Validity and reliability of the Daily Activity Behaviours Questionnaire (DABQ) for assessment of time spent in sleep, sedentary behaviour, and physical activity

Sleep, sedentary behaviour (SB), and physical activity are among key behavioural determi-nants of health. There is a need to evaluate questionnaires that capture movement behaviours across the full 24-h day. The aim of this study was to examine the measurement properties of the Daily Activity Behaviours Questionnaire (DABQ), a novel questionnaire (with a past seven-day recall period) for estimating the time spent in sleep, SB, light physical activity (LPA), and moderate-to-vigorous physical activity (MVPA) among adults. A sample of 126 adults was recruited. DABQ was adminis-tered to the participants on two occasions seven days apart to examine its test-retest reliability. The convergent validity of DABQ estimates was explored against activPAL4 accelerometer/inclinometer estimates. Intraclass correlation coefficients for absolute agreement and consistency between the times spent in sleep, SB, LPA, and MVPA estimated by DABQ in the test and re-test ranged from 0.59 to 0.69. Spearman’s correlations between the times spent in sleep, SB, LPA, and MVPA estimated by DABQ and activPAL4 ranged from 0.38 to 0.66. In terms of reliability and validity, DABQ is comparable with existing questionnaires; however, it has an important advantage of enabling a comprehensive assessment of all four 24-h movement behaviours. The measurement properties of DABQ make it suitable for large-scale epidemiological studies on 24-h movement behaviours

Patient perspectives of managing fatigue in ankylosing spondylitis, and views on potential interventions: a qualitative study

<p>Background: Fatigue is a major component of living with ankylosing spondylitis (AS), though it has been largely over-looked, and currently there are no specific agreed management strategies.</p> <p>Methods: This qualitative exploratory study involved participants who are members of an existing population-based ankylosing spondylitis (PAS) cohort. Participants residing in South West Wales were invited to participate in a focus group to discuss; (1) effects of fatigue, (2) self-management strategies and (3) potential future interventions. The focus groups were audio-recorded and the transcripts were analysed using thematic analysis.</p> <p>Results: Participants consisted of 3 males/4 females (group 1) and 4 males/3 females (group 2), aged between 35 and 73 years (mean age 53 years). Three main themes were identified: (1) The effects of fatigue were multi-dimensional with participants expressing feelings of being ‘drained’ (physical), ‘upset’ (emotional) and experiencing ‘low-mood’ (psychological); (2) The most commonly reported self-management strategy for fatigue was a balanced combination of activity (exercise) and rest. Medication was reluctantly taken due to side-effects and worries over dependency; (3) Participants expressed a preference for psychological therapies rather than pharmacological for managing fatigue. Information on Mindfulness-Based Stress Reduction (MBSR) was received with interest, with recommendations for delivery in a group format with the option of distance-based delivery for people who were not able to attend a group course.</p> <p>Conclusions: Patients frequently try and manage their fatigue without any formal guidance or support. Our research indicates there is a need for future research to focus on psychological interventions to address the multi-faceted aspects of fatigue in AS.</p&gt

The IDvIP Trial: A two-centre randomised double-blind controlled trial comparing intramuscular diamorphine and intramuscular pethidine for labour analgesia

