Effect of Brief Biofeedback via a Smartphone App on Stress Recovery: Randomized Experimental Study.

BACKGROUND:Smartphones are often vilified for negatively influencing well-being and contributing to stress. However, these devices may, in fact, be useful in times of stress and, in particular, aid in stress recovery. Mobile apps that deliver evidence-based techniques for stress reduction, such as heart rate variability biofeedback (HRVB) training, hold promise as convenient, accessible, and effective stress-reducing tools. Numerous mobile health apps that may potentially aid in stress recovery are available, but very few have demonstrated that they can influence health-related physiological stress parameters (eg, salivary biomarkers of stress). The ability to recover swiftly from stress and reduce physiological arousal is particularly important for long-term health, and thus, it is imperative that evidence is provided to demonstrate the effectiveness of stress-reducing mobile health apps in this context. OBJECTIVE:The purpose of this research was to investigate the physiological and psychological effects of using a smartphone app for HRVB training following a stressful experience. The efficacy of the gamified Breather component of the Happify mobile health app was examined in an experimental setting. METHODS:In this study, participants (N=140) underwent a laboratory stressor and were randomly assigned to recover in one of three ways: with no phone present, with a phone present, with the HRBV game. Those in the no phone condition had no access to their phone. Those in the phone present condition had their phone but did not use it. Those in the HRVB game condition used the serious game Breather on the Happify app. Stress recovery was assessed via repeated measures of salivary alpha amylase, cortisol, and self-reported acute stress (on a 1-100 scale). RESULTS:Participants in the HRVB game condition had significantly lower levels of salivary alpha amylase during recovery than participants in the other conditions (F2,133=3.78, P=.03). There were no significant differences among the conditions during recovery for salivary cortisol levels or self-reported stress. CONCLUSIONS:These results show that engaging in a brief HRVB training session on a smartphone reduces levels of salivary alpha amylase following a stressful experience, providing preliminary evidence for the effectiveness of Breather in improving physiological stress recovery. Given the known ties between stress recovery and future well-being, this study provides a possible mechanism by which gamified biofeedback apps may lead to better health

Understanding Schools and Schooling. (Book Review)

A review of a book written by Clive Chitty (2002 with a useful focus on issues of equity and social justice, including prejudice, discrimination and bullying in secondary schools. Education policy makers need to explore the extent to which it is important to produce interested, motivated and socially balanced young adults. It is well researched and documented

Stability of behavioral estimates of activity-dependent modulation of pain

Temporal sensory summation of pain (TSSP) is a proxy measure of windup in humans and results in increased ratings of pain caused by a repetitive, low-frequency noxious stimulus. Aftersensations (ASs) are pain sensations that remain after TSSP has been induced. We examined the within-session and across-session variability in TSSP and AS estimation in healthy participants and in participants with exercise-induced muscle pain in order to determine whether the presence of pain affected the stability of TSSP and ASs. TSSP was estimated by application of 10 repetitive, low-frequency (<0.33 Hz) thermal pulses and measured by the simple slope of pain ratings between the first and fifth pulses. ASs were measured by the presence of any remaining pain sensations up to 1 minute after TSSP was induced. TSSP estimation remained moderately stable in pain-free participants and in participants with pain within a single testing session but demonstrated low stability across sessions in pain-free participants. AS estimation was stable for all groups. Estimation of TSSP and ASs using these protocols appears to be a reliable single-session outcome measure in studies of interventions for acute muscle pain and in experimental studies with healthy participants. This article evaluates the reliability of a commonly used method of estimating TSSP and ASs in both healthy participants and in a clinically relevant model of acute pain. These protocols have the potential to be used as single-session outcome measures for interventional studies and in experimental studies

Filtration rates of the non-native Chinese mystery snail (Bellamya chinensis) and potential impacts on microbial communities

