Physical activity, muscle function, falls and fractures

STUDY DESIGN: A thematic review. OBJECTIVES: To evaluate if physical activity enhances muscle strength, improves balance, and reduces the fall frequency and the fracture incidence. BACKGROUND: One of the major medical problems of today is the increasing incidence of fragility fractures. Muscle strength and fall is one of the major determinants of a fracture. If physical activity could increase muscle strength, improve balance and reduce the fall frequency, then training could be recommended as prevention for fractures. METHODS: The review used Medline (Pub Med) and the search words exercise, physical activity, muscle strength, balance, falls, fractures. Randomized controlled trials (RCT) were predominantly included, although this not is a systematic review. RESULTS: The evidence that physical activity modifies the risk factors for fall is compelling, although RCT with fractures as end point are lacking. Physical activity is associated with improved muscle strength, co-ordination and balance. Physical training increases muscle strength also in octogenarians by up to 200%, i.e. a much more pronounced effect than the corresponding increase in muscle volume or bone mass. There is also evidence that physical activity decreases the actual number of falls. Observational cohort and case-control studies imply that physical activity is associated with reduced hip fracture risk. If exercise reduces the number of vertebral fractures and other fragility fractures are less evaluated. CONCLUSIONS: Physical activity in older ages can be recommended to improve muscle strength and balance, to reduce the risk to fall and fractures, although the highest level of evidence - RCT with fracture as endpoint - is lacking

Intensive systematic surveys of palaeospits in the Narva-Luga klint bay area: Analysis of methodology and results

Non peer reviewe

Human-environment interaction during the Holocene along the shoreline of the Ancient Lake Ladoga: A case study based on palaeoecological and archaeological material from the Karelian Isthmus, Russia

This paper presents the results of pollen, diatom, charcoal, and sediment analyses from Lake Bol'shoye Zavetnoye, situated between the Gulf of Finland and Lake Ladoga on the Karelian Isthmus, north-western Russia. The main goal is to contribute to the discussion of Neolithic land use in north-eastern Europe. The article aims to answer questions related to Stone Age hunter-gatherer economy, ecology, and anthropogenic environmental impact through a comprehensive combination of multiple types of palaeoecological data and archaeological material. According to diatom data, Lake Bol'shoye Zavetnoye was influenced by the water level oscillations of Ancient Lake Ladoga during much of the Holocene. Intensified human activity and prolonged human occupation become visible in the Lake Bol'shoye Zavetnoye pollen data between 4480 BC and 3250 BC. During the final centuries of the Stone Age, a new phase of land use began, as several anthropogenic indicators, such asTriticum, Cannabis, andPlantago lanceolataappear in the pollen data and a decrease inPinusvalues is recorded. In general, the results indicate that socio-cultural transformations could have taken place already from the mid-5th millennium BC onwards, including new ways of utilizing the environment, perhaps also in the field of subsistence, even though the livelihood was based on foraging throughout the period

La variation des indicateurs bactériens et des flux de MES dans les systèmes séparatifs d'eaux pluviales à Östersund, en Suède - Résultats préliminaires

Faecal bacteria are a major pollution threat of water bodies designated for multipurpose use including drinking water sources or recreational purposes. Even though stormwater discharges may contribute significantly to microbiological pollution, they have not been fully investigated in the European context. We have studied the presence of indicator bacteria and total suspended solids (TSS) in stormwater discharged from four urban catchments, with areas between 5 and 40 ha, in Östersund, Sweden. The aim was to determine local variation of standard bacteria strains and TSS in Swedish urban catchments with specific land uses. Further, intra event variations were investigated. During dry weather, indicator bacteria concentrations in sewers conveying baseflow did not exceed 100 CFU/100 mL. During storm runoff, total coliform and int. enterococci concentrations increased 102 to 103 times, compared to those in baseflow. Compared to these two parameters, considerably lower concentrations were observed for E. coli and C. perfringens. Bacteria concentrations differed significantly among the sampling sites and partly, a first flush phenomenon was observed. Partly, significant correlations between TSS and indicator bacteria were observed. These were catchment specific and need a more detailed assessment. Further research will focus on seasonal variations and influential factors.Godkänd; 2013; 20130821 (helgal)</p

