An Efficient Lamp for Eye Operations

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Improving Physical Activity Levels in Prevocational Students by Student Participation:Protocol for a Cluster Randomized Controlled Trial

BACKGROUND: A consistent finding in the literature is the decline in physical activity during adolescence, resulting in activity levels below the recommended guidelines. Therefore, promotion of physical activity is recommended specifically for prevocational students. OBJECTIVE: This protocol paper describes the background and design of a physical activity promotion intervention study in which prevocational students are invited to participate in the design and implementation of an intervention mix. The intervention is expected to prevent a decline in physical activity in the target group. METHODS: The effectiveness of the intervention was evaluated in a two-group cluster randomized controlled trial with assessments at baseline and 2-year follow-up. A simple randomization was applied, allocating 11 schools to the intervention group and 11 schools to the control group, which followed the regular school curriculum. The research population consisted of 3003 prevocational students, aged 13-15 years. The primary outcome measures were self-reported physical activity levels (screen time, active commuting, and physical activity). As a secondary outcome, direct assessment of physical fitness (leg strength, arm strength, hip flexibility, hand speed, abdominal muscle strength, BMI, and body composition) was included. An intervention-control group comparison was presented for the baseline results. The 2-year interventions began by mapping the assets of the prevocational adolescents of each intervention school using motivational interviewing in the structured interview matrix and the photovoice method. In addition, during focus group sessions, students, school employees, and researchers cocreated and implemented an intervention plan that optimally met the students’ assets and opportunities in the school context. The degree of student participation was evaluated through interviews and questionnaires. RESULTS: Data collection of the SALVO (stimulating an active lifestyle in prevocational students) study began in October 2015 and was completed in December 2017. Data analyses will be completed in 2021. Baseline comparisons between the intervention and control groups were not significant for age (P=.12), screen time behavior (P=.53), nonschool active commuting (P=.26), total time spent on sports activities (P=.32), total physical activities (P=.11), hip flexibility (P=.22), maximum handgrip (P=.47), BMI (P=.44), and sum of skinfolds (P=.29). Significant differences between the intervention and control groups were found in ethnicity, gender, active commuting to school (P=.03), standing broad jump (P=.02), bent arm hang (P=.01), 10× 5-m sprint (P=.01), plate tapping (P=.01), sit-ups (P=.01), and 20-m shuttle run (P=.01). CONCLUSIONS: The SALVO study assesses the effects of a participatory intervention on physical activity and fitness levels in prevocational students. The results of this study may lead to a new understanding of the effectiveness of school-based physical activity interventions when students are invited to participate and cocreate an intervention. This process would provide structured health promotion for future public health. TRIAL REGISTRATION: ISRCTN Registry ISRCTN35992636; http://www.isrctn.com/ISRCTN35992636 INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/2827

Psychometric properties of an interviewer-administered version of the Kessler Psychological Distress scale (K10) among Dutch, Moroccan and Turkish respondents

Sons, Lt

Are some children genetically predisposed to poor sleep? A polygenic risk study in the general population

Background: Twin studies show moderate heritability of sleep traits: 40% for insomnia symptoms and 46% for sleep duration. Genome-wide association studies (GWAS) have identified genetic variants involved in insomnia and sleep duration in adults, but it is unknown whether these variants affect sleep during early development. We assessed whether polygenic risk scores for insomnia (PRS-I) and sleep duration (PRS-SD) affect sleep throughout early childhood to adolescence. Methods: We included 2,458 children of European ancestry (51% girls). Insomnia-related items of the Child Behavior Checklist were reported by mothers at child's age 1.5, 3, and 6 years. At 10–15 years, the Sleep Disturbance Scale for Children and actigraphy were assessed in a subsample (N = 975). Standardized PRS-I and PRS-SD (higher scores indicate genetic susceptibility for insomnia and longer sleep duration, respectively) were computed at multiple p-value thresholds based on largest GWAS to date. Results: Children with higher PRS-I had more insomnia-related sleep problems between 1.5 and 15 years (BPRS-I &lt; 0.001 =.09, 95% CI: 0.05; 0.14). PRS-SD was not associated with mother-reported sleep problems. A higher PRS-SD was in turn associated with longer actigraphically estimated sleep duration (BPRS-SD &lt; 5e08 =.05, 95% CI: 0.001; 0.09) and more wake after sleep onset (BPRS-SD &lt; 0.005 =.25, 95% CI: 0.04; 0.47) at 10–15 years, but these associations did not survive multiple testing correction. Conclusions: Children who are genetically predisposed to insomnia have more insomnia-like sleep problems, whereas those who are genetically predisposed to longer sleep have longer sleep duration, but are also more awake during the night in adolescence. This indicates that polygenic risk for sleep traits, based on GWAS in adults, affects sleep already in children.</p