Invasive species in the phylum Mollusca, including gastropods and bivalves, have caused substantial impacts in freshwater ecosystems. The Chinese mystery snail, Bellamya chinensis, is a large viviparid snail native to Southeastern Asia and widely introduced throughout United States and parts of Canada and Europe. B. chinensis is a facultative filter-feeding detritivore that can both graze epiphytic diatoms using its radula and filter-feed its breathing water. Despite mounting concern associated with the expanding range and increasing abundance of B. chinensis in many parts of its invaded range, the potential ecological impacts of this non-native species remain largely unknown. Here, we used a series of laboratory experiments to assess filtration rates of B. chinensis and quantify its effects on microbial communities. According to both microcosm (24-hour, 4-L suspension) and mesocosm (5-day, 90-L suspension) experimental trials, B. chinensis exhibited an average filtration rate of 106-113 mL snail-1h-1(1.45 mL mg DW-1h-1) and an individual maximum of 471 mL snail-1h-1(6.15 mL mg DW-1h-1). These values are comparable to reported filtration rates for high-profile invasive, freshwater bivalves. Relationships between snail size and filtration rate relationship suggests that B. chinensis display an ontogenetic shift in feeding behavior from primarily radular grazing to increased filter-feeding at threshold size of approximately 44 mm shell height. Our experiments also revealed that high snail densities can result in small, significant shifts in bacterial community composition. These results suggest that B. chinensis may influence microbial communities either directly by using bacteria as a food source or indirectly by producing sufficiently large quantities of fecal and pseudo-fecal material to affect bacterial activity and growth. The overall ecological effects and importance of B. chinensis filtration behavior remain unclear, but our experimental results suggest that these impacts may be large and should be further investigated to better understand its potential role in coupling benthic and pelagic food webs in lake ecosystems.Las especies invasoras del phyllum Mollusca, incluyendo los gasterópodos y bivalvos, han causado impactos importantes en los ecosistemas dulceacuícolas. Bellamya chinensis, es un vivíparo de gran tamaño, nativo del sureste de Asia y ampliamente introducido a lo largo de los Estados Unidos y parte de Canadá y Europa. B. chinensis es una especie detritivora- filtradora facultativa, que puede tanto ramonear diatomeas epifitas usando su rádula como filtrar el agua que respiran. A pesar de la creciente preocupación asociada al incremento en la abundancia y rango de distribución de B. chinensis en las regiones ya colonizadas, el potencial impacto ecológico de esta especie introducida permanece ampliamente desconocido. En este estudio, usamos series de experimentos de laboratorio para evaluar las tasas de filtración de B. chinensis y cuantificar su efecto en las comunidades microbianas. De acuerdo con los experimentos realizados tanto en los microcosmos (24-hour, 4-L suspensión) como en los mesocosmos (5-day, 90-L suspensión), B. chinensis mostró una tasa promedio de filtración de 106-113 mL caracol-1h-1(1.45 mL mg peso seco-1h-1) y un máximo por individuo de 471 mL caracol-1h-1(6.15 mL mg peso seco-1h-1). Estos valores son comparables a otros reportados para especies de bivalvos dulceacuícolas altamente invasivas. La relación entre el tamaño de los caracoles y las tasas de filtración sugieren que B. chinensis muestra un cambio ontogénico en la manera de alimentarse, de ramoneo a una mayor alimentación por filtración, a partir de un umbral de tamaño de la concha de aproximadamente 44 mm de altura. Nuestros experimentos también revelan que altas densidades de caracoles generan pequeños cambios pero significativos en las comunidades microbianas. Estos resultados sugieren que B. chinensis afectaría las comunidades microbianas de forma directa usando las bacterias como fuente de alimentación o indirectamente al producir una cantidad de materia fecal o seudo-fecal, suficiente para afectar la actividad y crecimiento bacteriano. El impacto ecológico global y el comportamiento como filtrador de B. chinensis aún no son claros, pero nuestros resultados experimentales sugieren que estos impactos pueden ser importantes y se deben investigar mejor para entender más su papel potencial en el acoplamiento de las redes tróficas bentónicas y pelágicas en los sistemas lacustres

