Category deficits and paradoxical dissociations in Alzheimer's disease and Herpes Simplex Hencephalitis

Most studies examining category specificity are single-case studies of patients with living or non living deficits. Nevertheless, no explicit or agreed criteria exist for establishing category-specific deficits in single-cases regarding the type of analyses, whether to compare with healthy controls, the number of tasks, or the type of tasks. We examined to groups of patients with neurological pathology frequently accompained with impaired semantic memory (19 patients with Alzheimer disease and 15 with Herpes Simplex Encephalitis). Category knowledge was examined using three tasks (picture naming, naming-to-description and features verification). Both patients groups were compared with aged- and education- matched healthy controls. The profile of each patients was examined for consistency across tasks and across different analyses; however both prove to be inconsistent. One striking findings was the presence of a paradoxical dissociation ( i.e., patients who were impaired on living things on one task and non living things on another task). The findings have significant implication for how we determine category effects and, more generall for the methods use to document double dissociation across individual cases in this literature

Biodegradation of the Alkaline Cellulose Degradation Products Generated during Radioactive Waste Disposal.

The anoxic, alkaline hydrolysis of cellulosic materials generates a range of cellulose degradation products (CDP) including α and β forms of isosaccharinic acid (ISA) and is expected to occur in radioactive waste disposal sites receiving intermediate level radioactive wastes. The generation of ISA's is of particular relevance to the disposal of these wastes since they are able to form complexes with radioelements such as Pu enhancing their migration. This study demonstrates that microbial communities present in near-surface anoxic sediments are able to degrade CDP including both forms of ISA via iron reduction, sulphate reduction and methanogenesis, without any prior exposure to these substrates. No significant difference (n = 6, p = 0.118) in α and β ISA degradation rates were seen under either iron reducing, sulphate reducing or methanogenic conditions, giving an overall mean degradation rate of 4.7×10−2 hr−1 (SE±2.9×10−3). These results suggest that a radioactive waste disposal site is likely to be colonised by organisms able to degrade CDP and associated ISA's during the construction and operational phase of the facility

Nursing Staff Retention, Turnover Intention, and Job Satisfaction in California Nursing Home Facilities

Nurse turnover rates in long-term care facilities, specifically in California nursing homes, are among the most pressing issues for the quality of patient care and nursing homes’ operational costs. The purpose of this integrative review was to reveal effective ways to improve job satisfaction, decrease turnover intention, and increase retention rates among nursing staff in California nursing homes. This study focused on the critical issue of turnover in healthcare administration, grounded by Herzberg’s motivation–hygiene theory, which stated that job satisfaction was the fundamental problem causing high staff turnover, and it suggested that hygiene and motivation factors may affect employee turnover. A comprehensive literature review strategy was designed to explore empirical studies with the focus on quantitative, qualitative, and mixed-methods research that reveal the causes and consequences of nurse turnover, job satisfaction, and staff retention. The results emphasized the critical part of job satisfaction in countering turnover intention, which points at the significance of establishing a supportive working environment, acknowledging employee successes, and providing opportunities for development and advancement. This research also pinpointed the most important elements responsible for the intention to quit, such as workplace bullying, poor leadership, and absence of professional development. Through the resolution of these critical issues, healthcare managers can build a steadier, more contented, and productive nursing workforce, which in turn, will result in better patient care and operational efficiency. The evaluation of this review has far-reaching consequences for positive social change in health care policy, organizational approaches and further research

Nursing Staff Retention, Turnover Intention, and Job Satisfaction in California Nursing Home Facilities

