Emotional distress and well-being among people with motor neurone disease (MND) and their family caregivers:a qualitative interview study

OBJECTIVE: We aimed to get an in-depth understanding of the emotions experienced by people with motor neurone disease (MND) and their caregivers, and to explore what impacts emotional distress and well-being. DESIGN: Qualitative study using semi-structured interviews with people with MND and caregivers. SETTING: Participants were recruited from across the UK and took part in interviews conducted either face to face, by telephone or email to accommodate for varying levels of disability. PARTICIPANTS: 25 people with MND and 10 caregivers took part. Participants were purposively sampled based on their MND diagnosis, symptoms and time since diagnosis. DATA ANALYSIS: Data were analysed using inductive reflexive thematic analysis. RESULTS: Eight broad themes were generated (20 subthemes). Participants described the emotional distress of losing physical function and having a threatened future because of poor prognosis. Keeping up with constant changes in symptoms and feeling unsupported by the healthcare system added to emotional distress. Finding hope and positivity, exerting some control, being kinder to oneself and experiencing support from others were helpful strategies for emotional well-being. CONCLUSION: The study provides a broad understanding of what impacts emotional distress and well-being and discusses implications for psychological interventions for people with MND and caregivers. Any communication and support provided for people with MND and their caregivers, needs to pay attention to concepts of hope, control and compassion

Status Update of the Parkes Pulsar Timing Array

The Parkes Pulsar Timing Array project aims to make a direct detection of a gravitational-wave background through timing of millisecond pulsars. In this article, the main requirements for that endeavour are described and recent and ongoing progress is outlined. We demonstrate that the timing properties of millisecond pulsars are adequate and that technological progress is timely to expect a successful detection of gravitational waves within a decade, or alternatively to rule out all current predictions for gravitational wave backgrounds formed by supermassive black-hole mergers.Comment: 10 pages, 3 figures, Amaldi 8 conference proceedings, accepted by Classical & Quantum Gravit

The magnetic field environment of active region 12673 that produced the energetic particle events of September 2017

Forecasting solar energetic particles (SEPs), and identifying flare/CMEs from active regions (ARs) that will produce SEP events in advance is extremely challenging. We investigate the magnetic field environment of AR 12673, including the AR's magnetic configuration, the surrounding field configuration in the vicinity of the AR, the decay index profile, and the footpoints of Earth-connected magnetic field, around the time of four eruptive events. Two of the eruptive events are SEP-productive (2017 September 4 at 20:00~UT and September 6 at 11:56~UT), while two are not (September 4 at 18:05~UT and September 7 at 14:33~UT). We analysed a range of EUV and white-light coronagraph observations along with potential field extrapolations and find that the CMEs associated with the SEP-productive events either trigger null point reconnection that redirects flare-accelerated particles from the flare site to the Earth-connected field and/or have a significant expansion (and shock formation) into the open Earth-connected field. The rate of change of the decay index with height indicates that the region could produce a fast CME ($v >$ 1500~km~s$^{-1}$), which it did during events two and three. The AR's magnetic field environment, including sites of open magnetic field and null points along with the magnetic field connectivity and propagation direction of the CMEs play an important role in the escape and arrival of SEPs at Earth. Other SEP-productive ARs should be investigated to determine whether their magnetic field environment and CME propagation direction are significant in the escape and arrival of SEPs at Earth.Comment: Accepted in ApJ, 18 pages, 8 Figures, 2 Table

On detection of the stochastic gravitational-wave background using the Parkes pulsar timing array

We search for the signature of an isotropic stochastic gravitational-wave background in pulsar timing observations using a frequency-domain correlation technique. These observations, which span roughly 12 yr, were obtained with the 64-m Parkes radio telescope augmented by public domain observations from the Arecibo Observatory. A wide range of signal processing issues unique to pulsar timing and not previously presented in the literature are discussed. These include the effects of quadratic removal, irregular sampling, and variable errors which exacerbate the spectral leakage inherent in estimating the steep red spectrum of the gravitational-wave background. These observations are found to be consistent with the null hypothesis, that no gravitational-wave background is present, with 76 percent confidence. We show that the detection statistic is dominated by the contributions of only a few pulsars because of the inhomogeneity of this data set. The issues of detecting the signature of a gravitational-wave background with future observations are discussed.Comment: 12 pages, 8 figures, 7 tables, accepted for publication in MNRA

Development of a pulsar-based timescale

Using observations of pulsars from the Parkes Pulsar Timing Array (PPTA) project we develop the first pulsar-based timescale that has a precision comparable to the uncertainties in international atomic timescales. Our ensemble of pulsars provides an Ensemble Pulsar Scale (EPS) analogous to the free atomic timescale Echelle Atomique Libre (EAL). The EPS can be used to detect fluctuations in atomic timescales and therefore can lead to a new realisation of Terrestrial Time, TT(PPTA11). We successfully follow features known to affect the frequency of the International Atomic Timescale (TAI) and we find marginally significant differences between TT(PPTA11) and TT(BIPM11). We discuss the various phenomena that lead to a correlated signal in the pulsar timing residuals and therefore limit the stability of the pulsar timescale.Comment: Accepted for publication in MNRA

Physical Activity/Exercise and Diabetes: A Position Statement of the American Diabetes Association

The adoption and maintenance of physical activity are critical foci for blood glucose management and overall health in individuals with diabetes and prediabetes. Recommendations and precautions vary depending on individual characteristics and health status. In this Position Statement, we provide a clinically oriented review and evidence-based recommendations regarding physical activity and exercise in people with type 1 diabetes, type 2 diabetes, gestational diabetes mellitus, and prediabetes. Physical activity includes all movement that increases energy use, whereas exercise is planned, structured physical activity. Exercise improves blood glucose control in type 2 diabetes, reduces cardiovascular risk factors, contributes to weight loss, and improves well-being (1,2). Regular exercise may prevent or delay type 2 diabetes development (3). Regular exercise also has considerable health benefits for people with type 1 diabetes (e.g., improved cardiovascular fitness, muscle strength, insulin sensitivity, etc.) (4). The challenges related to blood glucose management vary with diabetes type, activity type, and presence of diabetes-related complications (5,6). Physical activity and exercise recommendations, therefore, should be tailored to meet the specific needs of each individual