Healthy eating, physical activity and sedentary behaviour in family day care

Background: In Australia, family day care (FDC) services operate under a unique two-tier structure whereby the service provider gives overarching organisational and policy support, and educators provide education and care to children in their homes. FDC services can influence children\u27s healthy eating, physical activity and sedentary behaviours. However, research on Australian FDC services is limited. Munch & Move is a state-wide obesity prevention program offered to FDC service providers in NSW; however, the program has only been evaluated in centre-based Early Childhood Education and Care services. The overall aim of this thesis was to investigate how FDC services promote healthy eating and physical activity for children aged 0-5 years at the service provider and educator levels of the FDC sector. In addition, this thesis aimed to examine the associations with the food provided to children, educators’ feeding practices, and children\u27s physical activity and sedentary behaviours. Methods: First, a systematic literature review investigated the factors associated with children\u27s dietary intake, physical activity and sedentary behaviour in FDC. Following this, FDC service providers from two large geographic areas in New South Wales, Australia, were invited to participate in a survey and policy review to examine the effect of Munch & Move training on existing policies, resources and professional development used by service providers. Finally, an observation study was conducted with FDC educators using the Environment Policy Assessment and Observation tool. The food provided was also assessed using weighed food records, and children\u27s time spent in sedentary, light and moderate- to vigorous-intensity physical activity was measured using Actigraph GT3X+ accelerometers. Results: The systematic review included 16 studies; six assessed associations with children\u27s dietary intake, and 10 assessed physical activity and sedentary behaviours. Most studies were conducted in the US (n=3), and few studies assessed the same correlates. Findings from the survey and policy audit revealed service providers trained in Munch & Move were more likely to offer professional development to educators on healthy eating (90% vs. 25%, p = 0.00) and physical activity (90% vs 13%, p = 0.00), and to have more comprehensive nutrition policies (average policy score out of 17: 11.8 vs. 9.0, p = 0.03). Full-day observations were conducted with 33 educators and 105 children aged 11 months to 5 years. Less than one-quarter of children were provided with 50% of their recommended food group servings for vegetables (17%), lean meat and meat alternatives (19%), and dairy (25%); 71% of children were provided with excess discretionary foods. Educators were observed using positive and negative feeding practices during mealtimes but did not consistently use positive feeding practices. Just over half of the children (56%) in FDC met the Institute of Medicine recommendations of 15 minutes of total physical activity per hour in FDC. Healthy food provision scores were significantly associated with the children\u27s age (younger) (p= 0·01), lower socio-economic status (p= 0·03) and the type of main meal provided (mixed dish vs. sandwich) (p= 0·01). No associations were found with educators’ feeding practices or children\u27s physical activity levels. However, time provided for physical activity was positively associated with children\u27s physical activity with a medium effect size. Discussion: This thesis is the first known Australian study to objectively assess the nutrition and physical activity environments in FDC services and contributes to the literature on healthy eating, physical activity and sedentary behaviour in FDC services. The findings highlighted modifiable practices to target at the service provider and educator level to improve children’s healthy eating and physical activity behaviours. This research can inform the enhancement of the Munch & Move program by developing additional policies, resources and professional development tailored to FDC services

Use of ITS‑1 to identify Bactrocera dorsalis and Bactrocera occipitalis (Diptera: Tephritidae): a case study using flies trapped in California from 2008 to 2018

