275 research outputs found

    ‘Priming’ exercise and O2 uptake kinetics during treadmill running

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    We tested the hypothesis that priming exercise would speed kinetics during treadmill running. Eight subjects completed a square-wave protocol, involving two bouts of treadmill running at 70% of the difference between the running speeds at lactate threshold (LT) and max, separated by 6-min of walking at 4 km h−1, on two occasions. Oxygen uptake was measured breath-by-breath and subsequently modelled using non-linear regression techniques. Heart rate and blood lactate concentration were significantly elevated prior to the second exercise bout compared to the first. However, kinetics was not significantly different between the first and second exercise bouts (mean ± S.D., phase II time constant, Bout 1: 16 ± 3 s vs. Bout 2: 16 ± 4 s; slow component amplitude, Bout 1: 0.24 ± 0.10 L min−1vs. Bout 2: 0.20 ± 0.12 L min−1; mean response time, Bout 1: 34 ± 4 s vs. Bout 2: 34 ± 6 s; P > 0.05 for all comparisons). These results indicate that, contrary to previous findings with other exercise modalities, priming exercise does not alter kinetics during high-intensity treadmill running, at least in physically active young subjects. We speculate that the relatively fast kinetics and the relatively small slow component in the control (‘un-primed’) condition negated any enhancement of kinetics by priming exercise in this exercise modality

    Migration of income-support recipients from non-metropolitan NSW and SA into Sydney and Adelaide

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    Nancy Marshall, Ian Burnley, Peter Murphy, Graeme Hug

    Welfare outcomes of migration of low-income earners from metropolitan to non-metropolitan Australia

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    Invalid ISBN 1 877005 as published on the itemThe search for affordable housing was a significant trigger for moves. Over 50% of movers who rated housing affordability as a relocation factor regarded it as being “very important”. More people in total rated housing affordability than rated any other factor. Lifestyle considerations and personal circumstances were also very influential in relocation decisions. Many movers wanted a better place in which to raise a family (58% very important), preferred to live a quieter lifestyle away from the city (45%), were concerned about crime levels in the city (45%) and had other personal or health reasons for relocating. A large majority of movers believed that they were better off after moving with regard to housing cost, quality and size.Nancy Marshall, Peter Murphy, Ian Burnley and Graeme Hug

    Functional threshold power and the (manufactured) critical power controversy

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    We read with concern yet another communication from Dotan regarding the critical power (CP) concept which contains a litany of factual errors, false statements, and dated physiological interpretations. Space does not permit us to rebut every incorrect point made about our work (Wong et al., 2022) and the wider field in which it sits, but we will address what we consider to be some of the more egregious errors in his letter. We would first note, however, that our paper was not actually focused on the critical power concept

    Fostering Equity and Diversity in the Nova Scotia Legal Profession

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    The Province of Nova Scotia has, for many years, attempted, through a variety of means, to address issues of diversity and affirmative action. However, despite the lessons of history there are still those who question the need for programs and policies that promote, encourage and enforce equality. Even though significant advances have been made on many fronts Nova Scotia continues to struggle with issues of inequality. As with many problems faced by society acknowledging the existence of the problem is the first step towards developing solutions

    Dementia Care Mapping™ to reduce agitation in care home residents with dementia: the EPIC cluster RCT

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    Background The quality of care for people with dementia in care homes is of concern. Interventions that can improve care outcomes are required. Objective To investigate the clinical effectiveness and cost-effectiveness of Dementia Care Mapping™ (DCM) for reducing agitation and improving care outcomes for people living with dementia in care homes, versus usual care. Design A pragmatic, cluster randomised controlled trial with an open-cohort design, follow-up at 6 and 16 months, integrated cost-effectiveness analysis and process evaluation. Clusters were not blinded to allocation. The primary end point was completed by staff proxy and independent assessors. Setting Stratified randomisation of 50 care homes to the intervention and control groups on a 3 : 2 ratio by type, size, staff exposure to dementia training and recruiting hub. Participants Fifty care homes were randomised (intervention, n = 31; control, n = 19), with 726 residents recruited at baseline and a further 261 recruited after 16 months. Care homes were eligible if they recruited a minimum of 10 residents, were not subject to improvement notices, had not used DCM in the previous 18 months and were not participating in conflicting research. Residents were eligible if they lived there permanently, had a formal diagnosis of dementia or a score of 4+ on the Functional Assessment Staging Test of Alzheimer’s Disease, were proficient in English and were not terminally ill or permanently cared for in bed. All homes were audited on the delivery of dementia and person-centred care awareness training. Those not reaching a minimum standard were provided training ahead of randomisation. Eighteen homes took part in the process evaluation. Intervention Two staff members from each intervention home were trained to use DCM and were asked to carry out three DCM cycles; the first was supported by an external expert. Main outcome measures The primary outcome was agitation (Cohen-Mansfield Agitation Inventory), measured at 16 months. Secondary outcomes included resident behaviours and quality of life. Results There were 675 residents in the final analysis (intervention, n = 388; control, n = 287). There was no evidence of a difference in agitation levels between the treatment arms. The adjusted mean difference in Cohen-Mansfield Agitation Inventory score was –2.11 points, being lower in the intervention group than in the control (95% confidence interval –4.66 to 0.44; p = 0.104; adjusted intracluster correlation coefficient: control = 0, intervention = 0.001). The sensitivity analyses results supported the primary analysis. No differences were detected in any of the secondary outcomes. The health economic analyses indicated that DCM was not cost-effective. Intervention adherence was problematic; only 26% of homes completed more than their first DCM cycle. Impacts, barriers to and facilitators of DCM implementation were identified. Limitations The primary completion of resident outcomes was by staff proxy, owing to self-report difficulties for residents with advanced dementia. Clusters were not blinded to allocation, although supportive analyses suggested that any reporting bias was not clinically important. Conclusions There was no benefit of DCM over control for any outcomes. The implementation of DCM by care home staff was suboptimal compared with the protocol in the majority of homes. Future work Alternative models of DCM implementation should be considered that do not rely solely on leadership by care home staff. Trial registration Current Controlled Trials ISRCTN82288852. Funding This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 24, No. 16. See the NIHR Journals Library website for further project information

