2,093 research outputs found
What is the correct level of claudication pain to prescribe? Universal inconsistency within guidelines, a painful issue
What is the correct level of claudication pain to prescribe? Universal inconsistency within guidelines, a painful issue
Search and modelling of remnant radio galaxies in the LOFAR Lockman Hole field
Accepted for publication in Astronomy & Astrophysics. Reproduced with permission from Astronomy & Astrophysics, © 2017 ESO.The phase of radio galaxy evolution after the jets have switched off, often referred to as the remnant phase, is poorly understood and very few sources in this phase are known. In this work we present an extensive search for remnant radio galaxies in the Lockman Hole, a well-studied extragalactic field. We create mock catalogues of low-power radio galaxies based on Monte Carlo simulations to derive first-order predictions of the fraction of remnants in radio flux limited samples for comparison with our Lockman-Hole sample. We have combined LOFAR observations at 150 MHz with public surveys at higher frequencies to perform a complete selection and have used, for the first time, a combination of spectral criteria (e.g. the classical ultra-steep spectral index and high spectral curvature) as well as morphological criteria (e.g. low radio core prominence and relaxed shapes). Mock catalogues of radio galaxies are created based on existing spectral and dynamical evolution models combined with observed source properties. We have identified 23 candidate remnant radio galaxies which cover a variety of morphologies and spectral characteristics. We suggest that these different properties are related to different stages of the remnant evolution. We find that ultra-steep spectrum remnants represent only a fraction of our remnant sample suggesting a very rapid luminosity evolution of the radio plasma. Results from mock catalogues demonstrate the importance of dynamical evolution in the remnant phase of low-power radio galaxies to obtain fractions of remnant sources consistent with our observations. Moreover, these results confirm that ultra-steep spectrum remnants represent only a subset of the entire population (50%) when frequencies higher than 1400 MHz are not included in the selection process, and that they are biased towards old ages.Peer reviewe
Safety of home-based exercise for people with intermittent claudication:A systematic review
Intermittent claudication (IC) is a classic symptom of peripheral artery disease, with first line treatment being supervised exercise therapy (SET). Despite this, SET is frequently underutilised, and adherence is often poor. An alternative option are home-based exercise programmes (HBEP). Although HBEPs are well tolerated, to the authors’ knowledge, no research has assessed their safety. The aim of this review was to assess the safety of HBEPs in people living with IC. We performed an electronic search of the MEDLINE, CINHAL and Cochrane Library databases. The main parameter of interest was complication rate, calculated as the number of related adverse events per patient-hours. Sub-analysis was undertaken to determine differences in safety for studies that did and did not include pre-exercise cardiac screening, and for studies with exercise at low, moderate and high levels of claudication pain. Our search strategy identified 8693 results, of which 27 studies were included for full review. Studies included 1642 participants completing 147,810 patient-hours of home-based exercise. Four related adverse events were reported, three of which were cardiac in origin, giving an all cause complication rate of one event per 36,953 patient-hours. Three of these events occurred following exercise to high levels of claudication pain, and one occurred with pain-free exercise. All four events occurred in studies without cardiac screening. Based on the low number of related adverse events, HBEPs appear to be a safe method of exercise prescription for people with IC. Our results strengthen the rationale for providing alternative exercise options for this population. PROSPERO registration: CRD4202125458
Home-based Circuit Training and Community Walking for Intermittent Claudication
Background: Supervised exercise training is recommended for people with peripheral artery disease (PAD), yet it remains underutilized. Home-based exercise programs (HBEPs) are a potential alternative. The aim of this study was to assess the feasibility of conducting a full scale trial of a 12-week HBEP for people living with symptomatic PAD. Methods: In a randomized feasibility trial, patients with intermittent claudication were allocated to either an HBEP or a nonexercise control. The HBEP group was given a Fitbit to use during a 12-week exercise program comprising of personalized step goals and a resistance-based circuit to be undertaken at home twice weekly. The primary outcome was feasibility, assessed via eligibility, recruitment, attrition, tolerability, and adherence. Acceptability was assessed via semistructured interviews. Secondary analysis was undertaken to determine the feasibility of collecting clinical outcome data. Results: 188 people were screened, 133 were eligible (70.7%), 30 were recruited (22.6%) and one withdrew (3.33%). Mean adherence to the daily step goal was 53.5% (range = 29.8–90.5%), and 58.6% of prescribed circuits were completed of which 56.4% were at the desired intensity. Six adverse events were recorded, 3 of which were related to study involvement. No significant differences were observed in exploratory outcomes. Small clinically important differences were seen in walking speed and pain-free treadmill walking distance which should be confirmed or refuted in a larger trial. Conclusions: The HBEP was feasible and well tolerated, with successful recruitment and minimal attrition. The intervention was acceptable, with walking seen as more enjoyable than circuit exercise. The WALKSTRONG program may be suitable for those who will not, or cannot, take part in supervised exercise outside of the home.</p
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Adsorption of Pb and Zn from binary metal solutions and in the presence of dissolved organic carbon by DTPA-functionalised, silica-coated magnetic nanoparticles
The ability of diethylenetriaminepentaacetic acid (DTPA)-functionalised, silica-coated magnetic nanoparticles to adsorb Pb and Zn from single and bi-metallic metal solutions and from solutions containing dissolved organic carbon was assessed. In all experiments 10 mL solutions containing 10 mg of nanoparticles were used. For single metal solutions (10 mg L-1 Pb or Zn) at pH 2 to 8, extraction efficiencies were typically >70%. In bi-metallic experiments, examining the effect of a background of either Zn or Pb (0.025 mmol L-1) on the adsorption of variable concentrations (0 - 0.045 mmol L-1) of the other metal (Pb or Zn, respectively) adsorption was well modelled by linear isotherms (R2>0.60; p≤0.001) and Pb was preferentially adsorbed relative to Zn. In dissolved organic carbon experiments, the presence of fulvic acid (0, 2.1 and 21 mg DOC L-1) reduced Pb and Zn adsorption from 0.01, 0.1 and 1.0 mmol L-1 solutions. However, even at 21 mg DOC L-1 fulvic acid, extraction efficiencies from 0.01 and 0.1 mmol L-1 solutions remained >80% (Pb) and > 50% (Zn). Decreases in extraction efficiency were significant between initial metal concentrations of 0.1 and 1.0 mmol L-1 indicating that at metal loadings between c. 100 mg kg-1 and 300 mg kg-1 occupancy of adsorption sites began to limit further adsorption. The nanoparticles have the potential to perform effectively as metal adsorbents in systems containing more than one metal and dissolved organic carbon at a range of pH values
The molecular characterisation of Cryptosporidium species in relinquished dogs in Great Britain: a novel zoonotic risk?