Molecular methods are necessary to diagnose immature life stages of the agricultural pest fruit fly Bactrocera dorsalis (Hendel), and are useful to corroborate identifications based on adults because morphological variation within the species can overlap with congeners. DNA sequencing of the nuclear ribosomal internal transcribed spacer 1 (ITS‑1) has been adopted by the International Plant Protection Convention as an internationally accepted method to distinguish between the 2 pestiferous fruit fly species Bactrocera dorsalis and Bactrocera carambolae (Drew & Hancock). Reported ITS‑1 sequences also are distinct and diagnostically informative to distinguish several other Bactrocera species related to B. dorsalis. In this study, we applied DNA sequencing of ITS‑1 to a collection of 513 adult flies trapped in California, USA, in the yr 2008 to 2018. Internal transcribed spacer 1 sequences were successfully recovered from 504 (98%) of these flies. One fly had an ITS‑1 sequence that matched B. occipitalis (Bezzi) records. Re-examination of that fly using cytochrome c oxidase I, elongation factor 1‑alpha, and morphology supports it as the second record of B. occipitalis trapped in California. The other 503 flies had ITS‑1 sequences consistent with B. dorsalis. Six unique ITS‑1 sequences (or DNA types) were observed in the collection of 503 B. dorsalis. Three of the ITS‑1 sequences (types A, B, and C) were present in 84% of the 503 flies and match ITS‑1 records reported in prior publications on B. dorsalis. The other 3 sequences (types D, E, and F) observed in 4% of the 503 B. dorsalis have not been reported in publications. Ambiguous nucleotides were observed from 12% of the 503 B. dorsalis flies, precluding designation of a sequence type. Including the 3 new types from the current study, a total of 15 unique ITS‑1 sequences now are known for B. dorsalis. The study, therefore, documents additional intraspecific variation of ITS‑1 that aids in future applications for species identification. - Los métodos moleculares son necesarios para diagnosticar los estadios de vida inmaduras de la plaga agrícola mosca de la fruta Bactrocera dorsalis (Hendel) y son útiles para corroborar identificaciones basadas en adultos por la variación morfológica dentro de la especie puede superponerse con congéneres. La secuenciación del ADN del espaciador transcrito interno ribosómico nuclear 1 (ITS-1) ha sido adoptada por la Convención Internacional de Protección Fitosanitaria como un método aceptado internacionalmente para distinguir entre las dos especies de moscas de la fruta, Bactrocera dorsalis y Bactrocera carambolae (Drew & Hancock). Las secuencias de ITS-1 notificadas también son distintas y proporcionan información diagnóstica para distinguir varias otras especies de Bactrocera relacionadas con B. dorsalis. En este estudio, aplicamos la secuenciación de ADN de ITS-1 a una colección de 513 moscas adultas atrapadas en California, EE. UU. desde el 2008 hasta el 2018. Se recuperaron las secuencias espaciadoras transcritas internas1 con éxito de 504 (98%) de estas moscas. Una mosca tenía una secuencia ITS-1 que coincidía con los registros de B. occipitalis (Bezzi). El reexamen de esa mosca usando la citocromo c oxidasa I, el factor de elongación 1-alfa y la morfología lo respalda como el segundo registro de B. occipitalis atrapada en California. Las otras 503 moscas tenían secuencias de ITS-1 compatibles con B. dorsalis. Se observaron seis secuencias únicas de ITS-1 (o tipos de ADN) en la colección de 503 B. dorsalis. Tres de las secuencias de ITS-1 (tipos A, B, y C) estaban presentes en el 84% de las 503 moscas y coinciden con los registros de ITS-1 informados en publicaciones anteriores sobre B. dorsalis. Las otras 3 secuencias (tipos D, E, y F) observadas en el 4% de las 503 B. dorsalis no han sido reportadas en publicaciones. Se observaron nucleótidos ambiguos en el 12% de las 503 moscas B. dorsalis, lo que excluye la designación de un tipo de secuencia. Incluyendo los 3 nuevos tipos del estudio actual, ahora se conocen un total de 15 secuencias ITS-1 únicas para B. dorsalis. Por lo tanto, el estudio documenta una variación intraespecífica adicional de ITS-1 que ayuda en futuras aplicaciones para la identificación de especies

Epidemiology of National Collegiate Athletic Association men's and women's swimming and diving injuries from 2009/2010 to 2013/2014

BACKGROUND: Recent injury data for collegiate-level swimming and diving are limited. This study describes the epidemiology of men's and women's swimming and diving injuries reported by the National Collegiate Athletic Association (NCAA) Injury Surveillance Program (ISP) during the 2009/2010 to 2013/2014 academic years. METHODS: Injuries and athlete-exposure (AE) data reported within 9 men's and 13 women's swimming and diving programmes were analysed. Injury rates, injury rate ratios (IRR), and injury proportions by body site, diagnosis and mechanism were reported with 95% CIs. RESULTS: The ISP captured 149 and 208 injuries for men's and women's swimming and diving, respectively, leading to injury rates of 1.54/1000 and 1.71/1000 AEs. Among females, divers had a higher injury rate (2.49/1000 AEs) than swimmers (1.63/1000 AEs; IRR=1.53; 95% CI 1.07 to 2.19). Injury rates for male divers (1.94/1000 AEs) and swimmers (1.48/1000 AEs) did not differ (IRR=1.33; 95% CI 0.85 to 2.31). Most injuries occurred to the shoulder, resulted in strains and were classified as overuse or non-contact. Female swimmers had a higher overuse injury rate (1.04/1000 AEs) than male swimmers (0.66/1000 AEs; IRR=1.58; 95% CI 1.14 to 2.19). Overuse injury rates for female divers (0.54/1000 AEs) and male divers (0.46/1000 AEs) did not differ (IRR=1.16; 95% CI 0.40 to 3.34). Injury rates in 2012/2013-2013/2014 were lower than those in 2009/2010-2011/2012 for women's swimming (IRR=0.70; 95% CI 0.52 to 0.95) and diving (IRR=0.56; 95% CI 0.30 to 1.08), respectively. No time trends existed for men's swimmers or divers. CONCLUSIONS: Shoulder, strain and overuse injuries were common in collegiate men's and women's swimming and diving. Female swimmers were more likely to suffer an overuse injury than male swimmers. In addition, divers may have higher injury rates than swimmers, although small reported numbers warrant additional research

