A model to increase rehabilitation adherence to home exercise programmes in patients with varying levels of self-efficacy.

Science.gov (United States)

Picha, Kelsey J; Howell, Dana M

2018-03-01

Patient adherence to rehabilitation programmes is frequently low - particularly adherence to home exercise programmes. Home exercise programmes have been identified as complementary to clinic-based physical therapy in an orthopaedic setting. Barriers to patient adherence have previously been identified within the literature. Low self-efficacy is a barrier to adherence that clinicians have the ability to have an impact on and improve. The theory of self-efficacy is defined as a person's confidence in their ability to perform a task. This theory examines the ability of a person to change through exerting control over inner processes of goal setting, self-monitoring, feedback, problem solving and self-evaluation. If clinicians are able to identify patients with low self-efficacy prior to the prescription of a home exercise programme, adjustments to individualized care can be implemented. Individualized care based on improving self-efficacy for home exercise programmes may improve patient adherence to these programmes. The purpose of this article was to use the theory of self-efficacy to direct clinicians in providing individualized programmes to patients with varying levels of self-efficacy. Copyright © 2017 John Wiley & Sons, Ltd.

The efficacy of a movement control exercise programme to reduce injuries in youth rugby: a cluster randomised controlled trial

Science.gov (United States)

Hislop, M D; Stokes, K A; Williams, S; McKay, C D; England, M; Kemp, S P T

2016-01-01

Background Injuries to youth rugby players have become an increasingly prominent health concern, highlighting the importance of developing and implementing appropriate preventive strategies. A growing body of evidence from other youth sports has demonstrated the efficacy of targeted exercise regimens to reduce injury risk. However, studies have yet to investigate the effect of such interventions in youth contact sport populations like rugby union. Objective To determine the efficacy of an evidence-based movement control exercise programme compared with a sham exercise programme to reduce injury risk in youth rugby players. Exercise programme compliance between trial arms and the effect of coach attitudes on compliance will also be evaluated. Setting School rugby coaches in England will be the target of the researcher intervention, with the effects of the injury prevention programmes being measured in male youth players aged 14–18 years in school rugby programmes over the 2015–2016 school winter term. Methods A cluster-randomised controlled trial with schools randomly allocated to either a movement control exercise programme or a sham exercise programme, both of which are coach-delivered. Injury measures will derive from field-based injury surveillance, with match and training exposure and compliance recorded. A questionnaire will be used to evaluate coach attitudes, knowledge, beliefs and behaviours both prior to and on the conclusion of the study period. Outcome measures Summary injury measures (incidence, severity and burden) will be compared between trial arms, as will the influence of coach attitudes on compliance and injury burden. Additionally, changes in these outcomes through using the exercise programmes will be evaluated. Trial registration number ISRTCNN13422001. PMID:27900148

The effects of a nurse-supervised home exercise programme on improving patients' perceptions of the benefits and barriers to exercise: A randomised controlled trial.

Science.gov (United States)

Tao, Xingjuan; Chow, Susan Ka Yee; Wong, Frances Ky

2017-09-01

To explore the effects of a home exercise programme on patients' perceptions of the barriers and benefits to exercise and adherence to the programme. Great efforts have been made to encourage dialysis patients to participate in rehabilitation regimens. The promotion of exercise in this population is still limited. This was a post hoc analysis of a randomised, two-group parallel study. A total of 113 adult patients recruited from the haemodialysis units were randomised into two groups on a 1:1 ratio. Both groups received in-centre group exercise training weekly for 6 weeks. The intervention group patients were provided with an additional individualised nurse-led home exercise prescription and behavioural support for 12 weeks. The patients' perceptions of the barriers and benefits to exercise, adherence to the home exercise prescription and their exercise level at weeks 6 and 12 were evaluated. There was a significant between-group difference in the score on patient perceptions of the barriers and benefits to exercise, with the intervention group reporting a greater reduction in perceived barriers to exercise. Significant group differences were noted in exercise level upon the completion of the programme, with the intervention group reporting higher such levels. The average adherence rate to the negotiated exercise plans was 78.9%. The intervention group of patients did better at meeting or exceeding the minimum exercise goal than did the control group. Home exercise prescriptions and behavioural support provided by trained nurses are effective at helping patients to remove barriers to engaging in exercise training. Physical exercise in a clinical arena should not be considered the exclusive domain of physical therapists; the team could collaborate with nurses to play a core role in making physical exercise for patients an essential practice of care in a multidisciplinary team. © 2017 John Wiley & Sons Ltd.

Cancer survivors' experiences of a community-based cancer-specific exercise programme: results of an exploratory survey.

Science.gov (United States)

Catt, Susan; Sheward, J; Sheward, E; Harder, H

2018-04-05

Exercise levels often decline following cancer diagnosis despite growing evidence of its benefits. Treatment side effects, older age, lack of confidence and opportunity to exercise with others in similar circumstances influence this. Our study explored the experiences of people attending a cancer-specific community-based exercise programme (CU Fitter™). A survey distributed to those attending the programme gathered demographic/clinical information, self-reported exercise levels, information provision and barriers to/benefits of exercise. Sixty surveys were evaluable from 65/100 returned (62% female, 68% > 60 years, 66% breast/prostate cancer). Most (68%) were receiving treatment. Sixty-eight percent attended classes once or twice weekly. Fifty-five percent received exercise advice after diagnosis, usually from their hospital doctor/nurse. More (73%) had read about exercising, but less used the Internet to source information (32%). Self-reported exercise levels were higher currently than before diagnosis (p = 0.05). Forty-eight percent said their primary barrier to exercising was the physical impact of cancer/treatment. Improving fitness/health (40%) and social support (16%) were the most important gains from the programme. Many (67%) had made other lifestyle changes and intented to keep (50%) or increase (30%) exercising. This community-based cancer-specific exercise approach engaged people with cancer and showed physical, psychological, and social benefits. Community-grown exercise initiatives bring cancer survivors together creating their own supportive environment. Combining this with instructors familiar with the population and providing an open-ended service may prove particularly motivating and beneficial. Further work is required to provide evidence for this.

THE EFFECTS OF OTAGO EXERCISE PROGRAMME FOR FALL PREVENTION IN ELDERLY PEOPLE

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Nancy N. Patel

2015-08-01

Full Text Available Background: The ‘Otago exercise programme’ (OEP is a strength and balance retraining programme designed to prevent falls in older people living in the community. The aim of this study was to find the effects of Otago exercise programme for fall prevention in community dwelling elderly people. Method: The sample comprised 30 community dwelling elderly around sinhgad road, pune (out of 30, 4 were dropouts aged over 60 years both male and female falling under moderate fall risk measured by Tinetti Performance Oriented Mobility Assessment. The intervention consisted mainly strength and balance training. Intervention was done for 1 hr every day, 5 days per week for 6weeks. Outcome measure assessment was done pre, 3rd week and post intervention. Pre and post comparison of following three outcome measures was done. Outcome measures: Tinetti Performance Oriented Mobility Assessment, 10RM and Chair stand test. Result: Paired t-test was done. Results of p value for 10RM (p value = 0.00, Tinetti performance oriented mobility assessment (p value = 0.00 and chair stand test (p value = 0.01 was found to be highly significant. Out of 26 subjects with moderate risk of fall pre intervention, 24 subjects showed low risk of fall during post intervention assessment of Tinetti Performance Oriented Mobility Assessment. Conclusion: The Otago exercise programme is significantly effective increasing strength of lower limb and improving in balance, gait and therefore ultimately preventing fall in community dwelling Indian elder people. Hence, Otago exercise protocol can be used in day to day clinical practice and also as a home exercise program.

PHAST- a spectrum stabilising PC-MCA

International Nuclear Information System (INIS)

Mukhopadhyay, P.K.; Satish, P.; Shrivastava, V.D.

2001-01-01

Model PHAST, a PC-card with programmable features, incorporates a 100 MHz Wilkinson ADC with conversion gain of 8K. It also provides SCA mode MCS operation. The card caters to the needs of precision nuclear spectroscopy at low to moderate count rates. Spectrum drift may be eliminated by spectrum stabilisation. Proper dead time correction is achieved by Gedcke-Hale or pulse generator based schemes. Multiple cards may be operated together in a single PC in independent operating modes. These cards have onboard histogram memory and updating mechanism. Hence they will usually continue to acquire data in the event of a system crash. (author)

Plasma levels of beta-endorphin and serotonin in response to specific spinal based exercises

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O. Sokunbi

2008-01-01

Full Text Available Exercises as the primary mode of treatment for low back disorders aim to achieve pain reduction, improvement in functional abilityand quality of life of for low back disorder sufferers. However the bio-chemical events associated with the use of these exercises in terms of theireffects on pain relieving neuropeptides have not been well established. Thisstudy was carried out to investigate the effects of spinal stabilisation, backextension and treadmill walking exercises on plasma levels of serotonin andbeta-endorphin.Twenty volunteers (10 males and 10 females without low back pain participated in the study. They were randomly allocated either to one of theexercise groups, where participants carried out one of the spinal stabilisation, back extension and treadmill walkingexercises or the control (no exercise group. The main outcome measures used in this study were plasma levels of serotonin and beta-endorphin measured with Enzyme linked immuno absorbent assay (ELISA technique.The results of this study showed that spinal stabilisation and treadmill walking exercises produced significantincrease in plasma serotonin levels (P 0.05.It could be that biochemical effects associated with stabilisation and treadmill walking exercises therefore mayinvolve production of serotonin and its release into the plasma.

How effective are exercise-based injury prevention programmes for soccer players?

NARCIS (Netherlands)

Beijsterveldt, A.M.C. van; Horst, N. van der; Port, I.G.L. van de; Backx, F.J.G.

2013-01-01

The incidence of soccer (football) injuries is among the highest in sports. Despite this high rate, insufficient evidence is available on the efficacy of preventive training programmes on injury incidence. Objective To systematically study the evidence on preventive exercise-based training

Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women.

OpenAIRE

Campbell, A. J.; Robertson, M. C.; Gardner, M. M.; Norton, R. N.; Tilyard, M. W.; Buchner, D. M.

1997-01-01

OBJECTIVE: To assess the effectiveness of a home exercise programme of strength and balance retraining exercises in reducing falls and injuries in elderly women. DESIGN: Randomised controlled trial of an individually tailored programme of physical therapy in the home (exercise group, n = 116) compared with the usual care and an equal number of social visits (control group, n = 117). SETTING: 17 general practices in Dunedin, New Zealand. SUBJECTS: Women aged 80 years and older living in the co...

Do exercises used in injury prevention programmes modify cutting task biomechanics? A systematic review with meta-analysis.

Science.gov (United States)

Pappas, Evangelos; Nightingale, Elizabeth J; Simic, Milena; Ford, Kevin R; Hewett, Timothy E; Myer, Gregory D

2015-05-01

Some injury prevention programmes aim to reduce the risk of ACL rupture. Although the most common athletic task leading to ACL rupture is cutting, there is currently no consensus on how injury prevention programmes influence cutting task biomechanics. To systematically review and synthesise the scientific literature regarding the influence of injury prevention programme exercises on cutting task biomechanics. The three largest databases (Medline, EMBASE and CINAHL) were searched for studies that investigated the effect of injury prevention programmes on cutting task biomechanics. When possible meta-analyses were performed. Seven studies met the inclusion criteria. Across all studies, a total of 100 participants received exercises that are part of ACL injury prevention programmes and 76 participants served in control groups. Most studies evaluated variables associated with the quadriceps dominance theory. The meta-analysis revealed decreased lateral hamstrings electromyography activity (p ≤ 0.05) while single studies revealed decreased quadriceps and increased medial hamstrings activity and decreased peak knee flexion moment. Findings from single studies reported that ACL injury prevention exercises reduce neuromuscular deficits (knee valgus moment, lateral trunk leaning) associated with the ligament and trunk dominance theories, respectively. The programmes we analysed appear most effective when they emphasise individualised biomechanical technique correction and target postpubertal women. The exercises used in injury prevention programmes have the potential to improve cutting task biomechanics by ameliorating neuromuscular deficits linked to ACL rupture, especially when they emphasise individualised biomechanical technique correction and target postpubertal female athletes. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Feasibility and benefits of group-based exercise in residential aged care adults: a pilot study for the GrACE programme

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Samantha Fien

2016-05-01

Full Text Available The objective of the study was to examine the feasibility and benefits of a group resistance training exercise programme for improving muscle function in institutionalised older adults. A feasibility and acceptability study was designed for a residential aged care (RAC facility, based on the Gold Coast, Australia. Thirty-seven adults, mean age 86.8 ± 6.1 years (30 females living in a RAC facility. Participants were allocated into an exercise (n = 20 or control (n = 17 group. The exercise group, the Group Aged Care Exercise (GrACE programme, performed 12 weeks of twice weekly resistance exercises. Feasibility was measured via recruitment rate, measurement (physiological and surveys completion rate, loss-to-follow-up, exercise session adherence, adverse events, and ratings of burden and acceptability. Muscle function was assessed using gait speed, sit-to-stand and handgrip strength assessments. All intervention participants completed pre- and post-assessments, and the exercise intervention, with 85% (n = 17 of the group attending ≥ 18 of the 24 sessions and 15% (n = 3 attending all sessions. Acceptability was 100% with exercise participants, and staff who had been involved with the programme strongly agreed that the participants “Benefited from the programme.” There were no adverse events reported by any participants during the exercise sessions. When compared to the control group, the exercise group experienced significant improvements in gait speed (F(4.078 = 8.265, p = 0.007, sit to stand performance (F(3.24 = 11.033, p = 0.002 and handgrip strength (F(3.697 = 26.359, p < 0.001. Resistance training via the GrACE programme is feasible, safe and significantly improves gait speed, sit-to-stand performance and handgrip strength in RAC adults.

