A randomised controlled trial of a brief cognitive behavioural intervention for men who have hot flushes following prostate cancer treatment (MANCAN)

OBJECTIVE: Hot flushes and night sweats (HFNS) are experienced by up to 80% of prostate cancer patients undergoing androgen deprivation therapy (ADT). This study evaluates the effects of a guided self-help cognitive behavioural therapy (CBT) intervention on HFNS problem-rating (primary outcome), HFNS frequency, mood and health-related quality of life (secondary outcomes) in patients undergoing ADT. METHODS: Patients reporting treatment-induced HFNS were randomly assigned to CBT (n = 33) or treatment as usual (TAU) (n = 35), stratified for cancer type. The CBT intervention included a booklet, CD plus telephone contact during a 4-week period. Validated self-report questionnaires were completed at baseline, 6 weeks and 32 weeks after randomisation. The primary outcome was HFNS problem rating (perceived burden of HFNS) at 6 weeks after randomisation. Potential moderators and mediators were examined. Data analysis was conducted on a modified intention-to-treat basis. RESULTS: Compared with TAU, CBT significantly reduced HFNS problem rating (adjusted mean difference: -1.33, 95% CI -2.07 to -0.58; p = 0.001) and HFNS frequency (-12.12, 95% CI -22.39 to -1.84; p = 0.02) at 6 weeks. Improvements were maintained at 32 weeks, but group differences did not reach significance. There were significant reductions in negative HFNS Beliefs and Behaviours following CBT, but not in mood or quality of life. CONCLUSIONS: Guided self-help CBT appears to be a safe and effective brief treatment for men who have problematic HFNS following prostate cancer treatments. Further research might test the efficacy of the intervention in a multicentre trial

Within‑marsh and Landscape Features Structure Ribbed Mussel Distribution in Georgia, USA, Marshes

Ribbed mussels, Geukensia demissa, are marsh fauna that are used in coastal management and restoration due to the ecosystem services they provide. Ribbed mussel restoration efforts may be improved with a greater understanding of the environmental drivers of ribbed mussel distribution at multiple spatial scales to predict areas where restoration could be successful. This study sought to estimate the effects of within-marsh (4 m) and landscape (500 m) factors on ribbed mussel distribution. Ribbed mussel densities were surveyed at 11 sites along the coast of Georgia, USA, and overlaid with spatial data for within-marsh factors (elevation, distance to marsh features, slope) as well as landscape factors (percent cover by subtidal creek, forest, and development within a 500-m radius). The distribution model was then validated using three previously unsurveyed marshes and explained 55% of the variance in ribbed mussel abundance. Ribbed mussel abundances and occupancy were most sensitive to changes in within-marsh factors (elevation and distance to subtidal creeks, bodies of water inundated during the full tidal cycle) but were also sensitive to landscape features (percent landcover of forests and development). The highest ribbed mussel densities were found in mid-elevation areas (~ 0.7 m NAVD88), far from subtidal creeks, and in marshes surrounded with forest and development. These results contrast with distributions in the northeastern USA, where ribbed mussels are distributed along subtidal creek banks. This work suggests that restoration may be most effective when focused on appropriate elevations and at locations away from the marsh-creek ecotone

Poor transferability of a distribution model for a widespread coastal marsh bird in the southeastern United States

Species distribution models have been applied across a wide range of spatial scales to generate information for conservation planning. Understanding how well models transfer through space and time is important to promote effective species–habitat conservation. Here, we assess model transferability in coastal tidal marshes of the southeastern United States using count data of a widespread marsh bird: the Clapper Rail (Rallus crepitans). We developed species–habitat models at a state level in both South Carolina and Georgia, and then assessed how well top models from each state predicted abundance in the other state. Internally (locally) validated models performed well with reasonable fit (SC: R2 = 0.35, GA: R2 = 0.14), and high significance (P = 0.0005); however, both models performed poorly when predicting abundance from the other state (R2 = 0.03 and 0.003). To assess the consequences of this lack of transferability, we applied the South Carolina‐ and Georgia‐derived parameter estimates to habitat features in South Carolina and identified the top 25% of tidal marsh habitat that each model predicted within the state. There was minimal overlap between model habitat quality predictions (\u3c5%). Our results address the predictive power and uncertainties that arise from using habitat associations and climate models to predict species distributions or abundance in locations without training data. We discuss potential reasons model transferability was not successful and address the need for better regional datasets and the importance of intraspecific variability in response to environmental gradients

DO GYMNASTS EXPERIENCE SYMMETRICAL LIMB LOADING WHEN PERFORMING FOUNDATION GYMNASTICS SKILLS?

