Recruiting Volunteers for New Horizons\u27 Apprenticeship Program for Homeless Young Adults

Introduction New Horizons is a Seattle-based organization focused on meeting the basic needs of homeless young adults ages 18-25 through food, shelter, clothing, health clinics, and social work appointments. To help their clients achieve a sustainable lifestyle, New Horizons addresses the most challenging obstacles including job and house hunting through an innovative apprenticeship program through their café, Street Bean Coffee Roasters. Clients can learn skills transferable to other careers, including barista basics, work experience, and networking. Our project is to help New Horizons find volunteers or employees for their apprenticeship program. In finding volunteers or employees for the café, we are providing professional training and networking opportunities for the apprentices so when the apprenticeship program is completed, the participants have job experience for their resume and connections to assist in their job search. In addition to recruiting staff for the café, we are also building a connection between New Horizons and Seattle Pacific University’s (SPU) volunteer groups in hopes of providing more volunteer opportunities and creating a quarterly volunteer event. Background Homelessness is a local and national crisis, disproportionately affecting Black, Native American, Hispanic, and LGBTQ populations (Huffman et al., 2021). According to the National Conference of State Legislators (NSCL, 2022), an estimated 4.2 million youth and young adults experience homelessness each year. Of these, about 700,000 are unaccompanied minors, meaning they are not part of a family or accompanied by a parent or guardian. In Seattle, the homeless population has risen exponentially. According to New Horizons (2018), “The number of unstably housed persons in King County has steadily risen by roughly 20% each year for the past three years”; over 1,500 youth in King County are affected by homelessness. The barriers the homeless youth encounter can be divided into four groups: domestic, health, bureaucratic, and social support (Huffman et al., 2021). Issues identified within these categories include maintaining personal hygiene, inability to find and receive proper medical treatment, education and employment gaps, criminal records, and limited support from potential employers. These issues are multifactorial, overlapping and intersecting on multiple planes, “mutually reinforcing the structures undergirding work and home” (Huffman et al., 2021), creating the ‘scaffolded city’ phenomenon the homeless population lives within. A survey conducted to analyze the needs insecurity among Florida college students identified extensive support programs as essential to the inclusion of students traditionally excluded by higher education via remediation, transfer, vocational training, and contract education (Nix et al., 2021). New Horizons confronts most of these challenges by providing an abundance of holistic resources for the homeless youths of Seattle. Although there is a lot known about the social inequities that the homeless youth population face, there is not much information regarding sustainable resources to transition off the streets and become included in the socioeconomic world. A quasi-experimental longitudinal study aimed to assess the feasibility of improving socioeconomic inclusion outcomes by supporting identity capital in youths who struggled to shake the identity of homelessness (Thulien et al., 2021). Identity capital includes fostering hope, focusing on personal strengths, and improving self-esteem. Most notably, many participants expressed gratitude for the normalization of strategies and skills they learned, framing them as something one needs (Thulien et al., 2021). These findings suggest that targeting identity capital is feasible and may be a promising approach to incorporate into a more complex intervention that includes housing, education, and employment resources to help youth transition out of homelessness. New Horizons offers an apprenticeship program through Street Bean Coffee that gives a chance to gain work experience and skills, but also provides networking opportunities and higher chances of long-term employment. Activities with Rationale To support the community of New Horizons our group has developed flyers with QR codes and other deliverables to help find adequate staffing, volunteers, and providing supplies. The QR codes itself has direct links to their amazon wish list, donation needs, volunteer page, street bean coffee roaster barista position. With these codes people can access their website to not just look for a job position but it provides awareness to a community in need of support. We also were able to connect New Horizons with SPU’s volunteer programs Latreia an Urban Involvement. Our group provided resources and points of contact to the coordinator of these SPU volunteer programs in hopes the relationship between New Horizons and SPU would strengthen. This connection allows for there to be volunteer events to better assist and help serve the community. Outcomes We had short term goals of providing for the population of New Horizons through creation of resources so that they can utilize them to cater to their needs and New Horizons will receive student volunteers from