Global Awakening in Genetic Counseling

The article by Ricki Lewis, Nature, Volume 449,October 18, 2007, correctly points out that the genetic counseling profession is on the "verge of being discovered by the rest of the world". The rapid recognition of genes associated with single-gene disorders and complex conditions has deepened our understanding of the role of genetics in health and illness. The impact of genetic conditions on individuals and families, particularly in ethical, legal and psychosocial arenas, requires specially trained professionals to work in this unique and growing dimension of healthcare. The Transnational Alliance for Genetic Counseling (TAGC) represents fifteen countries currently providing genetic counselor education across five continents

Studies on Populations of Anchoa Kitchilli Cuvier & Valenciennes in Mississippi Sound, with Special Reference to the Life Cycle and Seasonal Variations in Abundance

[No abstract provided.

Using a Mobile Food Pantry to Address the Food Insecurity Needs of College Students

Food insecurity is a prevalent issue throughout the United States, the state of Oklahoma, and on Oklahoma State University’s (OSU) Stillwater campus. Research has shown that college and university students tend to be more food insecure than national population averages and Stillwater’s food insecurity rates have been even higher. Mobile food pantries (MFP) generally have been effective in addressing food insecurity, but few studies have investigated their use to alleviate food insecurity among college students. Our Daily Bread Food and Resource Center (ODB) in Stillwater implemented an MFP on OSU’s campus. The present study surveyed students who utilized the MFP to assess their needs, food security status, and perceptions of the MFP. Of 130 students who answered the food security questions (after receiving their food), more than 83% were classified as food insecure. Respondents agreed that the MFP provided sufficient foods considering nutritional value, variety, diversity, and acceptability. Students were mostly unaware of available food assistance programs but were open to using them. Almost one-third of students reported no grocery or market within walking distance of their residence. Overall, the findings of this study showed a need for an MFP on OSU’s campus

Nurturing Care for China’s Orphaned Children

As the number of children orphaned or abandoned worldwide rises, we worry about their rights and welfare. Children without parents or loving guardians are vulnerable to neglect, poor health care, and diminished education. Many come to live in institutions where they may experience a host of long-term problems, including malnutrition, growth retardation, sensory processing difficulties, behavioral and attachment disorders, and cognitive and language delays (e.g., Rutter, Quinton, & Hill 1990; Judge 1999; Zeanah 2000; Beckett et al. 2002). Yet, people are finding helpful solutions. Half the Sky Foundation (HTS) conducts infant nurture and preschool enrichment programs that dramatically enhance the quality of life and the development of orphaned children living in Chinese state-run institutions. Launched as two small pilots in 2000 by founder Jenny Bowen and a group of American adoptive parents, Half the Sky (www.halfthesky.org) operates today in partnership with the Chinese government in 34 state-run welfare institutions in 12 municipalities and provinces. The foundation serves over 3,500 children and adolescents, without regard to gender or disability, with funding from individual, foundation, and corporate donors worldwide. More than 12,000 children have benefited already from HTS programs. This article describes the programs for the youngest children: infants, toddlers, and preschoolers

Geochemical Reconstruction of Late Holocene Drainage and Mixing in Kluane Lake, Yukon Territory

The level of Kluane Lake in southwest Yukon Territory, Canada, has fluctuated tens of metres during the late Holocene. Contributions of sediment from different watersheds in the basin over the past 5,000 years were inferred from the elemental geochemistry of Kluane Lake sediment cores. Elements associated with organic material and oxyhydroxides were used to reconstruct redox fluctuations in the hypolimnion of the lake. The data reveal complex relationships between climate and river discharge during the late Holocene. A period of influx of Duke River sediment coincides with a relatively warm climate around 1,300 years BP. Discharge of Slims River into Kluane Lake occurred when Kaskawulsh Glacier advanced to the present drainage divide separating flow to the Pacific Ocean via Kaskawulsh and Alsek rivers from flow to Bering Sea via tributaries of Yukon River. During periods when neither Duke nor Slims river discharged into Kluane Lake, the level of the lake was low and stable thermal stratification developed, with anoxic and eventually euxinic conditions in the hypolimnion

Timing and Cause of Water Level Fluctuations in Kluane Lake, Yukon Territory, Over the Past 5000 Years

We reconstructed late Holocene fluctuations of Kluane Lake in Yukon Territory from variations in bulk physical properties and carbon and nitrogen elemental and isotopic abundances in nine sediment cores. Fluctuations of Kluane Lake in the past were controlled by changes in climate and glaciers, which affected inflow of Slims and Duke rivers, the two largest sources of water flowing into the lake. Kluane Lake fluctuated within a narrow range, at levels about 25 m below the present datum, from about 5000 to 1300 cal yr BP. Low lake levels during this interval are probably due to southerly drainage of Kluane Lake to the Pacific Ocean, opposite the present northerly drainage to Bering Sea. Slims River, which today is the largest contributor of water to Kluane Lake, only rarely flowed into the lake during the period 5000 to 1300 cal yr BP. The lake rose 7–12 m between 1300 and 900 cal yr BP, reached its present level around AD 1650, and within a few decades had risen an additional 12 m. Shortly thereafter, the lake established a northern outlet and fell to near its present level

REMCARE : pragmatic multi-centre randomised trial of reminiscence groups for people with dementia and their family carers : effectiveness and economic analysis

