Music and Arts in Health Promotion and Death Education: The St Christopher’s Schools Project

The reality of death and dying is rarely discussed openly in modern Western societies, while death sometimes is even considered to be a ‘failure’ in the context of traditional, medically-focused healthcare systems. Similarly, loss and transition are part of the National School Curriculum in the UK, but many schools still find approaching these subjects difficult. In this context St Christopher’s hospice in London has initiated and delivered the ‘Schools Project’ since 2005. The St Christopher’s Schools Project is an innovative community arts programme. It takes the form of short-term collaborative arts projects between terminally ill patients and students from primary and secondary schools, as well as colleges within the hospice’s catchment area. The Schools Project has attracted the interest of many other hospices, as well as other healthcare institutions and inspired the development of similar projects, both nationally and internationally. The aim of the Schools Project is to introduce the hospice and its work to the school communities in a creative and non-threatening way. Within a structured framework students are given the opportunity to interact and engage in music and art making together with terminally ill patients, culminating in an exhibition or performance. Promoting healthier attitudes towards death and dying amongst the students, their teachers, school peers, parents and carers, is at the core of the project. This paper presents the philosophy and aims, as well as the process and outcomes, of the Schools Project. Additionally, an overview of all of the projects that have taken place at St Christopher’s since 2005, as well as some prospects for future development, are given. This will hopefully stimulate a constructive dialogue with regards to the potential role of hospices and the arts in the promotion of health and death education, as well as their potential impact on the development of sustainable healthcare policies and practices not only in palliative care, but also in other health and social care contexts

Characterising the baseband impedance of supply modulators using simple modulated signals

Envelope tracking is one of the promising technologies for 5G power amplifiers, providing high power efficiency over a wide output power range by modulating the supply voltage. Although the baseband impedance, the output impedance of the supply modulator, plays a crucial role in the linearity of the PA, it is often not measured or considered during the modulator design. This paper presents a new, simplified approach to characterising this impedance using a PA with a simple multi-tone modulation as a load. It describes the measurement setup and verifies the results by characterising the baseband impedance of a state-of-the-art buck converter and comparing this to its static model. The results demonstrate that multi-tone signals and complex modulations yield comparable results and are both suitable for measuring and modelling the baseband impedance. This shows that using simple multi-tone measurements and basic equipment, the full static impedance characteristic can be obtained

Liver Parasites and Body Condition in Relation to Environmental Contaminants in Caribou (Rangifer tarandus) from Labrador, Canada

Over the last several decades, elders and hunters of the Innu Nation in Labrador, Canada, have expressed concerns over perceived declines in environmental health and the integrity of country food, including caribou. The primary objective of this study was to determine links between specific health parameters and contaminants found in caribou from the George River herd. Twenty-seven caribou killed by local Innu hunters between February and December 2001 were evaluated for gross and microscopic pathology, body condition, liver parasitology, and contaminant levels in kidney and fat. Overall, the sampled caribou appeared to be in adequate body condition for the time of year, and no clinically significant lesions were found. Concentrations of selenium, metals (Hg, Cd, and Pb), 20 organochlorine pesticides (HCB, a-HCH, g-HCH, aldrin, dieldrin, methoxychlor, mirex, a- and b-endosulfan, heptachlor, heptachlor epoxide, g-CHL, cis-CHL, trans-nonachlor, and o,p'- and p,p'-DDD, DDE, DDT), and 24 PCB congeners were within the ranges reported for caribou in Canada. In general, contaminant levels were relatively low, with the exception of cadmium in kidneys (geometric mean: 6.5 μg/g wet weight; range: 1.5–44.0 μg/g). Two types of liver parasites were found: the liver fluke Fascioloides magna (prevalence: 78%; geometric mean abundance: 4.2 flukes/caribou) and a tapeworm larva consistent with Taenia hydatigena (prevalence: 50%; geometric mean abundance: 0.6 larvae/caribou). Using multiple variable regression analysis, we found renal concentrations of cadmium to be positively associated, and selenium to be negatively associated, with F. magna abundance.Ces dernières décennies, les aînés et les chasseurs de la nation montagnaise du Labrador, au Canada, ont exprimé des inquiétudes au sujet du déclin de la santé de l’environnement et de l’intégrité de la nourriture provenant de la campagne, telle que le caribou. L’objectif principal de cette étude consistait à déterminer les liens qui existent entre certains paramètres de santé précis et les contaminants se trouvant dans le caribou du troupeau de la rivière George. Vingt-sept caribous ayant été tués par les chasseurs montagnais de la région entre les mois de février et de décembre 2001 ont subi des examens pathologiques macroscopiques et microscopiques, en plus d’avoir été évalués pour en déterminer l’état du corps, la parasitologie du foie et les taux de contaminants dans le foie et le gras. Dans l’ensemble, l’état des corps de caribous échantillonnés semblait adéquat pour cette période de l’année et aucune lésion clinique importante n’a été signalée. Les concentrations de sélénium, de métaux (Hg, Cd et Pb), de 20 pesticides organochlorés (HCB, a-HCH, g-HCH, aldrine, dieldrine, méthoxychlore, mirex, a- et b-endosulfane, heptachlore, heptachlorépoxyde, g-CHL, cis-CHL, trans-nonachlore ainsi que o,p'- et p,p'-DDD, DDE, DDT) et de 24 congénères de PCB s’établissaient dans les étendues signalées pour le caribou au Canada. En général, les niveaux de contaminants étaient relativement faibles, à l’exception du cadmium se trouvant dans les reins (moyenne géometrique : 6,5 μg/g poids humide; étendue : 1,5–44,0 mg/g). Deux types de parasites du foie ont été trouvés : la douve Fascioloides magna (prévalence : 78 %; abondance moyenne géométrique : 4,2 douves/caribou) et un cestode du genre Taenia hydatigena (prévalence : 50 %; abondance moyenne géométrique : 0,6 larves/caribou). Nous avons également réalisé une analyse de régression à variables multiples qui nous a permis de constater que les concentrations de cadmium sont positivement associées et celles de sélénium sont négativement associées à l’abondance de F. magna