Concussion Symptoms and Return to Play Time in Youth, High School, and College American Football Athletes

IMPORTANCE: To our knowledge, little research has examined concussion across the youth/adolescent spectrum and even less has examined concussion-related outcomes (ie, symptoms and return to play). OBJECTIVE: To examine and compare sport-related concussion outcomes (symptoms and return to play) in youth, high school, and collegiate football athletes. DESIGN, SETTING, AND PARTICIPANTS: Athletic trainers attended each practice and game during the 2012 to 2014 seasons and reported injuries. For this descriptive, epidemiological study, data were collected from youth, high school, and collegiate football teams, and the analysis of the data was conducted between July 2015 and September 2015. The Youth Football Surveillance System included more than 3000 youth football athletes aged 5 to 14 years from 118 teams, providing 310 team seasons (ie, 1 team providing 1 season of data). The National Athletic Treatment, Injury, and Outcomes Network Program included 96 secondary school football programs, providing 184 team seasons. The National Collegiate Athletic Association Injury Surveillance Program included 34 college football programs, providing 71 team seasons. MAIN OUTCOMES AND MEASURES: We calculated the mean number of symptoms, prevalence of each symptom, and the proportion of patients with concussions that had long return-to-play time (ie, required participation restriction of at least 30 days). Generalized linear models were used to assess differences among competition levels in the mean number of reported symptoms. Logistic regression models estimated the odds of return to play at less than 24 hours and at least 30 days. RESULTS: Overall, 1429 sports-related concussions were reported among youth, high school, and college-level football athletes with a mean (SD) of 5.48 (3.06) symptoms. Across all levels, 15.3% resulted return to play at least 30 days after the concussion and 3.1% resulted in return to play less than 24 hours after the concussion. Compared with youth, a higher number of concussion symptoms were reported in high school athletes (β = 1.39; 95% CI, 0.55-2.24). Compared with college athletes, the odds of return to play at least 30 days after injury were larger in youth athletes (odds ratio, 2.75; 95% CI, 1.10- 6.85) and high school athletes (odds ratio, 2.89; 95% CI, 1.61-5.19). The odds of return to play less than 24 hours after injury were larger in youth athletes than high school athletes (odds ratio, 6.23; 95% CI, 1.02-37.98). CONCLUSIONS AND RELEVANCE: Differences in concussion-related outcomes existed by level of competition and may be attributable to genetic, biologic, and/or developmental differences or level-specific variations in concussion-related policies and protocols, athlete training management, and athlete disclosure. Given the many organizational, social environmental, and policy-related differences at each level of competition that were not measured in this study, further study is warranted to validate our findings

TEAMwork: Testing Emotional Attunement and Mutuality During Parent-Adolescent fMRI.

The parent-child relationship and family context influence the development of emotion regulation (ER) brain circuitry and related skills in children and adolescents. Although both parents' and children's ER neurocircuitry simultaneously affect how they interact with one another, neuroimaging studies of parent-child relationships typically include only one member of the dyad in brain imaging procedures. The current study examined brain activation related to parenting and ER in parent-adolescent dyads during concurrent fMRI scanning with a novel task - the Testing Emotional Attunement and Mutuality (TEAM) task. The TEAM task includes feedback trials indicating the other dyad member made an error, resulting in a monetary loss for both participants. Results indicate that positive parenting practices as reported by the adolescent were positively correlated with parents' hemodynamic activation of the ventromedial prefrontal cortex, a region related to empathy, during these error trials. Additionally, during feedback conditions both parents and adolescents exhibited fMRI activation in ER-related regions, including the dorsolateral prefrontal cortex, anterior insula, fusiform gyrus, thalamus, caudate, precuneus, and superior parietal lobule. Adolescents had higher left amygdala activation than parents during the feedback condition. These findings demonstrate the utility of dyadic fMRI scanning for investigating relational processes, particularly in the parent-child relationship

How can we improve stroke thrombolysis rates? : a review of health system factors and approaches associated with thrombolysis administration rates in acute stroke care