Standardised method for reporting exercise programmes: protocol for a modified Delphi study.

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Slade, Susan C; Dionne, Clermont E; Underwood, Martin; Buchbinder, Rachelle

2014-12-30

Exercise is integral to health across the lifespan and important for people with chronic health conditions. A systematic review of exercise trials for chronic conditions reported suboptimal descriptions of the evaluated interventions and concluded that this hinders interpretation and replication. The aim of this project is to develop a standardised method for reporting essential exercise programme details being evaluated in clinical trials. A modified Delphi technique will be used to gain consensus among international exercise experts. We will use three sequential rounds of anonymous online questionnaires to refine a standardised checklist. A draft checklist of potentially relevant items was developed based on the results of a systematic review of exercise systematic reviews. An international panel of experts was identified by exercise systematic review authorship, established international profile in exercise research and practice and by peer referral. In round 1, the international panel of experts will be asked to rate the importance of each draft item and provide additional suggestions for revisions or new items. Consensus will be considered reached if at least 70% of the panel strongly agree/disagree that an item should be included or excluded. Where agreement is not reached or there are suggestions for altered or new items, these will be taken to round 2 together with an aggregated summary of round 1 responses. Following the second round, a ranking of item importance will be made to rationalise the number of items. The final template will be distributed to panel members for approval. Ethics approval was received from The Cabrini Institute Ethics Committee, Melbourne, Australia (HREC 02-07-04-14). We plan to use a stepwise process to develop and refine a standardised and internationally agreed template for explicit reporting of exercise programmes. The template will be generalisable across all types of exercise interventions. The findings will be disseminated

Evaluation of service users' experiences of participating in an exercise programme at the Western Australian State Forensic Mental Health Services.

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Wynaden, Dianne; Barr, Lesley; Omari, Omar; Fulton, Anthony

2012-06-01

Approximately 210 patients are admitted each year to the Western Australian State Forensic Mental Health Service, and most present with psychotic illness, along with other physical and mental comorbidities. In 2010, a healthy lifestyle programme, which included a formal exercise programme coordinated by an exercise physiologist, was introduced at the service. A self-report questionnaire was developed to obtain feedback on the programme, and 56 patients completed the questionnaire during the 6-month evaluation period. As well as providing patients with access to regular physical activity, the programme also supports the recovery philosophy, where patients work in partnership with forensic mental health staff. Overall, patients reported that the programme assisted them to manage their psychiatric symptoms, as well as improving their level of fitness, confidence, and self-esteem. In addition, patients received education about the importance of regular exercise to their mental health, and the role exercise plays in preventing chronic illness and obesity. While the benefits of exercise on mental health outcomes for people with depression and anxiety are well established, this evaluation adds to the evidence that such programmes provide similar benefits to people who have a psychotic illness and are hospitalized in an acute secure setting. © 2012 The Authors. International Journal of Mental Health Nursing © 2012 Australian College of Mental Health Nurses Inc.

A study to assess the effectiveness of planned exercise programme in patients with schizophrenia

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Bineeta Nath

2015-01-01

Full Text Available Background: Psychotic disorders are some of the most severe, chronic, and intractable psychiatric disorders. Schizophrenia is a common and unsolved mental health problem in the world today. Negative symptoms are those symptoms that tend to reflect diminution or loss of normal functions like apathy, anhedonia, alogia, avolition, affective flattening, or social isolation. Exercise is useful for the reduction of some of the negative symptoms of schizophrenia, depression, and anxiety, and also to reduce auditory hallucinations and improve sleep patterns, self-esteem, and general behaviour in people living with schizophrenia. Aim of the study was to assess the effectiveness of planned exercise programme in negative symptoms among patients with schizophrenia. Methodology: A quasi experimental research design was used for this study. Total 60 samples were assigned into two groups with 30 in control group and 30 in experimental group. The data was collected by using structured socio-demographic proforma, Positive and Negative Syndrome Scale, and Scale for Assessment of Negative symptoms. Result: There was a statistically significant difference in pre and post test scores in both control and experimental groups. But statistically significant difference in post test mean scores on negative symptoms between control and experimental groups indicated effectiveness of planned exercise programme along with medical and nursing care. Conclusion: The findings concluded that planned exercise programme with routine medical and nursing care was effective in reduction of negative symptoms in schizophrenia patients.

The reach and adoption of a coach-led exercise training programme in community football.

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Finch, Caroline F; Diamantopoulou, Kathy; Twomey, Dara M; Doyle, Tim L A; Lloyd, David G; Young, Warren; Elliott, Bruce C

2014-04-01

To determine the reach and adoption of a coach-led exercise training programme for lower limb injury prevention. Secondary analysis of data from a group-clustered randomised controlled trial. A periodised exercise training warm-up programme was delivered to players during training sessions over an 8-week preseason (weeks 1-8) and 18-week playing season. 1564 community Australian football players. Reach, measured weekly, was the number of players who attended training sessions. Adoption was the number of attending players who completed the programme in full, partially or not at all. Reasons for partial or non-participation were recorded. In week 1, 599 players entered the programme; 55% attended 1 training session and 45% attended > 1 session. By week 12, 1540 players were recruited but training attendance (reach) decreased to <50%. When players attended training, the majority adopted the full programme-ranging from 96% (week 1) to above 80% until week 20. The most common reasons for low adoption were players being injured, too sore, being late for training or choosing their own warm-up. The training programme's reach was highest preseason and halved at the playing season's end. However, when players attended training sessions, their adoption was high and remained close to 70% by season end. For sports injury prevention programmes to be fully effective across a season, attention also needs to be given to (1) encouraging players to attend formal training sessions and (2) considering the possibility of some form of programme delivery outside of formal training.

The Physical Behavior of Stabilised Soft Clay by Electrokinetic Stabilisation Technology

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Azhar, A. T. S.; Nordin, N. S.; Azmi, M. A. M.; Embong, Z.; Sunar, N.; Hazreek, Z. A. M.; Aziman, M.

2018-04-01

Electrokinetic Stabilisation (EKS) technology is the combination processes of electroosmosis and chemical grouting. This technique is most effective in silty and clayey soils where the hydraulic conductivity is very low. Stabilising agents will assist the EKS treatment by inducing it into soil under direct current. The movement of stabilising agents into soil is governed by the principle of electrokinetics. The aim of this study is to evaluate the physical behavior of soft soil using the EKS technology as an effective method to strengthen soft clay soils with calcium chloride (CaCl2) as the stabilising agent. Stainless steel plates were used as the electrodes, while 1.0 mol/l of CaCl2 was used as the electrolyte that fed at the anode compartment. Soft marine clay at Universiti Tun Hussein Onn Malaysia was used as the soil sample. The EKS treatment was developed at Research Centre for Soft Soil (RECESS), UTHM with a constant voltage gradient (50 V/m) in 21 days. The result shows that the shear strength of treated soil was increased across the soil sample. The treated soil near the cathode showed the highest value of shear strength (24.5 – 33 kPa) compared with the anode and in the middle of the soil sample.

How effective are exercise-based injury prevention programmes for soccer players? : A systematic review.

Science.gov (United States)

van Beijsterveldt, A M C; van der Horst, Nick; van de Port, Ingrid G L; Backx, Frank J G

2013-04-01

The incidence of soccer (football) injuries is among the highest in sports. Despite this high rate, insufficient evidence is available on the efficacy of preventive training programmes on injury incidence. To systematically study the evidence on preventive exercise-based training programmes to reduce the incidence of injuries in soccer. The databases EMBASE/MEDLINE, PubMed, CINAHL, Cochrane Central Register of controlled trials, PEDro and SPORTDiscus™ were searched for relevant articles, from inception until 20 December 2011. The methodological quality of the included studies was assessed using the PEDro scale. The inclusion criteria for this review were (1) randomized controlled trials or controlled clinical trials; (2) primary outcome of the study is the number of soccer injuries and/or injury incidence; (3) intervention focusing on a preventive training programme, including a set of exercises aimed at improving strength, coordination, flexibility or agility; and (4) study sample of soccer players (no restrictions as to level of play, age or sex). The exclusion criteria were: (1) the article was not available as full text; (2) the article was not published in English, German or Dutch; and (3) the trial and/or training programme relates only to specific injuries and/or specific joints. To compare the effects of the different interventions, we calculated the incidence risk ratio (IRR) for each study. Six studies involving a total of 6,099 participants met the inclusion criteria. The results of the included studies were contradictory. Two of the six studies (one of high and one of moderate quality) reported a statistical significant reduction in terms of their primary outcome, i.e. injuries overall. Four of the six studies described an overall preventive effect (IRRbased programmes to prevent soccer injuries. Some reasons for the contradictory findings could be different study samples (in terms of sex and soccer type) in the included studies, differences between

The implementation of the functional task exercise programme for elderly people living at home

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Fleuren Margot A H

2012-07-01

Full Text Available Abstract Background The Functional Task Exercise programme is an evidence-based exercise programme for elderly people living at home. It enhances physical capacity with sustainable effects. FTE is provided by physiotherapists and remedial therapists. Although the intervention was found to be effective in a Randomised Controlled Trial, we may not assume that therapists will automatically supply the programme or that elderly people will automatically join the programme. This study protocol focuses on identifying determinants of implementation, developing implementation strategies and studying the effects of the implementation in daily practice. Methods/Design Phase 1: The systematic identification of determinants of the implementation of FTE among therapists and the elderly. A questionnaire study was conducted in a random sample of 100 therapists, and interviews took place with 23 therapists and 8 elderly people (aged 66 to 80 years. The determinants were broken down into four categories: the characteristics of the environment, the organisation, the therapists, and the training programme. Phase 2: Developing and applying strategies adapted to the determinants identified. Fifteen physiotherapists will be trained to provide FTE and to recruit elderly people living at home. The therapists will then deliver the 12-week programme to two groups of elderly, each consisting of six to twelve people aged 70 years or older. Phase 3: Study of implementation and the impact. To study the actual use of FTE: 1 therapists record information about the selection of participants and how they apply the key features of FTE, 2 the participating elderly will keep an exercise logbook, 3 telephone interviews will take place with the therapists and the elderly and there will be on-site visits. The effects on the elderly people will be studied using: 1 the Patient-Specific Questionnaire, the Timed Up and Go test and a two performance tests. All tests will be performed at

The preventive effect of the bounding exercise programme on hamstring injuries in amateur soccer players: the design of a randomized controlled trial.

