Manganese pigmented anodized copper as solar selective absorber

The study concerns the optical and structural properties of layers obtained by a new efficient surface treatment totally free of chromium species. The process is made up of an anodic oxidation of copper in an alkaline solution followed by an alkaline potassium permanganate dipping post-treatment. Coatings, obtained at the lab and pilot scales, are stable up to 220 °C in air and vacuum, present low emissivity (0.14 at 70 °C) and high solar absorptivity (0.96), i.e. a suitable thermal efficiency (0.84 at 70 °C)

Investigating outcome inequalities in osteoarthritis management programmes: an analysis of registry data from the good life with osteoarthritis in Denmark (GLA:D®) programme using tapered balancing

Purpose: The burden of osteoarthritis (OA) is often greater among disadvantaged people and communities, prompting calls for more attention to equity-focussed research and policy. A specific concern is whether healthcare interventions may inadvertently widen health inequalities. OA management programmes (OAMP) have emerged in the past decade in a major international effort to improve provision of core non-surgical care for people with OA. Recent studies have focussed on equity of access. We address a complementary issue: having gained access, do people from socially disadvantaged groups have poorer outcomes than their advantaged counterparts, and if so, what might determine this? Methods: The study population was consecutive adults with knee OA attending the 8-week GLA:D® supervised exercise and education programme in Denmark between Oct 2014-Feb 2018. We defined a ‘multiple social disadvantage’ group based on primary/secondary school education and being either born outside Denmark or not having Danish citizenship. Their outcomes were compared with those of native Danish citizens with higher education. Outcomes of interest were pain intensity (0-100 VAS), KOOS Quality of Life subscale (QOL 0-100), EQ-5D-5L health utility (-0.624-1.0) at 3 and 12 months. Missing data were imputed using multiple imputation with chained equations. We used Coarsened Exact Matching (CEM) to restrict group comparisons to areas of common support, i.e. sufficient overlap on key prognostic factors (age, sex, body mass index, baseline value of the outcome measure of interest). We then used Entropy Balancing to sequentially control for differences between disadvantaged and advantaged groups in: (1) baseline value of the outcomes of interest (2) type of treatment centre, enrollment year (3) age, sex (4) BMI, previous knee injury, previous knee surgery (5) no. of selected comorbidities, no. of other non-knee pain sites (6) self-efficacy score, self-reported presence of depression (7) previous/current tailored exercise advice, weight loss counselling, analgesia/natural remedies (8) attendance at GLA:D® education and exercise sessions. Mean differences in outcomes between disadvantaged and advantaged groups were then estimated by weighted linear regression without balancing and then with entropy balancing weights from steps 1-8. Results: Of 18,448 eligible participants, 250 (1.4%) were classed as disadvantaged. Compared with advantaged participants, they were younger, less likely to have attended GLA:D® in a private physiotherapy clinic, reported more comorbidity, pain sites, depression, lower self-efficacy, and lower attendance on GLA:D® sessions. Both groups showed overall improvements over baseline in mean pain VAS, KOOS QOL and EQ5D scores at 3 months, typically maintained at 12 months. Before covariate balancing, disadvantaged participants had substantially worse scores than advantaged participants on each measure at both follow-up points (e.g. crude between-group mean differences (95%CI) in pain VAS at 12 months: 8.6 (4.5, 12.6) respectively: Table 1). Balancing for differences on baseline score, comorbidity, self-efficacy, and depression had the greatest effect on reducing differences in outcomes. Conclusions: Both disadvantaged and advantaged adults with knee OA reported improvements in key outcomes up to 12 months after OAMP attendance. However, compared with more advantaged adults, disadvantaged adults typically began the OAMP with more severe pain and poorer quality of life. This gap in outcomes was not reduced following OAMP attendance: for generic health-related quality of life in particular the gap widened slightly. Low self-efficacy, depression and other comorbidities may be potential determinants. Our analysis is of observed outcomes in a relatively small group with multiple disadvantage attending one OAMP. We encourage further work in other settings and groups. If confirmed, our findings suggest that while improving access to OAMPs for socially disadvantaged people with OA is important, additional actions may be needed to reduce outcome inequalities

Job strain and risk of obesity: systematic review and meta-analysis of cohort studies

