Older People Have Their Say! Survey of Older People’s Needs in Westgate Ward, Canterbury

Although a lot of effort in the last few years has been made to address the needs of people in old age, surprisingly not much is known about the views of this age group in the Canterbury City Council area. To address this lack of knowledge, the Canterbury and District Pensioners’ Forum was funded by the Canterbury City Council to explore the needs of older people living in this area. Our Forum decided to collaborate with the University of Kent to produce a survey on the needs of older people within the District of Canterbury. During the process of the project, we decided to base the survey on the Westgate Ward in Canterbury because we felt that older people living in this area represent a good example for highlighting needs that involve ‘ordinary’ older people. This ward is quite diverse in many ways; it spreads from a semi-rural area through to town dwelling. It is not seen as an area of deprivation, thereby has not generated any special money from the Government to help with social problems in the provision of social centres, community learning, social activities etc. Yet we know from our own experience that what may appear in many parts as fairly affluent is quite deprived of places for people to meet; and has large public housing areas with no amenities at all. The present Government put through legislation, which said that public services should be surveyed, and the part of that legislation that we are particularly interested in is “The National Service Framework for Older People”. That framework asks that older people are treated with dignity by NHS and Social Care organisations; and that Councils –County and District, examine existing services- housing, leisure and transport – to identify opportunities to promote health and well-being. We felt that Westgate Ward would be representative of many other areas within our District that had not received any special investment. The work that has been done in producing this survey has been done by members of the Canterbury & District Pensioners’ Forum with help from the University of Kent. It is a survey of older people, carried out by older people. It is our work. Information generated by this project will be assisting the Forum’s work to promote important issues related to older people’s quality of life and access to health and social care services. A comment from J.F. Kennedy we believe sums up the approach that we took at the start of this survey: “It is not enough for a nation to have added years of life. Our object must be to add new life to those years

Anti-malarial prescription practices among outpatients with laboratory-confirmed malaria in the setting of a health facility-based sentinel site surveillance system in Uganda.

BACKGROUND: Most African countries have adopted artemisinin-based combination therapy (ACT) as the first-line treatment for uncomplicated malaria. The World Health Organization now recommends limiting anti-malarial treatment to those with a positive malaria test result. Limited data exist on how these policies have affected ACT prescription practices. METHODS: Data were collected from all outpatients presenting to six public health facilities in Uganda as part of a sentinel site malaria surveillance programme. Training in case management, encouragement of laboratory-based diagnosis of malaria, and regular feedback were provided. Data for this report include patients with laboratory confirmed malaria who were prescribed anti-malarial therapy over a two-year period. Patient visits were analysed in two groups: those considered ACT candidates (defined as uncomplicated malaria with no referral for admission in patients ≥ 4 months of age and ≥ 5 kg in weight) and those who may not have been ACT candidates. Associations between variables of interest and failure to prescribe ACT to patients who were ACT candidates were estimated using multivariable logistic regression. RESULTS: A total of 51,355 patient visits were included in the analysis and 46,265 (90.1%) were classified as ACT candidates. In the ACT candidate group, 94.5% were correctly prescribed ACT. Artemether-lumefantrine made up 97.3% of ACT prescribed. There were significant differences across the sites in the proportion of patients for whom there was a failure to prescribe ACT, ranging from 3.0-9.3%. Young children and woman of childbearing age had higher odds of failure to receive an ACT prescription. Among patients who may not have been ACT candidates, the proportion prescribed quinine versus ACT differed based on if the patient had severe malaria or was referred for admission (93.4% vs 6.5%) or was below age or weight cutoffs for ACT (41.4% vs 57.2%). CONCLUSIONS: High rates of compliance with recommended ACT use can be achieved in resource-limited settings. The unique health facility-based malaria surveillance system operating at these clinical sites may provide a framework for improving appropriate ACT use at other sites in sub-Saharan Africa

Relationship between School Location and Secondary Technical Students’ Acquisition of Knowledge-Based Skills in Cross River and Imo States of Nigeria

This paper investigated the influence of school location on students’ acquisition of knowledge-based skills in selected secondary technical schools in Cross River and Imo States of Nigeria. The objective of the study was to ascertain the influence of location (urban and rural) of secondary technical schools on students’ acquisition of knowledge-based skills (creative thinking, innovation, ICT and entrepreneurship skills) in the two states. A correlation design was adopted for the study. The population constituted 1328 SS II students drawn from 11 secondary technical schools across the two states out of which a stratified random sample of 330 was identified. Two research questions and two corresponding hypotheses were formulated to guide the study. A twelve-item multiple choice Students’ Aptitude Test on Skills Acquisition (SATSA), validated by five experts in instruments construction, and was administered on the sample for data collection. Data were analyzed with One Sample Test and ANOVA to ascertain the relationship between school locations and students’ acquisition of knowledge-based skills in the identified knowledge-based skill subjects. The paper recommended that principals and teachers of secondary technical schools should sustain and improve the performance of students in the two states. It further recommended that further investigations be conducted to ascertain students’ acquisition of knowledge-based skills irrespective of school location

Integrated analyses of chromatin accessibility and gene expression data for elucidating the transcriptional regulatory mechanisms during early hematopoietic development in mouse

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Secreted CLIC3 drives cancer progression through its glutathione-dependent oxidoreductase activity

