First steps : parent health behaviours related to children’s foot health

Good foot health throughout childhood is important but remains poorly understood with few studies exploring this topic. The aim of this study was to define parents’ knowledge, practices and health-related perceptions of children’s feet. A qualitative design was adopted. Semi-structured, one-to-one interviews were carried out with parents of children aged five years and under, recruited from South East and North West of England. Interviews explored parents’ views, beliefs and understanding of foot health in infancy and early childhood. Transcripts of the interviews were analysed using thematic analysis. Eighteen interviews were conducted. Seven themes were identified relating to (1) parents belief and knowledge about children’s foot health; (2) how parents use and share foot health information; (3) activities for supporting foot health and development; (4) footwear choices, beliefs and influences; (5) the way they access health professionals; (6) the way they search for foot health information and (7) developing practice(s) to support parents. The study provides the first insight into how parents view foot health in early infancy and childhood. The findings highlight the key foot health beliefs important to parents, how they learn about and what influences their decision-making about caring for children’s feet, the way parents receive and seek information, and how they access support for foot health concerns. The findings highlight the need for accurate, clear and consistent foot health messages, and the important role health professionals have in signposting parents towards reliable and informative sources on foot health

Left High and Dry: Deglaciation of Dogger Bank, North Sea, Recorded in Proglacial Lake Evolution

Reconstructions of palaeo-ice sheet retreat in response to climate warming using offshore archives can provide vital analogs for future ice-sheet behavior. At the Last Glacial Maximum, Dogger Bank, in the southern North Sea, was covered by the Eurasian Ice Sheet. However, the maximum extent and behavior of the ice sheet in the North Sea basin is poorly constrained. We reveal ice-marginal dynamics and maximum ice extent at Dogger Bank through sedimentological and stratigraphic investigation of glacial and proglacial lake sediments. We use a large, integrated subsurface dataset of shallow seismic reflection and geotechnical data collected during windfarm site investigation. For the first time, an ice stream is identified at Dogger Bank, based on preserved subglacial bedforms, eskers and meltwater channels. During ice-sheet advance, a terminal thrust-block moraine complex formed, whose crest runs approximately north-northeast to south-southwest. Subsequent ice stream shutdown caused stagnation of ice, and rapid retreat of the ice-sheet margin. The moraine complex, and outwash head from an adjacent ice-sheet lobe to the west, dammed a large (approximately 750 km2) proglacial lake. Subsequent sedimentation infilled the lake with 30 m of glacial outwash sediments. A lobate subaqueous fan formed at the ice-sheet margin, which thins toward the southeast with iceberg scours and ice-rafted debris at the base, and is onlapped by lake sediments calibrated to core as alternating clay and silt laminae, interpreted to be varves. The lake became isolated from the retreating ice-sheet margin, and ice-sheet retreat slowed. Sediment-laden meltwater was supplied to the ice-distal proglacial lake for c. 1500–2000 years. Subsequent ice-sheet retreat off Dogger Bank was more rapid due to the negative subglacial slope. The stepped retreat of rapid downwasting, slow retreat, and a final rapid phase off Dogger Bank occurred after the LGM at around 27 ka and before formation of a ribbon lake, dated previously to 23 ka and approximately 60 m lower in elevation, formed to the north of Dogger Bank. The complicated stratigraphic architecture revealed through these data improves forecasting of ground conditions for turbine footings at Dogger Bank, an important step in the provision of clean, sustainable energy

UBE2QL1 is Disrupted by a Constitutional Translocation Associated with Renal Tumor Predisposition and is a Novel Candidate Renal Tumor Suppressor Gene