Science.gov (United States)

Van de Hoef, S; Huisstede, B M A; Brink, M S; de Vries, N; Goedhart, E A; Backx, F J G

2017-08-22

Hamstring injuries are the most common muscle injury in amateur and professional soccer. Most hamstring injuries occur in the late swing phase, when the hamstring undergoes a stretch-shortening cycle and the hamstring does a significant amount of eccentric work. The incidence of these injuries has not decreased despite there being effective injury prevention programmes focusing on improving eccentric hamstring strength. As this might be because of poor compliance, a more functional injury prevention exercise programme that focuses on the stretch-shortening cycle might facilitate compliance. In this study, a bounding exercise programme consisting of functional plyometric exercises is being evaluated. A cluster-randomized controlled trial (RCT). Male amateur soccer teams (players aged 18-45 years) have been randomly allocated to intervention and control groups. Both groups are continuing regular soccer training and the intervention group is additionally performing a 12-week bounding exercise programme (BEP), consisting of a gradual build up and maintenance programme for the entire soccer season. The primary outcome is hamstring injury incidence. Secondary outcome is compliance with the BEP during the soccer season and 3 months thereafter. Despite effective hamstring injury prevention programmes, the incidence of these injuries remains high in soccer. As poor compliance with these programmes may be an issue, a new plyometric exercise programme may encourage long-term compliance and is expected to enhance sprinting and jumping performance besides preventing hamstring injuries. NTR6129 . Retrospectively registered on 1 November 2016.

Preliminary study of an exercise programme for reducing fatigue and improving sleep among long-term haemodialysis patients

Science.gov (United States)

Maniam, Radha; Subramanian, Pathmawathi; Singh, Surindar Kaur Surat; Lim, Soo Kun; Chinna, Karuthan; Rosli, Roshaslina

2014-01-01

INTRODUCTION Fatigue and quality of sleep are the main factors that contribute to a poor quality of life among patients on long-term haemodialysis. Studies have also emphasised the importance of exercise for improving the wellbeing of dialysis patients. This study aimed to determine the effectiveness of a predialysis low-to-moderate-intensity exercise programme for reducing fatigue and improving sleep disorders among long-term haemodialysis patients. METHODS In this quasi-experimental study, an exercise programme was conducted three times a week for 12 weeks before long-term haemodialysis patients underwent dialysis at two centres. The patients were categorised into either the exercise group (n = 28) or control group (n = 27). The latter was asked to maintain their current lifestyles. Assessments of fatigue and sleep disorder levels were performed for both groups using self-reported questionnaires at baseline and after intervention. The patients’ perception of the exercise programme was also determined using self-reported questionnaires. RESULTS Paired sample t-test indicated improvements in fatigue level in the exercise group (mean fatigue score: post-treatment 40.5 ± 7.9 vs. pre-treatment 30.0 ± 10.9). Improvements in sleep disorders were also observed in the exercise group (mean score: post-treatment 7.6 ± 3.3 vs. pre-treatment 10.1 ± 3.8). However, sleep quality deteriorated in the control group (mean score: post-treatment 10.7 ± 2.9 vs. pre-treatment 9.3 ± 2.9). CONCLUSION Simple low-to-moderate-intensity exercise is effective for improving fatigue, sleep disorders and the overall quality of life among haemodialysis patients. PMID:25273932

The effects of a 16-week aerobic exercise programme on cognitive function in people living with HIV.

Science.gov (United States)

McDermott, Adam; Zaporojan, Lilia; McNamara, Patricia; Doherty, Colin P; Redmond, Janice; Forde, Cuisle; Gormley, John; Egaña, Mikel; Bergin, Colm

2017-06-01

High levels of cardiovascular fitness and physical activity are associated with higher levels of cognitive function in people with HIV, thus, they may reduce the risk of developing HIV-associated neurocognitive disorder (HAND). This study aimed to investigate the effects of a 16-week aerobic exercise intervention on cognitive function in people with HIV. Eleven participants living with HIV were recruited into the study. Participants were randomised into either an exercise group (n = 5), that completed a 16-week aerobic exercise programme training, 3 times per week (2 supervised sessions and one unsupervised session) or a control group (n = 6) that received no intervention. Outcomes measured included cognitive function (Montreal cognitive assessment (MOCA) and the Trail making tests A and B), aerobic fitness (modified Bruce protocol), sleep quality (Pittsburgh sleep quality index; PSQI) and physical activity levels (seven-day accelerometry). At baseline, higher levels of moderate physical activity were positively correlated with higher MOCA scores and levels of aerobic fitness were negatively associated with Trail A scores (P = 0.04 and P = 0.001 respectively). However, exercise training did not induce any significant improvements in cognitive function or aerobic fitness. The overall mean adherence rate to the exercise programme was 60%. In conclusion, in the present study a 16-week aerobic exercise intervention did not affect the cognitive function of participants with HIV. It is likely that longer intervention periods and/or higher adherence rates to exercise might be needed for an aerobic exercise programme to be effective in improving cognitive function in a cohort with no baseline cognitive impairments.

Physiotherapy exercise programmes: are instructional exercise sheets effective?

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Smith, Jo; Lewis, Jeremy; Prichard, Diana

2005-01-01

Effective compliance with physiotherapy exercises is only possible if patients remember the exercises accurately. The purpose of this study was to assess how well elderly in-patients remembered simple physiotherapy exercises, by comparing the ability to accurately reproduce a set of exercises in a group of patients that had received a written exercise sheet, with a group that had not. The study also aimed to investigate the relationship between memory for exercises and cognition. Sixty-four in-patients in an acute hospital were taught 3 exercises. Half of the subjects were randomised to receive exercise sheets to reinforce the teaching (Group 1). The rest of the subjects did not receive this memory aid (Group 2). Two to three days later subjects were asked to demonstrate their exercises. The accurate recall of the exercises was scored using a new assessment scale with a maximum score of 24. The mean exercise score was 17.19 for group 1 (SD = 5.91) and 16.24 for Group 2 (SD = 6.01). There was no significant difference in exercise score between groups (Mann Whitney U test p = 0.44). There was a statistically significant small positive correlation between exercise score and cognition (tau = 0.263). The study showed that older adult in-patients do not remember physiotherapy exercises effectively after a single teaching session and that their memory is not significantly improved by provision of an exercise sheet.

Once a week is not enough: Effects of a widely implemented group based exercise programme for older adults; a randomised controlled trial

NARCIS (Netherlands)

Stiggelbout, M.; Popkema, D.Y.; Hopman-Rock, M.; Greef, M. de; Mechelen, W. van

2004-01-01

Objectives: To determine the effects of gymnastics on the health related quality of life (HRQoL) and functional status of independently living people, aged 65 to 80 years. Gymnastics formed part of the More Exercise for Seniors (MBvO in Dutch) programme, a group based exercise programme for older

Once a week is not enough : effects of a widely implemented group based exercise programme for older adults; a randomised controlled trial

NARCIS (Netherlands)

Stiggelbout, M.; Popkema, D.Y.; Hopman-Rock, M.; de Greef, M.; van Mechelen, W.

2004-01-01

OBJECTIVES: To determine the effects of gymnastics on the health related quality of life (HRQoL) and functional status of independently living people, aged 65 to 80 years. Gymnastics formed part of the More Exercise for Seniors (MBvO in Dutch) programme, a group based exercise programme for older

Effects of Lumbar Core Stability Exercise Programme on Knee Pain, Range of Motion, and Function Post Anterior Cruciate Ligament Reconstruction

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Priyanka Panchal

2017-12-01

Conclusion: Institutional conventional exercise protocol is effective in reducing pain and improving the ROM post and lumbar core stability exercise programme is effective in improving function, post ACL reconstruction.

Evaluation of a standard provision versus an autonomy promotive exercise referral programme: rationale and study design

Directory of Open Access Journals (Sweden)

Jolly Kate

2009-06-01

Full Text Available Abstract Background The National Institute of Clinical Excellence in the UK has recommended that the effectiveness of ongoing exercise referral schemes to promote physical activity should be examined in research trials. Recent empirical evidence in health care and physical activity promotion contexts provides a foundation for testing the utility of a Self Determination Theory (SDT-based exercise referral consultation. Methods/Design Design: An exploratory cluster randomised controlled trial comparing standard provision exercise on prescription with a Self Determination Theory-based (SDT exercise on prescription intervention. Participants: 347 people referred to the Birmingham Exercise on Prescription scheme between November 2007 and July 2008. The 13 exercise on prescription sites in Birmingham were randomised to current practice (n = 7 or to the SDT-based intervention (n = 6. Outcomes measured at 3 and 6-months: Minutes of moderate or vigorous physical activity per week assessed using the 7-day Physical Activity Recall; physical health: blood pressure and weight; health status measured using the Dartmouth CO-OP charts; anxiety and depression measured by the Hospital Anxiety and Depression Scale and vitality measured by the subjective vitality score; motivation and processes of change: perceptions of autonomy support from the advisor, satisfaction of the needs for competence, autonomy, and relatedness via physical activity, and motivational regulations for exercise. Discussion This trial will determine whether an exercise referral programme based on Self Determination Theory increases physical activity and other health outcomes compared to a standard programme and will test the underlying SDT-based process model (perceived autonomy support, need satisfaction, motivation regulations, outcomes via structural equation modelling. Trial registration The trial is registered as Current Controlled trials ISRCTN07682833.

Impact of a community-based exercise programme on physical fitness in middle-aged and older patients with type 2 diabetes.

Science.gov (United States)

Mendes, Romeu; Sousa, Nelson; Themudo-Barata, José; Reis, Victor

2016-01-01

Physical fitness is related to all-cause mortality, quality of life and risk of falls in patients with type 2 diabetes. This study aimed to analyse the impact of a long-term community-based combined exercise program (aerobic+resistance+agility/balance+flexibility) developed with minimum and low-cost material resources on physical fitness in middle-aged and older patients with type 2 diabetes. This was a non-experimental pre-post evaluation study. Participants (N=43; 62.92±5.92 years old) were engaged in a community-based supervised exercise programme (consisting of combined aerobic, resistance, agility/balance and flexibility exercises; three sessions per week; 70min per session) of 9 months' duration. Aerobic fitness (6-Minute Walk Test), muscle strength (30-Second Chair Stand Test), agility/balance (Timed Up and Go Test) and flexibility (Chair Sit and Reach Test) were assessed before (baseline) and after the exercise intervention. Significant improvements in the performance of the 6-Minute Walk Test (Δ=8.20%, p<0.001), 30-Second Chair Stand Test (Δ=28.84%, p<0.001), Timed Up and Go Test (Δ=14.31%, p<0.001), and Chair Sit and Reach Test (Δ=102.90%, p<0.001) were identified between baseline and end-exercise intervention time points. A long-term community-based combined exercise programme, developed with low-cost exercise strategies, produced significant benefits in physical fitness in middle-aged and older patients with type 2 diabetes. This supervised group exercise programme significantly improved aerobic fitness, muscle strength, agility/balance and flexibility, assessed with field tests in community settings. Copyright © 2016 SESPAS. Published by Elsevier Espana. All rights reserved.

Remediation by in-situ solidification/stabilisation of Ardeer landfill, Scotland

International Nuclear Information System (INIS)

Wyllie, M.; Esnault, A.; Barker, P.

1997-01-01

The Ardeer Landfill site at ICI Explosives factory on the west coast of Scotland had been a repository for waste from the site for 40 years. In order to safeguard the local environment ICI Explosives, with approval of Local Authorities and the Clyde River Purification Board put into action a programme of investigation and planning which culminated in the in-situ treatment of 10,000 m3 of waste within the landfill by a deep mixing method using the open-quotes Colmixclose quotes system. The paper describes in varying degrees of detail the remediation from investigation to the execution of the in-situ stabilisation and presents the post construction monitoring results

Motivation and preferences of exercise programmes in patients with inoperable metastatic lung cancer: a need assessment.

