162 research outputs found

    An Escherichia coli effector protein promotes host mutation via depletion of DNA mismatch repair proteins.

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    Enteropathogenic Escherichia coli (EPEC) is an attaching and effacing (A/E) human pathogen that causes diarrhea during acute infection, and it can also sustain asymptomatic colonization. A/E E. coli depletes host cell DNA mismatch repair (MMR) proteins in colonic cell lines and has been detected in colorectal cancer (CRC) patients. However, until now, a direct link between infection and host mutagenesis has not been fully demonstrated. Here we show that the EPEC-secreted effector protein EspF is critical for complete EPEC-induced depletion of MMR proteins. The mechanism of EspF activity on MMR protein was posttranscriptional and dependent on EspF mitochondrial targeting. EPEC infection also induced EspF-independent elevation of host reactive oxygen species levels. Moreover, EPEC infection significantly increased spontaneous mutation frequency in host cells, and this effect was dependent on mitochondrially targeted EspF. Taken together, these results support the hypothesis that A/E E. coli can promote colorectal carcinogenesis in humans

    Supportive care needs of women with breast cancer in rural Scotland

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    Purpose: The aim of this study was to identify the supportive care needs and unmet needs of women with breast cancer (BC) in rural Scotland. Methods: In 2013, a survey of supportive care needs of rural women with BC was conducted using the short-form Supportive Care Needs Survey (SCNS-SF34). Semi-structured interviews were subsequently conducted with a purpose sample of questionnaire respondents. Results: Forty-four women with BC completed the survey and ten were interviewed. Over half of participants reported at least one moderate to high unmet need (56.8 %, n = 25), a tenth reported low needs (11.4 %, n = 5), and around a third reported no unmet needs for all 34 items (31.8 %, n = 14). The most prevalent moderate to high needs were ‘being informed about cancer in remission’ (31.8 %, n = 14), ‘fears about the cancer spreading’ (27.3 %, n = 12), ‘being adequately informed about the benefits and side-effects of treatment’ and ‘concerns about the worries of those close to you’ (both 25.0 %, n = 11). Interviews highlighted the following unmet needs: information about treatment and side effects, overview of care, fear of recurrence, impact on family and distance from support. Conclusions: Rural women with BC report similar unmet needs to their urban counterparts. Fear of recurrence is a key unmet need that should be addressed for all women with BC. However, they also report unique unmet needs because of rural location. Thus, it is critical that cancer services address the additional unmet needs of rural women with BC and, in particular, needs relating to distance from services. © 2014, The Author(s)

    What collaborative housing offers in a pandemic:: Evidence from 18 communities in England and Wales

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    This Housing LIN Viewpoint (no 104) by Jim Hudson at the LSE and colleagues at the Universities of Lancaster, Northumbria and Bristol, looks at the impact of Covid-19 and captures the responses and experiences of how Community-led housing (CLH) projects in England and Wales have coped during the pandemic. It highlights how the benefits of CLHs have fostered community and neighbourly support but also how this has been challenged by the restrictions necessitated by the pandemic

    Collaborative Housing Communities Through the COVID-19 Pandemic:Rethinking governance and mutuality

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    The national lockdown in response to the COVID-19 pandemic has revealed the prevalence and importance of informal mutual support in neighbourhoods and social networks. Mutual support structures and functions are strong in collaborative housing, in which people often intentionally form resident communities to enhance support practices. Using qualitative methods, this article examines how lockdown restrictions have impacted on practices of mutual support in collaborative housing, when the infrastructures of shared facilities and proximate neighbourliness were challenged. There were ambiguous definitions of ‘households’ associated with collaborative housing communities when interpreting the lockdown rules to provide mutual aid and support. Shared values, commitments and length of time of establishment mattered when operationalising such support. Moreover, the lockdown helped some communities re-evaluate their governance structures, decision-making and the limits of mutual support as they experienced what changing care needs of individual members meant to their communities. It resulted in a more realistic appraisal of their local social capital

    Supportive care needs of women with breast cancer in rural Scotland.

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    PurposeThe aim of this study was to identify the supportive care needs and unmet needs of women with breast cancer (BC) in rural Scotland.MethodsIn 2013, a survey of supportive care needs of rural women with BC was conducted using the short-form Supportive Care Needs Survey (SCNS-SF34). Semi-structured interviews were subsequently conducted with a purpose sample of questionnaire respondents.ResultsForty-four women with BC completed the survey and ten were interviewed. Over half of participants reported at least one moderate to high unmet need (56.8 %, n = 25), a tenth reported low needs (11.4 %, n = 5), and around a third reported no unmet needs for all 34 items (31.8 %, n = 14). The most prevalent moderate to high needs were ‘being informed about cancer in remission’ (31.8 %, n = 14), ‘fears about the cancer spreading’ (27.3 %, n = 12), ‘being adequately informed about the benefits and side-effects of treatment’ and ‘concerns about the worries of those close to you’ (both 25.0 %, n = 11). Interviews highlighted the following unmet needs: information about treatment and side effects, overview of care, fear of recurrence, impact on family and distance from support.ConclusionsRural women with BC report similar unmet needs to their urban counterparts. Fear of recurrence is a key unmet need that should be addressed for all women with BC. However, they also report unique unmet needs because of rural location. Thus, it is critical that cancer services address the additional unmet needs of rural women with BC and, in particular, needs relating to distance from services

    Community-led housing and loneliness: Research into the impact of community-led housing and co-housing solutions

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    In the 2018 publication ‘A connected society: A Strategy for tackling loneliness – laying the foundations for change’, Department for Levelling Up, Housing and Communities (DLUHC) committed to fund research fund research into innovative community-led housing projects to understand how these can help to tackle loneliness and support social connections. DLUHC commissioned the London School of Economics and Political Science to carry out this piece of research to address an identified evidence gap around the link between loneliness and participation in community-led housing (cohousing in particular).Community-led housing is an umbrella term for a range of models that includes cohousing, community land trusts (CLTs), cooperatives, self-help and self-build housing
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