40 research outputs found

    Dance/Movement Therapy for Competitive Dancers: A Community Engagement Project

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    Young dancers often struggle to portray emotions and connect to meaningful choreography on a deep level. From September to April of this year, I have been applying dance/movement therapy theories and techniques to a competition dance class hoping to improve each dancerā€™s ability to emotionally execute a piece and improve the studios scores. I have worked toward meeting the adolescent pro-social needs through restructuring a dance class and encouraging self-esteem to be built through arts-based experientials. I did this by using several methods from dance/movement therapy theorists and applying them to a dance class that meets once a week for one hour. In addition to the dance/movement therapy theories, I used Laban Movement Analysis and the Bartenieff fundamentals to improve self-awareness. The dancers in this class are Caucasian, females between the ages of 9 and 18. The dancers explored their emotional connection to this dance through drawing, journaling, body explorations and improvisations led by prompts. I learned that dance movement therapy can easily be applied to a dance class and will improve the dancerā€™s connection to a piece tremendously. At the studioā€™s first dance competition of the season, all three judges commented on the dancerā€™s emotions, story-telling and commitment to the message, indicating that dance/movement therapy theories and techniques can help improve the dancerā€™s emotional execution

    Administratorsā€™ Perceptions of Medication Management in Assisted Living Facilities: Results from focus groups

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    Objective: Assisted living (AL) residents are vulnerable to adverse events as a result of using numerous medications and frequently need assistance in administering medications. Very little is known, however, about the ways in which medications are managed within this level of care. Design: AL administrators from the metropolitan Baltimore, Maryland area were invited to participate in focus groups to explore issues involved in medication management. Setting and Participants: Four administrators from smaller (15 beds or fewer) and six larger (more than 15 beds) certified AL facilities serving primarily older residents participated. Administrators must have served in their position at least six months. Results: Administrators described interactions with residents, physicians, and pharmacists as well as the issues of state regulations and their enforcement. We uncovered themes concerning the challenges faced in negotiating competing needs of residents, providers, and regulatory bodies. Conclusions: Administrators often feel torn between competing requirements of their position, and they experience some degree of conflict in allowing residents to retain autonomy in the face of demands of family, providers, and regulators. Small-facility administrators especially report being in a position to allow them to monitor residents\u27 medication reactions and needs. Large-facility administrators sometimes find their actions hampered by decisions made at higher (ownership) levels. Administrators want AL facilities to remain at an intermediate level of care, with less stringent regulations than for those for nursing facilities, but would also like more consistency in enforcement of regulations. Qualitative assessment of medication-related issues in AL can help to guide policy in this area

    Quantitative, InSitu Visualization of Metal-Ion Dissolution and Transport Using <sup>1</sup>H Magnetic Resonance Imaging

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    Quantitative mapping of metal ions freely diffusing in solution is important across a diverse range of disciplines and is particularly significant for dissolution processes in batteries, metal corrosion, and electroplating/polishing of manufactured components. However, most current techniques are invasive, requiring sample extraction, insertion of an electrode, application of an electric potential or the inclusion of a molecular sensor. Thus, there is a need for techniques to visualize the distribution of metal ions nonā€invasively, inā€…situ, quantitatively, in three dimensions (3D) and in real time. Here we have used (1)H magnetic resonance imaging (MRI) to make quantitative 3D maps showing evolution of the distribution of Cu(2+) ions, not directly visible by MRI, during the electrodissolution of copper, with high sensitivity and spatial resolution. The images are sensitive to the speciation of copper, the depletion of dissolved O(2) in the electrolyte and show the dissolution of Cu(2+) ions is not uniform across the anode

    The effects of alcohol intoxication on accuracy and the confidence-accuracy relationship in photographic simultaneous lineups

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    Acute alcohol intoxication during encoding can impair subsequent identification accuracy, but results across studies have been inconsistent, with studies often finding no effect. Little is also known about how alcohol intoxication affects the identification confidence-accuracy relationship. We randomly assigned women (n=153) to consume alcohol (dosed to achieve a 0.08% BAC) or tonic water, controlling for alcohol expectancy. Women then participated in an interactive hypothetical sexual assault scenario and, twenty-four hours or seven days later, attempted to identify the assailant from a perpetrator present or a perpetrator absent simultaneous lineup and reported their decision confidence. Overall, levels of identification accuracy were similar across the alcohol and tonic water groups. However, women who had consumed tonic water as opposed to alcohol identified the assailant with higher confidence on average. Further, calibration analyses suggested confidence is predictive of accuracy regardless of alcohol consumption. The theoretical and applied implications of our results are discussed

