Barriers and facilitators to adherence to group exercise in institutionalized older people living with dementia: a systematic review

Objectives Research suggests targeted exercise is important for people living with dementia, especially those living in residential care. The aim of this review was to collect and synthesize evidence on the known barriers and facilitators to adherence to group exercise of institutionalized older people living with dementia. Methods We searched all available electronic databases. Additionally, we searched trial registries (clinicaltrial.gov, and WHO ICTRP) for ongoing studies. We searched for and included papers from January 1990 until September 2017 in any language. We included randomized, non-randomized trials. Studies were not eligible if participants were either healthy older people or people suffering from dementia but not living in an institution. Studies were also excluded if they were not focused on barriers and facilitators to adherence to group exercise. Results Using narrative analysis, we identified the following themes for barriers: bio-medical reasons and mental wellbeing and physical ability, relationships dynamics, and socioeconomic reasons. The facilitators were grouped under the following thematic frames: bio-medical benefits and benefits related to physical ability, feelings and emotions and confidence improvements, therapist and group relationships dynamics and activity related reasons. Conclusions We conclude that institutionalized older people living with dementia, even those who are physically frail, incontinent and/or have mild dementia can demonstrate certain level of exercise adherence, and therefore can respond positively to exercise programs. Tailored, individually-adjusted and supported physical activity, led by a knowledgeable, engaging and well communicating therapist/facilitator improves the adherence to group exercise interventions of institutionalized older people living with dementia

Hadronic B Decays Involving Even Parity Charmed Mesons

Hadronic B decays containing an parity-even charmed meson in the final state are studied. Specifically we focus on the Cabibbo-allowed decays $\bar B\to D^{**} \pi(\rho), D^{**}\bar D_s^{(*)}, \bar D^{**}_sD^{(*)}$ and $\bar B_s\to D_s^{**}\pi(\rho)$, where $D^{**}$ denotes generically a p-wave charmed meson. The $B\to D^{**}$ transition form factors are studied in the improved version of the Isgur-Scora-Grinstein-Wise quark model. We apply heavy quark effective theory and chiral symmetry to study the strong decays of p-wave charmed mesons and determine the magnitude of the $D_1^{1/2}-D_1^{3/2}$ mixing angle. Except the decay to $D_1(2427)^0\pi^-$ the predictions for $B^-\to D^{**0}\pi^-$ agree with experiment. The sign of $D_1^{1/2}-D_1^{3/2}$ mixing angle is found to be positive in order to avoid a severe suppression on the production of $D_1(2427)^0\pi^-$. The interference between color-allowed and color-suppressed tree amplitudes is expected to be destructive in the decay $B^-\to D_1(2427)^0\pi^-$. Hence, an observation of the ratio $D_1(2427)^0\pi^-/D_1(2427)^+\pi^-$ can be used to test the relative signs of various form factors as implied by heavy quark symmetry. Although the predicted $B^-\to D_1(2420)^0\rho^-$ at the level of $3\times 10^{-3}$ exceeds the present upper limit, it leads to the ratio $D_1(2420)\rho^-/D_1(2420)\pi^-\approx 2.6$ as expected from the factorization approach and from the ratio $f_\rho/f_\pi\approx 1.6$ . Therefore, it is crucial to have a measurement of this mode to test the factorization hypothesis. For $\bar B\to \bar D_s^{**}D$ decays, it is expected that \bar D_{s0}^*D\gsim \bar D_{s1}D as the decay constants of the multiplet $(D_{s0}^*,D_{s1})$ become the same in the heavy quark limit.Comment: 27 pages, Belle's new data on DD_s^{**} productions in B decays and on the radiative decay D_{s1}-> D_s\gamma are updated and discussed. Add two reference

Branching Fractions of tau Leptons to Three Charged Hadrons

From electron-positron collision data collected with the CLEO detector operating at CESR near \sqrt{s}=10.6 GeV, improved measurements of the branching fractions for tau decays into three explicitly identified hadrons and a neutrino are presented as {\cal B}(\tau^-\to\pi^-\pi^+\pi^-\nu_\tau)=(9.13\pm0.05\pm0.46)%, {\cal B}(\tau^-\to K^-\pi^+\pi^-\nu_\tau)=(3.84\pm0.14\pm0.38)\times10^{-3}, {\cal B}(\tau^-\to K^-K^+\pi^-\nu_\tau)=(1.55\pm0.06\pm0.09)\times10^{-3}, and {\cal B}(\tau^-\to K^-K^+K^-\nu_\tau)<3.7\times10^{-5} at 90% C.L., where the uncertainties are statistical and systematic, respectively.Comment: 10 pages postscript, also available through http://w4.lns.cornell.edu/public/CLNS, to appear in Phys. Rev. Let

Measurement of B(Ds+ -->ell+ nu) and the Decay Constant fDs From 600/pb of e+e- Annihilation Data Near 4170 MeV

