Understanding and controlling the ingress of driven rain through exposed, solid wall masonry structures

Long term performance of historic buildings can be affected by many environmental factors, some of which become more apparent as the competence of the fabric deteriorates. Many tall historic buildings suffer from water ingress when exposed to driving rain conditions, particularly church towers in the south west of England. It is important to recognise that leakage can occur not only through flaws in the roof of a building but also through significant thicknesses of solid masonry. Identification of the most appropriate intervention requires an understanding of the way in which water might enter the structure and the assessment of potential repair options. While the full work schedule used an integrated assessment involving laboratory, field and archival work to assess the repairs which might be undertaken on these solid wall structures, this paper focuses on the laboratory work done to inform the writing of a Technical Advice Note on the effects of wind driven rain and moisture movement in historic structures (English Heritage, 2012). The laboratory work showed that grouting and rendering was effective at reducing water penetration without retarding drying rates, but that use of internal plastering also had a very beneficial effect

Beneficial effects of environmental enrichment and food entrainment in the R6/2 mouse model of Huntington's disease.

BACKGROUND: In addition to their cognitive and motor deficits, R6/2 mice show a progressive disintegration in circadian rhythms that mirrors the problems associated with sleep-wake disturbances experienced by patients with Huntington's disease (HD). It has been shown previously that motor and cognitive performance, as well as survival, can be improved in transgenic mouse models of HD through the provision of environmental enrichment. METHODS: We compared the effect of two different overnight entrainment paradigms presented either separately or in combination. The first was environmental enrichment, the second was temporal food-entrainment. Environmental enrichment was provided in the dark period (the natural active period for mice) in the form of access to a Perspex playground containing running wheels, tunnels, climbing frame, ropes and chew blocks. Food entrainment was imposed by allowing access to food only during the dark period. We assessed a number of different aspects of function in the mice, measuring general health (by SHIRPA testing, body temperature and body weight measurements), cognitive performance in the touchscreen and locomotor behavior in the open field. RESULTS: There were no significant differences in cognitive performance between groups on different schedules. Environmental enrichment delayed the onset of general health deterioration, while food entrainment slowed the loss of body weight, aided the maintenance of body temperature and improved locomotor behavior. Effects were limited however, and in combination had deleterious effects on survival. CONCLUSIONS: Our results support previous studies showing that environmental enrichment can be beneficial and might be used to enhance the quality of life of HD patients. However, improvements are selective and 'enrichment' per se is likely to only be useful as an adjunct to a more direct therapy

Na(v )1.8-null mice show stimulus-dependent deficits in spinal neuronal activity

BACKGROUND: The voltage gated sodium channel Na(v )1.8 has a highly restricted expression pattern to predominantly nociceptive peripheral sensory neurones. Behaviourally Na(v )1.8-null mice show an increased acute pain threshold to noxious mechanical pressure and also deficits in inflammatory and visceral, but not neuropathic pain. Here we have made in vivo electrophysiology recordings of dorsal horn neurones in intact anaesthetised Na(v )1.8-null mice, in response to a wide range of stimuli to further the understanding of the functional roles of Na(v )1.8 in pain transmission from the periphery to the spinal cord. RESULTS: Na(v )1.8-null mice showed marked deficits in the coding by dorsal horn neurones to mechanical, but not thermal, -evoked responses over the non-noxious and noxious range compared to littermate controls. Additionally, responses evoked to other stimulus modalities were also significantly reduced in Na(v )1.8-null mice where the reduction observed to pinch > brush. The occurrence of ongoing spontaneous neuronal activity was significantly less in mice lacking Na(v )1.8 compared to control. No difference was observed between groups in the evoked activity to electrical activity of the peripheral receptive field. CONCLUSION: This study demonstrates that deletion of the sodium channel Na(v )1.8 results in stimulus-dependent deficits in the dorsal horn neuronal coding to mechanical, but not thermal stimuli applied to the neuronal peripheral receptive field. This implies that Na(v )1.8 is either responsible for, or associated with proteins involved in mechanosensation

