Dyadic Religous-Spiritual Process in Christian Couples

Thesis advisor: Kevin MahoneyEight African American Protestant Christian couples in a healthy relationship participated in a mixed methods study seeking to learn how married Protestant Christian couples use their faith dyadically to address stress and relational discord. Themes were generated from the qualitative data and reinforced or extended by a quantitative questionnaire. Findings revealed that sacred process is involved directly and indirectly in the interactional processes and relationship functions of couples with healthy relationships. The process contained pervasive active and receptive elements throughout their relationships during peaceful and stress-filled times. Findings also identify uses of silence and separation as frequent de-escalation strategies; faith-based strategies and faith-informed secular strategies for reconciliation; uses of the marital triad in a healthy marriage. Additionally undervalued community gendered politics were identified, as well as novel perspectives on cultural and community factors that may contribute to domestic violence.Thesis (PhD) — Boston College, 2010.Submitted to: Boston College. Graduate School of Social Work.Discipline: Social Work

The Care Programme Approach and the end of indefinitely renewable Leave of Absence in Scotland

ObjectiveTo consider the relationship between the restriction of leave of absence (LOA) to 12 months, the introduction of community care orders (CCOs) and the implementation of the Care Programme Approach (CPA).DesignMultiple methods were employed: scrutiny of Mental Welfare Commission for Scotland (MWC) records; questionnaire to consultant psychiatrists and mental health officers (MHOs) regarding attitudes; survey of psychiatrists in respect of outcomes for named patients.SettingScotlandSubjectsTwo hundred and sixty six patients who were affected by the changes introduced by the Mental Health (Patients in the Community) Act 1995.ResultsInformation was available for 195 (73%) patients in relation to CPA. Of these 113 (58%) were included on CPA and for 63/113 (56%) (63/195 (32%)) CPA was considered to have enhanced patient care.Where CPA was considered useful it was because it was seen as bringing people together, enhancing the patient’s role in treatment and managing difficult situations. Negative comments regarding CPA were that it was unnecessary as the patient’s needs were straightforward, it duplicated current practices or it was too bureaucratic.ConclusionsDespite concerns expressed by professionals about the restriction to LOA and the guidance that patients should be on CPA, for only a minority of patients was CPA described as enhancing care. Questions are raised about the low use of CCOs and CPA by psychiatrists for patients who reached the new limits of LOA

Qualitative analysis of medical student reflections on the implicit association test

Introduction: Health professions educators use the Implicit Association Test (IAT) to raise awareness of implicit bias in learners, often engendering strong emotional reactions. Once an emotional reaction ensues, the gap between learner reaction and strategy identification remains relatively underexplored. To better understand how learners may identify bias mitigation strategies, the authors explored perspectives of medical students during the clinical portion of their training to the experience of taking the IAT, and the resulting feedback. Methods: Medical students in Bronx, NY, USA, participated in one 90-minute session on implicit bias. The focus of analysis for this study is the post-session narrative assignment inviting them to take the race-based IAT and describe both their reaction to and the implications of their IAT results on their future work as physicians. The authors analysed 180 randomly selected de-identified essays completed from 2013 to 2019 using an approach informed by constructivist grounded theory methodology. Results: Medical students with clinical experience respond to the IAT through a continuum that includes their reactions to the IAT, acceptance of bias along with a struggle for strategy identification, and identification of a range of strategies to mitigate the impact of bias on clinical care. Results from the IAT invoked deep emotional reactions in students, and facilitated a questioning of previous assumptions, leading to paradigm shifts. An unexpected contrast to these deep and meaningful reflections was that students rarely chose to identify a strategy, and those that did provided strategies that were less nuanced. Conclusion: Despite accepting implicit bias in themselves and desiring to provide unbiased care, students struggled to identify bias mitigation strategies, a crucial prerequisite to skill development. Educators should endeavour to expand instruction to bridge the chasm between students’ acceptance of bias and skill development in management of bias to improve the outcomes of their clinical encounters

CHANG-ES XXVII: A Radio/X-ray Catalogue of Compact Sources in and around Edge-on Galaxies

We present catalogues of discrete, compact radio sources in and around the discs of 35 edge-on galaxies in the Continuum Halos in Nearby Galaxies -- an EVLA Survey (CHANG-ES). The sources were extracted using the PyBDSF program at both 1.6 GHz (L-band) and 6.0 GHz (C-band) from matching resolution ($\approx$ 3 arcsec) data. We also present catalogues of X-ray sources from Chandra data sets for 27 of the galaxies. The sources at the two radio frequency bands were positionally cross-correlated with each other, and the result cross-correlated with the X-ray sources. All catalogues are included for download with this paper. We detect a total of 2507 sources at L-band and 1413 sources at C-band. Seventy-five sources have been successfully cross-correlated in both radio bands plus X-ray. Three new nuclear sources are candidates for Low Luminosity Active Galactic Nuclei in NGC~3877, NGC~4192, and NGC~5792; the one in NGC~3877 also appears to be variable. We also find new nuclear sources in two companion galaxies: NGC~4435 (companion to NGC~4438) and NGC~4298 (companion to NGC~4302). We have also discovered what appears to be a foreground double-star; each star has X-ray emission and there is radio emission at both L-band and C-band in between them. This could be a colliding wind binary system. Suggestions for follow-up studies are offered.Comment: Accepted to MNRAS, 57 pages of which pages 30 to 57 are figures. 5 ancillary files containing tabular information, as explained in the appendice