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Kartolo, Adi; Cheng, Susanna; Petrella, Teresa

2016-01-01

The aim of this study is to investigate the motivation, ability, preferences, and perceived potential facilitating factors/barriers of patients with inoperable metastatic lung cancer towards exercise programmes. This is a cross-sectional study using survey adopting the Theory of Planned Behaviour (TPB) to obtain patients' experience recruited through Odette Cancer Centre, Sunnybrook Health Sciences Complex. Results were expressed in percentages, P value, and Spearman's rho. Sixty patients were recruited from January 2014 to April 2014. Patients generally had a high level across TPB measures, with 63% of them indicating that they have the motivation to exercise. Significant association in relation to motivation was established on attitudes (importance, P = 0.005, rho = 0.326; helpfulness, P = 0.015, rho = 0.348; and easiness, P = 0.001, rho = 0.375) and subjective norm of close members (P = 0.0069, rho = 0.348) and healthcare professionals (P = 0.012, rho = 0.328). Being a non-smoker (P = 0.042, rho = 0.311), having a past exercise history prior to diagnosis (P = 0.000, rho = 0.563), and absence of COPD (P = 0.016, rho = -0.312) were also shown to have a significant association with motivation to exercise. Patients were motivated to participate in an exercise programme despite contrary belief; however, they might have limited ability and preferred light intensity type of exercise such as walking. Their motivation to exercise was driven by different factors when compared to other cancer patient populations. Thus, it is important for healthcare professionals to understand the factors influencing their motivation and increase their awareness (only 26% of patients indicated receiving advice regarding exercise) to better the care towards patients with metastatic lung cancer.

Algal stabilisation of estuarine sediments

International Nuclear Information System (INIS)

1992-01-01

The presence of benthic microalgae can increase the stability of intertidal sediments and influence sediment fluxes within an estuarine environment. Therefore the relative importance of algal stabilisation needs to be understood to help predict the effects of a tidal barrage. The biogenic stabilisation of intertidal estuarine sediments by epipelic diatom films and the macrophyte Vaucheria was studied at three sites on the Severn Estuary. The cohesive strength meter (CSM) was developed to measure surface critical shear stress with varied algal density. A number of techniques have been used to determine the general in situ erodibility of cohesive estuarine sediments. The measurements of sediment shear strength and critical erosion velocity were investigated. Field experiments were undertaken to investigate the effect of algae on binding sediments, and a predictive method for the assessment of sediment stabilisation by algal binding was developed. (author)

What influences acceptability and engagement with a high intensity exercise programme for people with stroke? A qualitative descriptive study.

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Signal, Nada; McPherson, Kathryn; Lewis, Gwyn; Kayes, Nicola; Saywell, Nicola; Mudge, Suzie; Taylor, Denise

2016-10-14

Intensity refers to the amount of effort or rate of work undertaken during exercise. People receiving rehabilitation after stroke frequently do not reach the moderate to high intensity exercise recommended to maximise gains. To explore the factors that influence the acceptability of, and engagement with, a high intensity group-based exercise programme for people with stroke. This qualitative descriptive study included 14 people with stroke who had completed a 12-week, high intensity group-based exercise rehabilitation programme. Semi-structured interviews were used to explore the acceptability of high intensity exercise and the barriers and facilitators to engagement. Interviews were recorded, transcribed and analysed using qualitative content analysis. The participants found high intensity exercise rehabilitation acceptable despite describing the exercise intensity as hard and reporting post-exercise fatigue. Participants accepted the fatigue as a normal response to exercise, and it did not appear to negatively influence engagement. The ease with which an individual engaged in high intensity exercise rehabilitation appeared to be mediated by inter-related factors, including: seeing progress, sourcing motivation, working hard, the people involved and the fit with the person and their life. Participants directly related the intensity of their effort to the gains that they made. In this study, people with stroke viewed training at higher intensities as a facilitator, not a barrier, to engagement in exercise rehabilitation. The findings may challenge assumptions about the influence of exercise intensity on engagement.

Internal Nano Voids in Yttria-Stabilised Zirconia (YSZ Powder

Directory of Open Access Journals (Sweden)

Chen Barad

2017-12-01

Full Text Available Porous yttria-stabilised zirconia ceramics have been gaining popularity throughout the years in various fields, such as energy, environment, medicine, etc. Although yttria-stabilised zirconia is a well-studied material, voided yttria-stabilised zirconia powder particles have not been demonstrated yet, and might play an important role in future technology developments. A sol-gel synthesis accompanied by a freeze-drying process is currently being proposed as a method of obtaining sponge-like nano morphology of embedded faceted voids inside yttria-stabilised zirconia particles. The results rely on a freeze-drying stage as an effective and simple method for generating nano-voided yttria-stabilised zirconia particles without the use of template-assisted additives.

Study protocol: a mixed methods feasibility study for a loaded self-managed exercise programme for patellofemoral pain.

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Smith, Benjamin E; Hendrick, Paul; Bateman, Marcus; Moffatt, Fiona; Rathleff, Michael Skovdal; Selfe, James; Smith, Toby O; Logan, Pip

2018-01-01

Patellofemoral pain (PFP) is one of the most common forms of knee pain in adults under the age of 40, with a prevalence of 23% in the general population. The long-term prognosis is poor, with only one third of people pain-free 1 year after diagnosis. The biomedical model of pain in relation to persistent PFP has recently been called into question. It has been suggested that interventions for chronic musculoskeletal conditions should consider alternative mechanisms of action, beyond muscles and joints. Modern treatment therapies should consider desensitising strategies, with exercises that target movements and activities patients find fearful and painful. High-quality research on exercise prescription in relation to pain mechanisms, not directed at specific tissue pathology, and dose response clearly warrants further investigation. Our primary aim is to establish the feasibility and acceptability of conducting a definitive RCT which will evaluate the clinical and cost-effectiveness of a loaded self-managed exercise programme for people with patellofemoral pain. This is a single-centred, multiphase, sequential, mixed-methods trial that will evaluate the feasibility of running a definitive large-scale randomised controlled trial of a loaded self-managed exercise programme versus usual physiotherapy. Initially, 8-10 participants with a minimum 3-month history of PFP will be recruited from an NHS physiotherapy waiting list and interviewed. Participants will be invited to discuss perceived barriers and facilitators to exercise engagement, and the meaning and impact of PFP. Then, 60 participants will be recruited in the same manner for the main phase of the feasibility trial. A web-based service will randomise patients to a loaded self-managed exercise programme or usual physiotherapy. The loaded self-managed exercise programme is aimed at addressing lower limb knee and hip weakness and is positioned within a framework of reducing fear/avoidance with an emphasis on self

Physical activity levels in locally advanced rectal cancer patients following neoadjuvant chemoradiotherapy and an exercise training programme before surgery: a pilot study.

Science.gov (United States)

Loughney, Lisa; West, Malcolm A; Dimitrov, Borislav D; Kemp, Graham J; Grocott, Michael Pw; Jack, Sandy

2017-01-01

The aim of this pilot study was to measure changes in physical activity level (PAL) variables, as well as sleep duration and efficiency in people with locally advanced rectal cancer (1) before and after neoadjuvant chemoradiotherapy (CRT) and (2) after participating in a pre-operative 6-week in-hospital exercise training programme, following neoadjuvant CRT prior to major surgery, compared to a usual care control group. We prospectively studied 39 consecutive participants (27 males). All participants completed standardised neoadjuvant CRT: 23 undertook a 6-week in-hospital exercise training programme following neoadjuvant CRT. These were compared to 16 contemporaneous non-randomised participants (usual care control group). All participants underwent a continuous 72-h period of PA monitoring by SenseWear biaxial accelerometer at baseline, immediately following neoadjuvant CRT (week 0), and at week 6 (following the exercise training programme). Of 39 recruited participants, 23 out of 23 (exercise) and 10 out of 16 (usual care control) completed the study. In all participants ( n  = 33), there was a significant reduction from baseline (pre-CRT) to week 0 (post-CRT) in daily step count: median (IQR) 4966 (4435) vs. 3044 (3265); p  exercise group compared to the usual care control group (80 (13) vs. 78 (15) compared to (69 ((24) vs. 76 (20); p  = 0.022), as well as in sleep duration and lying down time ( p  importance but did not reach statistical significance ( p  > 0.05). An apparent improvement in daily step count and overall PAL in the exercise group was not statistically significant. PAL variables, daily step count, EE and MET significantly reduced following neoadjuvant CRT in all participants. A 6-week pre-operative in-hospital exercise training programme improved sleep efficiency, sleep duration and lying down time when compared to participants receiving usual care. Clinicaltrials.gov NCT01325909.

Algal stabilisation of estuarine sediments

International Nuclear Information System (INIS)

1992-01-01

The presence of benthic microalgae can increase the stability of intertidal sediments and influence sediment fluxes within an estuarine environment. Therefore the relative importance of algal stabilisation needs to be understood to help predict the effects of a tidal barrage. The objectives of this study are: to assess the significance of stabilisation of sediments by algae, in relation to the changes in hydrodynamic and sedimentological regimes arising from the construction of tidal power barrages; to identify a reliable and meaningful method of measuring the effectiveness, including duration, of algal binding on sediment stability, and to relate this method to other methods of measuring critical erosion velocity and sediment shear strength; to undertake a series of field experiments investigating the effect of algae on binding sediments and the parameters which could potentially influence such binding and to develop a predictive method for the assessment of sediment stabilisation by algal binding. This report contains plates, figures and tables. (author)

Silicone elastomers with covalently incorporated aromatic voltage stabilisers

DEFF Research Database (Denmark)

A Razak, Aliff Hisyam; Skov, Anne Ladegaard

2017-01-01

to the incorporationof an aromatic voltage stabiliser, were prepared by cross-linking synthesised polydimethylsiloxane–polyphenylmethylsiloxane (PDMS–PPMS) copolymers. PPMS possesses voltage stabilisation capabilitiesbut is immiscible in PDMS, and thus the copolymerisation of the two components was necessary...... forhomogeneity. Concentrations of the voltage stabiliser were varied by changing the molecular weights ofthe PPMS in the copolymer. The developed elastomers were inherently soft with enhanced electricalbreakdown strengths, due to delocalisedp-electrons of the aromatic constituent. An optimumconcentration...

A mixed exercise training programme is feasible and safe and may improve quality of life and muscle strength in multiple myeloma survivors

Directory of Open Access Journals (Sweden)

Groeneveldt Lara

2013-01-01

Full Text Available Abstract Background Exercise programmes are beneficial for cancer patients however evidence is limited in patients with multiple myeloma (MM, a cancer that is characterised by osteolytic bone disease, giving rise to high levels of bone morbidity including fractures and bone pain. Methods We conducted a single arm phase 2 study of an exercise programme (EP as rehabilitation for treated MM patients, to evaluate feasibility, effects on QOL and physiological parameters. Patients were given individualised programmes, comprising stretching, aerobic and resistance exercises, carried out under supervision for 3 months then at home for a further 3 months. Results Study uptake was high, 60 of 75 (80% patients approached consented to the study. Screen failures (11, due to fracture risk and disease relapse and patient withdrawals (12 resulted in a final 37 patients enrolling on the programme. These 37 patients demonstrated high attendance rates in the supervised classes (87%, and high levels of adherence in home exercising (73%. Patients reported better QOL following the EP, with improvement in FACT-G and Fatigue scores over time from baseline (p Conclusions An EP in MM patients is feasible and safe, with high attendance and adherence. Benefits in QOL, fatigue and muscle strength await confirmation in randomized studies, prompting urgent evaluation of the benefits of EP in the rehabilitation of MM patients.

Exercise combined with Acceptance and Commitment Therapy (ExACT) compared to a supervised exercise programme for adults with chronic pain: study protocol for a randomised controlled trial.