Nurse turnover rates in long-term care facilities, specifically in California nursing homes, are among the most pressing issues for the quality of patient care and nursing homes’ operational costs. The purpose of this integrative review was to reveal effective ways to improve job satisfaction, decrease turnover intention, and increase retention rates among nursing staff in California nursing homes. This study focused on the critical issue of turnover in healthcare administration, grounded by Herzberg’s motivation–hygiene theory, which stated that job satisfaction was the fundamental problem causing high staff turnover, and it suggested that hygiene and motivation factors may affect employee turnover. A comprehensive literature review strategy was designed to explore empirical studies with the focus on quantitative, qualitative, and mixed-methods research that reveal the causes and consequences of nurse turnover, job satisfaction, and staff retention. The results emphasized the critical part of job satisfaction in countering turnover intention, which points at the significance of establishing a supportive working environment, acknowledging employee successes, and providing opportunities for development and advancement. This research also pinpointed the most important elements responsible for the intention to quit, such as workplace bullying, poor leadership, and absence of professional development. Through the resolution of these critical issues, healthcare managers can build a steadier, more contented, and productive nursing workforce, which in turn, will result in better patient care and operational efficiency. The evaluation of this review has far-reaching consequences for positive social change in health care policy, organizational approaches and further research

Inventing and Implementing LLCs at an HBCU in One Year: Lessons Learned

Living-Learning Communities (LLCs) have proven to be a successful high impact practice at institutions across the nation. Norfolk State University (NSU), a Historically Black University, recently established a formal LLC program as a part of the University’s Quality Enhancement Plan (QEP). Through a strong partnership with Academic and Student Affairs, NSU implemented and invented LLCs all within one academic year. Similar to the collaborative nature of LLCs, this paper examines the lessons learned from various perspectives (LLC director, teaching dean, faculty liaison, faculty) during the rapid inventing and implementing of LLCs

Trash and Contemporary Brazil: Modernization and Consumption in Brazil’s Megacities

Over the past 50 years the growing difference between trash collection capacity and consumption has produced new cultural developments concerning the collection, reuse, and criminalization of trash in Brazil. The thin legal framework that surrounds lixões [pronounced li-¢òõẽs] (open air garbage dumps) in Brazil has, in many ways, resulted in the rise of public trash and recycling collection in lixões that can be found in Brazilian megacities. According to my research, few statutes in either Rio de Janeiro or São Paulo exist to govern the treatment of trash collection by marginalized populations living near or on lixões. What laws that do exist are more recent, occurring within the last twenty years, and these have been bi-polar in their consideration of catadores (the marginalized individuals who live in lixões), treating them both as undervalued citizens who require reintegration, as well as illegal workers (current federal law treats them as both). Despite these legal discrepancies, the implementation of these laws has been very slow, perpetuating the rise of a marginalized society, now the subject of several major documentaries and films over the last 20 years

Factors influencing participant enrolment in a diabetes prevention program in general practice: lessons from the Sydney diabetes prevention program

Background: The effectiveness of lifestyle interventions in reducing diabetes incidence has been well established. Little is known, however, about factors influencing the reach of diabetes prevention programs. This study examines the predictors of enrolment in the Sydney Diabetes Prevention Program (SDPP), a community-based diabetes prevention program conducted in general practice, New South Wales, Australia from 2008&ndash;2011.Methods: SDPP was an effectiveness trial. Participating general practitioners (GPs) from three Divisions of General Practice invited individuals aged 50&ndash;65 years without known diabetes to complete the Australian Type 2 Diabetes Risk Assessment tool. Individuals at high risk of diabetes were invited to participate in a lifestyle modification program. A multivariate model using generalized estimating equations to control for clustering of enrolment outcomes by GPs was used to examine independent predictors of enrolment in the program. Predictors included age, gender, indigenous status, region of birth, socio-economic status, family history of diabetes, history of high glucose, use of anti-hypertensive medication, smoking status, fruit and vegetable intake, physical activity level and waist measurement.Results: Of the 1821 eligible people identified as high risk, one third chose not to enrol in the lifestyle program. In multivariant analysis, physically inactive individuals (OR: 1.48, P = 0.004) and those with a family history of diabetes (OR: 1.67, P = 0.000) and history of high blood glucose levels (OR: 1.48, P = 0.001) were significantly more likely to enrol in the program. However, high risk individuals who smoked (OR: 0.52, P = 0.000), were born in a country with high diabetes risk (OR: 0.52, P = 0.000), were taking blood pressure lowering medications (OR: 0.80, P = 0.040) and consumed little fruit and vegetables (OR: 0.76, P = 0.047) were significantly less likely to take up the program.Conclusions: Targeted strategies are likely to be needed to engage groups such as smokers and high risk ethnic groups. Further research is required to better understand factors influencing enrolment in diabetes prevention programs in the primary health care setting, both at the GP and individual level.<br /

