The development of functional and directed corticomuscular connectivity during tonic ankle muscle contraction across childhood and adolescence

In adults, oscillatory activity in the sensorimotor cortex is coherent with contralateral muscle activity at beta frequencies (15-35 Hz) during tonic contraction. This functional coupling reflects the involvement of the sensorimotor cortex, the corticospinal pathway, and likely also ascending sensory feedback in the task at hand. However, little is known about the developmental trajectory of task-related corticomuscular connectivity relating to the voluntary control of the ankle muscles. To address this, we recorded electroencephalography (EEG) from the vertex (Cz) and electromyography (EMG) from ankle muscles (proximal and distal anterior tibial, TA; soleus, SOL; gastrocnemius medialis, GM) in 33 participants aged 7-23 yr during tonic dorsi- and plantar flexion requiring precise maintenance of a submaximal torque level. Coherence was calculated for Cz-TA, Cz-SOL, TA-TA, and SOL-GM signal pairs. We found strong, positive associations between age and beta band coherence for Cz-TA, Cz-SOL, and TA-TA, suggesting that oscillatory corticomuscular connectivity is strengthened during childhood development and adolescence. Directionality analysis indicated that the primary interaction underlying this age-related increase was in the descending direction. In addition, performance during dorsi- and plantar flexion tasks was positively associated with age, indicating more precise control of the ankle joint in older participants. Performance was also positively associated with beta band coherence, suggesting that participants with greater coherence also exhibited greater precision. We propose that these results indicate an age-related increase in oscillatory corticospinal input to the ankle muscle motoneuron pools during childhood development and adolescence, with possible implications for maturation of precision force control. Within the theoretical framework of predictive coding, we suggest that our results may reflect an age-related increase in reliance on feedforward control as the developing nervous system becomes better at predicting the sensory consequences of movement. These findings may contribute to the development of novel intervention strategies targeting improved sensorimotor control in children and adolescents with central motor disorders

Physical activity in pregnancy:a mixed methods process evaluation of the FitMum randomised controlled trial interventions

BACKGROUND: Physical activity (PA) at moderate intensity is recommended for healthy pregnant women. The three-arm FitMum randomised controlled trial showed that it was possible to increase PA level during pregnancy with structured supervised exercise training (EXE) compared to standard care. Motivational counselling on PA (MOT) did not increase PA. This process evaluation aims to understand the implementation and mechanisms of impact of EXE and MOT. METHODS: A mixed methods process evaluation was conducted using the UK Medical Research Council’s process evaluation framework by assessing implementation (reach, fidelity, and dose) and mechanisms of impact of the two interventions provided to pregnant women in FitMum. Data was collected both quantitatively (n = 220) and qualitatively (n = 20). RESULTS: The FitMum trial reached educated pregnant women (80% having an educational level ≥ bachelor’s degree) with high autonomy of everyday life. Most participants (58%) were recruited at their first-trimester ultrasonic scan. Reasons to participate were personal (91%) and altruistic (56%). The intervention dose was delivered as intended with high fidelity in the original physical intervention setup and in the altered online setup during the COVID-19 restrictions. A low dose received in EXE (1.3 [95% CI, 1.1; 1.5] sessions/week) was partly explained by the pre-scheduled EXE sessions favouring participants with a flexible everyday life and a supportive social network. Dose received in EXE increased during online intervention delivery. Participants in MOT received 5.2 [4.7; 5.7] of 7 sessions. Mechanisms of impact comprised a perception of intervention commitment among participants in EXE due to the scheduled EXE sessions, whereas participants in MOT considered themselves as PA self-determined. PA was considered as constrained activities in EXE and included in daily activities in MOT. CONCLUSION: The FitMum interventions was delivered with high fidelity. During COVID-19, the dose received in EXE increased compared to the previous physical setup. Mechanisms of impact as commitment, perception of empowerment and perception of PA as well as the paradox between prioritising PA and family and the need of a flexible everyday life need to be considered when offering pregnant women PA interventions. Future interventions should consider a combination of physical and online exercise training for pregnant women. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-022-14717-1

Interhemispheric comparison of GPS phase scintillation at high latitudes during the magnetic-cloud-induced geomagnetic storm of 5–7 April 2010