Establishment and operation of a Good Manufacturing Practice-compliant allogeneic Epstein-Barr virus (EBV)-specific cytotoxic cell bank for the treatment of EBV-associated lymphoproliferative disease

Funded by Wellcome Trust Translational Award SNBTSPeer reviewedPublisher PD

Inorganic−Organic Hybrid Luminescent Binary Probe for DNA Detection Based on Spin-Forbidden Resonance Energy Transfer

We describe the design of new fluorescent binary probe sensors for DNA detection based on spin-forbidden resonance energy transfer (SF-RET). Binary probes consist of a donor and acceptor fluorophores that are attached to two different oligonucleotides and serve as a resonance energy transfer (RET) donor−acceptor pair when hybridized to adjacent sites of a target sequence. In the absence of target, excitation of the donor results in fluorescence only from the donor, but when the probes hybridize to the target, the fluorophores are brought into close proximity favoring RET, yielding fluorescence mainly from the acceptor fluorophore. These new binary probes use the metal complex Ru(bpy‘)(DIP)_2^(2+) as the energy donor and an organic fluorophore (Cy5) as the energy acceptor. Energy transfer from the MLCT state of the Ru complex to singlet Cy5 is spin forbidden and produces a delayed fluorescence of Cy5. This paper demonstrates that fluorescence delay of Cy5 can be used to time resolve the emission of the probe from the intense fluorescence background of a model system for cellular background; this provides the reported system to overcome intense autofluorescence, an important and general advantage over “classical” spin-allowed steady-state probes

A novel retinoblastoma therapy from genomic and epigenetic analyses.

Retinoblastoma is an aggressive childhood cancer of the developing retina that is initiated by the biallelic loss of RB1. Tumours progress very quickly following RB1 inactivation but the underlying mechanism is not known. Here we show that the retinoblastoma genome is stable, but that multiple cancer pathways can be epigenetically deregulated. To identify the mutations that cooperate with RB1 loss, we performed whole-genome sequencing of retinoblastomas. The overall mutational rate was very low; RB1 was the only known cancer gene mutated. We then evaluated the role of RB1 in genome stability and considered non-genetic mechanisms of cancer pathway deregulation. For example, the proto-oncogene SYK is upregulated in retinoblastoma and is required for tumour cell survival. Targeting SYK with a small-molecule inhibitor induced retinoblastoma tumour cell death in vitro and in vivo. Thus, retinoblastomas may develop quickly as a result of the epigenetic deregulation of key cancer pathways as a direct or indirect result of RB1 loss

Coexpression of Normally Incompatible Developmental Pathways in Retinoblastoma Genesis

It is widely believed that the molecular and cellular features of a tumor reflect its cell of origin and can thus provide clues about treatment targets. The retinoblastoma cell of origin has been debated for over a century. Here, we report that human and mouse retinoblastomas have molecular, cellular, and neurochemical features of multiple cell classes, principally amacrine/horizontal interneurons, retinal progenitor cells, and photoreceptors. Importantly, single-cell gene expression array analysis showed that these multiple cell type-specific developmental programs are coexpressed in individual retinoblastoma cells, which creates a progenitor/neuronal hybrid cell. Furthermore, neurotransmitter receptors, transporters, and biosynthetic enzymes are expressed in human retinoblastoma, and targeted disruption of these pathways reduces retinoblastoma growth in vivo and in vitro

Show Racism The Red Card: potential barriers to the effective implementation of the anti-racist message

This discussion paper focuses on anti-racist groups associated with British Association football (soccer) and the barriers that they face in relation to effective implementation of the anti-racism message and aspirational cultural change. In order to address those issues (above) this essay draws on the educational charity Show Racism the Red Card (SRTRC) and their work to educate individuals in Great Britain though football. It takes an overview of the work of the charity, specifically focusing on three key areas relating to the group’s mission statement. Concluding comments are made on the current position of SRTRC in light of recent high-profile racist incidents

La ciudad perdida vs la ciudad ganada : transformación de los barrios de promoción oficial

En la década de los 40 del siglo XX se inició en España un cambio de modelo económico y social que afectó de forma directa al crecimiento de la ciudad. Los Barrios de Promoción Oficial fueron la solución al problema de la vivienda en España, sin embargo, la ciudad ha evolucionado desde entonces y la sustitución de algunos de estos barrios ha sido inevitable. Esta sustitución no siempre ha respondido de forma adecuada ante los problemas que había presentes en el barrio. Tras un análisis de algunos de los Barrios de Promoción Oficial que se sustituyeron, se eligieron dos que por su escala, su adecuada circunscripción y su patente mejoría o manifiesto empeoramiento, eran adecuados para un estudio más en profundidad. Con el fin de definir qué criterios se han de seguir para que un barrio sea o no de buena calidad desde el punto de vista urbanístico, se analizaron tanto los barrios originales como los actuales. Basándose en el estudio, se definieron los criterios para una buena actuación: un buen tratamiento de la morfología urbana y el viario para dotar de estructura al barrio; la alternancia de la tipología con el fin de jerarquizar la estructura urbana y de aportar un ritmo claro al barrio; un adecuado tratamiento de los espacios libres, con atención a la vegetación, acompañando al viario o agrupada en jardines