Case-by-Collaboration: An Adaptable Soft Skills-Based Educational Model for Health Disciplines

Purpose: The purpose of this study was two-fold and consisted of the development of a skills-based model for Case-by-Collaboration (CBC) and the collection of qualitative data from students and teachers aimed at answering the research question: What skills do individuals (students) apply during the completion of a hypothetical medical laboratory management-based Case-by-Collaboration capstone project? Method: A consensual qualitative research design was selected for this study. Students and their instructors from three Medical Laboratory Science programs located in Texas, New York, and Missouri were recruited. Students were given a case that centers on the fictitious Cheapskate Health Maintenance Organization (HMO). The project culminated when each team presented their proposal to become the sole provider of laboratory testing services to the Cheapskate HMO Board of Directors (BOD). The project was initially designed to be accessed and completed online, where students from different institutions would come together and remotely complete the requirements. Data were collected through in-person observations of the final presentation, semi-structured interviews with students and instructors, and analysis of project documents. Data was coded, and transcripts were reviewed numerous times. Two strategies were employed to ensure the integrity of the study. First, the coded data were examined across the data collection strategies, transcripts containing the data, and the themes identified by a researcher and an outside auditor. Secondly, an audit trail was established to document how the data were collected and analyzed, along with documentation of the thought processes used in the data interpretation phase of the project. Results: The current study analyzed responses from 36 students and 5 instructors across the three data collection sites. Seven themes, in the form of skill sets, were identified in the data analyzed:1) information technology, 2) collaboration/team building, 3) verbal and written communication, 4) clinical reasoning, 5) creativity, 6) managerial, and 7) research/investigative. Conclusion: These results suggest the CBC can develop desirable soft skills. This model can be transferrable and apply to CBCs independent of the studied content. Thus, the CBC is an innovative model to teach soft skills across health disciplines

COVID-19 and depression and anxiety screening in primary care

Introduction: • The COVID-19 pandemic had a severe effect on mental health, heightening the prevalence and severity of anxiety and depression amongst the general population in rural and non-rural areas, particularly youth. • Most reports draw from available data from mental health referrals, hospitalizations, suicides, and other incident data • There is limited longitudinal information from general population samples using standardized mental health assessments.https://knowledgeconnection.mainehealth.org/lambrew-retreat-2023/1027/thumbnail.jp

ASPIRE-2-PREVENT: a survey of lifestyle, risk factor management and cardioprotective medication in patients with coronary heart disease and people at high risk of developing cardiovascular disease in the UK.

OBJECTIVE: To determine in patients with coronary heart disease (CHD) and people at high risk of developing cardiovascular disease (CVD) whether the Joint British Societies' guidelines on CVD prevention (JBS2) are followed in everyday clinical practice. DESIGN: A cross-sectional survey was undertaken of medical records and patient interviews and examinations at least 6 months after the recruiting event or diagnosis using standardised instruments and a central laboratory for measurement of lipids and glucose. SETTINGS: The ASPIRE-2-PREVENT survey was undertaken in 19 randomly selected hospitals and 19 randomly selected general practices in 12 geographical regions in England, Northern Ireland, Wales and Scotland. PATIENTS: In hospitals, 1474 consecutive patients with CHD were identified and 676 (25.6% women) were interviewed. In general practice, 943 people at high CVD risk were identified and 446 (46.5% women) were interviewed. RESULTS: The prevalence of risk factors in patients with CHD and high-risk individuals was, respectively: smoking 14.1%, 13.3%; obesity 38%, 50.2%; not reaching physical activity target 83.3%, 85.4%; blood pressure ≥130/80 mm Hg (patients with CHD and self-reported diabetes) or ≥140/85 mm Hg (high-risk individuals) 46.9%, 51.3%; total cholesterol ≥4 mmol/l 52.6%, 78.7%; and diabetes 17.8%, 43.8%. CONCLUSIONS: The potential among patients with CHD and individuals at high risk of developing CVD in the UK to achieve the JBS2 lifestyle and risk factor targets is considerable. CVD prevention needs a comprehensive multidisciplinary approach, addressing all aspects of lifestyle and risk factor management. The challenge is to engage and motivate cardiologists, physicians and other health professionals to routinely practice high quality preventive cardiology in a healthcare system which must invest in prevention

