413 research outputs found
The Effect of Dog-Assisted Intervention on Student Well-Being, Mood, and Anxiety
This novel, exploratory study investigated the effect of a short, 20 min, dog-assisted intervention on student well-being, mood, and anxiety. One hundred and thirty-two university students were allocated to either an experimental condition or one of two control conditions. Each participant completed the Warwick–Edinburgh Mental Well-Being Scale (WEMBS), the State Trait Anxiety Scale (STAI), and the UWIST Mood Adjective Checklist (UMACL) both before, and after, the intervention. The participants in the experimental condition interacted with both the dogs and their handlers, whereas the control groups interacted with either the dog only, or the handler only. The analyses revealed a significant difference across conditions for each measure, with those conditions in which a dog was present leading to significant improvements in mood and well-being, as well as a significant reduction in anxiety. Interestingly, the presence of a handler alongside the dog appeared to have a negative, and specific, effect on participant mood, with greater positive shifts in mood being witnessed when participants interacted with the dog alone, than when interacting with both the dog and the handler. These findings show that even a short 20 min session with a therapy dog can be an effective alternative intervention to improve student well-being, anxiety, and mood
Perceived barriers to randomised controlled trials in breast reconstruction:obstacle to trial initiation or opportunity to resolve? A qualitative study
Background:
Implant-based breast reconstruction (IBBR) is the most commonly performed breast reconstruction technique worldwide but the technique is evolving rapidly. High-quality evidence is needed to support practice. Randomised controlled trials (RCTs) provide the best evidence but can be challenging to conduct.
iBRA is a four-phased study which aimed to inform the feasibility, design and conduct of an RCT in IBBR. In phase 3, the randomisation acceptability study, an electronic survey and qualitative interviews were conducted to explore professionals’ perceptions of future trials in IBBR. Findings from the interviews are presented here.
Methods:
Semi-structured qualitative interviews were undertaken with a purposive sample of 31 health professionals (HPs) who completed the survey to explore their attitudes to the feasibility of potential RCTs in more detail. All interviews were transcribed verbatim and data were analysed thematically using constant comparative techniques. Sampling, data collection and analysis were undertaken iteratively and concurrently until data saturation was achieved.
Results:
Almost all HPs acknowledged the need for better evidence to support the practice of IBBR and most identified RCTs as generating the highest-quality evidence. Despite highlighting potential challenges, most participants supported the need for an RCT in IBBR. A minority, however, were strongly opposed to a future trial. The opposition and challenges identified centred around three key themes; (i) limited understanding of pragmatic study design and the value of randomisation in minimising bias; (ii) clinician and patient equipoise and (iii) aspects of surgical culture and training that were not supportive of RCTs.
Conclusion:
There is a need for well-designed, large-scale RCTs to support the current practice of IBBR but barriers to their acceptability are evident. The perceived barriers to RCTs in breast reconstruction identified in this study are not insurmountable and have previously been overcome in other similar surgical trials. This may represent an opportunity, not only to establish the evidence base for IBBR, but also to improve engagement in RCTs in breast surgery in general to ultimately improve outcomes for patients.