Background: Thrombolysis using intravenous (IV) tissue plasminogen activator (tPA) is one of few evidence-based acute stroke treatments, yet achieving high rates of IV tPA delivery has been problematic. The 4.5-h treatment window, the complexity of determining eligibility criteria and the availability of expertise and required resources may impact on treatment rates, with barriers encountered at the levels of the individual clinician, the social context and the health system itself. The review aimed to describe health system factors associated with higher rates of IV tPA administration for ischemic stroke and to identify whether system-focussed interventions increased tPA rates for ischemic stroke. Methods: Published original English-language research from four electronic databases spanning 1997-2014 was examined. Observational studies of the association between health system factors and tPA rates were described separately from studies of system-focussed intervention strategies aiming to increase tPA rates. Where study outcomes were sufficiently similar, a pooled meta-analysis of outcomes was conducted. Results: Forty-one articles met the inclusion criteria: 7 were methodologically rigorous interventions that met the Cochrane Collaboration Evidence for Practice and Organization of Care (EPOC) study design guidelines and 34 described observed associations between health system factors and rates of IV tPA. System-related factors generally associated with higher IV tPA rates were as follows: urban location, centralised or hub and spoke models, treatment by a neurologist/stroke nurse, in a neurology department/stroke unit or teaching hospital, being admitted by ambulance or mobile team and stroke-specific protocols. Results of the intervention studies suggest that telemedicine approaches did not consistently increase IV tPA rates. Quality improvement strategies appear able to provide modest increases in stroke thrombolysis (pooled odds ratio=2.1, p=0.05). Conclusions: In order to improve IV tPA rates in acute stroke care, specific health system factors need to be targeted. Multi-component quality improvement approaches can improve IV tPA rates for stroke, although more thoughtfully designed and well-reported trials are required to safely increase rates of IV tPA to eligible stroke patients

Adaptations of an RNA virus to increasing thermal stress

Environments can change in incremental fashions, where a shift from one state to another occurs over multiple organismal generations. The rate of the environmental change is expected to influence how and how well populations adapt to the final environmental state. We used a model system, the lytic RNA bacteriophage Φ6, to investigate this question empirically. We evolved viruses for thermostability by exposing them to heat shocks that increased to a maximum temperature at different rates. We observed increases in the ability of many heat-shocked populations to survive high temperature heat shocks. On their first exposure to the highest temperature, populations that experienced a gradual increase in temperature had higher average survival than populations that experienced a rapid temperature increase. However, at the end of the experiment, neither the survival of populations at the highest temperature nor the number of mutations per population varied significantly according to the rate of thermal change. We also evaluated mutations from the endpoint populations for their effects on viral thermostability and growth. As expected, some mutations did increase viral thermostability. However, other mutations decreased thermostability but increased growth rate, suggesting that benefits of an increased replication rate may have sometimes outweighed the benefits of enhanced thermostability. Our study highlights the importance of considering the effects of multiple selective pressures, even in environments where a single factor changes

A robotic exploration mission to Mars and Phobos

This report discusses the design of a robotic exploration to Mars and Phobos. It begins with the mission's background and objectives, followed by a detailed explanation of various elements of Project Aeneas, including science, spacecraft, probes, and orbital trajectories. In addition, a description of Argos Space Endeavours, management procedures, and overall project costs are presented. Finally, a list of recommendations for future design activity is included

Always on my mind: Cross-brain associations of mental health symptoms during simultaneous parent-child scanning.

How parents manifest symptoms of anxiety or depression may affect how children learn to modulate their own distress, thereby influencing the children's risk for developing an anxiety or mood disorder. Conversely, children's mental health symptoms may impact parents' experiences of negative emotions. Therefore, mental health symptoms can have bidirectional effects in parent-child relationships, particularly during moments of distress or frustration (e.g., when a parent or child makes a costly mistake). The present study used simultaneous functional magnetic resonance imaging (fMRI) of parent-adolescent dyads to examine how brain activity when responding to each other's costly errors (i.e., dyadic error processing) may be associated with symptoms of anxiety and depression. While undergoing simultaneous fMRI scans, healthy dyads completed a task involving feigned errors that indicated their family member made a costly mistake. Inter-brain, random-effects multivariate modeling revealed that parents who exhibited decreased medial prefrontal cortex and posterior cingulate cortex activation when viewing their child's costly error response had children with more symptoms of depression and anxiety. Adolescents with increased anterior insula activation when viewing a costly error made by their parent had more anxious parents. These results reveal cross-brain associations between mental health symptomatology and brain activity during parent-child dyadic error processing

Staff perspectives from Australian hospitals seeking to improve implementation of thrombolysis care for acute stroke

Background: Intravenous thrombolysis is one of few evidence-based treatments for acute stroke. Treatment uptake is low outside major stroke care centres. There is a need for greater understanding of barriers encountered by clinicians when seeking to increase thrombolysis rates.This work is related to a National Health and Medical Research Council (NHMRC) partnership grant (ID569328) and is part-funded by a Translating Research Into Practice fellowship, with collaborative funding from Boehringer Ingelheim and in-kind support from the Agency for Clinical Innovation Stroke Care Network/Stroke Services NSW, Victorian Stroke Clinical Network, National Stroke Foundation and NSW Cardiovascular Research Network–National Heart Foundation, Hunter Medical Research Institute and the University of Newcastle. Christine Paul is supported by an NHMRC Career Development Fellowship (APP1061335)