2,388 research outputs found

    Evaluation of a cognitive affective model of physical activity behavior

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    © 2020 The Author(s). Background: To empirically evaluate a cognitive affective model of physical activity. This bidirectional, cyclical model hypotheses that executive control processes directly influence habitual engagement in exercise and also directly subserve the exercise-induced affective response to acute exercise associated with future physical activity. Methods: The present study employed a one-week prospective, multi-site design. Participant recruitment and data collection occurred at two separate University sites (one in the United States and the other in Canada). Participants completed a bout of treadmill exercise, with affect and arousal assessed before, during and after the bout of exercise. Subjective and objective measures of executive function were assessed during this visit. Following this laboratory visit, seven days of accelerometry were employed to measure habitual engagement in physical activity. Results: Within our inactive, young adult sample, we observed some evidence of 1) aspects of executive function were associated with more light-intensity physical activity in the future (1-week later) (r = 0.36, 95% CI = -0.03 to 0.66, P = 0.07), 2) aspects of executive function were associated with post-exercise affect (r = -0.39, 95% CI = -0.67 to -0.03, P = 0.03) and forecasted affect (r = 0.47, 95% CI = 0.11 to 0.72, P = 0.01), and 3) aspects of acute exercise arousal and affect were associated with current mild-intensity physical activity behavior (r = 0.41, 95% CI = 0.04 to 0.68, P = 0.03). Conclusion: We demonstrate partial support of a cognitive-affective model of physical activity

    Changes in Statin Adherence Following an Acute Myocardial Infarction Among Older Adults: Patient Predictors and the Association With Follow‐Up With Primary Care Providers and/or Cardiologists

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    BACKGROUND: Hospitalizations for acute myocardial infarctions (AMIs) are associated with changes in statin adherence. It is unclear to what extent adherence changes, which patients are likely to change, and how post-discharge follow-up is associated with statin adherence change. METHODS AND RESULTS: This retrospective study used Medicare data for all fee-for-service beneficiaries 66 years and older with an AMI hospitalization in 2008-2010 and statin use before their index AMI. Multivariable multinomial logistic regression models (odds ratio [OR] and 99% confidence interval [CI]) were applied to assess associations between both patient characteristics and follow-up with a primary care provider and/or cardiologist with the outcome of statin adherence change (increase or decrease) from the 6-month pre- to 6-month post-AMI periods. Of 113 296 patients, 64.0% had no change in adherence, while 19.7% had increased and 16.3% had decreased adherence after AMI hospitalization. Black and Hispanic patients were more likely to have either increased or decreased adherence than white patients. Patients who required coronary artery bypass graft surgery (OR, 1.34; 99% CI, 1.21-1.49) or percutaneous transluminal coronary angioplasty/stent procedure (OR, 1.25; 99% CI, 1.17-1.32) during their index hospitalization were more likely to have increased adherence. Follow-up with a primary care provider was only mildly associated with increased adherence (OR, 1.08; 99% CI, 1.00-1.16), while follow-up with a cardiologist (OR, 1.15; 99% CI, 1.05-1.25) or both provider types (OR, 1.21; 99% CI, 1.12-1.30) had stronger associations with increased adherence. CONCLUSIONS: Post-AMI changes in statin adherence varied by patient characteristics, and improved adherence was associated with post-discharge follow-up care, particularly with a cardiologist or both a primary care provider and a cardiologist

    The pseudo-mitochondrial genome influences mistakes in heteroplasmy interpretation

