U-type bilateral sacral fracture with spino-pelvic dissociation caused by epileptic seizure

Sacral fracture with spino-pelvic dissociation is a rare and unstable injury caused by high-energy trauma, often with serious haemodynamic and neurological implications. Diagnosis is easily delayed or missed as it is often masked by severe associated injuries. Here, we present an unusual case of spino-pelvic dissociation sustained during a seizure episode in a young epileptic patient on long-term anticonvulsant therapy with previous thoracolumbar spinal arthrodesis. This unique case brings to light the need for clinicians to consider sacral fractures in patients presenting with low back pain with no preceding trauma who otherwise may have risk factors for pathological fractures

A charge dependent long-ranged force drives tailored assembly of matter in solution

The interaction between charged objects in solution is generally expected to recapitulate two central principles of electromagnetics: (i) like-charged objects repel, and (ii) they do so regardless of the sign of their electrical charge. Here we demonstrate experimentally that the solvent plays a hitherto unforeseen but crucial role in interparticle interactions, and importantly, that interactions in the fluid phase can break charge-reversal symmetry. We show that in aqueous solution, negatively charged particles can attract at long range while positively charged particles repel. In solvents that exhibit an inversion of the net molecular dipole at an interface, such as alcohols, we find that the converse can be true: positively charged particles may attract whereas negatives repel. The observations hold across a wide variety of surface chemistries: from inorganic silica and polymeric particles to polyelectrolyte- and polypeptide-coated surfaces in aqueous solution. A theory of interparticle interactions that invokes solvation at an interface explains the observations. Our study establishes a specific and unanticipated mechanism by which the molecular solvent may give rise to a strong and long-ranged force in solution, with immediate ramifications for a variety of particulate and molecular processes including tailored self-assembly, gelation and crystallization, as well as biomolecular condensation, coacervation and phase segregation. These findings also shed light on the solvent-induced interfacial electrical potential - an elusive quantity in electrochemistry and interface science implicated in many natural and technological processes, such as atmospheric chemical reactions, electrochemical energy storage and conversion, and the conduction of ions across cell membranes.Comment: 20 pages, 6 figure

Researching teacher educators’ preparedness to teach to and about diversity : Investigating epistemic reflexivity as a new conceptual framework

There is growing international concern about the extent to which teachers are prepared to work with an increasingly diverse student (and community) population. To date, research into the relationship between teacher preparation and preparedness to teach diverse learners has not focused on teacher educators’ understandings about teaching to/about diversity. Such understandings can be informed by epistemic aspects of professional work. Epistemic cognitions (cognitions about knowledge and knowing) allow professionals to generate perspectives necessary to tackle new and old challenges. The social lab reported in this paper investigated 12 Australian teacher educators’ perspectives about teaching to/about diversity using the 3R-Epistemic Cognition (EC) framework. The findings showed that the 3R-EC framework could be useful for capturing epistemic reflexive dialogues about teaching to/about diversity, although some aspects of the framework were identified by the teacher educators as challenging. On the basis of these identified challenges, refinements concerning communication and use of the 3R-EC framework were identified. The feedback also led to some refinements of the social lab methodology for use in the larger national study

The persistence of character: Sir Alec Clegg

Sir Alec Clegg (1909 - 1986) was the Chief Education Officer for the West Riding of Yorkshire 1949-1974. Throughout his time in post the underpinning ideologies of individuals as agents of change, reform of educational environments and the value of the arts to the curriculum for every child were key cornerstones. As an educational pioneer Sir Alec Clegg’s legacy is vast. Underpinning his leadership is his work as a thorough and exceptional educational administrator which allowed his character to be manifest, shared and learnt from. Using personal papers of Sir Alec Clegg coupled with storied life narratives from individuals who worked with him. The research explores what can be learnt from his leadership to bring art and design education and pedagogical development to the forefront within the new political landscape. In exploring Clegg’s leadership through the eyes of others, much is revealed in relation to personal contribution, leadership and navigation of purpose. At a time of rapidly changing educational landscapes much can be learned from the individual contributions and impactful of Clegg. The paper synthesizes the positive attributes and impact of successful leadership within the context of the creative sector

Attention and fluctuating attention in patients with dementia with lewy bodies and alzheimer disease

