Using Technology to Monitor Hearing Device Use and Linguistic Environments: Early Intervention Providers’ Perspectives

To optimize outcomes of children with hearing loss, early intervention professionals must work with families to optimize both children’s hearing device use and the linguistic and auditory features of their environments. Two technologies with potential use in monitoring these domains are data logging and Language Environment Analysis (LENA) technology. This study had two objectives: 1) to determine whether providers’ experiences, perspectives, and current practices indicate there is a need for tools to better monitor these domains, and 2) to gain a better understanding of providers’ experiences with and perspectives on use of data logging and LENA technology using an internet-based questionnaire. Providers used informal, subjective methods to monitor functioning in the two domains and felt confident that this allowed them to know how consistently children on their caseloads were wearing their hearing devices and what their environments were like between intervention visits. Providers had limited personal experience with accessing data logging information from hearing devices, but many were receiving that information from the child’s audiologist. Most providers reported limited personal experience with LENA technology. Most providers indicated that they believed access to the technologies may be beneficial, but only if coupled with proper funding for the technology, appropriate training, and supportive administrative policies

Using an intervention mapping approach to develop a discharge protocol for intensive care patients

Background: Admission into an intensive care unit (ICU) may result in long-term physical, cognitive, and emotional consequences for patients and their relatives. The care of the critically ill patient does not end upon ICU discharge; therefore, integrated and ongoing care during and after transition to the follow-up ward is pivotal. This study described the development of an intervention that responds to this need. Methods: Intervention Mapping (IM), a six-step theory- and evidence-based approach, was used to guide intervention development. The first step, a problem analysis, comprised a literature review, six semi-structured telephone interviews with former ICU-patients and their relatives, and seven qualitative roundtable meetings for all eligible nurses (i.e., 135 specialized and 105 general ward nurses). Performance and change objectives were formulated in step two. In step three, theory-

Dissipative dynamics of vortex arrays in trapped Bose-condensed gases: neutron stars physics on μ\muK scale

We develop a theory of dissipative dynamics of large vortex arrays in trapped Bose-condensed gases. We show that in a static trap the interaction of the vortex array with thermal excitations leads to a non-exponential decay of the vortex structure, and the characteristic lifetime depends on the initial density of vortices. Drawing an analogy with physics of pulsar glitches, we propose an experiment which employs the heating of the thermal cloud in the course of the decay of the vortex array as a tool for a non-destructive study of the vortex dynamics.Comment: 4 pages, revtex; revised versio

How many cows do I need? Sample size calculations for testing co-infection using existing study data

Background There is little empirical research on the co-infection of Fasciola hepatica and Escherichia coli O157 in cattle. E. coli is controlled in the gut by a Type 1 immune response, whereas F. hepatica is known to suppress these immune responses and induce an anti-inflammatory environment in the host. We evaluate the statistical feasibility of re-testing isolates from a planned UK Food Standards Agency study on E. coli prevalence for F. hepatica presence, in order to establish whether there is an association. Methods We simulate synthetic datasets representing the proposed FSA sampling strategy. Sample sizes within farms and F. hepatica infections are simulated using Beta-Binomial distributions. E. coli infections are simulated using a logistic random-intercepts model under an alternative hypothesis that the odds ratio of E. coli presence is double when F. hepatica is present, with farm- and isolate-level prevalence rates constrained to current estimates. Statistical power is calculated by fitting models to each of the simulated datasets assuming a type I error rate of 5%. Owing to the E. coli status being known in advance of the F. hepatica test, we restrict the sampling strategy to only test farms with >0% an

Genetic and environmental influences on sleep quality in middle‐aged men: a twin study

Poor sleep quality is a risk factor for a number of cognitive and physiological age-related disorders. Identifying factors underlying sleep quality are important in understanding the etiology of these age-related health disorders. We investigated the extent to which genes and the environment contribute to subjective sleep quality in middle-aged male twins using the classical twin design. We used the Pittsburgh Sleep Quality Index to measure sleep quality in 1218 middle-aged twin men from the Vietnam Era Twin Study of Aging (mean age = 55.4 years; range 51-60; 339 monozygotic twin pairs, 257 dizygotic twin pairs, 26 unpaired twins). The mean PSQI global score was 5.6 [SD = 3.6; range 0-20]. Based on univariate twin models, 34% of variability in the global PSQI score was due to additive genetic effects (heritability) and 66% was attributed to individual-specific environmental factors. Common environment did not contribute to the variability. Similarly, the heritability of poor sleep-a dichotomous measure based on the cut-off of global PSQI>5-was 31%, with no contribution of the common environment. Heritability of six of the seven PSQI component scores (subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, and daytime dysfunction) ranged from 0.15 to 0.31, whereas no genetic influences contributed to the use of sleeping medication. Additive genetic influences contribute to approximately one-third of the variability of global subjective sleep quality. Our results in middle-aged men constitute a first step towards examination of the genetic relationship between sleep and other facets of aging.Accepted manuscrip

