Change in well-being amongst participants in a four-month pedometer-based workplace health program

Background: There is increasing uptake of workplace physical activity programs to prevent chronic disease. While they are frequently evaluated for improvement in biomedical risk factors there has been little evaluation of additional benefits for psychosocial health. We aimed to evaluate whether participation in a four-month, team-based, pedometer-based workplace health program known to improve biomedical risk factors is associated with an improvement in well-being, immediately after the program and eight-months after program completion.Methods. At baseline (2008), 762 adults (aged 40 ± 10 SD years, 42% male) employed in primarily sedentary occupations and voluntarily enrolled in a physical activity program were recruited from ten Australian worksites. Data was collected at baseline, at the completion of the four-month program and eight-months after program completion. The outcome was the WHO-Five Well-being Index (WHO-5), a self-administered five-item scale that can be dichotomised as 'poor' (less than 52%) or 'positive' (more than or equal to 52%) well-being.Results: At baseline, 75% of participants had positive well-being (mean: 60 ± 19 SD WHO-5 units). On average, well-being improved immediately after the health program (+3.5 units, p < 0.001) and was sustained eight-months later (+3.4 units from baseline, p < 0.001). In the 25% with poor well-being at baseline, 49.5% moved into the positive well-being category immediately after program completion, sustained eight-months later (p < 0.001).Conclusions: Clinically relevant immediate and sustained improvements in well-being were observed after participation in the health program. These results suggest that participation in workplace programs, such as the one evaluated here, also has the potential to improve well-being

Herd-level risk factors of bovine tuberculosis in England and Wales after the 2001 foot-and-mouth disease epidemic

We present the results of a 2005 case–control study of bovine tuberculosis (bTB) breakdowns in English and Welsh herds. The herd management, farming practices, and environmental factors of 401matched pairs of case and control herds were investigated to provide a picture of herd-level risk factors in areas of varying bTB incidence. A global conditional logistic regression model, with region-specific variants, was used to compare case herds that had experienced a confirmed bTB breakdown to contemporaneous control herds matched on region, herd type, herd size, and parish testing interval. Contacts with cattle from contiguous herds and sourcing cattle from herds with a recent history of bTB were associated with an increased risk in both the global and regional analyses. Operating a farm over several premises, providing cattle feed inside the housing, and the presence of badgers were also identified as significantly associated with an increased bTB risk. Steps taken to minimize cattle contacts with neighboring herds and altering trading practices could have the potential to reduce the size of the bTB epidemic. In principle, limiting the interactions between cattle and wildlife may also be useful; however this study did not highlight any specific measures to implement

3D microscopy of bone and bone cells: new views of bone wounds by looking directly at implant to tissue interfaces.

