Pushing the Boundaries: Understanding Women's Participation and Empowerment

Trócaire undertook three year multi-country research on women's participation within decision making spaces at the grassroots level. 'Empowerment' was defined in the research as the process of pushing against the boundaries to shape new fields of possible action, by increasing the capacity of those with less power to engage with those with more power. The research was undertaken in three countries, Democratic Republic of Congo, India and Nicaragua, implementing governance and gender equality programmes through local partner organisations. It set out to better understand how participation contributes to processes of empowerment and the reduction of oppressive power relations between men and women, as well as citizens and the state. A bibliography is included. More information is available on: http://www.trocaire.org/resources/policyandadvocacy/pushing-boundaries-understanding-womens-participation-and-empowermen

Growth, body composition and metabolism at neonatal and adolescent life stages in low birth weight offspring

Non peer reviewedPublisher PD

Integrating Interprofessional Education into an Academic Enrichment Program

INTRODUCTION: Interprofessional education (IPE) is widely accepted as an important aspect of health professional programs. However, there is limited IPE research focused in the pre-health professional student population. The aim of this study was to measure pre-health student perceptions of IPE and their knowledge of other health professions during a summer academic enrichment program. METHODS: Students who had completed their first or second year of college studies participated in the six week Summer Health Professions Education Program (SHPEP) funded by the Robert Wood Johnson Foundation. Students engaged in IPE through an online module, as well as small group activities. RESULTS: Fifty-three students who participated in the 2017 SHPEP demonstrated statistically significant positive changes in IPE perceptions using the SPICE-R2 assessment tool. In addition, student perceived knowledge of the scope of practice of dental providers, physician providers and public health professionals also improved. DISCUSSION: Our results suggest introducing pre-health students to IPE opportunities broadens their understanding of different healthcare professions’ roles and responsibilities, as well as team leadership that is influenced by context rather than traditional hierarchies. CONCLUSION: Additional research engaging pre-health students in IPE is needed. However, initial findings suggest a positive impact in engaging early learners in IPE

Merlynne: Motivating Peer-to-Peer Cognitive Behavioral Therapy with a Serious Game

Human-Computer Interaction researchers have explored how online communities can be leveraged for peer support, but general disinterest and a lack of engagement have emerged as substantial barriers to their use in practice. To address this gap, we designed Merlynne, a serious game that seeks to motivate individuals to support peers through Cognitive Behavioural Therapy (CBT). Our game explored use of the Proteus Effect — a phenomenon where players adopt characteristics of their in-game avatar — to motivate peer support through stereotyped 'helpful' and 'unhelpful' avatars. We then conducted a mixed-methods, exploratory study to investigate its design. We found that our game successfully motivated players to offer peer support, despite the substantial emotional labour required by CBT. However, we were not able to replicate the Proteus Effect, and did not find differences in that support based on a player's avatar. In reflecting on our findings, we discuss design challenges and considerations for the use of serious games to motivate participation in mental health support, including: fatigue, a player's need for self-expression and to relate to those they are supporting, and ludonarrative dissonance

Exile Vol. XVII No. 1

FICTION The Backyard Burial by Heather Johnson 9-11 French Persuasion by John Benes 18-22 In His Time by Keith Mcwalter 27-37 Time Ticking Off, Not Stopping by Holly Battles 39-40 ARTWORK by Roxy Sisson 13 by Bill Lutz 16 by Carol Belfatto 17 by Ned Bittinger 23 by Gail Lutsch 41 by Diane Ulmer 43 PHOTOGRAPHY by Tim Heth 3, 4, 5, 7, 9, 12, 15, 22, 38, 40, 44 by Rip Odell 15 by Maggie Hernandez 26, 42 POETRY For G. S. & A. B. T. by Paul Holbrook 2 Picture Writer by Julie Lockwood 6 Youth by Rufus Hurst 6 Today I Watched Flies Without Wings by Alice Merrill 6 Room 102 by Alice Merrill 6 The Flick by Debby Snyder 8 For P. E. H. by Timothy Cope 12 In Memory of Gertrude Stein by Michael Daugherty 14 Apogee Analogy by Paul Holbrook 15 First Impressions by Austin Hartman, Jr. 16 Count Jack Playing Peasant by Alice Merrill 24 Cherokee Arrowsmith by R. Crozier 24 road runs down valley by Fred Hoppe 25 Singularity by M. J. Wallace 25 Love\u27s Labour Lost by Tina Ostergard 25 Gnome by Cary Spear 25 Design and Layout: Keith McWalter 1 EXILE is the literary magazine of Denison University. It is entirely student-run and student edited, and receives operating funds from the Denison Campus Government Association. Submissions are edited anonymously and final actions are made independently by each staff. Printed by Ace News, Heath, Ohio.