Change or control? Developing dialogues between research and public protection

This paper aims to scope out some of the implications of desistance research for the community management of high risk offenders. Acknowledging the limited empirical research exploring this interface, this paper outlines the evolving evidence base and what this tells us about the process of desistance and what supports it. The evidence as to whether 'high risk offenders' desist and what we know about this process is discussed prior to outlining the landscape of current and principal practice approaches which can be located in the community/public protection model. Potential dialogues between desistance research and public protection practices are discussed to explore ensuing implications and opportunities for practice

Causes of the regional variability in observed sea level, sea surface temperature and ocean colour over the period 1993-2011

We analyse the regional variability in observed sea surface height (SSH), sea surface temperature (SST) and ocean colour (OC) from the ESA Climate Change Initiative (CCI) datasets over the period 1993-2011. The analysis focuses on the signature of the ocean large-scale climate fluctuations driven by the atmospheric forcing and do not address the mesoscale variability. We use the ECCO version 4 ocean reanalysis to unravel the role of ocean transport and surface buoyancy fluxes in the observed SSH, SST and OC variability. We show that the SSH regional variability is dominated by the steric effect (except at high latitude) and is mainly shaped by ocean heat transport divergences with some contributions from the surface heat fluxes forcing that can be significant regionally (confirming earlier results). This is in contrast with the SST regional variability, which is the result of the compensation of surface heat fluxes by ocean heat transport in the mixed layer and arises from small departures around this background balance. Bringing together the results of SSH and SST analyses, we show that SSH and SST bear some common variability. This is because both SSH and SST variability show significant contributions from the surface heat fluxes forcing. It is evidenced by the high correlation between SST and buoyancy forced SSH almost everywhere in the ocean except at high latitude. OC, which is determined by phytoplankton biomass, is governed by the availability of light and nutrients that essentially depend on climate fluctuations. For this reason OC show significant correlation with SST and SSH. We show that the correlation with SST display the same pattern as the correlation with SSH with a negative correlation in the tropics and subtropics and a positive correlation at high latitude. We discuss the reasons for this pattern

The Guinea Pig as a model for sporadic Alzheimer's Disease (AD): the impact of cholesterol intake on expression of AD-related genes

Extent: 12p.We investigated the guinea pig, Cavia porcellus, as a model for Alzheimer’s disease (AD), both in terms of the conservation of genes involved in AD and the regulatory responses of these to a known AD risk factor - high cholesterol intake. Unlike rats and mice, guinea pigs possess an Aβ peptide sequence identical to human Aβ. Consistent with the commonality between cardiovascular and AD risk factors in humans, we saw that a high cholesterol diet leads to up-regulation of BACE1 (β-secretase) transcription and down-regulation of ADAM10 (α-secretase) transcription which should increase release of Aβ from APP. Significantly, guinea pigs possess isoforms of AD-related genes found in humans but not present in mice or rats. For example, we discovered that the truncated PS2V isoform of human PSEN2, that is found at raised levels in AD brains and that increases γ-secretase activity and Aβ synthesis, is not uniquely human or aberrant as previously believed. We show that PS2V formation is up-regulated by hypoxia and a high-cholesterol diet while, consistent with observations in humans, Aβ concentrations are raised in some brain regions but not others. Also like humans, but unlike mice, the guinea pig gene encoding tau, MAPT, encodes isoforms with both three and four microtubule binding domains, and cholesterol alters the ratio of these isoforms. We conclude that AD-related genes are highly conserved and more similar to human than the rat or mouse. Guinea pigs represent a superior rodent model for analysis of the impact of dietary factors such as cholesterol on the regulation of AD-related genes.Mathew J. Sharman, Seyyed H. Moussavi Nik, Mengqi M. Chen, Daniel Ong, Linda Wijaya, Simon M. Laws, Kevin Taddei, Morgan Newman, Michael Lardelli, Ralph N. Martins, Giuseppe Verdil