The effect of chair massage on muscular discomfort in cardiac sonographers: a pilot study

<p>Abstract</p> <p>Background</p> <p>Cardiac sonographers frequently have work-related muscular discomfort. We aimed to assess the feasibility of having sonographers receive massages during working hours in an area adjacent to an echocardiography laboratory and to assess relief of discomfort with use of the massages with or without stretching exercises.</p> <p>Methods</p> <p>A group of 45 full-time sonographers was randomly assigned to receive weekly 30-minute massage sessions, massages plus stretching exercises to be performed twice a day, or no intervention. Outcome measures were scores of the <it>Quick</it>DASH instrument and its associated work module at baseline and at 10 weeks of intervention. Data were analyzed with standard descriptive statistics and the separation test for early-phase comparative trials.</p> <p>Results</p> <p>Forty-four participants completed the study: 15 in the control group, 14 in the massage group, and 15 in the massage plus stretches group. Some improvement was seen in work-related discomfort by the <it>Quick</it>DASH scores and work module scores in the 2 intervention groups. The separation test showed separation in favor of the 2 interventions.</p> <p>Conclusion</p> <p>On the basis of the results of this pilot study, larger trials are warranted to evaluate the effect of massages with or without stretching on work-related discomfort in cardiac sonographers.</p> <p>Trial Registration</p> <p>NCT00975026 ClinicalTrials.gov</p

The age-metallicity structure of the Milky Way disc using APOGEE

The measurement of the structure of stellar populations in the Milky Way disc places fundamental constraints on models of galaxy formation and evolution. Previously, the disc’s structure has been studied in terms of populations defined geometrically and/or chemically, but a decomposition based on stellar ages provides a more direct connection to the history of the disc, and stronger constraint on theory. Here, we use positions, abundances and ages for 31 244 red giant branch stars from the Sloan Digital Sky Survey (SDSS)-APOGEE survey, spanning 3 < Rgc < 15 kpc, to dissect the disc into mono-age and mono-[Fe/H] populations at low and high [α/Fe]. For each population, with age < 2 Gyr and [Fe/H] < 0.1 dex, we measure the structure and surface-mass density contribution. We find that low [α/Fe] mono-age populations are fit well by a broken exponential, which increases to a peak radius and decreases thereafter. We show that this profile becomes broader with age, interpreted here as a new signal of disc heating and radial migration. High [α/Fe] populations are well fit as single exponentials within the radial range considered, with an average scalelength of 1.9 ± 0.1 kpc. We find that the relative contribution of high to low [α/Fe] populations at R0 is f� = 18 per cent ± 5 per cent; high [α/Fe] contributes most of the mass at old ages, and low [α/Fe] at young ages. The low and high [α/Fe] populations overlap in age at intermediate [Fe/H], although both contribute mass at R0 across the full range of [Fe/H]. The mass-weighted scaleheight hZ distribution is a smoothly declining exponential function. High [α/Fe] populations are thicker than low [α/Fe], and the average hZ increases steadily with age, between 200 and 600 pc

Inorganic carbon promotes photosynthesis, growth, and maximum biomass of phytoplankton in eutrophic water bodies

1.The traditional perception in limnology has been that phytoplankton biomass in lakes is limited by phosphorus, nitrogen, and light, but not by dissolved inorganic carbon (DIC) because CO2 can be supplied from the atmosphere. We tested the possibility of carbon limitation of photosynthesis, growth, and biomass accumulation of phytoplankton communities across an alkalinity and DIC gradient (0.15–3.26 mM) in nutrient‐rich freshwater. 2.During 47‐day long experiments, we measured phytoplankton biomass, organic carbon, calcium, DIC, pH, and oxygen in indoor, constantly mixed mesocosms with either no removal or a 70% weekly removal of the biomass. Photosynthesis was measured in the morning and in the afternoon at high biomass. 3.Maximum biomass and organic carbon production increased two‐ to four‐fold with DIC, which supported 7% of organic carbon production at low DIC and 53% at high DIC concentration, while atmospheric CO2 uptake supplied the remainder. Weekly biomass removal increased growth rates through improved light conditions leading to enhanced total phytoplankton biomass production at high DIC. Photosynthesis was significantly higher in the morning compared to afternoon due to daily DIC depletion. 4.We conclude that phytoplankton photosynthesis, growth rate, maximum biomass, and organic carbon production can be markedly carbon limited in eutrophic lake waters. Consequently, lakes of high DIC and pH can support a faster primary production by greater DIC use and chemically enhanced atmospheric CO2 uptake.publishedVersio