Motesanib inhibits Kit mutations associated with gastrointestinal stromal tumors

<p>Abstract</p> <p>Background</p> <p>Activating mutations in Kit receptor tyrosine kinase or the related platelet-derived growth factor receptor (PDGFR) play an important role in the pathogenesis of gastrointestinal stromal tumors (GIST).</p> <p>Methods</p> <p>This study investigated the activity of motesanib, an inhibitor of vascular endothelial growth factor receptors (VEGFR) 1, 2, and 3; PDGFR; and Kit, against primary activating Kit mutants and mutants associated with secondary resistance to imatinib. Single- and double-mutant isoforms of Kit were evaluated for their sensitivity to motesanib or imatinib in autophosphorylation assays and in Ba/F3 cell proliferation assays.</p> <p>Results</p> <p>Motesanib inhibited Kit autophosphorylation in CHO cell lines expressing primary activating mutations in exon 9 (AYins503-504, IC₅₀= 18 nM) and exon 11 (V560 D, IC₅₀= 5 nM; Δ552-559, IC₅₀= 1 nM). Motesanib also demonstrated activity against kinase domain mutations conferring imatinib resistance (V560D/V654A, IC₅₀= 77 nM; V560D/T670I, IC₅₀= 277 nM; Y823 D, IC₅₀= 64 nM) but failed to inhibit the imatinib-resistant D816V mutant (IC₅₀> 3000 nM). Motesanib suppressed the proliferation of Ba/F3 cells expressing Kit mutants with IC₅₀values in good agreement with those observed in the autophosphorylation assays.</p> <p>Conclusions</p> <p>In conclusion, our data suggest that motesanib possesses inhibitory activity against primary Kit mutations and some imatinib-resistant secondary mutations.</p

Galaxy Formation Theory

We review the current theory of how galaxies form within the cosmological framework provided by the cold dark matter paradigm for structure formation. Beginning with the pre-galactic evolution of baryonic material we describe the analytical and numerical understanding of how baryons condense into galaxies, what determines the structure of those galaxies and how internal and external processes (including star formation, merging, active galactic nuclei etc.) determine their gross properties and evolution. Throughout, we highlight successes and failings of current galaxy formation theory. We include a review of computational implementations of galaxy formation theory and assess their ability to provide reliable modelling of this complex phenomenon. We finish with a discussion of several "hot topics" in contemporary galaxy formation theory and assess future directions for this field.Comment: 58 pages, to appear in Physics Reports. This version includes minor corrections and a handful of additional reference

Vector-borne and other pathogens of potential relevance disseminated by relocated cats

© 2022. The Author(s).Large populations of unowned cats constitute an animal welfare, ecological, societal and public health issue worldwide. Their relocation and homing are currently carried out in many parts of the world with the intention of relieving suffering and social problems, while contributing to ethical and humane population control in these cat populations. An understanding of an individual cat's lifestyle and disease status by veterinary team professionals and those working with cat charities can help to prevent severe cat stress and the spread of feline pathogens, especially vector-borne pathogens, which can be overlooked in cats. In this article, we discuss the issue of relocation and homing of unowned cats from a global perspective. We also review zoonotic and non-zoonotic infectious agents of cats and give a list of practical recommendations for veterinary team professionals dealing with homing cats. Finally, we present a consensus statement consolidated at the 15th Symposium of the Companion Vector-Borne Diseases (CVBD) World Forum in 2020, ultimately to help veterinary team professionals understand the problem and the role they have in helping to prevent and manage vector-borne and other pathogens in relocated cats.publishersversionpublishe