Poster abstract from 1st Annual Matrix Biology Ireland Meeting, Galway, Ireland, 19th-21st November 2014.Introduction Large numbers of studies of implants in bone have been made mainly from the viewpoint of assessing bone bonding to a variety of materials, but especially titanium and in the context of dental implants, and nearly always employing sections of the implant to bone interface. We describe a different tack in which we separate the boundary and look straight at it, as against sectioning it, thus seeing a much greater proportion of it. We treat the implant as a probe into the bone wound environment. Materials and Methods Cylindrical or screw Ti implants, 3.2 mm diameter, were placed through the proximal medial tibial plateau in three month old rabbits, and retrieved at intervals from 7 to 365 days (1). Bones were fixed in glutaraldehyde, embedded in PMMA and implants sectioned longitudinally. Tissues near implants were studied using reflected light microscopy, confocal LM and, after carbon coating, compositional contrast BSE SEM and quantitative BSE (qBSE). Later, hemisectioned implants were removed from the PMMA and the half beds recoated for BSE SEM. PMMA facing more intransigent implants was sectioned again to produce quarter beds, imaged using BSE SEM of uncoated samples at 50Pa chamber pressure before and after staining with ammonium tri-iodide for cells and soft tissues. Suitable blocks were prepared to permit study of the implant surface through the surrounding PMMA-embedded bone or marrow environment using direct view 3D LM methods and confocal LM. Plasma ashing was used to remove PMMA, cells and matrix from implant beds to visualise the nearest mineralised tissue surface with 3D BSE SEM. Conversely, HCl and NaOCl etching was used to remove all bone components and produce a non-bone space cast for study of osteocytes and their canalicular processes. We also studied Ti framed glass window implants used for intra-vital microscopy retrieved at up to two years, prepared by PMMA embedding or maceration for SEM (2). Results and Discussion The relatively smooth finish of Ti implants mostly permitted separation of PMMA with all included tissue elements, the resin exactly replicating original machining marks. Direct viewing of the bed showed the exact extent of true bone contact, varying from very small areas with reticular, immature, highly cellular woven bone in early healing to large tracts of mature bone at 6 and 12 months - with the greatest coverage on smooth cylinder forms. Extensive bone-free patches bordered by scalloped osteoclastic resorption lacunae outlines indicated recent removal: similarly sized bone-covered patches had a lower mineralisation density, indicating recent re-formation, i.e., remodelling-turnover. Mature bone contained oriented osteocyte lacunae with canaliculi near the implant demonstrating growth from the implant. Tri-iodide staining additionally disclosed both osteoid and cells contacting the implant, with large numbers of multinucleated osteoclasts where bone was missing. Some regions showed direct contact of adipocytes and small blood vessels. Highly mineralised acellular material was often found in contact with the implant. Whereas some of this might be categorised as cement line matrix, we believe that we demonstrate the occurrence of an undescribed repair phase involving a type of dystrophic calcification akin to the cleft or gap sealing and healing seen elsewhere in bone and cartilage (3, 4). References 1. Boyde A, Wolfe LA, Bone Engineering, (Davies JE ed.), em squared Inc, Toronto, 321-331, 2000. 2. Boyde A, et al. Scanning 17, 72–85, 1995. 3. Boyde A, J Anat., 203,173-189, 2003. 4. Boyde A et al., J Anat., 225, 436-446, 2014

Mitochondrial myopathy presenting as fibromyalgia: a case report

<p>Abstract</p> <p>Introduction</p> <p>To the best of our knowledge, we describe for the first time the case of a woman who met the diagnostic criteria for fibromyalgia, did not respond to therapy for that disorder, and was subsequently diagnosed by biochemical and genetic studies with a mitochondrial myopathy. Treatment of the mitochondrial myopathy resulted in resolution of symptoms. This case demonstrates that mitochondrial myopathy may present in an adult with a symptom complex consistent with fibromyalgia.</p> <p>Case presentation</p> <p>Our patient was a 41-year-old Caucasian woman with symptoms of fatigue, exercise intolerance, headache, and multiple trigger points. Treatment for fibromyalgia with a wide spectrum of medications including non-steroidal anti-inflammatory drugs, antidepressants, gabapentin and pregabalin had no impact on her symptoms. A six-minute walk study demonstrated an elevated lactic acid level (5 mmol/L; normal < 2 mmol/L). Biochemical and genetic studies from a muscle biopsy revealed a mitochondrial myopathy. Our patient was started on a compound of coenzyme Q10 (ubiquinone) 200 mg, creatine 1000 mg, carnitine 200 mg and folic acid 1 mg to be taken four times a day. She gradually showed significant improvement in her symptoms over a course of several months.</p> <p>Conclusions</p> <p>This case demonstrates that adults diagnosed with fibromyalgia may have their symptom complex related to an adult onset mitochondrial myopathy. This is an important finding since treatment of mitochondrial myopathy resulted in resolution of symptoms.</p