Investigation of rare familial forms of renal cell carcinoma (RCC) has led to the identification of genes such as VHL and MET that are also implicated in the pathogenesis of sporadic RCC. In order to identify a novel candidate renal tumor suppressor gene, we characterized the breakpoints of a constitutional balanced translocation, t(5;19)(p15.3;q12), associated with familial RCC and found that a previously uncharacterized gene UBE2QL1 was disrupted by the chromosome 5 breakpoint. UBE2QL1 mRNA expression was downregulated in 78.6% of sporadic RCC and, although no intragenic mutations were detected, gene deletions and promoter region hypermethylation were detected in 17.3% and 20.3%, respectively, of sporadic RCC. Reexpression of UBE2QL1 in a deficient RCC cell line suppressed anchorage-independent growth. UBE2QL1 shows homology to the E2 class of ubiquitin conjugating enzymes and we found that (1) UBE2QL1 possesses an active-site cysteine (C88) that is monoubiquitinated in vivo, and (2) UBE2QL1 interacts with FBXW7 (an F box protein providing substrate recognition to the SCF E3 ubiquitin ligase) and facilitates the degradation of the known FBXW7 targets, CCNE1 and mTOR. These findings suggest UBE2QL1 as a novel candidate renal tumor suppressor gen

Topographic and hydrodynamic controls on barrier retreat and preservation: An example from Dogger Bank, North Sea

Barrier retreat can occur due to in-place drowning, overstepping or rollover, depending on the interplay of controls such as sea-level rise, sediment supply, coastal hydrodynamic regime and topography. Offshore sedimentary archives of barriers active during rapid Holocene sea-level rise provide important records of marine transgression, which are vital analogues to support appropriate mitigation strategies for future coastal realignment under projected relative sea-level rise scenarios. This study analyses the sedimentary archive at Dogger Bank, which is a formerly-glaciated area in the North Sea. Dogger Bank experienced marine transgression due to Early Holocene rapid relative sea-level rise. An integrated dataset of vibrocores and high-resolution seismic reflection data permits a stratigraphic framework to be established, which reveals the buried coastal geomorphology of the southern Dogger Bank for the first time. A transgressive stratigraphy was identified, comprising a topographically complicated basal glacial and terrestrial succession, overlain by two phases of barrier and tidal mudflat deposition, prior to shallow marine sedimentation. Barrier phase A was a recurved barrier drowned in place, and discontinuously overstepped to barrier phase B, which experienced continuous overstepping. By linking barrier elevations to relative sea-level curves, the timing of each barrier phase was established. Both barrier phases retreated during periods of rapid sea-level rise with abundant sediment supply. Coastal hydrodynamics (increasing wave energy) and antecedent topography with spatially variable accommodation are suggested to be the main reason for differing retreat mechanisms, rather than the rate of sea-level rise. Antecedent coastal geomorphology plays a critical role in erosional and depositional patterns during transgression, and therefore on the timing, rate and location of marine inundation, which needs to be included in models that aim to forecast hazards in coastal areas

Tb or not Tb: Banding in Turbidite Sandstones

Recognition and interpretation of sedimentary structures is fundamental to understanding sedimentary processes. Banded sandstones are an enigmatic sedimentary facies comprising alternating mud-rich (as matrix and/or mud clasts) and cleaner sand layers. The juxtaposition of hydrodynamically different grain sizes contradicts established models of cleaner-sand bedform development. Here, outcrop, subsurface core, and petrographic data from three deep-water systems, with well-constrained paleogeographic contexts, are used to describe the range of sedimentary textures, bedform morphologies, and facies associations, and to quantify the mud content of banding. Banding can occur in any part of a bed (base, middle, or top), but it typically overlies a structureless basal sandstone or mud-clast conglomerate lag, and is overlain by clean parallel-laminated sandstone and/or ripple cross-lamination. Banding morphology ranges from sub-parallel to bedforms that comprise low-angle laminae with discontinuous lenses of mudstone, or asymmetric bedforms comprising steeply dipping foresets that transition downstream into low-amplitude bedwaves, or steeply dipping ripple-like bedforms with heterolithic foresets. This style of banding is interpreted as a range of bedforms that form progressively in the upper-stage plane-bed flow regime via tractional reworking beneath mud-laden transitional plug flows. The balance of cohesive and turbulent forces, and the rate of flow deceleration (aggradation rate), govern the style of deposit. Banded sandstones and linked debrites are rarely found juxtaposed together in the same bed because they are distributed preferentially in proximal and distal settings, respectively. Understanding the origins of banding in turbidite sandstones, the conditions under which it forms, and its distribution across deep-water systems and relationship to linked debrites, is important for it to be used effectively as a tool to interpret the geological record

The "price-tag" of foot health in infancy and early childhood : a cross sectional survey of UK parents

