Examining transnational care circulation trajectories within immobilizing regimes of migration : implications for proximate care

In this paper we argue that the current political context of restrictionist migration policies is dramatically affecting people’s capacity to cross borders to engage in proximate care with their relatives, which is a central, yet often overlooked, feature of transnational care practices. We examine how the wider context of temporality, restrictive mobility, and heightened uncertainty about the future affect people’s ability to be mobile and to move back and forth for caregiving. In examining the wellbeing effects of such restrictions, we highlight their variable impact depending on factors such as socio-economic positioning, life-course stage and health. The first sections of the paper present the care circulation framework and the particular meaning and function of proximate forms of care, as well as the main categories of care-related mobility that support this. We illustrate the main dynamics and challenges faced by transnational family members who engage in these care-related mobilities, through three vignettes involving care circulation between India and the UK, China and Australia, and Morocco and Belgium. In the final section, we discuss our vignettes in relation to the political, physical, social and time dimensions of current regimes of mobility that impact on care-related mobilities. We argue that the regimes of mobility that currently govern care-related mobilities are best understood as ‘immobilizing’ regimes with important and undervalued implications for ontological security and wellbeing

Introduction to the special issue "Transnational care : Families confronting borders"

In this article, we introduce the key themes of our Special Issue on “Transnational care: families confronting borders”. Central to this collection is the question of how family relations and solidarities are impacted by the current scenario of closed borders and increasingly restrictive migration regimes. This question is examined more specifically through the lens of care dynamics within transnational families and their (re-)configurations across diverse contexts marked by “immobilizing regimes of migration”. We begin by presenting a brief overview of key concepts in the transnational families and caregiving literature that provides a foundation for the diverse cases explored in the articles, including refugees and asylum seekers in Germany and Finland, Polish facing Brexit in the UK, Latin American migrants transiting through Mexico, and restrictionist drifts in migration policies in Australia, Belgium and the UK. Drawing on this rich work, we identify two policy tools; namely temporality and exclusion, which appear to be particularly salient features of immobilizing regimes of migration that significantly influence care-related mobilities. We conclude with a discussion of how immobilizing regimes are putting transnational family solidarities in crisis, including in the context of the Covid-19 pandemic, gripping the globe at the time of writing

Functional infrared imaging of paroxysmal ischemic events in patients with Raynaud's phenomenon.

The use of thermal infrared (IR) imaging together with the study of the thermal recovery from a controlled cold challenge has been proposed in the diagnosis and follow-up of therapeutic response of Raynaud's Phenomenon (RP) and Systemic Sclerosis (SSc). The controlled cold challenge test usually performed during IR investigations may induce a RP in patients with the latter condition. In our Institution we routinely perform capillaroscopy and thermal IR to follow-up SSc patients. In this paper, we describe the thermal recovery patterns shown by two SSc patients (a 40 year-old male with diffuse variant of SSc and a 71 year-old female with a limited variant of SSc) who presented ischemic and paroxysmal RP attack while recovering from the routine controlled cold challenge test. During RP attack, the cutaneous temperature of some fingers continued to decrease for some minutes even after the cessation of the cold stress. To the best of our knowledge, to date, no literature report has documented the thermal behaviour of SSc patients' fingers which occasionally present ischemic and paroxysmal response. Triggering of ischemic RP attack appears to not rely only on morphological and structural finger impairment, but also upon other aspects, like the emotional attitude of the subject and the possible discomfort experienced with the proceeding of the functional cold stress test

COVID-19 Accelerated Cognitive Decline in Elderly Patients with Pre-Existing Dementia Followed up in an Outpatient Memory Care Facility

Introduction: Coronavirus disease 2019 (COVID-19) may affect the cognitive function and activities of daily living (ADL) of elderly patients. This study aimed to establish the COVID-19 effect on cognitive decline and the velocity of cognitive function and ADL changes in elderly patients with dementia followed up in an outpatient memory care facility. Methods: In total, 111 consecutive patients (age 82 ± 5 years, 32% males) with a baseline visit before infection were divided into those who had or did not have COVID-19. Cognitive decline was defined as a five-point loss of Mini-Mental State Examination (MMSE) score and ADL comprising basic and instrumental ADL indexes (BADL and IADL, respectively). COVID-19 effect on cognitive decline was weighted for confounding variables by the propensity score, whereas the effect on change in the MMSE score and ADL indexes was analyzed using multivariate mixed-effect linear regression. Results: COVID-19 occurred in 31 patients and a cognitive decline in 44. Cognitive decline was about three and a half times more frequent in patients who had COVID-19 (weighted hazard ratio 3.56, 95% confidence interval 1.50–8.59, p = 0.004). The MMSE score lowered on average by 1.7 points/year, independently of COVID-19, but it lowered twice faster in those who had COVID-19 (3.3 vs. 1.7 points/year, respectively, p < 0.050). BADL and IADL indexes lowered on average less than 1 point/year, independently of COVID-19 occurrence. Patients who had COVID-19 had a higher incidence of new institutionalization than those who did not have the disease (45% versus 20%, p = 0.016, respectively). Conclusions: COVID-19 had a significant impact on cognitive decline and accelerated MMSE reduction in elderly patients with dementia

