Fall prevention in the community: what older people say they need

Original article can be found at: http://www.bjcn.co.uk/ Copyright MA HealthcareUptake of and adherence to fall prevention interventions is often poor and we know little about how older people’s perceptions of and beliefs about fall prevention interventions affect uptake. This study aimed to explore older people’s perceptions of the facilitators and barriers to participation in fall prevention interventions. We undertook a qualitative study with older people who had taken part in, declined to participate or adhere to fall prevention interventions using semi-structured interviews (n=65), and 17 focus groups (n=122) with older people (including 32 South Asian and 30 Chinese older people) in primary and community care settings in the South of England. A number of factors acted as either barriers or facilitators to uptake of interventions. Older people also made recommendations for improving access to interventions. Community nurses are ideally placed to screen older people, identify those at risk of falling and refer them to appropriate interventions as well as providing health promotion and education.Peer reviewe

Tumour markers in breast cancer.

The clinical usefulness of 8 potential tumour markers has been evaluated in 69 patients with Stage I and II breast cancer and 57 patients with Stage III and IV. Serum CEA concentrations were raised in 13% of patients with local and 65% of those with advanced breast cancer. In patients with clinical evidence of progression or regression of tumour, serum CEA levels changed appropriately in 83% of cases. Taking 4 of the markers (carcinoembryonic antigen (CEA), lactalbumin, alpha subunit and haptoglobin) serum concentrations of one or more were raised in 33% of patients with local disease and 81% of those with advanced breast cancer. However, marker concentrations were often only marginally raised, and are unlikely to provide sensitive guide to tumour burden. CEA, lactalbumin and alpha subunit were detectable in 68%, 43% and 40% respectively of extracts of primary breast cancers

Low dose effects of ethanol on suckling rats: Enzymes activity, histological alterations and growth parameters.

زمینه و هدف: غلظت های پایین اتانول می توانند از طریق جفت به جنین و از طریق شیر مادر به نوزاد تازه متولد شده منتقل شوند. این مطالعه با هدف بررسی اثرات دوزهای مختلف اتانول در طول دوره شیردهی بر تغییرات آنزیمی، بافتی و شاخص های رشد نوزادان شیرخوار در موش صحرایی انجام شد. روش بررسی: در این مطالعه تجربی، 21 سر موش صحرایی ماده بالغ نژاد ویستار به سه گروه شامل دو گروه تیمار و یک گروه شاهد تقسیم شدند. به گروه های تیمار از روز یک زایمان تا روز 24 شیردهی آب آشامیدنی به همراه اتانول با غلظت حجمی 2 و 4 درصد تجویز شد و گروه شاهد تنها به آب آشامیدنی دسترسی داشتند. از هر گروه، 9 سر نوزاد موش صحرایی 25 روزه انتخاب و فعالیت سرمی آنزیم های آلانین آمینوترانسفراز، گاماگلوتامیک ترانسفراز، آسپارتات آمینوترانسفراز، آلکالین فسفاتاز، لاکتات دهیدروژناز، کراتین فسفوکیناز، نیتروژن اوره خون و کراتینین اندازه گیری شدند. همچنین مطالعات آسیب شناسی بر روی بافت های مغز، کبد و کلیه انجام شد. داده ها به کمک آزمون های آماری آنالیزواریانس و تست دانت در نرم افزار SPSS تجزیه و تحلیل شدند. یافته ها: در گروه های تجربی میزان فعالیت سرمی آنزیم های آلانین آمینوترانسفراز، آسپارتات آمینوترانسفراز، نیتروژن اوره خون، کراتین فسفوکیناز و آلکالین فسفاتاز اختلاف معنی داری را نسبت به گروه شاهد نشان ندادند (05/0P). مطالعات هیستوپاتولوژیک آسیب های مختلفی را در بافت مغز، کبد و کلیه نوزادان در معرض اتانول 4 حجمی را نشان داد. نتیجه گیری: بر اساس نتایج این مطالعه، مصرف نوشیدنی های الکلی در دوران شیردهی می تواند ضایعات جبران ناپذیری بر روی نوزاد داشته باشد

