The effect of chair massage on muscular discomfort in cardiac sonographers: a pilot study

<p>Abstract</p> <p>Background</p> <p>Cardiac sonographers frequently have work-related muscular discomfort. We aimed to assess the feasibility of having sonographers receive massages during working hours in an area adjacent to an echocardiography laboratory and to assess relief of discomfort with use of the massages with or without stretching exercises.</p> <p>Methods</p> <p>A group of 45 full-time sonographers was randomly assigned to receive weekly 30-minute massage sessions, massages plus stretching exercises to be performed twice a day, or no intervention. Outcome measures were scores of the <it>Quick</it>DASH instrument and its associated work module at baseline and at 10 weeks of intervention. Data were analyzed with standard descriptive statistics and the separation test for early-phase comparative trials.</p> <p>Results</p> <p>Forty-four participants completed the study: 15 in the control group, 14 in the massage group, and 15 in the massage plus stretches group. Some improvement was seen in work-related discomfort by the <it>Quick</it>DASH scores and work module scores in the 2 intervention groups. The separation test showed separation in favor of the 2 interventions.</p> <p>Conclusion</p> <p>On the basis of the results of this pilot study, larger trials are warranted to evaluate the effect of massages with or without stretching on work-related discomfort in cardiac sonographers.</p> <p>Trial Registration</p> <p>NCT00975026 ClinicalTrials.gov</p

Soccer Football Pools Act, 1981, No. 26

Purpose We aimed to assess the effectiveness of acupuncture for cancer-related fatigue (CRF) in patients with breast cancer. Patients and Methods We conducted a pragmatic, randomized controlled trial comparing acupuncture with enhanced usual care. Three hundred two outpatients with breast cancer participated. We randomly assigned 75 patients to usual care and 227 patients to acupuncture plus usual care (random assignment of 1: 3 respectively) with minimization controlling for baseline general fatigue and maintenance treatment. Treatment was delivered by acupuncturists once a week for 6 weeks through needling three pairs of acupoints. The usual care group received a booklet with information about fatigue and its management. Primary outcome was general fatigue at 6 weeks, measured with the Multidimensional Fatigue Inventory (MFI). Other measurements included the Hospital Anxiety and Depression Scale, Functional Assessment of Cancer Therapy-General quality-of-life scale, and expectation of acupuncture effect. Analyses were by intention to treat. Results Two hundred forty-six of 302 patients randomly assigned provided complete data at 6 weeks. The difference in the mean General Fatigue score, between those who received the intervention and those who did not, was -3.11 (95% CI, -3.97 to -2.25; P<.001). The intervention also improved all other fatigue aspects measured by MFI, including Physical Fatigue and Mental Fatigue (acupuncture effect, -2.36 and -1.94, respectively; both at P<.001), anxiety and depression (acupuncture effect, -1.83 and -2.13, respectively; both at P<.001), and quality of life (Physical Well-Being effect, 3.30; Functional Well-Being effect, 3.57; both at P<.001; Emotional Well-Being effect, 1.93; P=.001; and Social Functioning Well-Being effect, 1.05; P<.05). Conclusion Acupuncture is an effective intervention for managing the symptom of CRF and improving patients' quality of life. J Clin Oncol 30:4470-4476. (C) 2012 by American Society of Clinical Oncolog

The contribution of N-rich stars to the Galactic stellar halo using APOGEE red giants

The contribution of dissolved globular clusters (GCs) to the stellar content of the Galactic halo is a key constraint on models for GC formation and destruction, and the mass assembly history of the Milky Way. Earlier results from APOGEE pointed to a large contribution of destroyed GCs to the stellar content of the inner halo, by as much as 25$\%$, which is an order of magnitude larger than previous estimates for more distant regions of the halo. We set out to measure the ratio between N-rich and normal halo field stars, as a function of distance, by performing density modelling of halo field populations in APOGEE DR16. Our results show that at 1.5 kpc from the Galactic Centre, N-rich stars contribute a much higher 16.8$^{+10.0}_{-7.0}$$\%$ fraction to the total stellar halo mass budget than the 2.7$^{+1.0}_{-0.8}$$\%$ ratio contributed at 10 kpc. Under the assumption that N-rich stars are former GC members that now reside in the stellar halo field, and assuming the ratio between first-and second-population GC stars being 1:2, we estimate a total contribution from disrupted GC stars of the order of 27.5$^{+15.4}_{-11.5}$$\%$ at r = 1.5 kpc and 4.2$^{+1.5}_{-1.3}$$\%$ at r = 10 kpc. Furthermore, since our methodology requires fitting a density model to the stellar halo, we integrate such density within a spherical shell from 1.5-15 kpc in radius, and find a total stellar mass arising from dissolved and/or evaporated GCs of $M_{\mathrm{GC,total}}$ = 9.6$^{+4.0}_{-2.6}$ $\times$ 10$^{7}$ M$\odot$.Comment: Paper accepted for Publication in MNRA

The chemical characterisation of halo substructure in the Milky Way based on APOGEE

