Refeeding Hypophosphatemia in Adolescents With Anorexia Nervosa: A Systematic Review

The rate of adolescents presenting with anorexia nervosa (AN) is increasing. Medically unstable adolescents are admitted to the hospital for nutrition restoration. A lack of global consensus on appropriate refeeding practices of malnourished patients has resulted in inconsistent refeeding practices. Refeeding hypophosphatemia (RH) is the most common complication associated with refeeding the malnourished patient. This review sought to identify the range of refeeding rates adopted globally and the implication that total energy intake and malnutrition may have on RH while refeeding adolescents with anorexia nervosa. Studies were identified by a systematic electronic search of medical databases from 1980 to September 2012. Seventeen publications were identified, including 6 chart reviews, 1 observational study, and 10 case reports, with a total of 1039 subjects. The average refeeding energy intake was 1186 kcal/d, ranging from 125–1900 kcal/d, with a mean percentage median body mass index (% mBMI) of 78%. The average incidence rate of RH was 14%. A significant correlation between malnutrition (% mBMI) and post-refeeding phosphate was identified (R 2 = 0.6, P = .01). This review highlights the disparity in refeeding rates adopted internationally in treating malnourished adolescents with anorexia nervosa. Based on this review, the severity of malnutrition seems to be a marker for the development of RH more so than total energy intake

The ‘Lost’ Church of Bix Gibwyn: The Human Bone

Recent research for the Victoria County History (VCH) highlighted the presence of a ‘lost’ medieval church in Bix, a Chilterns parish north-west of Henley-on-Thames. The building, formerly the parish church of Bix Gibwyn, was abandoned in the late sixteenth or seventeenth century and has left no standing remains. Archaeological investigation by the South Oxfordshire Archaeological Group (SOAG) and Reading University has confirmed its location in a close called ‘Old Chapel’ in Bix Bottom, in the north of the parish. The rediscovery of the site – which contains the foundations of a hitherto unknown Romano-British stone building – sheds new light on long-term changes in local communications, settlement, and economic conditions. In the Middle Ages Bix Gibwyn church was a focus of religious and social life for a small rural community in the south Oxfordshire Chilterns. After the Reformation it was neglected, demolished, and finally all but forgotten. Its location has been a matter of speculation for over a hundred years,1 but in 2007–10 its churchyard was identified through a combination of historical research and archaeological fieldwork. Confirmation of the church’s location in the remote Bix Bottom valley provides important evidence about the medieval settlement pattern in Bix, which was very different from the modern one, and offers an opportunity to reassess the development of settlement in the southern Chilterns more generally. The archaeological findings also supply new evidence about Roman activity in the area

Possibilities and pitfalls? Moderate drinking and alcohol abstinence at home since the COVID-19 lockdown

The global ‘lockdowns’ and social distancing measures triggered by the COVID-19 pandemic have brought about unprecedented social changes, including the sudden, temporary closure of licensed venues and significant modifications to leisure and drinking practices. In this piece, we argue that these changes invite researchers to consider the short and longer-term consequences in terms of continuities and changes to the practices and symbolism of alcohol consumption both within and beyond domestic spaces. We do this by drawing on illustrations from our emergent qualitative research involving internet-mediated semi-structured and focus group interviews with 20 participants from the UK (aged 26-65) concerning experiences of drinking in and beyond ‘lockdown’. In sharing these early findings, we hope to highlight themes relevant to understanding drinking behaviour during the COVID-19 pandemic and to stimulate dialogue for immediate research priorities in this area. Key topic areas in our data appear to concern; variability in heavy/moderate/light/non-drinking practices while drinking at home, lockdown as an opportunity to reassess relationships with alcohol, and the symbolic role of alcohol in internet-mediated communications and interactions. Longstanding policymaker and practitioner concerns with managing public drinking and public order may have been unsettled by a growth in home-based drinking, although, as we argue, such changes were in motion before the global pandemic. We propose that a greater understanding of the challenges and opportunities the pandemic presents for (re)negotiating relationships with alcohol may offer wider lessons around how individuals and communities might be supported via innovative policy measures to change their relationships with alcohol both during and beyond lockdown

All in this together?

Almost daily news reports point to how lockdown, ‘the new normal’ for most, is influencing behaviours relevant to physical health like alcohol consumption and taking physical activity. But how is health behaviour changing, among whom, and will any changes last post-lockdown? We argue that health polarisations are tied with broader social inequalities with implications for whether any lifestyle changes will endure. Psychological and social science research must respond with creative, collaborative and innovative research to guide health policy and practice in the post-lockdown world serving the interests of all citizens

Sources of sport confidence, imagery type and performance among competitive athletes: The mediating role of sports confidence

Aim: This study explored the mediating role of sport confidence upon (1) sources of sport confidence-performance relationship and (2) imagery-performance relationship. Methods: Participants were 157 competitive athletes who completed state measures of confidence level/sources, imagery type and performance within one hour after competition. Results: Among the current sample, confirmatory factor analysis revealed appropriate support for the nine-factor SSCQ and the five-factor SIQ. Mediational analysis revealed that sport confidence had a mediating influence upon the achievement source of confidence-performance relationship. In addition, both cognitive and motivational imagery types were found to be important sources of confidence, as sport confidence mediated imagery type-performance relationship. Conclusion: Findings indicated that athletes who construed confidence from their own achievements and report multiple images on a more frequent basis are likely to benefit from enhanced levels of state sport confidence and subsequent performance

Sources of sport confidence, imagery type and performance among competitive athletes: The mediating role of sports confidence

Aim: This study explored the mediating role of sport confidence upon (1) sources of sport confidence-performance relationship and (2) imagery-performance relationship. Methods: Participants were 157 competitive athletes who completed state measures of confidence level/sources, imagery type and performance within one hour after competition. Results: Among the current sample, confirmatory factor analysis revealed appropriate support for the nine-factor SSCQ and the five-factor SIQ. Mediational analysis revealed that sport confidence had a mediating influence upon the achievement source of confidence-performance relationship. In addition, both cognitive and motivational imagery types were found to be important sources of confidence, as sport confidence mediated imagery type-performance relationship. Conclusion: Findings indicated that athletes who construed confidence from their own achievements and report multiple images on a more frequent basis are likely to benefit from enhanced levels of state sport confidence and subsequent performance

Role of the heat shock transcription factor, Hsf1, in a major fungal pathogen that is obligately associated with warm-blooded animals

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