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    BACKGROUND: Nuclear mitochondrial pseudogenes (numts) are a potential source of contamination during mitochondrial DNA PCR amplification. This possibility warrants careful experimental design and cautious interpretation of heteroplasmic results. RESULTS: Here we report the cloning and sequencing of numts loci, amplified from human tissue and rho-zero (ρ(0)) cells (control) with primers known to amplify the mitochondrial genome. This paper is the first to fully sequence 46 paralogous nuclear DNA fragments that represent the entire mitochondrial genome. This is a surprisingly small number due primarily to the primer sets used in this study, because prior to this, BLAST searches have suggested that nuclear DNA harbors between 400 to 1,500 paralogous mitochondrial DNA fragments. Our results indicate that multiple numts were amplified simultaneously with the mitochondrial genome and increased the load of pseudogene signal in PCR reactions. Further, the entire mitochondrial genome was represented by multiple copies of paralogous nuclear sequences. CONCLUSION: These findings suggest that mitochondrial genome disease-associated biomarkers must be rigorously authenticated to preclude any affiliation with paralogous nuclear pseudogenes. Importantly, the common perception that mitochondrial template "swamps" numts loci precluding detectable amplification, depends on the region of the mitochondrial genome targeted by the PCR reaction and the number of pseudogene loci that may co-amplify. Cloning and relevant sequencing data will facilitate the correct interpretation. This is the first complete, wet-lab characterization of numts that represent the entire mitochondrial genome

    To GP or not to GP: a natural experiment in children triaged to see a GP in a tertiary paediatric emergency department (ED)

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    Objective: To evaluate the impact of integrating a general practitioner (GP) into a tertiary paediatric emergency department (ED) on admissions, waiting times and antibiotic prescriptions. Design: Retrospective cohort study. Setting: Alder Hey Children’s NHS Foundation Trust, a tertiary paediatric hospital in Liverpool, UK. Participants: From October 2014, a GP was colocated within the ED, from 14:00 to 22:00 hours, 7 days a week. Children triaged green on the Manchester Triage System without any comorbidities were classed as ‘GP appropriate’. The natural experiment compared patients triaged as ‘GP appropriate’ and able to be seen by a GP between 14:00 and 22:00 hours (GP group) to patients triaged as ‘GP appropriate’ seen outside of the hours when a GP was available (ED group). Intention-to-treat (ITT) analysis was used to assess the main outcomes. Results: 5223 patients were designated as ‘GP appropriate’—18.2% of the total attendances to the ED over the study period. There were 2821 (54%) in the GP group and 2402 (46%) in the ED group. The median duration of stay in the ED was 94 min (IQR 63–141) for the GP group compared with 113 min (IQR 70–167) for the ED group (p<0.0005). Using the ITT analysis equivalent, we demonstrated that the GP group were less likely to: be admitted to hospital (2.2% vs 6.5%, OR 0.32, 95% CI 0.24 to 0.44), wait longer than 4 hours (2.3% vs 5.1%, OR 0.45, 95% CI 0.33 to 0.61) or leave before being seen (3.1% vs 5.7%, OR 0.53, 95% CI 0.41 to 0.70), but more likely to receive antibiotics (26.1% vs 20.5%, OR 1.37, 95% CI 1.10 to 1.56). Sensitivity analyses yielded similar results. Conclusions: Introducing a GP to a paediatric ED service can significantly reduce waiting times and admissions, but may lead to more antibiotic prescribing. This study demonstrates a novel, potentially more efficient ED care pathway in the current context of rising demand for children’s emergency services

    Integrated System Test Approaches for the NASA Ares I Crew Launch Vehicle

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    The Ares I Crew Launch Vehicle (CLV) is being developed by the U.S. National Aeronautics and Space Administration (NASA) to provide crew access to the International Space Station (ISS) and, together with the Ares V Cargo Launch Vehicle (CaLV), serves as one component of a future launch capability for human exploration of the Moon. During the system requirements definition process and early design cycles, NASA defined and began implementing plans for integrated ground and flight testing necessary to achieve the first human launch of Ares I. The individual Ares I flight hardware elements: the first stage five segment booster (FSB), upper stage, and J-2X upper stage engine, will undergo extensive development, qualification, and certification testing prior to flight. Key integrated system tests include the Main Propulsion Test Article (MPTA), acceptance tests of the integrated upper stage and upper stage engine assembly, a full-scale integrated vehicle dynamic test (IVDT), aerodynamic testing to characterize vehicle performance, and integrated testing of the avionics and software components. The Ares I-X development flight test will provide flight data to validate engineering models for aerodynamic performance, stage separation, structural dynamic performance, and control system functionality. The Ares I-Y flight test will validate ascent performance of the first stage, stage separation functionality, and a highaltitude actuation of the launch abort system (LAS) following separation. The Orion-1 flight test will be conducted as a full, un-crewed, operational flight test through the entire ascent flight profile prior to the first crewed launch