Thoracostomy Tube Placement: Resident Experience and Confidence at a Large Academic Medical Center

The goal of this study was to investigate TT placement patterns and resident confidence at one academic medical center. In addition, our second objective was to gather quantitative data on the frequency and context of TT placement, rates of complications, and factors associated with complications among residents at TJUH

The Large Scale Distribution of Neutral Hydrogen in the Fornax Region

Using HIPASS data, we have searched for HI in a ~25x25 sq.deg. region centred on the Fornax cluster. Within a velocity search range of 300 - 3700 km/s and a lower flux limit of ~40 mJy, 110 galaxies with HI emission were detected, one of which is previously uncatalogued. None of the detections has early-type morphology. Previously unknown velocities for 14 galaxies have been determined, with a further 4 velocity measurements being significantly dissimilar to published values. Identification of an optical counterpart is relatively unambiguous for more than ~90% of our HI galaxies. The galaxies appear to be embedded in a sheet at the cluster velocity which extends for more than 30 deg across the search area. At the nominal cluster distance of ~20 Mpc, this corresponds to an elongated structure more than 10 Mpc in extent. A velocity gradient across the structure is detected, with radial velocities increasing by \~500 km/s from SE to NW. The clustering of galaxies evident in optical surveys is only weakly suggested in the spatial distribution of our HI detections. Our results suggest a considerable deficit of HI-rich galaxies in the centre of the cluster. However, relative to the field, there is a 3(+/-1)-fold excess of HI-rich galaxies in the outer parts of the cluster where galaxies may be infalling towards the cluster for the first time.Comment: 16 pages, 14 figures, 110 HI spectra. To be published in MNRA

Noncoronary Cardiac Abnormalities Are Associated With Coronary Artery Dilation and With Laboratory Inflammatory Markers in Acute Kawasaki Disease

ObjectivesWe explored the association of noncoronary cardiac abnormalities with coronary artery dilation and with laboratory inflammatory markers early after Kawasaki disease (KD) diagnosis.BackgroundLeft ventricular (LV) dysfunction, mitral regurgitation (MR), and aortic root dilation occur early after diagnosis; their associations with coronary artery dilation and inflammatory markers have not been well-described.MethodsCentrally interpreted echocardiograms were obtained at KD diagnosis and 1 and 5 weeks after diagnosis on 198 subjects in the National Institutes of Health-sponsored Pediatric Heart Network KD pulsed steroid trial. Regression models were constructed to investigate the relationships among early LV dysfunction, MR, and aortic root dilation with coronary artery dilation and laboratory inflammatory markers.ResultsAt diagnosis, LV systolic dysfunction was present in 20% of subjects and was associated with coronary artery dilation, seen in 29% (p = 0.004). Although LV dysfunction improved rapidly, LV dysfunction at diagnosis predicted greater odds of coronary artery dilation at 1 and 5 weeks after diagnosis (5-week odds ratio: 2.7, 95% confidence interval: 1.2 to 6.3). At diagnosis, MR was present in 27% of subjects and aortic root dilation was present in 8%; each was associated with larger coronary artery size at diagnosis. Left ventricular dysfunction was associated with higher erythrocyte sedimentation rate and, at diagnosis only, lower serum albumin; MR was associated with higher erythrocyte sedimentation rate and lower albumin at all times. Aortic root size had little association with inflammatory markers.ConclusionsNoncoronary cardiac abnormalities are associated with coronary artery dilation and laboratory evidence of inflammation in the first 5 weeks after KD, suggesting a shared inflammatory mechanism. (Trial of Pulse Steroid Therapy in Kawasaki Disease [A Trial Conducted by the Pediatric Heart Network]; NCT00132080