Adolescent standing postural response to backpack loads: a randomised controlled experimental study

BACKGROUND: Backpack loads produce changes in standing posture when compared with unloaded posture. Although 'poor' unloaded standing posture has been related to spinal pain, there is little evidence of whether, and how much, exposure to posterior load produces injurious effects on spinal tissue. The objective of this study was to describe the effect on adolescent sagittal plane standing posture of different loads and positions of a common design of school backpack. The underlying study aim was to test the appropriateness of two adult 'rules-of-thumb'-that for postural efficiency, backpacks should be worn high on the spine, and loads should be limited to 10% of body weight. METHOD: A randomised controlled experimental study was conducted on 250 adolescents (12–18 years), randomly selected from five South Australian metropolitan high schools. Sagittal view anatomical points were marked on head, neck, shoulder, hip, thigh, knee and ankle. There were nine experimental conditions: combinations of backpack loads (3, 5 or 10% of body weight) and positions (backpack centred at T7, T12 or L3). Sagittal plane photographs were taken of unloaded standing posture (baseline), and standing posture under the experimental conditions. Posture was quantified from the x (horizontal) coordinate of each anatomical point under each experimental condition. Differences in postural response were described, and differences between conditions were determined using Analysis of Variance models. RESULTS: Neither age nor gender was a significant factor when comparing postural response to backpack loads or conditions. Backpacks positioned at T7 produced the largest forward (horizontal) displacement at all the anatomical points. The horizontal position of all anatomical points increased linearly with load. CONCLUSION: There is evidence refuting the 'rule-of-thumb' to carry the backpack high on the back. Typical school backpacks should be positioned with the centre at waist or hip level. There is no evidence for the 10% body weight limit

Study Protocol for Better Evidence for Selecting Transplant Fluids (BEST-Fluids): a pragmatic, registry-based, multi-center, double-blind, randomized controlled trial evaluating the effect of intravenous fluid therapy with Plasma-Lyte 148 versus 0.9% saline on delayed graft function in deceased donor kidney transplantation

BACKGROUND: Delayed graft function, the requirement for dialysis due to poor kidney function post-transplant, is a frequent complication of deceased donor kidney transplantation and is associated with inferior outcomes and higher costs. Intravenous fluids given during and after transplantation may affect the risk of poor kidney function after transplant. The most commonly used fluid, isotonic sodium chloride (0.9% saline), contains a high chloride concentration, which may be associated with acute kidney injury, and could increase the risk of delayed graft function. Whether using a balanced, low-chloride fluid instead of 0.9% saline is safe and improves kidney function after deceased donor kidney transplantation is unknown. METHODS: BEST-Fluids is an investigator-initiated, pragmatic, registry-based, multi-center, double-blind, randomized controlled trial. The primary objective is to compare the effect of intravenous Plasma-Lyte 148 (Plasmalyte), a balanced, low-chloride solution, with the effect of 0.9% saline on the incidence of delayed graft function in deceased donor kidney transplant recipients. From January 2018 onwards, 800 participants admitted for deceased donor kidney transplantation will be recruited over 3 years in Australia and New Zealand. Participants are randomized 1:1 to either intravenous Plasmalyte or 0.9% saline peri-operatively and until 48 h post-transplant, or until fluid is no longer required; whichever comes first. Follow up is for 1 year. The primary outcome is the incidence of delayed graft function, defined as dialysis in the first 7 days post-transplant. Secondary outcomes include early kidney transplant function (composite of dialysis duration and rate of improvement in graft function when dialysis is not required), hyperkalemia, mortality, graft survival, graft function, quality of life, healthcare resource use, and cost-effectiveness. Participants are enrolled, randomized, and followed up using the Australia and New Zealand Dialysis and Transplant (ANZDATA) Registry. DISCUSSION: If using Plasmalyte instead of 0.9% saline is effective at reducing delayed graft function and improves other clinical outcomes in deceased donor kidney transplantation, this simple, inexpensive change to using a balanced low-chloride intravenous fluid at the time of transplantation could be easily implemented in the vast majority of transplant settings worldwide. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry: ACTRN12617000358347. Registered on 8 March 2017. ClinicalTrials.gov: NCT03829488. Registered on 4 February 2019.Michael G. Collins, Magid A. Fahim, Elaine M. Pascoe, Kathryn B. Dansie, Carmel M. Hawley, Philip A. Clayton, Kirsten Howard, David W. Johnson, Colin J. McArthur, Rachael C. McConnochie, Peter F. Mount, Donna Reidlinger, Laura Robison, Julie Varghese, Liza A. Vergara, Laurence Weinberg, Steven J. Chadban, and for the BEST-Fluids Investigators and the Australasian Kidney Trials Networ

