914 research outputs found
Asymmetry Function of Interstellar Scintillations of Pulsars
A new method for separating intensity variations of a source's radio emission
having various physical natures is proposed. The method is based on a joint
analysis of the structure function of the intensity variations and the
asymmetry function, which is a generalization of the asymmetry coefficient and
characterizes the asymmetry of the distribution function of the intensity
fluctuations on various scales for the inhomogeneities in the diffractive
scintillation pattern. Relationships for the asymmetry function in the cases of
a logarithmic normal distribution of the intensity fluctuations and a normal
distribution of the field fluctuations are derived. Theoretical relationships
and observational data on interstellar scintillations of pulsars (refractive,
diffractive, and weak scintillations) are compared. Pulsar scintillations match
the behavior expected for a normal distribution of the field fluctuations
(diffractive scintillation) or logarithmic normal distribution of the intensity
fluctuations (refractive and weak scintillation). Analysis of the asymmetry
function is a good test for distinguishing scintillations against the
background of variations that have different origins
A complex interprofessional intervention to improve the management of painful procedures in neonates
During hospitalization, neonates are exposed to a stressful environment and a high
number of painful procedures. If pain is not treated adequately, short- and long-term
complications may develop. Despite evidence about neonatal pain and available
guidelines, procedural pain remains undertreated. This gap between research and
practice is mostly due to limited implementation of evidence-based knowledge and
time constraints. This study describes in detail the development process of a complex interprofessional intervention to improve the management of procedural pain
in neonates called NEODOL© (NEOnato DOLore). The framework of the Medical
Research Council (MRC) for the development and evaluation of complex interventions was used as a methodological guide for the design of the NEODOL© intervention. The development of the intervention is based on several steps and multiple
methods. To report this process, we used the Criteria for Reporting the Development
of Complex Interventions in Healthcare (CReDECI 2). Additionally, we evaluated the
content of the intervention using a Delphi method to obtain consensus from experts,
stakeholders, and parents. The complex interprofessional intervention, NEODOL©,
is developed and designed for three groups: healthcare professionals, parents, and
neonates for a level IIb neonatal unit at a regional hospital in southern Switzerland. A
total of 16 panelists participated in the Delphi process. At the end of the Delphi process, the panelists endorsed the NEODOL© intervention as important and feasible.
Following the MRC guidelines, a multimethod process was used to develop a complex
interprofessional intervention to improve the management of painful procedures in
newborns. Complex interprofessional interventions need theoretical bases, careful
development, and integration of stakeholders to provide a comprehensive approach.
The NEODOL intervention consists of promising components and has the potential
to improve the management of painful procedures and should facilitate the knowledge translation into practice.
KEYWORDS
bundle of care, complex interventions, interprofessional relations, knowledge translation,
neonate, procedural pai
Ten-year change in sedentary behaviour, moderate-to-vigorous physical activity, cardiorespiratory fitness and cardiometabolic risk: independent associations and mediation analysis.
BACKGROUND: We aimed to study the independent associations of 10-year change in sedentary behaviour (SB), moderate-to-vigorous physical activity (MVPA) and objectively measured cardiorespiratory fitness (CRF), with concurrent change in clustered cardiometabolic risk and its individual components (waist circumference, fasting glucose, high-density lipoprotein (HDL) cholesterol, triglycerides and blood pressure). We also determined whether associations were mediated by change in CRF (for SB and MVPA), waist circumference (for SB, MVPA and CRF) and dietary intake (for SB). METHODS: A population-based sample of 425 adults (age (mean±SD) 55.83±9.40; 65% men) was followed prospectively for 9.62±0.52 years. Participants self-reported SB and MVPA and performed a maximal cycle ergometer test to estimate peak oxygen uptake at baseline (2002-2004) and follow-up (2012-2014). Multiple linear regression and the product of coefficients method were used to examine independent associations and mediation effects, respectively. RESULTS: Greater increase in SB was associated with more detrimental change in clustered cardiometabolic risk, waist circumference, HDL cholesterol and triglycerides, independently of change in MVPA. Greater decrease in MVPA was associated with greater decrease in HDL cholesterol and increase in clustered cardiometabolic risk, waist circumference and fasting glucose, independent of change in SB. Greater decrease in CRF was associated with more detrimental change in clustered cardiometabolic risk and all individual components. Change in CRF mediated the associations of change in SB and MVPA with change in clustered cardiometabolic risk, waist circumference and, only for MVPA, HDL cholesterol. Change in waist circumference mediated the associations between change in CRF and change in clustered cardiometabolic risk, fasting glucose, HDL cholesterol and triglycerides. CONCLUSIONS: A combination of decreasing SB and increasing MVPA, resulting in positive change in CRF, is likely to be most beneficial towards cardiometabolic health.This work was supported by a British Heart Foundation Intermediate Basic Science Research Fellowship to KW (grant number FS/12/58/29709), the UK Medical Research Council (grant number MC_UU_12015/3) to KW, the Research Foundation Flanders (grant number G.0194.11N) and the Flemish Policy Research Centre Sport
Interprofessional collaboration and involvement of parents in the management of painful procedures in newborns
Citywide cluster randomized trial to restore blighted vacant land and its effects on violence, crime, and fear
