercial travel firm whose historical origins coincided with the arrival of the Kodak camera in 1888 – thus, of popular (tourist) photography. This article examines the PTA’s changing relationship with tourist photographers, and how this influenced the company’s understanding of what role photography could play in promoting the tours, in the late nineteenth and early twenty century. This inquiry is advanced on the basis of the observation that, during this time, the PTA’s passage from viewing tourists as citizens to educate, to customers to please, paralleled the move from using photography-based images to mixed media. Such a development was certainly a response to unprecedented market demands; this article argues that it should also be considered in relation to the widening of photographic perceptions engendered by the democratization of the medium, to which the PTA responded, first as educator, then as service provider. In doing so, the article raises several questions about the shifting relationship between “high”, or established, and “low”, or emerging, forms of culture, as mass photography and the mass marketing of tourism developed

    YK-4-279 Inhibits ERG and ETV1 Mediated Prostate Cancer Cell Invasion

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    Background: Genomic rearrangements involving the ETS family of transcription factors occur in 40–70 % of prostate cancer cases. ERG and ETV1 are the most common ETS members observed in these genetic alterations. The high prevalence of these rearrangements and their biological significance represents a novel therapeutic target for the treatment of prostate cancer. Methods and Findings: We recently reported the development of YK-4-279, a small molecule inhibitor of EWS-FLI1 oncoprotein in Ewing’s Sarcoma. Since ERG and ETV1 belong to the same class of ETS factors as FLI1, we tested the ability of YK-4-279 to inhibit biological functions of ERG and ETV1 proteins in prostate cancer. YK-4-279 inhibited ERG and ETV1 mediated transcriptional activity in a luciferase assay. YK-4-279 also decreased ERG and ETV1 downstream target mRNA and protein expression in ETV1-fusion positive LNCaP and ERG fusion positive VCaP cells. YK-4-279 reduced the motility of LNCaP cells in a scratch assay and the invasive phenotype of both LNCaP and VCaP cells in a HUVEC invasion assay. Fusion-negative PC3 cells were unresponsive to YK-4-279. SiRNA mediated ERG knockdown in VCaP cells resulted in a loss of drug responsiveness. Concurrently, transient ERG expression in PC-3 cells resulted in increased invasive potential, which was reduced by YK-4-279. Conclusion: These data demonstrate that YK-4-279 inhibits ERG and ETV1 biological activity in fusion-positive prostat

    Progress in authority management of people names for collections

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    The concept of building a network of relationships between entities, a knowledge graph, is one of the most effective methods to understand the relations between data. By organizing data, we facilitate the discovery of complex patterns not otherwise evident in the raw data. Each datum at the nodes of a knowledge graph needs a persistent identifier (PID) to reference it unambiguously. In the biodiversity knowledge graph, people are key elements (Page 2016). They collect and identify specimens, they publish, observe, work with each other and they name organisms. Yet biodiversity informatics has been slow to adopt PIDs for people and people are currently represented in collection management systems as text strings in various formats. These text strings often do not separate individuals within a collecting team and little biographical information is collected to disambiguate collectors. In March 2019 we organised an international workshop to find solutions to the problem of PIDs for people in collections with the aim of identifying people unambiguously across the world's natural history collections in all of their various roles. Stakeholders were represented from 11 countries, representing libraries, collections, publishers, developers and name registers. We want to identify people for many reasons. Cross-validation of information about a specimen with biographical information on the specimen can be used to clean data. Mapping specimens from individual collectors across multiple herbaria can geolocate specimens accurately. By linking literature to specimens through their authors and collectors we can create collaboration networks leading to a much better understanding of the scientific contribution of collectors and their institutions. For taxonomists, it will be easier to identify nomenclatural type and syntype material, essential for reliable typification. Overall, it will mean that geographically dispersed specimens can be treated much more like a single distributed infrastructure of specimens as is envisaged in the European Distributed Systems of Scientific Collections Infrastructure (DiSSCo). There are several person identifier systems in use. For example, the Virtual International Authority File (VIAF) is a widely used system for published authors. The International Standard Name Identifier (ISNI), has broader scope and incorporates VIAF. The ORCID identifier system provides self-registration of living researchers. Also, Wikidata has identifiers of people, which have the advantage of being easy to add to and correct. There are also national systems, such as the French and German authority files, and considerable sharing of identifiers, particularly on Wikidata. This creates an integrated network of identifiers that could act as a brokerage system. Attendees agreed that no one identifier system should be recommended, however, some are more appropriate for particular circumstances. Some difficulties have still to be resolved to use those identifier schemes for biodiversity : 1) duplicate entries in the same identifier system; 2) handling collector teams and preserving the order of collectors; 3) how we integrate identifiers with standards such as Darwin Core, ABCD and in the Global Biodiversity Information Facility; and 4) many living and dead collectors are only known from their specimens and so they may not pass notability standards required by many authority systems. The participants of the workshop are now working on a number of fronts to make progress on the adoption of PIDs for people in collections. This includes extending pilots that have already been trialed, working with identifier systems to make them more suitable for specimen collectors and talking to service providers to encourage them to use ORCID iDs to identify their users. It was concluded that resolving the problem of person identifiers for collections is largely not a lack of a solution, but a need to implement solutions that already exist