Warping-based co-registration of thermal infrared images: Study of factors influencing its applicability

A relevant issue for processing biomedical thermal imaging data is the availability of tools for objective and quantitative comparison of images across different conditions or subjects. To this goal, a solution can be offered by projecting the thermal distribution data onto a fictitious template to obtain a common reference for comparison across cases or subjects. In this preliminary study, we tested the feasibility of applying a warping procedure on infrared thermal images. Fifteen thermal images of checkerboard were recorded at three different distances and five different angles in order to evaluate which factor mostly influences the warping accuracy. The accuracy of three different warping transformation models (local weighted mean (LWM), polynomial, affine) was tested by comparing the positioning error between users’ selected fiduciary points on each thermal image and their corresponding reference position assigned on the template image. Fifteen users, divided into three groups upon on their experience in thermal imaging processing, participated in this study in order to evaluate the effect of experience in applying a warping procedure to the analysis of thermal infrared images. The most relevant factor influencing the positioning and thermal errors is the acquisition distance, while the users’ level of experience and the inclination angle do not seem to play the same importance. Comparing the three transformations, the LWM seems to be the best in terms of minimizing the two categories of errors. This preliminary work helps to understand the limits and the possibilities of applying warping techniques for objective, quantitative and automatic thermal image comparisons

HDAC6 mediates the acetylation of TRIM50

The E3 Ubiquitin ligase TRIM50 promotes the formation and clearance of aggresome-associated polyubiquitinated proteins through HDAC6 interaction, a tubulin specific deacetylase that regulates microtubule-dependent aggresome formation. In this report we showed that TRIM50 is a target of HDAC6 with Lys-372 as a critical residue for acetylation. We identified p300 and PCAF as two TRIM50 acetyltransferases and we further showed that a balance between ubiquitination and acetylation regulates TRIM50 degradatio

Laser-tissue photothermal interaction: a thermal infrared imaging study

A 2-D approach, based on Infrared (IR) imaging for monitoring and optimizing the photo-therapy in dermatology, is proposed. We studied the possibility to employ IR imaging in order to select the laser treatment parameters for each patient. A Pulsed Thermography (PT) model allowed to evaluate morphological information on the specific area to treat after a single laser pulse test. The data were elaborated through a 2-D numerical simulation, which described the tissue temperature profiles for different sets of laser parameters. Based on this approach, it was possible to select the laser parameters according to specific pathology, morphology and phototype in order to achieve the best performances in the phototherapy practice

FLU-ID (fludarabine and idarubicin) regimen as salvage therapy in pretreated low-grade non-Hodgkin's lymphoma

Fludarabine (FLU) is a new antimetabolite chemotherapeutic agent with promising activity in lymphoproliferative disorders and, in particular, in low-grade non-Hodgkin's lymphoma (LG-NHL). Recently, a few reports have described interesting results using FLU in polychemotherapy regimens. In order to evaluate FLU in combination with other antineoplastic agents, we used a combination of FLU and idarubicin, called the FLU-ID regimen, to treat 10 patients with recurrent LG-NHL. The FLU-ID regimen was as follows: FLU 25 mg/sqm i.v. on days 1 to 3 and idarubicin 12 mg/sqm i.v. on day 1. Of the 10 patients, 2 (20%) achieved complete response (CR), 5 (50%) partial response, and the remaining 3 showed no benefit from the treatment. The 2 CR patients are still in remission after 6 and 8 months, respectively. The median duration of overall survival of all patients was 8 months. The major toxic effects observed were neutropenia (40%) and infections and/or febrile episodes (15%); no fatalities due to drug side effects occurred. These results indicate the efficacy of the FLU-ID regimen in inducing a good remission rate with moderate side effects in recurrent LG-NHL

TRIM50 regulates Beclin 1 proautophagic activity

Autophagy is a catabolic process needed for maintaining cell viability and homeostasis in response to numerous stress conditions. Emerging evidence indicates that the ubiquitin system has a major role in this process. TRIMs, an E3 ligase protein family, contribute to selective autophagy acting as receptors and regulators of the autophagy proteins recognizing endogenous or exogenous targets through intermediary autophagic tags, such as ubiquitin. Here we report that TRIM50 fosters the initiation phase of starvation-induced autophagy and associates with Beclin1, a central component of autophagy initiation complex. We show that TRIM50, via the RING domain, ubiquitinates Beclin 1 in a K63-dependent manner enhancing its binding with ULK1 and autophagy activity. Finally, we found that the Lys-372 residue of TRIM50, critical for its own acetylation, is necessary for its E3 ligase activity that governs Beclin1 ubiquitination. Our study expands the roles of TRIMs in regulating selective autophagy, revealing an acetylation-ubiquitination dependent control for autophagy modulation. © 2018 Elsevier B.V