Design of financial incentive interventions to improve lifestyle behaviors and health outcomes: A systematic review [version 1; peer review: awaiting peer review]

Background: Financial incentives may improve the initiation and engagement of behaviour change that reduce the negative outcomes associated with non-communicable diseases. There is still a paucity in guidelines or recommendations that help define key aspects of incentive-oriented interventions, including the type of incentive (e.g. cash rewards, vouchers), the frequency and magnitude of the incentive, and its mode of delivery. We aimed to systematically review the literature on financial incentives that promote healthy lifestyle behaviours or improve health profiles, and focused on the methodological approach to define the incentive intervention and its delivery. The protocol was registered at PROSPERO on 26 July 2018 (CRD42018102556). Methods: We sought studies in which a financial incentive was delivered to improve a health-related lifestyle behaviour (e.g., physical activity) or a health profile (e.g., HbA1c in people with diabetes). The search (which took place on March 3rd 2018) was conducted using OVID (MEDLINE and Embase), CINAHL and Scopus. Results: The search yielded 7,575 results and 37 were included for synthesis. Of the total, 83.8% (31/37) of the studies were conducted in the US, and 40.5% (15/37) were randomised controlled trials. Only one study reported the background and rationale followed to develop the incentive and conducted a focus group to understand what sort of incentives would be acceptable for their study population. There was a degree of consistency across the studies in terms of the direction, form, certainty, and recipient of the financial incentives used, but the magnitude and immediacy of the incentives were heterogeneous. Conclusions: The available literature on financial incentives to improve health-related lifestyles rarely reports on the rationale or background that defines the incentive approach, the magnitude of the incentive and other relevant details of the intervention, and the reporting of this information is essential to foster its use as potential effective interventions

Entraining Alpha Activity Using Visual Stimulation in Patients With Chronic Musculoskeletal Pain: A Feasibility Study

Entraining alpha activity with rhythmic visual, auditory, and electrical stimulation can reduce experimentally induced pain. However, evidence for alpha entrainment and pain reduction in patients with chronic pain is limited. This feasibility study investigated whether visual alpha stimulation can increase alpha power in patients with chronic musculoskeletal pain and, secondarily, if chronic pain was reduced following stimulation. In a within-subject design, 20 patients underwent 4-min periods of stimulation at 10 Hz (alpha), 7 Hz (high-theta, control), and 1 Hz (control) in a pseudo-randomized order. Patients underwent stimulation both sitting and standing and verbally rated their pain before and after each stimulation block on a 0–10 numerical rating scale. Global alpha power was significantly higher during 10 Hz compared to 1 Hz stimulation when patients were standing (t = −6.08, p < 0.001). On a more regional level, a significant increase of alpha power was found for 10 Hz stimulation in the right-middle and left-posterior region when patients were sitting. With respect to our secondary aim, no significant reduction of pain intensity and unpleasantness was found. However, only the alpha stimulation resulted in a minimal clinically important difference in at least 50% of participants for pain intensity (50%) and unpleasantness ratings (65%) in the sitting condition. This study provides initial evidence for the potential of visual stimulation as a means to enhance alpha activity in patients with chronic musculoskeletal pain. The brief period of stimulation was insufficient to reduce chronic pain significantly. This study is the first to provide evidence that a brief period of visual stimulation at alpha frequency can significantly increase alpha power in patients with chronic musculoskeletal pain. A further larger study is warranted to investigate optimal dose and individual stimulation parameters to achieve pain relief in these patients

Radial distributions of globular clusters trace their host dark matter halo: insights from the E-MOSAICS simulations

Globular clusters (GCs) are bright objects that span a wide range of galactocentric distances, and can therefore probe the structure of dark matter (DM) haloes. In this work, we explore whether the projected number density radial profiles of GCs can be used to infer the structural properties of their host DM haloes. We use the simulated GC populations in a sample of 166 central galaxies from the $(34.4~\rm cMpc)^3$ periodic volume of the E-MOSAICS project. We find that more massive galaxies host stellar and GC populations with shallower density profiles that are more radially extended. In addition, metal-poor GC subpopulations tend to have shallower and more extended profiles than metal-rich subsamples, which we relate to the preferentially accreted origin of metal-poor GCs. We find strong correlations between the power-law slopes and effective radii of the radial profiles of the GC populations and the structural properties of the DM haloes, such as their power-law slopes, Navarro–Frenk–White scale radii, and concentration parameters. Accounting for a dependence on the galaxy stellar mass decreases the scatter of the two-dimensional relations. This suggests that the projected number counts of GCs, combined with their galaxy mass, trace the density profile of the DM halo of their host galaxy. When applied to extragalactic GC systems, we recover the scale radii and the extent of the DM haloes of a sample of early-type galaxies with uncertainties smaller than $0.2~\rm dex$. Thus, extragalactic GC systems provide a novel avenue to explore the structure of DM haloes beyond the Local Group

Globular clusters as tracers of the dark matter halo: insights from the E-MOSAICS simulations