We examine e+e- --> Ds^-D_s^{*+} and Ds^{*-}Ds^{+} interactions at 4170 MeV using the CLEO-c detector in order to measure the decay constant fDs with good precision. Previously our measurements were substantially higher than the most precise lattice based QCD calculation of (241 +/- 3) MeV. Here we use the D_s^+ --> ell^+ nu channel, where the ell^+ designates either a mu^+ or a tau^+, when the tau^+ --> pi^+ anti-nu. Analyzing both modes independently, we determine B(D_s^+ --> mu^+ nu)= 0.565 +/- 0.045 +/- 0.017)%, and B(D_s^+ --> mu^+ nu)= (6.42 +/- 0.81 +/- 0.18)%. We also analyze them simultaneously to find an effective value of B^{eff}(D_s^+ --> mu^+ nu)= (0.591 +/- 0.037 +/- 0.018)% and fDs=(263.3 +/- 8.2 +/- 3.9) MeV. Combining with the CLEO-c value determined independently using D_s^+ --> tau^+ nu, tau^+ --> e^+ nu anti-nu decays, we extract fDs=(259.5 +/- 6.6 +/- 3.1) MeV. Combining with our previous determination of B(D^+ --> mu^+ nu), we extract the ratio fDs/fD+=1.26 +/- 0.06 +/- 0.02. No evidence is found for a CP asymmetry between Gamma(D_s^+ --> mu^+\nu) and \Gamma(D_s^- --> mu^- nu); specifically the fractional difference in rates is measured to be (4.8 +/- 6.1)%. Finally, we find B(D_s^+ --> e^+ nu) < 1.2x10^{-4} at 90% confidence level.Comment: 26 pages, 16 figure

Search for Radiative Decays of Upsilon(1S) into eta and eta'

We report on a search for the radiative decay of Upsilon(1S) to the pseudoscalar mesons eta and etaprime in 21.2 +/- 0.2 times 10^6 Upsilon(1S) decays collected with the CLEO III detector at the Cornell Electron Storage Ring (CESR). The eta meson was reconstructed in the three modes eta to gamma-gamma, eta to pi+pi-pi0 and eta to 3pi0. The etaprime meson was reconstructed in the mode etaprime to pi+ pi- eta with eta decaying through any of the above three modes, and also etaprime to gamma rho, where rho decays to pi^+ pi^-. Five out of the seven sub-modes are found to be virtually background-free. In four of them we find no signal candidates and in one Upsilon(1S) to gamma-etaprime, etaprime to pi+ pi- eta, eta to pi+pi-pi0 there are two good signal candidates, which is insufficient evidence to claim a signal. The other two sub-modes eta to gamma-gamma and etaprime to gamma rho are background limited, and show no excess of events in their signal regions. We combine the results from different channels and obtain upper limits at the 90% C.L. which are B(Upsilon(1S) to gamma eta) < 1.0 times 10^-6 and B(Upsilon(1S) to gamma etaprime) < 1.9 times 10^-6. Our limits are an order of magnitude tighter than the previous ones and below the predictions made by some theoretical models.Comment: 14 pages postscript,also available through http://www.lns.cornell.edu/public/CLNS/2007/, Submitted to PR

Evidence for B^(*)_s bar{B}^(*)_s Production at the Upsilon(5S)

Using data collected by the CLEO III detector at CESR, we started a series of investigations on the Upsilon(5S) resonance decay properties. The data sample used for this analysis consists of 0.42 fb-1 of data taken on the Upsilon(5S) resonance, 6.34 fb-1 of data collected on the Upsilon(4S) and 2.32 fb-1 of data taken in the continuum below the Upsilon(4S). B_s mesons are expected to decay predominantly into D_s meson, while the lighter B mesons decay into D_s only about 10% of the time. We exploit this difference to make a preliminary model dependent estimate of the ratio of B_s(*) anti-B_s(*) to the total b anti-b quark pair production at the Upsilon(5S) energy to be (21 +- 3 +- 9)%.Comment: 17 pages postscript,also available through http://www.lns.cornell.edu/public/CONF/2004/, Presented at ICHEP Aug 16-22,2004, Beijing, Chin

Measurement of the Total Hadronic Cross Section in e+e- Annihilations below 10.56 GeV

Using the CLEO III detector, we measure absolute cross sections for e+e- --> hadrons at seven center-of-mass energies between 6.964 and 10.538 GeV. The values of R, the ratio of hadronic and muon pair production cross sections, are determined within 2% total r.m.s. uncertainty.Comment: 17 pages postscript,also available through http://www.lns.cornell.edu/public/CLNS/2007/, Submitted to PR

Observation of the Hadronic Transitions Chi_{b 1,2}(2P) -> omega Upsilon(1S)

The CLEO Collaboration has observed the first hadronic transition among bottomonium (b bbar) states other than the dipion transitions among vector states, Upsilon(nS) -> pi pi Upsilon(mS). In our study of Upsilon(3S) decays, we find a significant signal for Upsilon(3S) -> gamma omega Upsilon(1S) that is consistent with radiative decays Upsilon(3S) -> gamma chi_{b 1,2}(2P), followed by chi_{b 1,2} -> omega Upsilon(1S). The branching ratios we obtain are Br(chi_{b1} -> omega Upsilon(1S) = 1.63 (+0.35 -0.31) (+0.16 -0.15) % and Br(chi_{b2} -> omega Upsilon(1S) = 1.10 (+0.32 -0.28) (+0.11 - 0.10)%, in which the first error is statistical and the second is systematic.Comment: submitted to XXI Intern'l Symp on Lepton and Photon Interact'ns at High Energies, August 2003, Fermila