Detection of molecular hydrogen at z=1.15 toward HE 0515-4414

A new molecular hydrogen cloud is found in the sub-damped Ly-alpha absorber [log N(HI)=19.88+/-0.05] at the redshift z=1.15 toward the bright quasar HE0515-4414 (zem = 1.71). More than 30 absorption features in the Lyman band system of H2 are identified in the UV spectrum of this quasar obtained with the Space Telescope Imaging Spectrograph (STIS) aboard the Hubble Space Telescope. The H2-bearing cloud shows a total H2 column density N(H2)=(8.7^{+8.7}_-{4.0}) 10^16 cm^-2, and a fractional molecular abundance f(H2)=(2.3^{+2.3}_{-1.1}) 10^-3 derived from the H2 lines arising from the J=0-5 rotational levels of the ground electronic vibrational state. The estimated rate of photodissociation at the cloud edge I_0<=1.8 10^{-8} s^-1 is much higher than the mean Galactic disk value, I_MW~=5.5 10^{-11} s^-1. This may indicate an enhanced star-formation activity in the z=1.15 system as compared with molecular clouds at z~=3 where I~=I_MW. We also find a tentative evidence that the formation rate coefficient of H2 upon grain surfaces at z=1.15 is a factor of 10 larger than a canonical Milky Way value, R_MW~=3 10^-17 cm^3 s^-1. The relative dust-to-gas ratio estimated from the [Cr/Zn] ratio is equal to k=0.89+/-0.19 (in units of the mean Galactic disk value), which is in good agreement with a high molecular fraction in this system. The estimated line-of-sight size of L~=0.25 pc may imply that the H2 is confined within small and dense filaments embedded in a more rarefied gas giving rise to the z=1.15 sub-damped Ly-alpha absorber.Comment: 10 pages, 7 figures, accepted for publication in A&

The multi-modality cardiac imaging approach to the Athlete's heart: an expert consensus of the European Association of Cardiovascular Imaging

The term 'athlete's heart' refers to a clinical picture characterized by a slow heart rate and enlargement of the heart. A multi-modality imaging approach to the athlete's heart aims to differentiate physiological changes due to intensive training in the athlete's heart from serious cardiac diseases with similar morphological features. Imaging assessment of the athlete's heart should begin with a thorough echocardiographic examination. Left ventricular (LV) wall thickness by echocardiography can contribute to the distinction between athlete's LV hypertrophy and hypertrophic cardiomyopathy (HCM). LV end-diastolic diameter becomes larger (>55 mm) than the normal limits only in end-stage HCM patients when the LV ejection fraction is <50%. Patients with HCM also show early impairment of LV diastolic function, whereas athletes have normal diastolic function. When echocardiography cannot provide a clear differential diagnosis, cardiac magnetic resonance (CMR) imaging should be performed. With CMR, accurate morphological and functional assessment can be made. Tissue characterization by late gadolinium enhancement may show a distinctive, non-ischaemic pattern in HCM and a variety of other myocardial conditions such as idiopathic dilated cardiomyopathy or myocarditis. The work-up of athletes with suspected coronary artery disease should start with an exercise ECG. In athletes with inconclusive exercise ECG results, exercise stress echocardiography should be considered. Nuclear cardiology techniques, coronary cardiac tomography (CCT) and/or CMR may be performed in selected cases. Owing to radiation exposure and the young age of most athletes, the use of CCT and nuclear cardiology techniques should be restricted to athletes with unclear stress echocardiography or CMR

The kinetics and acoustics of fingering and note transitions on the flute

Motion of the keys was measured in a transverse flute while beginner, amateur and professional flutists played a range of exercises. The time taken for a key to open or close is typically 10 ms when pushed by a finger or 16 ms when moved by a spring. Delays between the motion of the fingers were typically tens of ms, with longer delays as more fingers are involved. Because the opening and closing of keys will never be exactly simultaneous, transitions between notes that involve the movement of multiple fingers can occur via several possible pathways with different intermediate fingerings. A transition is classified as `safe' if it is possible to be slurred from the initial to final note with little perceptible change in pitch or volume. Some transitions are `unsafe' and possibly involve a transient change in pitch or a decrease in volume. In transitions with multiple fingers, players, on average, used safe transitions more frequently than unsafe transitions. Professionals exhibited smaller average delays between the motion of fingers than did amateurs

Detection of chromosome aberrations in the human interphase nucleus by visualization of specific target DNAs with radioactive and non-radioactive in situ hybridization techniques: diagnosis of trisomy 18 with probe L1.84

