Perceptions of Breast Cancer Screening in Older Chinese Women: A Meta-Ethnography

In Eastern Asia, as the incidence of breast cancer continues to increase yet compliance with breast cancer screening in older Chinese women who are at risk of early stage breast cancer is poor. This meta-ethnography explored breast cancer awareness, attitudes and breast screening behaviour in older Chinese women. Nine qualitative studies were appraised using CASP tools. Many Chinese women believed that illness is preordained, therefore mammography was a futile exercise. Older Chinese women held erroneous views of breast cancer, and believed that if they developed this form of cancer they would hide the disease from their family due to perceptions of bad luck and derision for both the cancer patient and their family. There is a great need for targeted breast health educational programmes for Chinese migrant women that educate women to participate in mammography and promote acculturation and health education. Future public health programmes need to target older Chinese women

The evaluation of interdisciplinary learning initiative in managing depression

This paper reports the findings from a descriptive study exploring community-nursing students’ experiences of interdisciplinary learning on managing depression. The study was completed as part of a specialist module workshop included in a post-registration community specialist practitioner programme. Questionnaire data included attitude ratings and qualitative evaluations of problem-based learning (PBL). A cohort of 34 community nurses responded. The findings identified issues relating to the learning process and its influence on the knowledge gained and attitudes to team work. Community nurses reported the workshop was thought provoking and the challenging issue is the different opinions of the district nurses role in managing depression from the perspective of the students. This study suggests that problem based learning had a positive impact on students’ learning which makes it a well-received contribution to learning. It also reinforced the importance of healthy attitudes towards collaboration in promoting mental health practice. All of these do ultimately have implications for clinical practice

Preventing suicide with a new risk assessment tool

This article was originally published as 'Testing time for risk tool' in Occupational Health magazine, August 2013, pp. 20-22. Copyright @ 2013 Reed Business Information Ltd.Sussex Community NHS Trust has been trialling a suicide risk assessment tool. Andrea Richardson and Nessie Shia describe the system and look at the findings

Coupling Processes Between Atmospheric Chemistry and Climate

This is the first semi-annual report for NAS5-97039 summarizing work performed for January 1997 through June 1997. Work in this project is related to NAS1-20666, also funded by NASA ACMAP. The work funded in this project also benefits from work at AER associated with the AER three-dimensional isentropic transport model funded by NASA AEAP and the AER two-dimensional climate-chemistry model (co-funded by Department of Energy). The overall objective of this project is to improve the understanding of coupling processes between atmospheric chemistry and climate. Model predictions of the future distributions of trace gases in the atmosphere constitute an important component of the input necessary for quantitative assessments of global change. We will concentrate on the changes in ozone and stratospheric sulfate aerosol, with emphasis on how ozone in the lower stratosphere would respond to natural or anthropogenic changes. The key modeling tools for this work are the AER two-dimensional chemistry-transport model, the AER two-dimensional stratospheric sulfate model, and the AER three-wave interactive model with full chemistry

High-Throughput Drug Screening Identifies a Potent Wnt Inhibitor that Promotes Airway Basal Stem Cell Homeostasis.

Mechanisms underpinning airway epithelial homeostatic maintenance and ways to prevent its dysregulation remain elusive. Herein, we identify that β-catenin phosphorylated at Y489 (p-β-cateninY489) emerges during human squamous lung cancer progression. This led us to develop a model of airway basal stem cell (ABSC) hyperproliferation by driving Wnt/β-catenin signaling, resulting in a morphology that resembles premalignant lesions and loss of ciliated cell differentiation. To identify small molecules that could reverse this process, we performed a high-throughput drug screen for inhibitors of Wnt/β-catenin signaling. Our studies unveil Wnt inhibitor compound 1 (WIC1), which suppresses T-cell factor/lymphoid enhancer-binding factor (TCF/LEF) activity, reduces ABSC proliferation, induces ciliated cell differentiation, and decreases nuclear p-β-cateninY489. Collectively, our work elucidates a dysregulated Wnt/p-β-cateninY489 axis in lung premalignancy that can be modeled in vitro and identifies a Wnt/β-catenin inhibitor that promotes airway homeostasis. WIC1 may therefore serve as a tool compound in regenerative medicine studies with implications for restoring normal airway homeostasis after injury