Uneven asymmetrical landings in artistic gymnastics is considered a risk factor for injury. The aim of this research was to investigate if gymnasts experience asymmetrical upper and lower limb loading when performing foundation gymnastics skills on floor. Sixteen competitive level gymnasts (male= 8, female= 8) performed seven different gymnastics skills while wearing four inertial measurement units located bilaterally on the distal forearm and tibias. Every gymnastics skill showed significant inter-limb asymmetry (range z= -5.8, -6.0,

Ecological Impacts of the 2015/16 El Niño in the Central Equatorial Pacific

The authors thank Cisco Werner (NOAA/NMFS) for proposing this special issue and encouraging our submission. We thank each of the editors, Stephanie Herring, Peter Stott, and Nikos Christidis, for helpful guidance and support throughout the submittal process. We also thank each of the anonymous external reviewers for thoughtful guidance and suggestions to improve the manuscript. REB, TO, RV, AH, and BVA are grateful for support from the NOAA Coral Reef Conservation Program. AC acknowledges support from the National Science Foundation for the following awards: OCE 1537338, OCE 1605365, and OCE 1031971. This is PMEL contribution no. 4698. Any use of trade, firm, or product names is for descriptive purposes only and does not imply endorsement by the U.S. government. The views expressed in the article are not necessarily those of the U.S. government. (NOAA Coral Reef Conservation Program; OCE 1537338 - National Science Foundation; OCE 1605365 - National Science Foundation; OCE 1031971 - National Science Foundation

Scotland Registry for Ankylosing Spondylitis (SIRAS) – Protocol

Funding SIRAS was funded by unrestricted grants from Pfizer and AbbVie. The project was reviewed by both companies, during the award process, for Scientific merit, to ensure that the design did not compromise patient safety, and to assess the global regulatory implications and any impact on regulatory strategy.Publisher PD

Footwear Affects Conventional and Sumo Deadlift Performance

Barefoot weightlifting has become a popular training modality in recent years due to anecdotal suggestions of improved performance. However, research to support these anecdotal claims is limited. Therefore, the purpose of this study was to assess the differences between the conventional deadlift (CD) and the sumo deadlift (SD) in barefoot and shod conditions. On day one, one-repetition maximums (1 RM) were assessed for thirty subjects in both the CD and SD styles. At least 72 h later, subjects returned to perform five repetitions in four different conditions (barefoot and shod for both CD and SD) at 70% 1 RM. A 2 X 2 (footwear x lifting style) MANOVA was used to assess differences between peak vertical ground reaction force (VGRF), total mechanical work (WORK), barbell vertical displacement (DISP), peak vertical velocity (PV) and lift time (TIME) during the concentric phase. The CD displayed significant increases in VGRF, DISP, WORK, and TIME over the SD. The shod condition displayed increased WORK, DISP, and TIME compared to the barefoot condition. This study suggests that lifting barefoot does not improve performance as no differences in VGRF or PV were evident. The presence of a shoe does appear to increase the DISP and WORK required to complete the lift, suggesting an increased work load is present while wearing shoes

Sensory Processing Abnormalities in Community-Dwelling Older Adults with Cognitive Impairment: A Mixed Methods Study

Mild cognitive impairment (MCI) or dementia often leads to behavioral and psychiatric symptoms of dementia (BPSD). Sensory processing abnormalities may be associated with BPSD. The purpose of this study was to explore relationships among sensory processing, behavior, and environmental features within the homes of people with MCI or dementia. This project used mixed methods to assess participants’ sensory processing, care partner perspectives on behaviors, and in situ observations of the home environment. Nine participants with cognitive impairment (MCI n = 8, early dementia = 1) and their care partners were included. Seven participants with cognitive impairment were reported to have abnormal sensory processing. Findings suggest that unique environmental adaptations, tailored to personal and sensory preferences for each participant, were associated with a decreased level of behavioral disruption during the observation periods. Implementing sensory-based approaches to maximize environment adaptation may be beneficial in reducing disruptive behaviors for adults with cognitive impairment

Making a Difference:The Promise of Catholic School Standards

Abstract: The National Standards and Benchmarks for Effective Catholic Elementary and Secondary Schools (NSBECS) were published in 2012 to serve as both a guide and assessment tool for PK-12 Catholic school effectiveness and sustainability; they include research-based general school effectiveness criteria, as well as criteria unique to Catholic school mission and identity. The NSBECS rests on the conviction that adhering to these standards and benchmarks with fidelity will result in highly effective Catholic schools. This Catholic Schools Standards Study Phase 1 began the work of examining the validity of the NSBECS through two national surveys: Survey 1 (2015) focused on the scope of NSBECS implementation: who has been adopting/implementing the NSBECS and why. Survey 2 (2016) sought to better understand circumstances of implementation: how stakeholders are adopting/implementing NSBECS and with what success. Researchers used built-in logic sequences for both surveys and a mixed methods approach for Survey 2, allowing participants to describe in their own words steps taken, stakeholders involved, strategies used, and success experienced