The Effects of Sitting and Walking in Green Space on State Mindfulness and Connectedness to Nature

People report feeling connected to nature while spending time in green space. The modulators of this relationship are unclear. One modulator may be state mindfulness, which is how mindful someone is in a specific moment. The first step of studying state mindfulness as a potential modulator is describing how state mindfulness and connectedness to nature respond to acute exposure to green space. PURPOSE: This study aimed to determine whether sitting and walking in green space change state mindfulness and connectedness to nature in tandem. METHODS: Participants arrived at one of two green spaces: the Thunderbird Gardens Trailhead in Cedar City, UT, or the Clark County Wetlands Park in Las Vegas, NV. After giving verbal and written consent, the participants completed the State Mindfulness Scale (SMS) and Love and Care of Nature Scale (LCN). The participants then sat alone and undisturbed for 10 minutes near the trailhead and completed the SMS and LCN again. Next, the participants walked alone for 10 minutes on the trail and completed the SMS and LCN once more. The SMS and LCN scores were compared among pre-sit, post-sit, and post-walk via two separate one-way repeated-measures ANOVAs. Population effect sizes were estimated as partial omega squared (ωp2; large effect \u3e 0.14). After each ANOVA, the post hoc pairwise comparisons were dependent-samples t-tests with Bonferroni adjustments. The α-level was 0.05 for all the statistical analyses. RESULTS: Forty-two participants completed the study (22 females, 20 males, 0 intersex; 4 African American/Black, 4 Asian, 19 Caucasian/White, 9 Hispanic/Latino, 1 Mediterranean, 1 Middle Eastern, 3 Multi-Racial, 1 Polynesian; 26 ± 9 years, 170 ± 9 cm, 69 ± 16 kg, 24 ± 4 kg/m2). The SMS scores significantly increased from pre-sit to post-sit (+29 arbitrary units [AU], 95% CI: 20, 38; p \u3c 0.001) but not from post-sit to post-walk (p = 0.23). The LCN scores significantly increased from pre-sit to post-sit (+5 AU, 95% CI: 2, 8; p = 0.003) and from post-sit to post-walk (+4 AU, 95% CI: 1, 6; p = 0.002). CONCLUSION: Sitting for 10 minutes in green space increases state mindfulness and connectedness to nature. Walking for 10 minutes further increases connectedness to nature but not state mindfulness. The next step is determining whether state mindfulness predicts connectedness to nature while in green space

Assessing the Reliability of Stryd 27 for Variable Speed Running

Wearable technology is beneficial when it comes to tracking and optimizing performance. The Stryd 27 is a wearable footpod marketed as being more responsive in measuring power during running than the previous version (Stryd 25). However, the reliability of this newer device to return consistent values has not been determined. PURPOSE: This study aimed to observe whether Stryd 27 gives reliable metrics during variable speed running. METHODS: Sixteen participants (N = 16; 50% female; height = 174.1 ± 8.1 cm; mass = 73.0 ± 12.4 kg) were recruited, each equipped with two Stryd 27 footpods (updated to the same software version) affixed to the shoelaces of their running shoes. The researchers recorded data using the Stryd app on a mobile device that was connected to the Stryd 27 via Bluetooth. Recording on both devices were started and stopped at the same time. Each participant completed two, 10-minute runs on an indoor track. The initial run was used to establish a baseline. Following a 5-minute rest period, participants proceeded with the second run, during which they alternated between faster and slower intervals. The pace for these intervals was set to be 20% faster and 20% slower than what each participant’s average pace was during the first run. Reliability of power, cadence, form power, ground contact time (GCT), vertical oscillation (VO), leg spring stiffness (LSS), and stride length during the interval run was determined using coefficient of variation (CV) and intraclass correlation coefficient (ICC), with CV0.70 (p \u3c 0.05) being considered evidence of reliability. RESULTS: Reliability data are shown in Table 1. The following measures were found to be reliable: power, cadence, form power, GCC, and VO. The measures of LSS and stride length were not found to be reliable. CONCLUSION: Runners using the new Stryd 27 can have confidence that most measures return reliable values (power, cadence, form power, GCT, and VO). Unfortunately, two measures were observed to not meet the threshold for reliability (LSS and stride length). Athletes interested in these measures should be cautious when interpreting their data

The Effectiveness of Running Power as a Metric of Exercise Intensity During Running Interval Training