Galactic haloes in a $\Lambda$-Cold Dark Matter ($\Lambda$CDM) universe are predicted to host today a swarm of debris resulting from cannibalised dwarf galaxies that have been accreted via the process of hierarchical mass assembly. The chemo-dynamical information recorded in the Galactic stellar populations associated with such systems helps elucidate their nature, placing constraints on the mass assembly history of the Milky Way. Using data from the APOGEE and \textit{Gaia} surveys, we examine APOGEE targets belonging to the following substructures in the stellar halo: Heracles, \textit{Gaia}-Enceladus/Sausage (GES), Sagittarius dSph, the Helmi stream, Sequoia, Thamnos, Aleph, LMS-1, Arjuna, I'itoi, Nyx, Icarus, and Pontus. We examine the distributions of all substructures in chemical space, considering the abundances of elements sampling various nucleosynthetic pathways. Our main findings include: {\it i)} the chemical properties of GES, Heracles, the Helmi stream, Sequoia, Thamnos, LMS-1, Arjuna, and I'itoi match qualitatively those of dwarf satellites of the Milky Way, such as the Sagittarius dSph; {\it ii)} the abundance pattern of the recently discovered inner Galaxy substructure Heracles differs statistically from that of populations formed {\it in situ}. Heracles also differs chemically from all other substructures; {\it iii)} the abundance patterns of Sequoia (selected in various ways), Arjuna, LMS-1, and I'itoi are indistinguishable from that of GES, indicating a possible common origin; {\it iv)} the abundance patterns of the Helmi stream and Thamnos substructures are different from all other halo substructures; {\it v)} the chemical properties of Nyx and Aleph are very similar to those of disc stars, implying that these substructures likely have an \textit{in situ} origin.Comment: Submitted to MNRAS. 39 page

The Fourteenth Data Release of the Sloan Digital Sky Survey: First Spectroscopic Data from the extended Baryon Oscillation Spectroscopic Survey and from the second phase of the Apache Point Observatory Galactic Evolution Experiment

The fourth generation of the Sloan Digital Sky Survey (SDSS-IV) has been in operation since July 2014. This paper describes the second data release from this phase, and the fourteenth from SDSS overall (making this, Data Release Fourteen or DR14). This release makes public data taken by SDSS-IV in its first two years of operation (July 2014-2016). Like all previous SDSS releases, DR14 is cumulative, including the most recent reductions and calibrations of all data taken by SDSS since the first phase began operations in 2000. New in DR14 is the first public release of data from the extended Baryon Oscillation Spectroscopic Survey (eBOSS); the first data from the second phase of the Apache Point Observatory (APO) Galactic Evolution Experiment (APOGEE-2), including stellar parameter estimates from an innovative data driven machine learning algorithm known as "The Cannon"; and almost twice as many data cubes from the Mapping Nearby Galaxies at APO (MaNGA) survey as were in the previous release (N = 2812 in total). This paper describes the location and format of the publicly available data from SDSS-IV surveys. We provide references to the important technical papers describing how these data have been taken (both targeting and observation details) and processed for scientific use. The SDSS website (www.sdss.org) has been updated for this release, and provides links to data downloads, as well as tutorials and examples of data use. SDSS-IV is planning to continue to collect astronomical data until 2020, and will be followed by SDSS-V.Comment: SDSS-IV collaboration alphabetical author data release paper. DR14 happened on 31st July 2017. 19 pages, 5 figures. Accepted by ApJS on 28th Nov 2017 (this is the "post-print" and "post-proofs" version; minor corrections only from v1, and most of errors found in proofs corrected

Competitive and Cooperative Interactions Mediate RNA Transfer from Herpesvirus Saimiri ORF57 to the Mammalian Export Adaptor ALYREF

The essential herpesvirus adaptor protein HVS ORF57, which has homologs in all other herpesviruses, promotes viral mRNA export by utilizing the cellular mRNA export machinery. ORF57 protein specifically recognizes viral mRNA transcripts, and binds to proteins of the cellular transcription-export (TREX) complex, in particular ALYREF. This interaction introduces viral mRNA to the NXF1 pathway, subsequently directing it to the nuclear pore for export to the cytoplasm. Here we have used a range of techniques to reveal the sites for direct contact between RNA and ORF57 in the absence and presence of ALYREF. A binding site within ORF57 was characterized which recognizes specific viral mRNA motifs. When ALYREF is present, part of this ORF57 RNA binding site, composed of an a-helix, binds preferentially to ALYREF. This competitively displaces viral RNA from the a-helix, but contact with RNA is still maintained by a flanking region. At the same time, the flexible N-terminal domain of ALYREF comes into contact with the viral RNA, which becomes engaged in an extensive network of synergistic interactions with both ALYREF and ORF57. Transfer of RNA to ALYREF in the ternary complex, and involvement of individual ORF57 residues in RNA recognition, were confirmed by UV cross-linking and mutagenesis. The atomic-resolution structure of the ORF57-ALYREF interface was determined, which noticeably differed from the homologous ICP27-ALYREF structure. Together, the data provides the first site-specific description of how viral mRNA is locked by a herpes viral adaptor protein in complex with cellular ALYREF, giving herpesvirus access to the cellular mRNA export machinery. The NMR strategy used may be more generally applicable to the study of fuzzy protein-protein-RNA complexes which involve flexible polypeptide regions