Monitoring activities of teenagers to comprehend their habits: study protocol for a mixed-methods cohort study

Abstract: Background: Efforts to increase physical activity in youth need to consider which activities are most likely to be sustained over time in order to promote lifelong participation in physical activity. The Monitoring Activities of Teenagers to Comprehend their Habits (MATCH) study is a prospective cohort study that uses quantitative and qualitative methods to develop new knowledge on the sustainability of specific physical activities. Methods/design: Eight hundred and forty-three grade 5 and 6 students recruited from 17 elementary schools in New Brunswick, Canada, are followed-up three times per year. At each survey cycle, participants complete self-report questionnaires in their classroom under the supervision of trained data collectors. A sub-sample of 24 physically active students is interviewed annually using a semi-structured interview protocol. Parents (or guardians) complete telephone administered questionnaires every two years, and a health and wellness school audit is completed for each school. Discussion: MATCH will provide a description of the patterns of participation in specific physical activities in youth, and enable identification of the determinants of maintenance, decline, and uptake of participation in each activity. These data will inform the development of interventions that take into account which activities are the most likely to be maintained and why activities are maintained or dropped

Garotas de loja, história social e teoria social [Shop Girls, Social History and Social Theory]

Shop workers, most of them women, have made up a significant proportion of Britain’s labour force since the 1850s but we still know relatively little about their history. This article argues that there has been a systematic neglect of one of the largest sectors of female employment by historians and investigates why this might be. It suggests that this neglect is connected to framings of work that have overlooked the service sector as a whole as well as to a continuing unease with the consumer society’s transformation of social life. One element of that transformation was the rise of new forms of aesthetic, emotional and sexualised labour. Certain kinds of ‘shop girls’ embodied these in spectacular fashion. As a result, they became enduring icons of mass consumption, simultaneously dismissed as passive cultural dupes or punished as powerful agents of cultural destruction. This article interweaves the social history of everyday shop workers with shifting representations of the ‘shop girl’, from Victorian music hall parodies, through modernist social theory, to the bizarre bombing of the Biba boutique in London by the Angry Brigade on May Day 1971. It concludes that progressive historians have much to gain by reclaiming these workers and the service economy that they helped create

Prescribing Prevalence of Medications With Potential Genotype-Guided Dosing in Pediatric Patients

Importance: Genotype-guided prescribing in pediatrics could prevent adverse drug reactions and improve therapeutic response. Clinical pharmacogenetic implementation guidelines are available for many medications commonly prescribed to children. Frequencies of medication prescription and actionable genotypes (genotypes where a prescribing change may be indicated) inform the potential value of pharmacogenetic implementation. Objective: To assess potential opportunities for genotype-guided prescribing in pediatric populations among multiple health systems by examining the prevalence of prescriptions for each drug with the highest level of evidence (Clinical Pharmacogenetics Implementation Consortium level A) and estimating the prevalence of potential actionable prescribing decisions. Design, setting, and participants: This serial cross-sectional study of prescribing prevalences in 16 health systems included electronic health records data from pediatric inpatient and outpatient encounters from January 1, 2011, to December 31, 2017. The health systems included academic medical centers with free-standing children's hospitals and community hospitals that were part of an adult health care system. Participants included approximately 2.9 million patients younger than 21 years observed per year. Data were analyzed from June 5, 2018, to April 14, 2020. Exposures: Prescription of 38 level A medications based on electronic health records. Main outcomes and measures: Annual prevalence of level A medication prescribing and estimated actionable exposures, calculated by combining estimated site-year prevalences across sites with each site weighted equally. Results: Data from approximately 2.9 million pediatric patients (median age, 8 [interquartile range, 2-16] years; 50.7% female, 62.3% White) were analyzed for a typical calendar year. The annual prescribing prevalence of at least 1 level A drug ranged from 7987 to 10 629 per 100 000 patients with increasing trends from 2011 to 2014. The most prescribed level A drug was the antiemetic ondansetron (annual prevalence of exposure, 8107 [95% CI, 8077-8137] per 100 000 children). Among commonly prescribed opioids, annual prevalence per 100 000 patients was 295 (95% CI, 273-317) for tramadol, 571 (95% CI, 557-586) for codeine, and 2116 (95% CI, 2097-2135) for oxycodone. The antidepressants citalopram, escitalopram, and amitriptyline were also commonly prescribed (annual prevalence, approximately 250 per 100 000 patients for each). Estimated prevalences of actionable exposures were highest for oxycodone and ondansetron (>300 per 100 000 patients annually). CYP2D6 and CYP2C19 substrates were more frequently prescribed than medications influenced by other genes. Conclusions and relevance: These findings suggest that opportunities for pharmacogenetic implementation among pediatric patients in the US are abundant. As expected, the greatest opportunity exists with implementing CYP2D6 and CYP2C19 pharmacogenetic guidance for commonly prescribed antiemetics, analgesics, and antidepressants

On the Rocks: Quantifying Storage of Inorganic Soil Carbon on Gravels and Determining Pedon-Scale Variability

The storage and flux of carbon from soils, the planet\u27s third largest carbon pool, strongly influence the global carbon cycle and are essential, but poorly constrained, parameters for global climate models. An estimated 40% of all soil carbon is stored as inorganic carbonate minerals. Despite a recognition of the importance of soil inorganic carbon (SIC) in soil carbon storage, few studies have quantified pedon-scale variability in SIC storage. We examine different stages of carbonate development and accumulation rates between gravelly and non-gravelly soils. Studies often ignore carbonate coatings on gravels in measurements of soil inorganic carbon (SIC). By quantifying and differentiating the fine (\u3c 2 mm) and coarse (\u3e 2 mm) fractions of SIC in the Reynolds Creek Experimental Watershed in southwestern Idaho, we show that gravel coatings contain up to 44% of total SIC at a given site. Among the 26 soil sites examined throughout the watershed, an average of 13% of the total SIC is stored as carbonate coatings within in the gravel fraction. We measured a high level of pedon-scale field variability (up to 220%) among the three sampled faces of 1 m3 soil pits. Analytical error associated with the modified pressure calcimeter (0.001–0.014%) is considerably less than naturally occurring heterogeneities in SIC within the soil profile. This work highlights and quantifies two sources of uncertainty in studies of SIC needed to inform future research. First, in gravelly sites, the \u3e 2 mm portion of soils may store a large percentage of SIC. Second, SIC varies considerably at the pedon-scale, so studies attempting to quantify carbon storage over landscape scales need to consider this variability

Form and Function Relationships Revealed by Long-Term Research in a Semiarid Mountain Catchment

Fifteen years of cumulative research in the Dry Creek Experimental Watershed in southwest Idaho, USA, has revealed relationships between catchment form and function that would not have been possible through independent short-term projects alone. The impacts of aspect and elevation on incident energy and water, coupled with climate seasonality, have produced tightly connected landform properties and hydrologic processes. North-facing hillslopes have steeper slope angles, thicker soil mantles, finer soil texture, and higher water holding capacities than their south-facing counterparts. This trend is modulated by elevation and vegetation; higher elevation sites, where aspect differences in vegetation are less evident, exhibit less distinct hydrologic properties. The storage of water first as snow, then as soil moisture determines how upland ecosystems survive the seasonal and persistent water stress that happens each year, and sustains streamflow throughout the year. The cumulative body of local knowledge has improved general understanding of catchment science, serves as a resource for conceptual and numerical evaluation of process-based models, and for data-driven hydrologic education