Latreia before March 9th 2022. Our long-term goals were to have the homeless youth population located around New Horizons gain more knowledge regarding resources that are available to them, such as job opportunities via Street Bean Coffee Roasters within 3 months and have New Horizons obtain a consistent flow of volunteers and resources via collaboration with SPU\u27s Urban Involvement, quarterly. These short term goals were both met while the long term goals are still in progress. Evaluation The utilization of mixed methods, both qualitative and quantitative data, proves to help evaluate the success of our interventions more efficiently (Abilgaard et al., 2016). The qualitative data analyzed was whether the barista position was filled and whether SPU’s volunteer programs formed a connection with New Horizons. After the initiation of our interventions, there was the removal of the job application on New Horizons website, the barista position filled, and Latreia partnering with New Horizons where a group of SPU volunteers painting their garage to be used as a blank canvas for young adults to do graffiti artwork. These outcomes display evidence of an effective relationship between SPU’s volunteering programs and New Horizons and our goals being met. The quantitative data analyzed was the number of people that attended the Latreia event and how many people scanned the flyer QR codes. Ten volunteers attended the event compared to their average range of 10-15 people that regularly attend their events. Data collected from the QR code tracking website suggested that 34 people scanned the QR code for the barista position, 28 people scanned the QR code for New Horizon’s Amazon wish list, and 27 people scanned the QR code for the volunteering page. These evaluations proved that the SPU community interacted with the flyers and were successful in bringing attention to New Horizons’ needs. Conclusion To help New Horizons and the community they serve we were able to help them form long term relationships that will continue on when we leave. By creating this relationship with SPU volunteer programs and access to a new barista, New Horizons can better serve the population of homeless youth through job training and acts of service. With the aid of our interventions bringing awareness to New Horizons by various means, we were able to engage with their culture to help change their world. Limitations of Research There are limitations to our project and research. Due to the COVID-19 pandemic, there is a limited amount of recent national and local research and statistics available to analyze and collect around homelessness (NSCL, 2022). Due to social distancing and isolation precautions, surveys and data collection cannot be completed or are very limited (NSCL, 2022). The small sample size or cross-sectional instead of longitudinal methods can limit a study. Diversity in age groups and selected sample size may not represent the total population (Thulien et al., 2021). Different geographic locations or urban vs rural areas may affect the availability of resources, programs, or tactics utilized based on the prevalence of the homeless population. In Nix et al. (2021), the inadequacy of faculty and staff training was evident in varied faculty and staff awareness of basic need opportunities. For future interview-based studies such as Huffman et al. (2021), training young adults who have experience being homeless to conduct the interviews may mediate socioeconomic differences between interviewers and interviewees, allowing for more fully open reflection, trust, and nuanced interpretation. Shared experiences between the interviewers and interviewees may also demonstrate effectiveness of apprenticeship programs for homeless youths while providing a supportive role model who has transitioned from their homeless identity into a successfully employed individual with professional networking connections. References Abildgaard, J., Saksvik, P., & Nielsen, K. (2016). How to measure the intervention process: An assessment of qualitative and quantitative approaches to data collection in the process evaluation of organizational interventions. Frontiers in Psychology, 7, Article 1380. https://doi.org/10.3389/fpsyg.2016.01380 Huffman, T., Leier, C., Generous. M., Hinrichs, M., & Brenneman, L. (2021). Climbing the ‘scaffolded city’: Tactics used by homeless young adults to navigate employment barriers. Journal of Applied Communication Research, 49(2), 148-167. https://doi.org/10.1080/00909882.2020.1839119 National Conference of State Legislatures. (2022). Youth homelessness overview. National Conference of State Legislatures. https://www.ncsl.org/research/human-services/homeless-and-runaway-youth.aspx New Horizons. (2018). About: Youth homelessness. New Horizons. https://nhmin.org/youth-homelessness-seattle/ Nix, A., Bertrand Jones, T., Daniels, H., Hu, P., & Hu, S. (2021). “There’s so much that we’re doing”: How Florida college system institutions address basic needs insecurity among students. Community College Review, 1, 1-20. https://doi.org/10.1177/00915521211047674 Thulien, N., Wang, A., Mathewson, C., Wang, R., & Hwang, S. (2021). Tackling exclusion: A pilot mixed method quasi-experimental identity capital intervention for young people exiting homelessness. PLoS ONE, 16(8), 1-19. https://doi.org/10.1371/journal.pone.025628

