Attitudes and barriers to exercise in adults with type 1 diabetes (T1DM) and how best to address them: a qualitative study

This is the final version. Available on open access from Public Library of Science via the DOI in this recordData Availability: The authors confirm that all data underlying the findings are fully available without restriction. All relevant data are within the paper.BACKGROUND: Regular physical activity has recognised health benefits for people with T1DM. However a significant proportion of them do not undertake the recommended levels of activity. Whilst questionnaire-based studies have examined barriers to exercise in people with T1DM, a formal qualitative analysis of these barriers has not been undertaken. Our aims were to explore attitudes, barriers and facilitators to exercise in patients with T1DM. METHODOLOGY: A purposeful sample of long standing T1DM patients were invited to participate in this qualitative study. Twenty-six adults were interviewed using a semi-structured interview schedule to determine their level of exercise and barriers to initiation and maintenance of an exercise programme. PRINCIPAL FINDINGS: Six main barriers to exercise were identified: lack of time and work related factors; access to facilities; lack of motivation; embarrassment and body image; weather; and diabetes specific barriers (low levels of knowledge about managing diabetes and its complications around exercise). Four motivators to exercise were identified: physical benefits from exercise; improvements in body image; enjoyment and the social interaction of exercising at gym or in groups. Three facilitators to exercise were identified: free or reduced admission to gyms and pools, help with time management, and advice and encouragement around managing diabetes for exercise. SIGNIFICANCE: Many of the barriers to exercise in people with T1DM are shared with the non-diabetic population. The primary difference is the requirement for education about the effect of exercise on diabetes control and its complications. There was a preference for support to be given on a one to one basis rather than in a group environment. This suggests that with the addition of the above educational requirements, one to one techniques that have been successful in increasing activity in patients with other chronic disease and the general public should be successful in increasing activity in patients with T1DM.Insulin Dependent Diabetes Trus

Double-beta decay Q values of 130Te, 128Te, and 120Te

The double-beta decay Q values of 130Te, 128Te, and 120Te have been determined from parent-daughter mass differences measured with the Canadian Penning Trap mass spectrometer. The 132Xe-129Xe mass difference, which is precisely known, was also determined to confirm the accuracy of these results. The 130Te Q value was found to be 2527.01(32) keV which is 3.3 keV lower than the 2003 Atomic Mass Evaluation recommended value, but in agreement with the most precise previous measurement. The uncertainty has been reduced by a factor of 6 and is now significantly smaller than the resolution achieved or foreseen in experimental searches for neutrinoless double-beta decay. The 128Te and 120Te Q values were found to be 865.87(131) keV and 1714.81(125) keV, respectively. For 120Te, this reduction in uncertainty of nearly a factor of 8 opens up the possibility of using this isotope for sensitive searches for neutrinoless double-electron capture and electron capture with positron emission.Comment: 5 pages, 2 figures, submitted to Physical Review Letter

Resonance-free Region in scattering by a strictly convex obstacle

We prove the existence of a resonance free region in scattering by a strictly convex obstacle with the Robin boundary condition. More precisely, we show that the scattering resonances lie below a cubic curve which is the same as in the case of the Neumann boundary condition. This generalizes earlier results on cubic poles free regions obtained for the Dirichlet boundary condition.Comment: 29 pages, 2 figure

Mass measurements near the rr-process path using the Canadian Penning Trap mass spectrometer

The masses of 40 neutron-rich nuclides from Z = 51 to 64 were measured at an average precision of $\delta m/m= 10^{-7}$ using the Canadian Penning Trap mass spectrometer at Argonne National Laboratory. The measurements, of fission fragments from a $^{252}$Cf spontaneous fission source in a helium gas catcher, approach the predicted path of the astrophysical $r$ process. Where overlap exists, this data set is largely consistent with previous measurements from Penning traps, storage rings, and reaction energetics, but large systematic deviations are apparent in $\beta$-endpoint measurements. Differences in mass excess from the 2003 Atomic Mass Evaluation of up to 400 keV are seen, as well as systematic disagreement with various mass models.Comment: 15 pages, 16 figures. v2 updated, published in Physical Review

A novel transparent charged particle detector for the CPET upgrade at TITAN

The detection of an electron bunch exiting a strong magnetic field can prove challenging due to the small mass of the electron. If placed too far from a solenoid's entrance, a detector outside the magnetic field will be too small to reliably intersect with the exiting electron beam because the light electrons will follow the diverging magnetic field outside the solenoid. The TITAN group at TRIUMF in Vancouver, Canada, has made use of advances in the practice and precision of photochemical machining (PCM) to create a new kind of charge collecting detector called the "mesh detector." The TITAN mesh detector was used to solve the problem of trapped electron detection in the new Cooler PEnning Trap (CPET) currently under development at TITAN. This thin array of wires etched out of a copper plate is a novel, low profile, charge agnostic detector that can be made effectively transparent or opaque at the user's discretion.Comment: 6 Pages. 6 Figures. Submitted to Nuclear Instruments and Methods in Physics Research Section A: Accelerators, Spectrometers, Detectors and Associated Equipmen

β-delayed neutron spectroscopy using trapped radioactive ions

A novel technique for β-delayed neutron spectroscopy has been demonstrated using trapped ions. The neutron-energy spectrum is reconstructed by measuring the time of flight of the nuclear recoil following neutron emission, thereby avoiding all the challenges associated with neutron detection, such as backgrounds from scattered neutrons and γ rays and complicated detector-response functions. I+137 ions delivered from a Cf252 source were confined in a linear Paul trap surrounded by radiation detectors, and the β-delayed neutron-energy spectrum and branching ratio were determined by detecting the β- and recoil ions in coincidence. Systematic effects were explored by determining the branching ratio three ways. Improvements to achieve higher detection efficiency, better energy resolution, and a lower neutron-energy threshold are proposed. © 2013 American Physical Society

Tensor interaction limit derived from the α-β-ν̄ correlation in trapped Li8 ions

A measurement of the α-β-ν̄ angular correlation in the Gamow-Teller decay Li8→Be*8+ν̄+β, Be*8→ α+α has been performed using ions confined in a linear Paul trap surrounded by silicon detectors. The energy difference spectrum of the α particles emitted along and opposite the direction of the β particle is consistent with the standard model prediction and places a limit of 3.1% (95.5% confidence level) on any tensor contribution to the decay. From this result, the amplitude of any tensor component CT relative to that of the dominant axial-vector component CA of the electroweak interaction is limited to |CT/CA|\u3c0.18 (95.5% confidence level). This experimental approach is facilitated by several favorable features of the Li8 β decay and has different systematic effects than the previous β-ν̄ correlation results for a pure Gamow-Teller transition obtained from studying He6 β decay. © 2013 American Physical Society