Chronologically dating the early assembly of the Milky Way

The standard cosmological model predicts that galaxies are built through hierarchical assembly on cosmological timescales1,2. The Milky Way, like other disk galaxies, underwent violent mergers and accretion of small satellite galaxies in its early history. Owing to Gaia Data Release 23 and spectroscopic surveys4, the stellar remnants of such mergers have been identified5–7. The chronological dating of such events is crucial to uncover the formation and evolution of the Galaxy at high redshift, but it has so far been challenging due to difficulties in obtaining precise ages for these oldest stars. Here we combine asteroseismology—the study of stellar oscillations—with kinematics and chemical abundances to estimate precise stellar ages (~11%) for a sample of stars observed by the Kepler space mission8. Crucially, this sample includes not only some of the oldest stars that were formed inside the Galaxy but also stars formed externally and subsequently accreted onto the Milky Way. Leveraging this resolution in age, we provide compelling evidence in favour of models in which the Galaxy had already formed a substantial population of its stars (which now reside mainly in its thick disk) before the infall of the satellite galaxy Gaia-Enceladus/Sausage5,6 around 10 billion years ago

Computers in Secondary Schools: Educational Games

This entry introduces educational games in secondary schools. Educational games include three main types of educational activities with a playful learning intention supported by digital technologies: educational serious games, educational gamification, and learning through game creation. Educational serious games are digital games that support learning objectives. Gamification is defined as the use of "game design elements and game thinking in a non-gaming context" (Deterding et al. 2011, p. 13). Educational gamification is not developed through a digital game but includes game elements for supporting the learning objectives. Learning through game creation is focused on the process of designing and creating a prototype of a game to support a learning process related to the game creation process or the knowledge mobilized through the game creation process. Four modalities of educational games in secondary education are introduced in this entry to describe educational games in secondary education: educational purpose of entertainment games, serious games, gamification, and game design

Age dissection of the Milky Way discs: Red giants in the Kepler field

Ensemble studies of red-giant stars with exquisite asteroseismic (Kepler), spectroscopic (APOGEE), and astrometric (Gaia) constraints offer a novel opportunity to recast and address long-standing questions concerning the evolution of stars and of the Galaxy. Here, we infer masses and ages for nearly 5400 giants with available Kepler light curves and APOGEE spectra using the code PARAM, and discuss some of the systematics that may affect the accuracy of the inferred stellar properties. We then present patterns in mass, evolutionary state, age, chemical abundance, and orbital parameters that we deem robust against the systematic uncertainties explored. First, we look at age-chemical-abundances ([Fe/H] and [α/Fe]) relations. We find a dearth of young, metal-rich ([Fe/H] > 0.2) stars, and the existence of a significant population of old (8−9 Gyr), low-[α/Fe], super-solar metallicity stars, reminiscent of the age and metallicity of the well-studied open cluster NGC 6791. The age-chemo-kinematic properties of these stars indicate that efficient radial migration happens in the thin disc. We find that ages and masses of the nearly 400 α-element-rich red-giant-branch (RGB) stars in our sample are compatible with those of an old (∼11 Gyr), nearly coeval, chemical-thick disc population. Using a statistical model, we show that the width of the observed age distribution is dominated by the random uncertainties on age, and that the spread of the inferred intrinsic age distribution is such that 95% of the population was born within ∼1.5 Gyr. Moreover, we find a difference in the vertical velocity dispersion between low- and high-[α/Fe] populations. This discontinuity, together with the chemical one in the [α/Fe] versus [Fe/H] diagram, and with the inferred age distributions, not only confirms the different chemo-dynamical histories of the chemical-thick and thin discs, but it is also suggestive of a halt in the star formation (quenching) after the formation of the chemical-thick disc. We then exploit the almost coeval α-rich population to gain insight into processes that may have altered the mass of a star along its evolution, which are key to improving the mapping of the current, observed, stellar mass to the initial mass and thus to the age. Comparing the mass distribution of stars on the lower RGB (R <  11 R⊙) with those in the red clump (RC), we find evidence for a mean integrated RGB mass loss ⟨ΔM⟩ = 0.10 ± 0.02 M⊙. Finally, we find that the occurrence of massive (M ≳ 1.1 M⊙) α-rich stars is of the order of 5% on the RGB, and significantly higher in the RC, supporting the scenario in which most of these stars had undergone an interaction with a companion

