Independent and Interactive Associations of Negative Affect, Restraint, and Impulsivity in Relation to Binge Eating Among Women

There is growing recognition that impulsivity may serve as an underlying risk factor for binge eating. In addition, the association of impulsivity with binge eating may be moderated by other affective and cognitive risk factors. This study examined independent and interactive associations of negative affect, dietary restraint, and facets of impulsivity with binge eating. A diverse sample of 566 undergraduate women completed online questionnaires of study variables. Results revealed a three-way interaction of negative affect, dietary restraint, and attentional impulsivity in relation to binge eating. Women who were high on each of these three variables reported the greatest levels of binge eating. In addition, a two-way interaction was found for negative affect and nonplanning impulsivity in relation to binge eating, such that nonplanning impulsivity strengthened the association between negative affect and binge eating. Attentional and nonplanning facets of impulsivity may function as an underlying trait-level risk factor interacts with affective and/or cognitive risk (e.g., negative affect, dietary restraint) factors to predict elevated binge eating

How does Labrador Sea Water enter the deep western boundary current?

Author Posting. © American Meteorological Society, 2008. This article is posted here by permission of American Meteorological Society for personal use, not for redistribution. The definitive version was published in Journal of Physical Oceanography 38 (2008): 968-983, doi:10.1175/2007JPO3807.1.Labrador Sea Water (LSW), a dense water mass formed by convection in the subpolar North Atlantic, is an important constituent of the meridional overturning circulation. Understanding how the water mass enters the deep western boundary current (DWBC), one of the primary pathways by which it exits the subpolar gyre, can shed light on the continuity between climate conditions in the formation region and their downstream signal. Using the trajectories of (profiling) autonomous Lagrangian circulation explorer [(P)ALACE] floats, operating between 1996 and 2002, three processes are evaluated for their role in the entry of Labrador Sea Water in the DWBC: 1) LSW is formed directly in the DWBC, 2) eddies flux LSW laterally from the interior Labrador Sea to the DWBC, and 3) a horizontally divergent mean flow advects LSW from the interior to the DWBC. A comparison of the heat flux associated with each of these three mechanisms suggests that all three contribute to the transformation of the boundary current as it transits the Labrador Sea. The formation of LSW directly in the DWBC and the eddy heat flux between the interior Labrador Sea and the DWBC may play leading roles in setting the interannual variability of the exported water mass.We are also grateful to the NSF for their support of this research

Spatial and temporal variation in the effects of climatic variables on Dugong calf production

Knowledge of the relationships between environmental forcing and demographic parameters is important for predicting responses from climatic changes and to manage populations effectively. We explore the relationships between the proportion of sea cows (Dugong dugon) classified as calves and four climatic drivers (rainfall anomaly, Southern Oscillation El Niño Index [SOI], NINO 3.4 sea surface temperature index, and number of tropical cyclones) at a range of spatially distinct locations in Queensland, Australia, a region with relatively high dugong density. Dugong and calf data were obtained from standardized aerial surveys conducted along the study region. A range of lagged versions of each of the focal climatic drivers (1 to 4 years) were included in a global model containing the proportion of calves in each population crossed with each of the lagged versions of the climatic drivers to explore relationships. The relative influence of each predictor was estimated via Gibbs variable selection. The relationships between the proportion of dependent calves and the climatic drivers varied spatially and temporally, with climatic drivers influencing calf counts at sub-regional scales. Thus we recommend that the assessment of and management response to indirect climatic threats on dugongs should also occur at sub-regional scales. © 2016 Fuentes et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited

Effect of aging on H-reflex response to fatigue

Injury as a result of tripping is relatively common among older people. The risk of falling increases with fatigue and of importance is the ability to dorsiflex the foot through timely activation of the tibialis anterior (TA) muscle to ensure the foot clears the ground, or an obstacle, during the swing phase of walking. We, therefore, questioned whether the muscle spindle input to the motoneurons alters with ongoing fatigue in older people. We electrically stimulated the common peroneal nerve to assess the TA primary afferent efficacy using H-reflex before, immediately following and after a fatiguing maximal isometric contraction. M-response was kept unchanged throughout the experiment to ensure a similar stimulus intensity was delivered across time points. H-reflex increased significantly while the TA muscle was in a state of fatigue for the younger participants but tended to decrease with increasing age. The main contributor to the tonicity of TA muscle, i.e., excitatory synapses of spindle primary endings of motoneurons that innervate TA muscle, tend to lose their efficacy during fatigue in the older individuals but increased efficiency in the majority of the younger people. Since TA muscle is the main dorsiflexor of the foot and it needs to be active during the swing phase of stepping to prevent tripping, older individuals become more susceptible to falling when their muscles are fatigued. This finding may help improve devices/treatments to overcome the problem of tripping among older individuals

