Determinants of frailty development and progression using a multidimensional frailty index: Evidence from the English Longitudinal Study of Ageing

Objective To identify modifiable risk factors for development and progression of frailty in older adults living in England, as conceptualised by a multidimensional frailty index (FI). Methods Data from participants aged 50 and over from the English Longitudinal Study of Ageing (ELSA) was used to examine potential determinants of frailty, using a 56-item FI comprised of self-reported health conditions, disabilities, cognitive function, hearing, eyesight, depressive symptoms and ability to carry out activities of daily living. Cox proportional hazards regression models were used to measure frailty development (n = 7420) and linear regression models to measure frailty progression over 12 years follow-up (n = 8780). Results Increasing age (HR: 1.08 (CI: 1.08–1.09)), being in the lowest wealth quintile (HR: 1.79 (CI: 1.54–2.08)), lack of educational qualifications (HR: 1.19 (CI: 1.09–1.30)), obesity (HR: 1.33 (CI: 1.18–1.50) and a high waist-hip ratio (HR: 1.25 (CI: 1.13–1.38)), being a current or previous smoker (HR: 1.29 (CI: 1.18–1.41)), pain (HR: 1.39 (CI: 1.34–1.45)), sedentary behaviour (HR: 2.17 (CI: 1.76–2.78) and lower body strength (HR: 1.07 (CI: 1.06–1.08)), were all significant risk factors for frailty progression and incidence after simultaneous adjustment for all examined factors. Conclusion The findings of this study suggest that there may be scope to reduce both frailty incidence and progression by trialling interventions aimed at reducing obesity and sedentary behaviour, increasing intensity of physical activity, and improving success of smoking cessation tools. Furthermore, improving educational outcomes and reducing poverty may also reduce inequalities in frailty

Breakfast consumption and cognitive function in adolescent school children

This study examined the effects of breakfast consumption on cognitive function, mood and blood glucose concentration in adolescent schoolchildren. With the institution's ethical advisory committee approval, 96 adolescents (12 to 15 years old) completed two randomly assigned trials (one following breakfast consumption and one following breakfast omission), scheduled 7 days apart. Cognitive function tests (visual search test, Stroop test and Sternberg paradigm), a mood questionnaire and a finger prick blood sample (in a subgroup of 60 participants) were completed immediately following breakfast and 120 min after the baseline measures. Following breakfast consumption, accuracy on the more complex level of the visual search test was higher than following breakfast omission (p=0.021). Similarly, accuracy on the Stroop test was better maintained across the morning following breakfast consumption when compared to breakfast omission (p=0.022). Furthermore, responses on the Sternberg paradigm were quicker later in the morning following breakfast consumption, particularly on the more complex levels (p=0.012). Breakfast consumption also produced higher self-report energy and fullness, lower self-report tiredness and hunger and higher blood glucose concentrations (all p<0.0005). Overall, the findings of the present study suggest that breakfast consumption enhances cognitive function in an adolescent population when compared to breakfast omission

Few-cycle optical solitary waves in nonlinear dispersive media

We study the propagation of few-cycle optical solitons in nonlinear media with an anomalous, but otherwise arbitrary, dispersion and a cubic nonlinearity. Our approach does not derive from the slowly varying envelope approximation. The optical field is derived directly from Maxwell's equations under the assumption that generation of the third harmonic is a nonresonant process or at least cannot destroy the pulse prior to inevitable linear damping. The solitary wave solutions are obtained numerically up to nearly single-cycle duration using the spectral renormalization method originally developed for the envelope solitons. The theory explicitly distinguishes contributions between the essential physical effects such as higher-order dispersion, self-steepening, and backscattering, as well as quantifies their influence on ultrashort optical solitons

Sasa-Satsuma hierarchy of integrable evolution equations

We present the infinite hierarchy of Sasa-Satsuma evolution equations. The corresponding Lax pairs are given, thus proving its integrability. The lowest order member of this hierarchy is the nonlinear Schrödinger equation, while the next one is the Sasa-Satsuma equation that includes third-order terms. Up to sixth-order terms of the hierarchy are given in explicit form, while the provided recurrence relation allows one to explicitly write all higher-order terms. The whole hierarchy can be combined into a single general equation. Each term in this equation contains a real independent coefficient that provides the possibility of adapting the equation to practical needs. A few examples of exact solutions of this general equation with an infinite number of terms are also given explicitly.The authors gratefully acknowledge the support of the Australian Research Council (Discovery Projects DP140100265 and DP150102057) and support from the Volkswagen Stiftung. N.A. is a recipient of the Alexander von Humboldt Award. U.B. acknowledges support by the German Research Foundation in the framework of the Collaborative Research Center 787 “Semiconductor Nanophotonics” under project B5. Sh.A. acknowledges support of the German Research Foundation under Project No. 389251150

Effects of heat stress and dehydration on cognitive function in elite female field hockey players