The contribution of N-rich stars to the Galactic stellar halo using APOGEE red giants

The contribution of dissolved globular clusters (GCs) to the stellar content of the Galactic halo is a key constraint on models for GC formation and destruction, and the mass assembly history of the Milky Way. Earlier results from APOGEE pointed to a large contribution of destroyed GCs to the stellar content of the inner halo, by as much as 25$\%$, which is an order of magnitude larger than previous estimates for more distant regions of the halo. We set out to measure the ratio between N-rich and normal halo field stars, as a function of distance, by performing density modelling of halo field populations in APOGEE DR16. Our results show that at 1.5 kpc from the Galactic Centre, N-rich stars contribute a much higher 16.8$^{+10.0}_{-7.0}$$\%$ fraction to the total stellar halo mass budget than the 2.7$^{+1.0}_{-0.8}$$\%$ ratio contributed at 10 kpc. Under the assumption that N-rich stars are former GC members that now reside in the stellar halo field, and assuming the ratio between first-and second-population GC stars being 1:2, we estimate a total contribution from disrupted GC stars of the order of 27.5$^{+15.4}_{-11.5}$$\%$ at r = 1.5 kpc and 4.2$^{+1.5}_{-1.3}$$\%$ at r = 10 kpc. Furthermore, since our methodology requires fitting a density model to the stellar halo, we integrate such density within a spherical shell from 1.5-15 kpc in radius, and find a total stellar mass arising from dissolved and/or evaporated GCs of $M_{\mathrm{GC,total}}$ = 9.6$^{+4.0}_{-2.6}$ $\times$ 10$^{7}$ M$\odot$.Comment: Paper accepted for Publication in MNRA

Chronologically dating the early assembly of the Milky Way

The standard cosmological model predicts that galaxies are built through hierarchical assembly on cosmological timescales1,2. The Milky Way, like other disk galaxies, underwent violent mergers and accretion of small satellite galaxies in its early history. Owing to Gaia Data Release 23 and spectroscopic surveys4, the stellar remnants of such mergers have been identified5,6,7. The chronological dating of such events is crucial to uncover the formation and evolution of the Galaxy at high redshift, but it has so far been challenging due to difficulties in obtaining precise ages for these oldest stars. Here we combine asteroseismology—the study of stellar oscillations—with kinematics and chemical abundances to estimate precise stellar ages (~11%) for a sample of stars observed by the Kepler space mission8. Crucially, this sample includes not only some of the oldest stars that were formed inside the Galaxy but also stars formed externally and subsequently accreted onto the Milky Way. Leveraging this resolution in age, we provide compelling evidence in favour of models in which the Galaxy had already formed a substantial population of its stars (which now reside mainly in its thick disk) before the infall of the satellite galaxy Gaia-Enceladus/Sausage5,6 around 10 billion years ago