Trial Registration:
International Standard Randomised Controlled Trial Number ISRCTN37664281.</p
Euclid preparation. XX. The Complete Calibration of the Color-Redshift Relation survey: LBT observations and data release
The Complete Calibration of the Color–Redshift Relation survey (C3R2) is a spectroscopic program designed to empirically calibrate the galaxy color–redshift relation to the Euclid depth (I = 24.5), a key ingredient for the success of Stage IV dark energy projects based on weak lensing cosmology. A spectroscopic calibration sample that is as representative as possible of the galaxies in the Euclid weak lensing sample is being collected, selecting galaxies from a self-organizing map (SOM) representation of the galaxy color space. Here, we present the results of a near-infrared H- and K-band spectroscopic campaign carried out using the LUCI instruments at the LBT. For a total of 251 galaxies, we present new highly reliable redshifts in the 1.3 ≤ z ≤ 1.7 and 2 ≤ z ≤ 2.7 ranges. The newly-determined redshifts populate 49 SOM cells that previously contained no spectroscopic measurements and almost twice the occupation numbers of an additional 153 SOM cells. A final optical ground-based observational effort is needed to calibrate the missing cells, in particular in the redshift range 1.7 ≤ z ≤ 2.7, which lack spectroscopic calibration. In the end, Euclid itself will deliver telluric-free near-IR spectra that can complete the calibration
The production of OH in a nanosecond pulsed helium plasma jet impinging on water, saline, or pigskin
Applications of plasma-induced biological effects via reactive oxygen and nitrogen species (RONS) make the non-thermal atmospheric-pressure plasma jets an appealing tool in biomedical fields. The presence of biological materials, especially as part of the electrode circuit, may change the plasma properties and impact on the production of RONS at the plasma-biomaterial interface. Effects of biomaterials on the production of hydroxyl radicals (OH) in a nanosecond pulsed, atmospheric-pressure plasma jet were investigated using a needle-to-plate electrode configuration with water, phosphate-buffered saline (PBS), or pigskin covering the ground plate. Driven by 200 ns, 7 kV pulses at 1 kHz, a helium plasma jet was generated between the hollow needle electrode and the biomaterial. Temporally resolved UV-visible imaging showed that the use of pigskin slowed down the streamer head propagation, whereas a more pronounced surface ionization wave was developed on the surface when water was used. The highest OH(A-X) emission above the biomaterial surface was observed using the PBS-covered electrode plate comparing to water or pigskin. Spatiotemporally resolved laser-induced fluorescence (LIF) showed that more OH was produced in the region near the needle electrode for both water and PBS, and the use of pigskin resulted in least OH production overall. In addition, measurements of H2O2 production in the liquid were used to determine the OH concentration in the vicinity of the biomaterial and agreed well with the relative OH-LIF measurements obtained at the gas-liquid interface for water and PBS
Cyclophilin D Is a Sensor of Nano-Pulse Stimulation
Nano-Pulse Stimulation (NPS), a pulsed power-derived technology, stimulates structural and functional changes in plasma membranes and cellular organelles. NPS induces a Ca2+ influx and opening of the mitochondrial permeability transition pore (mPTP) that dissipates the mitochondrial membrane potential (ΔΨm) and, when sustained, induces regulated cell death. Here we show that in rat cardiomyoblasts (H9C2) cyclophilin D (CypD) is a mitochondrial sensor for NPS as defined by observations that loss of ΔΨm is Ca2+ and mitochondrial reactive oxygen species (mROS) dependent and cyclosporin A (CsA)-sensitive, which are diagnostic qualities for effects on CypD and the mPTP. Mechanistically, NPS stimulates increases in intracellular Ca2+ which enhances mROS in a dose dependent manner. The regulatory role of CypD on mPTP activation, is effectively inhibited at low Ca2+ concentrations and/or by CsA. Although NPS-induced dissipation of ΔΨm is largely Ca2+-dependent, the degree of Ca2+ sensitivities vary among cell types. Nevertheless, knockdown of the proapoptotic protein, APAF-1, and overexpression of the antiapoptotic protein, Bcl-xl, in human Jurkat T lymphocytes (E6.1) did not affect NPS-induced dissipation of ΔΨm or cell death. Taken together, these results indicate NPS induces activation of the mPTP through Ca2+-dependent, mROS-dependent, CsA-sensitive dissipation of the ΔΨm that is independent of caspase activation and insensitive to protection by Bcl-xl.https://digitalcommons.odu.edu/gradposters2021_gradschool/1001/thumbnail.jp
