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Sixteen fathers of individuals with autism were interviewed to develop a grounded theory explaining how they learned about their children’s autism diagnosis. Results suggest the orientation process entails at least two phases: orienting oneself and orienting others. The orienting oneself phase entailed fathers having suspicion of developmental differences, engaging in research and education activities, having their children formally evaluated; inquiring about their children’s prognosis, and having curiosities about autism’s etiology. The orienting others phase entailed orientating family members and orienting members of their broader communities. Recommendations for responsive service provision, support for fathers, and future research are offered.

Although pressure-pulse-decay permeametry has been in wide use for the past 50 years, its standard configuration and design have remained largely intact. To date, almost all implementations of this approach involve the analysis of a pressure response, in either an upstream or downstream reservoir or both, to a disturbance applied to one of the planar faces of a cylindrical sample, which induces a unidirectional flow along its axial coordinate. For characterizing ultra-low permeability materials like shales or caprocks, where this methodology often becomes problematic, many have turned to unsteady-state analyses on crushed particles. A paucity of models exists in the public literature for the latter scenario, most of which are analytical approximations of very simple cases. This study addresses both issues by proposing analytical flow models for alternative experimental schemes. First, new unidimensional flow scenarios are considered as substitutes for the classical pulse-decay techniques for core plugs. These models involve flow along the axial and radial directions of cylindrical core samples, which are shown to decrease testing times by a factor of 7.5 and 17.5, respectively, as compared to conventional pressure-pulse-decay strategies. Monte Carlo analyses are performed on these approaches, which demonstrate comparable accuracy and reliability to the conventional unidirectional strategy under realistic experimental conditions. Second, a model is presented that relaxes a key simplifying assumption inherent to publicly available models for crushed media, namely that the entire collection of particles is of uniform size. Rather, an analytical model for a discrete distribution of sizes is presented that more accurately represents the broad range of particle sizes that are typically seen in crushed materials.

The interaction between the HIV-1 transactivator protein Tat and TAR (transactivation responsive region) RNA, plays a critical role in HIV-1 transcription. Iron(II) supramolecular helicates were evaluated for their in vitro activity to inhibit Tat–TAR RNA interaction using UV melting studies, electrophoretic mobility shift assay, and RNase A footprinting. The results demonstrate that iron(II) supramolecular helicates inhibit Tat-TAR interaction at nanomolar concentrations by binding to TAR RNA. These studies provide a new insight into the biological potential of metallosupramolecular helicates.

Citing the ongoing and urgent need within counselor education to confront and disrupt systemic racism within the profession, we present how professional counseling has been both ambivalent to racism and enacted systematically racist policies against Black and other racially marginalized people. We share selected milestones in the profession's evolution to illustrate ambivalence in the pursuit of racial justice and close with recommendations to create a more inclusive, affirming, and antiracist profession for members and clients.

Microalgae have presented themselves as a strong candidate to replace diminishing oil reserves as a source of lipids for biofuels. Here we describe successful modifications of terrestrial plant lipid content which increase overall lipid production or shift the balance of lipid production towards lipid varieties more useful for biofuel production. Our discussion ranges from the biosynthetic pathways and rate limiting steps of triacylglycerol formation to enzymes required for the formation of triacylglycerol containing exotic lipids. Secondarily, we discuss techniques for genetic engineering and modification of various microalgae which can be combined with insights gained from research in higher plants to aid in the creation of production strains of microalgae.

Objective Knee osteoarthritis commonly requires joint replacement, substantially reduces quality of life and increases healthcare utilisation and costs. This study aimed to identify whether quantitative measures of articular cartilage structure predict knee replacement, and to establish their utility as outcomes in clinical trials of disease-modifying therapy. Methods A nested case–control study was performed in Osteoarthritis Initiative participants, a multicentre observational cohort of 4796 participants with or at risk of knee osteoarthritis. 127 knees were replaced between baseline and 4 years follow-up, and one control knee per case matched for baseline radiographic disease stage (Kellgren–Lawrence grade; KLG), gender and age. Quantitative cartilage measures were obtained from 3 T magnetic resonance images at the exam before knee replacement, and longitudinal change during the previous 12 months when available (n=110). Results Cartilage thickness loss in the central and total medial femorotibial compartment (primary and secondary predictor variables) was significantly greater in case than control knees (AUC=0.59/0.58). Differences in cartilage loss were greater at earlier than later radiographic disease stages (p<0.01 for interaction with KLG). Cartilage thickness loss in the central tibia was the most predictive longitudinal measure (AUC=0.64). Denuded bone areas in the medial femur were the most predictive and discriminatory cross-sectional measure between case and control knees (AUC=0.66). Conclusions This study demonstrates the predictive value of quantitative, MRI-based measures of cartilage for the clinically relevant endpoint of knee replacement, providing support for their utility in clinical trials to evaluate the effectiveness of structure-modifying intervention.