Royal society of Canada COVID-19 report: Enhancing COVID-19 vaccine acceptance in Canada

COVID-19 vaccine acceptance exists on a continuum from a minority who strongly oppose vaccination, to the moveable middle heterogeneous group with varying uncertainty levels about acceptance or hesitancy, to the majority who state willingness to be vaccinated. Intention for vaccine acceptance varies over time. COVID-19 vaccination decisions are influenced by many factors including knowledge, attitudes, and beliefs; social networks; communication environment; COVID-19 community rate; cultural and religious influences; ease of access; and the organization of health and community services and policies. Reflecting vaccine acceptance complexity, the Royal Society of Canada Working Group on COVID-19 Vaccine Acceptance developed a framework with four major factor domains that influence vaccine acceptance (people, communities, health care workers; immunization knowledge; health care and public health systems including federal/provincial/territorial/indigenous factors) - each influencing the others and all influenced by education, infection control, extent of collaborations, and communications about COVID-19 immunization. The Working Group then developed 37 interrelated recommendations to support COVID vaccine acceptance nested under four categories of responsibility: 1. People and Communities, 2. Health Care Workers, 3. Health Care System and Local Public Health Units, and 4. Federal/Provincial/Territorial/Indigenous. To optimize outcomes, all must be engaged to ensure co-development and broad ownership

Cm-Wavelength Total Flux and Linear Polarization Properties of Radio-Loud BL Lacertae Objects

Results from a long-term program to quantify the range of behavior of the cm-wavelength total flux and linear polarization variability properties of a sample of 41 radio-loud BL Lac objects using weekly to tri-monthly observations with the University of Michigan 26-m telescope operating at 14.5, 8.0, and 4.8 GHz are presented; these observations are used to identify class-dependent differences between these BL Lacs and QSOs in the Pearson-Readhead sample. The BL Lacs are found to be more highly variable in total flux density than the QSOs, exhibiting changes that are often nearly-simultaneous and of comparable amplitude at 14.5 and 4.8 GHz in contrast to the behavior in the QSOs and supporting the existence of class-dependent differences in opacity within the parsec-scale jet flows. Structure function analyses of the flux observations quantify that a characteristic timescale is identifiable in only 1/3 of the BL Lacs. The time-averaged fractional linear polarizations are only on the order of a few percent and are consistent with the presence of tangled magnetic fields within the emitting regions. In many sources a preferred long-term orientation of the EVPA is present; when compared with the VLBI structural axis, no preferred position angle difference is identified. The polarized flux typically exhibits variability with timescales of months to a few years and shows the signature of a propagating shock during several resolved outbursts. The observations indicate that the source emission is predominately due to evolving source components and support the occurrence of more frequent shock formation in BL Lac parsec-scale flows than in QSO jets. The differences in variability behavior and polarization between BL Lacs and QSOs can be explained by differences in jet stability.Comment: 1 LaTex (aastex) file, 21 postscript figure files, 2 external LaTex table files. To appear in the Astrophysical Journa

