Walking and living independently with spina bifida: a 50-year prospective cohort study.

Aim To describe trends in walking and living independently in a cohort of consecutive cases of spina bifida, followed‐up over 50 years. Method From 1972 to 2017, a cohort of 117 (born 1963–1971, 50 males, 67 females) survivors and/or carers was surveyed approximately every 5 years by clinical examination and/or postal questionnaire/telephone interview. The Office for National Statistics provided details of deaths. Results The follow‐up in 2016 and 2017 was 99% (116/117). There were 37 survivors (17 males, 20 females) aged 46 to 53 years and 79 deaths (50y survival, 32%). The percentage of survivors who could walk more than 50m at the mean ages of 9 years, 18 years, 25 years, 30 years, 35 years, 40 years, 45 years, and 50 years was 51% (38/75), 50% (34/68), 33% (20/61), 30% (17/57), 30% (16/54), 30% (14/46), 31% (12/39), and 27% (10/37) respectively. However, the percentage living independently in the community after age 25 years increased over time: 23% (14/61); 37% (21/57); 41% (22/54); 39% (18/46); 56% (22/39); and 54% (20/37). Living independently at age 50 years was more common in survivors without a history of raised intracranial pressure or cerebrospinal fluid shunt revisions. Interpretation In this unselected cohort, mobility declined with age, possibly because of increasing obesity and deteriorating health. By contrast, partly because survival was better in those least disabled, the percentage living independently increased. What this paper adds By age 50 years, the percentage of patients who could walk more than 50m had declined to 27%. By age 50 years, the percentage living independently had doubled to over 50%. Survivors without a history of raised intracranial pressure or cerebrospinal fluid shunt revision are more likely to live independently

Radical change and dietary conservatism: Mixing model estimates of human diets along the Inner Asia and China’s mountain corridors

Recent research has demonstrated that a series of mountains from the eastern Iranian Plateau to eastern Kazakhstan and to western China played a significant role in trans-Eurasian exchange during the third and second millennia BC. In close association with these mountain corridors, a number of southwestern Asian cereals, notably free threshing wheat and barley, moved eastward, and broomcorn millet, among other plant foods originating in China, moved westward. In this paper, we apply Bayesian stable isotope mixing models to published and newly obtained isotopic data in order to quantitatively estimate the contribution of different food resources to human diets, and we consider the complexity of human food strategies at both ends of these mountain corridors: southern Kazakhstan and the Hexi Corridor in western China. Our results contrast the rapid adoption of wheat and/or barley in the Hexi Corridor with the gradual, incremental adoption of millet in southern Kazakhstan during the second millennium BC.The authors are grateful to European Research Council, under grant 24964 (FOGLIP), Washington University Deanery Office Grant, American Association of University Women (AAUW), International Center for Advanced Renewable Energy and Sustainability (I-CARES) for financial support. We are thankful to Catherine Kneale and James Rolfe from Cambridge for assistance with isotopic analysis. We are also grateful to Pavel Tarasov for helps to the manuscript; and to Professors Mayke Wagner and Pavel Tarasov and Dr Robert Spengler for organizing the workshop, entitled ‘The Introduction and Intensification of Agriculture in Central Eurasia’, Berlin in 2015

Fluctuations and irreversibility: An experimental demonstration of a second-law-like theorem using a colloidal particle held in an optical trap

The puzzle of how time-reversible microscopic equations of mechanics lead to the time-irreversible macroscopic equations of thermodynamics has been a paradox since the days of Boltzmann. Boltzmann simply sidestepped this enigma by stating “as soon as one looks at bodies of such small dimension that they contain only very few molecules, the validity of this theorem [the second law of thermodynamics and its description of irreversibility] must cease.” Today we can state that the transient fluctuation theorem (TFT) of Evans and Searles is a generalized, second-law-like theorem that bridges the microscopic and macroscopic domains and links the time-reversible and irreversible descriptions. We apply this theorem to a colloidal particle in an optical trap. For the first time, we demonstrate the TFT in an experiment and show quantitative agreement with Langevin dynamics

Physiological, perceptual, and technical responses to on-court tennis training on hard and clay courts

The aim of this study was to investigate the effect of court surface (clay vs. hard court) on technical, physiological, and perceptual responses to on-court tennis training. Four high-performance junior male players performed 2 identical training sessions on hard and clay courts, respectively. Sessions included both physical conditioning and technical elements as led by the coach. Each session was filmed for later notational analysis of stroke count and error rates. Furthermore, players wore a global positioning satellite device to measure distance covered during each session, while heart rate, countermovement jump distance, and capillary blood measures of metabolites were measured before, during, and after each session. Additionally, a respective coach and athlete rating of perceived exertion (RPE) were measured after each session. Total duration and distance covered during each session were comparable (p > 0.05; d 0.05; d 0.05; d > 0.90). Furthermore, large effects for increased heart rate, blood lactate, and RPE values were evident on clay compared with hard courts (p > 0.05; d > 0.90). Additionally, although player and coach RPE on hard courts were similar, there were large effects for coaches to underrate the RPE of players on clay courts (p > 0.05; d > 0.90). In conclusion, training on clay courts results in trends for increased heart rate, lactate, and RPE values, suggesting that sessions on clay courts tend towards higher physiological and perceptual loads than hard courts. Furthermore, coaches seem effective at rating player RPE on hard courts but may underrate the perceived exertion of sessions on clay courts. © 2013 National Strength and Conditioning Association