Globular clusters (GCs) are bright objects that span a wide range of galactocentric distances, and are thus probes of the structure of dark matter (DM) haloes. In this work, we explore whether the projected radial profiles of GCs can be used to infer the structural properties of their host DM haloes. We use the simulated GC populations in a sample of 166 central galaxies from the $(34.4~\rm cMpc)^3$ periodic volume of the E-MOSAICS project. We find that more massive galaxies host stellar and GC populations with shallower density profiles that are more radially extended. In addition, the metal-poor GC subpopulations tend to have shallower and more extended profiles than the metal-rich subsamples, which we relate to the preferentially accreted origin of the metal-poor GCs. We find strong correlations between the slopes and effective radii of the radial profiles of the GC populations and the structural properties of the DM haloes, such as their power-law slopes, scale radii, and concentration parameters. Accounting for a dependence on the galaxy stellar mass decreases the scatter of the two-dimensional relations. This suggests that the projected number counts of GCs, combined with their galaxy mass, trace the density profile of the DM halo of their host galaxy. When applied to extragalactic GC systems, we recover the scale radii and the extent of the DM haloes of a sample of ETGs with uncertainties smaller than $0.2~\rm dex$. Thus, extragalactic GC systems provide a novel avenue to explore the structure of DM haloes beyond the Local Group

Diabetic myonecrosis in a patient with hepatic cirrhosis: a case report and review of the literature

<p>Abstract</p> <p>Introduction</p> <p>Diabetic myonecrosis was first reported by Angervall and Stener in 1965. In its classical clinical expression, it affects type 1 diabetes mellitus patients with long-standing poor metabolic control and advanced chronic microvascular complications. A sudden-onset of severe pain in the region of the involved muscle, usually the quadriceps, is the typical clinical manifestation. Magnetic resonance imaging (MRI) confirms the clinical diagnosis; in some cases of diagnostic uncertainty, a muscle biopsy may be required.</p> <p>Case Presentation</p> <p>We present the case of a 38 year-old Hispanic male from Mexico, with alcohol-induced hepatic cirrhosis (Child-Pugh C/MELD 45) and type 2 diabetes mellitus admitted to the emergency room due to hepatic encephalopathy with intense pain and an increase in volume of the left thigh. MRI showed edema and inflammatory changes of the quadriceps muscle with a hyperintense signal on T2-weighted images; in addition, there was a subacute hematoma.</p> <p>Conclusion</p> <p>To the best of our knowledge, this is the first case of diabetic myonecrosis associated with and complicated by advanced hepatic cirrhosis reported in the literature.</p

A Multiwell Platform for Studying Stiffness-Dependent Cell Biology

Adherent cells are typically cultured on rigid substrates that are orders of magnitude stiffer than their tissue of origin. Here, we describe a method to rapidly fabricate 96 and 384 well platforms for routine screening of cells in tissue-relevant stiffness contexts. Briefly, polyacrylamide (PA) hydrogels are cast in glass-bottom plates, functionalized with collagen, and sterilized for cell culture. The Young's modulus of each substrate can be specified from 0.3 to 55 kPa, with collagen surface density held constant over the stiffness range. Using automated fluorescence microscopy, we captured the morphological variations of 7 cell types cultured across a physiological range of stiffness within a 384 well plate. We performed assays of cell number, proliferation, and apoptosis in 96 wells and resolved distinct profiles of cell growth as a function of stiffness among primary and immortalized cell lines. We found that the stiffness-dependent growth of normal human lung fibroblasts is largely invariant with collagen density, and that differences in their accumulation are amplified by increasing serum concentration. Further, we performed a screen of 18 bioactive small molecules and identified compounds with enhanced or reduced effects on soft versus rigid substrates, including blebbistatin, which abolished the suppression of lung fibroblast growth at 1 kPa. The ability to deploy PA gels in multiwell plates for high throughput analysis of cells in tissue-relevant environments opens new opportunities for the discovery of cellular responses that operate in specific stiffness regimes

The Main Belt Comets and ice in the Solar System

We review the evidence for buried ice in the asteroid belt; specifically the questions around the so-called Main Belt Comets (MBCs). We summarise the evidence for water throughout the Solar System, and describe the various methods for detecting it, including remote sensing from ultraviolet to radio wavelengths. We review progress in the first decade of study of MBCs, including observations, modelling of ice survival, and discussion on their origins. We then look at which methods will likely be most effective for further progress, including the key challenge of direct detection of (escaping) water in these bodies

Differential neutrino condensation onto cosmic structure

Astrophysical techniques have pioneered the discovery of neutrino mass properties. Current cosmological observations give an upper bound on neutrino masses by attempting to disentangle the small neutrino contribution from the sum of all matter using precise theoretical models. We discover the differential neutrino condensation effect in our TianNu N-body simulation. Neutrino masses can be inferred using this effect by comparing galaxy properties in regions of the universe with different neutrino relative abundance (i.e. the local neutrino to cold dark matter density ratio). In “neutrino-rich” regions, more neutrinos can be captured by massive halos compared to “neutrino-poor” regions. This effect differentially skews the halo mass function and opens up the path to independent neutrino mass measurements in current or future galaxy surveys

Gravity at Work: How the Build-Up of Environments Shape Galaxy Properties

We present results on the heating of the inter-cluster medium (ICM) by gravitational potential energy from in-falling satellites. We calculate the available excess energy of baryons once they are stripped from their satellite and added to the ICM of the hosting environment. this excess energy is a strong function of environment and we find that it can exceed the contribution from AGNs or supernovae (SN) by up to two orders of magnitude in the densest environments/haloes. Cooling by radiative losses is in general fully compensated by gravitational heating in massive groups and clusters with hot gas temperature > 1 keV. The reason for the strong environment dependence is the continued infall of substructure onto dense environments during their formation in contrast to field-like environments. We show that gravitational heating is able to reduce the number of too luminous galaxies in models and to produce model luminosity functions in agreement with observations.Comment: 8 pages, 3 figures. To be published in Proceedings of JENAM 2010, Symposium 2: "Environment and the formation of galaxies: 30 years later