Wearable power meters are increasingly popular among runners with Coros and Stryd offering running power as a real-time, trackable of a metric. PURPOSE: This study compared running power (RP) to physiological measures, heart rate (HR) and oxygen consumption (VO2), across high and low intensity running intervals. METHODS: Thirteen adult participants (n = 6 male; height = 174.9 ± 6.9 cm; mass = 72.5 ± 12.0 kg) were equipped with a Stryd 27 RP meter, a Polar H10 HR monitor, and a Cosmed K5 portable metabolic unit. Participants’ self-selected RP was obtained during a 10-min run on an indoor track (10 laps/mile). After resting for five minutes, participants ran another 10 min, alternating between equal intervals of RP 20% higher and 20% lower than self-selected RP: 120 s × 2, 60 s × 2, 30 s × 4, and 15 s × 8. All devices were started simultaneously before each run. RP (W/kg) was sampled at 1 Hz. HR (bpm) and VO2 (mL/kg/min) were sampled at 0.1 Hz throughout the interval run. Data were analyzed from the 60 s mark through the end of the run. HR and VO2 data were interpolated to 1 Hz, and cross correlations (max lag = 60 s) were used to compare RP, HR, and VO2 (mean values in Table 1). RESULTS: There were weak to moderate correlations between RP and VO2 (r = 0.351; lag = -29.1 s), RP and HR (r = 0.475; lag = 9.38 s), and HR and VO2 (r = 0.572; lag = -29.1 s; Table 2). CONCLUSION: HR showed the strongest correlation and smallest time delay with RP. This may be practically useful because HR data is more readily available to runners than VO2. However, the correlation is only moderate. While related, the three metrics of running intensity are fundamentally different. When exercising at a moderate intensity, changes in HR or VO2, which take seconds to minutes to stabilize, may be less evident than changes in mechanical power, which are immediate. Thus, it is possible that HR and VO2 would show a stronger relationship with RP across intervals longer than the 120 s maximum observed here. While RP can be a useful metric, it may not be informative about physiological responses to running especially over short intervals or when running at high intensity

Stryd 25 vs. Stryd 27: Comparing Running Metrics Between a Predecessor and “The Next Gen Stryd”

Wearable technology has claimed the top spot in the Worldwide Survey of Fitness Trends in all but two years since 2016. A popular wearable among runners is the Stryd power meter. The company markets its latest model, the Stryd 27, as 5x more responsive in measuring running power. Yet, it is unclear whether the new model performs differently than its predecessor. PURPOSE: This study aimed to compare running metrics of the Stryd 25 and Stryd 27 in self-paced and interval runs. METHODS: Participants consented (N = 16; 50% female; height = 174.1 ± 8.1 centimeters [cm]; mass = 73.0 ± 12.4 kilograms) and were equipped with the Stryd 25 and Stryd 27, attached randomly to the left and right shoelaces. Each Stryd was paired with a separate mobile device using the Stryd app. Researchers started and stopped recording on each Stryd simultaneously. Participants ran for 10 minutes at a self-selected pace counterclockwise around an indoor track (10 laps/mile) before resting for five minutes. Then participants ran 10 more minutes, alternating between fast and slow intervals: 120 seconds (s) × 2, 60 s × 2, 30 s × 4, and 15 s × 8. Fast and slow intervals were 20% faster and 20% slower, respectively, than the participant’s mean pace of the first run. The Stryd app recorded power in watts (W), cadence in steps per minute (spm), vertical oscillation (VO) in cm, and stride length in meters (m). Four independent t-tests were run to compare these measurements between the two Stryd models for the self-paced and interval runs. The alpha level was .05, and the effect size was Cohen’s d (0.2 small, 0.5 medium, 0.8 large). RESULTS: See Table 1. CONCLUSION: Four running metrics were statistically similar between the Stryd 25 and Stryd 27 during two indoor runs. Runners using the predecessor indoors can be confident it returns similar data to the newest model

Evaluation of Average and Maximum Heart Rate of Wrist-worn Wearable Technology Devices During Trail Running

It has been estimated that there are 20 million people who participate in trail running, and these numbers are expected to increase by 15% each year. Our laboratory group has conducted studies on the validity of wearable technology watches and heart rate (HR) during trail running. The previous generation devices were mostly inaccurate, and a limitation was that reliability was not measured. PURPOSE: To determine both validity and reliability in newer models of wearable devices during trail running. METHODS: Seventeen participants (F = 7) ran on the Thunderbird Gardens Lightning Switch trail in Cedar City, UT. Demographic characteristics: Age = 25 (9) years (mean [standard deviation]), ht = 168 (9) cm, mass = 72 (14) kg. Two Garmin Instincts and two Polar Vantage M2s were evaluated, along with the Polar H10 chest strap as the criterion measure. Participants ran out on the trail for 10-minutes, and then returned to the trailhead. Maximum HR and average HR were measured during the run. Data were analyzed for validity (Mean Absolute Percent Error [MAPE] and Lin’s Concordance [CCC]) and reliability (Coefficient of Variation [CV] and Intraclass Correlation Coefficient [ICC]). Predetermined thresholds were: MAPE0.70, CV0.70. RESULTS: The Garmin Instinct met the threshold for both reliability tests for average and maximum HR (see table). The Garmin Instinct and Polar Vantage met the threshold for both validity tests for maximum HR. CONCLUSION: In order for a device to be considered valid, it must meet the predetermined thresholds for both validity and reliability. These results indicate that only the Garmin Instinct is valid and reliable, but only for measuring maximum HR. This is challenging for those who wish to track their HR while trail running, because neither of the studied devices were valid and reliable for maximum and average HR

