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Laying the foundation for pregnancy physical activity profiling: A framework for providing tailored physical Activity advice and guidance to pregnant women

The aim of this study was to examine the predictive utility of the theory of planned behaviour (TPB) in explaining pregnant women's physical activity (PA) intentions and behaviour and to scrutinise the role of past behaviour within this context. Pregnant women ( = 89) completed the pregnancy physical activity questionnaire (PPAQ) and newly developed TPB questionnaire on two separate occasions during their pregnancy. Analyses were carried out in relation to three scenarios. Firstly, when considering the original TPB, intention emerged as the strongest determinant of pregnant women's PA behaviour. Secondly, controlling for past behaviour attenuated the influence of intention and perceived behavioural control on behaviour, with neither of the original variables providing a unique influence. Finally, the addition of past behaviour added significantly to the prediction of intention with the model as a whole, explaining 85% of the variance in pregnant women's PA intention, and with past behaviour uniquely contributing 44.8% of the variance. Pregnancy physical activity profiling based on intention and behaviour status is subsequently introduced as a novel and practical framework. This provides healthcare professionals with the opportunity and structure to provide tailored advice and guidance to pregnant women, thereby facilitating engagement with PA throughout motherhood

Educational campaign to support pregnant women and new mothers in enjoying and benefiting from an active lifestyle. Insight report.

Recent research has shown that pregnant women who were physically active at the time of their booking appointment with a midwife (8-12 weeks) were most likely to initiate further discussion about maintaining their physical activity, however, it has also been found that there is a lack of consistent and clear information pertaining to physical activity messages with many health professionals either providing no such information or giving inappropriate guidance to women of childbearing age. A lack of training, knowledge, and resources regarding physical activity have resulted in healthcare professionals relying on common sense and their own experience to advise and guide pregnant women and new mothers. In turn, this often results in pregnant women and new mothers turning to informal sources, such as the internet, for guidance. In response, this project aims to develop a toolkit to support the delivery of consistent and clear messages regarding physical activity by healthcare professionals (in line with current guidance), as well as helping to stimulate engagement with physical activity in our target audiences. Through increasing the confidence, skills, and knowledge of healthcare professionals, it is expected that pregnant women and new mothers will be empowered to make informed physical activity choices throughout pregnancy and beyond. This report brings together the insights from the scoping activities carried out to facilitate the development of an educational campaign to support pregnant women and new mothers in enjoying and benefiting from an active lifestyle. The report provides an overview of the key themes that became apparent and conclude with points for discussion and next steps in the project delivery

Recommending swimming to people with low back pain: a scoping review

Background It is common practice for health professionals to recommend swimming to people with low back pain (LBP) despite limited evidence. The aim of this review was to gain an understanding of the current evidence base supporting the recommendation of swimming to people with LBP. Methods A scoping review was conducted searching five electronic databases, CINAHL, MEDLINE, PEDro, PubMed, and SPORTdiscus using the keywords back pain AND swim*. The studies were grouped by study design and the following uncertainties were considered; the impact of swimming on the spine and LBP, evidence of swimming increasing or reducing the risk of LBP and the use of swimming in LBP rehabilitation programmes. Results 25 studies met the eligibility criteria; including sixteen observational studies exploring the relationship between swimming and LBP, three biomechanical studies investigating the impact of swimming on the spine, and five interventional studies of which four which integrated swimming into a rehabilitation programme and one used swimming to modify lumbar lordosis. Conclusion The review confirmed there is limited research and only low-level evidence to support the recommendation of swimming to people with LBP. Observational studies make up the greater proportion of research undertaken in the field; the data indicates that swimming is a low-risk form of exercise but not without risk. The findings from biomechanical research suggest that lumbar lordosis does not increase excessively when swimming breaststroke, but certain swimming techniques could negatively impact LBP and interventional trials illustrate that there are various ways to integrate swimming into a rehabilitation programme

Should physiotherapists recommend swimming to patients with low back pain (LBP) and is further research warrented?

