Green Exercise Linking Nature, Health and Well-being

The concept of Green Exercise has now been widely adopted and implies a synergistic health benefit of being active in the presence of nature. This book provides a balanced overview and synthesis text on all aspects of Green Exercise and integrates evidence from many different disciplines including physiology, ecology, psychology, sociology and the environmental sciences, and across a wide range of countries. It describes the impact of Green Exercise on human health and well-being through all stages of the lifecourse and covers a wide spectrum from cellular processes such as immune function through to facilitating human behavioural change. It demonstrates the value of Green Exercise for activity and education purposes in both schools and the workplace, as well as its therapeutic properties. Green Exercise is an effective intervention for vulnerable groups and promoting healthy ageing, with activities including wilderness therapy, therapeutic horticulture and the use of forests and water. Chapters also integrate cross-cutting key themes which are relevant to all stages of the lifecourse and have significantly contributed to the Green Exercise research base, such as forest bathing and blue exercise. The book also explores the future of Green Exercise, the way in which research can be used to influence green design and planning and how health, social care and environmental agendas can be integrated to enable Green Exercise to be more widely used as a mechanism for improving health

Professional Quality of Life and Mental Health among Doctors in Tamil Nadu during COVID19 Pandemic

Background: The pandemic COVID19, a serious global threat has led to elevated levels of pressure on medical professionals. The research shows that occupational stressors has been significantly associated with the pandemic.Objective: To estimate the professional quality of life of doctors in Tamil Nadu and their mental health during the COVID19 pandemic. Settings andDesign: Cross-sectional study in Tamil Nadu, South India. Method: Among 318 doctors from both private and government sectors in Tamil Nadu, South India during April 9th - May 10th 2021, the study was conducted to estimate the professional quality of life [Compassion Satisfaction (CS), Secondary Traumatization (ST) and burnout] using ProQOL-5 scale. Depression and Anxiety were estimated using PHQ-9 and GAD-7 scales respectively. Statistical analysis used: Association between the variables was found using Chi-square test. Results: Among the 318 respondents (170 males and 148 females), CS and ST levels were high in 77(24.2%), and 10(3.1%) respondents respectively. Severe depression and anxiety were among 36(11.3%) and 109(34.3%) respectively. Statistically significant association was found for Burnout (?2=55.671; OR=15.135; 95% CI=6.361-36.013 and ?2=57.518; OR=18.014; 95% CI=7.054-46.007) and ST (?2=56.701; OR=15.432; 95% CI=6.486-36.717 and ?2=26.281; OR=4.558; 95% CI=2.476-8.390) with both depression and anxiety (p<0.05). Conclusions: Doctors of Tamil Nadu, South India are challenged with adverse mental health outcomes during the COVID-19 pandemic with a significant association between the quality of life at work and psychological distress

Glucose control positively influences patient outcome: a retrospective study

The goal of this research is to demonstrate that well-regulated glycemia is beneficial to patient outcome, regardless of how it is achieved

A Repeated Measures Experiment of Green Exercise to Improve Self-Esteem in UK School Children

Exercising in natural, green environments creates greater improvements in adult's self-esteem than exercise undertaken in urban or indoor settings. No comparable data are available for children. The aim of this study was to determine whether so called 'green exercise' affected changes in self-esteem; enjoyment and perceived exertion in children differently to urban exercise. We assessed cardiorespiratory fitness (20 m shuttle-run) and self-reported physical activity (PAQ-A) in 11 and 12 year olds (n = 75). Each pupil completed two 1.5 mile timed runs, one in an urban and another in a rural environment. Trials were completed one week apart during scheduled physical education lessons allocated using a repeated measures design. Self-esteem was measured before and after each trial, ratings of perceived exertion (RPE) and enjoyment were assessed after completing each trial. We found a significant main effect (F (1,74), = 12.2, p<0.001), for the increase in self-esteem following exercise but there was no condition by exercise interaction (F (1,74), = 0.13, p = 0.72). There were no significant differences in perceived exertion or enjoyment between conditions. There was a negative correlation (r = -0.26, p = 0.04) between habitual physical activity and RPE during the control condition, which was not evident in the green exercise condition (r = -0.07, p = 0.55). Contrary to previous studies in adults, green exercise did not produce significantly greater increases in self-esteem than the urban exercise condition. Green exercise was enjoyed more equally by children with differing levels of habitual physical activity and has the potential to engage less active children in exercise. © 2013 Reed et al

