In the beginning: Role of autonomy support on the motivation, mental health and intentions of participants entering an exercise referral scheme

Self-determination theory (Deci & Ryan, 2000, Intrinsic motivation and self-determination in human behaviour. New York: Plenum Publishing) highlights the impact autonomy supportive environments can have on exercise motivation and positive health outcomes. Yet little is known about whether differential effects occur as a function of which significant other is providing this support. Further, no research has examined the relationship between motivation and the social environment with participants’ mental health and intentions to be physically active before entering an exercise intervention. Study participants were 347 British adults who were about to start an exercise referral scheme. Regression analyses revealed that the effects of autonomy support on mental health and physical activity intentions differed as a function of who provided the support (offspring, partner or physician), with the offspring having the weakest effects. A structural model was supported, indicating that autonomy support and more autonomous regulations led to more positive mental health outcomes and stronger intentions to be physically active. Knowledge of the social environmental and personal motivation of those about to commence an exercise programme can provide important insights for professionals supporting such efforts

Erosion and the sediment conveyor in central Australia

Why are the Neogene sedimentary fills across central Australia generally thin and discontinuous? One long-standing explanation is that sluggish tectonism and intensified aridity have combined to suppress rates of erosion and sediment production yielding a landscape crowded with inherited, preMiocene forms. Quantifying rates of sediment production, residence time and transport is possible with numerous methods, but the recent growth of cosmogenic nuclide (CN) analysis has provided unprecedented quantitative insights to rates of landscape evolution. Measurements of in situ produced cosmogenic 10Be and 26Al integrate rates of surface processes over million-year timescales—the last part of the Neogene in which aridity has strengthened across the continental interior. We present a compilation of ~600 published and unpublished 10Be and 26Al measurements from central Australia with a focus on the Neogene Eyre Basin and its periphery. Outlying and inlying bedrock uplands serve as engines of sediment production via erosion of bedrock. Surrounding the bedrock outcrops are vast sediment conveyors of varying efficiency and tempo: hillslopes, pediments, and alluvial fans are interim storage/burial zones for sediment in transit to the network of low-gradient rivers, dunes, and playas towards base level. Interactions between fluvial and aeolian processes are especially pertinent to sediment flux in the Eyre Basin. Major rivers such as the Cooper and Finke traverse dunefields in their lower reaches where quantities of alluvia are recirculated into dunes and vice versa. Tracking the trajectories of sediment from source-to-sink (including aeolian recirculation) remains a major challenge, but is central to unravelling the sedimentary dynamics of central Australia's Neogene basins. Based on the CN compilation we estimate 1) spatially averaged erosion rates at the scale of a hillslope or river catchment; 2) pointbased erosion rates on bedrock surfaces; 3) residence time of sediment in hillslope regolith and alluvial fans; and 4) cumulative burial history of sediments in transit. Catchment-scale erosion rates (n~100) are consistently low (<10 m/Myr) and include some of the lowest rates ever measured (~0.3 m/Myr); however, a small group of catchments in the Flinders Ras yield higher erosion rates (~30–60 m/Myr). Bedrock hillslopes (n~200) tend to erode even slower (<5 m/Myr), with a subset of Flinders Ras sites again being the exception (~10–30 m/Myr) and suggesting the influence of recent tectonism. Several CN depth-profiles measured on hillslopes and alluvial fans indicate sediment residence times >0.5 Myr, and high-resolution sampling along three hillslopes with differing morphology (linear, convex, and concave) reveals major variations in sediment production and transport rates that hint at the long-term evolution. In the rivers, fluvial sediments show a weak tendency to increase cumulative burial history downstream (1–2 Myr), consistent with the expanding accommodation space for storage and burial. Dune sediments sampled in the Simpson and Tirari dunefields (n~16) contain cumulative burial histories (up to 1.5 Myr) similar to that of the intersecting rivers. This points to an intimate mix of fluvial and aeolian processes in areas approaching base level. Curiously, these sediments occur in the lowest part of the continent and contain the longest histories of cumulative burial, yet do not form part of the thickest sedimentary fills in the Eyre Basin

Colectomy rate in steroid-refractory colitis initially responsive to cyclosporin: a long-term retrospective cohort study

BACKGROUND: There is consistent evidence that 50% of patients with acute, steroid-resistant flare of ulcerative colitis (UC) may achieve remission and avoid colectomy if treated with cyclosporin (CsA). However, follow-up of the responders has shown that most of them relapse and need surgery shortly after the response. We compared the records of our CsA-treated patients with those of other groups in order to help clarify this matter. METHODS: All patients admitted consecutively to our Unit with an attack of UC and treated with CsA between January 1991 and December 1999 were studied. Patients were begun on continuously-infused CsA at 2 mg/kg/day (1991–1996), or on NEORAL at an initial dose of 5 mg/kg/day (1996–1999). The maintenance treatment included oral CsA for 3–6 months with or without azathioprine (AZA). CsA failure was defined as a relapse requiring steroids with or without progression to colectomy; the cumulative probability of relapse/colectomy was assessed by Fisher's exact tests and Kaplan-Meier analysis. RESULTS: Among the patients, 39/61 (63%) initially responded. These 39 included a fatality and 4 drop-outs (unrelated to the side-effects of CsA), leaving 34 patients for the study. Of these, 61% and 35% were colectomy-free at 1 and 7 years, respectively; the corresponding figures were 80 and 60% respectively in the subset treated with AZA, but 47% and 15% in the AZA-untreated subgroup (p= 0.0007 at 7 years). Among the 34 patients, 44% were relapse-free at 1 year, but all had relapsed at 7 years (p = 0.0635). The overall resort to colectomy was 72%, while 19% of the patients remained colectomy-free. CONCLUSION: Sixty percent of a cohort of patients with steroid-refractory colitis responded to CsA and 60% of these responders retained the colon after 1 year. These figures fell to 35% at 7 years but improved to 60% on AZA. The overall need for colectomy remains high in these patients and toxicity must be monitored