Extraordinary Activity in the BL Lac Object OJ~287

We use a continuous wavelet transform to analyze more than two decades of data for the BL~Lac object OJ~287 acquired as part of the UMRAO variability program. We find clear evidence for a persistent modulation of the total flux and polarization with period $\sim 1.66$ years, and for another signal that dominates activity in the 1980s with period $\sim 1.12$ years. The relationship between these two variations can be understood in terms of a `shock-in-jet' model, in which the longer time scale periodicity is associated with an otherwise quiescent jet, and the shorter time scale activity is associated with the passage of a shock; the different periodicities of these two components may reflect different internal conditions of the two flow domains, leading to different wave speeds, or different contractions of a single underlying periodicity, due to the different Doppler factors of the two flow components. We suggest that the modulation arises from a wave driven by some asymmetric disturbance close to the central engine. The periodic behavior in polarization exhibits excursions in $U$ which correspond to a direction $\sim 45^{\circ}$ from the VLBI jet axis. This behavior is not explained by the random walk in the $Q$-$U$ plane which is expected from models in which a pattern of randomly aligned magnetic field elements propagate across the visible portion of the flow, and suggests a small amplitude, cyclic variation in the flow direction in that part of the flow that dominates cm-wavelength emission.Comment: Text: 22 pages, PostScript line figures: 10 pages, GIF color figures: 7. High quality PostScript versions of the GIF images may be obtained from the "Wavelets/First Results" section of http://www.astro.lsa.umich.edu/users/hughes/, or by anon. ftp from file get/hughes/waves.tar.gz at ra.astro.lsa.umich.edu. Submitted to Ap.

E. coli O157 on Scottish cattle farms: evidence of local spread and persistence using repeat cross-sectional data

<b>Background</b><p></p> Escherichia coli (E. coli) O157 is a virulent zoonotic strain of enterohaemorrhagic E. coli. In Scotland (1998-2008) the annual reported rate of human infection is 4.4 per 100,000 population which is consistently higher than other regions of the UK and abroad. Cattle are the primary reservoir. Thus understanding infection dynamics in cattle is paramount to reducing human infections.<p></p> A large database was created for farms sampled in two cross-sectional surveys carried out in Scotland (1998 - 2004). A statistical model was generated to identify risk factors for the presence of E. coli O157 on farms. Specific hypotheses were tested regarding the presence of E. coli O157 on local farms and the farms previous status. Pulsed-field gel electrophoresis (PFGE) profiles were further examined to ascertain whether local spread or persistence of strains could be inferred.<p></p> <b>Results</b><p></p> The presence of an E. coli O157 positive local farm (average distance: 5.96km) in the Highlands, North East and South West, farm size and the number of cattle moved onto the farm 8 weeks prior to sampling were significant risk factors for the presence of E. coli O157 on farms. Previous status of a farm was not a significant predictor of current status (p = 0.398). Farms within the same sampling cluster were significantly more likely to be the same PFGE type (p < 0.001), implicating spread of strains between local farms. Isolates with identical PFGE types were observed to persist across the two surveys, including 3 that were identified on the same farm, suggesting an environmental reservoir. PFGE types that were persistent were more likely to have been observed in human clinical infections in Scotland (p < 0.001) from the same time frame.<p></p> <b>Conclusions</b><p></p> The results of this study demonstrate the spread of E. coli O157 between local farms and highlight the potential link between persistent cattle strains and human clinical infections in Scotland. This novel insight into the epidemiology of Scottish E. coli O157 paves the way for future research into the mechanisms of transmission which should help with the design of control measures to reduce E. coli O157 from livestock-related sources

Do women athletes’ experiences of menstrual function and dysfunction vary across competition levels? A mixed methods exploration

Menstrual dysfunction is a common phenomenon in sport and many women describe that their menstrual cycle can negatively impact their sport participation, performance, and experiences. However, there is little research examining if competition level plays a role in women athletes’ rates and experiences of menstrual function and dysfunction. Therefore, the purpose of this study was to explore and describe rates and experiences of menstrual function and dysfunction among athletes of differing competition levels. An online mixed methods approach was applied. Women athletes (N = 63), between 14 and 39 years of age (M = 24.20, SD = 6.53), competing in a range of sports from the local to international level completed an anonymous interview style survey to generate data. Data analysis for this project was an iterative and integrated process where quantitative and qualitative data were considered together and are represented through reported statistics and generated themes. Although group differences were hypothesized, no differences based on competition level in rates or experiences of menstrual dysfunction were observed. In addition to detailed descriptive statistics, five themes were generated: Normalizing Dysfunction; Menstrual Symptoms; Clothing as a Distraction; Participation Impact; and Regaining Control. In line with previous research, the women in this study experienced a range of menstrual dysfunctions that impacted their sport experiences. However, this study highlights that regardless of competition level or sport type women face challenges in sport regarding menstrual function and due to the normalization of dysfunction in sport women athletes’ health and well-being are not always supported