    Moss species on the move in East Antarctic terrestrial communities

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    Antarctica has experienced major changes in temperature, wind speed and stratospheric ozone levels over the last 50 years. Whilst West Antarctica and the peninsula showed rapid warming and associated ecosystem change, East Antarctica appeared to be little impacted by climate warming, thus biological changes were predicted to be relatively slow. Detecting the biological effects of Antarctic climate change has also been hindered by the paucity of long-term data sets, particularly for organisms that have been exposed to these changes throughout their lives. We monitored vegetation communities in the Windmill Islands, East Antarctica from 2000 to 2014 and found significant changes in moss species composition. In addition, we have shown that radiocarbon signals preserved along shoots of the dominant Antarctic moss flora can be used to determine accurate growth rates over a period of several decades, allowing us to explore the influence of environmental variables on growth. Carbon stable isotopic measurements suggest that the observed effects of climate variation on growth are mediated through changes in water availability and most likely linked to the more positive phase of the Southern Annular Mode and changing westerly wind patterns. For cold remote locations like Antarctica, where climate records are limited and of relatively short duration, this illustrates that mosses can act as microclimate proxies and have the potential to increase our knowledge of coastal Antarctic climate change

    Correction to: Through the looking glass: a systematic review of longitudinal evidence, providing new insight for motor competence and health

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    Tables 6, 7, 11 and 12 each include a header cell, near the top, stating the wording “Proportion of sig. analyses (without studies with > 4 comparisons)”. Table 6 also features a header cell at the bottom, stating “Proportion of sig total Locomotor/ Coordination /Stability analyses without studies with > 4 comparisons”.info:eu-repo/semantics/publishedVersio

    A systematic review of longitudinal and experimental evidence providing new insight for motor competence and health

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    In 2008, a conceptual model explaining the role of motor competence (MC) on children’s physical activity (PA), health-related fitness, weight status and perceived MC was published by Stodden et al. The purpose of this review is to systematically compile mediation, longitudinal and experimental evidence in support of this model. Searches were undertaken for each pathway of interest using six relevant databases. Potential articles were identified though abstract and title checking (N = 585), then screened (n = 152), with 43 articles identified for extraction. Studies needed to: be original, peer-reviewed, include typically developing children and adolescents first assessed between 2 and 18 years and objective assessment of gross MC and at least one other model variable. Strength of evidence was calculated for each pathway in both directions by dividing the proportion of studies indicating a significantly positive pathway in the hypothesized direction by the total amount of studies investigating that pathway. Classifications were no association (0–33 %), indeterminate/inconsistent (34–59 %), or a positive “+” or negative “-” association (≥60 %). The latter category was classified as strong evidence (i.e., ++ or –) when four or more studies found an association. If the total number of studies in a domain of interest were three or less, this was considered insufficient evidence. There was strong evidence in both directions for a negative association between MC and weight status. There was indeterminate evidence between MC and fitness and indeterminate evidence from MC to PA and no evidence for the reverse. There was insufficient evidence for the MC to perceived MC pathway. There was strong positive evidence for the fitness-mediated pathway in both directions. There was indeterminate evidence for the perceived MC-mediated pathway from PA to MC and no evidence for the reverse. To test the whole model, the field needs robust longitudinal studies with multiple time points, including all variables in the model and accounting for confounding factors.N.C.V is supported by the Coordination for the Improvement of Higher Education Personel – CAPESPrint Brazil. V.P.L is supported by national funding through the Portuguese Foundation for Science and Technology, I.P., under project UID04045/2020 L.P.R is partially supported by the Portuguese Foundation for Science and Technology, I.P. under Project UID/DTP/04045/2019.info:eu-repo/semantics/publishedVersio

