The use of honey in healing a recalcitrant wound following surgical treatment of hidradenitis suppurativa

Ancient civilizations used honey to heal wounds. Despite the rediscovery of honey by modern physicians1 its use in conventional medicine, unlike in complementary medicine, remains limited. Much anecdotal evidence, some clinical observations, some animal models and some randomised controlled trials support the efficacy of honey in managing wounds2,3 , but few detailed descriptions of the use of honey in healing difficult surgical wounds have previously been published

Genetic contribution to radiographic severity in osteoarthritis of the knee

Objective Knee osteoarthritis (OA) has a significant genetic component. The authors have assessed the role of three variants reported to influence risk of knee OA with p<5×10–8 in determining patellofemoral and tibiofemoral Kellgren Lawrence (K/L) grade in knee OA cases. Methods 3474 knee OA cases with sky-line and weight-bearing antero-posterior x-rays of the knee were selected based on the presentation of K/L grade ≥2 at either the tibiofemoral or patellofemoral compartments for one or both knees. Patients belonging to three UK cohorts, were genotyped for rs143383, rs4730250 and rs11842874 mapping to the GDF5, COG5 and MCF2L genes, respectively. The association between tibiofemoral K/L grade and patellofemoral K/L grade was assessed after adjusting for age, gender and body mass index. Results No significant association was found between the rs4730250 and radiographic severity. The rs11842874 mapping to MCF2L was found to be nominally significantly associated with patellofemoral K/L grade as a quantitative trait (p=0.027) but not as a binary trait. The GDF5 single nucleotide polymorphism rs143383 was associated with tibiofemoral K/L grade (β=0.05 (95% CI 0.02 to 0.08) p=0.0011). Conclusions Our data indicate that within individuals affected by radiographic knee OA, OAGDF5 has a modest but significant effect on radiographic severity after adjustment for the major risk factors

COVID-19, online shaming, and health-care professionals

This is the author accepted manuscript. The final version is available from Elsevier via the DOI in this recordWellcome TrustArts and Humanities Research Council (AHRC

Impaired recollection of visual scene details in adults with autism spectrum conditions.

Subtle memory deficits observed in autism spectrum conditions (ASC) have often been characterized as reflecting impaired recollection and it has been proposed that a relational binding deficit may underlie the recollection impairment. However, subjective recollection and relational binding have not been measured within the same task in ASC to date and it is unclear whether a relational binding deficit can provide a full account of recollection impairments in ASC. Relational memory has also not been compared with item memory when the demands of the 2 tasks are comparable. To assess recollection, relational memory, and item memory within a single task in ASC, 24 adults with ASC and 24 typically developed adults undertook a change detection memory task that assessed recollection of item-specific and spatial details. Participants studied rendered indoor and outdoor scenes and, in a subsequent recognition memory test, distinguished scenes that had not changed from those that had either undergone an item change (a different item exemplar) or a relational (spatial) change, which was followed by a subjective recollection judgment. The ASC group identified fewer item changes and spatial changes, to a similar degree, which was attributable to a specific reduction in recollection-based recognition relative to the control group. These findings provide evidence that recollection deficits in ASC may not be driven entirely by a relational binding deficit.This research was supported by a James S. McDonnell Scholar Award to J.S.S., an Economic and Social Research Council Award to R.A.C., and Leverhulme Trust Visiting Professorship and Parke Davis Exchange Fellowship Awards to C.R.This is the author accepted manuscript. The final version is available from he American Psychological Association via http://dx.doi.org/10.1037/abn000007

The effect of FTO variation on increased osteoarthritis risk is mediated through body mass index : a mendelian randomisation study

Objective: Variation in the fat mass and obesity-associated (FTO) gene influences susceptibility to obesity. A variant in the FTO gene has been implicated in genetic risk to osteoarthritis (OA). We examined the role of the FTO polymorphism rs8044769 in risk of knee and hip OA in cases and controls incorporating body mass index (BMI) information. Methods: 5409 knee OA patients, 4355 hip OA patients and up to 5362 healthy controls from 7 independent cohorts from the UK and Australia were genotyped for rs8044769. The association of the FTO variant with OA was investigated in case/control analyses with and without BMI adjustment and in analyses matched for BMI category. A mendelian randomisation approach was employed using the FTO variant as the instrumental variable to evaluate the role of overweight on OA. Results: In the meta-analysis of all overweight (BMI≥25) samples versus normal-weight controls irrespective of OA status the association of rs8044769 with overweight is highly significant (OR[CIs] for allele G=1.14 [01.08 to 1.19], p=7.5×10−7). A significant association with knee OA is present in the analysis without BMI adjustment (OR[CIs]=1.08[1.02 to 1.14], p=0.009) but the signal fully attenuates after BMI adjustment (OR[CIs]=0.99[0.93 to 1.05], p=0.666). We observe no evidence for association in the BMI-matched meta-analyses. Using mendelian randomisation approaches we confirm the causal role of overweight on OA. Conclusions: Our data highlight the contribution of genetic risk to overweight in defining risk to OA but the association is exclusively mediated by the effect on BMI. This is consistent with what is known of the biology of the FTO gene and supports the causative role of high BMI in OA

