Young Adult Substance Use Following Involuntary Job Loss

This paper uses data from the Panel Study of Income Dynamics to study the relationship between job displacement and substance use among young adults. Results show that displacement is associated with increases in the probability of smoking cigarettes and drinking and the intensity of consuming alcohol and marijuana. Men, whites, and those who live with family/friends at the time of displacement are more likely to use hard drugs after job loss. Findings suggest that government policy designed to aid displaced workers should contain provisions to anticipate and respond to substance use disorders that may arise, particularly among younger job losers

Birth and the Bush: Untangling the Debate Around Women\u27s Pubic Hair

When Andrew Kotaska asked Birth readers if they recalled “the days of physician-dictated obstetrical care” [1] that resulted in perineal shaves, he invited us to celebrate the end of dogma-driven medical practice and the dawning of a new era of evidence-based, patient-centered care. Diony Young, too, reminded us of the “unnecessary indignities of the day” that resulted in her “partial shave (with a very blunt razor)” [2] almost five decades ago as a way to mark just how far we have come in women-centered birth care. The practice of pre-labor perineal shaving has indeed become emblematic of all that was wrong with mid-20th-century birth, and its demise is a continued testament to the power of birth activism. With the right to pubic hair so ardently fought for just decades ago, how do we make sense of women\u27s decisions to increasingly be shaved, waxed, or otherwise depilated when giving birth today

Magneto-sensitive elastomers in a homogeneous magnetic field: a regular rectangular lattice model

A theory of mechanical behaviour of the magneto-sensitive elastomers is developed in the framework of a linear elasticity approach. Using a regular rectangular lattice model, different spatial distributions of magnetic particles within a polymer matrix are considered: isotropic, chain-like and plane-like. It is shown that interaction between the magnetic particles results in the contraction of an elastomer along the homogeneous magnetic field. With increasing magnetic field the shear modulus for the shear deformation perpendicular to the magnetic field increases for all spatial distributions of magnetic particles. At the same time, with increasing magnetic field the Young's modulus for tensile deformation along the magnetic field decreases for both chain-like and isotropic distributions of magnetic particles and increases for the plane-like distribution of magnetic particles.Comment: 38 pages, 15 figure

Principles And Practices Fostering Inclusive Excellence: Lessons From The Howard Hughes Medical Institute’s Capstone Institutions

Best-practices pedagogy in science, technology, engineering, and mathematics (STEM) aims for inclusive excellence that fosters student persistence. This paper describes principles of inclusivity across 11 primarily undergraduate institutions designated as Capstone Awardees in Howard Hughes Medical Institute’s (HHMI) 2012 competition. The Capstones represent a range of institutional missions, student profiles, and geographical locations. Each successfully directed activities toward persistence of STEM students, especially those from traditionally underrepresented groups, through a set of common elements: mentoring programs to build community; research experiences to strengthen scientific skill/identity; attention to quantitative skills; and outreach/bridge programs to broaden the student pool. This paper grounds these program elements in learning theory, emphasizing their essential principles with examples of how they were implemented within institutional contexts. We also describe common assessment approaches that in many cases informed programming and created traction for stakeholder buy-in. The lessons learned from our shared experiences in pursuit of inclusive excellence, including the resources housed on our companion website, can inform others’ efforts to increase access to and persistence in STEM in higher education

Seasonal analysis of leptospirosis in apparently healthy dairy cattle of Pananchery panchayat in Thrissur district, Kerala

Leptospirosis is an economically important zoonotic bacterial disease of cattle with global distribution. The present study investigated the seroprevalence and distribution of leptospiral serovars in cattle population in Pananchery panchayat of Thrissur district, Kerala. From 52 apparently healthy dairy cattle, serum samples were collected in both pre-monsoon and postmonsoon seasons. All samples were subjected to microscopic agglutination test (MAT) against 13 serovars of Leptospira spp. Among the samples tested, 13 (25 per cent) samples in pre-monsoon and 19 (36.54 per cent) samples in post-monsoon were found to be positive. The predominant serovars detected in pre-monsoon were Hardjo (29.41 per cent) followed by Grippotyphosa (17.64 per cent), Bataviae and Pomona (11.76 per cent each). Similarly in post-monsoon, Hardjo (28.57 per cent) followed by Grippotyphosa (23.81 per cent), and Bataviae (19.05 per cent) were identified as the most common serovars. Higher seroprevalence of disease in apparently healthy cattle in post-monsoon compared to pre-monsoon indicate the influence of rainfall on occurrence of leptospirosis

HIV-1 intersection with CD4 T cell vesicle exocytosis: intercellular communication goes viral

