Level of adherence to prescribed exercise in spondyloarthritis and factors affecting this adherence: a systematic review

Adherence is a primary determinant of the effectiveness of any intervention. Exercise is considered essential in the management of spondyloarthritis (SpA); however, the overall adherence to exercise programmes and factors affecting adherence are unknown. The aim of this systematic review was to examine measures of, and factors influencing adherence to, prescribed exercise programmes in people with SpA. A search was performed in August 2018 using five data bases; the Cochrane library, CINAHL, EMBASE, MEDLINE, and Web of Science Collections. Inclusion criteria were: studies with adults (> 18 years) with SpA, with a prescribed exercise intervention or educational programme with the aim of increasing exercise participation. Article quality was independently assessed by two assessors. Extracted descriptive data included: populations, interventions, measures of adherence and factors affecting adherence. Percentage adherence rates to prescribed exercises were calculated if not reported. Nine studies were included with a total of 658 participants, 95% of participants had a diagnosis of ankylosing spondylitis. Interventions and measurement of adherence varied, making comparisons difficult. Rates of adherence ranged from 51.4 to 95%. Single studies identified; adherence improved following educational programmes, and higher disease severity and longer diagnostic delays were associated with higher adherence. Conflicting evidence was found as to whether supervision of exercise improved adherence. Three consecutive studies demonstrated adherence reduced over time. Adherence to prescribed exercise in SpA was poorly reported and predominately for people with AS. The levels of adherence and factors affecting prescribed exercise in SpA remain unclear. Future research should measure adherence across a longer time period and investigate possible factors which may influence adherence

Shifting Patterns in Marks and Registration: France, the United States and United Kingdom, 1870-1970

This paper looks at trademarks and brands, beyond the conventional interests of marketing and law, as a way to explaining the evolution of international business and economies in general. It shows that the perspective defended by many scholars such as Chandler (1990), Wilkins (1991, 1994) and Koehn’ (2001), about the Anglo-Saxon countries, and in particular the United States, leading the transition to modern trade-marks is narrow in its focus. Instead of the United States standing out as historically on the leading edge of innovation in the law and practice of trade marking, it appears from several directions to have been on the trailing edge. France and Britain have a more enduring interest in trademarking. The paper also looks at one particular subset of trade mark registration data – non durable consumer goods. These, and in particular food, are the dominant sectors in the three countries in terms of trademarking, reflecting the character of the sectors where imagery associated with the products is so central in competition. The paper relies on original data from three countries, France, the United Kingdom and the United States, in particular trade mark registrations, and the analysis spans for a period of one hundred years period 1870-1970.trade marks, brands, international business history, intellectual property rights, trademark law

Increasing the Size of a Piece of Popcorn

Popcorn is an extremely popular snack food in the world today. Thermodynamics can be used to analyze how popcorn is produced. By treating the popping mechanism of the corn as a thermodynamic expansion, a method of increasing the volume or size of a kernel of popcorn can be studied. By lowering the pressure surrounding the unpopped kernel, one can use a thermodynamic argument to show that the expanded volume of the kernel when it pops must increase. In this project, a variety of experiments are run to test the validity of this theory. The results show that there is a significant increase in the average kernel size when the pressure of the surroundings is reduced.Comment: Latex document, 14 pages, 4 figures, 1 page of table

eCHASE: Sustainable Exploitation of Electronic Cultural Heritage

Europe’s digital cultural heritage content has tremendous exploitation potential in applications such as Education, Publishing, e-Commerce, Public Access and Tourism. Value is hugely amplified if the content can be aggregated, repurposed and distributed at a European level. The eCHASE project seeks to demonstrate that public-private partnerships between content holders and commercial service providers can create new services and a sustainable business based on access and exploitation of digital cultural heritage content. This paper describes these issues and introduces the eCHASE architecture that is being developed to showcase the business models created for the project

Spatio-temporal variation in leaf area index in the Yan Mountains over the past 40 years and its relationship to hydrothermal conditions

Changes in hydrothermal conditions have significant effects on vegetation, but there is still a lack of understanding of how vegetation responds to land surface (surface temperature and soil moisture) and meteorological (temperature and precipitation) conditions in mountain regions. This study examined the trends of leaf area index (LAI) in the Yan Mountains over the last four decades using Global Land Surface Satellite (GLASS) data. The results showed a persistent increase of LAI (greening) over 20 % to 80 % of the study area in growing season, spring, summer and autumn. Anthropogenic activities caused the greening trend by crop management before 2000 and afforestation after 2000. The increasing rate of LAI varied with elevation, and the most significant increase occurred in areas between 300 and 900 m, and the lowest increase occurred in areas below 300 m. Moreover, we found that LAI was negatively correlated with land surface temperature and soil moisture, but positively correlated with precipitation and air temperature. The time-lag effect was found between hydro thermal factors and LAI in the past four decades. There was a time lag of 2-3 months between LAI changes and temperature/precipitation during the early and late stages of the growing season, and a time lag of 0-1 month during the middle stage. Specifically, there was no time lag in vegetation response to surface soil moisture, and a time lag of 2-3 months in vegetation response to land surface temperature from July to October. Our findings provide insights into how vegetation adapts to land surface and climatic hydrothermal conditions in mountain regions and can be used by governments to develop policies for ecological protection