“Not Just an Apartment Building”: Residents’ Quality of Life in a Social Housing Co-operative

ABSTRACT The objective of this study was to examine the impact that two social housing complexes have had on their residents' quality of life. These two complexes, known as Tannery Court Co-operative Ltd., target a specific segment of the affordable housing market: non-elderly singles. A mixed-methods approach was used to assess the quality of life of residents. The data collection strategy used semi-structured interviews conducted with the help of a questionnaire. A total of 43 interviews were completed at the two building sites. Analysis of interview and questionnaire data identified six areas of improvement in residents' quality of life. These are life in general (an overarching dimension), housing (the focus of the Tannery Court intervention), neighbourhood (including safety and appearance), food, self-confidence (an enabling dimension for future development of projects and goals among the residents), and financial situation (a key dimension because of its multiple impacts on other aspects of life).   RÉSUMÉ L'objectif de cette recherche était d'évaluer l'impact des deux complexes de logements coopératifs Tannery Court sur la qualité de vie des résidants. Ces complexes ciblent un segment particulier du marché du logement social, les célibataires d'âge actif et vivant en deçà du seuil de la pauvreté. Cette étude utilise une méthodologie mixte pour évaluer la situation et la qualité de vie des résidants. La stratégie de cueillette de données s'appuie sur des entrevues semi-dirigées effectuées à l'aide d'un questionnaire. Au total, nous avons complété 43 entrevues. Six aspects de la qualité de vie se sont améliorés de façon significative. Il s'agit de la vie en général (une dimension globale), le logement (l'objectif premier visé par l'équipe de Tannery Court), le quartier de résidence (dimensions importantes de la localisation d'un complexe comme la sécurité et l'apparence) la confiance en soi (une dimension clé pour le développement futur de projets et d'objectifs pour les résidants), la nourriture (en raison de l'accès à des électroménagers) et la situation financière (une dimension majeure étant donné son impact sur les autres composantes de la vie)

NeuroCOPE: A novel intervention to increase professional fulfillment and reduce burnout by connecting Neuro-ICU healthcare workers to their post-recovery patients

Background: Healthcare workers (HCWs) caring for patients with acute neurologic injury in the ICU rarely receive detailed information on the recovery of their patients. The missing connection between the period of acute neurologic injury and long-term outcomes is a psychological burden that contributes to moral fatigue and burnout. We hypothesize that attending an Interprofessional conference series through which patients describe their acute brain injury and recovery to Neuro-ICU HCWs may ease moral fatigue, increasing professional fulfillment and reducing burnout.https://knowledgeconnection.mainehealth.org/lambrew-retreat-2023/1014/thumbnail.jp

Regulation of Clock-Controlled Genes in Mammals

The complexity of tissue- and day time-specific regulation of thousands of clock-controlled genes (CCGs) suggests that many regulatory mechanisms contribute to the transcriptional output of the circadian clock. We aim to predict these mechanisms using a large scale promoter analysis of CCGs

Gaia Early Data Release 3: Structure and properties of the Magellanic Clouds

We compare the Gaia DR2 and Gaia EDR3 performances in the study of the Magellanic Clouds and show the clear improvements in precision and accuracy in the new release. We also show that the systematics still present in the data make the determination of the 3D geometry of the LMC a difficult endeavour; this is at the very limit of the usefulness of the Gaia EDR3 astrometry, but it may become feasible with the use of additional external data. We derive radial and tangential velocity maps and global profiles for the LMC for the several subsamples we defined. To our knowledge, this is the first time that the two planar components of the ordered and random motions are derived for multiple stellar evolutionary phases in a galactic disc outside the Milky Way, showing the differences between younger and older phases. We also analyse the spatial structure and motions in the central region, the bar, and the disc, providing new insights into features and kinematics. Finally, we show that the Gaia EDR3 data allows clearly resolving the Magellanic Bridge, and we trace the density and velocity flow of the stars from the SMC towards the LMC not only globally, but also separately for young and evolved populations. This allows us to confirm an evolved population in the Bridge that is slightly shift from the younger population. Additionally, we were able to study the outskirts of both Magellanic Clouds, in which we detected some well-known features and indications of new ones

The Gaia mission

Gaia is a cornerstone mission in the science programme of the EuropeanSpace Agency (ESA). The spacecraft construction was approved in 2006, following a study in which the original interferometric concept was changed to a direct-imaging approach. Both the spacecraft and the payload were built by European industry. The involvement of the scientific community focusses on data processing for which the international Gaia Data Processing and Analysis Consortium (DPAC) was selected in 2007. Gaia was launched on 19 December 2013 and arrived at its operating point, the second Lagrange point of the Sun-Earth-Moon system, a few weeks later. The commissioning of the spacecraft and payload was completed on 19 July 2014. The nominal five-year mission started with four weeks of special, ecliptic-pole scanning and subsequently transferred into full-sky scanning mode. We recall the scientific goals of Gaia and give a description of the as-built spacecraft that is currently (mid-2016) being operated to achieve these goals. We pay special attention to the payload module, the performance of which is closely related to the scientific performance of the mission. We provide a summary of the commissioning activities and findings, followed by a description of the routine operational mode. We summarise scientific performance estimates on the basis of in-orbit operations. Several intermediate Gaia data releases are planned and the data can be retrieved from the Gaia Archive, which is available through the Gaia home page. http://www.cosmos.esa.int/gai

Postgraduate Training Options for Advanced Practice Providers in General and Trauma/Surgical Critical Care