Effective Community Engagement Strategies: The Voices of Injection Drug Users

Academic and community interactions are often conducted with good intentions. However, there is exploitation risk for populations engaging in illegal activities. Collaborations with injection drug users (IDUs) can highlight their expertise and support progressive research. The objective of our research was to use community-based participatory research principles to give voice to IDUs, define community, and recommend authentic engagement strategies. In Phase 1, 10 focus groups (n=33, ages 25–64) helped define community and collaborative partnerships. In Phase 2, community forums with 13 additional IDUs provided feedback on focus group themes. Results: (1) primary themes defining community— geography and social networks; (2) community qualities—respectful, accepting, outcasts, and welcoming; (3) engagement recommendations—incentives, recognizing potential for contributions, treating IDUs respectfully, using research results for positive benefit. Conclusions: Providing voice to marginalized communities allows for self-definition, description of needs, and authentic engagement recommendations. This information is crucial for developing effective programs and creating sustainable collaborations between IDUs and academics

The medial entorhinal cortex is necessary for the stimulus control over hippocampal place fields by distal, but not proximal, landmarks

A fundamental property of place cells in the hippocampus is the anchoring of their firing fields to salient landmarks within the environment. However, it is unclear how such information reaches the hippocampus. In the current experiment, we tested the hypothesis that the stimulus control exerted by distal visual landmarks requires input from the medial entorhinal cortex (MEC). Place cells were recorded from mice with ibotenic acid lesions of the MEC (n = 7) and from sham-lesioned mice (n = 6) following 90° rotations of either distal landmarks or proximal cues in a cue- controlled environment. We found that lesions of the MEC impaired the anchoring of place fields to distal landmarks, but not proximal cues. We also observed that, relative to sham-lesioned mice, place cells in animals with MEC lesions exhibited significantly reduced spatial information and increased sparsity. These results support the view that distal landmark information reaches the hippocampus via the MEC, but that proximal cue information can do so via an alternative neural pathway

MICROBIAL BASED CHLORINATED ETHENE DESTRUCTION

A mixed culture of Dehalococcoides species is provided that has an ability to catalyze the complete dechlorination of polychlorinated ethenes such as PCE, TCE, cDCE, 1,1-DCE and vinyl chloride as well as halogenated ethanes such as 1,2-DCA and EDB. The mixed culture demonstrates the ability to achieve dechlorination even in the presence of high source concentrations of chlorinated ethenes

Chimpanzees demonstrate individual differences in social information use

Studies of transmission biases in social learning have greatly informed our understanding of how behaviour patterns may diffuse through animal populations, yet within-species inter-individual variation in social information use has received little attention and remains poorly understood. We have addressed this question by examining individual performances across multiple experiments with the same population of primates. We compiled a dataset spanning 16 social learning studies (26 experimental conditions) carried out at the same study site over a 12-year period, incorporating a total of 167 chimpanzees. We applied a binary scoring system to code each participant’s performance in each study according to whether they demonstrated evidence of using social information from conspecifics to solve the experimental task or not (Social Information Score—‘SIS’). Bayesian binomial mixed effects models were then used to estimate the extent to which individual differences influenced SIS, together with any effects of sex, rearing history, age, prior involvement in research and task type on SIS. An estimate of repeatability found that approximately half of the variance in SIS was accounted for by individual identity, indicating that individual differences play a critical role in the social learning behaviour of chimpanzees. According to the model that best fit the data, females were, depending on their rearing history, 15–24% more likely to use social information to solve experimental tasks than males. However, there was no strong evidence of an effect of age or research experience, and pedigree records indicated that SIS was not a strongly heritable trait. Our study offers a novel, transferable method for the study of individual differences in social learning