The Relationship between 60-yard sprint, 30-yard sprint, Standardized Base Stealing Sprint, and Offensive Baseball Performance

Athletic performance testing protocols strive to accurately predicting or gain better understanding of an athlete’s performance within a particular sport or game. Regarding baseball, Wolfe and colleagues (2012) examined the predictive validity of the 60-yard shuttle run on pitching performance and concluded that strikeouts and innings pitched were significantly related to elevated kinetic energy factors of pitchers obtained from the shuttle run performance. Concerning for baseball position players, the 60-yard sprint (60YS) is traditionally utilized to showcase “baseball speed”, with minimal empirical evident supporting predictability to baseball specific performance outcomes. PURPOSE: The aim of the current investigation was to have examine the relationship between 60YS and offensive baseball performance outcomes, as well as the 30-yard sprint (30YS) test, and newly created standardized 1st to 2nd sprint (STS) test relationship to offensive baseball performance outcomes. METHODS: Division I baseball position players (n = 17; height: 180.92 ± 5.61 cm; weight: 82.1 ± 11.12 kg) performed three sprinting tests: 60YS, 30YS, and STS. Each test was recorded using the Brower Timing Gate System, with sprint time recorded in second. All testing was completed prior to the first game of the team’s college baseball season. Offensive baseball performance measures were recorded throughout 61 regular season games. The following baseball performance data was collected from the university’s official NCAA game performance website: total stolen bases (SB), stole base attempts (AT), stolen base percentage (SBP), at bats (AB), hits (H), doubles (DB), triples (TR), homeruns (HR), runs (R), base-on-balls (BB), hit by pitch (HBP), on base percentage (OBP), slugging percentage (SLP), touched bases (TB), runs batted in (RBI), and batting average (AVE). Pearson’s product-moment correlation (p \u3c .05) was employed to examine the correlation between sprint tests and offensive baseball performance. RESULTS: The statistical analysis revealed significant correlations between STS (p = .002, r = -.762), 30 yd sprint (p = .048, r = -.556), and 60 yd sprint (p = .038, r = -.578) and SB. Additionally, a significant correlation was identified between OBP and STS (p = .022, r = -.625), 30YS (p = .027, r = -.609), and 60YS (p = .020, r = -.633). Aside from these two baseball performance metrics, 30YS and 60YS had no significant correlation with baseball performance. However, STS, additionally, significantly (p \u3c .05) correlated with AT, AB, H, TR, HR, R, BB, SLP, TB, RBI, and AVE. CONCLUSION: The STS, 30YS, and 60YS had a significant relationship with offensive baseball performance. However, the results of 30YS and 60YS only correlated with two offensive measures, while STS had a significant correlation with all but 3 offensive performance metrics. These findings suggest STS may be a more relevant measure for predicting offensive baseball performance than the traditional 30YS and 60YS tests

Using clinical audit to improve the quality of obstetric care at the Tibetan Delek Hospital in North India: a longitudinal study

BACKGROUND: The Tibetan Delek Hospital is a small general hospital providing primary and secondary care for the Tibetan refugee community and the local Indian population in Dharamsala, Himachal Pradesh, North India. In a baseline clinical audit of intrapartum care at the Tibetan Delek Hospital in 1996, high levels of postpartum haemorrhage associated with poor medical management of the third stage of labour, plus inappropriate transfer of women in labour were observed. These audit findings prompted the implementation of changes in the delivery of intrapartum care and follow-up audit cycles to monitor the ongoing effect of these changes. METHODS: The delivery of intrapartum care was modified in two ways. Firstly, nurses, midwives, and doctors were re-trained in the active management of the third stage of labour, which involved the administration of intramuscular syntocinon plus ergometrine with delivery of the anterior shoulder. Secondly partograms were introduced to help rationalise the management of labour, and in particular decisions about when to transfer women in labour. Follow up audits were conducted in 1997, 1998, and 2003 to quantify the effects of these changes. The key measures for improvement included the documented incidence of postpartum haemorrhage and the number of women transferred inappropriately for failure to progress in labour. RESULTS: A sustained reduction of approximately 50% in the incidence of postpartum haemorrhage was observed after the introduction of active management of the third stage of labour. The introduction of the routine use of partograms was associated with a more rational decision-making process regarding transfer during labour. CONCLUSION: Introducing and maintaining a clinical audit cycle can lead to improvements in the quality of obstetric care in a refugee population

Inhomogeneous magnetization in dipolar ferromagnetic liquids

At high densities fluids of strongly dipolar spherical particles exhibit spontaneous long-ranged orientational order. Typically, due to demagnetization effects induced by the long range of the dipolar interactions, the magnetization structure is spatially inhomogeneous and depends on the shape of the sample. We determine this structure for a cubic sample by the free minimization of an appropriate microscopic density functional using simulated annealing. We find a vortex structure resembling four domains separated by four domain walls whose thickness increases proportional to the system size L. There are indications that for large L the whole configuration scales with the system size. Near the axis of the mainly planar vortex structure the direction of the magnetization escapes into the third dimension or, at higher temperatures, the absolute value of the magnetization is strongly reduced. Thus the orientational order is characterized by two point defects at the top and the bottom of the sample, respectively. The equilibrium structure in an external field and the transition to a homogeneous magnetization for strong fields are analyzed, too.Comment: 17 postscript figures included, submitted to Phys. Rev.