Children's feet are complex structures and strategies for supporting good foot health throughout childhood can be challenging. Greater awareness of the contemporary factors influencing decisions, such as footwear purchases, is needed to inform health narratives which are more closely aligned to parents' attitude and behaviours. The aim of this study was to explore parent's knowledge of children's foot health, understand the common foot health concerns and experiences with footcare services. A purposeful sampling approach was used to recruit parents of children aged 5 years and under. Participants completed a self-administered, online survey which consisted of 39 questions across six sections: (1) Participant demographics; (2) Developmental events (milestones such as crawling and walking); (3) Foot health concerns; (4) Developmental aids (products such as baby bouncers and baby walkers); (5) Footwear; and (6) Foot health information. Both adaptive and mandatory questions were used. Descriptive statistics were used to summarise closed-ended questions, and a summative content analysis was adopted to draw inferences from the text data. Two-hundred thirty-nine parents completed the survey, and this represented female participants (n = 213) aged between the ages 34-42 (n = 126) or 25-34 (n = 83) years of age. The survey generated responses from a wide geographical spread across the UK, but the majority of these were from the North West of England (n = 75) and South East of England (n = 46). Four main themes were drawn from the content analysis: (1) foot health concerns and seeking advice; (2) information and advice; (3) how parents support infant milestone events; and (4) footwear.Conclusion: This work provides insight into parents' perspective on the broad topics of children's foot health, identifying common experiences and concerns about their children's foot health and the factors which influence decision making. Understanding more about these issues will help health professionals support parents during infancy and early years. What is Known: • Maintaining good foot health throughout childhood is important and many factors influence decision making. • There is little understanding about how parents care for their children feet and their understanding of good foot health practices and services. What is New: • Insight into the common factors which influence parents' approaches to supporting early development and the typical concerns that parents encountered about their children's overall foot health and footwear. • Identifies areas of children's foot health for health professionals to target when developing information sources for parents

Topographic controls on the development of contemporaneous but contrasting basin-floor depositional architectures

Sediment-laden gravity-driven-flow deposits on the basin floor are typically considered to form either discrete lobes that stack compensationally, or packages of laterally extensive beds, commonly termed “sheets.” These end-member stacking patterns are documented in several basinfills. However, whether they can coexist in a single basin, or there are intermediate or transitional stacking patterns, is poorly understood. An analysis of depositional architecture and stacking patterns along a 70 km dip-oriented transect in the Upper Broto Turbidite System (Jaca Basin, south-central Pyrenees, Spain), which displays disparate stacking patterns in contemporaneous strata, is presented. Proximal and medial deposits are characterized by discrete packages of clean sandstones with sharp bed tops which exhibit predictable lateral and longitudinal facies changes, and are interpreted as lobes. Distal deposits comprise both relatively clean sandstones and hybrid beds that do not stack to form lobes. Instead, localized relatively thick hybrid beds are inferred to have inhibited the development of lobes. Hybrid beds developed under flows which were deflected and entrained carbonate mud substrate off a carbonate slope that bounded the basin to the south; evidence for this interpretation includes: 1) divergent paleoflow indicators and hummock-like features in individual beds; 2) a decrease in hybrid-bed thickness and abundance away from the lateral confining slope; 3) a carbonate-rich upper division, not seen in more proximal turbidites. The study demonstrates the co-occurrence of different styles of basin-floor stacking patterns in the same stratigraphic interval, and suggests that characterization of deep-water systems as either lobes or sheets is a false dichotomy

Multicolour correlative imaging using phosphor probes

Correlative light and electron microscopy exploits the advantages of optical methods, such as multicolour probes and their use in hydrated live biological samples, to locate functional units, which are then correlated with structural details that can be revealed by the superior resolution of electron microscopes. One difficulty is locating the area imaged by the electron beam in the much larger optical field of view. Multifunctional probes that can be imaged in both modalities and thus register the two images are required. Phosphor materials give cathodoluminescence (CL) optical emissions under electron excitation. Lanthanum phosphate containing thulium or terbium or europium emits narrow bands in the blue, green and red regions of the CL spectrum; they may be synthesised with very uniform-sized crystals in the 10- to 50-nm range. Such crystals can be imaged by CL in the electron microscope, at resolutions limited by the particle size, and with colour discrimination to identify different probes. These materials also give emissions in the optical microscope, by multiphoton excitation. They have been deposited on the surface of glioblastoma cells and imaged by CL. Gadolinium oxysulphide doped with terbium emits green photons by either ultraviolet or electron excitation. Sixty-nanometre crystals of this phosphor have been imaged in the atmospheric scanning electron microscope (JEOL ClairScope). This probe and microscope combination allow correlative imaging in hydrated samples. Phosphor probes should prove to be very useful in correlative light and electron microscopy, as fiducial markers to assist in image registration, and in high/super resolution imaging studies

