26 research outputs found

    Increasing Innovation-driven Entrepreneurship in Scotland through Collective Impact

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    In Scotland we have an opportunity to redefine ourselves as a nation of dynamic and high achieving entrepreneurs, targeting global market opportunities, using innovation as a key driver of sales growth, making a significant contribution to the creation of employment and wealt

    Terapia de exposición narrativa en línea para padres de niños con discapacidades del neurodesarrollo que padecen de síntomas de estrés postraumático : Protocolo de estudio de un ensayo clínico aleatorizado

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    BackgroundParents of children with intellectual and neurodevelopmental disorders (IDD) often experience traumatic events in the care of their children. This leads to comparatively high numbers of mental health problems such as posttraumatic stress disorder (PTSD) in those parents. Intervention approaches for parents of children with IDD are scarce and many parents remain without support.ObjectiveThis study aims to test the feasibility and efficacy of online Narrative Exposure Therapy (eNET) with parents of children with IDD.MethodsThe study follows a randomized waitlist-control design. eNET is an exposure-based PTSD intervention and includes 8–12 90-minute sessions. All sessions will be conducted via video calls with trained paraprofessionals. We aim to include 50 parents, approximately 25 in the immediate intervention group and 25 in the waitlist group. Waitlist participants will receive the same intervention after a three-month wait period. All participants need to either fulfill full or subclinical PTSD symptoms according to DSM-5. Feasibility and efficacy of the intervention will be measured with pre, post, and 2 and 6 months follow-up surveys focusing on PTSD symptoms. Secondary outcomes include other health-related outcomes such as physical symptoms, depression symptoms, anxiety symptoms and functionality.ConclusionsThe proposed study allows us to test the feasibility and efficacy of eNET in a sample of parents of children with IDD. There are so far no published studies on the evidence of eNET; this study is one of the first randomized controlled trials investigating the feasibility and efficacy of eNET and therefore will have implications on further research and practice.publishe

    A Descriptive Analysis of Overviews of Reviews Published between 2000 and 2011

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    <div><h3>Background</h3><p>Overviews of systematic reviews compile data from multiple systematic reviews (SRs) and are a new method of evidence synthesis.</p> <h3>Objectives</h3><p>To describe the methodological approaches in overviews of interventions.</p> <h3>Design</h3><p>Descriptive study.</p> <h3>Methods</h3><p>We searched 4 databases from 2000 to July 2011; we handsearched <em>Evidence-based Child Health: A Cochrane Review Journal</em>. We defined an overview as a study that: stated a clear objective; examined an intervention; used explicit methods to identify SRs; collected and synthesized outcome data from the SRs; and intended to include only SRs. We did not restrict inclusion by population characteristics (e.g., adult or children only). Two researchers independently screened studies and applied eligibility criteria. One researcher extracted data with verification by a second. We conducted a descriptive analysis.</p> <h3>Results</h3><p>From 2,245 citations, 75 overviews were included. The number of overviews increased from 1 in 2000 to 14 in 2010. The interventions were pharmacological (n = 20, 26.7%), non-pharmacological (n = 26, 34.7%), or both (n = 29, 38.7%). Inclusion criteria were clearly stated in 65 overviews. Thirty-three (44%) overviews searched at least 2 databases. The majority reported the years and databases searched (n = 46, 61%), and provided key words (n = 58, 77%). Thirty-nine (52%) overviews included Cochrane SRs only. Two reviewers independently screened and completed full text review in 29 overviews (39%). <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0049667#s2">Methods</a> of data extraction were reported in 45 (60%). Information on quality of individual studies was extracted from the original SRs in 27 (36%) overviews. Quality assessment of the SRs was performed in 28 (37%) overviews; at least 9 different tools were used. Quality of the body of evidence was assessed in 13 (17%) overviews. Most overviews provided a narrative or descriptive analysis of the included SRs. One overview conducted indirect analyses and the other conducted mixed treatment comparisons. Publication bias was discussed in 18 (24%) overviews.</p> <h3>Conclusions</h3><p>This study shows considerable variation in the methods used for overviews. There is a need for methodological rigor and consistency in overviews, as well as empirical evidence to support the methods employed.</p> </div

    Number of overviews published by year, 2000–2010*.

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    <p>*2011 was not included in the figure as the full year was not captured (search completed July 2011).</p

    Flow of studies through the screening and selection process.

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    <p>Flow of studies through the screening and selection process.</p

    Development of an Interleukin-12-Deficient Mouse Model That Is Permissive for Colonization by a Motile KE26695 Strain of Helicobacter pylori

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    The identification of genes associated with colonization and persistence of Helicobacter pylori in the gastric mucosa has been limited by the lack of robust animal models that support infection by strains whose genomes have been completely sequenced. Here we report that an interleukin-12 (IL-12)-deficient mouse (IL-12(−/−) p40 subunit knockout in C57BL/6 mouse) is permissive for infection by a motile variant (KE88-3887) of The Institute For Genomic Research-sequenced strain (KE26695) of H. pylori. The IL-12-deficient mouse was also more permissive for colonization by the mouse-colonizing Sydney 1 strain of H. pylori than were wild-type C57BL/6 mice. Differences in colonization efficiency were demonstrated by mouse challenge with SS1 strains containing loss-of-function mutations in two genes (hspR and hrcA), whose products negatively regulate several heat shock genes. At 5 weeks postinfection, double-knockout mutants (SS1 hspR hrcA) efficiently colonized IL-12-deficient mice (5 of 5 animals compared to 4 of 10 for C57BL6 mice) and bacterial counts were higher in stomachs of IL-12-deficient mice (10(6) versus 10(5) CFU/g of stomach, respectively). IL-12-deficient mice were efficiently colonized by KE88-3887 (29 of 30), but not by nonmotile KE26695, and bacterial numbers (10(4) to 10(5) CFU/g of stomach) were unchanged over an 8-week period postinfection. In contrast, C57BL/6 mice were inefficiently colonized by KE88-3887 (8 of 20 animals with bacterial loads at the limit of detection, ∼10(3) CFU/g), and infection did not persist much beyond 5 weeks. Cytokine responses (tumor necrosis factor alpha and gamma interferon), pathology, and antral-predominant infection were indistinguishable between IL-12-deficient and C57BL/6 mice. The increased permissiveness of the IL-12-deficient mouse for infection with H. pylori should facilitate whole-genome-based strategies to study genes associated with virulence and immune modulation

    Conversations about Vertical Schools in Australia

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    The aim of this discussion paper is to engage with current commentary on vertical schools as a basis for provoking further thought and conversation around the distinctive possibilities afforded architecturally and educationally by the ‘verticalness’ of vertical schools. This document is based on a scoping review of literature to identify what conversations are already occurring about vertical schools. It found very little published peer reviewed literature specifically examining vertical schools, while media reporting was facilitating public awareness and raising a range of issues. The Thriving in Vertical Schools, Australian Research Council Linkage grant project pays specific attention to the relationship between vertical schools and student capability and wellbeing. Together with partners in the project, this discussion paper proposes questions worth investigating, to inform and extend evidence-based design and educational leadership in vertical schools
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