Rehabilitation Intervention for Individuals With Heart Failure and Fatigue to Reduce Fatigue Impact: A Feasibility Study

Objective: To investigate feasibility of recruitment, tablet use in intervention delivery, and use of self-report outcome measures and to analyze the effect of Energy Conservation plus Problem-Solving Therapy versus Health Education interventions for individuals with heart failure-associated fatigue. Methods: This feasibility study was a block-randomized controlled trial involving 23 adults, blinded to their group assignment, in a rural southern area in the United States. Individuals with heart failure and fatigue received the interventions for 6 weeks through videoconferencing or telephone. Participants were taught to solve their fatigue-related problems using energy conservation strategies and the process of Problem-Solving Therapy or educated about health-related topics. Results: The recruitment rate was 23%. All participants completed the study participation according to their group assignment, except for one participant in the Energy Conservation plus Problem-Solving Therapy group. Participants primarily used the tablet (n=21) rather than the phone (n=2). Self-report errors were noted on Activity Card Sort (n=23). Reported fatigue was significantly lower for both the Energy Conservation plus Problem-Solving Therapy (p=0.03, r=0.49) and Health Education (p=0.004, r=0.64) groups. The Health Education group reported significantly lower fatigue impact (p=0.019, r=0.48). Participation was significantly different in low-physical demand leisure activities (p=0.008; r=0.55) favoring the Energy Conservation plus Problem-Solving Therapy group. Conclusion: The recruitment and delivery of the interventions were feasible. Activity Card Sort may not be appropriate for this study population due to recall bias. The interventions warrant future research to reduce fatigue and decrease participation in sedentary activities (Clinical Trial Registration number: NCT03820674)

Experimental Reproduction of Severe Disease in CD/CD Pigs Coinfected with PRRSV and Type 2 Porcine Circovirus

Postweaning multisystemic wasting syndrome (PMWS) has been recognized worldwide and is characterized clinically by wasting, dyspnea, and occasionally by icterus in nursery and grow-finish pigs. Type 2 porcine circovirus (PCV2) is consistently demonstrated in PMWS lesions. At the Iowa State University Veterinary Diagnostic Laboratory, both porcine reproductive and respiratory syndrome virus (PRRSV) and PCV2 are detected in tissues from most cases of PMWS. Since PRRSV-PCV2 coinfection has also been associated with “atypical PRRS” hepatitis, 3 week old cesarean-derived, colostrum-deprived (CD/CD) pigs were inoculated with PRRSV, PCV2, both PRRSV and PCV2, or uninfected cell culture media in order to compare the independent and combined effects of these agents. PRRSV-inoculated pigs developed respiratory distress and interstitial pneumonia typical of that previously reported for this agent. None of the pigs in the PRRSV or control groups became moribund or developed hepatitis. PCV2-inoculated pigs developed lymphoid depletion and sporadic hepatitis associated with 40% mortality. Pigs in the PRRSV/PCV2 group developed severe and persistent pyrexia and dyspnea; mortality between 10 and 20 days was \u3e90% and was associated with severe interstitial pneumonia and/or hepatitis. We conclude that 1) PCV2 alone can induce clinical disease and lesions of PMWS in CD/CD pigs, 2) PCV2 alone does not induce significant respiratory disease in CD/CD pigs, 3) PCV2/PRRSV coinfection induces more severe clinical disease and lesions of PMWS than PCV2 alone, including severe interstitial pneumonia, and 4) PCV2 coinfection is responsible for the hepatitis associated with cases of “atypical PRRS.” Simultaneous coinfection of PRRSV and PCV2 has the potential to significantly exacerbate morbidity and mortality. The timing of exposure and decay of maternal antibody to PCV2 and other pathogens may play a critical role in determining whether PCV2 infection induces PMWS or remains subclinical

Near-Earth asteroid (3200) Phaethon. Characterization of its orbit, spin state, and thermophysical parameters

The near-Earth asteroid (3200) Phaethon is an intriguing object: its perihelion is at only 0.14 au and is associated with the Geminid meteor stream. We aim to use all available disk-integrated optical data to derive a reliable convex shape model of Phaethon. By interpreting the available space- and ground-based thermal infrared data and Spitzer spectra using a thermophysical model, we also aim to further constrain its size, thermal inertia, and visible geometric albedo. We applied the convex inversion method to the new optical data obtained by six instruments and to previous observations. The convex shape model was then used as input for the thermophysical modeling. We also studied the long-term stability of Phaethon's orbit and spin axis with a numerical orbital and rotation-state integrator. We present a new convex shape model and rotational state of Phaethon: a sidereal rotation period of 3.603958(2) h and ecliptic coordinates of the preferred pole orientation of (319$^{\circ}$, $-$39$^{\circ}$) with a 5$^{\circ}$ uncertainty. Moreover, we derive its size ($D$=5.1$\pm$0.2 km), thermal inertia ($\Gamma$=600$\pm$200 J m$^{-2}$ s$^{-1/2}$ K$^{-1}$), geometric visible albedo ($p_{\mathrm{V}}$=0.122$\pm$0.008), and estimate the macroscopic surface roughness. We also find that the Sun illumination at the perihelion passage during the past several thousand years is not connected to a specific area on the surface, which implies non-preferential heating.Comment: Astronomy and Astrophysics. In pres