    Trace gas emissions from combustion of peat, crop residue, domestic biofuels, grasses, and other fuels: Configuration and Fourier transform infrared (FTIR) component of the fourth Fire Lab at Missoula Experiment (FLAME-4)

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    During the fourth Fire Lab at Missoula Experiment (FLAME-4, October-November 2012) a large variety of regionally and globally significant biomass fuels was burned at the US Forest Service Fire Sciences Laboratory in Missoula, Montana. The particle emissions were characterized by an extensive suite of instrumentation that measured aerosol chemistry, size distribution, optical properties, and cloud-nucleating properties. The trace gas measurements included high-resolution mass spectrometry, one-and two-dimensional gas chromatography, and open-path Fourier transform infrared (OP-FTIR) spectroscopy. This paper summarizes the overall experimental design for FLAME-4-including the fuel properties, the nature of the burn simulations, and the instrumentation employed-and then focuses on the OP-FTIR results. The OP-FTIR was used to measure the initial emissions of 20 trace gases: CO2, CO, CH4, C2H2, C2H4, C3H6, HCHO, HCOOH, CH3OH, CH3COOH, glycolaldehyde, furan, H2O, NO, NO2, HONO, NH3, HCN, HCl, and SO2. These species include most of the major trace gases emitted by biomass burning, and for several of these compounds, this is the first time their emissions are reported for important fuel types. The main fire types included African grasses, Asian rice straw, cooking fires (open (three-stone), rocket, and gasifier stoves), Indonesian and extratropical peat, temperate and boreal coniferous canopy fuels, US crop residue, shredded tires, and trash. Comparisons of the OP-FTIR emission factors (EFs) and emission ratios (ERs) to field measurements of biomass burning verify that the large body of FLAME-4 results can be used to enhance the understanding of global biomass burning and its representation in atmospheric chemistry models. Crop residue fires are widespread globally and account for the most burned area in the US, but their emissions were previously poorly characterized. Extensive results are presented for burning rice and wheat straw: two major global crop residues. Burning alfalfa produced the highest average NH3EF observed in the study (6.63 ± 2.47 g kg-1), while sugar cane fires produced the highest EF for glycolaldehyde (6.92 g kg-1) and other reactive oxygenated organic gases such as HCHO, HCOOH, and CH3COOH. Due to the high sulfur and nitrogen content of tires, they produced the highest average SO2emissions (26.2 ± 2.2 g kgg-1) and high NOx and HONO emissions. High variability was observed for peat fire emissions, but they were consistently characterized by large EFs for NH3(1.82 ± 0.60 g kg-1) and CH4(10.8 ± 5.6 g kg-1). The variability observed in peat fire emissions, the fact that only one peat fire had previously been subject to detailed emissions characterization, and the abundant emissions from tropical peatlands all impart high value to our detailed measurements of the emissions from burning three Indonesian peat samples. This study also provides the first EFs for HONO and NO2for Indonesian peat fires. Open cooking fire emissions of HONO and HCN are reported for the first time, and the first emissions data for HCN, NO, NO2, HONO, glycolaldehyde, furan, and SO2are reported for rocket stoves: a common type of improved cookstove. The HCN/CO emission ratios for cooking fires (1.72 × 10-3± 4.08 × 10-4) and peat fires (1.45 × 10-2± 5.47 × 10-3) are well below and above the typical values for other types of biomass burning, respectively. This would affect the use of HCN/CO observations for source apportionment in some regions. Biomass burning EFs for HCl are rare and are reported for the first time for burning African savanna grasses. High emissions of HCl were also produced by burning many crop residues and two grasses from coastal ecosystems. HCl could be the main chlorine-containing gas in very fresh smoke, but rapid partitioning to aerosol followed by slower outgassing probably occurs
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