The rewards of caring for grandchildren: Black Canadian grandmothers who are custodial parents, co-parents, and extensive babysitters

Grandparent caregiving is a growing phenomenon in both the United States and Canada. The burgeoning research on the topic has focused on custodial grandparents with an emphasis on negative aspects including poor physical and mental health outcomes for older adults. Less attention has been paid to the rewards of grandparent caregiving and to different intensities of caregiving provision. This grounded theory qualitative study of 16 Black Caribbean Canadian grandmothers sought to address this gap in the literature. We examined three types of grandparent caregivers: custodial grandparents (n=7), co-parent grandparents (n=5) and extensive babysitters (n=4). The average age of the children varied by caregiver modality: custodial grandmothers cared for slighter older children (mean age 10.4 years), followed by co-parent grandmothers (mean age of 8.1 years). Extensive babysitter grandmothers cared for younger children (mean age of 6.6 years). The three types of caregiving grandparents reported substantial similarities in their perceptions of the rewards of caregiving. Results reveal five main themes: (1) Grandmothers’ responsibilities and pride of care giving; (2) Grandmothers keeping the family close together and safe; (3) Mutual respect between grandmothers and grandchildren; (4) Caregiving provides grandmothers with a sense of purpose; and (5) Grandchildren are fun! Implications of these findings in light of Erikson’s concept of generativity, will be discussed

Health Characteristics of Solo Grandparent Caregivers and Single Parents: A Comparative Profile Using the Behavior Risk Factor Surveillance Survey

Objectives. To describe the health characteristics of solo grandparents raising grandchildren compared with single parents. Methods. Using the 2012 Behavioral Risk Factor Surveillance System, respondents identified as a single grandparent raising a grandchild were categorized as a solo grandparent; grandparent responses were compared with single parents. Descriptive analysis compared health characteristics of 925 solo grandparents with 7,786 single parents. Results. Compared to single parents, grandparents have a higher prevalence of physical health problems (e.g., arthritis). Both parent groups have a high prevalence of lifetime depression. A larger share of grandparents actively smoke and did no recreational physical exercise in the last month. However, grandparents appear to have better access to health services in comparison with single parents. Conclusion. Solo grandparents may be at risk for diminished physical capacity and heightened prevalence of depression. Health professionals can be an important resource to increase grandparents’ physical and emotional capacities

Impact of HIV/AIDS on Social Relationships in Rural China

Social support promotes greater medical compliance, better immune system functioning and slows the progress of HIV/AIDS. One in every 50 People Living With HIV/AIDS (PLWHA) is Chinese, yet little is known about the impact of HIV/AIDS on social relationships in China. This study compares the characteristics of those who report that HIV/AIDS had a substantial impact versus a modest impact on their social relationships. We obtained data from a survey of 866 PLWHA in rural China, which was conducted in 2006-2007 in the three Chinese provinces with the highest prevalence of HIV/AIDS. Chi-square test and multiple logistic regression were performed. The analysis shows that PLWHA who had full-blown AIDS (OR= 1.53; 95% CI=1.09-2.13) and those who were poor (OR=2.19; 95% CI=1.52-3.16) reported greater impact on their social relationships. The results lay a solid foundation for designing effective policy initiatives and intervention programs aimed at alleviating the impact of HIV/AIDS on social relationships and improving the quality of life of PLWHA

The effect of alfalfa (Medicago sativa) silage chop length and inclusion rate within a total mixed ration on the ability of lactating dairy cows to cope with a feed withholding and refeeding challenge

Cows fed diets containing a lower concentration of alfalfa silage (replacing corn silage) experienced greater reductions in rumen pH following a six hour feed witholding/refeeding challenge than those fed higher alfalfa concentration diets and also suffered greater short-term milk loss on the day of the challenge. Lower rumen pH in animals fed a long chop length compared to a shorter chop length raised questions over the effect of long forage particles in the diet during and following short-term feed deprivation. This research highlights the importance of maintaining feeding routines and ensuring adequate feed access throughout the day in dairy systems

The Impact of Long-Term Conditions and Comorbidity Patterns on COVID-19 Infection and Hospitalisation: A Cohort Study

