Differences in characteristics, health status and fulfillment of exercise recommendations between axial spondyloarthritis patients with and without supervised group exercise

OBJECTIVE: Since decades, supervised group exercise (SGE) is recommended for people with axial spondyloarthritis (axSpA). This study examines if weekly SGE contributes to fulfillment of exercise recommendations in axSpA patients. METHODS: Cross-sectional data from three studies with axSpA patients in The Netherlands, including two with outpatient populations (n = 196 and n = 153) and one with SGE participants (n = 128), were analysed. Sociodemographic and disease characteristics, SGE participation, health status (ASAS Health Index), spinal mobility and fulfillment of the recommendations for leisure-time aerobic (≥150 min/week moderate-intensity or ≥75 min/week vigorous-intensity) and strength and mobility (≥2 sessions/week) exercise (measured with SQUASH-questionnaire) were assessed. Differences between patients with and without SGE were analysed. RESULTS: In the two outpatient populations (n = 349), 17 patients (5%) used SGE. The SGE participants (n = 145) were significantly older, had longer disease duration, were less frequently employed, used less medication and had worse spinal mobility than patients without SGE (n = 332). There were no significant differences in health status. Patients with SGE fulfilled the moderate-intensity aerobic (89 % vs. 69%) and strength and mobility (44 % vs. 29%) exercise recommendations more often than patients without SGE, but the aerobic exercise recommendation was less often fulfilled with vigorous-intensity exercise (5 % vs. 12%). CONCLUSION: SGE is used by just few, especially older, axSpA patients and contributes to fulfilling recommendations for moderate-intensity, mobility and strength exercise. Both in patients with and without SGE, only a minority fulfilled the recommendations for vigorous-intensity, strength and mobility exercises. Therefore, future promotion of exercise should focus on implementing these types of exercise

Novel sulfate- and sulfur-reducing bacteria from the Black Sea: metagenomics, enrichment and isolation

[Excerpt] Background: Anoxic and euxinic marine waters are of importance to the biogeochemistry of modernday ocean as well as the ancient Proterozoic ocean. In these environments, sulfate- and sulfurreducing bacteria (SRB) play a key role through the reduction of oxidized sulfur compounds such as sulfate, thiosulfate and elemental sulfur to sulfide. In previous studies, these marine SRB were found to be comprised of both canonical deltaproteobacterial and non-canonical, mostly uncultured lineages. Objectives: We aimed to test these findings, and to assess the diversity of SRB in the Black Sea, the largest euxinic basin on the planet and a well-studied model ecosystem. [...]info:eu-repo/semantics/publishedVersio

Factors That Complicated the Implementation of a Program of Donation After Unexpected Circulatory Death of Lungs and Kidneys. Lessons Learned From a Regional Trial in the Netherlands

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Nifedipine versus atosiban in the treatment of threatened preterm labour (Assessment of Perinatal Outcome after Specific Tocolysis in Early Labour: APOSTEL III-Trial)

Background: Preterm birth is the most common cause of neonatal morbidity and mortality. Postponing delivery for 48 hours with tocolytics to allow for maternal steroid administration and antenatal transportation to a centre wit

De winkelstraat als wereld: Samenwerken aan een toekomstbestendig evenwicht van Amsterdamse consumptieruimten: Bevindingen na vier jaar onderzoek RAAK-PRO: "Toekomstbestendig Evenwicht, Balanceren tussen divergerende belangen

Hoe zorg je in Amsterdam voor een aantrekkelijk en gevarieerd winkelgebied waar zowel bewoners, bezoekers en ondernemers zich thuis voelen? Hoe komen deze verschillende belanghebbenden tot een goed functionerend, gezamenlijk beheer van winkelgebieden als een gemeenschappelijke bron met verschillende functies? Wat vraagt dit van de gemeente, hoe is haar rol daarin veranderd en hoe zien we dit terug in beleid? Actuele vragen, die al geruime tijd de gemoederen in Amsterdam flink bezighouden, en die we beantwoorden in het rapport 'De Winkelstraat als wereld’. Dit rapport is uitkomst van het vierjarig praktijkonderzoek Toekomstbestendig Evenwicht: Balanceren tussen divergerende belangen (RAAK-PRO). In dit rapport geven we antwoord op de hoofdvraag: welke interventies, processen en structuren faciliteren 'urban commoning', om te komen tot een meer gebalanceerde ontwikkeling van stedelijke consumptieruimten? Urban commoning is een gedeelde praktijk waarbij belanghebbende rondom een gemeenschappelijke bron samen regels en afspraken ontwikkelen om zo'n plek duurzaam te benutten