In cells of the immune system, the secretion of extracellular vesicles is modulated through cellular activation. In particular, T cell activation is achieved through cell cell contacts with antigen presenting cells and the consequent formation of a specialized signaling junction called the immunological synapse. Recent works on CD4 T cells have elucidated that cognate antigen recognition by the T cell receptor (TCR) engages two distinct exocytic events. The first involves the exocytic targeting of signaling molecules at the synaptic membrane and drives the functional architecture of the immunological synapse. The second enlists the extracellular secretion of the TCR itself, once the functional architecture of the immunological synapse is accomplished. HIV-1, a human lymphotropic virus, has evolved sophisticated mechanisms to co-opt CD4 T cell physiology. Notably, it has become apparent that HIV-1 intersects the regulated secretory system of CD4 T cells in order to bud from the plasma membrane of the infected cell and to promote bystander cell death. Here, I review the relevance of CD4 vesicle exocytosis to immune regulation and to HIV-1 pathogenesis and discuss their potential therapeutic applications.publishersversionpublishe

Bottom sediments of Lake Rotoma

Lake Rotoma is a deep (70-80 m), oligotrophic, warm monomictic lake of volcanic origin with insignificant stream inflow and no clearly defined outflow. For at least 60 years up to 1972 the lake level fluctuated markedly about an overall rising trend of some 6-10 m. Nearshore profiles are related to the prevailing wave climate superimposed upon the overall rising lake level, shelves being wider, less steep, and deeper about the more exposed eastern and southern shorelines. The outer portions of shelves extending well below modern storm wave base into waters as deep as 15-25 m are relict features from lower lake level stands. Sediments fine from sand-gravel mixtures nearshore to silts in basinal areas. Their composition reflects a composite provenance involving the lavas and tephras about the lake, as well as intralake diatom frustules and organic matter. The distribution pattern of surficial bottom sediments is an interplay between grains of both biological and terrigenous origin, supplied presently and in the past by a variety of processes, that have been dispersed either by the modern hydrodynamic regime or by former ones associated with lower lake levels. These interrelationships are structured by erecting 5 process-age sediment classes in the lake, namely neoteric, amphoteric, proteric, palimpsest, and relict sediments, analogous to categories postulated for sediments on oceanic continental shelves. Short-core stratigraphy includes the Kaharoa (A.D. -1020) and Tarawera (A.D. 1886) tephras. The rates of sedimentation of diatomaceous silts in basinal areas have more than doubled since the Tarawera eruption, indicating an overall increase in the fertility level of lake waters associated, perhaps, with recent farm development in the catchment

Rehabilitation Enablement in Chronic Heart Failure—a facilitated self-care rehabilitation intervention in patients with heart failure with preserved ejection fraction (REACH-HFpEF) and their caregivers:rationale and protocol for a single-centre pilot randomised controlled trial

This is the final version of the article. Available from the publisher via the DOI in this record.INTRODUCTION: The Rehabilitation EnAblement in CHronic Heart Failure in patients with Heart Failure (HF) with preserved ejection fraction (REACH-HFpEF) pilot trial is part of a research programme designed to develop and evaluate a facilitated, home-based, self-help rehabilitation intervention to improve self-care and quality of life (QoL) in heart failure patients and their caregivers. We will assess the feasibility of a definitive trial of the REACH-HF intervention in patients with HFpEF and their caregivers. The impact of the REACH-HF intervention on echocardiographic outcomes and bloodborne biomarkers will also be assessed. METHODS AND ANALYSIS: A single-centre parallel two-group randomised controlled trial (RCT) with 1:1 individual allocation to the REACH-HF intervention plus usual care (intervention) or usual care alone (control) in 50 HFpEF patients and their caregivers. The REACH-HF intervention comprises a REACH-HF manual with supplementary tools, delivered by trained facilitators over 12 weeks. A mixed methods approach will be used to assess estimation of recruitment and retention rates; fidelity of REACH-HF manual delivery; identification of barriers to participation and adherence to the intervention and study protocol; feasibility of data collection and outcome burden. We will assess the variance in study outcomes to inform a definitive study sample size and assess methods for the collection of resource use and intervention delivery cost data to develop the cost-effectiveness analyses framework for any future trial. Patient outcomes collected at baseline, 4 and 6 months include QoL, psychological well-being, exercise capacity, physical activity and HF-related hospitalisation. Caregiver outcomes will also be assessed, and a substudy will evaluate impact of the REACH-HF manual on resting global cardiovascular function and bloodborne biomarkers in HFpEF patients. ETHICS AND DISSEMINATION: The study is approved by the East of Scotland Research Ethics Service (Ref: 15/ES/0036). Findings will be disseminated via journals and presentations to clinicians, commissioners and service users. TRIAL REGISTRATION NUMBER: ISRCTN78539530; Pre-results .This paper presents independent research funded by the National Institute for Health Research (NIHR) under its Programme Grants for Applied Research Programme (Grant Reference Number RP-PG-1210-12004). NB, CA, CJG and RST are also supported by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) South West Peninsula at the Royal Devon and Exeter NHS Foundation Trust; KJ by CLAHRC West Midlands and SS by CLAHRC East-Midlands. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Healt