Objectives To assess whether partial meniscectomy is associated with increased risk of radiographic osteoarthritis (ROA) and worsening cartilage damage in the following year. Methods We studied 355 knees from the Osteoarthritis Initiative that developed ROA (Kellgren-Lawrence grade ≥ 2), which were matched with control knees. The MR images were assessed using the semi-quantitative MOAKS system. Conditional logistic regression was applied to estimate risk of incident ROA. Logistic regression was used to assess the risk of worsening cartilage damage in knees with partial meniscectomy that developed ROA. Results In the group with incident ROA, 4.4 % underwent partial meniscectomy during the year prior to the case-defining visit, compared with none of the knees that did not develop ROA. All ( n  = 31) knees that had partial meniscectomy and 58.9 % ( n  = 165) of the knees with prevalent meniscal damage developed ROA (OR = 2.51, 95 % CI [1.73, 3.64]). In knees that developed ROA, partial meniscectomy was associated with an increased risk of worsening cartilage damage (OR = 4.51, 95 % CI [1.53, 13.33]). Conclusions The probability of having had partial meniscectomy was higher in knees that developed ROA. When looking only at knees that developed ROA, partial meniscectomy was associated with greater risk of worsening cartilage damage. Key Points • Partial meniscectomy is a controversial treatment option for degenerative meniscal tears. • Partial meniscectomy is strongly associated with incident osteoarthritis within 1 year. • Partial meniscectomy is associated with increased risk of worsening cartilage damage.

The philosophical interest in the nature, value, and varieties of human understanding has swelled in recent years. This article will provide an overview of new research in the epistemology of understanding, with a particular focus on the following questions: What is understanding and why should we care about it? Is understanding reducible to knowledge? Does it require truth, belief, or justification? Can there be lucky understanding? Does it require “grasping” or some kind of “know-how”? This cluster of questions has largely set the research agenda for the study of understanding in epistemology. This article will conclude by discussing some varieties of understanding and highlighting directions for future research.

In the development of deep geological repositories (DGRs), performance assessment modeling is used to evaluate the integrity and performance of the engineered and geological barriers for thousands or millions of years of evolution of the disposal system. To evaluate the suitability of a site for a DGR, geoscientific data from dedicated site investigation programs are integrated into site-specific assessments. This paper presents the development and implementation of a modeling workflow aimed at comparing three potential siting areas for a DGR in Switzerland from the viewpoint of long-term safety and technical feasibility. The workflow follows the guidelines of the national regulator addressing safety relevant criteria such as the barrier efficiency of the host rock and its mechanical and chemical integrity in response to repository-induced influences and the long-term stability of the repository site over geological scales. In the regulatory requirements, the role of parametric, conceptual, and scenario uncertainty has been identified as an issue of special importance in the site selection process. The assessment approach comprises a portfolio of numerical models for the simulation of solute, gas and heat transport in the repository nearfield. The modeling was performed with deterministic as well as probabilistic variants integrated in an indicator-based approach that allows the consistent comparison of the candidate sites using quantitative dimensionless performance indices. The model-based assessment of the sites allows a traceable, transparent, and verifiable implementation of the site selection process.

In recent years, anthraquinones have been widening their therapeutic opportunities given their numerous health benefits. The search for adequate delivery platforms to improve their pharmacokinetics leads us to propose herein folate-capped gold nanoparticles with an anthraquinone derivative attached onto their surface. Through a straightforward, two-step procedure, we obtained stable nanoparticles that can deliver anthraquinones selectively to cells overexpressing folate receptors. The new conjugates were highly toxic against two tumour cell lines, lung carcinoma A549 and cervical carcinoma HeLa, and showed significant in vitro targeting effects for FR+ HeLa cells. We anticipate that the convenience of this synthetic procedure could enable the future development of folate-targeted conjugates bearing highly active anthraquinone-derived drugs.