Reducing Disparities by way of a Cancer Disparities Research Training Program

Background: For minority populations, there is a continuing disparity in the burden of death and illness from cancer. Research to address this disparity should be conducted by investigators who can best understand and address the needs of culturally diverse communities. However, minorities are under-represented in health-related research. The goal of this project was to develop and evaluate an approach to motivating and preparing master’s degree students for careers dedicated to cancer disparities research. Method: A Cancer Disparities Research Training Program (CDRTP) was initiated in 2010. The program consists of coursework, practicum experiences, and research opportunities. Assessment of the curriculum is based on monitoring achievement of evaluation indicators and includes a quantitative assessment and qualitative approach. Results: In its first three years, the program graduated 20 trainees, all of whom were minorities (18 African Americans and two Asians). When asked about career goals, two-thirds of the trainees indicated interest in pursuing careers in research on cancer prevention and control. The trainees expressed high satisfaction with the courses, instructor, materials, and curriculum. Although trainees had suggestions about course details, evaluations overall were positive. Across focus groups, three recurrent themes emerged regarding activities to enhance the student experience: having a wider variety of topics, more guest speakers, and field trips. Conclusion: The CDRTP was intended to recruit students – primarily African Americans – into research on prevention and control of cancer disparities. Although final evaluation of the program’s overall outcome will not be available for several years, a preliminary evaluation indicates the program is being successful

The COVID-19 Pandemic in UK Care Homes - Revealing the Cracks in the System

open access articleThere are around 420,000 residents living in UK care homes. The majority are over 85, have multiple health conditions, live with frailty and are nearing the end of their lives. Up to 80% of residents live with dementia. Care homes are not part of the National Health Service (NHS). Care home places are funded through a complex mix of self-funding, means-tested support from local authorities, and continuous healthcare funding from the NHS. They are run by independent organisations. A third of providers are large for-profit chains, the remainder comprising not-for-profit third-sector organisations, or small private companies with only a small number of homes. The level of government reimbursement for long-term care homes in the UK is low by international standards, an issue highlighted by multiple public commissions3,4 but which has gone unaddressed by successive UK governments. Medical care to UK care homes is highly variable. In some areas, the NHS Care Home Vanguards have established dedicated General Practitioners with responsibility for each home and direct access to specialist multidisciplinary teams, with evidence that such approaches may minimise unnecessary admission to hospital5. But often, care is based on residents’ individual relationships with family doctors, with the result that access to medical care is variable and uncoordinated6. As the COVID -19 pandemic started, arrangements for medical care in English care homes were in the early stages of being standardised as part of the NHS England Enhanced Health in Care Homes project. There is a social dread surrounding care homes, perceived as places to avoid because of concerns about care quality and resistance to having to pay for social care when health care is free. Most of the coverage of care homes in mainstream media prior to COVID was negative, focussing on isolated scandalous cases of negligence or abuse, and rarely reporting on the exceptional work done by the sector daily. The workforce is not valued. There is no national accreditation for care home staff, opportunities for career progression are limited, staff are poorly paid and positions in care homes are often referred to as unskilled work

The trypanosome alternative oxidase:a potential drug target?

New drugs against Trypanosoma brucei, the causative agent of Human African Trypanosomiasis, are urgently needed to replace the highly toxic and largely ineffective therapies currently used. The trypanosome alternative oxidase (TAO) is an essential and unique mitochondrial protein in these parasites and is absent from mammalian mitochondria, making it an attractive drug target. The structure and function of the protein are now well characterized, with several inhibitors reported in the literature which show potential as clinical drug candidates. In this review we provide an update on the functional activity and structural aspects of TAO. We then discuss TAO inhibitors reported to date, problems encountered with in vivo testing of these compounds, and discuss the future of TAO as a therapeutic target.PostprintPeer reviewe

Using a Grid-Enabled Wireless Sensor Network for Flood Management

Flooding is becoming an increasing problem. As a result there is a need to deploy more sophisticated sensor networks to detect and react to flooding. This paper outlines a demonstration that illustrates our proposed solution to this problem involving embedded wireless hardware, component based middleware and overlay networks

Statistics of soliton-bearing systems with additive noise

We present a consistent method to calculate the probability distribution of soliton parameters in systems with additive noise. Even though a weak noise is considered, we are interested in probabilities of large fluctuations (generally non-Gaussian) which are beyond perturbation theory. Our method is a further development of the instanton formalism (method of optimal fluctuation) based on a saddle-point approximation in the path integral. We first solve a fundamental problem of soliton statistics governing by noisy Nonlinear Schr\"odinger Equation (NSE). We then apply our method to optical soliton transmission systems using signal control elements (filters, amplitude and phase modulators).Comment: 4 pages. Submitted to PR

