Using intervention mapping to develop a culturally appropriate intervention to prevent childhood obesity: the HAPPY (Healthy and Active Parenting Programme for Early Years) study.

INTRODUCTION: Interventions that make extensive use of theory tend to have larger effects on behaviour. The Intervention Mapping (IM) framework incorporates theory into intervention design, implementation and evaluation, and was applied to the development of a community-based childhood obesity prevention intervention for a multi-ethnic population. METHODS: IM was applied as follows: 1) Needs assessment of the community and culture; consideration of evidence-base, policy and practice; 2) Identification of desired outcomes and change objectives following identification of barriers to behaviour change mapped alongside psychological determinants (e.g. knowledge, self-efficacy, intention); 3) Selection of theory-based methods and practical applications to address barriers to behaviour change (e.g., strategies for responsive feeding); 4) Design of the intervention by developing evidence-based interactive activities and resources (e.g., visual aids to show babies stomach size). The activities were integrated into an existing parenting programme; 5) Adoption and implementation: parenting practitioners were trained by healthcare professionals to deliver the programme within Children Centres. RESULTS: HAPPY (Healthy and Active Parenting Programme for Early Years) is aimed at overweight and obese pregnant women (BMI > 25); consists of 12 × 2.5 hr. sessions (6 ante-natal from 24 weeks; 6 postnatal up to 9 months); it addresses mother's diet and physical activity, breast or bottle feeding, infant diet and parental feeding practices, and infant physical activity. CONCLUSION: We have demonstrated that IM is a feasible and helpful method for providing an evidence based and theoretical structure to a complex health behaviour change intervention. The next stage will be to assess the impact of the intervention on behaviour change and clinical factors associated with childhood obesity. The HAPPY programme is currently being tested as part of a randomised controlled feasibility trial

Order-disorder phase transition in a cliquey social network

We investigate the network model of community by Watts, Dodds and Newman (D. J. Watts et al., Science 296 (2002) 1302) as a hierarchy of groups, each of 5 individuals. A homophily parameter $\alpha$ controls the probability proportional to $\exp(-\alpha x)$ of selection of neighbours against distance $x$. The network nodes are endowed with spin-like variables $s_i = \pm 1$, with Ising interaction $J>0$. The Glauber dynamics is used to investigate the order-disorder transition. The transition temperature $T_c$ is close to 3.8 for $\alpha < 0.0$ and it falls down to zero above this value. The result provides a mathematical illustration of the social ability to a collective action {\it via} weak ties, as discussed by Granovetter in 1973.Comment: 10 pages, 7 figure

Runoff of Silvicultural Herbicides Applied Using Best Management Practices

Nine small (2.2 to 2.9 ha) and four large (70 to 135 ha) watersheds in East Texas, USA, were instrumented to compare herbicide runoff under different silvicultural systems with best management practices (BMPs). Two treatments were evaluated: conventional, with clearcutting, aerial herbicide site preparation, and hand-applied banded herbaceous release; and intensive, in which subsoiling, aerial fertilization, and a second-year aerial herbicide application were added. Herbicides were applied as operational tank mixes. The highest imazapyr concentration found in stream water was 39 mg L‑1 during the first storm after application (23 days after treatment, DAT) and in-stream concentrations during runoff events dropped to L‑1 in all streams by 150 DAT. The highest hexazinone concentration was 8 mg L‑1 for the banded application and 35 mg L‑1 for the broadcast application the following year and fell to L‑1 in all streams by 140 DAT. The highest sulfometuron methyl concentration found during a runoff event was 4 mg L‑1 and fell to L‑1 in all streams by 80 DAT. About 1 to 2% of applied imazapyr and less than 1% of hexazinone and sulfometuron methyl were measured in storm runoff. Herbicide was found in streams during storm events only (all herbicides wereµg/L in all true baseflow samples), and peak concentrations during runoff events persisted for relatively short times (\u3c 24 h). These results suggest that silvicultural herbicide applications implemented with contemporary BMPs are unlikely to result in chronic exposure of aquatic biota; therefore, herbicide use under these conditions is unlikely to degrade surface waters

Subcellular heterogeneity of ryanodine receptor properties in ventricular myocytes with low T-tubule density

