An aid to the development of Botswana's resources

There are no author-identified significant results in this report

An aid to the development of Botswana's resources

There are no author-identified significant results in this report

An aid to the development of Botswana's resources

There are no author-identified significant results in this report

Emergence of a novel subclade of influenza A(H3N2) virus in London, December 2016 to January 2017.

We report the molecular investigations of a large influenza A(H3N2) outbreak, in a season characterised by sharp increase in influenza admissions since December 2016. Analysis of haemagglutinin (HA) sequences demonstrated co-circulation of multiple clades (3C.3a, 3C.2a and 3C.2a1). Most variants fell into a novel subclade (proposed as 3C.2a2); they possessed four unique amino acid substitutions in the HA protein and loss of a potential glycosylation site. These changes potentially modify the H3N2 strain antigenicity

Does lowering the screening age for cervical cancer in The Netherlands make sense?\ud

Recommendations for the age to initiate cervical cancer screening should be directed towards maximum detection of early cervical cancer. However, the screening programme should do more good than harm. The aim of this analysis was to determine whether the target age for cervical cancer screening should be lowered in view of apparent increases in new cases of invasive cancer below age 30 and in age group 30–44 years in The Netherlands. Therefore, all cervical cancer cases diagnosed between January 1, 1989 and December 31, 2003 were selected from the nationwide population-based Netherlands Cancer Registry. For age group 25–39 years, incidence data were also available for 2004 and 2005. To describe trends, the estimated annual percentage of change and joinpoint analysis were used. Between ages 25 and 28 years, the absolute number of new cases of cervical cancer annually has varied between 0 and 9 per age. Significantly decreasing trends in incidence were observed for age groups 35–39 and 45–49 (p < 0.0001 and p = 0.01, respectively). The annual number of deaths fluctuated with a decreasing trend for age groups 30–34 and 35–39 years (p = 0.01 and p = 0.03, respectively). Because the incidence and mortality rates for cervical cancer among women younger than 30 are low and not increasing, lowering the age for cervical cancer screening is not useful at this time. Although the number of years of life gained is high for every case of cervical cancer prevented, the disadvantages of lowering the screening age would be very large and even become disproportionate compared to the potential advantage

A translational framework for public health research

&lt;p&gt;&lt;b&gt;Background&lt;/b&gt;&lt;/p&gt; &lt;p&gt;The paradigm of translational medicine that underpins frameworks such as the Cooksey report on the funding of health research does not adequately reflect the complex reality of the public health environment. We therefore outline a translational framework for public health research.&lt;/p&gt; &lt;p&gt;&lt;b&gt;Discussion&lt;/b&gt;&lt;/p&gt; &lt;p&gt;Our framework redefines the objective of translation from that of institutionalising effective interventions to that of improving population health by influencing both individual and collective determinants of health. It incorporates epidemiological perspectives with those of the social sciences, recognising that many types of research may contribute to the shaping of policy, practice and future research. It also identifies a pivotal role for evidence synthesis and the importance of non-linear and intersectoral interfaces with the public realm.&lt;/p&gt; &lt;p&gt;&lt;b&gt;Summary&lt;/b&gt;&lt;/p&gt; &lt;p&gt;We propose a research agenda to advance the field and argue that resources for 'applied' or 'translational' public health research should be deployed across the framework, not reserved for 'dissemination' or 'implementation'.&lt;/p&gt

Improving Patients’ Understanding of Fall Risk and Prevention Interventions with the Use of Multimedia Education

https://digitalcommons.psjhealth.org/stvincent-bootcamp/1030/thumbnail.jp

Does ‘playtime’ reduce stimulus-seeking and other boredom-like behaviour in laboratory ferrets?

Much environmental enrichment for laboratory animals is intended to enhance animal welfare and normalcy by providing stimulation to reduce 'boredom'. Behavioural manifestations of boredom include restless sensation-seeking behaviours combined with indicators of sub-optimal arousal. Here, we explored whether these signs could be reduced by extra daily play opportunity in laboratory ferrets (Mustela putorius furo). Specifically, we hypothesised that playtime would reduce restlessness, aggression, sensation-seeking and awake drowsiness, even 24 h later in the home-cage. Female ferrets (n = 14) were group-housed in enriched multi-level cages. Playtime involved exploring a room containing a ball pool, paper bags, balls containing bells, and a familiar interactive human for 1h. This was repeated on three consecutive mornings, and on the fourth, home-cage behaviour was compared between ferrets which had experienced the playtime treatment versus control cage-mates which had not. Their investigation of stimuli (positive=mouse odour or ball; ambiguous = empty bottle or tea-strainer; and negative = peppermint or bitter apple odour) was also recorded. We then swapped treatments, creating a paired experimental design. Ferrets under control conditions lay awake with their eyes open and screeched significantly more, but slept and sat/stood less, than following playtime. They also contacted negative and ambiguous stimuli for significantly longer under control conditions than following playtime; contact with positive stimuli showed no effects. Attempts to blind the observer to treatments were unsuccessful, so replication is required, but the findings suggest that playtime may have reduced both sub-optimal arousal and restless sensation-seeking behaviour, consistent with reducing boredom