Arrays of GPS Ionospheric Scintillation and TEC Monitors (GISTMs) are used in a comparative scintillation study focusing on quasi-conjugate pairs of GPS receivers in the Arctic and Antarctic. Intense GPS phase scintillation and rapid variations in ionospheric total electron content (TEC) that can result in cycle slips were observed at high latitudes with dual-frequency GPS receivers during the first significant geomagnetic storm of solar cycle 24 on 5–7 April 2010. The impact of a bipolar magnetic cloud of north-south (NS) type embedded in high speed solar wind from a coronal hole caused a geomagnetic storm with maximum 3-hourly Kp = 8- and hourly ring current Dst =−73 nT. The interhemispheric comparison of phase scintillation reveals similarities but also asymmetries of the ionospheric response in the northern and southern auroral zones, cusps and polar caps. In the nightside auroral oval and in the cusp/cleft sectors the phase scintillation was observed in both hemispheres at about the same times and was correlated with geomagnetic activity. The scintillation level was very similar in approximately conjugate locations in Qiqiktarjuaq (75.4° N; 23.4° E CGM lat. and lon.) and South Pole (74.1° S; 18.9° E), in Longyearbyen (75.3° N; 111.2° E) and Zhongshan (74.7° S; 96.7° E), while it was significantly higher in Cambridge Bay (77.0° N; 310.1° E) than at Mario Zucchelli (80.0° S; 307.7° E). In the polar cap, when the interplanetary magnetic field (IMF) was strongly northward, the ionization due to energetic particle precipitation was a likely cause of scintillation that was stronger at Concordia (88.8° S; 54.4° E) in the dark ionosphere than in the sunlit ionosphere over Eureka (88.1° N; 333.4° E), due to a difference in ionospheric conductivity. When the IMF tilted southward, weak or no significant scintillation was detected in the northern polar cap, while in the southern polar cap rapidly varying TEC and strong phase scintillation persisted for many hours. This interhemispheric asymmetry is explained by the difference in the location of solar terminator relative to the cusps in the Northern and Southern Hemisphere. Solar terminator was in the immediate proximity of the cusp in the Southern Hemisphere where sunlit ionospheric plasma was readily convected into the central polar cap and a long series of patches was observed. In contrast, solar terminator was far poleward of the northern cusp thus reducing the entry of sunlit plasma and formation of dense patches. This is consistent with the observed and modeled seasonal variation in occurrence of polar cap patches. The GPS scintillation and TEC data analysis is supported by data from ground-based networks of magnetometers, riometers, ionosondes, HF radars and all-sky imagers, as well as particle flux measurements by DMSP satellites

GPS phase scintillation at high latitudes during geomagnetic storms of 7-17 March 2012, part 2: interhemispheric comparison

During the ascending phase of solar cycle 24, a series of interplanetary coronal mass ejections (ICMEs) in the period 7–17 March 2012 caused geomagnetic storms that strongly affected high-latitude ionosphere in the Northern and Southern Hemisphere. GPS phase scintillation was observed at northern and southern high latitudes by arrays of GPS ionospheric scintillation and TEC monitors (GISTMs) and geodetic-quality GPS receivers sampling at 1 Hz. Mapped as a function of magnetic latitude and magnetic local time (MLT), the scintillation was observed in the ionospheric cusp, the tongue of ionization fragmented into patches, sun-aligned arcs in the polar cap, and nightside auroral oval and subauroral latitudes. Complementing a companion paper (Prikryl et al., 2015a) that focuses on the high latitude ionospheric response to variable solar wind in the North American sector, interhemispheric comparison reveals commonalities as well as differences and asymmetries between the northern and southern high latitudes, as a consequence of the coupling between the solar wind and magnetosphere. The interhemispheric asymmetries are caused by the dawn–dusk component of the interplanetary magnetic field controlling the MLT of the cusp entry of the storm enhanced density plasma into the polar cap and the orientation relative to the noon–midnight meridian of the tongue of ionization

An interhemispheric comparison of GPS phase scintillation with auroral emission observed at the South Pole and from the DMSP satellite

The global positioning system (GPS) phase scintillation caused by highlatitude ionospheric irregularities during an intense high-speed stream (HSS) of the solar wind from April 29 to May 5, 2011, was observed using arrays of GPS ionospheric scintillation and total electron content monitors in the Arctic and Antarctica. The one-minute phase-scintillation index derived from the data sampled at 50 Hz was complemented by a proxy index (delta phase rate) obtained from 1-Hz GPS data. The scintillation occurrence coincided with the aurora borealis and aurora australis observed by an all-sky imager at the South Pole, and by special sensor ultraviolet scanning imagers on board satellites of the Defense Meteorological Satellites Program. The South Pole (SP) station is approximately conjugate with two Canadian High Arctic Ionospheric Network stations on Baffin Island, Canada, which provided the opportunity to study magnetic conjugacy of scintillation with support of riometers and magnetometers. The GPS ionospheric pierce points were mapped at their actual or conjugate locations, along with the auroral emission over the South Pole, assuming an altitude of 120 km. As the aurora brightened and/or drifted across the field of view of the all-sky imager, sequences of scintillation events were observed that indicated conjugate auroras as a locator of simultaneous or delayed bipolar scintillation events. In spite of the greater scintillation intensity in the auroral oval, where phase scintillation sometimes exceeded 1 radian during the auroral break-up and substorms, the percentage occurrence of moderate scintillation was highest in the cusp. Interhemispheric comparisons of bipolar scintillation maps show that the scintillation occurrence is significantly higher in the southern cusp and polar cap