Background: Attentional deficits are described in the consensus clinical criteria for the operationalized diagnosis of dementia with Lewy bodies (DLB) as characteristic of the condition. In addition, preliminary studies have indicated that both attentional impairments and fluctuation of attentional impairments are more marked in patients with DLB than in patients with Alzheimer disease (AD), although neuropsychological function has not previously been examined in a large prospective cohort with confirmed diagnostic accuracy against postmortem diagnosis. Methods: A detailed evaluation of attention and fluctuating attention was undertaken in 155 patients with dementia (85 with DLB and 80 with AD) from a representative hospital dementia case register and 35 elderly controls using the Cognitive Drug Research Computerized Assessment System for Dementia Patients computerized neuropsychological battery. Operationalized clinical diagnosis was made using the consensus criteria for DLB and the National Institute of Neurological and Communicative Disorders and Stroke-Alzheimer's Disease and Related Disorders Association criteria for AD. High levels of sensitivity and specificity have been achieved for the first 50 cases undergoing postmortem examination. Results: The groups were well matched for severity of cognitive impairments, bur the AD patients were older (mean age, 80 vs 78 years) and more likely to be female (55 vs 40). Patients with DLB were significantly more impaired than patients with AD on all measures of attention and fluctuating attention (for all comparisons, t � 2.5, P<.001), and patients from both dementia groups were significantly more impaired than elderly controls for all comparisons other than cognitive reaction time, which was significantly more impaired in DLB patients than controls but was comparable in controls and AD patients. There were, however, significant associations between the severity of cognitive impairment and the severity of both attentional deficits and fluctuations in attention. Conclusions: This large prospective study confirms that slowing of cognitive processing, attention, and fluctuations of attention are significantly more pronounced in DLB and AD patients, although fluctuating attention is common in patients with moderate-to-severe AD. Deficits of cognitive reaction rime appear to be specific to DLB, except in severe dementia. A detailed evaluation of attentional performance could make an important contribution to differential diagnosis, although the results need to be interpreted within the context of the overall severity of cognitive deficits

The brightest high-latitude 12-micron IRAS sources

The Infrared Astronomical Satellite (IRAS) Point Source catalog was searched for sources brighter than 28 Jy (0 mag) at 12 μm with absolute galactic latitude greater than 30° excluding the Large Magellanic Cloud. The search resulted in 269 sources, two of which are the galaxies NGC 1068 and M82. The remaining 267 sources are identified with, or have infrared color indices consistent with late-type stars some of which show evidence of circumstellar dust shells. Seven sources are previously uncataloged stars. K and M stars without circumstellar dust shells, M stars with circumstellar dust shells, and carbon stars occupy well-defined regions of infrared color-color diagrams

Secreted Amyloid β-Proteins in a Cell Culture Model Include N-Terminally Extended Peptides That Impair Synaptic Plasticity

Evidence for a central role of amyloid β-protein (Aβ) in the genesis of Alzheimer’s disease (AD) has led to advanced human trials of Aβ-lowering agents. The “amyloid hypothesis” of AD postulates deleterious effects of small, soluble forms of Aβ on synaptic form and function. Because selectively targeting synaptotoxic forms of soluble Aβ could be therapeutically advantageous, it is important to understand the full range of soluble Aβ derivatives. We previously described a Chinese hamster ovary (CHO) cell line (7PA2 cells) that stably expresses mutant human amyloid precursor protein (APP). Here, we extend this work by purifying an sodium dodecyl sulfate (SDS)-stable, ∼8 kDa Aβ species from the 7PA2 medium. Mass spectrometry confirmed its identity as a noncovalently bonded Aβ40 homodimer that impaired hippocampal long-term potentiation (LTP) in vivo. We further report the detection of Aβ-containing fragments of APP in the 7PA2 medium that extend N-terminal from Asp1 of Aβ. These N-terminally extended Aβ-containing monomeric fragments are distinct from soluble Aβ oligomers formed from Aβ1-40/42 monomers and are bioactive synaptotoxins secreted by 7PA2 cells. Importantly, decreasing β-secretase processing of APP elevated these alternative synaptotoxic APP fragments. We conclude that certain synaptotoxic Aβ-containing species can arise from APP processing events N-terminal to the classical β-secretase cleavage site