Life interrupted and life regained? Coping with stroke at a young age

Stroke is a leading cause of disability across the developed world, affecting an increasing number of younger people. In this article, we seek to understand the experience of stroke as a disabling life situation among young people and the strategies that they use to recover and cope. Directed content analysis was conducted from interviews with 17 community-dwelling stroke survivors aged 55 years and younger across the United Kingdom. The sample was drawn from a larger maximum variation sample of stroke survivors. Using the sociological concepts of biographical disruption and biographical repair as a guide, excerpts from the interviews pertaining to aspects of the patients’ life that were interrupted, in addition to how they coped with the changes, were selected and analysed. All individuals described an ‘‘altered sense of self,’’ a theme that included loss of identity, family disruption, and/or loss of valued activities. Individuals sought to adapt their sense of self by seeking external support, by restoring normality, and/or through positive reflection. Despite the adapted self that emerged, most individuals continued to experience impairments. While young stroke survivors adapt to their illness over time, they continue to experience impairments and disruptions in their personal and work lives.Aholistic model of rehabilitation that helps individuals regain the capacity for everyday activities related to work, family life, and leisure can begin to address the emotional ramifications of diseases such as stroke, restore wellness, and work towards minimizing the burden felt by family caregivers and children

Life interrupted and life regained? Coping with stroke at a young age

Stroke is a leading cause of disability across the developed world, affecting an increasing number of younger people. In this article, we seek to understand the experience of stroke as a disabling life situation among young people and the strategies that they use to recover and cope. Directed content analysis was conducted from interviews with 17 community-dwelling stroke survivors aged 55 years and younger across the United Kingdom. The sample was drawn from a larger maximum variation sample of stroke survivors. Using the sociological concepts of biographical disruption and biographical repair as a guide, excerpts from the interviews pertaining to aspects of the patients’ life that were interrupted, in addition to how they coped with the changes, were selected and analysed. All individuals described an ‘‘altered sense of self,’’ a theme that included loss of identity, family disruption, and/or loss of valued activities. Individuals sought to adapt their sense of self by seeking external support, by restoring normality, and/or through positive reflection. Despite the adapted self that emerged, most individuals continued to experience impairments. While young stroke survivors adapt to their illness over time, they continue to experience impairments and disruptions in their personal and work lives.Aholistic model of rehabilitation that helps individuals regain the capacity for everyday activities related to work, family life, and leisure can begin to address the emotional ramifications of diseases such as stroke, restore wellness, and work towards minimizing the burden felt by family caregivers and children

Students’ perceptions of school acoustics and the impact of noise on teaching and learning in secondary schools : findings of a questionnaire survey

This paper will present the design and findings of an online questionnaire survey of 11–16 year olds’ impressions of their school's acoustic environment, and of an experimental study into the effects of typical levels of classroom noise on adolescent's performance on numeracy and cognitive functioning tasks. Analysis of the responses to the questionnaire found that pupils who reported additional learning needs such as hearing impairment, speaking English as an additional language or receiving learning support reported being significantly more affected by poor school acoustics than pupils reporting no additional learning needs. Pupils attending suburban schools featuring cellular classrooms that were not exposed to a nearby noise sources were more positive about their school acoustics than pupils at schools with open plan classroom designs or attending schools that were exposed to external noise sources. The study demonstrates that adolescents are reliable judges of their school's acoustic environment, and have insight into the disruption to teaching and learning caused by poor listening conditions. Furthermore, pupils with additional learning needs are more at risk from the negative effects of poor school acoustics

Open access publishing, article downloads, and citations: randomised controlled trial

Objective To measure the effect of free access to the scientific literature on article downloads and citations

A level playing ‘field’? A Bourdieusian analysis of the career aspirations of further education students on sports courses

There is currently a distinct dearth of research into how sports students’ career aspirations are formed during their post-compulsory education. This article, based on an ethnographic study of sport students in tertiary education, draws on data collected from two first-year cohorts (n = 34) on two different courses at a further education college in England. The study draws on ethnographic observations, and semi-structured group interviews, to examine in-depth the contrasting occupational perspectives emergent within these two groups of mainly working-class students, and how specific cultural practices affect students’ career aspirations. Utilising a Bourdieusian framework, the paper analyses the internalised, often latent cultural practices that impact upon these students’ diverse career aspirations. The hitherto under-researched dimension of inter-habitus interaction and also the application of doxa are outlined. The article reveals how the two student cohorts are situated within a complex field of relations, where struggles for legitimisation, academic accomplishment and numerous forms of lucrative capital become habituated. The study offers salient Bourdieusian-inspired insights into the career aspirations of these predominantly working-class students and the ways in which certain educational practices contribute to the production and reproduction of class inequalities

SEINE: Methods for Electronic Data Capture and Integrated Data Repository Synthesis with Patient Registry Use Cases

Integrated Data Repositories (IDR) allow clinical research to leverage electronic health records (EHR) and other data sources while Electronic Data Capture (EDC) applications often support manually maintained patient registries. Using i2b2 and REDCap, (IDR and EDC platforms respectively) we have developed methods that integrate IDR and EDC strengths supporting: 1) data delivery from the IDR as ready-to-use registries to exploit the annotation and data collection capabilities unique to EDC applications; 2) integrating EDC managed registries into data repositories allows investigators to use hypothesis generation and cohort discovery methods. This round-trip integration can lower lag between cohort discovery and establishing a registry. Investigators can also periodically augment their registry cohort as the IDR is enriched with additional data elements, data sources, and patients. We describe our open-source automated methods and provide three example registry uses cases for these methods: triple negative breast cancer, vertiginous syndrome, cancer distress

