Feedback from activity trackers improves daily step count after knee and hip arthroplasty: A randomized controlled trial

Background: Commercial wrist-worn activity monitors have the potential to accurately assess activity levels and are being increasingly adopted in the general population. The aim of this study was to determine if feedback from a commercial activity monitor improves activity levels over the first 6 weeks after total hip arthroplasty (THA) or total knee arthroplasty (TKA). Methods: One hundred sixty-three consecutive subjects undergoing primary TKA or THAwere randomized into 2 groups. Subjects received an activity tracker with the step display obscured 2 weeks before surgery and completed patient-reported outcome measures (PROMs). On day 1 after surgery, participants were randomized to either the “feedback (FB) group” or the “no feedback (NFB) group.” The FB group was able to view their daily step count and was given a daily step goal. Participants in the NFB group wore the device with the display obscured for 2 weeks after surgery, after which time they were also able to see their daily step count but did not receive a formal step goal. The mean daily steps at 1, 2, 6 weeks, and 6 months were monitored. At 6 months after surgery, subjects repeated PROMs and daily step count collection. Results: Of the 163 subjects, 95 underwent THA and 68 underwent TKA. FB subjects had a significantly higher (P \u3c .03) mean daily step count by 43% in week 1, 33% in week 2, 21% in week 6, and 17% at 6 months, compared with NFB. The FB subjects were 1.7 times more likely to achieve a mean 7000 steps per day than the NFB subjects at 6 weeks after surgery (P ¼ .02). There was no significant difference between the groups in PROMs at 6 months. Ninety percent of FB and 83% of NFB participants reported that they were satisfied with the results of the surgery (P ¼ .08). At 6 months after surgery, 70% of subjects had a greater mean daily step count compared with their preoperative level. Conclusion: Subjects who received feedback from a commercial activity tracker with a daily step goal had significantly higher activity levels after hip and knee arthroplasty over 6 weeks and 6 months, compared with subjects who did not receive feedback in a randomized controlled trial. Commercial activity trackers may be a useful and effective adjunct after arthroplasty

Utility of preoperative blood screening before hip and knee arthroplasty

Background: It is engrained in medical training that routine blood screening prior to arthroplasty is necessary for optimal patient care. There is little evidence to support their utility and the aggregate cost to the health system. The purpose of this study was to evaluate preoperative blood screening by identifying the frequency of an abnormal result and to examine the influence of age, gender and body mass index on the frequency of abnormal blood pathology. Methods: This is a retrospective review of 1000 patients from a single centre who underwent elective primary hip or knee arthroplasty from 2015 to 2017. Abnormal blood results were identified and clinically relevant intervals were created for routine markers. Results: A total of 939 patients had available pathology results with 84% identified as having an abnormal result and 47% having a clinically important range. Abnormal liver function tests and ferritin were most common. With increasing age, there was a significant increase in rates of abnormal clinically important range, renal dysfunction, abnormal haemoglobin and erythrocyte sedimentation rate. Males and patients with body mass index \u3e40 had an increased rate of abnormal results, particularly liver function tests. Conclusion: The ordering of preoperative investigations prior to lower limb arthroplasty is recommended by the National Institute for Health and Care Excellence guidelines, alleviating concern of post-operative complications and covering medicolegal issues. Our study determined a high frequency of abnormal results, justifying routine blood screening is recommended prior to surgery, particularly for the elderly, males and obese patients

Does Seed Sanitization Affect the Plant Rhizosphere Microbiome and Its Ability to Compete with the Human Associated Pathogen, E. coli on Salad Crops?

Cultivation of crops in controlled environmental agricultural systems may limit microbial colonization and reduce diversity of the microbial communities. Practices like seed and growth medium sanitization may further impact microbial communities in the mature plant and the plants capacity to limit the growth of pathogens through competition. As humans expand their travels to space, understanding plant growth, health, and development in closed environments will be critical to the success of producing a safe, supplemental food source for astronauts. To determine the persistence of a potential human pathogen in plant growth and development, sanitized and unsanitized seeds from, mizuna (Brassica rapa var japonica) and red romaine lettuce (Lactuca sativa cultivar Outredgeous), were inoculated with Escherichia coli, ATCC 21445, germinated under simulated International Space Station (ISS) environmental conditions and harvested every 7 days until maturity. The persistence of E. coli in the rhizosphere was determined by plating on selective media, real time PCR (Polymerase Chain Reaction) and community sequencing of the rhizosphere communities. E. coli was detected in the crops roots and leaves for several weeks post germination. At day 28, plants from sanitized seeds had significantly higher counts of E. coli on the roots than those from unsanitized seeds. E. coli was also detected on a few uninoculated plants indicating airborne cross contamination among plants in the same growth chamber and suggesting an influence of the natural microbiome on human pathogen survival and persistence in leafy greens. Sequencing analysis revealed variations in composition and diversity between the communities. Understanding the microbial community of the rhizospheric microbiome is only the first step in determining the relationships between plants. Additional studies to include genotypic and phenotypic variations in the plants should be considered to determine if the natural microbes in the rhizosphere may contribute to the health and therefore, safety of the edible plants

