Management of Antenatal Pelvic Girdle Pain (MAPS): A double blinded, randomised trial evaluating the effectiveness of two pelvic orthoses

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Ventricular Tachycardia Precipitated by Short-long-short Sequence in a Patient with Implantable-cardioverter Defibrillator

Abrupt changes in heart rate, particularly short-long-short sequences in the ventricular cycle length (CL), might precede initiation of ventricular tachycardia/fibrillation (VT/VF). These changes may be facilitated or caused by pacing activity in patients with pacemakers or implantable-cardioverter defibrillators (ICDs). We describe a patient with two episodes of acquired VT precipitated by short-long-short sequences and diagnosed from the ICD recordings. In such cases, the knowledge of the device parameters is extremely important for a correct diagnosis and management

Non-Suicidal Self-Injury and Suicidal Behaviour in Children and Adolescents Accessing Residential or Intensive Home-Based Mental Health Services

Objective: There is a dearth of Canadian research with clinical samples of youth who self-harm, and no studies could be located on self-harm in children and youth accessing residential or intensive home-based treatment. The purposes of this report were to explore the proportion and characteristics of children and youth identified as self-harming at admission by clinicians compared to youth not identified as self-harming, compare self-harming children to adolescents, and to compare caregiver ratings of self-harm at intake to clinician ratings at admission. Method: This report was developed from a larger longitudinal, observational study involving 210 children and youth accessing residential and home-based treatment and their caregivers in partnership with five mental health treatment centres in southwestern Ontario. Agency data were gleaned from files, and caregivers reported on symptom severity at 12 to 18 months and 36 to 40 months post-discharge. Results: Fifty-seven (34%) children and youth were identified as self-harming at admission. The mean age was 11.57 (SD 2.75). There were statistically significant differences on symptom severity at intake between those identified as self-harming and those not so identified; most of these differences were no longer present at follow up. Children were reported to have higher severity of conduct disorder symptoms than adolescents at intake, and there was some consistency between caregiver-rated and clinician-rated self-harm. Children were reported to engage in a wide range of self-harming behaviours. Conclusion: These findings suggest that youth who were identified as self-harming at admission have elevated scores of symptom severity, self-harm can occur in young children and while many improve, there remains a concern for several children and youth who did not improve by the end of service. Children engage in some of the same types of self-harm behaviours as adolescents, and they also engage in behaviours unique to children

Mechanisms Regulating the Association of Protein Phosphatase 1 with Spinophilin and Neurabin

Protein phosphorylation is a key mediator of signal transduction, allowing for dynamic regulation of substrate activity. Whereas protein kinases obtain substrate specificity by targeting specific amino acid sequences, serine/threonine phosphatase catalytic subunits are much more promiscuous in their ability to dephosphorylate substrates. To obtain substrate specificity, serine/threonine phosphatases utilize targeting proteins to regulate phosphatase subcellular localization and catalytic activity. Spinophilin and its homologue neurabin are two of the most abundant dendritic spine-localized protein phosphatase 1 (PP1) targeting proteins. The association between spinophilin and PP1 is increased in the striatum of animal models of Parkinson's disease (PD). However, mechanisms that regulate the association of spinophilin and neurabin with PP1 are unclear. Here, we report that the association between spinophilin and PP1α or PP1γ1 was increased by CDK5 expression and activation in a heterologous cell system. This increased association is at least partially due to phosphorylation of PP1. Conversely, CDK5 expression and activation decreased the association of PP1 with neurabin. As with dopamine depletion, methamphetamine (METH) abuse causes persistent alterations in dopamine signaling which influence striatal medium spiny neuron function and biochemistry. Moreover, both METH toxicity and dopamine depletion are associated with deficits in motor control and motor learning. Pathologically, we observed a decreased association of spinophilin with PP1 in rat striatum evaluated one month following a binge METH paradigm. Behaviorally, we found that loss of spinophilin recapitulates rotarod pathology previously observed in dopamine-depleted and METH-treated animals. Together, these data have implications in multiple disease states associated with altered dopamine signaling such as PD and psychostimulant drug abuse and delineate a novel mechanism by which PP1 interactions with spinophilin and neurabin may be differentially regulated

The association of spinophilin with disks large-associated protein 3 (SAPAP3) is regulated by metabotropic glutamate receptor (mGluR) 5