    A programme theory for liaison mental health services in England

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    Background: Mechanisms by which liaison mental health services (LMHS) may bring about improved patient and organisational outcomes are poorly understood. A small number of logic models have been developed, but they fail to capture the complexity of clinical practice. Method: We synthesised data from a variety of sources including a large national survey, 73 in-depth interviews with acute and liaison staff working in hospitals with different types of liaison mental health services, and relevant local, national and international literature. We generated logic models for two common performance indicators used to assess organisational outcomes for LMHS: response times in the emergency department and hospital length of stay for people with mental health problems. Results: We identified 8 areas of complexity that influence performance, and 6 trade-offs which drove the models in different directions depending upon the balance of the trade-off. The logic models we developed could only be captured by consideration of more than one pass through the system, the complexity in which they operated, and the trade-offs that occurred. Conclusions: Our findings are important for commissioners of liaison services. Reliance on simple target setting may result in services that are unbalanced and not patient-centred. Targets need to be reviewed on a regular basis, together with other data that reflect the wider impact of the service, and any external changes in the system that affect the performance of LMHS, which are beyond their control

    The relationship between maximal left ventricular wall thickness and sudden cardiac death in childhood onset hypertrophic cardiomyopathy

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    Background: Maximal left ventricular wall thickness (MLVWT) is a risk factor for sudden cardiac death (SCD) in hypertrophic cardiomyopathy (HCM). In adults, the severity of left ventricular hypertrophy has a nonlinear relationship with SCD, but it is not known whether the same complex relationship is seen in childhood. The aim of this study was to describe the relationship between left ventricular hypertrophy and SCD risk in a large international pediatric HCM cohort. Methods: The study cohort comprised 1075 children (mean age, 10.2 years [±4.4]) diagnosed with HCM (1–16 years) from the International Paediatric Hypertrophic Cardiomyopathy Consortium. Anonymized, noninvasive clinical data were collected from baseline evaluation and follow-up, and 5-year estimated SCD risk was calculated (HCM Risk-Kids). Results: MLVWT Z score was <10 in 598 (58.1%), ≥10 to <20 in 334 (31.1%), and ≥20 in 143 (13.3%). Higher MLVWT Z scores were associated with heart failure symptoms, unexplained syncope, left ventricular outflow tract obstruction, left atrial dilatation, and nonsustained ventricular tachycardia. One hundred twenty-two patients (71.3%) with MLVWT Z score ≥20 had coexisting risk factors for SCD. Over a median follow-up of 4.9 years (interquartile range, 2.3–9.3), 115 (10.7%) had an SCD event. Freedom from SCD event at 5 years for those with MLVWT Z scores <10, ≥10 to <20, and ≥20 was 95.6%, 87.4%, and 86.0, respectively. The estimated SCD risk at 5 years had a nonlinear, inverted U-shaped relationship with MLVWT Z score, peaking at Z score +23. The presence of coexisting risk factors had a summative effect on risk. Conclusions: In children with HCM, an inverted U-shaped relationship exists between left ventricular hypertrophy and estimated SCD risk. The presence of additional risk factors has a summative effect on risk. While MLVWT is important for risk stratification, it should not be used either as a binary variable or in isolation to guide implantable cardioverter defibrillator implantation decisions in children with HCM
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