Stratospheric aircraft exhaust plume and wake chemistry studies

This report documents progress to date in an ongoing study to analyze and model emissions leaving a proposed High Speed Civil Transport (HSCT) from when the exhaust gases leave the engine until they are deposited at atmospheric scales in the stratosphere. Estimates are given for the emissions, summarizing relevant earlier work (CIAP) and reviewing current propulsion research efforts. The chemical evolution and the mixing and vortical motion of the exhaust are analyzed to track the exhaust and its speciation as the emissions are mixed to atmospheric scales. The species tracked include those that could be heterogeneously reactive on the surfaces of the condensed solid water (ice) particles and on exhaust soot particle surfaces. Dispersion and reaction of chemical constituents in the far wake are studied with a Lagrangian air parcel model, in conjunction with a radiation code to calculate the net heating/cooling. Laboratory measurements of heterogeneous chemistry of aqueous sulfuric acid and nitric acid hydrates are also described. Results include the solubility of HCl in sulfuric acid which is a key parameter for modeling stratospheric processing. We also report initial results for condensation of nitric acid trihydrate from gas phase H2O and HNO3

Dietary cholesterol directly induces acute inflammasome-dependent intestinal inflammation

Prolonged ingestion of a cholesterol- or saturated fatty acid-enriched diet induces chronic, often systemic, auto-inflammatory responses resulting in significant health problems worldwide. In vivo information regarding the local and direct inflammatory effect of these dietary components in the intestine and, in particular, on the intestinal epithelium is lacking. Here we report that both mice and zebrafish exposed to high-fat (HFDs) or high-cholesterol (HCDs) diets develop acute innate inflammatory responses within hours, reflected in the localized interleukin-1β-dependent accumulation of myeloid cells in the intestine. Acute HCD-induced intestinal inflammation is dependent on cholesterol uptake via Niemann-Pick C1-like 1 and inflammasome activation involving apoptosis-associated Speck-like protein containing a caspase recruitment domain, which leads to Caspase-1 activity in intestinal epithelial cells. Extended exposure to HCD results in localized, inflammation-dependent, functional dysregulation as well as systemic pathologies. Our model suggests that dietary cholesterol initiates intestinal inflammation in epithelial cells

Continued development and validation of the AER two-dimensional interactive model

Results from two-dimensional chemistry-transport models have been used to predict the future behavior of ozone in the stratosphere. Since the transport circulation, temperature, and aerosol surface area are fixed in these models, they cannot account for the effects of changes in these quantities, which could be modified because of ozone redistribution and/or other changes in the troposphere associated with climate changes. Interactive two-dimensional models, which calculate the transport circulation and temperature along with concentrations of the chemical species, could provide answers to complement the results from three-dimension model calculations. In this project, we performed the following tasks in pursuit of the respective goals: (1) We continued to refine the 2-D chemistry-transport model; (2) We developed a microphysics model to calculate the aerosol loading and its size distribution; (3) The treatment of physics in the AER 2-D interactive model were refined in the following areas--the heating rate in the troposphere, and wave-forcing from propagation of planetary waves

On the information content of the thermal infrared cooling rate profile from satellite instrument measurements

This work investigates how remote sensing of the quantities required to calculate clear-sky cooling rate profiles propagates into cooling rate profile knowledge. The formulation of a cooling rate profile error budget is presented for clear-sky scenes given temperature, water vapor, and ozone profile uncertainty. Using linear propagation of error analysis, an expression for the cooling rate profile covariance matrix is given. Some of the features of the cooling rate covariance matrix are discussed, and it is found that nonzero error correlations in the temperature, water vapor, and ozone retrieval profiles must be considered to produce an unbiased estimate of cooling rate profile variance and the covariance structure. To that end, the exclusion of the details of this error correlation leads to an underestimation of the cooling rate profile uncertainty. This work then examines the assumptions made in the course of deriving the expression for the cooling rate covariance matrix by using ERA-40 Reanalysis data. It is established that the assumptions of linear error propagation and Gaussian statistics are generally tenable. Next, the information content of thermal infrared spectra with respect to clear-sky cooling rate profiles is investigated. Several formerly- and currently-operational spectrometers are compared with different spectral coverage, resolution, signal-to-noise ratio. Among these, IASI is found to have the ability to provide the greatest amount of information on the cooling rate profile. Also, it may be scientifically useful to develop far-infrared missions in terms of cooling rate profile analysis