487 research outputs found

    The feasibility of a cognitive behavioural therapy group for men with mild/moderate cognitive impairment

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    Memory aid groups have often been used as a method for teaching mnemonic strategies to older adults in early stages of dementia. This study describes the use of CBT to address unhelpful memory-related beliefs in three older men with mild/moderate dementia and associated low mood or anxiety. The members were able to participate and engage in the sessions, and changes in behaviour, cognition and affect were monitored over the course of a 7 week group intervention. Recommendations are made for further research

    Can models robustly represent aerosol–convection interactions if their cloud microphysics is uncertain?

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    This study investigates the hydrometeor development and response to cloud droplet number concentration (CDNC) perturbations in convection-permitting model configurations. We present results from a real-data simulation of deep convection in the Congo basin, an idealised supercell case, and a warm-rain large-eddy simulation (LES). In each case we compare two frequently used double-moment bulk microphysics schemes and investigate the response to CDNC perturbations. In the Congo basin simulations both microphysics schemes have large positive biases in surface precipitation, frequency of high radar reflectivities and frequency of cold cloud compared to observations. In all cases, differences in the simulated cloud morphology and precipitation are found to be significantly greater between the microphysics schemes than due to CDNC perturbations within each scheme. Further, we show that the response of the hydrometeors to CDNC perturbations strongly differs not just between microphysics schemes but also between different cases of convection. Sensitivity tests show that the representation of autoconversion is the dominant factor that drives differences in rain production between the microphysics schemes in the idealised precipitating shallow cumulus case and in a sub-region of the Congo basin simulations dominated by liquid-phase processes. In this region, rain mass is also shown to be relatively insensitive to the radiative effects of an overlying layer of ice-phase cloud. In the idealised supercell case, thermodynamic impacts on the storm system using different microphysics parameterisations can equal those due to aerosol effects. These results highlight the large uncertainty in cloud and precipitation responses to aerosol in convection-permitting simulations and have important implications not just for modelling studies of aerosol-convection interaction. These results indicate the continuing need for tighter observational constraints of cloud processes and response to aerosol in a range of meteorological regimes

    Attitudes Toward Breast Cancer Genetic Testing in Five Special Population Groups

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    Purpose: This study examined interest in and attitudes toward genetic testing in 5 different population groups. Methods: The survey included African American, Asian American, Latina, Native American, and Appalachian women with varying familial histories of breast cancer. A total of 49 women were interviewed in person. Descriptive and nonparametric statistical techniques were used to assess ethnic group differences. Results: Overall, interest in testing was high. All groups endorsed more benefits than risks. There were group differences regarding endorsement of specific benefits and risks: testing to “follow doctor recommendations” (p=0.017), “concern for effects on family” (p=0.044), “distrust of modern medicine” (p=0.036), “cost” (p=0.025), and “concerns about communication of results to others” (p=0.032). There was a significant inverse relationship between interest and genetic testing cost (p Conclusion: Cost may be an important barrier to obtaining genetic testing services, and participants would benefit by genetic counseling that incorporates the unique cultural values and beliefs of each group to create an individualized, culturally competent program. Further research about attitudes toward genetic testing is needed among Asian Americans, Native Americans, and Appalachians for whom data are severely lacking. Future study of the different Latina perceptions toward genetic testing are encouraged

    Livestock production and the feed challenge

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    It is predicted that world population will reach nine billion by 2050 (Godfray et al., 2010) with the biggest increases occurring in the developing world (Guyomard et al., 2013, Thornton, 2010).  This growth is expected to dramatically increase the demand for meat and animal products (Tilman et al., 2002) with a requirement by 2050 for 73 % more meat and 58 % more milk than produced in 2010 (FAO, 2011).  In order to meet this growing demand, the supply of livestock products must rise to an extent comparable with that of the ‘Green Revolution’ (Tilman et al., 2002).  This must occur in the context of serious global challenges related to climate change, resource availability, inequality, and biodiversity loss.  At present many European livestock production systems are heavily reliant on a small number of feed products to provide protein, with imported soya accounting for 55 % of the 2.6 million tonnes of plant-derived protein fed to animals in the UK.  This reliance on a small number of imported products leaves supply vulnerable to economic and climatic change.  There is increased research into alternatives to South American soybean in the European feed supply chain, including improving the nutritional and agronomic characteristics of such alternatives, and exploring the use of new sources of potential feed material. This presents an opportunity for collaboration between experimental researchers and modellers to investigate the potential impacts of alternative feeds on livestock system productivity, robustness to climate change and levels of GHG emissions

    Cube law, condition factor and weight-length relationships: history, meta-analysis and recommendations

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    This study presents a historical review, a meta-analysis, and recommendations for users about weight–length relationships, condition factors and relative weight equations. The historical review traces the developments of the respective concepts. The meta-analysis explores 3929 weight–length relationships of the type W = aLb for 1773 species of fishes. It shows that 82% of the variance in a plot of log a over b can be explained by allometric versus isometric growth patterns and by different body shapes of the respective species. Across species median b = 3.03 is significantly larger than 3.0, thus indicating a tendency towards slightly positive-allometric growth (increase in relative body thickness or plumpness) in most fishes. The expected range of 2.5 < b < 3.5 is confirmed. Mean estimates of b outside this range are often based on only one or two weight–length relationships per species. However, true cases of strong allometric growth do exist and three examples are given. Within species, a plot of log a vs b can be used to detect outliers in weight–length relationships. An equation to calculate mean condition factors from weight–length relationships is given as Kmean = 100aLb−3. Relative weight Wrm = 100W/(amLbm) can be used for comparing the condition of individuals across populations, where am is the geometric mean of a and bm is the mean of b across all available weight–length relationships for a given species. Twelve recommendations for proper use and presentation of weight–length relationships, condition factors and relative weight are given

    Maternal deaths in Pakistan : intersection of gender, class and social exclusion.

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    Background: A key aim of countries with high maternal mortality rates is to increase availability of competent maternal health care during pregnancy and childbirth. Yet, despite significant investment, countries with the highest burdens have not reduced their rates to the expected levels. We argue, taking Pakistan as a case study, that improving physical availability of services is necessary but not sufficient for reducing maternal mortality because gender inequities interact with caste and poverty to socially exclude certain groups of women from health services that are otherwise physically available. Methods: Using a critical ethnographic approach, two case studies of women who died during childbirth were pieced together from information gathered during the first six months of fieldwork in a village in Northern Punjab, Pakistan. Findings: Shida did not receive the necessary medical care because her heavily indebted family could not afford it. Zainab, a victim of domestic violence, did not receive any medical care because her martial family could not afford it, nor did they think she deserved it. Both women belonged to lower caste households, which are materially poor households and socially constructed as inferior. Conclusions: The stories of Shida and Zainab illustrate how a rigidly structured caste hierarchy, the gendered devaluing of females, and the reinforced lack of control that many impoverished women experience conspire to keep women from lifesaving health services that are physically available and should be at their disposal
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