Clergy work-related satisfactions in parochial ministry: the influence of personality and churchmanship

The aim of this study was to test several hypotheses that clergy work-related satisfaction could be better explained by a multidimensional rather than a unidimensional model. A sample of 1071 male stipendiary parochial clergy in the Church of England completed the Clergy Role Inventory, together with the short-form Revised Eysenck Personality Questionnaire. Factor analysis of the Clergy Role Inventory identified five separate clergy roles: Religious Instruction, Administration, Statutory Duties (conducting marriages and funerals), Pastoral Care, and Role Extension (including extra-parochial activities). Respondents also provided an indication of their predispositions on the catholic-evangelical and liberal-conservative dimensions. The significant associations of the satisfactions derived from each of the roles with the demographic, personality, and churchmanship variables were numerous, varied, and, with few exceptions, small in magnitude. Separate hierarchical regressions for each of the five roles indicated that the proportion of total variance explained by churchmanship was, in general, at least as great as that explained by personality, and was greater for three roles: Religious Instruction, Statutory Duties, and Role Extension. It was concluded that clergy satisfactions derived from different roles are not uniform and that churchmanship is at least as important as personality in accounting for clergy work satisfaction

Researching the home using architectural and social science methods

This article explores the possibilities of using innovative, interdisciplinary methods for understanding home-making. Drawing on a study of Claremont Court (1959–1962), a post-war social housing scheme designed by Sir Basil Spence in Edinburgh, we discuss the methodological potentials of combining architectural and social science methods to study the home. Claremont Court was built in the post-war era as part of Scotland’s social housing drive. It was designed following the principles of ‘cross-class’ living in order to foster a sense of community. In subsequent years, inhabitants of the court have adapted their dwellings in numerous ways and the population of the court has changed dramatically. But, while meanings of home and understandings of the division between public and private have been reconfigured, the spatial layouts of the dwellings continue to shape residents’ sense of home. To explore how residents make home at Claremont Court, we use ‘facet methodology’, which opens up new ways of thinking about the research process through a ‘playful’ approach to epistemology. In doing so, we develop an innovative approach which combines architectural methods (including survey drawings and visual mappings of both dwellings and communal areas) with social science methods (including ‘traditional’ interviews and walk-along interviews). To conclude, we discuss the possibility of widening the scope of qualitative research by bringing architectural and social science methods into dialogue through visual methods, in order to attend to spatial and material aspects of the home. We argue that our novel cross-disciplinary approach broadens understandings of home, by bringing attention to the unspoken dimensions of physical space, embodied elements of home and what people said about their homes, all of which are central to home-making

Galaxy Assembly Bias on the Red Sequence

Using samples drawn from the Sloan Digital Sky Survey, we study the relationship between local galaxy density and the properties of galaxies on the red sequence. After removing the mean dependence of average overdensity (or "environment") on color and luminosity, we find that there remains a strong residual trend between luminosity-weighted mean stellar age and environment, such that galaxies with older stellar populations favor regions of higher overdensity relative to galaxies of like color and luminosity (and hence of like stellar mass). Even when excluding galaxies with recent star-formation activity (i.e., younger mean stellar ages) from the sample, we still find a highly significant correlation between stellar age and environment at fixed stellar mass. This residual age-density relation provides direct evidence for an assembly bias on the red sequence such that galaxies in higher-density regions formed earlier than galaxies of similar mass in lower-density environments. We discuss these results in the context of the age-metallicity degeneracy and in comparison to previous studies at low and intermediate redshift. Finally, we consider the potential role of assembly bias in explaining recent results regarding the evolution of post-starburst (or post-quenching) galaxies and the environmental dependence of the type Ia supernova rate.Comment: Accepted for publication in MNRA

Autonomy of Nations and Indigenous Peoples and the Environmental Release of Genetically Engineered Animals with Gene Drives

This article contends that the environmental release of genetically engineered (GE) animals with heritable traits that are patented will present a challenge to the efforts of nations and indigenous peoples to engage in self‐determination. The environmental release of such animals has been proposed on the grounds that they could function as public health tools or as solutions to the problem of agricultural insect pests. This article brings into focus two political‐economic‐legal problems that would arise with the environmental release of such organisms. To address those challenges, it is proposed that nations considering the environmental release of GE animals must take into account the underlying circumstances and policy failures that motivate arguments for the use of the modified animals. Moreover, countries must recognize that the UN International Covenant on Civil and Political Rights and the UN International Covenant on Economic, Social and Cultural Rights place on them an obligation to ensure that GE animals with patented heritable traits are not released without the substantive consent of the nations or indigenous peoples that could be affected