Environmental Systems and Local Actors: Decentralizing Environmental Policy in Uganda

In Uganda, environmental and natural resource management is decentralized and has been the responsibility of local districts since 1996. This environmental management arrangement was part of a broader decentralization process and was intended to increase local ownership and improve environmental policy; however, its implementation has encountered several major challenges over the last decade. This article reviews some of the key structural problems facing decentralized environmental policy in this central African country and examines these issues within the wider framework of political decentralization. Tensions have arisen between technical staff and politicians, between various levels of governance, and between environmental and other policy domains. This review offers a critical reflection on the perspectives and limitations of decentralized environmental governance in Uganda. Our conclusions focus on the need to balance administrative staff and local politicians, the mainstreaming of local environmental policy, and the role of international donors

Shifts in the smart research agenda? 100 priority questions to accelerate sustainable energy futures

Energy transitions are at the top of global agendas in response to the growing challenges of climate change and international conflict, with the EU positioning itself as playing a pivotal role in addressing climate risks and sustainability imperatives. European energy transition policies identify 'smart consumption' as a key element of these efforts, which have previously been explored from a predominantly technical perspective thus often failing to identify or address fundamental interlinkages with social systems and consequences. This paper aims to contribute to interdisciplinary energy research by analysing a forward looking 'Horizon Scan' research agenda for smart consumption, driven by the Social Sciences and Humanities (SSH). Reflecting on an extensive systematic Delphi Method exercise surveying over 70 SSH scholars from various institutional settings across Europe, we highlight what SSH scholars see as future directions for smart consumption research. Building from seven thematic areas (under which are grouped 100 SSH research questions), the study identifies three key 'shifts' this new smart research agenda represents, when compared to previous agendas: (1) From technological inevitability to political choice, highlighting the need for a wider political critique, with the potential to open up discussions of the instrumentalisation of smart research; (2) From narrow representation to diverse inclusion, moving beyond the shortcomings of current discourses for engaging marginalised communities; and (3) From individual consumers to interconnected citizens, reframing smart consumption to offer a broader model of social change and governance. Social Sciences and Humanities scholarship is essential to address these shifts in meaningful (rather than tokenistic) ways. This agenda and the shifts it embodies represent key tools to enable better interdisciplinary working between SSH and teams from the technical and natural sciences.Ministry of Education, Youth and Sports of the Czech Republic DKRVO, (RP/CPS/2022/005); Horizon 2020 Framework Programme, H2020; European Commission, EC; Horizon 2020, (826025)European Union [826025]; Ministry of Education, Youth and Sports of the Czech Republic DKRVO [RP/CPS/2022/005

Shifts in the smart research agenda? 100 priority questions to accelerate sustainable energy futures

Energy transitions are at the top of global agendas in response to the growing challenges of climate change and international conflict, with the EU positioning itself as playing a pivotal role in addressing climate risks and sustainability imperatives. European energy transition policies identify ‘smart consumption’ as a key element of these efforts, which have previously been explored from a predominantly technical perspective thus often failing to identify or address fundamental interlinkages with social systems and consequences. This paper aims to contribute to interdisciplinary energy research by analysing a forward looking ‘Horizon Scan’ research agenda for smart consumption, driven by the Social Sciences and Humanities (SSH). Reflecting on an extensive systematic Delphi Method exercise surveying over 70 SSH scholars from various institutional settings across Europe, we highlight what SSH scholars see as future directions for smart consumption research. Building from seven thematic areas (under which are grouped 100 SSH research questions), the study identifies three key ‘shifts’ this new smart research agenda represents, when compared to previous agendas: (1) From technological inevitability to political choice, highlighting the need for a wider political critique, with the potential to open up discussions of the instrumentalisation of smart research; (2) From narrow representation to diverse inclusion, moving beyond the shortcomings of current discourses for engaging marginalised communities; and (3) From individual consumers to interconnected citizens, reframing smart consumption to offer a broader model of social change and governance. Social Sciences and Humanities scholarship is essential to address these shifts in meaningful (rather than tokenistic) ways. This agenda and the shifts it embodies represent key tools to enable better interdisciplinary working between SSH and teams from the technical and natural sciences