Introduction: Advanced practice providers (APPs) including nurse practitioners (NPs) and physician assistants (PAs) have been imbedded in the ICU for more than 2 decades; more than 2500 NPs and 3000 PAs currently practice in medical, surgical, trauma, neuro, cardiovascular, cardiothoracic, pediatric, and other critical care units in the United States. Over the past decade, APP graduates are younger and less experienced; they have strong foundational training but many need additional subspecialized postgraduate training to practice in the complex critical care environment. Methods: We performed cross-sectional study of postgraduate training programs for APPs in critical care medicine and trauma critical care with a primary aim to describe their characteristics and curriculum components. Programs belonging to the Association of Postgraduate Physician Assistant Programs (APPAP) and the Association of Postgraduate Advanced Practice Registered Nurses Program (APGAP) were included, and pre-specified internet search terms were used to identify programs not registered with these organizations. Program websites were searched to extract program characteristics. When data were lacking, programs were emailed or called for additional information. We performed descriptive analyses using Excel (Microsoft Corporation, Redmond, Washington). Results: We identified 20 postgraduate critical care and trauma/surgical critical care programs open to APPs in 14 states. The parent department or division varied by institution; eight were in the Department of Critical Care Services, three in Health Sciences Education, three in a Center for APPs, and one program each was identified as part of Graduate Medical Education and a Department of Surgery and Anesthesia. Nineteen were 12 months in length, while one program was nine months. Eleven programs were open to both NPs and PAs, five were for PAs only, and four were for NPs only. Half of postgraduate critical care training programs refer to the APP trainees as residents, and the other half as fellows. The median number of residents/fellows admitted to programs annually is 1 (IQR 1-3). Trainees are required to work 40-80 hours per week; median salary is $60,000 annually (IQR$58,000-70,000), and all programs offer full time benefits. Eleven programs include formal monthly/end of rotation evaluations and eight include an end of program final examination; two others have “specific subjective and objective requirements” for successful program completion. Programs uniformly offer certificates of completion. The five trauma critical care programs offer rotations in surgical ICU (100%), trauma ICU (80%) , neuro ICU (40%), Cardiothoracic ICU (40%) and medical ICU (5%); none offered a cardiac ICU in its core curriculum. Of 14 general critical care programs responding, training was offered in medical ICUs (100%), surgical ICUs (93%), neuro ICUs (93%), trauma ICUs (57%), cardiothoracic ICUs (57%), and cardiac ICUs (43%). Conclusion: Postgraduate critical care training programs for APPs have varying characteristics, curriculum, requirements and evaluations, but rotations in common. This study supports the need for common core curriculum requirements for postgraduate APP critical care and trauma critical care residency/fellowship programs. Continued expansion of the APP workforce in critical care demands highly trained providers that improve quality, cost, patient, and family satisfaction, while supporting PA/NP during transition to practice promoting lifelong professional and clinical development and may reduce burnout

“Not Just an Apartment Building”: Residents’ Quality of Life in a Social Housing Co-operative

The objective of this study was to examine the impact that two social housing complexes have had on their residents' quality of life. These two complexes, known as Tannery Court Co-operative Ltd., target a specific segment of the affordable housing market: non-elderly singles. A mixed-methods approach was used to assess the quality of life of residents. The data collection strategy used semi-structured interviews conducted with the help of a questionnaire. A total of 43 interviews were completed at the two building sites. Analysis of interview and questionnaire data identified six areas of improvement in residents' quality of life. These are life in general (an overarching dimension), housing (the focus of the Tannery Court intervention), neighbourhood (including safety and appearance), food, self-confidence (an enabling dimension for future development of projects and goals among the residents), and financial situation (a key dimension because of its multiple impacts on other aspects of life). / L'objectif de cette recherche était d'évaluer l'impact des deux complexes de logements coopératifs Tannery Court sur la qualité de vie des résidants. Ces complexes ciblent un segment particulier du marché du logement social, les célibataires d'âge actif et vivant en deçà du seuil de la pauvreté. Cette étude utilise une méthodologie mixte pour évaluer la situation et la qualité de vie des résidants. La stratégie de cueillette de données s'appuie sur des entrevues semi-dirigées effectuées à l'aide d'un questionnaire. Au total, nous avons complété 43 entrevues. Six aspects de la qualité de vie se sont améliorés de façon significative. Il s'agit de la vie en général (une dimension globale), le logement (l'objectif premier visé par l'équipe de Tannery Court), le quartier de résidence (dimensions importantes de la localisation d'un complexe comme la sécurité et l'apparence) la confiance en soi (une dimension clé pour le développement futur de projets et d'objectifs pour les résidants), la nourriture (en raison de l'accès à des électroménagers) et la situation financière (une dimension majeure étant donné son impact sur les autres composantes de la vie)

Targeted Alteration of Antibody-Based Immunodominance Enhances the Heterosubtypic Immunity of an Experimental PCV2 Vaccine

Despite the availability of commercial vaccines which can effectively prevent clinical signs, porcine circovirus type 2 (PCV2) continues to remain an economically important swine virus, as strain drift, followed by displacement of new subtypes, occurs periodically. We had previously determined that the early antibody responses to the PCV2 capsid protein in infected pigs map to immunodominant but non-protective, linear B cell epitopes. In this study, two of the previously identified immunodominant epitopes were mutated in the backbone of a PCV2b infectious clone, to rationally restructure the immunogenic capsid protein. The rescued virus was used to immunize 3-week-old weanling piglets, followed by challenge with a virulent heterologous PCV2d strain. As expected, immunodominant antibody responses to the targeted epitopes were abrogated in vaccinated pigs, while a broadening of the virus neutralization responses was detected. Vaccinated pigs were completely protected against challenge viral replication, had reduced microscopic lesions in lymphoid organs and gained significantly more body weight when compared to unvaccinated pigs. Thus, the experimental PCV2 vaccine developed was highly effective against challenge, and, if adopted commercially, can potentially slow down or eliminate new strain creation