Promoting professionalism in master’s level teachers through research based writing

Presentation of how the creators came together to redesign a course for social studies teachers

Induction of T Lymphocytes Specific for Bovine Viral Diarrhea Virus in Calves with Maternal Antibody

Passive antibody to bovine viral diarrhea virus (BVDV) acquired through colostrum intake may interfere with the development of a protective immune response by calves to this virus. The objective of this study was to determine if calves, with a high level of maternal antibody to bovine viral diarrhea virus (BVDV), develop CD4+, CD8+, or γδ T lymphocyte responses to BVDV in the absence of a measurable humoral immune response. Colostrum or milk replacer fed calves were challenged with virulent BVDV at 2-5 weeks of age and/or after maternal antibody had waned. Calves exposed to BVDV while passive antibody levels were high did not mount a measurable humoral immune response to BVDV. However, compared to nonexposed animals, these animals had CD4+, CD8+, and γδ T lymphocytes that were activated by BVDV after exposure to in vitro BVDV. The production of IFNγ by lymphocytes after in vitro BVDV exposure was also much greater in lymphocytes from calves exposed to BVDV in the presence of maternal antibody compared to the nonexposed calves. These data indicate that calves exposed to BVDV while maternal antibody levels are high can develop antigen specific CD4+, CD8+, and γδ T lymphocytes in the absence of an active antibody response. A manuscript presented separately demonstrates that the calves with T lymphocytes specific for BVDV in this study were also protected from virulent BVDV genotype 2 challenge after maternal antibody became undetectable

`Oumuamua as a messenger from the Local Association

7 pages, one table, two figures, accepted for publication by ApJL. © 2018. The American Astronomical Society. All rights reserved.With a hyperbolic trajectory around the Sun, 'Oumuamua is the first confirmed interstellar object. However, its origin is poorly known. By simulating the orbits of 0.23 million local stars, we find 109 encounters with periastron less than 5 pc. 'Oumuamua's low peculiar velocity is suggestive of its origin from a young stellar association with similar velocity. In particular, we find that 'Oumuamua would have had slow encounters with at least five young stars belonging to the Local Association, thus suggesting these as plausible sites for formation and ejection. In addition to an extremely elongated shape, the available observational data for 'Oumuamua indicates a red color, suggestive of a potentially organic-rich and activity-free surface. These characteristics seem consistent with formation through energetic collisions between planets and debris objects in the middle part of a young stellar system. We estimate an abundance of at least 6.0 × 10 -3 au -3 for such interstellar objects with mean diameter larger than 100 m and find that it is likely that most of them will be ejected into the Galactic halo. Our Bayesian analysis of the available light curves indicates a rotation period of 6.96 +1.45 -0.39, which is consistent with the estimation by Meech et al. and shorter than those in other literature. The codes and results are available on GitHub (https://github.com/phillippro/Oumuamua).Peer reviewe

“It's like you’re actually playing as yourself”: Development and preliminary evaluation of ‘Green Acres High’, a serious game-based primary intervention to combat adolescent dating violence

AbstractThis paper provides an overview of the development of ‘Green Acres High’, a serious game-based primary intervention to raise awareness of and change attitudes towards dating violence in adolescents, and an analysis of how adolescents described their experience of playing this game. Transcripts from focus group data were analysed using thematic analysis. The global theme that was developed, Assessment of the game, was represented by two organising themes, Positive assessment: Pedagogical Underpinnings and Negative Assessment: Functionality Limitations and Frustrations. These represented the fact that overall the learning experience was positive based on the pedagogical principles and content that could be embedded in this digital game but that technical issues with the game needed to be addressed as these could impinge on the learning experience of the adolescents. It was seen that using a serious game was a valid and meaningful way for adolescents to learn about dating violence and that this is a viable alternative or adjunct to traditional teaching methods

A Human Development Framework for CO2 Reductions

Although developing countries are called to participate in CO2 emission reduction efforts to avoid dangerous climate change, the implications of proposed reduction schemes in human development standards of developing countries remain a matter of debate. We show the existence of a positive and time-dependent correlation between the Human Development Index (HDI) and per capita CO2 emissions from fossil fuel combustion. Employing this empirical relation, extrapolating the HDI, and using three population scenarios, the cumulative CO2 emissions necessary for developing countries to achieve particular HDI thresholds are assessed following a Development As Usual approach (DAU). If current demographic and development trends are maintained, we estimate that by 2050 around 85% of the world's population will live in countries with high HDI (above 0.8). In particular, 300Gt of cumulative CO2 emissions between 2000 and 2050 are estimated to be necessary for the development of 104 developing countries in the year 2000. This value represents between 20% to 30% of previously calculated CO2 budgets limiting global warming to 2{\deg}C. These constraints and results are incorporated into a CO2 reduction framework involving four domains of climate action for individual countries. The framework reserves a fair emission path for developing countries to proceed with their development by indexing country-dependent reduction rates proportional to the HDI in order to preserve the 2{\deg}C target after a particular development threshold is reached. Under this approach, global cumulative emissions by 2050 are estimated to range from 850 up to 1100Gt of CO2. These values are within the uncertainty range of emissions to limit global temperatures to 2{\deg}C.Comment: 14 pages, 7 figures, 1 tabl