Iron and nutrient content of wind-erodible sediment in the ephemeral river valleys of Namibia

Research concerning the global distribution of aeolian dust sources has principally focussed on salt/clay pan and desiccated lacustrine emission areas. In southern Africa such sources are identified as Etosha Pan in northern Namibia and Makgadikgadi Pans in northern Botswana. Dust emitting from ephemeral river valleys, however, has been largely overlooked. Rivers are known nutrient transport pathways and the flooding regimes of ephemeral river valleys frequently replenish stores of fine sediment which, on drying, can become susceptible to aeolian erosion. Such airborne sediment may be nutrient rich and thus be significant for the fertilisation of marine waters once deposited. This study investigates the dust source sediments from three ephemeral river valleys in Namibia in terms of their particle size distribution and their concentrations of bioavailable N, P and Fe. We compare the nutrient content of these sediments from the ephemeral river valleys to those collected from Etosha and Makgadikgadi Pans and consider their relative ocean fertilising potential. Our results show that the ephemeral river valleys contain fine grained sediment similar in physical character to Etosha and Makgadikgadi Pans yet they have up to 43 times greater concentrations of bioavailable iron and enriched N and P macronutrients that are each important for ocean fertilisation. The known dust-emitting river valleys of Namibia may therefore be contributing a greater fertilisation role in the adjacent marine system than previously considered, and not-yet investigated. Given this finding a re-assessment of the potential role of ephemeral river valleys in providing nutrient-rich sediment into the aeolian and marine systems in other dryland areas is necessary

Individual and Community Predictors of Fear of Criminal Victimization: Results from a National Sample of Urban US Citizens

The present study investigated the validity of the construct of fear of criminal victimization, and identified factors associated with fear and crime prevention behaviors using a nationally representative sample from 12 US cities. Confirmatory factor analysis and structural equation modeling analyses indicated that along with individual-level characteristics, three latent constructs were predictive of fear and preventive behaviors, including: law enforcement, neighborhood environment and neighborhood crime. Specifically, knowledge of negative characteristics of the neighborhood environment and neighborhood crime were related to increased fear, whereas increased law enforcement activities were predictive of less fear. Additionally, knowledge of law enforcement activities and greater neighborhood crime lead to more preventive efforts, whereas knowledge of negative neighborhood characteristics lead to decreased preventive efforts. These findings provide empirical support for the multidimensionality of fear of criminal victimization, indicating that reformative efforts should be directed toward all three constructs in order to curtail fear

Iron and nutrient content of wind-erodible sediment in the ephemeral river valleys of Namibia

Research concerning the global distribution of aeolian dust sources has principally focussed on salt/clay pan and desiccated lacustrine emission areas. In southern Africa such sources are identified as Etosha Pan in northern Namibia and Makgadikgadi Pans in northern Botswana. Dust emitting from ephemeral river valleys, however, has been largely overlooked. Rivers are known nutrient transport pathways and the flooding regimes of ephemeral river valleys frequently replenish stores of fine sediment which, on drying, can become susceptible to aeolian erosion. Such airborne sediment may be nutrient rich and thus be significant for the fertilisation of marine waters once deposited. This study investigates the dust source sediments from three ephemeral river valleys in Namibia in terms of their particle size distribution and their concentrations of bioavailable N, P and Fe. We compare the nutrient content of these sediments from the ephemeral river valleys to those collected from Etosha and Makgadikgadi Pans and consider their relative ocean fertilising potential. Our results show that the ephemeral river valleys contain fine grained sediment similar in physical character to Etosha and Makgadikgadi Pans yet they have up to 43 times greater concentrations of bioavailable iron and enriched N and P macronutrients that are each important for ocean fertilisation. The known dust-emitting river valleys of Namibia may therefore be contributing a greater fertilisation role in the adjacent marine system than previously considered, and not-yet investigated. Given this finding a re-assessment of the potential role of ephemeral river valleys in providing nutrient-rich sediment into the aeolian and marine systems in other dryland areas is necessary