Energy dependence of fission product yields from 235

Under a joint collaboration between TUNL-LANL-LLNL, a set of absolute fission product yield measurements has been performed. The energy dependence of a number of cumulative fission product yields (FPY) have been measured using quasi-monoenergetic neutron beams for three actinide targets, 235U, 238U and 239Pu, between 0.5 and 14.8 MeV. The FPYs were measured by a combination of fission counting using specially designed dual-fission chambers and γ-ray counting. Each dual-fission chamber is a back-to-back ionization chamber encasing an activation target in the center with thin deposits of the same target isotope in each chamber. This method allows for the direct measurement of the total number of fissions in the activation target with no reference to the fission cross-section, thus reducing uncertainties. γ-ray counting of the activation target was performed on well-shielded HPGe detectors over a period of two months post irradiation to properly identify fission products. Reported are absolute cumulative fission product yields for incident neutron energies of 0.5, 1.37, 2.4, 3.6, 4.6, 5.5, 7.5, 8.9 and 14.8 MeV. Preliminary results from thermal irradiations at the MIT research reactor will also be presented and compared to present data and evaluations. This work was performed under the auspices of the U.S. Department of Energy by Los Alamos National Security, LLC under contract DE-AC52-06NA25396, Lawrence Livermore National Laboratory under contract DE-AC52-07NA27344 and by Duke University and Triangle Universities Nuclear Laboratory through NNSA Stewardship Science Academic Alliance grant No. DE-FG52-09NA29465, DE-FG52-09NA29448 and Office of Nuclear Physics Grant No. DE-FG02-97ER41033

Survival of E. Coli in the Rhizosphere and Phyllosphere of Leafy Greens Grown in Controlled Environment Chambers Under International Space Station Conditions

NASA's mission for manned long- duration space exploration drives the research for crop selection to provide a nutritious and safe supplement to an astronaut's diet. Understanding plant growth, health, and the associated microbial communities in closed environments will be critical to the success of this mission. Cultivation of crops in closed controlled environment agricultural systems may limit microbial colonization and reduce diversity of the microbial communities. Furthermore, practices like seed and growth medium sanitization may impact microbial communities in the mature plant and the capacity to limit the growth of food borne pathogens through competition

Using a Delphi process to determine optimal care for patients with pancreatic cancer

Aim Overall 5-year survival for pancreatic cancer is ~5%. Optimising the care that pancreatic cancer patients receive may be one way of improving outcomes. The objective of this study was to establish components of care which Australian health professionals believe important to optimally manage patients with pancreatic cancer. Methods Using a Delphi process, a multi-disciplinary panel of 250 health professionals were invited to provide a list of factors they considered important for optimal care of pancreatic cancer patients. They were then asked to score and then rescore (from one (no importance/disagree) to 10 (very important/agree) the factors. The mean and coefficient of variation scores were calculated and categorised into three levels of importance. Results Overall 63 (66% of those sent the final questionnaire; 25% of those initially invited) health professionals from 9 disciplines completed the final scoring of 55 statements/factors encompassing themes of presentation/staging, surgery and biliary obstruction, multi-disciplinary team details and oncology. Mean scores ranged from 3.7 to 9.7 with the highest related to communication and patient assessment. There was substantial intra- and inter- disciplinary variation in views about MDT membership and roles. Conclusion Overall the opinions of Australian health professionals reflect international guideline recommended care; however they identified a number of additional factors focusing on where patients should be treated, the importance of clear communication and the need for multi-disciplinary care which were not included in current clinical practice guidelines. Differences in priorities between specialty groups were also identified

Effect of Stride Length Alterations on Heart Rate and Ratings of Perceived Exertion During Treadmill Running

