2,041 research outputs found

    'A group of totally awesome people who do stuff' - a qualitative descriptive study of a children and young people's patient and public involvement endeavour.

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    BACKGROUND: In 2013, the Cambridge Clinical Research Facility (CCRF) set up a Children's Non-Executive Research Board to advise on service and facility development and research involving children and young people (CYP). In 2015, the Children's Experiences of Engaging in Research study (CHEER) was conceived to explore the Children's Board as a patient and public involvement initiative. AIM: To explore the views of CYP, staff and parents involved in the Children's Board with the view to describe their experiences of the selected mechanism of involvement (Children's Board) within the context of operation (CCRF). METHODS: A qualitative descriptive methodology involving qualitative content analysis of semi-structured interviews was used to derive descriptive summaries of the interview data. SETTING AND PARTICIPANTS: Interviews were carried out with staff (n = 5), children (n = 2) and parents (n = 2) who participated in the first or second Children's Board meetings. RESULTS: Twelve descriptive summaries emerged: (1) CCRF 'role' perspective (2) purpose, remit and future direction (3) aspirations (4) learning as reciprocation (5) regular meetings, contact and feedback (6) expectation setting and ground rules (7) culture of PPI (8) surprise, underestimation and self-selection (9) reciprocity, incentivisation and participation (10) practicalities, timing and barriers (11) parental roles (12) event structure. These highlighted the importance of selecting the right mechanism of involvement in relation to context for involvement and the reductive biases adults and healthcare providers may unconsciously hold. Both of these aspects may affect the efficacy of PPI endeavours with CYP. DISCUSSION AND CONCLUSIONS: Mechanisms by which CYP are involved in research should be considered from the outset; taking into consideration both the setting and contextual features. Contextual and process factors important in the adult PPI realm were generally observed in this PPI initiative with CYP; however further research is required to explore unconscious biases and reductive perceptions in adult facilitators

    Simulated Galactic Cosmic Radiation Exposure Impairs Mouse Vertebral Bone Adaptations to Exercise During Recovery from Partial Weightbearing

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    Partial weightbearing that simulates Lunar gravity (one-sixth of Earth’s gravitational force) results in a loss of bone volume. High-energy radiation like that found in galactic cosmic radiation exposure also negatively affects the skeleton. Because resistance training is the most effective exercise mode to counteract disuse-induced bone loss, this experiment combined low-dose, high-energy simulated galactic cosmic radiation (GCR) exposure, followed by a period of partial weightbearing (PWB), and then a period of climb training resistance exercise or normal cage activity during recovery. Ex vivo micro-computed tomography (μCT) scans were performed by Matthew Allen, PhD at the Indiana University School of Medicine to quantify cancellous bone microarchitecture in the 4th lumbar vertebral body before biomechanical compression tests were performed at Texas A&M University. Ash weights were calculated on the fifth lumbar vertebrae. Means for cancellous bone volume (%BV/TV), trabecular thickness (Tb.Th.), trabecular number (Tb.N.), ash weight, and maximum stress from Day 42 of the experiment were compared to Day 21 means using unpaired t-tests to determine the changes occurring through the recovery period. These change scores were then analyzed using a two-way ANOVA to determine differences across experimental groups. Exercise had no significant effect on ∆BV/TV or ∆Tb.Th., but ∆BV/TV and ∆Tb.Th. were significantly lower in RAD groups than in SHAM groups (p<0.001). Additionally, Ex SHAM bones showed gains in cancellous bone mass and trabecular thickness during the recovery period. SHAM groups increased in trabecular Tb.Th. during recovery, while the trabeculae of RAD bones became thinner. ∆Tb.N. was significantly higher in exercised groups than non-exercised groups (p<0.05), but no significant differences in ∆Tb.N. were shown between RAD and SHAM groups. Ash weights showed significant differences in bone mineral content between Ex RAD and Ex SHAM groups. While maximum stress data did not show significant changes during recovery, the trends mirror those seen in other tests of bone integrity. These data suggest that GCR exposure diminishes the ability of bone to respond to exercise during recovery form a period of reduced weightbearing

    Constraining the Moho Depth Below Bhutan With Global-Phase Seismic Interferometry

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    We use a novel technique named global-phase seismic interferometry (GloPSI) to image the lithospheric structure, and in particular the Moho, below two parallel north-south transects belonging to the GANSSER network (2013–2014). The profiles cross the Himalayan orogenic wedge in Bhutan, a tectonically important area within the largest continent-continent collision zone on Earth that is still undergoing crustal thickening and represents a challenging imaging target for the GloPSI approach. GloPSI makes use of direct waves from distant earthquakes and receiver-side reverberations with near vertical incidence. Reflections are isolated from earthquake recordings by solving a correlation integral and are turned into a reflectivity image of the lithosphere below the arrays. Our results compare favorably with first-order features observed from a previous receiver function (RF) study. We show that a combined interpretation of GloPSI and RF results allows for a more in-depth understanding of the lithospheric structure across the orogenic wedge in Bhutan

    Age-associated B cells predict impaired humoral immunity after COVID-19 vaccination in patients receiving immune checkpoint blockade

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    Age-associated B cells (ABC) accumulate with age and in individuals with different immunological disorders, including cancer patients treated with immune checkpoint blockade and those with inborn errors of immunity. Here, we investigate whether ABCs from different conditions are similar and how they impact the longitudinal level of the COVID-19 vaccine response. Single-cell RNA sequencing indicates that ABCs with distinct aetiologies have common transcriptional profiles and can be categorised according to their expression of immune genes, such as the autoimmune regulator (AIRE). Furthermore, higher baseline ABC frequency correlates with decreased levels of antigen-specific memory B cells and reduced neutralising capacity against SARS-CoV-2. ABCs express high levels of the inhibitory FcγRIIB receptor and are distinctive in their ability to bind immune complexes, which could contribute to diminish vaccine responses either directly, or indirectly via enhanced clearance of immune complexed-antigen. Expansion of ABCs may, therefore, serve as a biomarker identifying individuals at risk of suboptimal responses to vaccination

    Combined point of care nucleic acid and antibody testing for SARS-CoV-2 following emergence of D614G Spike Variant

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    Rapid COVID-19 diagnosis in hospital is essential, though complicated by 30-50% of nose/throat swabs being negative by SARS-CoV-2 nucleic acid amplification testing (NAAT). Furthermore, the D614G spike mutant now dominates the pandemic and it is unclear how serological tests designed to detect anti-Spike antibodies perform against this variant. We assess the diagnostic accuracy of combined rapid antibody point of care (POC) and nucleic acid assays for suspected COVID-19 disease due to either wild type or the D614G spike mutant SARS-CoV-2. The overall detection rate for COVID-19 is 79.2% (95CI 57.8-92.9%) by rapid NAAT alone. Combined point of care antibody test and rapid NAAT is not impacted by D614G and results in very high sensitivity for COVID-19 diagnosis with very high specificity
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