Proteome Profiling of Breast Tumors by Gel Electrophoresis and Nanoscale Electrospray Ionization Mass Spectrometry

We have conducted proteome-wide analysis of fresh surgery specimens derived from breast cancer patients, using an approach that integrates size-based intact protein fractionation, nanoscale liquid separation of peptides, electrospray ion trap mass spectrometry, and bioinformatics. Through this approach, we have acquired a large amount of peptide fragmentation spectra from size-resolved fractions of the proteomes of several breast tumors, tissue peripheral to the tumor, and samples from patients undergoing noncancer surgery. Label-free quantitation was used to generate protein abundance maps for each proteome and perform comparative analyses. The mass spectrometry data revealed distinct qualitative and quantitative patterns distinguishing the tumors from healthy tissue as well as differences between metastatic and non-metastatic human breast cancers including many established and potential novel candidate protein biomarkers. Selected proteins were evaluated by Western blotting using tumors grouped according to histological grade, size, and receptor expression but differing in nodal status. Immunohistochemical analysis of a wide panel of breast tumors was conducted to assess expression in different types of breast cancers and the cellular distribution of the candidate proteins. These experiments provided further insights and an independent validation of the data obtained by mass spectrometry and revealed the potential of this approach for establishing multimodal markers for early metastasis, therapy outcomes, prognosis, and diagnosis in the future. © 2008 American Chemical Society

The politics of the teaching of reading

Historically, political debates have broken out over how to teach reading in primary schools and infant classrooms. These debates and “reading wars” have often resulted from public concerns and media reportage of a fall in reading standards. They also reflect the importance placed on learning to read by parents, teachers, employers, and politicians. Public and media-driven controversies over the teaching of reading have resulted in intense public and professional debates over which specific methods and materials to use with beginning readers and with children who have reading difficulties. Recently, such debates have led to a renewed emphasis on reading proficiency and “standardized” approaches to teaching reading and engaging with literacy. The universal acceptance of the importance of learning to read has also led to vested interests in specific methods, reading programmes, and early literacy assessments amongst professional, business, commercial, and parental lobbying groups. This article traces these debates and the resulting growing support for a quantitative reductionist approach to early-reading programmes

Density-dependence and environmental variability have stage-specific influences on European grayling growth.

Fish somatic growth is indeterminate and can be influenced by a range of abiotic and biotic variables. With climate change forecast to increase the frequency of warming and unusual discharge events, it is thus important to understand how these variables currently influence somatic growth and how that might differ for specific age-classes and/ or life stages. Here, we used a 17-year dataset from a chalk stream in southern England to identify the abiotic and biotic influences on the growth of juvenile, sub-adult and adult life stages of European grayling (Thymallus thymallus), a cold-water riverine salmonid. The results revealed that interannual variations in grayling growth were well described by annual- and site-specific abiotic and biotic explanatory variables. We found divergent responses between life stages to increased temperature and unusual discharge during the main growth period with, for example, elevated temperatures related to increased juvenile growth but reduced sub-adult growth, and high discharge events related to increased sub-adult growth yet reduced juvenile growth. Conversely, stage-specific grayling abundance negatively influenced growth at each life stage, though only juvenile growth was impacted by the abundance of a competitor species, brown trout (Salmo trutta). These results emphasise the merits of testing a wide range of environmental and biological explanatory variables on fish growth, and across life stages. They also reveal the importance of maintaining high habitat heterogeneity in rivers to ensure all life stages can reduce their competitive interactions and have access to adequate flow and thermal refugia during periods of elevated environmental stress

Antibiotic resistance and biofilm formation ability among coagulase-negative staphylococci in healthy individuals from Portugal

In the past few years the interest in coagulase-negative staphylococci (CoNS) species has significantly increased due to their impact on human health and disease. CoNS are common bacterial colonizers of the normal human microflora and usually have a benign relationship with the host.This work was funded by Fundacao para a Ciencia e a Tecnologia (FCT) and COMPETE grants PTDC/BIA-MIC/113450/2009 and FCOMP-01-0124-FEDER-014309