Surveillance was conducted to investigate the occurrence of protozoan parasites of the genus Cryptosporidium in dogs newly admitted to a dog rehoming charity in London, Great Britain. Voided faecal samples were collected from all new admissions between 2011 and 2012 during six separate 4-week sampling periods. Information on host signalment, including age, breed and reason for submission and faecal consistency, was collected. Polymerase Chain Reaction (PCR) targeting the 18S ribosomal RNA gene, confirmed by sequencing, was conducted on the faecal samples to detect Cryptosporidium genomic DNA and determine Cryptosporidium identity. In total, 677 dogs were included in the study. The prevalence of Cryptosporidium-positive faecal samples was 4.6% (31/676). There were positive samples in all of the six sampling periods. Cryptosporidium canis (n = 28), C. parvum (n = 2) and C. andersoni (n = 1) were identified. Sixty KDa glycoprotein (gp60) gene amplicon sequencing of the C. parvum samples identified genotypes IIaA17G1R1 and IIaA15G2R1 for the first time from a dog. There were no significant associations between signalment data and Cryptosporidium status. While this was a study of one rehoming shelter, the presence of the potentially zoonotic C. parvum and C. canis in dogs highlights a public health concern. Further research is needed to better understand the epidemiology and potential impacts of Cryptosporidium infection in dogs
An exploratory study looking at the relationship marketing techniques used in the music festival industry
There are current issues and trends in the music festival
market, which may affect the success of an event, and market saturation
is at the forefront of these issues. Previous literature, maintaining
the need for a marketing approach to festivals, identifi es the need
for maintaining strong stakeholder relationships in order to succeed
in a business environment; attention has been focused to the theory
of relationship marketing (RM) because of the recognition that this
practice is complementary to the marketing of festivals. The very nature
of the music festival as an annual, usually, 4-day event means that
effective marketing is needed to keep connections with the consumer
throughout the year. This article focuses on the RM techniques
utilised within the music festival industry from the viewpoint of the
festival organiser in an attempt to establish how festival organisations
value and monitor organisational relationships. This article explores
the extent to which these relationships are valued and managed;
furthermore, the variations between these intricate relationships
are considered by focusing on those held with the organisation ’ s
consumers and sponsors, the results of which have provided the
ability to establish the importance and relevance of RM to the industry
and further identify the marketing communication methods employed
to establish and maintain such relationships. In-depth, convergent
interviews have been conducted with a segment of music festival
organisers from a range of events. The results have been integrated
with the study of current literature to best exemplify these issues. It
has been established that RM has a strong role in today ’ s commercial
and independent music festival industry; technological advances are
enabling the organiser to support online relationships further and
increase consumer loyalty. There is a need to expand the research
further because of the complexity of organisational relationships and
the varying categories of festivals
Radio spectral properties and jet duty cycle in the restarted radio galaxy 3C388
© ESO 2020. The original publication is available at https://doi.org/10.1051/0004-6361/202037457.Context. Restarted radio galaxies represent a unique tool for investigating the duty cycle of the jet activity in active galactic nuclei (AGN). The radio galaxy 3C388 has long been claimed to be a peculiar example of an AGN with multi-epoch activity because it shows a very sharp discontinuity in the GHz spectral index distribution of its lobes. Aims. We present here for the first time a spatially resolved study of the radio spectrum of 3C388 down to MHz frequencies aimed at investigating the radiative age of the source and constraining its duty cycle. Methods. We used new low-frequency observations at 144 MHz performed with the Low Frequency Array and at 350 MHz performed with the Very Large Array that we combined with archival data at higher frequencies (614, 1400, and 4850 MHz). Results. We find that the spectral indices in the lower frequency range, 144-614 MHz, have flatter values (αlow ∼0.55-1.14) than those observed in the higher frequency range, 1400-4850 MHz, (αhigh ∼0.75-1.57), but they follow the same distribution across the lobes, with a systematic steepening towards the edges. However, the spectral shape throughout the source is not uniform and often deviates from standard models. This suggests that mixing of different particle populations occurs, although it remains difficult to understand whether this is caused by observational limitations (insufficient spatial resolution and/or projection effects) or by the intrinsic presence of multiple particle populations, which might be related to the two different outbursts. Conclusions. Using single-injection radiative models, we compute that the total source age is ≲ 80 Myr and that the duty cycle is about ton/ttot ∼ 60%, which is enough to prevent the intracluster medium from cooling, according to X-ray estimates. While to date the radio spectral distribution of 3C388 remains a rare case among radio galaxies, multi-frequency surveys performed with new-generation instruments will soon allow us to investigate whether more sources with the same characteristics exist.Peer reviewe
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