Science.gov (United States)

Casey, Máire-Bríd; Smart, Keith; Segurado, Ricardo; Hearty, Conor; Gopal, Hari; Lowry, Damien; Flanagan, Dearbhail; McCracken, Lance; Doody, Catherine

2018-03-22

Acceptance and Commitment Therapy (ACT) is a form of cognitive behavioural therapy, which may be beneficial for people with chronic pain. The approach aims to enhance daily functioning through increased psychological flexibility. Whilst the therapeutic model behind ACT appears well suited to chronic pain, there is a need for further research to test its effectiveness in clinical practice, particularly with regards to combining ACT with physical exercise. This prospective, two-armed, parallel-group, single-centre randomised controlled trial (RCT) will assess the effectiveness of a combined Exercise and ACT programme, in comparison to supervised exercise for chronic pain. One hundred and sixty patients, aged 18 years and over, who have been diagnosed with a chronic pain condition by a physician will be recruited to the trial. Participants will be individually randomised to one of two 8-week, group interventions. The combined group will take part in weekly psychology sessions based on the ACT approach, in addition to supervised exercise classes led by a physiotherapist. The control group will attend weekly supervised exercise classes but will not take part in an ACT programme. The primary outcome will be pain interference at 12-week follow-up, measured using the Brief Pain Inventory-Interference Scale. Secondary outcomes will include self-reported pain severity, self-perception of change, patient satisfaction, quality of life, depression, anxiety and healthcare utilisation. Treatment process measures will include self-efficacy, pain catastrophising, fear avoidance, pain acceptance and committed action. Physical activity will be measured using Fitbit Zip TM activity trackers. Both groups will be followed up post intervention and again after 12 weeks. Estimates of treatment effects at follow-up will be based on an intention-to-treat framework, implemented using a linear mixed-effects model. Individual and focus group qualitative interviews will be undertaken with a

The Effective Governance Gap in EU Counter-Terrorism and Stabilisation Policy for Somalia

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EJ Hogendoorn

2017-12-01

Full Text Available For more than two decades, the EU and other donors have spent billions of euros to rebuild the Somali state and, more recently, to counter the rise of the violent Islamist group Al Shabaab. But Somalia remains a weak, if not “failed state”, and progress is nowhere near commensurate with international support. This is because donors failed to generate enough Somali political will to reform dysfunctional and corrupt administrations that undermine their programmes, as well as counter-terrorism and stabilisation goals. To be more effective, the EU needs to become more adept at understanding local political dynamics as well as better at employing carrots and sticks to nudge Somali leaders to support governance reform and better administration. Otherwise, its expensive technical assistance and training programmes may have only temporary and limited impact.

Successfully combining SUGRA hybrid inflation and moduli stabilisation

International Nuclear Information System (INIS)

Davis, S.C.

2008-01-01

Inflation and moduli stabilisation mechanisms work well independently, and many string-motivated supergravitymodels have been proposed for them. However a complete theory will contain both, and there will be (gravitational) interactions between the two sectors. These give corrections to the inflaton potential, which generically ruin inflation. This holds true even for fine-tuned moduli stabilisation schemes. We show that a viable combined model can be obtained if it is the Kaehler functions (G=K+ln vertical stroke W vertical stroke 2 ) of the two sectors that are added, rather than the superpotentials (as is usually done). Interaction between the two sectors does still impose some restrictions on the moduli stabilisation mechanism, which are derived. Significantly, we find that the (post-inflation) moduli stabilisation scale no longer needs to be above the inflationary energy scale. (orig.)

The effects of a home-based arm ergometry exercise programme on physical fitness, fatigue and activity in polio survivors: protocol for a randomised controlled trial

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Murray Deirdre

2012-12-01

Full Text Available Abstract Background Many Polio survivors have reduced mobility, pain and fatigue, which make access to conventional forms of aerobic exercise difficult. Inactivity leads to increased risk of health problems, many of which are prevalent among Polio survivors. Aerobic exercise programmes in Polio survivors should utilise stable muscle groups and should be designed to minimise exacerbation of pain and fatigue. A home-based arm ergometry aerobic exercise programme may represent an affordable and accessible exercise modality, incorporating exercise prescription principles in this group. Methods/design This is a prospective, single blinded, randomised controlled trial. There are two arms; exercise intervention using arm ergometers and control. Polio survivors meeting eligibility criteria will be recruited and randomly allocated to intervention or control groups. Participants allocated to the intervention group will receive a small arm ergometer and a polar heart rate monitor. They will carry out a home-based moderate intensity (50-70% HRMax aerobic exercise programme for eight weeks, following instruction by the treating physiotherapist. Assessments will occur at baseline and after eight weeks and will include tests of physical fitness, activity, energy cost of walking, fatigue and quality of life. Clinically feasible assessment tools including the Six Minute Arm Test, the Physical Activity Scale for People with Physical Disabilities questionnaire, the Physiological Cost Index, Fatigue Severity Scale and the SF-36v2 will be utilised. Discussion The efficacy of a home-based arm ergometry programme in Polio survivors will be examined. No previous trial has examined such a programme using a wide range of outcome measures pertinent to Polio survivors. This study will provide new information on the impact of arm ergometry on physical fitness, activity, body composition, fatigue, pain, muscle strength, and health related quality of life. Also, the study

Effect of specific exercise-based football injury prevention programmes on the overall injury rate in football

DEFF Research Database (Denmark)

Thorborg, Kristian; Krommes, Kasper Kühn; Esteve, Ernest

2017-01-01

Objective To investigate the effect of FIFA injury prevention programmes in football (FIFA 11 and FIFA 11+). Design Systematic review and meta-analysis. Eligibility criteria for selecting studies Randomised controlled trials comparing the FIFA injury prevention programmes with a control (no or sham...... intervention) among football players. Data sources MEDLINE via PubMed, EMBASE via OVID, CINAHL via Ebsco, Web of Science, SportDiscus and Cochrane Central Register of Controlled Trials, from 2004 to 14 March 2016. Results 6 cluster-randomised controlled trials had assessed the effect of FIFA injury prevention...... programmes compared with controls on the overall football injury incidence in recreational/subelite football. These studies included 2 specific exercise-based injury prevention programmes: FIFA 11 (2 studies) and FIFA 11+ (4 studies). The primary analysis showed a reduction in the overall injury risk ratio...

Successfully combining SUGRA hybrid inflation and moduli stabilisation

Energy Technology Data Exchange (ETDEWEB)

Davis, S.C. [CEA Centre d' Etudes de Saclay, 91 - Gif-sur-Yvette (France). Service de Physique Theorique; Postma, M. [Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany)]|[Nationaal Inst. voor Kernfysica en Hoge-Energiefysica (NIKHEF), Amsterdam (Netherlands)

2008-01-15

Inflation and moduli stabilisation mechanisms work well independently, and many string-motivated supergravitymodels have been proposed for them. However a complete theory will contain both, and there will be (gravitational) interactions between the two sectors. These give corrections to the inflaton potential, which generically ruin inflation. This holds true even for fine-tuned moduli stabilisation schemes. We show that a viable combined model can be obtained if it is the Kaehler functions (G=K+ln vertical stroke W vertical stroke {sup 2}) of the two sectors that are added, rather than the superpotentials (as is usually done). Interaction between the two sectors does still impose some restrictions on the moduli stabilisation mechanism, which are derived. Significantly, we find that the (post-inflation) moduli stabilisation scale no longer needs to be above the inflationary energy scale. (orig.)

Patients' Perspectives on and Experiences of Home Exercise Programmes Delivered with a Mobile Application.

Science.gov (United States)

Abramsky, Hillary; Kaur, Puneet; Robitaille, Mikale; Taggio, Leanna; Kosemetzky, Paul K; Foster, Hillary; Gibson Bmr Pt MSc PhD, Barbara E; Bergeron, Maggie; Jachyra, Patrick

2018-01-01

Purpose: We explored patients' perspectives on home exercise programmes (HEPs) and their experiences using a mobile application designed to facilitate home exercise. Method: Data were generated using qualitative, semi-structured, face-to-face interviews with 10 participants who were receiving outpatient physiotherapy. Results: Establishing a therapeutic partnership between physiotherapists and patients enabled therapists to customize the HEPs to the patients' lifestyles and preferences. Analysis suggests that using the mobile application improved participants' ability to integrate the HEP into their daily life and was overwhelmingly preferred to traditional paper handouts. Conclusions: The results suggest that efforts to engage patients in HEPs need to take their daily lives into account. To move in this direction, sample exercise prescription questions are offered. Mobile applications do not replace the clinical encounter, but they can be an effective tool and an extension of delivering personalized HEPs in an existing therapeutic partnership.

Which kind of exercise is best in fibromyalgia therapeutic programmes? A practical review.

Science.gov (United States)

Cazzola, M; Atzeni, F; Salaffi, F; Stisi, S; Cassisi, G; Sarzi-Puttini, P

2010-01-01

All of the specialists who deal in some way with fibromyalgia (FM) broadly agree that physical reconditioning programmes are useful, but it is not yet clear what type of physical activity is the most appropriate for different subsets of patients. The aim of this review was to examine the randomised controlled trials (RCTs) published between 1985 and August 2010 whose outcome measures indicate the effectiveness of different types of physical exercise (PE) on the main health domains affected by FM: pain, and physical and mental function. Studies that simultaneously used different types of PE or multimodal treatment strategies were excluded from the analysis, as were those in which the primary and secondary endpoints prevented any assessment of treatment efficacy in all three health domains. Twenty-seven studies were selected: 15 considered land-based physical aerobic exercise (PAE); seven exercises in water; and five muscle strengthening exercise (MSE). There was substantial uniformity in assessing the effectiveness of land- or water-based PAE and MSE in improving aerobic physical fitness (PF) and functional state. Water-based PAE offers some advantages over similarly intense land-based PAE in reducing spontaneous pain and improving depressive symptoms, but the data are insufficient to establish its overall superiority. Regardless of method, the latest findings concerning the neurophysiology of nociception indicate the fundamental importance of assigning workloads that do not exacerbate post-exercise pain.

Quadratic stabilisability of multi-agent systems under switching topologies

Science.gov (United States)

Guan, Yongqiang; Ji, Zhijian; Zhang, Lin; Wang, Long

2014-12-01

This paper addresses the stabilisability of multi-agent systems (MASs) under switching topologies. Necessary and/or sufficient conditions are presented in terms of graph topology. These conditions explicitly reveal how the intrinsic dynamics of the agents, the communication topology and the external control input affect stabilisability jointly. With the appropriate selection of some agents to which the external inputs are applied and the suitable design of neighbour-interaction rules via a switching topology, an MAS is proved to be stabilisable even if so is not for each of uncertain subsystem. In addition, a method is proposed to constructively design a switching rule for MASs with norm-bounded time-varying uncertainties. The switching rules designed via this method do not rely on uncertainties, and the switched MAS is quadratically stabilisable via decentralised external self-feedback for all uncertainties. With respect to applications of the stabilisability results, the formation control and the cooperative tracking control are addressed. Numerical simulations are presented to demonstrate the effectiveness of the proposed results.

Effectiveness of a programme of exercise on physical function in survivors of critical illness following discharge from the ICU: study protocol for a randomised controlled trial (REVIVE).

Science.gov (United States)

O'Neill, Brenda; McDowell, Kathryn; Bradley, Judy; Blackwood, Bronagh; Mullan, Brian; Lavery, Gavin; Agus, Ashley; Murphy, Sally; Gardner, Evie; McAuley, Daniel F

2014-04-27

Following discharge home from the ICU, patients often suffer from reduced physical function, exercise capacity, health-related quality of life and social functioning. There is usually no support to address these longer term problems, and there has been limited research carried out into interventions which could improve patient outcomes. The aim of this study is to investigate the effectiveness and cost-effectiveness of a 6-week programme of exercise on physical function in patients discharged from hospital following critical illness compared to standard care. The study design is a multicentre prospective phase II, allocation-concealed, assessor-blinded, randomised controlled clinical trial. Participants randomised to the intervention group will complete three exercise sessions per week (two sessions of supervised exercise and one unsupervised session) for 6 weeks. Supervised sessions will take place in a hospital gymnasium or, if this is not possible, in the participants home and the unsupervised session will take place at home. Blinded outcome assessment will be conducted at baseline after hospital discharge, following the exercise intervention, and at 6 months following baseline assessment (or equivalent time points for the standard care group). The primary outcome measure is physical function as measured by the physical functioning subscale of the Short-Form-36 health survey following the exercise programme. Secondary outcomes are health-related quality of life, exercise capacity, anxiety and depression, self efficacy to exercise and healthcare resource use. In addition, semi-structured interviews will be conducted to explore participants' perceptions of the exercise programme, and the feasibility (safety, practicality and acceptability) of providing the exercise programme will be assessed. A within-trial cost-utility analysis to assess the cost-effectiveness of the intervention compared to standard care will also be conducted. If the exercise programme is

Cognitive-behavioural therapies and exercise programmes for patients with fibromyalgia: state of the art and future directions.

NARCIS (Netherlands)

Koulil, S. van; Effting, M.; Kraaimaat, F.W.; Lankveld, W.G.J.M. van; Helmond, T. van; Cats, H.; Riel, P.L.C.M. van; Jong, A.J.L. de; Haverman, J.F.; Evers, A.W.M.