The localization of chromosome 18 in human interphase nuclei is demonstrated by use of radioactive and nonradioactive in situ hybridization techniques with a DNA clone designated L1.84. This clone represents a distinct subpopulation of the repetitive human alphoid DNA family, located in the centric region of chromosome 18. Under stringent hybridization conditions hybridization of L1.84 is restricted to chromosome 18 and reflects the number of these chromosomes present in the nuclei, namely, two in normal diploid human cells and three in nuclei from cells with trisomy 18. Under conditions of low stringency, cross-hybridization with other subpopulations of the alphoid DNA family occurs in the centromeric regions of the whole chromosome complement, and numerous hybridization sites are detected over interphase nuclei. Detection of chromosome-specific target DNAs by non-radioactive in situ hybridization with appropriate DNA probes cloned from individual chromosomal subregions presents a rapid means of identifying directly numerical or even structural chromosome aberrations in the interphase nucleus. Present limitations and future applications of interphase cytogenetics are discussed

Attitudes towards fibromyalgia: A survey of Canadian chiropractic, naturopathic, physical therapy and occupational therapy students

<p>Abstract</p> <p>Background</p> <p>The frequent use of chiropractic, naturopathic, and physical and occupational therapy by patients with fibromyalgia has been emphasized repeatedly, but little is known about the attitudes of these therapists towards this challenging condition.</p> <p>Methods</p> <p>We administered a cross-sectional survey to 385 senior Canadian chiropractic, naturopathic, physical and occupational therapy students in their final year of studies, that inquired about attitudes towards the diagnosis and management of fibromyalgia.</p> <p>Results</p> <p>336 students completed the survey (response rate 87%). While they disagreed about the etiology (primarily psychological 28%, physiological 23%, psychological and physiological 15%, unsure 34%), the majority (58%) reported that fibromyalgia was difficult to manage. Respondants were also conflicted in whether treatment should prioritize symptom relief (65%) or functional gains (85%), with the majority (58%) wanting to do both. The majority of respondents (57%) agreed that there was effective treatment for fibromyalgia and that they possessed the required clinical skills to manage patients (55%).</p> <p>Chiropractic students were most skeptical in regards to fibromyalgia as a useful diagnostic entity, and most likely to endorse a psychological etiology. In our regression model, only training in naturopathic medicine (unstandardized regression coefficient = 0.33; 95% confidence interval = 0.11 to 0.56) and the belief that effective therapies existed (unstandardized regression coefficient = 0.42; 95% confidence interval = 0.30 to 0.54) were associated with greater confidence in managing patients with fibromyalgia.</p> <p>Conclusion</p> <p>The majority of senior Canadian chiropractic, naturopathic, physical and occupational therapy students, and in particular those with naturopathic training, believe that effective treatment for fibromyalgia exists and that they possess the clinical skillset to effectively manage this disorder. The majority place high priority on both symptom relief and functional gains when treating fibromyalgia.</p

Elemental Abundances in Two High Column Density Damped Lyman Alpha Systems at z < 1.5

We present Keck/HIRES abundance measurements and metal-line kinematic profiles of the damped Lyman alpha systems (DLAs) towards the quasars Q0933+733 (z_abs=1.479) and Q0948+433 (z_abs=1.233). These two DLAs have among the five highest HI column densities at any redshift: N(HI)=4.2E21 cm^{-2}. The metal-line data, presented here for the first time, reveal that these DLAs are noteworthy for several other reasons as well. 1) The Q0933+733 DLA exhibits simple kinematic structure with unusually narrow velocity widths as measured from its unsaturated metal lines (delta v=16 km/s). At 2.6% solar, it has the second lowest metallicity at z<2. 2) The Q0948+433 DLA has among the strongest metal-line transitions of any known DLA. The saturated SiII1808 line implies a high metallicity ([Si/H]> -1) and a significant alpha-enhancement. The strong metal lines of this DLA have made possible the detection of TiII1910, CoII2012, and MgI2026. 3) We find that the relative gas-phase abundances of both DLAs follow the general trend seen at high redshift, e.g., enhanced Zn/Fe and Si/Fe, and sub-solar Mn/Fe, indicating that there is little evolution in the nucleosynthetic patterns of DLAs down to this epoch. 4) Their high HI column densities imply that these DLAs dominate the column density-weighted cosmic mean metallicity, , of the universe at z<1.5. Using the 15 DLAs with measured metallicities in the redshift interval 0.4 = -0.89^{+0.40}_{-0.33}, where the uncertainties are 95% confidence limits.Comment: 25 pages. Accepted for publication in the Astronomical Journa