Job strain, the most widely used indicator of work stress, is a risk factor for obesity-related disorders such as cardiovascular disease and type 2 diabetes. However, the extent to which job strain is related to the development of obesity itself has not been systematically evaluated. We carried out a systematic review (PubMed and Embase until May 2014) and meta-analysis of cohort studies to address this issue. Eight studies that fulfilled inclusion criteria showed no overall association between job strain and the risk of weight gain (pooled odds ratio for job strain compared with no job strain 1.04, 95% confidence interval (CI) 0.99-1.09, NTotal=18 240) or becoming obese (1.00, 95% CI 0.89-1.13, NTotal=42 222). In addition, a reduction in job strain over time was not associated with lower obesity risk (1.13, 95% CI 0.90-1.41, NTotal=6507). These longitudinal findings do not support the hypothesis that job strain is an important risk factor for obesity or a promising target for obesity prevention.International Journal of Obesity advance online publication, 30 June 2015; doi:10.1038/ijo.2015.103

Successful treatment of pediatric IgG4 related systemic disease with mycophenolate mofetil: case report and a review of the pediatric autoimmune pancreatitis literature

Autoimmune pancreatitis is frequently associated with elevated serum and tissue IgG4 levels in the adult population, but there are few reports of pediatric autoimmune pancreatitis, and even fewer reports of IgG4 related systemic disease in a pediatric population. The standard of care treatment in adults is systemic corticosteroids with resolution of symptoms in most cases; however, multiple courses of corticosteroids are occasionally required and some patients require long term corticosteroids. In these instances, steroid sparing disease modify treatments are in demand. We describe a 13-year-old girl with IgG4 related systemic disease who presented with chronic recurrent autoimmune pancreatitis resulting in surgical intervention for obstructive hyperbilirubinemia and chronic corticosteroid treatment. In addition, she developed fibrosing medianstinitis as part of her IgG4 related systemic disease. She was eventually successfully treated with mycophenolate mofetil allowing for discontinuation of corticosteroids. This is the first reported use of mycophenolate mofetil for IgG4 related pancreatitis. Although autoimmune pancreatitis as part of IgG4 related systemic disease is rarely reported in pediatrics, autoimmune pancreatitis is also characterized as idiopathic fibrosing pancreatitis. All pediatric autoimmune pancreatitis cases reported in the world medical literature were identified via a PUBMED search and are reviewed herein. Twelve reports of pediatric autoimmune pancreatitis were identified, most of which were treated with corticosteroids or surgical approaches. Most case reports failed to report IgG4 levels, so it remains unclear how commonly IgG4 related autoimmune pancreatitis occurs during childhood. Increased evaluation of IgG4 levels in patients with autoimmune pancreatitis may shed further light on the association of IgG4 with pancreatitis and the underlying pathophysiology

Chronic Respiratory Aeroallergen Exposure in Mice Induces Epithelial-Mesenchymal Transition in the Large Airways

Chronic allergic asthma is characterized by Th2-polarized inflammation and leads to airway remodeling and fibrosis but the mechanisms involved are not clear. To determine whether epithelial-mesenchymal transition contributes to airway remodeling in asthma, we induced allergic airway inflammation in mice by intranasal administration of house dust mite (HDM) extract for up to 15 consecutive weeks. We report that respiratory exposure to HDM led to significant airway inflammation and thickening of the smooth muscle layer in the wall of the large airways. Transforming growth factor beta-1 (TGF-β1) levels increased in mouse airways while epithelial cells lost expression of E-cadherin and occludin and gained expression of the mesenchymal proteins vimentin, alpha-smooth muscle actin (α-SMA) and pro-collagen I. We also observed increased expression and nuclear translocation of Snail1, a transcriptional repressor of E-cadherin and a potent inducer of EMT, in the airway epithelial cells of HDM-exposed mice. Furthermore, fate-mapping studies revealed migration of airway epithelial cells into the sub-epithelial regions of the airway wall. These results show the contribution of EMT to airway remodeling in chronic asthma-like inflammation and suggest that Th2-polarized airway inflammation can trigger invasion of epithelial cells into the subepithelial regions of the airway wall where they contribute to fibrosis, demonstrating a previously unknown plasticity of the airway epithelium in allergic airway disease