Rationale: In ventricular myocytes of large mammals, not all ryanodine receptor (RyR) clusters are associated with T-tubules (TTs); this fraction increases with cellular remodeling after myocardial infarction (MI). Objective: To characterize RyR functional properties in relation to TT proximity, at baseline and after MI. Methods: Myocytes were isolated from left ventricle of healthy pigs (CTRL) or from the area adjacent to a myocardial infarction (MI). Ca2+ transients were measured under whole-cell voltage clamp during confocal linescan imaging (fluo-3) and segmented according to proximity of TTs (sites of early Ca2+ release, F&gt;F50 within 20 ms) or their absence (delayed areas). Spontaneous Ca2+ release events during diastole, Ca2+ sparks, reflecting RyR activity and properties, were subsequently assigned to either category. Results: In CTRL, spark frequency was higher in proximity of TTs, but spark duration was significantly shorter. Block of Na+/Ca2+ exchanger (NCX) prolonged spark duration selectively near TTs, while block of Ca2+ influx via Ca2+ channels did not affect sparks properties. In MI, total spark mass was increased in line with higher SR Ca2+ content. Extremely long sparks (&gt;47.6 ms) occurred more frequently. The fraction of near-TT sparks was reduced; frequency increased mainly in delayed sites. Increased duration was seen in near-TT sparks only; Ca2+ removal by NCX at the membrane was significantly lower in MI. Conclusion: TT proximity modulates RyR cluster properties resulting in intracellular heterogeneity of diastolic spark activity. Remodeling in the area adjacent to MI differentially affects these RyR subpopulations. Reduction of the number of sparks near TTs and reduced local NCX removal limit cellular Ca2+ loss and raise SR Ca2+ content, but may promote Ca2+ waves

A systematic review of interventions to improve outcomes for young adults with Type 1 diabetes.

BACKGROUND: Many young adults with Type 1 diabetes experience poor outcomes. The aim of this systematic review was to synthesize the evidence regarding the effectiveness of interventions aimed at improving clinical, behavioural or psychosocial outcomes for young adults with Type 1 diabetes. METHODS: Electronic databases were searched. Any intervention studies related to education, support, behaviour change or health service organizational change for young adults aged between 15-30 years with Type 1 diabetes were included. A narrative synthesis of all studies was undertaken due to the large degree of heterogeneity between studies. RESULTS: Eighteen studies (of a possible 1700) were selected and categorized: Health Services Delivery (n = 4), Group Education and Peer Support (n = 6), Digital Platforms (n = 4) and Diabetes Devices (n = 4). Study designs included one randomized controlled trial, three retrospective studies, seven feasibility/acceptability studies and eight studies with a pre/post design. Continuity, support, education and tailoring of interventions to young adults were the most common themes across studies. HbA1c was the most frequently measured outcome, but only 5 of 12 studies that measured it showed a significant improvement. CONCLUSION: Based on the heterogeneity among the studies, the effectiveness of interventions on clinical, behavioural and psychosocial outcomes among young adults is inconclusive. This review has highlighted a lack of high-quality, well-designed interventions, aimed at improving health outcomes for young adults with Type 1 diabetes. This article is protected by copyright. All rights reserved

Fiber optic sensors and spectrometry for the detection of volatile gem-polyhalogenated hydrocarbons