2007-01-01

This review provides an overview of the effects of non-pharmacological treatments for patients with fibromyalgia (FM), including cognitive-behavioural therapy, exercise training programmes, or a combination of the two. After summarising and discussing preliminary evidence of the rationale of

An implementation study of two evidence-based exercise and health education programmes for older adults with osteoarthritis of the knee and hip

NARCIS (Netherlands)

Jong, O.R.W de; Hopman-Rock, M.; Tak, E.C.M.P.; Klazinga, N.S.

2004-01-01

Implementation studies are recommended to assess the feasibility and effectiveness in real-life of programmes which have been tested in randomized controlled trials (RCTs). We report on an implementation study of two evidence-based exercise and health education programmes for older adults with

Self-rating level of perceived exertion for guiding exercise intensity during a 12-week cardiac rehabilitation programme and the influence of heart rate reducing medication

DEFF Research Database (Denmark)

Tang, Lars H.; Zwisler, Ann-Dorthe; Taylor, Rod S

2016-01-01

OBJECTIVES: To investigate whether self-rating level of perceived exertion can adequately guide exercise intensity during a 12-week cardiac rehabilitation programme. DESIGN: Linear regression analysis using rehabilitation data from two randomised controlled trials. METHODS: Patients undergoing ra......-led and self-regulated model using rating of perceived exertion can help guide exercise intensity in everyday clinical practice among patients with heart disease, irrespective if they are taking heart rate-reducing medication....... radiofrequency ablation for atrial fibrillation or following heart valve surgery and participating in exercise-based rehabilitation were included. The 12-week rehabilitation outpatient programme comprised three weekly training sessions, each consisting of 20min aerobic exercise divided into three steps. Patients...... were asked to base their exercise intensity for each step on a predefined rating of perceived exertion specified in a training diary. Exercise intensity was objectively measured by heart rate during the last 2min for each exercise step. Comparative analysis and linear regression of the rating...

Effectiveness of an exercise programme on physical function in patients discharged from hospital following critical illness: a randomised controlled trial (the REVIVE trial).

Science.gov (United States)

McDowell, Kathryn; O'Neill, Brenda; Blackwood, Bronagh; Clarke, Chris; Gardner, Evie; Johnston, Paul; Kelly, Michaeline; McCaffrey, John; Mullan, Brian; Murphy, Sally; Trinder, T John; Lavery, Gavin; McAuley, Daniel F; Bradley, Judy M

2017-07-01

To investigate the effectiveness of a 6-week exercise programme in patients discharged home following critical illness compared with standard care. Multicentre prospective phase II randomised controlled trial, with blinded outcome assessment after hospital discharge, following the 6-week intervention and at 6 months. 60 patients (30 per group) aged ≥18 years, mechanically ventilated >96 hours, and not in other rehabilitation, that is, cardiac or pulmonary rehabilitation programmes. Participants in the intervention group completed an individually tailored (personalised) exercise programme. Primary outcome measure was SF-36 physical functioning following the intervention. Secondary outcomes included a range of performance-based and patient-reported measures. Improvements in the primary outcome did not differ significantly between groups (mean difference (95% CI) 3.0 (-2.2 to 8.2), p=0.26). The intervention group showed significant improvement compared with the control group (mean difference (95% CI)) in SF-36 role physical (6.6 (0.73 to 12.5), p=0.03); incremental shuttle walk test (83.1 m (8.3 to 157.9), p=0.03); functional limitations profile (-4.8 (-8.7 to -0.9), p=0.02); self-efficacy to exercise (2.2 (0.8 to 3.7), p=0.01) and readiness to exercise (1.3 (0.8 to 1.9), p<0.001). These improvements were not sustained at 6 months except readiness to exercise. Improvements in all other secondary outcome measures were not significant. There was no statistically significant difference in the primary outcome measure of self-reported physical function following this 6-week exercise programme. Secondary outcome results will help inform future studies. NCT01463579. (results), https://clinicaltrials.gov/. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

A community-based Falls Management Exercise Programme (FaME) improves balance, walking speed and reduced fear of falling.

Science.gov (United States)

Yeung, Pui Yee; Chan, Wayne; Woo, Jean

2015-04-01

Although effective community falls prevention programmes for the older persons have been described, challenges remain in translating proven interventions into daily practice. To evaluate the efficacy, feasibility and acceptability of a falls prevention programme that can be integrated into daily activities in a group of community-dwelling older adults with risk of falling. A cohort study with intervention and comparison groups was designed to evaluate a 36-week group-based falls prevention exercise programme (FaME) in the community setting. Participants were aged 60 years or older, had fallen in the past 12 months, had fear of falling with avoidance of activities or had deficits in balance control. Primary outcome measures included assessment of balance control and mobility; secondary outcome measures included level of physical activity, assessment of fear of falling and health-related quality of life. There were 48 and 51 participants in the intervention and comparison groups, respectively. There were improvements in measurements of balance, walking speed and self-efficacy. The drop out rate was low (14.6% and 3.9% from the intervention and comparison groups, respectively). Overall compliance in the intervention group was 79%. Factors that motivated continued participation include the regular and long-term nature of the programme helping to reinforce their exercise habits, the simplicity of movements and friendliness of the group. The FaME programme improves balance, walking speed and reduces fear of falling. It could be widely promoted and integrated into regular health and social activities in community settings.

Body Composition, Lipid Profile, Adipokine Concentration, and Antioxidant Capacity Changes during Interventions to Treat Overweight with Exercise Programme and Whole-Body Cryostimulation

Directory of Open Access Journals (Sweden)

Anna Lubkowska

2015-01-01

Full Text Available The aim of this study was to determine the effect of six-month-long physical exercise programme with a two-time exposure to whole-body cryostimulation (WBC in 20 sessions on antioxidant enzyme activities, lipid profile, and body composition changes in obese people (30 adult subjects; BMI = 30.39 ± 4.31 kg/m2. Blood samples were taken before the programme, one month following the exercise programme, before and after the first WBC treatment, six months following the exercise programme, after the second WBC treatment, and finally one month after the intervention. Six months of moderate aerobic activity combined with WBC did not change body mass or fat and lean body mass percentages, or circulating adiponectin, leptin, and resistin concentrations. In response to intervention a significant decrease in the level of low-density lipoprotein and triglycerides was observed, with a slight increase in high-density lipoprotein concentration. The nature of changes in the activity of respective antioxidant enzymes was not identical. After one month of increased physical activity, a significant decrease in superoxide dismutase, catalase, and glutathione reductase activities was observed (13%, 8%, and 70%, resp.. The SOD activity increased significantly after successive whole-body cryostimulation sessions. As regards catalase, a significant progressive decrease in its activity was observed.

A mixed exercise training programme is feasible and safe and may improve quality of life and muscle strength in multiple myeloma survivors

International Nuclear Information System (INIS)

Groeneveldt, Lara; Mein, Gill; Garrod, Rachel; Jewell, Andrew P; Someren, Ken Van; Stephens, Richard; D’Sa, Shirley P; Yong, Kwee L

2013-01-01

Exercise programmes are beneficial for cancer patients however evidence is limited in patients with multiple myeloma (MM), a cancer that is characterised by osteolytic bone disease, giving rise to high levels of bone morbidity including fractures and bone pain. We conducted a single arm phase 2 study of an exercise programme (EP) as rehabilitation for treated MM patients, to evaluate feasibility, effects on QOL and physiological parameters. Patients were given individualised programmes, comprising stretching, aerobic and resistance exercises, carried out under supervision for 3 months then at home for a further 3 months. Study uptake was high, 60 of 75 (80%) patients approached consented to the study. Screen failures (11, due to fracture risk and disease relapse) and patient withdrawals (12) resulted in a final 37 patients enrolling on the programme. These 37 patients demonstrated high attendance rates in the supervised classes (87%), and high levels of adherence in home exercising (73%). Patients reported better QOL following the EP, with improvement in FACT-G and Fatigue scores over time from baseline (p<0.01 for both, one-way repeated measures ANOVA) to 6 months. Upper and lower limb strength also improved on the EP, from baseline to 6 months (p<0.01 for both). There were no adverse reactions. An EP in MM patients is feasible and safe, with high attendance and adherence. Benefits in QOL, fatigue and muscle strength await confirmation in randomized studies, prompting urgent evaluation of the benefits of EP in the rehabilitation of MM patients

Home-based exercise for elderly patients with intermittent claudication limited by osteoarticular disorders - feasibility and effectiveness of a low-intensity programme.

Science.gov (United States)

Lamberti, Nicola; Straudi, Sofia; Lissia, Efisio; Cavazzini, Lorenza; Buja, Sergio; Manfredini, Roberto; Basaglia, Nino; Manfredini, Fabio

2018-04-01

Peripheral arterial disease (PAD) is a common cardiovascular pathology affecting mobility in elderly. Osteoarticular diseases (ODs), responsible for functional limitations and confounding leg symptoms, may interfere with exercise therapy. This study evaluates the feasibility and effectiveness of a structured home-based exercise programme on rehabilitative outcomes in a cohort of elderly PAD patients with and without coexisting ODs. Patients were enrolled from 2002 to 2016 in an exercise programme prescribed and controlled at the hospital and based on two daily 10-minute home walking sessions below the self-selected speed. The presence and localization of ODs at baseline were derived from consultation of medical documents. The ankle-brachial index and functional outcomes, defined as speed at the onset of claudication and attainable maximal speed by an incremental treadmill test, were assessed at baseline and discharge. Feasibility was determined according to dropout rate, number of visits, duration of the programme, and adherence. A total of 1,251 PAD patients were enrolled (931 men; 71 ± 9 years; 0.63 ± 0.19 ankle-brachial index). Eight hundred sixty-four patients were free of ODs (ODfree PAD , 69 %), whereas 387 were affected by ODs (OD PAD , 31 %), predominantly located in the spine (72 %). In the logistic regression models, the presence of ODs was associated with female sex, overweight, sedentary and/or driving professions. At discharge, OD PAD and ODfree PAD did not differ in dropout rates (12 % each), programme duration (378 ± 241 vs. 390 ± 260 days), number of visits (7 ± 3 each), and adherence (80 % each). Similar improvements for OD PAD and ODfree PAD were observed for the ankle-brachial index (0.06 ± 0.12 each), the speed at onset of claudication (0.7 ± 0.7 vs. 0.7 ± 0.8 kmh-1; p = 0.70), and maximal speed (0.4 ± 0.6 vs. 0.4 ± 0.6 kmh-1; p = 0.77). Equally satisfactory rehabilitative outcomes were observed in elderly patients with claudication

High intensity exercise or conventional exercise for patients with rheumatoid arthritis? Outcome expectations of patients, rheumatologists, and physiotherapists

NARCIS (Netherlands)

Munneke, M.; de Jong, Z.; Zwinderman, A. H.; Ronday, H. K.; van den Ende, C. H. M.; Vliet Vlieland, T. P. M.; Hazes, J. M. W.

2004-01-01

OBJECTIVE: To examine the outcome expectations of RA patients, rheumatologists, and physiotherapists regarding high intensity exercise programmes compared with conventional exercise programmes. METHODS: An exercise outcome expectations questionnaire was administered to 807 RA patients, 153

Exploring physical activity behaviour - needs for and interest in a technology-delivered, home-based exercise programme among patients with intermittent claudication.

Science.gov (United States)

Cornelis, Nils; Buys, Roselien; Fourneau, Inge; Dewit, Tijl; Cornelissen, Véronique

2018-02-01

Supervised walking is a first line therapy in peripheral arterial disease (PAD) with complaints of intermittent claudication. However, uptake of supervised programmes is low. Home-based exercise seems an appealing alternative; especially since technological advances, such as tele-coaching and tele-monitoring, may facilitate the process and support patients when adopting a physically active lifestyle. To guide the development of such an intervention, it is important to identify barriers of physical activity and the needs and interests for technology-enabled exercise in this patient group. PAD patients were recruited at the vascular centre of UZ Leuven (Belgium). A questionnaire assessing PA (SF-International Physical Activity Questionnaire), barriers to PA, and interest in technology-supported exercise (Technology Usage Questionnaire) was completed. Descriptive and correlation analyses were performed. Ninety-nine patients (76 men; mean age 69 years) completed the survey. Physical activity levels were low in 48 %, moderate in 29 %, and high in 23 %. Intermittent claudication itself is the most important barrier for enhanced PA, with most patients reporting pain (93 %), need for rest (92 %), and obstacles worsening their pain (74 %) as barriers. A total of 93 % participants owned a mobile phone; 76 % had Internet access. Eighty-seven reported the need for an exercise programme, with 67 % showing interest in tele-coaching to support exercise. If technology was available, three-quarter stated they would be interested in home-based tele-coaching using the Internet (preferably e-mails, 86 %); 50 % via mobile phone, 87 % preferred text messages. Both were inversely related to age (rpb = 0.363 and rpb = 0.255, p < 0.05). Acquaintance with elastic bands or gaming platforms was moderate (55 and 49 %, respectively), but patients were interested in using them as alternatives (84 and 42 %). Interest in platforms was age-dependent (rs = -0.508, p < 0.01). PAD patients show

Study of the creep of lime-stabilised zirconia

International Nuclear Information System (INIS)

Saint-Jacques, Robert G.