Gaps in the cloud cover? Comparing extinction measures in spiral disks

Dust in galaxies can be mapped by either the FIR/sub-mm emission, the optical or infrared reddening of starlight, or the extinction of a known background source. We compare two dust extinction measurements for a set of fifteen sections in thirteen nearby galaxies, to determine the scale of the dusty ISM responsible for disk opacity: one using stellar reddening and the other a known background source. In our earlier papers, we presented extinction measurements of 29 galaxies, based on calibrated counts of distant background objects identified though foreground disks in HST/WFPC2 images. For the 13 galaxies that overlap with the Spitzer Infrared Nearby Galaxies Survey (SINGS), we now compare these results with those obtained from an I-L color map. Our goal is to determine whether or not a detected distant galaxy indicates a gap in the dusty ISM, and hence to better understand the nature and geometry of the disk extinction. We find that distant galaxies are predominantly in low-extinction sections marked by the color maps, indicating that their number depends both on the cloud cover of {\it Spitzer}-resolved dust structures --mostly the spiral arms--and a diffuse, unresolved underlying disk. We note that our infrared color map (E[I-L]) underestimates the overall dust presence in these disks severely, because it implicitly assumes the presence of a dust screen in front of the stellar distribution.Comment: 22 pages, 2 figures, 3 tables, accepted for publication in A

The Dust-to-Gas Ratio in the Small Magellanic Cloud Tail

The Tail region of the Small Magellanic Cloud (SMC) was imaged using the MIPS instrument on the Spitzer Space Telescope as part of the SAGE-SMC Spitzer Legacy. Diffuse infrared emission from dust was detected in all the MIPS bands. The Tail gas-to-dust ratio was measured to be 1200 +/- 350 using the MIPS observations combined with existing IRAS and HI observations. This gas-to-dust ratio is higher than the expected 500-800 from the known Tail metallicity indicating possible destruction of dust grains. Two cluster regions in the Tail were resolved into multiple sources in the MIPS observations and local gas-to-dust ratios were measured to be ~440 and ~250 suggests dust formation and/or significant amounts of ionized gas in these regions. These results support the interpretation that the SMC Tail is a tidal tail recently stripped from the SMC that includes gas, dust, and young stars.Comment: 6 pages, 3 figures, ApJ Letters, in press, (version with full resolution figures at http://www.stsci.edu/~kgordon/papers/PS_files/sage-smc_taildust_v1.62.pdf

Topology of Neutral Hydrogen Within the Small Magellanic Cloud

In this paper, genus statistics have been applied to an HI column density map of the Small Magellanic Cloud in order to study its topology. To learn how topology changes with the scale of the system, we provide the study of topology for column density maps at varying resolution. To evaluate the statistical error of the genus we randomly reassign the phases of the Fourier modes while keeping the amplitudes. We find, that at the smallest scales studied ($40 {pc}\leq\lambda\leq 80 {pc}$) the genus shift is in all regions negative, implying a clump topology. At the larger scales ($110 {pc}\leq\lambda\leq 250 {pc}$) the topology shift is detected to be negative in 4 cases and positive (``swiss cheese'' topology) in 2 cases. In 4 regions there is no statistically significant topology shift at large scales

An Investigation into the Impact of Acute Stress on Encoding in Older Adults

Acute psychological stress commonly occurs in young and older adults’ lives. Though several studies have examined the influence of stress on how young adults learn new information, the present study is the first to directly examine these effects in older adults. Fifty older adults (M age = 71.9) were subjected to either stress induction or a control task before learning two types of information: a short video and a series of pictures. Twenty-four hours later, they were exposed to misleading information about the video and then completed memory tests for the video and pictures. Heart rate and cortisol measures suggest that a physiological stress response was successfully induced. Though pre-encoding stress had little impact on memory accuracy, stress did influence errors of omission on the cued recall test for the video. Findings are discussed in the context of previous research examining the effects of stress on memory in older adults

Research on Long-Term Care Homes for Older People in Brazil: Protocol for Scoping Review

LOTUS CONSORTIUM - Improving care in Long-term Care Institutions in Brazil and Europe through Collaboration and ResearchBackground The fast growth of the ageing population in low and middle-income countries, such as Brazil, has allowed little time for social and health care systems to adapt. As the care needs for the most vulnerable and frail older people become increasingly complex, services and governments need to ensure that long term care homes deliver high-quality and evidence-based care to meet their healthcare needs. Aim To examine and map the range of research undertaken in Brazil regarding care homes published in peer reviewed journals. Method This scoping review will consider all relevant peer-reviewed primary studies fully or partly conducted in Brazilian care homes including those which consider workforce (for example, e.g. healthcare professionals, care staff, and management level staff) and care home residents (older people aged 60 years and above), using empirical and original research focused on any health related topic. The searches will be conducted using bibliographic databases (MEDLINE, EMBASE, LILACS and Google Scholar) and manual searching of the reference lists of relevant studies published in English, Portuguese or Spanish from inception up to 2018. Two authors will independently screen each document by title and abstract against the eligibility criteria. In case of disagreement, a third reviewer will be consulted. Data from the included studies will be extracted and reported using tables, graphs, and narrative accounts using elements of content analysis. The Mixed Methods Appraisal Tool will be used to appraise the methodological quality of the included studies