Review of Characteristics of Behaviour Change among Children at Risk in Juvenile Rehabilitation Centres in Nairobi County, Kenya

The aim of this study was to review characteristics of behaviour change among children at risk in juvenile rehabilitation centres within Nairobi County, Kenya. The target population was all the children and managers of Juvenile rehabilitation Centres in Nairobi County. It consisted of 380 boys, 160 girls, 8 managers in Kabete and Getathuru and 4 managers in Dagorreti rehabilitation Centre, making a total of 552 respondents.  Children at risk in Juvenile rehabilitation Centres within Nairobi County were sampled using probability and non-probability sampling methods. To obtain a practicable sample from the target population, convenience, purposive, stratified random and systematic random sampling methods were used respectively. Questionnaires, interview schedules and focus groups were used in the study as tools for data gathering. Data gathered was entered, coded and analyzed using inferential statistics and SPSS. The qualitative data was organized, analyzed and reported into emerging themes. The study established that rehabilitation of children at risk in Juvenile rehabilitation Centres was not sufficiently addressed and it was only those children with severe and profound cases whose misbehaviours transformed to moderate levels. Educationists were left out during assessment, classification and in general, the behaviour change process despite their rich expertise in rehabilitation. The researcher recommended a multidisciplinary approach in behaviour change process. That is in Educational Assessment and classification of children at risk to specifically cater for the Children’s special Needs in Education. That the government of Kenya moves all the Juvenile Rehabilitation Centres from Ministry of Labour and Social Services and be placed under the Ministry of Education which has adequate personnel required to rehabilitate a child. Keywords: Behaviour, Children at risk, Juvenile, Rehabilitation, Juvenile Rehabilitation Centres and Delinquency

Subset- and tissue-defined STAT5 thresholds control homeostasis and function of innate lymphoid cells

Innate lymphoid cells (ILCs) patrol environmental interfaces to defend against infection and protect barrier integrity. Using a genetic tuning model, we demonstrate that the signal-dependent transcription factor (TF) STAT5 is critical for accumulation of all known ILC subsets in mice and reveal a hierarchy of STAT5 dependency for populating lymphoid and nonlymphoid tissues. We apply transcriptome and genomic distribution analyses to define a STAT5 gene signature in natural killer (NK) cells, the prototypical ILC subset, and provide a systems-based molecular rationale for its key functions downstream of IL-15. We also uncover surprising features of STAT5 behavior, most notably the wholesale redistribution that occurs when NK cells shift from tonic signaling to acute cytokine-driven signaling, and genome-wide coordination with T-bet, another key TF in ILC biology. Collectively, our data position STAT5 as a central node in the TF network that instructs ILC development, homeostasis, and function and provide mechanistic insights on how it works at cellular and molecular levels

Rapid enhancer remodeling and transcription factor repurposing enable high magnitude gene induction upon acute activation of NK cells

During development, innate lymphocytes acquire defined sets of primed enhancers facilitating the rapid immune response. In this issue of Immunity, Sciumè et al. delineate the epigenetic changes occurring during acute NK cell activation, revealing the formation of de novo enhancers and repurposing of both lineage-determining and signal-regulated transcription factors

Action to protect the independence and integrity of global health research

Storeng KT, Abimbola S, Balabanova D, et al. Action to protect the independence and integrity of global health research. BMJ GLOBAL HEALTH. 2019;4(3): e001746

Il supporto della SISV alla realizzazione di un manuale nazionale per il monitoraggio degli habitat della Direttiva 92/43/EEC in Italia.

A partire dall'entrata in vigore della Direttiva 92/43/EEC, la sorveglianza dello stato di conservazione degli habitat elencati nell'Allegato I ed il relativo monitoraggio periodico a intervalli di sei anni sono diventati un obbligo per tutti i paesi membri dell'UE, in base a quanto previsto negli Articoli 11 e 17. Nel 2011 è stato pubblicato un documento che fornisce le linee guida di riferimento europee per il monitoraggio di habitat e specie (Evans & Arvela 2011). Su questa base metodologica, la Società Italiana di Scienza della Vegetazione (SISV), avvalendosi di un ampio gruppo di soci esperti, ha avviato un dibattito interno su principi, criteri, parametri e strumenti per il monitoraggio degli habitat di Allegato I e dei tipi di vegetazione in essi rappresentati. Il progetto è stato promosso dal Ministero dell'Ambiente e della Tutela del Territorio e del Mare e coordinato dall'Istituto Superiore per la Protezione e la Ricerca Ambientale, e si trova al momento in una fase prossima alla conclusione. A partire dalla documentazione già prodotta a livello nazionale per gli habitat italiani (Biondi et al., 2009, 2012, 2014; Genovesi et al., 2014), diversi aspetti critici sono stati esaminati attraverso una discussione scientifica ampiamente condivisa. In particolare, sono stati affrontati: gli aspetti legati alla scelta di strumenti adeguati per valutare i parametri area, struttura e funzione, prospettive future; il concetto di "specie tipica"; i metodi di campionamento habitat-specifici appropriati. Il protocollo sviluppato si pone come uno strumento pratico ed efficace, scientificamente valido e in linea con gli standard metodologici internazionali. Il suo utilizzo permetterà una raccolta armonizzata di dati su scala nazionale, rendendo possibile una valutazione comparata dello stato di conservazione di ciascun habitat

Evaluation of appendicitis risk prediction models in adults with suspected appendicitis

Background Appendicitis is the most common general surgical emergency worldwide, but its diagnosis remains challenging. The aim of this study was to determine whether existing risk prediction models can reliably identify patients presenting to hospital in the UK with acute right iliac fossa (RIF) pain who are at low risk of appendicitis. Methods A systematic search was completed to identify all existing appendicitis risk prediction models. Models were validated using UK data from an international prospective cohort study that captured consecutive patients aged 16–45 years presenting to hospital with acute RIF in March to June 2017. The main outcome was best achievable model specificity (proportion of patients who did not have appendicitis correctly classified as low risk) whilst maintaining a failure rate below 5 per cent (proportion of patients identified as low risk who actually had appendicitis). Results Some 5345 patients across 154 UK hospitals were identified, of which two‐thirds (3613 of 5345, 67·6 per cent) were women. Women were more than twice as likely to undergo surgery with removal of a histologically normal appendix (272 of 964, 28·2 per cent) than men (120 of 993, 12·1 per cent) (relative risk 2·33, 95 per cent c.i. 1·92 to 2·84; P < 0·001). Of 15 validated risk prediction models, the Adult Appendicitis Score performed best (cut‐off score 8 or less, specificity 63·1 per cent, failure rate 3·7 per cent). The Appendicitis Inflammatory Response Score performed best for men (cut‐off score 2 or less, specificity 24·7 per cent, failure rate 2·4 per cent). Conclusion Women in the UK had a disproportionate risk of admission without surgical intervention and had high rates of normal appendicectomy. Risk prediction models to support shared decision‐making by identifying adults in the UK at low risk of appendicitis were identified