INTRODUCTION: Older adults are more vulnerable to COVID-19 infections; however, little is known about which comorbidity patterns are related to a higher risk of COVID-19 infection. This study investigated the role of long-term conditions or comorbidity patterns on COVID-19 infection and related hospitalisations. METHODS: This study included 4,428 individuals from Waves 8 (2016-2017) and 9 (2018-2019) of the English Longitudinal Study of Ageing (ELSA) who also participated in the ELSA COVID-19 Substudy in 2020. Comorbidity patterns were identified using an agglomerative hierarchical clustering method. The relationships between comorbidity patterns or long-term conditions and COVID-19-related outcomes were examined using multivariable logistic regression. RESULTS: Among a representative sample of community-dwelling older adults in England, those with cardiovascular disease (CVD) and complex comorbidities had an almost double risk of COVID-19 infection (OR = 1.87, 95% CI = 1.42-2.46) but not of COVID-19-related hospitalisation. A similar pattern was observed for the heterogeneous comorbidities cluster (OR = 1.56, 95% CI = 1.24-1.96). The individual investigations of long-term conditions with COVID-19 infection highlighted primary associations with CVD (OR = 1.46, 95% CI = 1.23-1.74), lung diseases (OR = 1.40, 95% CI = 1.17-1.69), psychiatric conditions (OR = 1.40, 95% CI = 1.16-1.68), retinopathy/eye diseases (OR = 1.39, 95% CI = 1.18-1.64), and arthritis (OR = 1.27, 95% CI = 1.09-1.48). In contrast, metabolic disorders and diagnosed diabetes were not associated with any COVID-19 outcomes. CONCLUSION: This study provides novel insights into the comorbidity patterns that are more vulnerable to COVID-19 infections and hospitalisations, highlighting the vulnerability of those with CVD and other complex comorbidities. These findings facilitate crucial new evidence that should be considered for appropriate screening measures and tailored interventions for older adults in the ongoing global outbreak

The UK Clinical Research Collaboration (UKCRC) Tissue Directory and Coordination Centre: the UK’s centre for facilitating the usage of human samples for medical research

The UKCRC Tissue Directory and Coordination Centre was established to improve access to and utilisation of UK human tissue samples for medical research. The key output of the Centre is the creation of the UK’s first pan-disease Tissue Directory (https://directory.biobankinguk.org/). Any researcher can search the Directory based on a series of simple key words including disease classification, age, sex, sample type, preservation details, quality indicators and datasets available. The Directory as of April 2017 contains 100 Bioresources. Researchers seeking fresh samples can also search for facilities that offer bespoke collection services. Future work of the Centre will be to explore greater standardisation of biobanking activities across the UK and to facilitate an inter-connected research infrastructure related to the use of human biosamples

TRANCE Is Necessary and Sufficient for Osteoblast-mediated Activation of Bone Resorption in Osteoclasts

TRANCE (tumor necrosis factor–related activation-induced cytokine) is a recently described member of the tumor necrosis factor superfamily that stimulates dendritic cell survival and has also been found to induce osteoclastic differentiation from hemopoietic precursors. However, its effects on mature osteoclasts have not been defined. It has long been recognized that stimulation of osteoclasts by agents such as parathyroid hormone (PTH) occurs through a hormonal interaction with osteoblastic cells, which are thereby induced to activate osteoclasts. To determine whether TRANCE accounts for this activity, we tested its effects on mature osteoclasts. TRANCE rapidly induced a dramatic change in osteoclast motility and spreading and inhibited apoptosis. In populations of osteoclasts that were unresponsive to PTH, TRANCE caused activation of bone resorption equivalent to that induced by PTH in the presence of osteoblastic cells. Moreover, osteoblast-mediated stimulation of bone resorption was abrogated by soluble TRANCE receptor and by the soluble decoy receptor osteoprotegerin (OPG), and stimulation of isolated osteoclasts by TRANCE was neutralized by OPG. Thus, TRANCE expression by osteoblasts appears to be both necessary and sufficient for hormone-mediated activation of mature osteoclasts, and TRANCE-R is likely to be a receptor for signal transduction for activation of the osteoclast and its survival

Origin of Crack Tip Instabilities

This paper demonstrates that rapid fracture of ideal brittle lattices naturally involves phenomena long seen in experiment, but which have been hard to understand from a continuum point of view. These idealized models do not mimic realistic microstructure, but can be solved exactly and understood completely. First it is shown that constant velocity crack solutions do not exist at all for a range of velocities starting at zero and ranging up to about one quarter of the shear wave speed. Next it is shown that above this speed cracks are by and large linearly stable, but that at sufficiently high velocity they become unstable with respect to a nonlinear micro-cracking instability. The way this instability works itself out is related to the scenario known as intermittency, and the basic time scale which governs it is the inverse of the amount of dissipation in the model. Finally, we compare the theoretical framework with some new experiments in Plexiglas, and show that all qualitative features of the theory are mirrored in our experimental results.Comment: About fifty pages with lots of PostScript figure

Racial Differences in Patterns of Use of Rehabilitation Services for Adults Aged 65 and Older

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/141438/1/jgs15136.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/141438/2/jgs15136_am.pd

Fall‐Associated Difficulty with Activities of Daily Living in Functionally Independent Individuals Aged 65 to 69 in the United States: A Cohort Study

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/96257/1/jgs12071.pd