This is a conference abstract

An Experiment to Evaluate Skylab Earth Resources Sensors for Detection of the Gulf Stream

The author has identified the following significant results. An experiment to evaluate the Skylab earth resources package for observing ocean currents was performed in the Straits of Florida in January 1974. Data from the S190 photographic facility, S191 spectroradiometer and S192 multispectral scanner, were compared with surface observations. The anticyclonic edge of the Gulf Stream could be identified in the Skylab S190A and B photographs, but the cyclonic edge was obscured by clouds. The aircraft photographs were judged not useful for spectral analysis because vignetting caused the blue/green ratios to be dependent on the position in the photograph. The spectral measurement technique could not identify the anticyclonic front, but mass of Florida Bay water which was in the process of flowing into the Straits could be identified and classified. Monte Carlo simulations of the visible spectrum showed that the aerosol concentration could be estimated and a correction technique was devised

Software for Managing Parametric Studies

The Information Power Grid Virtual Laboratory (ILab) is a Practical Extraction and Reporting Language (PERL) graphical-user-interface computer program that generates shell scripts to facilitate parametric studies performed on the Grid. (The Grid denotes a worldwide network of supercomputers used for scientific and engineering computations involving data sets too large to fit on desktop computers.) Heretofore, parametric studies on the Grid have been impeded by the need to create control language scripts and edit input data files painstaking tasks that are necessary for managing multiple jobs on multiple computers. ILab reflects an object-oriented approach to automation of these tasks: All data and operations are organized into packages in order to accelerate development and debugging. A container or document object in ILab, called an experiment, contains all the information (data and file paths) necessary to define a complex series of repeated, sequenced, and/or branching processes. For convenience and to enable reuse, this object is serialized to and from disk storage. At run time, the current ILab experiment is used to generate required input files and shell scripts, create directories, copy data files, and then both initiate and monitor the execution of all computational processes

Pregnancy in the female athlete - Part 1: antenatal

As female participation in sport and exercise continues to increase, there is a strong likelihood that a strength and conditioning (S&C) coach will work with a pregnant athlete. High profile athletes such as Serena Williams and Dame Jessica Ennis-Hill have shown recently that it is not uncommon for female athletes to become mothers during their careers, rather than after they have retired. However, historically pregnancy was perceived as time spent away from sport and being active was wrongly associated with a high, unreasonable risk to the unborn foetus. The challenge for the S&C coach working with pregnant athletes is navigating the wide range of global recommendations that are often aimed at active or inactive individuals, but not at elite athletes. It is fundamental that any coach working with pregnant athletes is knowledgeable about the physiological and anatomical changes that occur throughout the trimesters, the nutritional demands of pregnancy, and its effect on weight management in order to appropriately facilitate athlete and foetal health during the antenatal period. Therefore, the aim of this initial review is to summarise current literature and provide key insights that promote best practice for practitioners working with pregnant athletes. The use of ‘women’ throughout this paper will refer to the general population and ‘sportswomen’ to the athletic population. ‘Antenatal’ refers to a pregnant woman before childbirth and the term ‘postnatal’ means after childbirth, something which will be covered in part 2 of this review series

Vocational perspectives after spinal cord injury

Objective: To give insight into the vocational situation several years after a traumatic spinal cord injury (SCI) and describe the personal experiences and unmet needs; to give an overview of health and functional status per type of SCI and their relationship with employment status. Design: Descriptive analysis of data from a questionnaire. Setting: Dutch rehabilitation centre with special department for patients with spinal cord injuries. Subjects: Fifty-seven patients with a traumatic SCI, aged 18-60 years, admitted to the rehabilitation centre from 1990 to 1998. Main measures: Questionnaire with items related to vocational outcome, job experiences, health and functional status. Results: Of 49 patients who were working at the moment of SCI 60% currently had a paid job. Vocational outcome was related to a higher educational level. A significant relation between the SCI-specific health and functional status and employment was not found. The respondents who changed to a new employer needed more time to resume work, but seemed more satisfied with the job and lost fewer working hours than those who resumed work with the same employer. In spite of reasonable to good satisfaction with the current work situation, several negative experiences and unmet needs were reported. Conclusions: Despite a high participation in paid work following SCI, the effort of the disabled worker to have and keep a job should not be underestimated