A behavioural change package to prevent hand dermatitis in nurses working in the national health service (the SCIN trial): study protocol for a cluster randomised controlled trial

BACKGROUND: Hand dermatitis can be a serious health problem in healthcare workers. While a range of skin care strategies and policy directives have been developed in recent years to minimise the risk, their effectiveness and cost-effectiveness remain unclear. Evidence now suggests that psychological theory can facilitate behaviour change with respect to improved hand care practices. Therefore, we will test the hypothesis that a behavioural change intervention to improve hand care, based on the Theory of Planned Behaviour and implementation intentions, coupled with provision of hand moisturisers, can produce a clinically useful reduction in the occurrence of hand dermatitis, when compared to standard care, among nurses working in the UK National Health Service (NHS) who are particularly at risk. Secondary aims will be to assess impacts on participants’ beliefs and behaviour regarding hand care. In addition, we will assess the cost-effectiveness of the intervention in comparison with normal care. METHODS/DESIGN: We will conduct a cluster randomised controlled trial at 35 NHS hospital trusts/health boards/universities, focussing on student nurses with a previous history of atopic disease or hand eczema and on nurses in intensive care units. Nurses at ‘intervention-light’ sites will be managed according to what would currently be regarded as best practice, with provision of an advice leaflet about optimal hand care to prevent hand dermatitis and encouragement to contact their occupational health (OH) department early if hand dermatitis occurs. Nurses at ‘intervention-plus’ sites will additionally receive a behavioural change programme (BCP) with on-going active reinforcement of its messages, and enhanced provision of moisturising cream. The impact of the interventions will be compared using information collected by questionnaires and through standardised photographs of the hands and wrists, collected at baseline and after 12 months follow-up. In addition, we will assemble relevant economic data for an analysis of costs and benefits, and collect information from various sources to evaluate processes. Statistical analysis will be by multi-level regression modelling to allow for clustering by site, and will compare the prevalence of outcome measures at follow-up after adjustment for values at baseline. The principal outcome measure will be the prevalence of visible hand dermatitis as assessed by the study dermatologists. In addition, several secondary outcome measures will be assessed. DISCUSSION: This trial will assess the clinical and cost effectiveness of an intervention to prevent hand dermatitis in nurses in the United Kigdom. TRIAL REGISTRATION: ISRCTN53303171: date of registration, 21 June 2013

The journey effect: how travel affects the experiences of mental health in-patient service-users and their families

The qualitative study presented in this paper explored the perspectives of service-users, family members and staff about the impact of travel issues on the lives of mental health in-patients and carers. This topic was chosen because it was prioritised by members of Xplore, a service-user and carer research group, and has received little research attention. Travel problems were a significant issue for many service-users and carers, bound-up with mental health issues and the recovery experience. Travel facilitation through the funding of taxis and the provision of guides was appreciated. A few service-users and carers positively valued distancing from their previous home environment. The meaning of travel issues could only be understood in the context of individuals’ wider lives and relationships. The significance of the findings is discussed in relation to the social model of disability

Clinical psychologists’ use of reflection and reflective practice within clinical work

Previous research regarding reflective practice has considered the training and development of reflective skills; little attention has been paid to how these are used by clinicians in practice. This study aims to understand how clinical psychologists experience reflection and reflective practice in their day-to-day clinical role. Six practicing clinical psychologists in Singapore were interviewed regarding their experiences. The interviews were analysed using Interpretative Phenomenological Analysis. Participants experienced reflection and reflective practice in many ways. Reflection helped the participants understand themselves better and how they personally impacted their work. Reflection helped in understanding and engaging with clients; it was particularly important for the development of the therapeutic relationship, and when cases felt ‘stuck’. Finally, reflection helped participants understand their professional role as clinicians, and maintain professional and ethical standards. Whilst participants valued reflection and could describe the mechanisms they used to reflect, they struggled to define reflective practice and their own process of reflection. In conclusion, participants were able to describe how using reflection and reflective practice within their clinical work benefited them and their clients. Further investigation into this area is required, particularly focusing on the challenging issue of developing a clearer definition of reflective practice