Effects of Neurally Adjusted Ventilatory Assist (NAVA) levels in non-invasive ventilated patients: titrating NAVA levels with electric diaphragmatic activity and tidal volume matching

BACKGROUND: Neurally adjusted ventilatory assist (NAVA) delivers pressure in proportion to diaphragm electrical activity (Eadi). However, each patient responds differently to NAVA levels. This study aims to examine the matching between tidal volume (Vt) and patients' inspiratory demand (Eadi), and to investigate patient-specific response to various NAVA levels in non-invasively ventilated patients. METHODS: 12 patients were ventilated non-invasively with NAVA using three different NAVA levels. NAVA100 was set according to the manufacturer's recommendation to have similar peak airway pressure as during pressure support. NAVA level was then adjusted ±50% (NAVA50, NAVA150). Airway pressure, flow and Eadi were recorded for 15 minutes at each NAVA level. The matching of Vt and integral of Eadi (ʃEadi) were assessed at the different NAVA levels. A metric, Range90, was defined as the 5-95% range of Vt/ʃEadi ratio to assess matching for each NAVA level. Smaller Range90 values indicated better matching of supply to demand. RESULTS: Patients ventilated at NAVA50 had the lowest Range90 with median 25.6 uVs/ml [Interquartile range (IQR): 15.4-70.4], suggesting that, globally, NAVA50 provided better matching between ʃEadi and Vt than NAVA100 and NAVA150. However, on a per-patient basis, 4 patients had the lowest Range90 values in NAVA100, 1 patient at NAVA150 and 7 patients at NAVA50. Robust coefficient of variation for ʃEadi and Vt were not different between NAVA levels. CONCLUSIONS: The patient-specific matching between ʃEadi and Vt was variable, indicating that to obtain the best possible matching, NAVA level setting should be patient specific. The Range90 concept presented to evaluate Vt/ʃEadi is a physiologic metric that could help in individual titration of NAVA level.Peer reviewe

The use of Bayesian inversion to resolve plasma equilibrium

Recently, bayesian probability theory has been used at a number of experiments to fold uncertainties and interdependencies in the diagnostic data and forward models, together with prior knowledge of the state of the plasma, to increase accuracy of inferred physics variables. A new probabilistic framework, MINERVA, based on bayesian graphical models, has been used at JET and W7-AS to yield predictions of internal magnetic structure. A feature of the framework is the bayesian inversion for poloidal magnetic flux without the need for an explicit equilibrium assumption. Building on this, we discuss results from a new project to develop bayesian inversion tools that aim to (1) distinguish between competing equilibrium theories, which capture different physics, using the MAST spherical tokamak, and (2) test the predictions of MHD theory, particularly mode structure, using the H-1 Heliac. Specifically, we report on correction of the motional Stark effect, pickup coils, flux-loop constrained bayesian inferred equilibrium for varying toroidal flux.This work was jointly funded by the Australian Government through International Science Linkages Grant No. CG130047, the Australian National University, the United Kingdom Engineering and Physical Sciences Research Council, and by the European Communities under the contract of Association between EURATOM and CCFE

The Wilderness Expedition: An effective life course intervention to improve young peoples well-being and connectedness to nature

It is well understood that wilderness expeditions improve well-being; however, there is little supporting quantitative data. The aim of this study was to measure the impact of wilderness expeditions on self-esteem (SE) and connectedness to nature (CN) and assess whether benefits varied according to participant and expedition characteristics. SE and CN were assessed pre– and post–wilderness expeditions in 130 adolescents using Rosenberg’s SE scale and the state CN scale. Two-way ANOVA revealed significant increases in SE and CN (p < .001) as a result of single expeditions. There was also an interaction effect of expedition and gender on SE (p < .05). Males had a higher SE at the start but female SE increased most. Linear regression revealed that living environment, gender, and the length and location of the expedition did not contribute to changes in SE and CN. Regular contact with natural environments will improve adolescent well-being, with the largest improvements in females

Variability of insulin sensitivity during the first 4 days of critical illness

1-pageSafe, effective tight glycaemic control (TGC) can improve outcomes in critical care patients, but is difficult to achieve consistently. Insulin sensitivity defines the metabolic balance between insulin concentration and insulin mediated glucose disposal. Hence, variability of insulin sensitivity can cause variable glycaemia. This study investigates the daily evolution of model-based insulin sensitivity level and variability for critical care patients receiving TGC during the first four days of their ICU stay