Stroke in Devon: knowledge was good, but action was poor.

BACKGROUND AND AIM: Effective implementation of early treatment strategies for stroke requires prompt admission to hospital. There are several reasons for delayed admission. Good awareness should facilitate early admission. We identified local targets for education. METHODS: Four groups, each of 40 people, completed questionnaires to determine their knowledge of stroke symptoms and risk factors, and the action they took or would take in the event of a stroke. The groups were: patients with a diagnosis of stroke or TIA (within 48 hrs of admission); patients at risk of stroke; the general population; and nurses. RESULTS: Forty per cent of stroke patients identified their stroke. Median time from onset of symptoms to seeking medical help was 30 minutes. Medical help was sought by the patient themselves in only 15% of cases. In 80% of cases the GP was called rather than an ambulance. Of the at risk group, 93% were able to list at least one symptom of acute stroke, as were 88% of the general population. An ambulance would be called by 73% of the at risk group in the event of a stroke. Patients with self reported risk factors for stroke were largely unaware of their increased risk. Only 7.5% of at risk patients acquired their stroke information from the medical profession. CONCLUSIONS: Public knowledge about stroke is good. However, stroke patients access acute services poorly. At risk patients have limited awareness of their increased risk. A campaign should target people at risk, reinforcing the diagnosis of stroke and access to medical services

Tunable magnetic exchange interactions in manganese-doped inverted core/shell ZnSe/CdSe nanocrystals

Magnetic doping of semiconductor nanostructures is actively pursued for applications in magnetic memory and spin-based electronics. Central to these efforts is a drive to control the interaction strength between carriers (electrons and holes) and the embedded magnetic atoms. In this respect, colloidal nanocrystal heterostructures provide great flexibility via growth-controlled `engineering' of electron and hole wavefunctions within individual nanocrystals. Here we demonstrate a widely tunable magnetic sp-d exchange interaction between electron-hole excitations (excitons) and paramagnetic manganese ions using `inverted' core-shell nanocrystals composed of Mn-doped ZnSe cores overcoated with undoped shells of narrower-gap CdSe. Magnetic circular dichroism studies reveal giant Zeeman spin splittings of the band-edge exciton that, surprisingly, are tunable in both magnitude and sign. Effective exciton g-factors are controllably tuned from -200 to +30 solely by increasing the CdSe shell thickness, demonstrating that strong quantum confinement and wavefunction engineering in heterostructured nanocrystal materials can be utilized to manipulate carrier-Mn wavefunction overlap and the sp-d exchange parameters themselves.Comment: To appear in Nature Materials; 18 pages, 4 figures + Supp. Inf

Holocentric Chromosomes of Luzula elegans Are Characterized by a Longitudinal Centromere Groove, Chromosome Bending, and a Terminal Nucleolus Organizer Region

The structure of holocentric chromosomes was analyzed in mitotic cells of Luzula elegans. Light and scanning electron microscopy observations provided evidence for the existence of a longitudinal groove along each sister chromatid. The centromere-specific histone H3 variant, CENH3, colocalized with this groove and with microtubule attachment sites. The terminal chromosomal regions were CENH3-negative. During metaphase to anaphase transition, L. elegans chromosomes typically curved to a sickle-like shape, a process that is likely to be influenced by the pulling forces of microtubules along the holocentric axis towards the corresponding microtubule organizing regions. A single pair of 45S rDNA sites, situated distal to Arabidopsis-telomere repeats, was observed at the terminal region of one chromosome pair. We suggest that the 45S rDNA position in distal centromere-free regions could be required to ensure chromosome stability. Copyright (C) 2011 S. Karger AG, Base

Diagonal deformations of thin center vortices and their stability in Yang-Mills theories

The importance of center vortices for the understanding of the confining properties of SU(N) Yang-Mills theories is well established in the lattice. However, in the continuum, there is a problem concerning the relevance of center vortex backgrounds. They display the so called Savvidy-Nielsen-Olesen instability, associated with a gyromagnetic ratio $g^{(b)}_m=2$ for the off-diagonal gluons. In this work, we initially consider the usual definition of a {\it thin} center vortex and rewrite it in terms of a local color frame in SU(N) Yang-Mills theories. Then, we define a thick center vortex as a diagonal deformation of the thin object. Besides the usual thick background profile, this deformation also contains a frame defect coupled with gyromagnetic ratio $g^{(d)}_m=1$, originated from the charged sector. As a consequence, the analysis of stability is modified. In particular, we point out that the defect should stabilize a vortex configuration formed by a pair of straight components separated by an appropriate finite distance.Comment: 20 pages, LaTe