The secretome of cancer and stromal cells generates a microenvironment that contributes to tumour cell invasion and angiogenesis. Here we compare the secretome of human mammary normal and cancer-associated fibroblasts (CAFs). We discover that the chloride intracellular channel protein 3 (CLIC3) is an abundant component of the CAF secretome. Secreted CLIC3 promotes invasive behaviour of endothelial cells to drive angiogenesis and increases invasiveness of cancer cells both in vivo and in 3D cell culture models, and this requires active transglutaminase-2 (TGM2). CLIC3 acts as a glutathione-dependent oxidoreductase that reduces TGM2 and regulates TGM2 binding to its cofactors. Finally, CLIC3 is also secreted by cancer cells, is abundant in the stromal and tumour compartments of aggressive ovarian cancers and its levels correlate with poor clinical outcome. This work reveals a previously undescribed invasive mechanism whereby the secretion of a glutathione-dependent oxidoreductase drives angiogenesis and cancer progression by promoting TGM2-dependent invasion

Fire and human management of late Holocene ecosystems in southern Africa

Globally, fire is a primary agent for modifying environments through the long-term coupling of human and natural systems. In southern Africa, control of fire by humans has been documented since the late Middle Pleistocene, though it is unclear when or if anthropogenic burning led to fundamental shifts in the region\u27s fire regimes. To identify potential periods of broad-scale anthropogenic burning, we analyze aggregated Holocene charcoal sequences across southern Africa, which we compare to paleoclimate records and archaeological data. We show climate-concordant variability in mid-Holocene fire across much of the subcontinent. However, increased regional fire activity during the late Holocene (~2000 BP) coincides with archaeological change, especially the introduction and intensification of food production across the region. This increase in fire is not readily explained by climate changes, but rather reflects a novel way of using fire as a tool to manage past landscapes, with outcomes conditioned by regional ecosystem characteristics

Mental health of people with multiple sclerosis during the COVID-19 outbreak: A prospective cohort and cross-sectional case–control study of the UK MS Register

Background: People with MS (pwMS) have had higher rates of anxiety and depression than the general population before the COVID-19 pandemic, placing them at higher risk of experiencing poor psychological wellbeing during the pandemic.Objective: To assess mental health and its social/lifestyle determinants in pwMS during the first wave of the outbreak in the UK.Methods: This is a community-based, prospective longitudinal cohort and cross-sectional case-control online questionnaire study. It includes 2,010 pwMS from the UK MS Register and 380 people without MS.Results: The Hospital Anxiety and Depression Scale scores of pwMS for anxiety and depression during the outbreak did not change from the previous year. PwMS were more likely to have anxiety (using General Anxiety Disorder-7) and/or depression (using Patient Health Questionnaire-9) than controls during the outbreak (OR:2.14[95%CI:1.58-2.91]). PwMS felt lonelier (OR:1.37[95%CI:1.04-1.80]), reported worse social support (OR:1.90[95%CI:1.18-3.07]) and reported worsened exercise habits (OR:1.65[95%CI:1.18-2.32]) during the outbreak than controls.Conclusion: Early in the pandemic, pwMS remained at higher risk of experiencing anxiety and depression than the general population. It is important that multidisciplinary teams improve their support for the wellbeing of pwMS, who are vulnerable to the negative effects of the pandemic on their lifestyle and social support

Simulation of the Mars Surface Solar Spectra for Optimized Performance of Triple-Junction Solar Cells

The unparalleled success of the Mars Exploration Rovers (MER) powered by GaInP/GaAs/Ge triple-junction solar cells has demonstrated a lifetime for the rovers that exceeded the baseline mission duration by more than a factor of five. This provides confidence in future longer-term solar powered missions on the surface of Mars. However, the solar cells used on the rovers are not optimized for the Mars surface solar spectrum, which is attenuated at shorter wavelengths due to scattering by the dusty atmosphere. The difference between the Mars surface spectrum and the AM0 spectrum increases with solar zenith angle and optical depth. The recent results of a program between JPL and Spectrolab to optimize GaInP/GaAs/Ge solar cells for Mars are presented. Initial characterization focuses on the solar spectrum at 60-degrees zenith angle at an optical depth of 0.5. The 60-degree spectrum is reduced to ~1/6 of the AM0 intensity and is further reduced in the blue portion of the spectrum. JPL has modeled the Mars surface solar spectra, modified an X-25 solar simulator, and completed testing of Mars-optimized solar cells previously developed by Spectrolab with the modified X-25 solar simulator. Spectrolab has focused on the optimization of the higher efficiency Ultra Triple-Junction (UTJ) solar cell for Mars. The attenuated blue portion of the spectrum requires the modification of the top sub-cell in the GaInP/GaAs/Ge solar cell for improved current balancing in the triple-junction cell. Initial characterization confirms the predicted increase in power and current matched operation for the Mars surface 60-degree zenith angle solar spectrum

Large amplitude variability from the persistent ultracompact X-ray binary in NGC 1851

Using archival RXTE data, we show that the ultracompact X-ray binary in NGC 1851 exhibits large amplitude X-ray flux varations of more than a factor of 10 on timescales of days to weeks and undergoes sustained periods of months where the time-averaged luminosty varies by factors of two. Variations of this magnitude and timescale have not been reported previously in other ultracompact X-ray binaries. Mass transfer in ultracompact binaries is thought to be driven by gravitational radiation and the predicted transfer rates are so high that the disks of ultracompact binaries with orbits as short as that of this object should not be susceptible to ionization instabilities. Therefore the variability characteristics we observe were unexpected, and need to be understood. We briefly discuss a few alternatives for producing the observed variations in light of the fact that the viscous timescale of the disk is of order a week, comparable to the shorter time scale variation that is observed but much less than the longer term variation. We also discuss the implications for interpretation of observations of extragalactic binaries if the type of variability seen in the source in NGC 1851 is typical.Comment: 7 pages, 5 figures, accepted for publication in MNRA