1971-09-01

This research thesis reports the study of creep of stabilised zirconia containing between 13 and 20 per cent of lime, at temperatures between 1.200 and 1.400 C, and under compression stresses between 500 and 4.000 pounds by square inch. Specimens are polycrystalline with an average grain diameter between 7 and 29 microns. The author notably shows that the creep rate of lime-stabilised zirconia is directly proportional to the applied stress, and that the creep apparent activation energy is close to activation energy of volume self-diffusion of calcium and zirconium in lime-stabilised zirconia. Results of creep tests show that, in the studied conditions, the creep rate is directly proportional to the inverse of the grain average diameter, and this is in compliance with the Gifkins and Snowden theory of creep by sliding at grain boundaries. The author also shows that the creep rate of the lime stabilised zirconia varies with lime content, and reaches a maximum when zirconia contains about 15 per cent of lime. Lower creep rates obtained for higher and lower lime contents are explained [fr

Stabilisation of microalgae: Iodine mobilisation under aerobic and anaerobic conditions.

Science.gov (United States)

Han, Wei; Clarke, William; Pratt, Steven

2015-10-01

Mobilisation of iodine during microalgae stabilisation was investigated, with the view of assessing the potential of stabilised microalgae as an iodine-rich fertiliser. An iodine-rich waste microalgae (0.35 ± 0.05 mg I g(-1) VS(added)) was stabilised under aerobic and anaerobic conditions. Iodine mobilisation was linearly correlated with carbon emission, indicating iodine was in the form of organoiodine. Comparison between iodine and nitrogen mobilisation relative to carbon emission indicated that these elements were, at least in part, housed separately within the cells. After stabilisation, there were 0.22 ± 0.05 and 0.19 ± 0.01 mg g(-1) VS(added) iodine remaining in the solid in the aerobic and anaerobic processed material respectively, meaning 38 ± 5.0% (aerobic) and 50 ± 8.6% (anaerobic) of the iodine were mobilised, and consequently lost from the material. The iodine content of the stabilised material is comparable to the iodine content of some seaweed fertilisers, and potentially satisfies an efficient I-fertilisation dose. Copyright © 2015 Elsevier Ltd. All rights reserved.

EFFECT OF ECCENTRIC EXERCISE PROGRAMME ON PAIN AND GRIP STRENGTH FOR SUBJECTS WITH MEDIAL EPICONDYLITIS

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Mishra Prashant Akhilesh

2014-04-01

Full Text Available Background and Objective: Therapeutic eccentric exercise may provide both a structural and functional benefit during tendinopathy rehabilitation. The objective is to find the effect of eccentric exercises on improvement of pain and grip strength for subjects with Medial Epicondylitis. Method: Pre to post test experimental study design randomized thirty subjects with medial epicondylitis, 15 each into Group A and Group B. Group B subjects were treated with conventional therapy and Eccentric exercises. Group A subjects were treated with conventional therapy. Results: When means of post intervention were compared using Independent ‘t’ between groups there was no statistically significant difference in improvements obtained in VAS scores and grip strength. There was a statistically significant change in means of VAS score and Grip strength when means were analyzed by using Paired‘t’ test and Wilcoxon signed rank test within the groups with positive percentage of change. Conclusion: It is concluded that four weeks of Eccentric Exercise Programme combined with conventional therapy shown significant effect on improving pain and Grip strength, however the improvement obtained has no difference when compared with control conventional treatment for Subjects with Medial Epicondylitis.

Performance assessment of stabilised/solidified waste-forms

OpenAIRE

Antemir, Aurora

2010-01-01

A method to treat contaminated land is stabilisation/solidification (S/S), which physically encapsulates and chemically stabilises the contaminants. The current knowledge on the behaviour of S/S systems is based upon scarce and incomplete data, mostly obtained from laboratory simulations or small scale trials of the technology. The field performance of S/S soils is largely unknown.\\ud \\ud The aim of this research was to improve the understanding of the long-term performance of S/S soils, by e...

Modelling and experiments on NTM stabilisation at ASDEX upgrade

Energy Technology Data Exchange (ETDEWEB)

Urso, Laura

2009-07-27

In the next fusion device ITER the so-called neoclassical tearing modes (NTMs) are foreseen as being extremely detrimental to plasma confinement. This type of resistive instability is related to the presence in the plasma of magnetic islands. These are experimentally controlled with local electron cyclotron current drive (ECCD) and the island width decay during NTM stabilisation is modelled using the so-called Modified Rutherford equation. In this thesis, a modelling of the Modified Rutherford equation is carried out and simulations of the island width decay are compared with the experimentally observed ones in order to fit the two free machine-independent parameters present in the equation. A systematic study on a database of NTM stabilisation discharges from ASDEX Upgrade and JT-60U is done within the context of a multi-machine benchmark for extrapolating the ECCD power requirements for ITER. The experimental measurements in both devices are discussed by means of consistency checks and sensitivity analysis and used to evaluate the two fitting parameters present in the Modified Rutherford equation. The influence of the asymmetry of the magnetic island on stabilisation is for the first time included in the model and the effect of ECCD on the marginal island after which the mode naturally decays is quantified. The effect of radial misalignment and over-stabilisation during the experiment are found to be the key quantities affecting the NTM stabilisation. As a main result of this thesis, the extrapolation to ITER of the NTM stabilisation results from ASDEX Upgrade and JT-60U shows that 10MW of ECCD power are enough to stabilise large NTMs as long as the O-point of the island and the ECCD beam are perfectly aligned. In fact, the high ratio between the island size at saturation and the deposition width of the ECCD beam foreseen for ITER is found to imply a maximum allowable radial misalignment of 2-3 cm and little difference in terms of gained performance between

Modelling and experiments on NTM stabilisation at ASDEX upgrade

International Nuclear Information System (INIS)

Urso, Laura

2009-01-01

In the next fusion device ITER the so-called neoclassical tearing modes (NTMs) are foreseen as being extremely detrimental to plasma confinement. This type of resistive instability is related to the presence in the plasma of magnetic islands. These are experimentally controlled with local electron cyclotron current drive (ECCD) and the island width decay during NTM stabilisation is modelled using the so-called Modified Rutherford equation. In this thesis, a modelling of the Modified Rutherford equation is carried out and simulations of the island width decay are compared with the experimentally observed ones in order to fit the two free machine-independent parameters present in the equation. A systematic study on a database of NTM stabilisation discharges from ASDEX Upgrade and JT-60U is done within the context of a multi-machine benchmark for extrapolating the ECCD power requirements for ITER. The experimental measurements in both devices are discussed by means of consistency checks and sensitivity analysis and used to evaluate the two fitting parameters present in the Modified Rutherford equation. The influence of the asymmetry of the magnetic island on stabilisation is for the first time included in the model and the effect of ECCD on the marginal island after which the mode naturally decays is quantified. The effect of radial misalignment and over-stabilisation during the experiment are found to be the key quantities affecting the NTM stabilisation. As a main result of this thesis, the extrapolation to ITER of the NTM stabilisation results from ASDEX Upgrade and JT-60U shows that 10MW of ECCD power are enough to stabilise large NTMs as long as the O-point of the island and the ECCD beam are perfectly aligned. In fact, the high ratio between the island size at saturation and the deposition width of the ECCD beam foreseen for ITER is found to imply a maximum allowable radial misalignment of 2-3 cm and little difference in terms of gained performance between

A self-managed single exercise programme versus usual physiotherapy treatment for rotator cuff tendinopathy: a randomised controlled trial (the SELF study).

Science.gov (United States)

Littlewood, Chris; Bateman, Marcus; Brown, Kim; Bury, Julie; Mawson, Sue; May, Stephen; Walters, Stephen J

2016-07-01

To evaluate the clinical effectiveness of a self-managed single exercise programme versus usual physiotherapy treatment for rotator cuff tendinopathy. Multi-centre pragmatic unblinded parallel group randomised controlled trial. UK National Health Service. Patients with a clinical diagnosis of rotator cuff tendinopathy. The intervention was a programme of self-managed exercise prescribed by a physiotherapist in relation to the most symptomatic shoulder movement. The control group received usual physiotherapy treatment. The primary outcome measure was the Shoulder Pain & Disability Index (SPADI) at three months. Secondary outcomes included the SPADI at six and twelve months. A total of 86 patients (self-managed loaded exercise n=42; usual physiotherapy n=44) were randomised. Twenty-six patients were excluded from the analysis because of lack of primary outcome data at the 3 months follow-up, leaving 60 (n=27; n=33) patients for intention to treat analysis. For the primary outcome, the mean SPADI score at three months was 32.4 (SD 20.2) for the self-managed group, and 30.7 (SD 19.7) for the usual physiotherapy treatment group; mean difference adjusted for baseline score: 3.2 (95% Confidence interval -6.0 to +12.4 P = 0.49).By six and twelve months there remained no significant difference between the groups. This study does not provide sufficient evidence of superiority of one intervention over the other in the short-, mid- or long-term and hence a self-management programme based around a single exercise appears comparable to usual physiotherapy treatment. © The Author(s) 2015.

An individualized exercise programme with and without behavioural change enhancement strategies for managing fatigue among frail older people: a quasi-experimental pilot study.

Science.gov (United States)

Liu, Justina Y-W; Lai, Claudia Ky; Siu, Parco M; Kwong, Enid; Tse, Mimi My

2017-04-01

To evaluate the feasibility and preliminary effects of an individualized exercise programme with and without behavioural change enhancement strategies for frail older people with fatigue. A three-arm, single-blinded, quasi-experimental pilot study. Community health centres. A total of 79 frail older people with fatigue, mean age 79.32 years (±7.72). The combined group received a 16-week combined intervention consisting of exercise training and a behavioural change enhancement programme. The exercise group received exercise training and health talks, whereas the control group received only health talks. Feasibility was assessed through the participants' recruitment, retention, attendance and adherence, feedback, and reports of adverse events. The preliminary effects were assessed by the participants' level of fatigue, physical endurance, self-efficacy, and self-perceived compliance with exercise. Feasibility was achievable with high recruitment (87.2%) and low overall attrition (7.1%) rates. A similar reduction in fatigue was identified in all groups, but a trend of greater improvement in physical endurance was observed in the combined group than in the other two groups. The combined group also had a significantly better attendance rate [F(2,76) = 5.64, p behavioural change, when the participants are establishing the habit of exercising daily.

Comparison of effects of Cyriax physiotherapy, a supervised exercise programme and polarized polychromatic non-coherent light (Bioptron light) for the treatment of lateral epicondylitis.

Science.gov (United States)

Stasinopoulos, Dimitrios; Stasinopoulos, Ioannis

2006-01-01

To compare the effectiveness of Cyriax physiotherapy, a supervised exercise programme, and polarized polychromatic non-coherent light (Bioptron light) in the treatment of lateral epicondylitis. Controlled clinical trial. Rheumatology and rehabilitation centre. This study was carried out with 75 patients who had lateral epicondylitis. They were allocated to three groups by sequential allocation. Group A (n = 25) was treated with Cyriax physiotherapy. A supervised exercise programme was given to group B (n = 25). Group C (n = 25) received polarized polychromatic non-coherent light (Bioptron light). All patients received three treatments per week for four weeks. Pain was evaluated using a visual analogue scale and function using a visual analogue scale and pain-free grip strength at the end of the four-week course of treatment (week 4), one month (week 8), three months (week 16) and six months (week 28) after the end of treatment. The supervised exercise programme produced the largest effect in the reduction of pain and in the improvement of function at the end of the treatment (PBioptron light) may be suitable.

