304 research outputs found
Building Family Wealth Project: A Review of the Literature.
A summary report about the Building Family Wealth Project, a collaboration of CURA and the Neighborhood Employment Network. Includes lessons for designing a successful asset-oriented savings program, a discussion of other types of investment programs, and an annotated review of the literature on asset-oriented programs for poor and minority families.A collaborative project of CURA and the Neighborhood Employment Network (NET).Hofer, Eric; Davis, Elizabeth E.. (2006). Building Family Wealth Project: A Review of the Literature.. Retrieved from the University Digital Conservancy, https://hdl.handle.net/11299/205002
Building Family Wealth Project: A Review of the Literature.
A summary report about the Building Family Wealth Project, a collaboration of CURA and the Neighborhood Employment Network. Includes lessons for designing a successful asset-oriented savings program, a discussion of other types of investment programs, and an annotated review of the literature on asset-oriented programs for poor and minority families.A collaborative project of CURA and the Neighborhood Employment Network (NET)
Utilising clinical parameters to improve the selection of nerve biopsy candidates
Background
Peripheral nerve biopsy is a valuable final diagnostic tool; however, histopathological results can be non-diagnostic.
Aims
We aim to identify quality improvement measures by evaluating the pre-biopsy assessment and diagnostic yield of specific histopathological diagnosis.
Methods
This was a retrospective study based on 10âyears of experience with peripheral nerve biopsies at a single centre. Clinical data were obtained regarding pre-biopsy history, examination, serum and cerebrospinal fluid (CSF) investigations, neurophysiology and peripheral nerve imaging. Based upon a histopathological outcome, patients were grouped into vasculitis, granulomatous and infiltrative (diagnostic) group, or a comparison group of non-specific axonal neuropathy and normal (non-specific/normal) group.
Results
From a cohort of 64 patients, 21 (32.8%) were included in the diagnostic group and 30 (46.9%) in the non-specific/normal group. Clinical parameters associated with the diagnostic group were shorter history (mean 10.2 months vs 38.1), stepwise progression (81% vs 20%), neuropathic pain (85.7% vs 56.7%), vasculitic rash (23.8% vs 0%), mononeuritis multiplex (57.1% vs 10%), asymmetry (90.5% vs 60%), raised white cell count (47.6% vs 16.7%), myeloperoxidase antibody (19.1% vs 0%) and abnormal peripheral nerve imaging (33.3% vs 10%).
Conclusion
Selection of patients undergoing nerve biopsy requires careful consideration of clinical parameters, including peripheral nerve imaging. Several quality improvement measures are proposed to improve yield of clinically actionable information from nerve biopsy
Evaluation of a Technique to Trap Lemmings Under the Snow
We attempted to live trap lemmings under the snow in their preferred winter habitat at two sites in the Canadian Arctic using chimney-like boxes. Lemmings used the boxes during winter, but we had very low trapping success in April and May. During spring trapping, in contrast to most of the winter, subnivean temperatures became colder than ambient air temperatures. We hypothesize that our low success in spring resulted from lemmingsâ leaving the deeper snow areas where our boxes were located and moving to shallower snow or exposed tundra. We suggest that the trapping boxes could be successful if trapping occurred earlier during winter.Nous avons tentĂ© de capturer des lemmings sous la neige dans leur habitat hivernal prĂ©fĂ©rĂ© en utilisant des boĂźtes en forme de cheminĂ©e Ă deux sites situĂ©s dans lâArctique canadien. Les boĂźtes ont Ă©tĂ© utilisĂ©es par les lemmings durant lâhiver mais nous avons eu un trĂšs faible succĂšs de capture en avril et mai. Contrairement Ă la majoritĂ© de lâhiver, les tempĂ©ratures sous-nivales Ă©taient plus froides que les tempĂ©ratures de lâair pendant que nous avons trappĂ© au printemps. Nous Ă©mettons lâhypothĂšse que notre faible succĂšs au printemps est dĂ» au dĂ©placement des lemmings des sites de fort enneigement, oĂč nos boĂźtes Ă©taient installĂ©es, vers ceux de faible enneigement ou vers la toundra exposĂ©e. Nous suggĂ©rons que les boĂźtes de trappage pourraient ĂȘtre plus utiles si le trappage se faisait plus tĂŽt au courant de lâhiver
Maternal autoimmunity and inflammation are associated with childhood tics and obsessive-compulsive disorder: Transcriptomic data show common enriched innate immune pathways.
Although genetic variation is a major risk factor of neurodevelopmental disorders, environmental factors during pregnancy and early life are also important in disease expression. Animal models demonstrate that maternal inflammation causes fetal neuroinflammation and neurodevelopmental deficits, and brain transcriptomics of neurodevelopmental disorders in humans show upregulated differentially expressed genes are enriched in immune pathways. We prospectively recruited 200 sequentially referred children with tic disorders/obsessive-compulsive disorder (OCD), 100 autoimmune neurological controls, and 100 age-matched healthy controls. A structured interview captured the maternal and family history of autoimmune disease and other pro-inflammatory states. Maternal blood and published Tourette brain transcriptomes were analysed for overlapping enriched pathways. Mothers of children with tics/OCD had a higher rate of autoimmune disease compared with mothers of children with autoimmune neurological conditions (p = 0.054), and mothers of healthy controls (p = 0.0004). Autoimmunity was similarly elevated in first- and second-degree maternal relatives of children with tics/OCD (p 0.0001 and p = 0.014 respectively). Other pro-inflammatory states were also more common in mothers of children with tics/OCD than controls (p 0.0001). Upregulated differentially expressed genes in maternal autoimmune disease and Tourette brain transcriptomes were commonly enriched in innate immune processes. Pro-inflammatory states, including autoimmune disease, are more common in the mothers and families of children with tics/OCD. Exploratory transcriptome analysis indicates innate immune signalling may link maternal inflammation and childhood tics/OCD. Targeting inflammation may represent preventative strategies in pregnancy and treatment opportunities for children with neurodevelopmental disorders
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