<p>Abstract</p> <p>Background</p> <p>Intramuscular pethidine is routinely used throughout the UK for labour analgesia. Studies have suggested that pethidine provides little pain relief in labour and has a number of side effects affecting mother and neonate. It can cause nausea, vomiting and dysphoria in mothers and can cause reduced fetal heart rate variability and accelerations. Neonatal effects include respiratory depression and impaired feeding. There are few large studies comparing the relative side effects and efficacy of different opioids in labour. A small trial comparing intramuscular pethidine with diamorphine, showed diamorphine to have some benefits over pethidine when used for labour analgesia but the study did not investigate the adverse effects of either opioid.</p> <p>Methods</p> <p>The Intramuscular Diamorphine versus Intramuscular Pethidine (IDvIP) trial is a randomised double-blind two centre controlled trial comparing intramuscular diamorphine and pethidine regarding their analgesic efficacy in labour and their side effects in mother, fetus and neonate. Information about the trial will be provided to women in the antenatal period or in early labour. Consent and recruitment to the trial will be obtained when the mother requests opioid analgesia. The sample size requirement is 406 women with data on primary outcomes. The maternal primary outcomes are pain relief during the first 3 hours after trial analgesia and specifically pain relief after 60 minutes. The neonatal primary outcomes are need for resuscitation and Apgar Score <7 at 1 minute. The secondary outcomes are an additional measure of pain relief, maternal sedation, nausea and vomiting, maternal oxygen saturation, satisfaction with analgesia, whether method of analgesia would be used again, use of Entonox, umbilical arterial and venous pH, fetal heart rate, meconium staining, time from delivery to first breath, Apgar scores at 5 mins, naloxone requirement, transfer to neonatal intensive care unit, neonatal haemoglobin oxygen saturation at 30, 60, 90, and 120 mins after delivery, and neonatal sedation and feeding behaviour during first 2 hours.</p> <p>Discussion</p> <p>If the trial demonstrates that diamorphine provides better analgesia with fewer side effects in mother and neonate this could lead to a change in national practice and result in diamorphine becoming the preferred intramuscular opioid for analgesia in labour.</p> <p>Trial Registration</p> <p><a href="http://www.controlled-trials.com/ISRCTN14898678">ISRCTN14898678</a></p> <p>Eudra No: 2006-003250-18, REC Reference No: 06/Q1702/95, MHRA Authorisation No: 1443/0001/001-0001, NIHR UKCRN reference 6895, RfPB grant PB-PG-0407-13170_IR5</p

General anaesthetic and airway management practice for obstetric surgery in England: a prospective, multi-centre observational study

There are no current descriptions of general anaesthesia characteristics for obstetric surgery, despite recent changes to patient baseline characteristics and airway management guidelines. This analysis of data from the direct reporting of awareness in maternity patients' (DREAMY) study of accidental awareness during obstetric anaesthesia aimed to describe practice for obstetric general anaesthesia in England and compare with earlier surveys and best-practice recommendations. Consenting patients who received general anaesthesia for obstetric surgery in 72 hospitals from May 2017 to August 2018 were included. Baseline characteristics, airway management, anaesthetic techniques and major complications were collected. Descriptive analysis, binary logistic regression modelling and comparisons with earlier data were conducted. Data were collected from 3117 procedures, including 2554 (81.9%) caesarean deliveries. Thiopental was the induction drug in 1649 (52.9%) patients, compared with propofol in 1419 (45.5%). Suxamethonium was the neuromuscular blocking drug for tracheal intubation in 2631 (86.1%), compared with rocuronium in 367 (11.8%). Difficult tracheal intubation was reported in 1 in 19 (95%CI 1 in 16-22) and failed intubation in 1 in 312 (95%CI 1 in 169-667). Obese patients were over-represented compared with national baselines and associated with difficult, but not failed intubation. There was more evidence of change in practice for induction drugs (increased use of propofol) than neuromuscular blocking drugs (suxamethonium remains the most popular). There was evidence of improvement in practice, with increased monitoring and reversal of neuromuscular blockade (although this remains suboptimal). Despite a high risk of difficult intubation in this population, videolaryngoscopy was rarely used (1.9%)

SampleSpreadRateAndIdentification.csv

Face checking in decorative maple veneered plywood panels is a significant problem for hardwood plywood manufacturers, furniture makers, cabinetmakers, and consumers. Efforts made by panel producers and researchers to minimize checking conducted to-­‐date have been limited, and produced contradictory results. In this study the impact of four manufacturing factors believed to contribute to check development in decorative maple veneer panels were determined. The factors investigated were face veneer thickness and preparation, lathe-­‐check orientation, adhesive and core type. An efficient, automated, optical technique based on digital image correlation principles was developed and used to detect and measure checks as they develop. The novel new method for characterizing check severity and development was effective in efficiently measuring checking for a substantial number of samples. The results of the factor screening analysis reveal intricate four way interactions between factor levels contribute to check development, and that some combinations are likely to exhibit much more checking than others