Background: It has previously been suggested that heat exposure and hypohydration have negative effects on cognitive performance, which may impact upon sporting performance. The aim of the present study was to examine the independent effects of heat stress and hypohydration on cognitive performance in elite female field hockey players. Methods: Eight unacclimatised elite field hockey players (age: 22 ± 3 y; height: 1.68 ± 0.05 m; body mass: 63.1 ± 6.0 kg) completed a cognitive test battery before and after 50 min of field hockey specific exercise on a treadmill in four experimental trials; two in hot conditions (33.3 ± 0.1 °C), and two in moderate (16.0 ± 3.0 °C), both with and without ad libitum water intake. Results: On the visual search test, participants were faster overall in the heat (1941 vs. 2104 ms, p = 0.001). Response times were quicker in the heat on the Sternberg paradigm (463 vs. 473 ms, p = 0.024) and accuracy was improved (by 1.9%, p = 0.004). There was no effect of hydration status on any of the markers of cognitive function. Conclusions: Overall, the findings suggest that in elite field hockey players exposure to heat enhances response times and/or accuracy on a battery of cognitive function tests. However, hypohydration does not appear to affect cognitive performance in elite field hockey players

The effects of a mid-morning bout of exercise on adolescents' cognitive function

The aim of the present study was to examine the effects of a mid-morning bout of exercise on adolescents’ cognitive function in a randomised crossover design where each participant completed two experimental trials. Forty-five adolescents (13.3±0.3 years old), undertook a bout of exercise (ten repeats of level one of the multi-stage fitness test, 30s rest between repeats; exercise trial) or continued to rest (resting trial). A battery of cognitive function tests assessing visuo-motor speed, executive function and working memory (visual search test, Stroop test and Sternberg paradigm, respectively) was completed 30 min before and 45 min following the exercise. Average heart rate during exercise was 172±17 beats/min. On the visual search test, there was a greater improvement in response times across the morning on the exercise trial (t=2.6, p=0.009). However, this improvement in response times was combined with a greater decrease in accuracy on the exercise trial (z=2.0, p=0.044). On the Sternberg paradigm there was a greater improvement in response times across the morning following exercise when compared to resting (t=2.6, p=0.010). The mid-morning bout of exercise did not affect Stroop test performance. These improvements in response times are most likely the result of a general speeding up of responses across several cognitive domains, because response times were improved similarly across two different domains and across all test complexity levels, rather than being restricted to the specific high cognitive load levels. Accordingly, exercise in school settings may help to improve cognitive function in adolescents during the school morning

Relational coupling of multiple streams: The case of COVID‐19 infections in German abattoirs

After a series of COVID-19 outbreaks among employees in the German meat-processing industry, the Work Safety Control Act protecting these workers made it on the government's agenda in July 2020. From a Multiple Streams perspective, local corona hotspots may be understood as policy windows for introducing respective measures. However, this alone is not sufficient to explain agenda setting. This study investigates the coupling of streams within policy windows. Introducing the notion of relational coupling to the MSF research agenda, discourse network analysis provides a new methodology to reveal entrepre-neurial activities. Studying the German mass media discourse on the issue identifies two stages: (1) An initial problem broker-age without coupling of core policies, followed by (2) a coupling across all streams based on a focusing event. We argue that relational coupling allows for an enhanced understanding of agenda setting

Breakfast glycaemic index and cognitive function in adolescent school children

It has been suggested that a low-glycaemic index (GI) breakfast may be beneficial for some elements of cognitive function (e.g. memory and attention), but the effects are not clear, especially in adolescents. Thus, the aim of the present study was to examine the effects of a low-GI breakfast, a high-GI breakfast and breakfast omission on cognitive function in adolescents. A total of fifty-two adolescents aged 12–14 years were recruited to participate in the study. Participants consumed a low-GI breakfast, a high-GI breakfast or omitted breakfast. A battery of cognitive function tests was completed 30 and 120 min following breakfast consumption and capillary blood samples were taken during the 120 min postprandial period. The findings show that there was a greater improvement in response times following a low-GI breakfast, compared with breakfast omission on the Stroop (P=0·009) and Flanker (P=0·041) tasks, and compared with a high-GI breakfast on the Sternberg paradigm (P=0·013). Furthermore, accuracy on all three tests was better maintained on the low-GI trial compared with the high-GI (Stroop: P=0·039; Sternberg: P=0·018; Flanker: P=0·014) and breakfast omission (Stroop: P<0·001; Sternberg: P=0·050; Flanker: P=0·014) trials. Following the low-GI breakfast, participants displayed a lower glycaemic response (P<0·001) than following the high-GI breakfast, but there was no difference in the insulinaemic response (P=0·063) between the high- and low-GI breakfasts. Therefore, we conclude that a low-GI breakfast is most beneficial for adolescents' cognitive function, compared with a high-GI breakfast or breakfast omission

Particle-in-cell Simulation Concerning Heat-flux Mitigation Using Electromagnetic Fields

The Particle-in-Cell (PIC) method was used to study heat flux mitigation experiments with argon. In the experiment it was shown that a magnetic field allows to reduce the heat flux towards a target. PIC is well-suited for plasma simulation, giving the chance to get a better basic understanding of the underlying physics. The simulation demonstrates the importance of a self-consistent neutral-plasma description to understand the effect of heat flux reduction

Solutioin of Poisson's Equation in Electrostatic Particle-on-cell Simulation

In electrostatic Particle-in-Cell simulations of the HEMP-DM3a ion thruster the role of different solution strategies for Poisson?s equation was investigated. The direct solution method of LU decomposition is compared to a stationary iterative method, the successive over-relaxation solver. Results and runtime of solvers were compared, and an outlook on further improvements and developments is presented