    LKB1 is required for hepatic bile acid transport and canalicular membrane integrity in mice

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    LKB1 is a ā€˜masterā€™ protein kinase implicated in the regulation of metabolism, cell proliferation, cell polarity and tumorigenesis. However, the long-term role of LKB1 in hepatic function is unknown. In the present study, it is shown that hepatic LKB1 plays a key role in liver cellular architecture and metabolism. We report that liver-specific deletion of LKB1 in mice leads to defective canaliculi and bile duct formation, causing impaired bile acid clearance and subsequent accumulation of bile acids in serum and liver. Concomitant with this, it was found that the majority of BSEP (bile salt export pump) was retained in intracellular pools rather than localized to the canalicular membrane in hepatocytes from LLKB1KO (liver-specific Lkb1-knockout) mice. Together, these changes resulted in toxic accumulation of bile salts, reduced liver function and failure to thrive. Additionally, circulating LDL (low-density lipoprotein)-cholesterol and non-esterified cholesterol levels were increased in LLKB1KO mice with an associated alteration in red blood cell morphology and development of hyperbilirubinaemia. These results indicate that LKB1 plays a critical role in bile acid homoeostasis and that lack of LKB1 in the liver results in cholestasis. These findings indicate a novel key role for LKB1 in the development of hepatic morphology and membrane targeting of canalicular proteins

    Detection and Localisation of PrPSc in the Liver of Sheep Infected with Scrapie and Bovine Spongiform Encephalopathy

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    Prions are largely contained within the nervous and lymphoid tissue of transmissible spongiform encephalopathy (TSE) infected animals. However, following advances in diagnostic sensitivity, PrPSc, a marker for prion disease, can now be located in a wide range of viscera and body fluids including muscle, saliva, blood, urine and milk, raising concerns that exposure to these materials could contribute to the spread of disease in humans and animals. Previously we demonstrated low levels of infectivity in the liver of sheep experimentally challenged with bovine spongiform encephalopathy. In this study we show that PrPSc accumulated in the liver of 89% of sheep naturally infected with scrapie and 100% of sheep challenged with BSE, at both clinical and preclinical stages of the disease. PrPSc was demonstrated in the absence of obvious inflammatory foci and was restricted to isolated resident cells, most likely Kupffer cells

    International genome-wide meta-analysis identifies new primary biliary cirrhosis risk loci and targetable pathogenic pathways

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    A nationwide study of adults admitted to hospital with diabetic ketoacidosis or hyperosmolar hyperglycaemic state and COVIDā€19

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    AimsTo investigate characteristics of people hospitalized with coronavirus-disease-2019 (COVID-19) and diabetic ketoacidosis (DKA) or hyperosmolar hyperglycaemic state (HHS), and to identify risk factors for mortality and intensive care admission.Materials and methodsRetrospective cohort study with anonymized data from the Association of British Clinical Diabetologists nationwide audit of hospital admissions with COVID-19 and diabetes, from start of pandemic to November 2021. The primary outcome was inpatient mortality. DKA and HHS were adjudicated against national criteria. Age-adjusted odds ratios were calculated using logistic regression.ResultsIn total, 85 confirmed DKA cases, and 20 HHS, occurred among 4073 people (211 type 1 diabetes, 3748 type 2 diabetes, 114 unknown type) hospitalized with COVID-19. Mean (SD) age was 60 (18.2)ā€‰years in DKA and 74 (11.8)ā€‰years in HHS (pā€‰<ā€‰.001). A higher proportion of patients with HHS than with DKA were of non-White ethnicity (71.4% vs 39.0% pā€‰=ā€‰.038). Mortality in DKA was 36.8% (nā€‰=ā€‰57) and 3.8% (nā€‰=ā€‰26) in type 2 and type 1 diabetes respectively. Among people with type 2 diabetes and DKA, mortality was lower in insulin users compared with non-users [21.4% vs. 52.2%; age-adjusted odds ratio 0.13 (95% CI 0.03-0.60)]. Crude mortality was lower in DKA than HHS (25.9% vs. 65.0%, pā€‰=ā€‰.001) and in statin users versus non-users (36.4% vs. 100%; pā€‰=ā€‰.035) but these were not statistically significant after age adjustment.ConclusionsHospitalization with COVID-19 and adjudicated DKA is four times more common than HHS but both associate with substantial mortality. There is a strong association of previous insulin therapy with survival in type 2 diabetes-associated DKA
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