Wandering permanent pacemaker generators in children: a case series

<p>Abstract</p> <p>Introduction</p> <p>Epicardial permanent pacemaker generators are implanted some times in the abdominal wall in pediatric age groups.</p> <p>Case presentation</p> <p>Three permanent epicardial pacemakers that migrated in an unusual manner producing intraabdominal complications are reported.</p> <p>Conclusion</p> <p>The different clinical presentations of pacemaker migration in the pediatric age groups are highlighted and a few suggestions are made for avoiding such a complication.</p

Recovery of renal function in dialysis patients

BACKGROUND: Although recovery of renal functions in dialysis dependent patients is estimated to be greater than 1%, there are no indicators that actually suggest such revival of renal function. Residual renal function in dialysis patients is unreliable and seldom followed. Therefore renal recovery (RR) in dialysis dependent patients may remain unnoticed. We present a group of dialysis dependent patients who regained their renal functions. The aim of this project is to determine any indicators that may identify the recovery of renal functions in dialysis dependent patients. METHODS: All the discharges from the chronic dialysis facilities were identified. Among these discharges deaths, transplants, voluntary withdrawals and transfers either to another modality or another dialysis facility were excluded in order to isolate the patients with RR. The dialysis flow sheets and medical records of these patients were subsequently reviewed. RESULTS: Eight patients with a mean age of 53.8 ± 6.7 years (± SEM) were found to have RR. Dialysis was initiated due to uremic symptoms in 6 patients and fluid overload in the remaining two. The patients remained dialysis dependent for 11.1 ± 4.2 months. All these patients had good urine output and 7 had symptoms related to dialysis. Their mean pre-initiation creatinine and BUN levels were 5.21 ± 0.6 mg/dl and 72.12 ± 11.12 mg/dl, respectively. Upon discontinuation, they remained dialysis free for 19.75 ± 5.97 months. The mean creatinine and BUN levels after cessation of dialysis were 2.85 ± 0.57 mg/dl and 29.62 ± 5.26 mg/dl, respectively, while the mean creatinine clearance calculated by 24-hour urine collection was 29.75 ± 4.78 ml/min. One patient died due to HIV complications. One patient resumed dialysis after nine months. Remaining continue to enjoy a dialysis free life. CONCLUSION: RR must be considered in patients with good urine output and unresolved acute renal failure. Dialysis intolerance may be an indicator of RR among such patients

Familial Linkage between Neuropsychiatric Disorders and Intellectual Interests

From personality to neuropsychiatric disorders, individual differences in brain function are known to have a strong heritable component. Here we report that between close relatives, a variety of neuropsychiatric disorders covary strongly with intellectual interests. We surveyed an entire class of high-functioning young adults at an elite university for prospective major, familial incidence of neuropsychiatric disorders, and demographic and attitudinal questions. Students aspiring to technical majors (science/mathematics/engineering) were more likely than other students to report a sibling with an autism spectrum disorder (p = 0.037). Conversely, students interested in the humanities were more likely to report a family member with major depressive disorder (p = 8.8×10−4), bipolar disorder (p = 0.027), or substance abuse problems (p = 1.9×10−6). A combined PREdisposition for Subject MattEr (PRESUME) score based on these disorders was strongly predictive of subject matter interests (p = 9.6×10−8). Our results suggest that shared genetic (and perhaps environmental) factors may both predispose for heritable neuropsychiatric disorders and influence the development of intellectual interests

Predator-Induced Vertical Behavior of a Ctenophore

Although many studies have focused on Mnemiopsis leidyi predation, little is known about the role of this ctenophore as prey when abundant in native and invaded pelagic systems. We examined the response of the ctenophore M. leidyi to the predatory ctenophore Beroe ovata in an experiment in which the two species could potentially sense each other while being physically separated. On average, M. leidyi responded to the predator’s presence by increasing variability in swimming speeds and by lowering their vertical distribution. Such behavior may help explain field records of vertical migration, as well as stratified and near-bottom distributions of M. leidyi

The Symbolic and cancellation-free formulae for Schur elements

In this paper we give a symbolical formula and a cancellation-free formula for the Schur elements associated to the simple modules of the degenerate cyclotomic Hecke algebras. As some direct applications, we show that the Schur elements are symmetric with respect to the natural symmetric group action and are integral coefficients polynomials and we give a different proof of Ariki-Mathas-Rui's criterion on the semi-simplicity of degenerate cyclotomic Hecke algebras.Comment: To appear in Monatshefte fur Mathemati

Direct CP violation in charm and flavor mixing beyond the SM

We analyze possible interpretations of the recent LHCb evidence for CP violation in D meson decays in terms of physics beyond the Standard Model. On general grounds, models in which the primary source of flavor violation is linked to the breaking of chiral symmetry (left-right flavor mixing) are natural candidates to explain this effect, via enhanced chromomagnetic operators. In the case of supersymmetric models, we identify two motivated scenarios: disoriented A-terms and split families. These structures predict other non-standard signals, such as nuclear EDMs close to their present bounds and, possibly, tiny but visible deviations in K and B physics, or even sizable flavor-violating processes involving the top quark or the stops. Some of these connections, especially the one with nuclear EDMs, hold beyond supersymmetry, as illustrated with the help of prototype non-supersymmetric models.Comment: 30 pages, 6 figure