Optimization of percutaneous biopsy for diagnosis and pretreatment risk assessment of neuroblastoma

BackgroundImage- guided percutaneous core needle biopsy (PCNB) is increasingly utilized to diagnose solid tumors. The objective of this study is to determine whether PCNB is adequate for modern biologic characterization of neuroblastoma.ProcedureA multi- institutional retrospective study was performed by the Pediatric Surgical Oncology Research Collaborative on children with neuroblastoma at 12 institutions over a 3- year period. Data collected included demographics, clinical details, biopsy technique, complications, and adequacy of biopsies for cytogenetic markers utilized by the Children’s Oncology Group for risk stratification.ResultsA total of 243 children were identified with a diagnosis of neuroblastoma: 79 (32.5%) tumor excision at diagnosis, 94 (38.7%) open incisional biopsy (IB), and 70 (28.8%) PCNB. Compared to IB, there was no significant difference in ability to accurately obtain a primary diagnosis by PCNB (95.7% vs 98.9%, P = .314) or determine MYCN copy number (92.4% vs 97.8%, P = .111). The yield for loss of heterozygosity and tumor ploidy was lower with PCNB versus IB (56.1% vs 90.9%, P < .05; and 58.0% vs. 88.5%, P < .05). Complications did not differ between groups (2.9 % vs 3.3%, P = 1.000), though the PCNB group had fewer blood transfusions and lower opioid usage. Efficacy of PCNB was improved for loss of heterozygosity when a pediatric pathologist evaluated the fresh specimen for adequacy.ConclusionsPCNB is a less invasive alternative to open biopsy for primary diagnosis and MYCN oncogene status in patients with neuroblastoma. Our data suggest that PCNB could be optimized for complete genetic analysis by standardized protocols and real- time pathology assessment of specimen quality.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/154667/1/pbc28153_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/154667/2/pbc28153.pd

Optimization of percutaneous biopsy for diagnosis and pretreatment risk assessment of neuroblastoma

Background: Image-guided percutaneous core needle biopsy (PCNB) is increasingly utilized to diagnose solid tumors. The objective of this study is to determine whether PCNB is adequate for modern biologic characterization of neuroblastoma. Procedure: A multi-institutional retrospective study was performed by the Pediatric Surgical Oncology Research Collaborative on children with neuroblastoma at 12 institutions over a 3-year period. Data collected included demographics, clinical details, biopsy technique, complications, and adequacy of biopsies for cytogenetic markers utilized by the Children\u27s Oncology Group for risk stratification. Results: A total of 243 children were identified with a diagnosis of neuroblastoma: 79 (32.5%) tumor excision at diagnosis, 94 (38.7%) open incisional biopsy (IB), and 70 (28.8%) PCNB. Compared to IB, there was no significant difference in ability to accurately obtain a primary diagnosis by PCNB (95.7% vs 98.9%, P =.314) or determine MYCN copy number (92.4% vs 97.8%, P =.111). The yield for loss of heterozygosity and tumor ploidy was lower with PCNB versus IB (56.1% vs 90.9%, P \u3c.05; and 58.0% vs. 88.5%, P \u3c.05). Complications did not differ between groups (2.9 % vs 3.3%, P = 1.000), though the PCNB group had fewer blood transfusions and lower opioid usage. Efficacy of PCNB was improved for loss of heterozygosity when a pediatric pathologist evaluated the fresh specimen for adequacy. Conclusions: PCNB is a less invasive alternative to open biopsy for primary diagnosis and MYCN oncogene status in patients with neuroblastoma. Our data suggest that PCNB could be optimized for complete genetic analysis by standardized protocols and real-time pathology assessment of specimen quality