Spinophilin is the most abundant protein phosphatase 1 targeting protein in the postsynaptic density of dendritic spines. Spinophilin associates with myriad synaptic proteins to regulate normal synaptic communication; however, the full complement of spinophilin interacting proteins and mechanisms regulating spinophilin interactions are unclear. Here we validate an association between spinophilin and the scaffolding protein, disks large-associated protein 3 (SAP90/PSD-95 associated protein 3; SAPAP3). Loss of SAPAP3 leads to obsessive-compulsive disorder (OCD)-like behaviors due to alterations in metabotropic glutamate receptor (mGluR) signaling. Here we report that spinophilin associates with SAPAP3 in the brain and in a heterologous cell system. Moreover, we have found that expression or activation of group I mGluRs along with activation of the mGluR-dependent kinase, protein kinase C β, enhances this interaction. Functionally, global loss of spinophilin attenuates amphetamine-induced hyperlocomotion, a striatal behavior associated with dopamine dysregulation and OCD. Together, these data delineate a novel link between mGluR signaling, spinophilin, and SAPAP3 in striatal pathophysiology

Implementation Support Improves Outcomes of a Fluency-Based Mathematics Strategy: A Cluster-Randomized Controlled Trial

The Say-All-Fast-Minute-Every-Day-Shuffled (SAFMEDS) strategy promotes fast and accurate recall. The existing literature suggests that the strategy can help learners improve academic outcomes. Through a cluster randomized controlled trial, we assessed the impact of implementation support on children’s mathematics outcomes during a teacher-led SAFMEDS intervention. Following training and prior to baseline assessments, we randomly allocated schools to receive either no (n = 31) or ongoing (n = 33) support from a researcher. Support consisted of three in-situ visits and email contact. Assessors remained blind to the condition of the schools throughout. We analyzed the outcomes of children (nSupport = 294, nNoSupport = 281) using a multi-level mixed-effects model; accounting for the children nested within schools. The results suggest that implementation support has a small effect on children’s fluency of arithmetic facts (Mathematics Fluency and Calculation Tests (MFaCTs): Grades 1–2, d = 0.23, 95% CI: 0.06–0.40; MFaCTs: Grades 3–5, d = 0.25, 95% CI: 0.08–0.42). These results are larger than the average effect sizes reported within professional development literature that apply coaching elements to mathematics programs

Using big data to improve ecotype matching for Magnolias in urban forestry

Trees play major roles in many aspects of urban life, supporting ecosystems, regulating temperature and soil hydrology, and even affecting human health. At the scale of the urban forest, the qualities of these individual trees become powerful tools for mitigating the effects of, and adapting to climate change and for this reason attempts to select the right tree for the right place has been a long-term research field. To date, most urban forestry practitioners rely upon specialist horticultural texts (the heuristic literature) to inform species selection whilst the majority of research is grounded in trait-based investigations into plant physiology (the experimental literature). However, both of these literature types have shortcomings: the experimental literature only addresses a small proportion of the plants that practitioners might be interested in whilst the data in the heuristic (obtained through practice) literature tends to be either too general or inconsistent. To overcome these problems we used big datasets of species distribution and climate (which we term the observational literature) in a case study genus to examine the climatic niches that species occupy in their natural range. We found that contrary to reports in the heuristic literature, Magnolia species vary significantly in their climatic adaptations, occupying specific niches that are constrained by trade-offs between water availability and energy. The results show that not only is ecotype matching between naturally-distributed populations and urban environments possible but that it may be more powerful and faster than traditional research. We anticipate that our findings could be used to rapidly screen the world’s woody flora and rapidly communicate evidence to nurseries and plant specifiers. Furthermore this research improves the potential for urban forests to contribute to global environmental challenges such as species migration and ex-situ conservation

‘An incredibly vile sport’: campaigns against otter hunting in Britain, 1900–39

Otter hunting was a minor field sport in Britain but in the early years of the twentieth century a lively campaign to ban it was orchestrated by several individuals and anti-hunting societies. The sport became increasingly popular in the late nineteenth century and the Edwardian period. This paper examines the arguments and methods used in different anti-otter hunting campaigns 1900–1939 by organisations such as the Humanitarian League, the League for the Prohibition of Cruel Sports and the National Association for the Abolition of Cruel Sports