Short-term safety outcomes of mastectomy and immediate pre-pectoral implant-based breast reconstruction:Pre-BRA prospective multicentre cohort study
Background: Prepectoral breast reconstruction (PPBR) has recently been introduced to reduce postoperative pain and improve cosmetic outcomes in women having implant-based procedures. High-quality evidence to support the practice of PPBR, however, is lacking. Pre-BRA is an IDEAL stage 2a/2b study that aimed to establish the safety, effectiveness, and stability of PPBR before definitive evaluation in an RCT. The short-Term safety endpoints at 3 months after surgery are reported here. Methods: Consecutive patients electing to undergo immediate PPBR at participating UK centres between July 2019 and December 2020 were invited to participate. Demographic, operative, oncology, and complication data were collected. The primary outcome was implant loss at 3 months. Other outcomes of interest included readmission, reoperation, and infection. Results: Some 347 women underwent 424 immediate implant-based reconstructions at 40 centres. Most were single-stage direct-To-implant (357, 84.2 per cent) biological mesh-Assisted (341, 80.4 per cent) procedures. Conversion to subpectoral reconstruction was necessary in four patients (0.9 per cent) owing to poor skin-flap quality. Of the 343 women who underwent PPBR, 144 (42.0 per cent) experienced at least one postoperative complication. Implant loss occurred in 28 women (8.2 per cent), 67 (19.5 per cent) experienced an infection, 60 (17.5 per cent) were readmitted for a complication, and 55 (16.0 per cent) required reoperation within 3 months of reconstruction. Conclusion: Complication rates following PPBR are high and implant loss is comparable to that associated with subpectoral mesh-Assisted implant-based techniques. These findings support the need for a well-designed RCT comparing prepectoral and subpectoral reconstruction to establish best practice for implant-based breast reconstruction
Integrin beta 1 inhibition alleviates the chronic hyperproliferative dermatitis phenotype of SHARPIN-deficient mice
SHARPIN (Shank-Associated RH Domain-Interacting Protein) is a component of the linear ubiquitin chain assembly complex (LUBAC), which enhances TNF-induced NF-kappa B activity. SHARPIN-deficient (Sharpin(cpdm/cpdm)) mice display multi-organ inflammation and chronic proliferative dermatitis (cpdm) due to TNF-induced keratinocyte apoptosis. In cells, SHARPIN also inhibits integrins independently of LUBAC, but it has remained enigmatic whether elevated integrin activity levels in the dermis of Sharpin(cpdm/cpdm) mice is due to increased integrin activity or is secondary to inflammation. In addition, the functional contribution of increased integrin activation to the Sharpin(cpdm/cpdm) phenotype has not been investigated. Here, we find increased integrin activity in keratinocytes from Tnfr1(-/-) Sharpin(cpdm/cpdm) double knockout mice, which do not display chronic inflammation or proliferative dermatitis, thus suggesting that SHARPIN indeed acts as an integrin inhibitor in vivo. In addition, we present evidence for a functional contribution of integrin activity to the Sharpin(cpdm/cpdm) skin phenotype. Treatment with an integrin beta 1 function blocking antibody reduced epidermal hyperproliferation and epidermal thickness in Sharpin(cpdm/cpdm) mice. Our data indicate that, while TNF-induced cell death triggers the chronic inflammation and proliferative dermatitis, absence of SHARPIN-dependent integrin inhibition exacerbates the epidermal hyperproliferation in Sharpin(cpdm/cpdm) mice.Peer reviewe
‘IDEAS’ : Developing a ‘travelling companion’ model of inclusive curriculum development
Inclusive curriculum development in Higher Education is increasingly witnessing the development of institutional inclusive curriculum frameworks and toolkits. This short paper introduces one such framework recently developed at a modern university in the South East of England. The IDEAS model (Inclusive learning and teaching, Digital inclusion, Employability learning, assessment for learning, Sustainability mindset) involves a range of distinctive features in both design and scope, and was likewise co-created by colleagues working in the educational development and access and participation domains of academic practice. In a discussion structured by the stages of a traditional quest narrative, the paper relates the genesis, development and early implementation of the IDEAS model and draws attention to some of its distinctive emphases as well as its points of correspondence with wider sectoral initiatives on inclusive curriculum development
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