Oxygen consumption and sulfate reduction in vegetated coastal habitats: Effects of physical disturbance

© 2019 Brodersen, Trevathan-Tackett, Nielsen, Connolly, Lovelock, Atwood and Macreadie. Vegetated coastal habitats (VCHs), such as mangrove forests, salt marshes and seagrass meadows, have the ability to capture and store carbon in the sediment for millennia, and thus have high potential for mitigating global carbon emissions. Carbon sequestration and storage is inherently linked to the geochemical conditions created by a variety of microbial metabolisms, where physical disturbance of sediments may expose previously anoxic sediment layers to oxygen (O 2 ), which could turn them into carbon sources instead of carbon sinks. Here, we used O 2 , hydrogen sulfide (H 2 S) and pH microsensors to determine how biogeochemical conditions, and thus aerobic and anaerobic metabolic pathways, vary across mangrove, salt marsh and seagrass sediments (case study from the Sydney area, Australia). We measured the biogeochemical conditions in the top 2.5 cm of surface (0-10 cm depth) and experimentally exposed deep sediments (> 50 cm depth) to simulate undisturbed and physically exposed sediments, respectively, and how these conditions may affect carbon cycling processes. Mangrove surface sediment exhibited the highest rates of O 2 consumption and sulfate (SO 42- ) reduction based on detailed microsensor measurements, with a diffusive O 2 uptake rate of 102 mmol O 2 m -2 d -1 and estimated sulfate reduction rate of 57 mmol S tot2- m -2 d -1 . Surface sediments (0-10 cm) across all the VCHs generally had higher O 2 consumption and estimated sulfate reduction rates than deeper layers (> 50 cm depth). O 2 penetration was < 4 mm for most sediments and only down to 1 mm depth in mangrove surface sediments, which correlated with a significantly higher percent organic carbon content (%C org ) within sediments originating from mangrove forests as compared to those from seagrass and salt marsh ecosystems. Additionally, pH dropped from 8.2 at the sediment/water interface to < 7-7.5 within the first 20 mm of sediment within all ecosystems. Prevailing anoxic conditions, especially in mangrove and seagrass sediments, as well as sediment acidification with depth, likely decreased microbial remineralisation rates of sedimentary carbon. However, physical disturbance of sediments and thereby exposure of deeper sediments to O 2 seemed to stimulate aerobic metabolism in the exposed surface layers, likely reducing carbon stocks in VCHs

Data Deluge in Astrophysics: Photometric Redshifts as a Template Use Case

Astronomy has entered the big data era and Machine Learning based methods have found widespread use in a large variety of astronomical applications. This is demonstrated by the recent huge increase in the number of publications making use of this new approach. The usage of machine learning methods, however is still far from trivial and many problems still need to be solved. Using the evaluation of photometric redshifts as a case study, we outline the main problems and some ongoing efforts to solve them.Comment: 13 pages, 3 figures, Springer's Communications in Computer and Information Science (CCIS), Vol. 82

Discovery of Stable and Selective Antibody Mimetics from Combinatorial Libraries of Polyvalent, Loop-Functionalized Peptoid Nanosheets.

The ability of antibodies to bind a wide variety of analytes with high specificity and high affinity makes them ideal candidates for therapeutic and diagnostic applications. However, the poor stability and high production cost of antibodies have prompted exploration of a variety of synthetic materials capable of specific molecular recognition. Unfortunately, it remains a fundamental challenge to create a chemically diverse population of protein-like, folded synthetic nanostructures with defined molecular conformations in water. Here we report the synthesis and screening of combinatorial libraries of sequence-defined peptoid polymers engineered to fold into ordered, supramolecular nanosheets displaying a high spatial density of diverse, conformationally constrained peptoid loops on their surface. These polyvalent, loop-functionalized nanosheets were screened using a homogeneous Förster resonance energy transfer (FRET) assay for binding to a variety of protein targets. Peptoid sequences were identified that bound to the heptameric protein, anthrax protective antigen, with high avidity and selectivity. These nanosheets were shown to be resistant to proteolytic degradation, and the binding was shown to be dependent on the loop display density. This work demonstrates that key aspects of antibody structure and function-the creation of multivalent, combinatorial chemical diversity within a well-defined folded structure-can be realized with completely synthetic materials. This approach enables the rapid discovery of biomimetic affinity reagents that combine the durability of synthetic materials with the specificity of biomolecular materials

A synthetic biology approach to probing nucleosome symmetry

The repeating subunit of chromatin, the nucleosome, includes two copies of each of the four core histones, and several recent studies have reported that asymmetrically-modified nucleosomes occur at regulatory elements in vivo. To probe the mechanisms by which histone modifications are read out, we designed an obligate pair of H3 heterodimers, termed H3X and H3Y, which we extensively validated genetically and biochemically. Comparing the effects of asymmetric histone tail point mutants with those of symmetric double mutants revealed that a single methylated H3K36 per nucleosome was sufficient to silence cryptic transcription in vivo. We also demonstrate the utility of this system for analysis of histone modification crosstalk, using mass spectrometry to separately identify modifications on each H3 molecule within asymmetric nucleosomes. The ability to generate asymmetric nucleosomes in vivo and in vitro provides a powerful and generalizable tool to probe the mechanisms by which H3 tails are read out by effector proteins in the cell