    Waste paper and macroalgae co-digestion effect on methane production

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    The present study investigates the effect on methane production from waste paper when co-digested with macroalgal biomass. Both feedstocks were previously mechanically pretreated to reduce their particle size. The study was planned according two factors: the feedstock to inoculum (F/I) ratio and the waste paper to macroalgae (WP/MA) ratio. The F/I ratios checked were 0.2, 0.3 and 0.4 and the WP/MA ratios were 0:100, 25:75, 50:50, 75:25 and 100:0. The highest methane yield (386 L kg−1 VSadded) was achieved at an F/I ratio of 0.2 and a WP/MA ratio of 50:50. A biodegradability index of 0.87 obtained in this study indicates complete conversion of feedstock at an optimum C/N ratio of 26. Synergistic effect was found for WP/MA 25:75, 50:50 and 75:25 mixing ratios compared with the substrates mono-digestion

    Trends in suicide in Scotland 1981 – 1999: age, method and geography

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    BACKGROUND: Male suicide rates continued to increase in Scotland when rates in England and Wales declined. Female rates decreased, but at a slower rate than in England and Wales. Previous work has suggested higher than average rates in some rural areas of Scotland. This paper describes trends in suicide and undetermined death in Scotland by age, gender, geographical area and method for 1981 – 1999. METHODS: Deaths from suicide and undetermined cause in Scotland from 1981 – 1999 were identified using the records of the General Registrar Office. The deaths of people not resident in Scotland were excluded from the analysis. Death rates were calculated by area of residence, age group, gender, and method. Standardised Mortality Ratios (SMRs) and 95% confidence intervals were calculated for rates by geographical area. RESULTS: Male rates of death by suicide and undetermined death increased by 35% between 1981 – 1985 and 1996 – 1999. The largest increases were in the youngest age groups. All age female rates decreased by 7% in the same period, although there were increases in younger female age groups. The commonest methods of suicide in men were hanging, self-poisoning and car exhaust fumes. Hanging in males increased by 96.8% from 45 per million to 89 per million, compared to a 30.7% increase for self-poisoning deaths. In females, the commonest method of suicide was self-poisoning. Female hanging death rates increased in the time period. Male SMRs for 1981 – 1999 were significantly elevated in Western Isles (SMR 138, 95% CI 112 – 171), Highland (135, CI 125 – 147), and Greater Glasgow (120, CI 115 – 125). The female SMR was significantly high only in Greater Glasgow (120, CI 112 – 128). CONCLUSION: All age suicide rates increased in men and decreased in women in Scotland in 1981 – 1999. Previous findings of higher than expected male rates in some rural areas were supported. Rates were also high in Greater Glasgow, one of the most deprived areas of Scotland. There were changes in the methods used, with an increase in hanging deaths in men, and a smaller increase in hanging in women. Altered choice of method may have contributed to the increased male deaths

    The Spectral Energy Distribution and Mass-loss Rate of the A-Type Supergiant Deneb

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    A stellar wind module has been developed for the PHOENIX stellar atmosphere code for the purpose of computing non-LTE, line-blanketed, expanding atmospheric structures and detailed synthetic spectra of hot luminous stars with winds. We apply the code to observations of Deneb, for which we report the first positive detections of mm and cm emission (obtained using the SCUBA and the VLA), as well a strong upper limit on the 850 micron flux (using the HHT). The slope of the radio spectrum shows that the stellar wind is partially ionized. We report a uniform-disk angular diameter measurement, 2.40 +/- 0.06 mas, from the Navy Prototype Optical Interferometer (NPOI). The measured bolometric flux and corrected NPOI angular diameter yield an effective temperature of 8600 +/- 500 K. Least-squares comparisons of synthetic spectral energy distributions from 1220 A to 3.6 cm with the observations provide estimates for the effective temperature and the mass-loss rate of 8400 +/- 100 K and 8 +/- 3 E-7 M_sun/yr, respectively. This range of mass-loss rates is consistent with that derived from high dispersion UV spectra when non-LTE metal-line blanketing is considered. We are unable achieve a reasonable fit to a typical Halpha P-Cygni profile with any model parameters over a reasonable range. This is troubling because the \ha profile is the observational basis for Wind Momentum-Luminosity Relationship.Comment: Accepted by the Astrophysical Journal, 43 pages, 23 figure
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