A Comparison of Flare Forecasting Methods. III. Systematic Behaviors of Operational Solar Flare Forecasting Systems

A workshop was recently held at Nagoya University (31 October – 02 November 2017), sponsored by the Center for International Collaborative Research, at the Institute for Space-Earth Environmental Research, Nagoya University, Japan, to quantitatively compare the performance of today’s operational solar flare forecasting facilities. Building upon Paper I of this series (Barnes et al. 2016), in Paper II (Leka et al. 2019) we described the participating methods for this latest comparison effort, the evaluation methodology, and presented quantitative comparisons. In this paper we focus on the behavior and performance of the methods when evaluated in the context of broad implementation differences. Acknowledging the short testing interval available and the small number of methods available, we do find that forecast performance: 1) appears to improve by including persistence or prior flare activity, region evolution, and a human “forecaster in the loop”; 2) is hurt by restricting data to disk-center observations; 3) may benefit from long-term statistics, but mostly when then combined with modern data sources and statistical approaches. These trends are arguably weak and must be viewed with numerous caveats, as discussed both here and in Paper II. Following this present work, we present in Paper IV a novel analysis method to evaluate temporal patterns of forecasting errors of both types (i.e., misses and false alarms; Park et al. 2019). Hence, most importantly, with this series of papers we demonstrate the techniques for facilitating comparisons in the interest of establishing performance-positive methodologies

Understanding space weather to shield society: A global road map for 2015-2025 commissioned by COSPAR and ILWS

There is a growing appreciation that the environmental conditions that we call space weather impact the technological infrastructure that powers the coupled economies around the world. With that comes the need to better shield society against space weather by improving forecasts, environmental specifications, and infrastructure design. [...] advanced understanding of space weather requires a coordinated international approach to effectively provide awareness of the processes within the Sun-Earth system through observation-driven models. This roadmap prioritizes the scientific focus areas and research infrastructure that are needed to significantly advance our understanding of space weather of all intensities and of its implications for society. Advancement of the existing system observatory through the addition of small to moderate state-of-the-art capabilities designed to fill observational gaps will enable significant advances. Such a strategy requires urgent action: key instrumentation needs to be sustained, and action needs to be taken before core capabilities are lost in the aging ensemble. We recommend advances through priority focus (1) on observation-based modeling throughout the Sun-Earth system, (2) on forecasts more than 12 hrs ahead of the magnetic structure of incoming coronal mass ejections, (3) on understanding the geospace response to variable solar-wind stresses that lead to intense geomagnetically-induced currents and ionospheric and radiation storms, and (4) on developing a comprehensive specification of space climate, including the characterization of extreme space storms to guide resilient and robust engineering of technological infrastructures. The roadmap clusters its implementation recommendations by formulating three action pathways, and outlines needed instrumentation and research programs and infrastructure for each of these. [...]Comment: In press for Advances of Space Research: an international roadmap on the science of space weather, commissioned by COSPAR and ILWS (63 pages and 4 figures

Enhanced implementation of low back pain guidelines in general practice: study protocol of a cluster randomised controlled trial

Evidence-based clinical practice guidelines may improve treatment quality, but the uptake of guideline recommendations is often incomplete and slow. Recently new low back pain guidelines are being launched in Denmark. The guidelines are considered to reduce personal and public costs. The aim of this study is to evaluate whether a complex, multifaceted implementation strategy of the low back pain guidelines will reduce secondary care referral and improve patient outcomes compared to the usual simple implementation strategy.Methods/design: In a two-armed cluster randomised trial, 100 general practices (clusters) and 2,700 patients aged 18 to 65 years from the North Denmark region will be included. Practices are randomly allocated 1:1 to a simple or a complex implementation strategy. Intervention practices will receive a complex implementation strategy, including guideline facilitator visits, stratification tools, and quality reports on low back pain treatment. Primary outcome is referral to secondary care. Secondary outcomes are pain, physical function, health-related quality of life, patient satisfaction with care and treatment outcome, employment status, and sick leave. Primary and secondary outcomes pertain to the patient level. Assessments of outcomes are blinded and follow the intention-to-treat principle. Additionally, a process assessment will evaluate the degree to which the intervention elements will be delivered as planned, as well as measure changes in beliefs and behaviours among general practitioners and patients