756 research outputs found
What is the correct level of claudication pain to prescribe? Universal inconsistency within guidelines, a painful issue
What is the correct level of claudication pain to prescribe? Universal inconsistency within guidelines, a painful issue
Novel use of stir bar sorptive extraction (SBSE) as a tool for isolation of oviposition site attractants for gravid Culex quinquefasciatus
Mosquitoes such as Culex quinquefasciatus Say (Diptera: Culicidae) are important vectors of organisms that cause disease in humans. Research into the development of effective standardized odour baits for blood-fed females (oviposition attractants), to enable entomological monitoring of vector populations, is hampered by complex protocols for extraction of physiologically active volatile chemicals from natural breeding site water samples, which have produced inconsistent results. Air entrainment and solvent extraction are technically demanding methods and are impractical for use in resource poor environments where mosquito-borne disease is most prevalent. This study reports the first use of a simple, robust extraction technique, stir bar sorptive extraction (SBSE), to extract behaviourally active small lipophilic molecules (SLMs) present in water samples collected from Cx. quinquefasciatus breeding sites in Tanzania. Extracts from a pit latrine and from a cess pool breeding site attracted more gravid Cx. quinquefasciatus in pair choice bioassays than control extracts, and coupled gas chromatography-electroantennography (GC-EAG) allowed tentative identification of 15 electrophysiologically active chemicals, including the known oviposition attractant, skatole (3-methylindole). Here, we have demonstrated, using simple pair choice bioassays in controlled laboratory conditions, that SBSE is effective for the extraction of behaviourally and electrophysiologically active semiochemicals from mosquito breeding site waters. Further research is required to confirm that SBSE is an appropriate technique for use in field surveys in the search for oviposition cues for Cx. quinquefasciatus
Effectiveness of Short-Term Heat Acclimation on Intermittent Sprint Performance in the Heat with Moderately Trained Males
Purpose: Effectiveness of short-term heat acclimation (STHA), over 5-days (permissive dehydration), on intermittent heat stress test (HST) with males. Methods: Ten, moderately-trained, males (mean [SD]; age 25.6 [8.9] y; stature 180.7 [5.6] cm; body mass 83.2 [10.8] kg; and 45.3 [6.5] mL.kg-1.min-1) participated. The HST was 9 x 5min (45-min) of intermittent exercise based on professional soccer players. One week apart, HST1 vs HST (11.0Ā°C; 50%RH), as a reliability trial and HST3 in 31.0Ā°C; 50%RH were completed. Then 90 min dehydration, STHA (no fluid intake), for 5 consecutive days (39.5oC; 60%RH), using controlled-hyperthermia (~rectal temperature [Tre] 38.5oC). The HST4 within one week after STHA. Blood plasma constituents: percent plasma volume (%PV), aldosterone, total protein, albumin, electrolytes, cortisol and HSP70. Data analysis reported as mean differences with 95% confidence intervals (95%CI) and Cohenās d effect size. Results: Post STHA, there was a decrease of -0.20 Tre at 45-min in the HST (95%CI -0.40 to -0.05Ā°C; P=0.03; d =-0.56); mean skin temperature (-0.80; -1.30 to -0.30Ā°C; P=0.007; d =-1.46) and mean body temperature (-0.30; -0.50 to -0.10Ā°C, P=0.01; d =-0.75). Cardiac frequency reduced (-3: -5 to -1 b.min-1; P=0.01; d =-0.20) and %PV increased (7.3: 0.9 to 13.7%; P=0.03; d=0.59). Mean Peak Power (MPO) increased (Pd =0.63). Conclusions: Short-term heat acclimation (5-days) with dehydration, using controlled-hyperthermia technique, is effective for physiological adaptations during intermittent exercise in the heat, with moderately trained males
Nitrogen pair-induced temperature insensitivity of the band gap of GaNSb alloys
The temperature dependence of the band gap of GaN x Sb1āx films with x ā¤ 1.3% has been studied in the 1.1ā3.3 m (0.35ā1.1āeV) range using infrared absorption spectroscopy between 4.2 and 300 K. As with other dilute nitride semiconductors, the temperature dependence of the band gap is reduced by alloying with nitrogen when compared to the host binary compound. However, for GaNSb, the smallest variation of the band gap with temperature is observed for samples with the lowest N content for which the band gap is almost totally insensitive to temperature changes. This contrasts with the more widely studied GaN x As1āx alloys in which the band gap variation with temperature decreases with increasing N content. The temperature-dependent absorption spectra are simulated within the so-called band anticrossing model of the interaction between the extended conduction band states of the GaSb and the localized states associated with the N atoms. The N next-nearest neighbor pair states are found to be responsible for the temperature insensitivity of the band gap of the GaNSb alloys as a result of their proximity to the conduction band edge giving them a more pronounced role than in GaNAs alloys
Safety of home-based exercise for people with intermittent claudication:A systematic review
Intermittent claudication (IC) is a classic symptom of peripheral artery disease, with first line treatment being supervised exercise therapy (SET). Despite this, SET is frequently underutilised, and adherence is often poor. An alternative option are home-based exercise programmes (HBEP). Although HBEPs are well tolerated, to the authorsā knowledge, no research has assessed their safety. The aim of this review was to assess the safety of HBEPs in people living with IC. We performed an electronic search of the MEDLINE, CINHAL and Cochrane Library databases. The main parameter of interest was complication rate, calculated as the number of related adverse events per patient-hours. Sub-analysis was undertaken to determine differences in safety for studies that did and did not include pre-exercise cardiac screening, and for studies with exercise at low, moderate and high levels of claudication pain. Our search strategy identified 8693 results, of which 27 studies were included for full review. Studies included 1642 participants completing 147,810 patient-hours of home-based exercise. Four related adverse events were reported, three of which were cardiac in origin, giving an all cause complication rate of one event per 36,953 patient-hours. Three of these events occurred following exercise to high levels of claudication pain, and one occurred with pain-free exercise. All four events occurred in studies without cardiac screening. Based on the low number of related adverse events, HBEPs appear to be a safe method of exercise prescription for people with IC. Our results strengthen the rationale for providing alternative exercise options for this population. PROSPERO registration: CRD4202125458
Effectiveness of short-term heat acclimation on intermittent sprint performance in the heat with moderately trained males.