Ice sheet and palaeoclimate controls on drainage network evolution: an example from Dogger Bank, North Sea

Submerged landscapes on continental shelves archive drainage networks formed during periods of sea-level lowstand. The evolution of these postglacial drainage networks also reveals how past climate changes affected the landscape. Ice-marginal and paraglacial drainage networks on low-relief topography are susceptible to reorganisation of water supply, forced by ice-marginal rearrangement, precipitation and temperature variations, and marine inundation. A rare geological archive of climate-driven landscape evolution during the transition from ice-marginal (ca. 23 ka) to a fully submerged marine environment (ca. 8 ka) is preserved at Dogger Bank, in the southern North Sea. In this study, our analysis of high-resolution seismic reflection and cone penetration test data reveal a channel network over a 1330 km2 area that incised glacial and proglacial lake-fill sediments. The channel network sits below coastal and shallow marine sediments and is therefore interpreted to represent a terrestrial drainage network. When mapped out, the channel form morphology reveals two distinct sets. The first set comprises two low-sinuosity, wide (>400 m) channels that contain macroforms of braid and side bars. These channels are interpreted to have originated as proglacial rivers, which drained the ice-sheet margin to the north. The second set of channels (75–200 m wide, with one larger, ∼400 m wide) has higher sinuosity and forms a subdendritic network of tributaries to the proglacial channels. The timing of channel formation lacks chronostratigraphic control. However, the proglacial rivers must have formed as the ice sheet was still on Dogger Bank, before 23 ka, to supply meltwater to the rivers. Ice-sheet retreat from Dogger Bank led to reorganisation of meltwater drainage and abandonment of the proglacial rivers. Palaeoclimate simulations show a cold and dry period at Dogger Bank between 23 and 17 ka. After 17 ka, precipitation increased, and drainage of precipitation formed the second set of channels. The second set of rivers remained active until marine transgression of Dogger Bank at ca. 8.5–8 ka. Overall, this study provides a detailed insight into the evolution of river networks across Dogger Bank and highlights the interplay between external (climate) and internal (local) forcings in drainage network evolution

Revising the WHO verbal autopsy instrument to facilitate routine cause-of-death monitoring.

OBJECTIVE: Verbal autopsy (VA) is a systematic approach for determining causes of death (CoD) in populations without routine medical certification. It has mainly been used in research contexts and involved relatively lengthy interviews. Our objective here is to describe the process used to shorten, simplify, and standardise the VA process to make it feasible for application on a larger scale such as in routine civil registration and vital statistics (CRVS) systems. METHODS: A literature review of existing VA instruments was undertaken. The World Health Organization (WHO) then facilitated an international consultation process to review experiences with existing VA instruments, including those from WHO, the Demographic Evaluation of Populations and their Health in Developing Countries (INDEPTH) Network, InterVA, and the Population Health Metrics Research Consortium (PHMRC). In an expert meeting, consideration was given to formulating a workable VA CoD list [with mapping to the International Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10) CoD] and to the viability and utility of existing VA interview questions, with a view to undertaking systematic simplification. FINDINGS: A revised VA CoD list was compiled enabling mapping of all ICD-10 CoD onto 62 VA cause categories, chosen on the grounds of public health significance as well as potential for ascertainment from VA. A set of 221 indicators for inclusion in the revised VA instrument was developed on the basis of accumulated experience, with appropriate skip patterns for various population sub-groups. The duration of a VA interview was reduced by about 40% with this new approach. CONCLUSIONS: The revised VA instrument resulting from this consultation process is presented here as a means of making it available for widespread use and evaluation. It is envisaged that this will be used in conjunction with automated models for assigning CoD from VA data, rather than involving physicians