Refeeding Hypophosphatemia in Adolescents With Anorexia Nervosa: A Systematic Review

The rate of adolescents presenting with anorexia nervosa (AN) is increasing. Medically unstable adolescents are admitted to the hospital for nutrition restoration. A lack of global consensus on appropriate refeeding practices of malnourished patients has resulted in inconsistent refeeding practices. Refeeding hypophosphatemia (RH) is the most common complication associated with refeeding the malnourished patient. This review sought to identify the range of refeeding rates adopted globally and the implication that total energy intake and malnutrition may have on RH while refeeding adolescents with anorexia nervosa. Studies were identified by a systematic electronic search of medical databases from 1980 to September 2012. Seventeen publications were identified, including 6 chart reviews, 1 observational study, and 10 case reports, with a total of 1039 subjects. The average refeeding energy intake was 1186 kcal/d, ranging from 125–1900 kcal/d, with a mean percentage median body mass index (% mBMI) of 78%. The average incidence rate of RH was 14%. A significant correlation between malnutrition (% mBMI) and post-refeeding phosphate was identified (R 2 = 0.6, P = .01). This review highlights the disparity in refeeding rates adopted internationally in treating malnourished adolescents with anorexia nervosa. Based on this review, the severity of malnutrition seems to be a marker for the development of RH more so than total energy intake

The ‘Lost’ Church of Bix Gibwyn: The Human Bone

Recent research for the Victoria County History (VCH) highlighted the presence of a ‘lost’ medieval church in Bix, a Chilterns parish north-west of Henley-on-Thames. The building, formerly the parish church of Bix Gibwyn, was abandoned in the late sixteenth or seventeenth century and has left no standing remains. Archaeological investigation by the South Oxfordshire Archaeological Group (SOAG) and Reading University has confirmed its location in a close called ‘Old Chapel’ in Bix Bottom, in the north of the parish. The rediscovery of the site – which contains the foundations of a hitherto unknown Romano-British stone building – sheds new light on long-term changes in local communications, settlement, and economic conditions. In the Middle Ages Bix Gibwyn church was a focus of religious and social life for a small rural community in the south Oxfordshire Chilterns. After the Reformation it was neglected, demolished, and finally all but forgotten. Its location has been a matter of speculation for over a hundred years,1 but in 2007–10 its churchyard was identified through a combination of historical research and archaeological fieldwork. Confirmation of the church’s location in the remote Bix Bottom valley provides important evidence about the medieval settlement pattern in Bix, which was very different from the modern one, and offers an opportunity to reassess the development of settlement in the southern Chilterns more generally. The archaeological findings also supply new evidence about Roman activity in the area

Role of the heat shock transcription factor, Hsf1, in a major fungal pathogen that is obligately associated with warm-blooded animals

Peer reviewedPublisher PD

Sources of sport confidence, imagery type and performance among competitive athletes: The mediating role of sports confidence

Aim: This study explored the mediating role of sport confidence upon (1) sources of sport confidence-performance relationship and (2) imagery-performance relationship. Methods: Participants were 157 competitive athletes who completed state measures of confidence level/sources, imagery type and performance within one hour after competition. Results: Among the current sample, confirmatory factor analysis revealed appropriate support for the nine-factor SSCQ and the five-factor SIQ. Mediational analysis revealed that sport confidence had a mediating influence upon the achievement source of confidence-performance relationship. In addition, both cognitive and motivational imagery types were found to be important sources of confidence, as sport confidence mediated imagery type-performance relationship. Conclusion: Findings indicated that athletes who construed confidence from their own achievements and report multiple images on a more frequent basis are likely to benefit from enhanced levels of state sport confidence and subsequent performance

Sources of sport confidence, imagery type and performance among competitive athletes: The mediating role of sports confidence

Aim: This study explored the mediating role of sport confidence upon (1) sources of sport confidence-performance relationship and (2) imagery-performance relationship. Methods: Participants were 157 competitive athletes who completed state measures of confidence level/sources, imagery type and performance within one hour after competition. Results: Among the current sample, confirmatory factor analysis revealed appropriate support for the nine-factor SSCQ and the five-factor SIQ. Mediational analysis revealed that sport confidence had a mediating influence upon the achievement source of confidence-performance relationship. In addition, both cognitive and motivational imagery types were found to be important sources of confidence, as sport confidence mediated imagery type-performance relationship. Conclusion: Findings indicated that athletes who construed confidence from their own achievements and report multiple images on a more frequent basis are likely to benefit from enhanced levels of state sport confidence and subsequent performance

Characterizing 15 Years of Saharan-like, Dry, Well-Mixed Air Layers in North Africa

The Saharan Air Layer (SAL) is a dry, well-mixed layer (WML) of warm and sometimes dusty air of nearly constant water vapor mixing ratio generated by the intense surface heating and strong, dry convection in the Sahara Desert, which has notable downstream impacts on the surface energy balance, organized convective system development, seasonal precipitation, and air quality. Characterizing both WMLs and SALs from the existing rawinsonde network has proven challenging because of its sparseness and inconsistent data reporting. Spurred on by this challenge, we previously created a detection methodology and supporting software to automate the identification and characterization of WMLs from multiple data sources including rawinsondes, remote sensing platforms, and model products. We applied our algorithm to each dataset at both its native and at a common (most coarse data product) vertical resolution to detect WMLs and their characteristics (temperature, mixing ratio, AOD, etc.) at each of the 53 rawinsonde launch sites in north Africa

Own attractiveness and perceived relationship quality shape sensitivity in women’s memory for other men on the attractiveness dimension

Although recent work suggests that opposite-sex facial attractiveness is less salient in memory when individuals are in a committed romantic relationship, romantic relationship quality can vary over time. In light of this, we tested whether activating concerns about romantic relationship quality strengthens memory for attractive faces. Partnered women were exposed briefly to faces manipulated in shape cues to attractiveness before either being asked to think about a moment of emotional closeness or distance in their current relationship. We measured sensitivity in memory for faces as the extent to which they recognized correct versions of studied faces over versions of the same person altered to look either more or less-attractive than their original (i.e. studied) version. Contrary to predictions, high relationship quality strengthened hit rate for faces regardless of the sex or attractiveness of the face. In general, women’s memories were more sensitive to attractiveness in women, but were biased toward attractiveness in male faces, both when responding to unfamiliar faces and versions of familiar faces that were more attractive than the original male identity from the learning phase. However, findings varied according to self-rated attractiveness and a psychometric measure of the quality of their current relationship. Attractive women were more sensitive to attractiveness in men, while their less-attractive peers had a stronger bias to remember women as more-attractive and men as less-attractive than their original image respectively. Women in better-quality romantic relationships had stronger positive biases toward, and false memories for, attractive men. Our findings suggest a sophisticated pattern of sensitivity and bias in women’s memory for facial cues to quality that varies systematically according to factors that may alter the costs of female mating competition (‘market demand’) and relationship maintenance