A fiber optic fluorometer utilizing a double-fiber optic probe was constructed. The absolute fluorescence signal and effective collection efficiency are approximately one fifth those of typical cuvette fluorometers and agree with those predicted by theory. A quinine sulfate calibration curve shows linearity from a detection limit of 10 pg/mL to 10 μg/mL. Single- and double-fiber probe configurations were also compared. The double-fiber configuration provided better detection limits due to its superior signal-to-background ratio. A discussion of sensor methodology for the monitoring of reaction intermediates is presented and a simple kinetic model for predicting the time dependent response of such sensors is developed. Two possible mechanisms for the Fujiwara reaction with chloroform are discussed. The effect of pyridine, water, and base concentrations on reaction kinetics was evaluated to develop single-phase Fujiwara reagent mixtures for both fluorometric and spectrophotometric determinations of chloroform. A unique "continuous-exposure" apparatus allowing vapor phase transport of chloroform from an aqueous sample to a conventional cuvette was constructed. The spectrophotometric detection limit for chloroform is 11 ng/mL and the method was shown to be suitable for the analysis of tap water. Two fiber optic chemical sensors (FOCS) for the detection of chloroform were developed. An aliquot of the optimized fluorometric reagent solution is held in contact with the fiber optic probe within a light-tight enclosure and is isolated from a bulk sample by a trapped headspace. One FOCS utilizes 1.3 mL of reagent held in a reservoir and the other utilizes a 10-μL drop of reagent suspended on the sensing tips of the fiber optic probe. Chloroform vapor from the sample migrates into the FOCS and reacts with the reagent to produce a fluorescent reaction intermediate which is monitored at 590 nm; the rate of increase in the fluorescence signal is related to chloroform concentration. Both FOCSs give detection limits better than 0.1 ng/mL. The response and total measurement times are comparable for the two FOCSs, and the duration of the linear response is limited by inner-filter effects. The response to a number of volatile GPHHCs including the trihalomethanes are reported. Analyses of tap water for chloroform with the reservoir FOCS and GC/MS were in excellent agreement

Suppression of High-p_T Neutral Pion Production in Central Pb+Pb Collisions at sqrt{s_NN} = 17.3 GeV Relative to p+C and p+Pb Collisions

Neutral pion transverse momentum spectra were measured in p+C and p+Pb collisions at sqrt{s_NN} = 17.4 GeV at mid-rapidity 2.3 < eta_lab < 3.0 over the range 0.7< p_T < 3.5 GeV/c. The spectra are compared to pi0 spectra measured in Pb+Pb collisions at sqrt{s_NN} = 17.3 GeV in the same experiment. For a wide range of Pb+Pb centralities (N_part < 300) the yield of pi0's with p_T > 2 GeV/c is larger than or consistent with the p+C or p+Pb yields scaled with the number of nucleon-nucleon collisions (N_coll), while for central Pb+Pb collisions with N_part > 350 the pi0 yield is suppressed.Comment: 5 pages, 4 figure

Caveolae in Rabbit Ventricular Myocytes: Distribution and Dynamic Diminution after Cell Isolation

Caveolae are signal transduction centers, yet their subcellular distribution and preservation in cardiac myocytes after cell isolation are not well documented. Here, we quantify caveolae located within 100 nm of the outer cell surface membrane in rabbit single-ventricular cardiomyocytes over 8 h post-isolation and relate this to the presence of caveolae in intact tissue. Hearts from New Zealand white rabbits were either chemically fixed by coronary perfusion or enzymatically digested to isolate ventricular myocytes, which were subsequently fixed at 0, 3, and 8 h post-isolation. In live cells, the patch-clamp technique was used to measure whole-cell plasma membrane capacitance, and in fixed cells, caveolae were quantified by transmission electron microscopy. Changes in cell-surface topology were assessed using scanning electron microscopy. In fixed ventricular myocardium, dual-axis electron tomography was used for three-dimensional reconstruction and analysis of caveolae in situ. The presence and distribution of surface-sarcolemmal caveolae in freshly isolated cells matches that of intact myocardium. With time, the number of surface-sarcolemmal caveolae decreases in isolated cardiomyocytes. This is associated with a gradual increase in whole-cell membrane capacitance. Concurrently, there is a significant increase in area, diameter, and circularity of sub-sarcolemmal mitochondria, indicative of swelling. In addition, electron tomography data from intact heart illustrate the regular presence of caveolae not only at the surface sarcolemma, but also on transverse-tubular membranes in ventricular myocardium. Thus, caveolae are dynamic structures, present both at surface-sarcolemmal and transverse-tubular membranes. After cell isolation, the number of surface-sarcolemmal caveolae decreases significantly within a time frame relevant for single-cell research. The concurrent increase in cell capacitance suggests that membrane incorporation of surface-sarcolemmal caveolae underlies this, but internalization and/or micro-vesicle loss to the extracellular space may also contribute. Given that much of the research into cardiac caveolae-dependent signaling utilizes isolated cells, and since caveolae-dependent pathways matter for a wide range of other study targets, analysis of isolated cell data should take the time post-isolation into account