The Effects of Time Varying Curvature on Species Transport in Coronary Arteries

Alterations in mass transport patterns of low-density lipoproteins (LDL) and oxygen are known to cause atherosclerosis in larger arteries. We hypothesise that the species transport processes in coronary arteries may be affected by their physiological motion, a factor which has not been considered widely in mass transfer studies. Hence, we numerically simulated the mass transport of LDL and oxygen in an idealized moving coronary artery model under both steady and pulsatile flow conditions. A physiological inlet velocity and a sinusoidal curvature waveform were specified as velocity and wall motion boundary conditions. The results predicted elevation of LDL flux, impaired oxygen flux and low wall shear stress (WSS) along the inner wall of curvature, a predilection site for atherosclerosis. The wall motion induced changes in the velocity and WSS patterns were only secondary to the pulsatile flow effects. The temporal variations in flow and WSS due to the flow pulsation and wall motion did not affect temporal changes in the species wall flux. However, the wall motion did alter the time-averaged oxygen and LDL flux in the order of 26% and 12% respectively. Taken together, these results suggest that the wall motion may play an important role in coronary arterial transport processes and emphasise the need for further investigation

Pancreaticoduodenectomy for the treatment of pancreatic neoplasms in children: A Pediatric Surgical Oncology Research Collaborative study

Background: To better characterize short-term and long-term outcomes in children with pancreatic tumors treated with pancreaticoduodenectomy (PD). Methods: Patients 21 years of age or younger who underwent PD at Pediatric Surgical Oncology Collaborative (PSORC) hospitals between 1990 and 2017 were identified. Demographic, clinical information, and outcomes (operative complications, long-term pancreatic function, recurrence, and survival) were collected. Results: Sixty-five patients from 18 institutions with a median age of 13 years (4 months-22 years) and a median (IQR) follow-up of 2.8 (4.3) years were analyzed. Solid pseudopapillary tumor of the pancreas (SPN) was the most common histology. Postoperative complications included pancreatic leak in 14% (n = 9), delayed gastric emptying in 9% (n = 6), marginal ulcer in one patient, and perioperative (30-day) death due to hepatic failure in one patient. Pancreatic insufficiency was observed in 32% (n = 21) of patients, with 23%, 3%, and 6% with exocrine, or endocrine insufficiencies, or both, respectively. Children with SPN and benign neoplasms all survived. Overall, there were 14 (22%) recurrences and 11 deaths (17%). Univariate analysis revealed non-SPN malignant tumor diagnosis, preoperative vascular involvement, intraoperative transfusion requirement, pathologic vascular invasion, positive margins, and need for neoadjuvant chemotherapy as risk factors for recurrence and poor survival. Multivariate analysis only revealed pathologic vascular invasion as a risk factor for recurrence and poor survival. Conclusion: This is the largest series of pediatric PD patients. PD is curative for SPN and benign neoplasms. Pancreatic insufficiency is the most common postoperative complication. Outcome is primarily associated with histology

Pancreaticoduodenectomy for the treatment of pancreatic neoplasms in children: A Pediatric Surgical Oncology Research Collaborative study

BackgroundTo better characterize short- term and long- term outcomes in children with pancreatic tumors treated with pancreaticoduodenectomy (PD).MethodsPatients 21 years of age or younger who underwent PD at Pediatric Surgical Oncology Collaborative (PSORC) hospitals between 1990 and 2017 were identified. Demographic, clinical information, and outcomes (operative complications, long- term pancreatic function, recurrence, and survival) were collected.ResultsSixty- five patients from 18 institutions with a median age of 13 years (4 months- 22 years) and a median (IQR) follow- up of 2.8 (4.3) years were analyzed. Solid pseudopapillary tumor of the pancreas (SPN) was the most common histology. Postoperative complications included pancreatic leak in 14% (n = 9), delayed gastric emptying in 9% (n = 6), marginal ulcer in one patient, and perioperative (30- day) death due to hepatic failure in one patient. Pancreatic insufficiency was observed in 32% (n = 21) of patients, with 23%, 3%, and 6% with exocrine, or endocrine insufficiencies, or both, respectively. Children with SPN and benign neoplasms all survived. Overall, there were 14 (22%) recurrences and 11 deaths (17%). Univariate analysis revealed non- SPN malignant tumor diagnosis, preoperative vascular involvement, intraoperative transfusion requirement, pathologic vascular invasion, positive margins, and need for neoadjuvant chemotherapy as risk factors for recurrence and poor survival. Multivariate analysis only revealed pathologic vascular invasion as a risk factor for recurrence and poor survival.ConclusionThis is the largest series of pediatric PD patients. PD is curative for SPN and benign neoplasms. Pancreatic insufficiency is the most common postoperative complication. Outcome is primarily associated with histology.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/156233/2/pbc28425.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/156233/1/pbc28425_am.pd