Vacant and blighted urban land is a widespread and potentially risky environmental condition encountered by millions of people on a daily basis. About 15% of the land in US cities is deemed vacant or abandoned, an area roughly the size of Switzerland. In a citywide cluster randomized controlled trial, we investigated the effects of standardized, reproducible interventions that restore vacant land on the commission of violence, crime, and the perceptions of fear and safety. Quantitative and ethnographic analyses were included in a mixed-methods approach to more fully test and explicate our findings. A total of 541 randomly sampled vacant lots were randomly assigned into treatment and control study arms; outcomes from police and 445 randomly sampled participants were analyzed over a 38-month study period. Participants living near treated vacant lots reported significantly reduced perceptions of crime (−36.8%, P < 0.05), vandalism (−39.3%, P < 0.05), and safety concerns when going outside their homes (−57.8%, P < 0.05), as well as significantly increased use of outside spaces for relaxing and socializing (75.7%, P < 0.01). Significant reductions in crime overall (−13.3%, P < 0.01), gun violence (−29.1%, P < 0.001), burglary (−21.9%, P < 0.001), and nuisances (−30.3%, P < 0.05) were also found after the treatment of vacant lots in neighborhoods below the poverty line. Blighted and vacant urban land affects people’s perceptions of safety, and their actual, physical safety. Restoration of this land can be an effective and scalable infrastructure intervention for gun violence, crime, and fear in urban neighborhoods
Jean Charcot Seabeam Survey along ODP Leg 112 Northern Transect
A marine geophysical survey that used Seabeam, multi- and single-channel seismic reflection, gravity, and magnetic profiling was conducted in two locations along the landward slope of the Peru Trench. This survey was conducted during the SeaPERC cruise of the Jean Charcot in July 1986 (Bourgois et al., 1986a; Bourgois et al., 1986b; Bourgois et al., 1987; Bourgois et al., in press). These areas were two possible drilling locations for ODP Leg 112, which was scheduled to begin in November 1986. The drilling transects center around latitudes of 5°30'S and 9°30'S, along multichannel seismic lines CDP-3 and CDP-2, respectively. The northern transect is located in the Paita Zone (Fig. 1, Box 2), and the southern transect is in the Chimbote Zone (Fig. 1, Box 6). During Leg 112, we drilled two sites (683 and 685) in the Chimbote area. This became the northern transect of Leg 112. Here, we report the Seabeam data acquired during the SeaPERC cruise. Drilling results from Sites 683 and 685, the CDP-2 multichannel seismic record, and the Seabeam data provide a threedimensional view of this region
Tectonic history of the northern Peru convergent margin during the past 400 ka
The late Pleistocene tectonic history of the northern Peru convergent margin can be retraced using data collected during deep-sea dives of the submersible Nautile combined with a recent Hydrosweep survey conducted off Peru at lat 5°-6°S by the R/V Sonne. During the past 400 ka, a broad rollover fold formed in the middle slope area, in association with a major seaward-dipping detachment fault. A catastrophic debris avalanche occurred as the result of oversteepening of the landward flank of the rollover fold. The gravity failure of the slope, previously recognized by SeaBeam mapping, occurred at 13.8 ±2.7 ka and produced a destructive tsunami
Optimizing training adaptations by manipulating glycogen
For decades, glycogen has been recognized as a storage form of glucose within the liver and muscles. Only recently has a greater role for glycogen as a regulator of metabolic signalling been suggested. Glycogen either directly or indirectly regulates a number of signalling proteins, including the adenosine-5\u27-phosphate- (AMP-) activated protein kinase (AMPK) and p38 mitogen-activated protein kinase (MAPK). AMPK and p38 MAPK play a significant role in controlling the expression and activity of the peroxisome proliferator activated receptor γ coactivators (PGCs), respectively. The PGCs can directly increase muscle mitochondrial mass and endurance exercise performance. As low muscle glycogen is generally associated with greater activation of these pathways, the concept of training with low glycogen to maximize the physiological adaptations to endurance exercise is gaining acceptance in the scientific community. In this review, we evaluate the scientific basis for this philosophy and propose some practical applications of this philosophy for the general population as well as elite endurance athletes.<br /
Seabeam and seismic reflection imaging of the tectonic regime of the Andean continental margin off Peru (4°S to 10°S)
Suite à une campagne géophysique réalisée au large de la côte du Perou (croisière Seaperc du R/V "Jean Charcot", juillet 1986), les auteurs proposent une nouvelle interprétation des structures caractérisant la pente continentale de la région étudiée. D'autre part, ils considèrent que cette marge active est une marge active en extension ou bien une marge d'effondrement qui développe un complexe d'accrétion induit par les effondrements de la partie médiane de la pente
How is rape a weapon of war?: feminist international relations, modes of critical explanation and the study of wartime sexual violence
Rape is a weapon of war. Establishing this now common claim has been an achievement of feminist scholarship and activism and reveals wartime sexual violence as a social act marked by gendered power. But the consensus that rape is a weapon of war obscures important, and frequently unacknowledged, differences in ways of understanding and explaining it. This article opens these differences to analysis. Drawing on recent debates regarding the philosophy of social science in IR and social theory, it interprets feminist accounts of wartime sexual violence in terms of modes of critical explanation – expansive styles of reasoning that foreground particular actors, mechanisms, reasons and stories in the formulation of research. The idea of a mode of critical explanation is expanded upon through a discussion of the role of three elements (analytical wagers, narrative scripts and normative orientations) which accomplish the theoretical work of modes. Substantive feminist accounts of wartime sexual violence are then differentiated in terms of three modes – of instrumentality, unreason and mythology – which implicitly structure different understandings of how rape might be a weapon of war. These modes shape political and ethical projects and so impact not only on questions of scholarly content but also on the ways in which we attempt to mitigate and abolish war rape. Thinking in terms of feminist modes of critical explanation consequently encourages further work in an unfolding research agenda. It clarifes the ways in which an apparently commonality of position can conceal meaningful disagreements about human action. Exposing these disagreements opens up new possibilities for the analysis of war rape
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