Making new genetic diagnoses with old data:iterative reanalysis and reporting from genome-wide data in 1,133 families with developmental disorders

Purpose Given the rapid pace of discovery in rare disease genomics, it is likely that improvements in diagnostic yield can be made by systematically reanalyzing previously generated genomic sequence data in light of new knowledge. Methods We tested this hypothesis in the United Kingdom–wide Deciphering Developmental Disorders study, where in 2014 we reported a diagnostic yield of 27% through whole-exome sequencing of 1,133 children with severe developmental disorders and their parents. We reanalyzed existing data using improved variant calling methodologies, novel variant detection algorithms, updated variant annotation, evidence-based filtering strategies, and newly discovered disease-associated genes. Results We are now able to diagnose an additional 182 individuals, taking our overall diagnostic yield to 454/1,133 (40%), and another 43 (4%) have a finding of uncertain clinical significance. The majority of these new diagnoses are due to novel developmental disorder–associated genes discovered since our original publication. Conclusion This study highlights the importance of coupling large-scale research with clinical practice, and of discussing the possibility of iterative reanalysis and recontact with patients and health professionals at an early stage. We estimate that implementing parent–offspring whole-exome sequencing as a first-line diagnostic test for developmental disorders would diagnose >50% of patients.</p

Wiring of Photosystem II to Hydrogenase for Photoelectrochemical Water Splitting.

In natural photosynthesis, light is used for the production of chemical energy carriers to fuel biological activity. The re-engineering of natural photosynthetic pathways can provide inspiration for sustainable fuel production and insights for understanding the process itself. Here, we employ a semiartificial approach to study photobiological water splitting via a pathway unavailable to nature: the direct coupling of the water oxidation enzyme, photosystem II, to the H2 evolving enzyme, hydrogenase. Essential to this approach is the integration of the isolated enzymes into the artificial circuit of a photoelectrochemical cell. We therefore developed a tailor-made hierarchically structured indium-tin oxide electrode that gives rise to the excellent integration of both photosystem II and hydrogenase for performing the anodic and cathodic half-reactions, respectively. When connected together with the aid of an applied bias, the semiartificial cell demonstrated quantitative electron flow from photosystem II to the hydrogenase with the production of H2 and O2 being in the expected two-to-one ratio and a light-to-hydrogen conversion efficiency of 5.4% under low-intensity red-light irradiation. We thereby demonstrate efficient light-driven water splitting using a pathway inaccessible to biology and report on a widely applicable in vitro platform for the controlled coupling of enzymatic redox processes to meaningfully study photocatalytic reactions.This work was supported by the U.K. Engineering and Physical Sciences Research Council (EP/H00338X/2 to E.R. and EP/G037221/1, nanoDTC, to D.M.), the UK Biology and Biotechnological Sciences Research Council (BB/K002627/1 to A.W.R. and BB/K010220/1 to E.R.), a Marie Curie Intra-European Fellowship (PIEF-GA-2013-625034 to C.Y.L), a Marie Curie International Incoming Fellowship (PIIF-GA-2012-328085 RPSII to J.J.Z) and the CEA and the CNRS (to J.C.F.C.). A.W.R. holds a Wolfson Merit Award from the Royal Society.This is the final version of the article. It first appeared from ACS Publications via http://dx.doi.org/10.1021/jacs.5b0373

Genome-wide association trans-ethnic meta-analyses identifies novel associations regulating coagulation Factor VIII and von Willebrand Factor plasma levels

BACKGROUND: Factor VIII (FVIII) and its carrier protein von Willebrand factor (VWF) are associated with risk of arterial and venous thrombosis and with hemorrhagic disorders. We aimed to identify and functionally test novel genetic associations regulating plasma FVIII and VWF. METHODS: We meta-analyzed genome-wide association results from 46 354 individuals of European, African, East Asian, and Hispanic ancestry. All studies performed linear regression analysis using an additive genetic model and associated ≈35 million imputed variants with natural log-transformed phenotype levels. In vitro gene silencing in cultured endothelial cells was performed for candidate genes to provide additional evidence on association and function. Two-sample Mendelian randomization analyses were applied to test the causal role of FVIII and VWF plasma levels on the risk of arterial and venous thrombotic events. RESULTS: We identified 13 novel genome-wide significant ( P≤2.5×10-8) associations, 7 with FVIII levels ( FCHO2/TMEM171/TNPO1, HLA, SOX17/RP1, LINC00583/NFIB, RAB5C-KAT2A, RPL3/TAB1/SYNGR1, and ARSA) and 11 with VWF levels ( PDHB/PXK/KCTD6, SLC39A8, FCHO2/TMEM171/TNPO1, HLA, GIMAP7/GIMAP4, OR13C5/NIPSNAP, DAB2IP, C2CD4B, RAB5C-KAT2A, TAB1/SYNGR1, and ARSA), beyond 10 previously reported associations with these phenotypes. Functional validation provided further evidence of association for all loci on VWF except ARSA and DAB2IP. Mendelian randomization suggested causal effects of plasma FVIII activity levels on venous thrombosis and coronary artery disease risk and plasma VWF levels on ischemic stroke risk. CONCLUSIONS: The meta-analysis identified 13 novel genetic loci regulating FVIII and VWF plasma levels, 10 of which we validated functionally. We provide some evidence for a causal role of these proteins in thrombotic events