Advisor: David S. SenchinaThis study describes results of exercise physiology research intended to examine the effects of running at normal, less than normal, and greater than normal stride length on heart rate (HR) and rating of perceived exertion (RPE). The objective of this study was to determine how running above or below the natural stride length influences HR and RPE, and we hypothesized that any aberrations to normal stride patterns would result in increases in both HR and RPE. Three males and three females of moderate fitness were asked to run on a treadmill for three 10-minute periods, each separated by 10 minutes of recovery. The first trial allowed volunteers to select their own stride, while the remaining runs were conducted with a metronome set at either 15% above or 15% below their normal gait. A significant increase was found in HR at both above- or below-normal stride length. RPE was increased during the below-normal stride length trial compared to other trials. We concluded that altering the normal stride length results in increased cardiac exertion and further studies into the negative physiological consequences of this are warranted.Drake University, College of Arts and Sciences, Department of Biolog

Aerobic exercise enhances positive emotional reactivity in individuals with depressive symptoms: Evidence from neural responses to reward and emotional content

Reward sensitivity and emotional reactivity have been identified as two candidate mechanisms of anhedonia in depression. However, there is a paucity of research examining whether deficits in reward sensitivity and emotional reactivity can be modified through brief, behavioral interventions. Therefore, the purpose of this study was to examine the effects of continuous moderate-intensity aerobic exercise on the reward positivity (RewP) and late positive potential (LPP) among individuals reporting variable symptoms of depression. Using a within-subjects design, 66 young adults completed a 30-min session of aerobic exercise and seated rest on separate days. Reward sensitivity and emotional reactivity were assessed following each session using the RewP and LPP event-related brain potentials. Results indicated that the LPP to positive stimuli was potentiated following exercise, while no effect on RewP was observed. Notably, individuals who experienced greater emotional reactivity to positive stimuli following exercise also exhibited increased sensitivity to rewards. Depressive symptom severity failed to moderate any effects, suggesting beneficial effects of acute exercise on positive emotional reactivity across depressive symptom profiles. These findings suggest that aerobic exercise increases emotional engagement to positive stimuli, which may have implications for protecting against the development of anhedonia and resolving the blunted emotional reactivity to positive content in depression

Comparing fission-product yields from photon-induced fission of

Fission product yields (FPYs) are a uniquely sensitive probe of the fission process, with well established dependence on the species of nucleus undergoing fission, its excitation energy and spin. Thus FPYs are well suited for testing Bohr’s hypothesis in the context of nuclear fission, which states that the decay of a compound nucleus with a given excitation energy, spin and parity is independent of its formation. Using FPYs, we have performed a new highprecision test of the combined effects of the entrance channel, spin and parity on the fission process from two of the most commonly used particles to induce fission neutrons and photons. The 239 Pu(n,f) reaction at En = 4.6 MeV and the 240 Pu(γ,f) reaction at Eγ = 11.2 MeV were used to produce a 240 Pu∗ compound nucleus with the same excitation energy. The FPYs from these two reactions were measured using quasimonoenergetic neutron beams from the TUNL’s FN tandem Van de Graaff accelerator and quasimonenergetic photon beams from the High Intensity γ-ray Source (HIγS) facility. The FPYs from these two reactions are compared quantitatively for the first time

Comparing fission-product yields from photon-induced fission of 240Pu and neutron-induced fission of 239Pu as a test of the Bohr hypothesis in nuclear fission

Fission product yields (FPYs) are a uniquely sensitive probe of the fission process, with well established dependence on the species of nucleus undergoing fission, its excitation energy and spin. Thus FPYs are well suited for testing Bohr’s hypothesis in the context of nuclear fission, which states that the decay of a compound nucleus with a given excitation energy, spin and parity is independent of its formation. Using FPYs, we have performed a new highprecision test of the combined effects of the entrance channel, spin and parity on the fission process from two of the most commonly used particles to induce fission neutrons and photons. The 239 Pu(n,f) reaction at En = 4.6 MeV and the 240 Pu(γ,f) reaction at Eγ = 11.2 MeV were used to produce a 240 Pu∗ compound nucleus with the same excitation energy. The FPYs from these two reactions were measured using quasimonoenergetic neutron beams from the TUNL’s FN tandem Van de Graaff accelerator and quasimonenergetic photon beams from the High Intensity γ-ray Source (HIγS) facility. The FPYs from these two reactions are compared quantitatively for the first time