Mapping gene associations in human mitochondria using clinical disease phenotypes

Nuclear genes encode most mitochondrial proteins, and their mutations cause diverse and debilitating clinical disorders. To date, 1,200 of these mitochondrial genes have been recorded, while no standardized catalog exists of the associated clinical phenotypes. Such a catalog would be useful to develop methods to analyze human phenotypic data, to determine genotype-phenotype relations among many genes and diseases, and to support the clinical diagnosis of mitochondrial disorders. Here we establish a clinical phenotype catalog of 174 mitochondrial disease genes and study associations of diseases and genes. Phenotypic features such as clinical signs and symptoms were manually annotated from full-text medical articles and classified based on the hierarchical MeSH ontology. This classification of phenotypic features of each gene allowed for the comparison of diseases between different genes. In turn, we were then able to measure the phenotypic associations of disease genes for which we calculated a quantitative value that is based on their shared phenotypic features. The results showed that genes sharing more similar phenotypes have a stronger tendency for functional interactions, proving the usefulness of phenotype similarity values in disease gene network analysis. We then constructed a functional network of mitochondrial genes and discovered a higher connectivity for non-disease than for disease genes, and a tendency of disease genes to interact with each other. Utilizing these differences, we propose 168 candidate genes that resemble the characteristic interaction patterns of mitochondrial disease genes. Through their network associations, the candidates are further prioritized for the study of specific disorders such as optic neuropathies and Parkinson disease. Most mitochondrial disease phenotypes involve several clinical categories including neurologic, metabolic, and gastrointestinal disorders, which might indicate the effects of gene defects within the mitochondrial system. The accompanying knowledgebase (http://www.mitophenome.org/) supports the study of clinical diseases and associated genes

Transformation and tumorigenicity testing of simian cell lines and evaluation of poliovirus replication

The key role of cell cultures in different scientific fields is worldwide recognized, both as in vitro research models alternative to laboratory animals and substrates for biological production. However, many safety concerns rise from the use of animal/human cell lines that may be tumorigenic, leading to potential adverse contaminations in cell-derived biologicals. In order to evaluate the suitability of 13 different cell lines for Poliovirus vaccine production, safety and quality, in vitro/in vivo tumorigenicity and Poliovirus propagation properties were evaluated. Our results revealed that non-human primate cell lines CYNOM-K1, FRhK-4, 4MBr-5 and 4647 are free of tumorigenic features and represent highly susceptible substrates for attenuated Sabin Poliovirus strains. In particular, FRhK-4 and 4647 cell lines are characterized by a higher in vitro replication, resulting indicated for the use in large-scale production field

Implementation of Multigene Germline and Parallel Somatic Genetic Testing in Epithelial Ovarian Cancer: SIGNPOST Study

We present findings of a cancer multidisciplinary-team (MDT) coordinated mainstreaming pathway of unselected 5-panel germline BRCA1/BRCA2/RAD51C/RAD51D/BRIP1 and parallel somatic BRCA1/BRCA2 testing in all women with epithelial-OC and highlight the discordance between germline and somatic testing strategies across two cancer centres. Patients were counselled and consented by a cancer MDT member. The uptake of parallel multi-gene germline and somatic testing was 97.7%. Counselling by clinical-nurse-specialist more frequently needed >1 consultation (53.6% (30/56)) compared to a medical (15.0% (21/137)) or surgical oncologist (15.3% (17/110)) (p 0.001). The median age was 54 (IQR = 51–62) years in germline pathogenic-variant (PV) versus 61 (IQR = 51–71) in BRCA wild-type (p = 0.001). There was no significant difference in distribution of PVs by ethnicity, stage, surgery timing or resection status. A total of 15.5% germline and 7.8% somatic BRCA1/BRCA2 PVs were identified. A total of 2.3% patients had RAD51C/RAD51D/BRIP1 PVs. A total of 11% germline PVs were large-genomic-rearrangements and missed by somatic testing. A total of 20% germline PVs are missed by somatic first BRCA-testing approach and 55.6% germline PVs missed by family history ascertainment. The somatic testing failure rate is higher (23%) for patients undergoing diagnostic biopsies. Our findings favour a prospective parallel somatic and germline panel testing approach as a clinically efficient strategy to maximise variant identification. UK Genomics test-directory criteria should be expanded to include a panel of OC genes.Peer reviewe

Quantifying evidence toward pathogenicity for rare phenotypes: The case of succinate dehydrogenase genes, SDHB and SDHD.

PURPOSE: The weight of the evidence to attach to observation of a novel rare missense variant in SDHB or SDHD in individuals with the rare neuroendocrine tumors, pheochromocytomas and paragangliomas (PCC/PGL), is uncertain. METHODS: We compared the frequency of SDHB and SDHD very rare missense variants (VRMVs) in 6328 and 5847 cases of PCC/PGL, respectively, with that of population controls to generate a pan-gene VRMV likelihood ratio (LR). Via windowing analysis, we measured regional enrichments of VRMVs to calculate the domain-specific VRMV-LR (DS-VRMV-LR). We also calculated subphenotypic LRs for variant pathogenicity for various clinical, histologic, and molecular features. RESULTS: We estimated the pan-gene VRMV-LR to be 76.2 (54.8-105.9) for SDHB and 14.8 (8.7-25.0) for SDHD. Clustering analysis revealed an SDHB enriched region (ɑɑ 177-260, P = .001) for which the DS-VRMV-LR was 127.2 (64.9-249.4) and an SDHD enriched region (ɑɑ 70-114, P = .000003) for which the DS-VRMV-LR was 33.9 (14.8-77.8). Subphenotypic LRs exceeded 6 for invasive disease (SDHB), head-and-neck disease (SDHD), multiple tumors (SDHD), family history of PCC/PGL, loss of SDHB staining on immunohistochemistry, and succinate-to-fumarate ratio >97 (SDHB, SDHD). CONCLUSION: Using methodology generalizable to other gene-phenotype dyads, the LRs relating to rarity and phenotypic specificity for a single observation in PCC/PGL of a SDHB/SDHD VRMV can afford substantial evidence toward pathogenicity