Development of a parental feeding goal measure: the family mealtime goals questionnaire

It is well established that parents’ feeding practices predict children’s eating behaviors. However, there has been little research into parents’ mealtime goals – their desired outcomes for family mealtimes. These goals, and potential conflicts between them, may be important both in explaining parents’ feeding practices and improving children’s eating behaviors, as health behavior change is more likely to be achieved by programmes and interventions that are aligned with an individual’s goals. The objectives of this study were to develop a reliable and valid measure that captures parental mealtime goals, and to describe parents’ endorsement of these goals. Online questionnaire methods were used to design and test the Family Mealtime Goals Questionnaire with 1,140 parents and carers of at least one child aged from 1 to 16 years. Exploratory qualitative analysis, Principal Components Analysis, Confirmatory Factor Analysis and test-retest analysis (using intraclass correlations) were conducted to establish the psychometric properties of the instrument. An 18-item questionnaire was produced with seven dimensions: stress/conflict avoidance, homemade food, shared family food, family involvement in mealtimes, price, occasional treats, and high/low fat regulation. Some differences were found in the goal structure of parents of children of different ages but stress/conflict avoidance was the most strongly endorsed mealtime goal for all age groups. The Family Mealtime Goals Questionnaire provides a useful measure of parents’ feeding motivations. It will facilitate large-scale research into the relationships between parents' feeding goals and practices and could inform the design of more effective healthy eating interventions that target specific feeding goals

A role for the arginine methylation of Rad9 in checkpoint control and cellular sensitivity to DNA damage

The genome stability is maintained by coordinated action of DNA repairs and checkpoints, which delay progression through the cell cycle in response to DNA damage. Rad9 is conserved from yeast to human and functions in cell cycle checkpoint controls. Here, a regulatory mechanism for Rad9 function is reported. In this study Rad9 has been found to interact with and be methylated by protein arginine methyltransferase 5 (PRMT5). Arginine methylation of Rad9 plays a critical role in S/M and G2/M cell cycle checkpoints. The activation of the Rad9 downstream checkpoint effector Chk1 is impaired in cells only expressing a mutant Rad9 that cannot be methylated. Additionally, Rad9 methylation is also required for cellular resistance to DNA damaging stresses. In summary, we uncovered that arginine methylation is important for regulation of Rad9 function, and thus is a major element for maintaining genome integrity

The devil is in the details: trends in avoidable hospitalization rates by geography in British Columbia, 1990–2000

BACKGROUND: Researchers and policy makers have focussed on the development of indicators to help monitor the success of regionalization, primary care reform and other health sector restructuring initiatives. Certain indicators are useful in examining issues of equity in service provision, especially among older populations, regardless of where they live. AHRs are used as an indicator of primary care system efficiency and thus reveal information about access to general practitioners. The purpose of this paper is to examine trends in avoidable hospitalization rates (AHRs) during a period of time characterized by several waves of health sector restructuring and regionalization in British Columbia. AHRs are examined in relation to non-avoidable and total hospitalization rates as well as by urban and rural geography across the province. METHODS: Analyses draw on linked administrative health data from the province of British Columbia for 1990 through 2000 for the population aged 50 and over. Joinpoint regression analyses and t-tests are used to detect and describe trends in the data. RESULTS: Generally speaking, non-avoidable hospitalizations constitute the vast majority of hospitalizations in a given year (i.e. around 95%) with AHRs constituting the remaining 5% of hospitalizations. Comparing rural areas and urban areas reveals that standardized rates of avoidable, non-avoidable and total hospitalizations are consistently higher in rural areas. Joinpoint regression results show significantly decreasing trends overall; lines are parallel in the case of avoidable hospitalizations, and lines are diverging for non-avoidable and total hospitalizations, with the gap between rural and urban areas being wider at the end of the time interval than at the beginning. CONCLUSION: These data suggest that access to effective primary care in rural communities remains problematic in BC given that rural areas did not make any gains in AHRs relative to urban areas under recent health sector restructuring initiatives. It remains important to continue to monitor the discrepancy between them as a reflection of inequity in service provision. In addition, it is important to consider alternative explanations for the observed trends paying particular attention to the needs of rural and urban populations and the factors influencing local service provision