Socially engaged photography and wellbeing: reflections on a case study in the northwest of England

This paper describes a 9-month project commissioned by Halton Clinical Commissioning Group (CCG) and Liverpool photography organisation, Open Eye Gallery. Socially engaged photographers worked with local residents from the Windmill Hill estate in Runcorn to describe healthy and unhealthy aspects of the area. Six women were trained to use cameras to document everyday things that mattered to them. Through focus groups they discussed what these photographs revealed about the health and ill-health of the area. The resulting exhibition, As and When, told their story. Despite being a deprived area with more than average incidence of illness, they identified many positive things that enhanced their sense of wellbeing and resilience. The benefits of the project included increased social engagement and participation, an improved sense of vitality and rejuvenation, emotional benefits, a feeling of greater political agency and increased visual literacy. This paper outlines the model of practice developed with the support of CCG and in collaboration with local stakeholders. It makes a case for the value and the ways in which clusters of general practices could develop links and work with health assets in their local communities

Association studies of up to 1.2 million individuals yield new insights into the genetic etiology of tobacco and alcohol use.

Tobacco and alcohol use are leading causes of mortality that influence risk for many complex diseases and disorders1. They are heritable2,3 and etiologically related4,5 behaviors that have been resistant to gene discovery efforts6-11. In sample sizes up to 1.2 million individuals, we discovered 566 genetic variants in 406 loci associated with multiple stages of tobacco use (initiation, cessation, and heaviness) as well as alcohol use, with 150 loci evidencing pleiotropic association. Smoking phenotypes were positively genetically correlated with many health conditions, whereas alcohol use was negatively correlated with these conditions, such that increased genetic risk for alcohol use is associated with lower disease risk. We report evidence for the involvement of many systems in tobacco and alcohol use, including genes involved in nicotinic, dopaminergic, and glutamatergic neurotransmission. The results provide a solid starting point to evaluate the effects of these loci in model organisms and more precise substance use measures

'Unlocking the door to being there'. The contribution of creative facilitators in supporting people living with dementia to engage with heritage settings

This article reports findings from the evaluation of ‘Sensory Palaces’, an innovative project developed by the charity Historic Royal Palaces (HRP), which looks after six of the United Kingdom’s unoccupied royal palaces. The Sensory Palaces (SP) project employs creative facilitators to support people living with dementia and their care partners in engaging with two of these sites; Hampton Court Palace, and Kew Palace. This paper focusses on the role and contribution of the creative facilitators in supporting people living with dementia to connect with these heritage spaces. It reports on data collected from facilitator interviews relating to the benefits of engaging together through sensory and creative methods to explore and share experiences of the palaces, drawing out important factors from the design, content and delivery of the sessions

Application of Newtonian physics to predict the speed of a gravity racer

Gravity racing can be studied using numerical solutions to the equations of motion derived from Newton’s second law. This allows students to explore the physics of gravity racing and to understand how design and course selection influences vehicle speed. Using Euler’s method, we have developed a spreadsheet application that can be used to predict the speed of a gravity powered vehicle. The application includes the effects of air and rolling resistance. Examples of the use of the application for designing a gravity racer are presented and discussed. Predicted speeds are compared to the results of an official world record attempt

Macromorphology and recruitment of Prosopis cineraria in the United Arab Emirates

Recruitment frequency of Prosopis cinerarium the United Arab Emirates is poorly understood, though heavy browsing by camels is often assumed to be a limiting factor. Macromorphological characteristics were recorded at eight locations from the northern United Arab Emirates. Tree size (canopy diameter, trunk diameter, and tree height) showed conformity within locations. Height of browse line was strongly affected by camels, which removed foliage to a height of 3 meters whenever present. Recruitment by seed was not observed during the study, and observed asexual recruitment was limited to root suckers produced only within the season. Presence of suckers was unrelated to browsing but strongly affected by a shifting ground surface. Viable theories for the absence of sexual recruitment include seedling destruction by herbivores, a lack of safe sites for seedling growth and establishment, and that sexual recruitment events might naturally occur rarely, but produce many recruits in the rare successful seasons. Significant recruitment of new individuals is likely to occur only with protection from current herbivory systems