The use of reported speech in children's narratives: a priming study

This study investigated the long-term effects of structural priming on children’s use of indirect speech clauses in a narrative context. Forty-two monolingual English-speaking five-year-olds in two primary classrooms took part in a story re-telling task including reported speech. Testing took place in three individual sessions (pre-test, post-test1, post-test2) and the priming phase was conducted in 10 group priming sessions. During the priming phase the two classrooms were randomly allocated to one of two conditions where, over the course of two weeks, the children heard 10 different stories that included 30 tokens of either indirect or direct speech. In the pre-test session we collected measures of receptive vocabulary (BPVS-3) and expressive grammar (Formulated Sentences sub-test, CELF4-UK). There was a significant effect of input manipulation that was maintained for up to ten weeks after the training. Expressive grammatical skills were positively correlated with the likelihood of using indirect speech one week after the end of the language intervention

Patients with shoulder impingement remain satisfied 6 years after arthroscopic subacromial decompression: A prospective study of 46 patients

Background Although arthroscopic subacromial decompression (ASD) is a common procedure for treatment of shoulder impingement, few long term results have been published. In this prospective study, we determined whether the high degree of patient satisfaction at 6 months postoperatively reported by us earlier remained at the 6-year follow-up. Patients and methods We originally reported high patient satisfaction 6 months after ASD for shoulder impingement in 50 prospectively studied patients using the Disability of the Arm Shoulder and Hand questionnaire (DASH) and the Visual Analog Scale (VAS). Patients with associated shoulder disorders were excluded. The surgeons were experienced shoulder arthroscopists. 6 years after surgery, the DASH questionnaire and the VAS were sent to these 50 patients. 2 patients had other medical problems of the upper extremity that affected the DASH and VAS scores, 1 patient was lost to follow-up, and another refused to participate. Thus, 46 patients with a mean age of 55 (33-78) years were included in this 6-year evaluation. Results The considerable improvement in both the DASH score and the VAS that was observed 6 months after surgery persisted or had even improved 6 years after surgery. Interpretation Properly selected patients with shoulder impingement treated with ASD remain satisfied 6 years after surgery

"I am your mother and your father!": In vitro derived gametes and the ethics of solo reproduction

In this paper, we will discuss the prospect of human reproduction achieved with gametes originating from only one person. According to statements by a minority of scientists working on the generation of gametes in vitro, it may become possible to create eggs from men’s non-reproductive cells and sperm from women’s. This would enable, at least in principle, the creation of an embryo from cells obtained from only one individual: ‘solo reproduction’. We will consider what might motivate people to reproduce in this way, and the implications that solo reproduction might have for ethics and policy. We suggest that such an innovation is unlikely to revolutionise reproduction and parenting. Indeed, in some respects it is less revolutionary than in vitro fertilisation as a whole. Furthermore, we show that solo reproduction with in vitro created gametes is not necessarily any more ethically problematic than gamete donation—and probably less so. Where appropriate, we draw parallels with the debate surrounding reproductive cloning. We note that solo reproduction may serve to perpetuate reductive geneticised accounts of reproduction, and that this may indeed be ethically questionable. However, in this it is not unique among other technologies of assisted reproduction, many of which focus on genetic transmission. It is for this reason that a ban on solo reproduction might be inconsistent with continuing to permit other kinds of reproduction that also bear the potential to strengthen attachment to a geneticised account of reproduction. Our claim is that there are at least as good reasons to pursue research towards enabling solo reproduction, and eventually to introduce solo reproduction as an option for fertility treatment, as there are to do so for other infertility related purposes

Long-term outcome of displaced radial neck fractures in adulthood: 16–21 year follow-up of 5 patients treated with radial head excision

Background There have been no reports on the long-term outcome of radial neck Mason type IIIb fractures in adults