Why New Zealand’s Indigenous reconciliation process has failed to empower Māori fishers: Distributional, procedural, and recognition-based injustices

How is it that the New Zealand government’s process for re-establishing Indigenous fishing rights has failed to deliver thriving Māori fisheries? This paper examines why, at Te Waihora, a coastal lake, and site of one of the nation’s longest running and best-funded state-Māori co-governance agreements, Māori fishers have been unable to use their rights to support their fishery. As of 2018, the lake’s culturally and ecologically significant eel population was no longer commercially viable, a decline fishers have attributed to rampant dairy industry expansion upstream. Drawing on environmental justice literatures, we deploy a multi-dimensional framework to identify factors shaping possibilities for justice in the wake of rights reconciliation, as experienced by Māori fishers, scientists, and leaders. We engage theories of political economic relations to interpret the implications of these experiences for environmental justice theory and politics. Ethnographic accounts demonstrate that the New Zealand government’s process for re-establishing Māori rights falls short of achieving distributional, procedural, and recognition-based dimensions of environmental justice, and that these effects are interlinked. In particular: (i) downstream fishers are placed to bear disproportionate costs of runoff from upstream land use change; (ii) Māori fishers have little influence over governance decisions that affect land use; and (iii) government claims, including that Māori should, “move beyond grievance mode,” obscure logics for resistance. We suggest that the government’s support for dairy industry expansion represents an attempt to mitigate crises of overaccumulation, characteristic of competitive markets. Unlike those who identify persistent injustice as a logic for turning away from the state, we argue that the recurring nature of these crises, and the role state organizations play in directing responses, indicates a rationale for continued engagement with state governing bodies to advance justice

Single-lined Spectroscopic Binary Star Candidates in the RAVE Survey

Repeated spectroscopic observations of stars in the RAdial Velocity Experiment (RAVE) database are used to identify and examine single-lined binary (SB1) candidates. The RAVE latest internal database (VDR3) includes radial velocities, atmospheric parameters, and other parameters for approximately a quarter of a million different stars with slightly less than 300,000 observations. In the sample of ~20,000 stars observed more than once, 1333 stars with variable radial velocities were identified. Most of them are believed to be SB1 candidates. The fraction of SB1 candidates among stars with several observations is between 10% and 15% which is the lower limit for binarity among RAVE stars. Due to the distribution of time spans between the re-observation that is biased toward relatively short timescales (days to weeks), the periods of the identified SB1 candidates are most likely in the same range. Because of the RAVE's narrow magnitude range most of the dwarf candidates belong to the thin Galactic disk while the giants are part of the thick disk with distances extending to up to a few kpc. The comparison of the list of SB1 candidates to the VSX catalog of variable stars yielded several pulsating variables among the giant population with radial velocity variations of up to few tens of km s–1. There are 26 matches between the catalog of spectroscopic binary orbits ($S_{B^9}$) and the whole RAVE sample for which the given periastron time and the time of RAVE observation were close enough to yield a reliable comparison. RAVE measurements of radial velocities of known spectroscopic binaries are consistent with their published radial velocity curves

Using interpretative phenomenological analysis to inform physiotherapy practice: An introduction with reference to the lived experience of cerebellar ataxia

The attached file is a pre-published version of the full and final paper which can be found at the link below.This article has been made available through the Brunel Open Access Publishing Fund.Qualitative research methods that focus on the lived experience of people with health conditions are relatively underutilised in physiotherapy research. This article aims to introduce interpretative phenomenological analysis (IPA), a research methodology oriented toward exploring and understanding the experience of a particular phenomenon (e.g., living with spinal cord injury or chronic pain, or being the carer of someone with a particular health condition). Researchers using IPA try to find out how people make sense of their experiences and the meanings they attach to them. The findings from IPA research are highly nuanced and offer a fine grained understanding that can be used to contextualise existing quantitative research, to inform understanding of novel or underresearched topics or, in their own right, to provoke a reappraisal of what is considered known about a specified phenomenon. We advocate IPA as a useful and accessible approach to qualitative research that can be used in the clinical setting to inform physiotherapy practice and the development of services from the perspective of individuals with particular health conditions.This article is available through the Brunel Open Access Publishing Fund

Community-based adaptation research in the Canadian Arctic

Community-based adaptation (CBA) has emerged over the last decade as an approach to empowering communities to plan for and cope with the impacts of climate change. While such approaches have been widely advocated, few have critically examined the tensions and challenges that CBA brings. Responding to this gap, this article critically examines the use of CBA approaches with Inuit communities in Canada. We suggest that CBA holds significant promise to make adaptation research more democratic and responsive to local needs, providing a basis for developing locally appropriate adaptations based on local/indigenous and Western knowledge. Yet, we argue that CBA is not a panacea, and its common portrayal as such obscures its limitations, nuances, and challenges. Indeed, if uncritically adopted, CBA can potentially lead to maladaptation, may be inappropriate in some instances, can legitimize outside intervention and control, and may further marginalize communities. We identify responsibilities for researchers engaging in CBA work to manage these challenges, emphasizing the centrality of how knowledge is generated, the need for project flexibility and openness to change, and the importance of ensuring partnerships between researchers and communities are transparent. Researchers also need to be realistic about what CBA can achieve, and should not assume that research has a positive role to play in community adaptation just because it utilizes participatory approaches