Introduction: Effectiveness of short-term heat acclimation (STHA), over 5-days (permissive dehydration), on intermittent heat stress test (HST) with males. Methods: Ten, moderately-trained, males (mean [SD]; age 25.6 [8.9] y; stature 180.7 [5.6] cm; body mass 83.2 [10.8] kg; and 45.3 [6.5] mL.kg-1.min-1) participated. The HST was 9 x 5min (45-min) of intermittent exercise based on professional soccer players. One week apart, HST1 vs HST (11.0Ā°C; 50%RH), as a reliability trial and HST3 in 31.0Ā°C; 50%RH were completed. Then 90 min dehydration, STHA (no fluid intake), for 5 consecutive days (39.5oC; 60%RH), using controlled-hyperthermia (~rectal temperature [Tre] 38.5oC). The HST4 within one week after STHA. Blood plasma constituents: percent plasma volume (%PV), aldosterone, total protein, albumin, electrolytes, cortisol and HSP70. Data analysis reported as mean differences with 95% confidence intervals (95%CI) and Cohenās d effect size. Results: Post STHA, there was a decrease of -0.20 Tre at 45-min in the HST (95%CI -0.40 to -0.05Ā°C; P=0.03; d =-0.56); mean skin temperature (-0.80; -1.30 to -0.30Ā°C; P=0.007; d =-1.46) and mean body temperature (-0.30; -0.50 to -0.10Ā°C, P=0.01; d =-0.75). Cardiac frequency reduced (-3: -5 to -1 b.min-1; P=0.01; d =-0.20) and %PV increased (7.3: 0.9 to 13.7%; P=0.03; d=0.59). Mean Peak Power (MPO) increased (P<0.05) across sprints 7, 8 and 9. Time to exhaustion increased (167: -15 to 350 s; P=0.06; d =0.63). Conclusions: Short-term heat acclimation (5-days) with dehydration, using controlled-hyperthermia technique, is effective for physiological adaptations during intermittent exercise in the heat, with moderately-trained males
Home-based Circuit Training and Community Walking for Intermittent Claudication
Background: Supervised exercise training is recommended for people with peripheral artery disease (PAD), yet it remains underutilized. Home-based exercise programs (HBEPs) are a potential alternative. The aim of this study was to assess the feasibility of conducting a full scale trial of a 12-week HBEP for people living with symptomatic PAD.Ā Methods: In a randomized feasibility trial, patients with intermittent claudication were allocated to either an HBEP or a nonexercise control. The HBEP group was given a Fitbit to use during a 12-week exercise program comprising of personalized step goals and a resistance-based circuit to be undertaken at home twice weekly. The primary outcome was feasibility, assessed via eligibility, recruitment, attrition, tolerability, and adherence. Acceptability was assessed via semistructured interviews. Secondary analysis was undertaken to determine the feasibility of collecting clinical outcome data.Ā Results: 188 people were screened, 133 were eligible (70.7%), 30 were recruited (22.6%) and one withdrew (3.33%). Mean adherence to the daily step goal was 53.5% (range = 29.8ā90.5%), and 58.6% of prescribed circuits were completed of which 56.4% were at the desired intensity. Six adverse events were recorded, 3 of which were related to study involvement. No significant differences were observed in exploratory outcomes. Small clinically important differences were seen in walking speed and pain-free treadmill walking distance which should be confirmed or refuted in a larger trial.Ā Conclusions: The HBEP was feasible and well tolerated, with successful recruitment and minimal attrition. The intervention was acceptable, with walking seen as more enjoyable than circuit exercise. The WALKSTRONG program may be suitable for those who will not, or cannot, take part in supervised exercise outside of the home.</p
Clinical and service implications of a cognitive analytic therapy model of psychosis
Cognitive analytic therapy (CAT) is an integrative, interpersonal model of therapy predicated on a radically social concept of self, developed over recent years in the UK by Anthony Ryle. A CAT-based model of psychotic disorder has been developed much more recently based on encouraging early experience in this area. The model describes and accounts for many psychotic experiences and symptoms in terms of distorted, amplified or muddled enactments of normal or āneuroticā reciprocal role procedures (RRPs) and of damage at a meta-procedural level to the structures of the self.
Reciprocal role procedures are understood in CAT to represent the outcome of the process of internalization of early, sign-mediated, interpersonal experience and to constitute the basis for all mental activity, normal or otherwise. Enactments of maladaptive RRPs generated by early interpersonal stress are seen in this model to constitute a form of āinternal expressed emotionā. Joint description of these RRPs and their enactments (both internally and externally) and their subsequent revision is central to the practice of CAT during which they are mapped out through written and diagrammatic reformulations.
This model may usefully complement and extend existing approaches, notably recent CBT-based interventions, particularly with ādifficultā patients, and generate meaningful and helpful understandings of these disorders for both patients and their treating teams. We suggest that use of a coherent and robust model such as CAT could have important clinical and service implications in terms of developing and researching models of these disorders as well as for the training of multidisciplinary teams in their effective treatment
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