On the Life History of Wireworms of the Genus Agriotes, Esch., with Some notes on that of Athous Haemorrhoidalis, F. Part II

RESP-30

The effects of disk and dust structure on observed polarimetric images of protoplanetary disks

Imaging polarimetry is a powerful tool for imaging faint circumstellar material. For a correct analysis of observations we need to fully understand the effects of dust particle parameters, as well as the effects of the telescope, atmospheric seeing, and assumptions about the data reduction and processing of the observed signal. Here we study the major effects of dust particle structure, size-dependent grain settling, and instrumental properties. We performed radiative transfer modeling using different dust particle models and disk structures. To study the influence of seeing and telescope diffraction we ran the models through an instrument simulator for the ExPo dual-beam imaging polarimeter mounted at the 4.2m William Herschel Telescope (WHT). Particle shape and size have a strong influence on the brightness and detectability of the disks. In the simulated observations, the central resolution element also contains contributions from the inner regions of the protoplanetary disk besides the unpolarized central star. This causes the central resolution element to be polarized, making simple corrections for instrumental polarization difficult. This effect strongly depends on the spatial resolution, so adaptive optics systems are needed for proper polarization calibration. We find that the commonly employed homogeneous sphere model gives results that differ significantly from more realistic models. For a proper analysis of the wealth of data available now or in the near future, one must properly take the effects of particle types and disk structure into account. The observed signal depends strongly on the properties of these more realistic models, thus providing a potentially powerful diagnostic. We conclude that it is important to correctly understand telescope depolarization and calibration effects for a correct interpretation of the degree of polarization.Comment: Accepted for publication in A&

Team- and task-related knowledge in shared mental models in operating room teams: A survey study

OBJECTIVE: The operating room is a highly complex environment, where patient care is delivered by interprofessional teams. Unfortunately, issues with communication and teamwork occur, potentially leading to patient harm. A shared mental model is one prerequisite to function effectively as a team, and consists of task- and team-related knowledge. We aimed to explore potential differences in task- and team-related knowledge between the different professions working in the operating room. The assessed team-related knowledge consisted of knowledge regarding other professions' training and work activities, and of perceived traits of a high-performing and underperforming colleague. Task-related knowledge was assessed by mapping the perceived allocation of responsibilities for certain tasks, using a Likert-type scale. DESIGN: A single sample cross-sectional study. SETTING: The study was performed in three hospitals in the Netherlands, one academic center and two regional teaching hospitals. PARTICIPANTS: 106 health care professionals participated, of four professions. Most respondents (77%) were certified professionals, the others were still in training. RESULTS: Participants generally were well informed about each other's training and work activities and nearly everyone mentioned the importance of adequate communication and teamwork. Discrepancies were also observed. The other professions knew on average the least about the profession of anesthesiologists and most about the profession of surgeons. When assessing the responsibilities regarding tasks we found consensus in well-defined and/or protocolized tasks, but variation in less clearly defined tasks. CONCLUSIONS: Team- and task-related knowledge in the operating room team is reasonably well developed, but irregularly, with potentially crucial differences in knowledge related to patient care. Awareness of these discrepancies is the first step in further optimization of team performance

High Contrast Imaging of the Close Environment of HD 142527 -

Context. It has long been suggested that circumstellar disks surrounding young stars may be the signposts of planets, and still more since the recent discoveries of embedded substellar companions. The planet-disk interaction may create, according to models, large structures, gaps, rings or spirals, in the disk. In that sense, the Herbig star HD 142527 is particularly compelling as, its massive disk displays intriguing asymmetries that suggest the existence of a dynamical peturber of unknown nature. Aims. Our goal was to obtain deep thermal images of the close circumstellar environment of HD 142527 to re-image the reported close-in structures (cavity, spiral arms) of the disk and to search for stellar and substellar companions that could be connected to their presence. Results. The circumstellar environment of HD 142527 is revealed at an unprecedented spatial resolution down to the sub arcsecond level for the first time at 3.8 microns. Our images reveal important radial and azimuthal asymmetries which invalidate an elliptical shape for the disk as previously proposed. It rather suggests a bright inhomogeneous spiral arm plus various fainter spiral arms. We also confirm an inner cavity down to 30 AU and two important dips at position angles of 0 and 135 deg. The detection performance in angular differential imaging enables the exploration of the planetary mass regime for projected physical separations as close as 40 AU. The use of our detection map together with Monte Carlo simulations sets stringent constraints on the presence of planetary mass, brown dwarf or stellar companions as a function of the semi-major axis. They severely constrain the presence of massive giant planets with semi-major axis beyond 50AU, i.e. probably within the large disk's cavity that radially extends up to 145 AU or even further outside.Comment: 8 pages, 7 figures, accepted in A&