Key factors influencing checking in maple veneered decorative hardwood plywood

Face checking in decorative maple veneered plywood panels is a significant problem for hardwood plywood manufacturers, furniture makers, cabinetmakers, and consumers. Efforts made by panel producers and researchers to minimize checking conducted to-­‐date have been limited, and produced contradictory results. In this study the impact of four manufacturing factors believed to contribute to check development in decorative maple veneer panels were determined. The factors investigated were face veneer thickness and preparation, lathe-­‐check orientation, adhesive and core type. An efficient, automated, optical technique based on digital image correlation principles was developed and used to detect and measure checks as they develop. The novel new method for characterizing check severity and development was effective in efficiently measuring checking for a substantial number of samples. The results of the factor screening analysis reveal intricate four way interactions between factor levels contribute to check development, and that some combinations are likely to exhibit much more checking than others

MapleCheckingResultsFull.csv

Face checking in decorative maple veneered plywood panels is a significant problem for hardwood plywood manufacturers, furniture makers, cabinetmakers, and consumers. Efforts made by panel producers and researchers to minimize checking conducted to-­‐date have been limited, and produced contradictory results. In this study the impact of four manufacturing factors believed to contribute to check development in decorative maple veneer panels were determined. The factors investigated were face veneer thickness and preparation, lathe-­‐check orientation, adhesive and core type. An efficient, automated, optical technique based on digital image correlation principles was developed and used to detect and measure checks as they develop. The novel new method for characterizing check severity and development was effective in efficiently measuring checking for a substantial number of samples. The results of the factor screening analysis reveal intricate four way interactions between factor levels contribute to check development, and that some combinations are likely to exhibit much more checking than others

BurnardMichaelD2012.pdf

Face checking in decorative maple veneered plywood panels is a significant problem for hardwood plywood manufacturers, furniture makers, cabinetmakers, and consumers. Efforts made by panel producers and researchers to minimize checking conducted to-­‐date have been limited, and produced contradictory results. In this study the impact of four manufacturing factors believed to contribute to check development in decorative maple veneer panels were determined. The factors investigated were face veneer thickness and preparation, lathe-­‐check orientation, adhesive and core type. An efficient, automated, optical technique based on digital image correlation principles was developed and used to detect and measure checks as they develop. The novel new method for characterizing check severity and development was effective in efficiently measuring checking for a substantial number of samples. The results of the factor screening analysis reveal intricate four way interactions between factor levels contribute to check development, and that some combinations are likely to exhibit much more checking than others

Human Preferences for the Visual Appearance of Desks: Examining the Role of Wooden Materials and Desk Designs

Visually pleasing materials and furnishings may be an important component of pleasant, restorative indoor spaces, where people can rest, relax, and recover from stress. We conducted two studies to examine human preferences for different wooden desk materials and designs. In Study 1, 77 participants evaluated the visual appearance of 20 wooden materials and 18 desk designs, in which desk elements and their arrangements were systematically varied. The three highest rated wooden materials and desk designs from Study 1 were combined in 18 new desks evaluated by 80 participants in terms of visual appearance in Study 2, where we systematically varied the type of material, amount of material, and desk design. The results show that preference for different materials and desks varies greatly from person to person, but several evaluated items are on average preferred to others. Study 1 shows that certain materials, desk elements, and the arrangements of those elements received higher preference ratings than others. Study 2 indicates that the type of material, amount of material, and desk design all play a significant role in human preference for the visual appearance of desks. Researchers and designers can build on these findings to create aesthetically appealing indoor environments that have the potential to positively impact human wellbeing