Background Joint reminiscence groups, involving people with dementia and family carers together, are popular, but the evidence-base is limited. This study aimed to assess the effectiveness and cost-effectiveness of joint reminiscence groups as compared to usual care. Methods This multi-centre, pragmatic randomised controlled trial had two parallel arms: intervention group and usual-care control group. A restricted dynamic method of randomisation was used, with an overall allocation ratio of 1:1, restricted to ensure viable sized intervention groups. Assessments, blind to treatment allocation, were carried out at baseline, three months and ten months (primary end-point), usually in the person's home. Participants were recruited in eight centres, mainly through NHS Memory Clinics and NHS community mental health teams. Included participants were community resident people with mild to moderate dementia (DSM-IV), who had a relative or other care-giver in regular contact, to act as informant and willing and able to participate in intervention. 71% carers were spouses. 488 people with dementia (mean age 77.5) were randomised: 268 intervention, 220 control; 350 dyads completed the study (206 intervention, 144 control). The intervention evaluated was joint reminiscence groups (with up to 12 dyads) weekly for twelve weeks; monthly maintenance sessions for further seven months. Sessions followed a published treatment manual and were held in a variety of community settings. Two trained facilitators in each centre were supported by volunteers. Primary outcome measures were self-reported quality of life for the person with dementia (QoL-AD), psychological distress for the carer (General Health Questionnaire, GHQ-28). Secondary outcome measures included: autobiographical memory and activities of daily living for the person with dementia; carer stress for the carer; mood, relationship quality and service use and costs for both. Results The intention to treat analysis (ANCOVA) identified no differences in outcome between the intervention and control conditions on primary or secondary outcomes (self-reported QoL-AD mean difference 0.07 (-1.21 to 1.35), F = 0.48, p = 0.53). Carers of people with dementia allocated to the reminiscence intervention reported a significant increase in anxiety on a General Health Questionnaire-28 sub-scale at the ten month end-point (mean difference 1.25 (0.25 to 2.26), F = 8.28, p = 0.04). Compliance analyses suggested improved autobiographical memory, quality of life and relationship quality for people with dementia attending more reminiscence sessions, however carers attending more groups showed increased care-giving stress. Economic analyses from a public sector perspective indicated that joint reminiscence groups are unlikely to be cost-effective. There were no significant adverse effects attributed to the intervention. Potential limitations of the study include less than optimal attendance at the group sessions—only 57% of participants attended at least half of the intervention sessions over the 10 month period, and a higher rate of study withdrawal in the control group. Conclusions This trial does not support the clinical effectiveness or cost-effectiveness of joint reminiscence groups. Possible beneficial effects for people with dementia who attend sessions as planned are offset by raised anxiety and stress in their carers. The reasons for these discrepant outcomes need to be explored further, and may necessitate reappraisal of the movement towards joint interventions

Understanding the Accuracy of Parental Perceptions of Child Physical Activity:A Mixed Methods Analysis

BACKGROUND: Interventions to increase children’s physical activity (PA) have achieved limited success. This may be attributed to inaccurate parental perceptions of their children’s PA and a lack of recognition of a need to change activity levels. METHODS: Fifty-three parents participated in semi-structured interviews to determine perceptions of child PA. Perceptions were compared to children’s measured MVPA (classified as meeting or not meeting UK guidelines) to produce three categories: “accurate”, “over-estimate”, “under-estimate”. Deductive content analysis was performed to understand the accuracy of parental perceptions. RESULTS: All parents of children meeting the PA guidelines accurately perceived their child’s PA; whilst the majority of parents whose child did not meet the guidelines overestimated their PA. Most parents were unconcerned about their child’s PA level, viewing them as naturally active and willing to be active. Qualitative explanations for perceptions of insufficient activity included children having health problems and preferences for inactive pursuits, and parents having difficulty facilitating PA in poor weather and not always observing their child’s PA level. Social comparisons also influenced parental perceptions. CONCLUSIONS: Strategies to improve parental awareness of child PA are needed. Perceptions of child PA may be informed by child “busyness”, being unaware of activity levels, and social comparisons

Arterial heparan sulfate is negatively associated with hyperglycemia and atherosclerosis in diabetic monkeys

BACKGROUND: Arterial proteoglycans are implicated in the pathogenesis of atherosclerosis by their ability to trap plasma lipoproteins in the arterial wall and by their influence on cellular migration, adhesion and proliferation. In addition, data have suggested an anti-atherogenic role for heparan sulfate proteoglycans and a pro-atherogenic role for dermatan sulfate proteoglycans. Using a non-human primate model for human diabetes, studies examined diabetes-induced changes in arterial proteoglycans that may increase susceptibility to atherosclerosis. METHODS: Control (n = 7) and streptozotocin-induced diabetic (n = 8) cynomolgous monkeys were assessed for hyperglycemia by measurement of plasma glycated hemoglobin (GHb). Thoracic aortas obtained at necropsy, were extracted with 4 M guanidine HCL and proteoglycans were measured as hexuronic acid. Atherosclerosis was measured by enzymatic analysis of extracted tissue cholesterol. Glycosaminoglycan chains of arterial proteoglycans were released with papain, separated by agarose electrophoresis and analysed by scanning densitometry. RESULTS: Tissue cholesterol was positively associated with hexuronic acid content in diabetic arteries (r = .82, p < .025) but not in control arteries. Glycosaminoglycan chain analysis demonstrated that dermatan sulfate was associated with increased tissue cholesterol in both control (r = .8, p < 0.05) and diabetic (r = .8, p < .025) arteries, whereas a negative relationship was observed between heparan sulfate and tissue cholesterol in diabetic arteries only (r = -.7, p < .05). GHb, which was significantly higher in diabetic animals (8.2 ± 0.9 vs 3.8 ± 0.2%, p < .0005) was negatively associated with heparan sulfate in diabetic arteries (r = -.7, p < .05). CONCLUSIONS: These data implicate hyperglycemia induced modifications in arterial proteoglycans that may promote atherosclerosis