Holocene fluvial valley fill sources of atmospheric mineral dust in the Skeleton Coast, Namibia

Western Namibia is a significant global source of atmospheric mineral dust. We investigate the relationship between dust and source sediments, assessing the sustainability of dust flux. Remote sensing studies (Vickery and Eckhardt, 2013) have highlighted specific ephemeral fluvial systems as important contributors to dust flux, including highlighting sections of valleys that are the origins of dust plumes in the period 2005-8. Little is known however about the specific within-valley dust sediment sources, particularly whether dust is derived from modern ephemeral channel floors or older valley fill sediments, many of which have been reported in the region (Stone and Thomas, 2013). As part of a region-wide analysis of aeolian dust flux, we investigate the sediment properties of atmospheric dust samples and valley sediments from the Huab valley, one of the principal regional dust sources. Trapped dust samples contain up to 88% very fine sand and silt when collected samples are disaggregated prior to analysis. Valley fill surface samples comprise 80% very fine sand and silt, and the surface of the modern ephemeral channel 30%. Valley fill sediments were sampled at depths up to 3.6m below the present surface and reveal Holocene depositional ages from 0.6± 0.03ka back to 9.79 ± 0.73ka. These sediments contain 30% to 6% very fine sand and silt, with levels decreasing with depth and age. Aeolian bedforms in the valley system (nebkhas on the fill surface and climbing dunes on valley margins) indicate that aeolian processes under the influence of strong seasonal easterly winds likely result in dust being winnowed out of the valley fill surfaces, with sandy bedforms being constructed from the coarser component of the fill sediments. The volume of valley fill sediment suggests dust sourced from Holocene sediments is likely to continue into the future regardless of flow conditions in the modern channel system

Holocene fluvial valley fill sources of atmospheric mineral dust in the Skeleton Coast, Namibia

Western Namibia is a significant global source of atmospheric mineral dust. We investigate the relationship between dust and source sediments, assessing the sustainability of dust flux. Remote sensing studies (Vickery and Eckhardt, 2013) have highlighted specific ephemeral fluvial systems as important contributors to dust flux, including highlighting sections of valleys that are the origins of dust plumes in the period 2005-8. Little is known however about the specific within-valley dust sediment sources, particularly whether dust is derived from modern ephemeral channel floors or older valley fill sediments, many of which have been reported in the region (Stone and Thomas, 2013). As part of a region-wide analysis of aeolian dust flux, we investigate the sediment properties of atmospheric dust samples and valley sediments from the Huab valley, one of the principal regional dust sources. Trapped dust samples contain up to 88% very fine sand and silt when collected samples are disaggregated prior to analysis. Valley fill surface samples comprise 80% very fine sand and silt, and the surface of the modern ephemeral channel 30%. Valley fill sediments were sampled at depths up to 3.6m below the present surface and reveal Holocene depositional ages from 0.6± 0.03ka back to 9.79 ± 0.73ka. These sediments contain 30% to 6% very fine sand and silt, with levels decreasing with depth and age. Aeolian bedforms in the valley system (nebkhas on the fill surface and climbing dunes on valley margins) indicate that aeolian processes under the influence of strong seasonal easterly winds likely result in dust being winnowed out of the valley fill surfaces, with sandy bedforms being constructed from the coarser component of the fill sediments. The volume of valley fill sediment suggests dust sourced from Holocene sediments is likely to continue into the future regardless of flow conditions in the modern channel system