Wnt signalling and cancer stem cells

[Abstract] Intracellular signalling mediated by secreted Wnt proteins is essential for the establishment of cell fates and proper tissue patterning during embryo development and for the regulation of tissue homeostasis and stem cell function in adult tissues. Aberrant activation of Wnt signalling pathways has been directly linked to the genesis of different tumours. Here, the components and molecular mechanisms implicated in the transduction of Wnt signal, along with important results supporting a central role for this signalling pathway in stem cell function regulation and carcinogenesis will be briefly reviewed.Ministerio de Ciencia e Innovación; SAF2008-0060

Mortality and pulmonary complications in patients undergoing surgery with perioperative sars-cov-2 infection: An international cohort study

Background The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (740%) had emergency surgery and 280 (248%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (261%) patients. 30-day mortality was 238% (268 of 1128). Pulmonary complications occurred in 577 (512%) of 1128 patients; 30-day mortality in these patients was 380% (219 of 577), accounting for 817% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 175 [95% CI 128-240], p&lt;00001), age 70 years or older versus younger than 70 years (230 [165-322], p&lt;00001), American Society of Anesthesiologists grades 3-5 versus grades 1-2 (235 [157-353], p&lt;00001), malignant versus benign or obstetric diagnosis (155 [101-239], p=0046), emergency versus elective surgery (167 [106-263], p=0026), and major versus minor surgery (152 [101-231], p=0047). Interpretation Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

Multiple novel prostate cancer susceptibility signals identified by fine-mapping of known risk loci among Europeans

Genome-wide association studies (GWAS) have identified numerous common prostate cancer (PrCa) susceptibility loci. We have fine-mapped 64 GWAS regions known at the conclusion of the iCOGS study using large-scale genotyping and imputation in 25 723 PrCa cases and 26 274 controls of European ancestry. We detected evidence for multiple independent signals at 16 regions, 12 of which contained additional newly identified significant associations. A single signal comprising a spectrum of correlated variation was observed at 39 regions; 35 of which are now described by a novel more significantly associated lead SNP, while the originally reported variant remained as the lead SNP only in 4 regions. We also confirmed two association signals in Europeans that had been previously reported only in East-Asian GWAS. Based on statistical evidence and linkage disequilibrium (LD) structure, we have curated and narrowed down the list of the most likely candidate causal variants for each region. Functional annotation using data from ENCODE filtered for PrCa cell lines and eQTL analysis demonstrated significant enrichment for overlap with bio-features within this set. By incorporating the novel risk variants identified here alongside the refined data for existing association signals, we estimate that these loci now explain ∼38.9% of the familial relative risk of PrCa, an 8.9% improvement over the previously reported GWAS tag SNPs. This suggests that a significant fraction of the heritability of PrCa may have been hidden during the discovery phase of GWAS, in particular due to the presence of multiple independent signals within the same regio

Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study

PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Telomerecat: A ploidy-agnostic method for estimating telomere length from whole genome sequencing data.

Telomere length is a risk factor in disease and the dynamics of telomere length are crucial to our understanding of cell replication and vitality. The proliferation of whole genome sequencing represents an unprecedented opportunity to glean new insights into telomere biology on a previously unimaginable scale. To this end, a number of approaches for estimating telomere length from whole-genome sequencing data have been proposed. Here we present Telomerecat, a novel approach to the estimation of telomere length. Previous methods have been dependent on the number of telomeres present in a cell being known, which may be problematic when analysing aneuploid cancer data and non-human samples. Telomerecat is designed to be agnostic to the number of telomeres present, making it suited for the purpose of estimating telomere length in cancer studies. Telomerecat also accounts for interstitial telomeric reads and presents a novel approach to dealing with sequencing errors. We show that Telomerecat performs well at telomere length estimation when compared to leading experimental and computational methods. Furthermore, we show that it detects expected patterns in longitudinal data, repeated measurements, and cross-species comparisons. We also apply the method to a cancer cell data, uncovering an interesting relationship with the underlying telomerase genotype