Effects of a 7-Month Exercise Intervention Programme on the Psychosocial Adjustment and Decrease of Anxiety among Adolescents

Science.gov (United States)

Kliziene, Irina; Klizas, Sarunas; Cizauskas, Ginas; Sipaviciene, Saule

2018-01-01

This study investigated the psychosocial adjustment and anxiety of adolescents during a 7-month exercise intervention programme. In addition, extensive research on the psychosocial adjustment of adolescents during intense physical activity was performed. The experimental group included adolescent girls (n = 110) and boys (n = 107) aged between 14…

Impact of a Six-Month Empowerment-Based Exercise Intervention Programme in Non-Physically Active Adolescent Swedish Girls

Science.gov (United States)

Lindgren, Eva-Carin; Baigi, Amir; Apitzsch, Erwin; Bergh, Hakan

2011-01-01

Objective: This study evaluated changes in self-efficacy in non-physically active adolescent girls (13-19 years old) who participated in a six-month, empowerment-based exercise intervention programme (EIP). Design: The study used a pre- and post-test randomized group design and included one pre- and one post-test (at six months) and non-physically…

Waste Stabilisation Ponds

OpenAIRE

Von Sperling, Marcos

2007-01-01

"Waste Stabilisation Ponds is the third volume in the series Biological Wastewater Treatment. The major variants of pond systems are fully covered, namely: facultative ponds anaerobic ponds aerated lagoons maturation ponds The book presents in a clear and informative way the main concepts, working principles, expected removal efficiencies, design criteria, design examples, construction aspects, operational guidelines and sludge managment for pond systems. About the series: The series is...

Exercise interventions for smoking cessation.

Science.gov (United States)

Ussher, Michael H; Taylor, Adrian H; Faulkner, Guy E J

2014-08-29

Taking regular exercise may help people give up smoking by moderating nicotine withdrawal and cravings, and by helping to manage weight gain. To determine whether exercise-based interventions alone, or combined with a smoking cessation programme, are more effective than a smoking cessation intervention alone. We searched the Cochrane Tobacco Addiction Group Specialized Register in April 2014, and searched MEDLINE, EMBASE, PsycINFO, and CINAHL Plus in May 2014. We included randomized trials which compared an exercise programme alone, or an exercise programme as an adjunct to a cessation programme, with a cessation programme (which we considered the control in this review). Studies were required to recruit smokers or recent quitters and have a follow-up of six months or more. Studies that did not meet the full inclusion criteria because they only assessed the acute effects of exercise on smoking behaviour, or because the outcome was smoking reduction, are summarised but not formally included. We extracted data on study characteristics and smoking outcomes. Because of differences between studies in the characteristics of the interventions used we summarized the results narratively, making no attempt at meta-analysis. We assessed risk of selection and attrition bias using standard methodological procedures expected by The Cochrane Collaboration. We identified 20 trials with a total of 5,870 participants. The largest study was an internet trial with 2,318 participants, and eight trials had fewer than 30 people in each treatment arm. Studies varied in the timing and intensity of the smoking cessation and exercise programmes offered. Only one included study was judged to be at low risk of bias across all domains assessed. Four studies showed significantly higher abstinence rates in a physically active group versus a control group at end of treatment. One of these studies also showed a significant benefit for exercise versus control on abstinence at the three-month follow

Effects of a home-exercise therapy programme on cervical and lumbar range of motion among nurses with neck and lower back pain: a quasi-experimental study.

Science.gov (United States)

Freimann, Tiina; Merisalu, Eda; Pääsuke, Mati

2015-01-01

Cervical and lumbar range of motion limitations are usually associated with musculoskeletal pain in the neck and lower back, and are a major health problem among nurses. Physical exercise has been evaluated as an effective intervention method for improving cervical and lumbar range of motion, and for preventing and reducing musculoskeletal pain. The purpose of this study was to investigate the effects of a home-exercise therapy programme on cervical and lumbar range of motion among intensive care unit nurses who had experienced mild to moderate musculoskeletal pain in the neck and or lower back during the previous six months. A quasi-experimental study was conducted among intensive care unit nurses at Tartu University Hospital (Estonia) between May and July 2011. Thirteen nurses who had suffered musculoskeletal pain episodes in the neck and or lower back during the previous six months underwent an 8-week home-exercise therapy programme. Eleven nurses without musculoskeletal pain formed a control group. Questions from the Nordic Musculoskeletal Questionnaire and the 11-point Visual Analogue Scale were used to select potential participants for the experimental group via an assessment of the prevalence and intensity of musculoskeletal pain. Cervical range of motion and lumbar range of motion in flexion, extension, lateral flexion and (cervical range of motion only) rotation were measured with a digital goniometer. A paired t-test was used to compare the measured parameters before and after the home-exercise therapy programme. A Student's t-test was used to analyse any differences between the experimental and control groups. After the home-exercise therapy, there was a significant increase (p cervical range of motion in flexion, extension, lateral flexion and rotation, and in lumbar range of motion in lateral flexion. Cervical range of motion in flexion was significantly higher (p cervical and lumbar range of motion among intensive care nurses. Further studies are

Stabilisation effects of superparamagnetic nanoparticles on clustering in nanocomposite microparticles and on magnetic behaviour

Energy Technology Data Exchange (ETDEWEB)

Mandel, K., E-mail: karl-sebastian.mandel@isc.fraunhofer.de [Fraunhofer Institute for Silicate Research, ISC, Neunerplatz 2, 97082 Würzburg (Germany); University Würzburg, Chair of Chemical Technology of Materials Synthesis, Röntgenring 11, 97070 Würzburg (Germany); Hutter, F., E-mail: frank.hutter@isc.fraunhofer.de [Fraunhofer Institute for Silicate Research, ISC, Neunerplatz 2, 97082 Würzburg (Germany); Gellermann, C., E-mail: carsten.gellermann@isc.fraunhofer.de [Fraunhofer Institute for Silicate Research, ISC, Neunerplatz 2, 97082 Würzburg (Germany); Sextl, G., E-mail: gerhard.sextl@isc.fraunhofer.de [Fraunhofer Institute for Silicate Research, ISC, Neunerplatz 2, 97082 Würzburg (Germany); University Würzburg, Chair of Chemical Technology of Materials Synthesis, Röntgenring 11, 97070 Würzburg (Germany)

2013-04-15

Superparamagnetic nanoparticles of magnetite were coprecipitated from iron salts, dispersed with nitric acid and stabilised either by lactic acid (LA) or by a polycarboxylate-ether polymer (MELPERS4343, MP). The differently stabilised nanoparticles were incorporated into a silica matrix to form nanocomposite microparticles. The silica matrix was prepared either from tetraethylorthosilicate (TEOS) or from an aqueous sodium silicate (water glass) solution. Stabilisation of nanoparticles had a crucial influence on microparticle texture and nanoparticle distribution in the silica matrix. Magnetic measurements in combination with transmission electron microscopy (TEM) investigations suggest a uniform magnetic interaction of nanoparticles in case of LA stabilisation and magnetically interacting nanoparticle clusters of different sizes in case of MP stabilisation. Splitting of blocking temperature (T{sub B}) and irreversible temperature (T{sub ir}) in zero field cooled (ZFC) and field cooled (FC) measurements is discussed in terms of nanoparticle clustering. -- Highlights: ► Superparamagnetic nanoparticles were synthesised, dispersed and stabilised. ► Stabilisation is either via a polycarboxylate ether polymer or lactic acid. ► Stabilised nanoparticles were incorporated into silica to form composite particles. ► Depending on the stabilisation, nanoparticle clustering in the composites differed. ► Clustering influences zero field cooled/field cooled magnetic measurements.

Reducing musculoskeletal injury and concussion risk in schoolboy rugby players with a pre-activity movement control exercise programme: a cluster randomised controlled trial.

Science.gov (United States)

Hislop, Michael D; Stokes, Keith A; Williams, Sean; McKay, Carly D; England, Mike E; Kemp, Simon P T; Trewartha, Grant

2017-08-01

Injury risk in youth rugby has received much attention, highlighting the importance of establishing evidence-based injury reduction strategies. To determine the efficacy of a movement control exercise programme in reducing injuries in youth rugby players and to investigate the effect of programme dose on injury measures. In a cluster-randomised controlled trial, 40 independent schools (118 teams, 3188 players aged 14-18 years) were allocated to receive either the intervention or a reference programme, both of which were to be delivered by school coaches. The intervention comprised balance training, whole-body resistance training, plyometric training, and controlled rehearsal of landing and cutting manoeuvres. Time-loss (>24 hours) injuries arising from school rugby matches were recorded by coaches and medical staff. 441 time-loss match injuries (intervention, 233; control, 208) were reported across 15 938 match exposure-hours (intervention, 9083; control, 6855). Intention-to-treat results indicated unclear effects of trial arm on overall match injury incidence (rate ratio (RR)=0.85, 90% confidence limits 0.61 to 1.17), although clear reductions were evident in the intervention arm for concussion incidence (RR=0.71, 0.48 to 1.05). When trial arm comparisons were limited to teams who had completed three or more weekly programme sessions on average, clear reductions in overall match injury incidence (RR=0.28, 0.14 to 0.51) and concussion incidence (RR=0.41, 0.17 to 0.99) were noted in the intervention group. A preventive movement control exercise programme can reduce match injury outcomes, including concussion, in schoolboy rugby players when compared with a standardised control exercise programme, although to realise the greatest effects players should complete the programme at least three times per week. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted

A 21-Week Bone Deposition Promoting Exercise Programme Increases Bone Mass in Young People with Down Syndrome

Science.gov (United States)

Gonzalez-Aguero, Alejandro; Vicente-Rodriguez, German; Gomez-Cabello, Alba; Ara, Ignacio; Moreno, Luis A.; Casajus, Jose A.

2012-01-01

Aim: To determine whether the bone mass of young people with Down syndrome may increase, following a 21-week conditioning training programme including plyometric jumps. Method: Twenty-eight participants with Down syndrome (13 females, 15 males) aged 10 to 19 years were divided into exercise (DS-E; n = 14; eight females, six males mean age 13y 8mo,…

Fly ash stabilisation of gravel roads; Flygaska som foerstaerkningslager i grusvaeg

Energy Technology Data Exchange (ETDEWEB)

Macsik, Josef

2006-01-15

Majority of the existing gravel roads have low bearing capacity during spring and autumn, due to thaw and/or rain. Low bearing capacity leads often to bad road conditions. This situation results in higher costs for the lumber industry and the public. Management of gravel roads all the year around would traditionally require excavation of frost susceptible soils and replacement with natural materials. Fly ash (from bio fuels) has good technical properties as bearing layer in road constructions. Fly ash stabilised gravel roads have better function and longer life span with less maintenance than traditional gravel roads. The aim of this project is to show how fly ash stabilisation of gravel roads can increase bearing capacity and what its environmental impact is. The overall aim is to make it easier for entrepreneurs and consulting companies to use fly ash during gravel road renovation and/or constructing new gravel roads. This report targets fly ash producers and road constructors as well as environmental agencies. Two different pilot tests were investigated in this study, Norberg with fly ash from Stora Enso Fors AB, and Boerje (Uppsala) with fly ash from Vattenfall Uppsala AB. Both road sections with related reference section were investigated during a two year period. Only fly ash was used in the bearing layer at Norberg and fly ash gravel was used at Boerje. Bearing capacity was investigated twice, for both locations, November 2003 one month after the road renovation and during thawing, April 2004. Water samples from lysimeters, ground water and surface water were only collected and analysed from Norberg. Experience from the fly ash stabilised road sections show that curing and traffic load can with time compensate for less compaction. The same is noticed at Boerje, although deflection measurements show that there are small differences. Stabilisation of gravel roads increases the roads bearing capacity. Two years after stabilisation 90 timber loads were

Can exercise prevent cognitive decline?

Science.gov (United States)

Behrman, Sophie; Ebmeier, Klaus P

2014-01-01

As the tolerability of pharmacological agents decreases with age, exercise may be particularly helpful as a possible treatment or stabiliser of mood and cognitive function in older age. Exercise has been most commonly evaluated for the treatment of depression. Exercise interventions designed primarily for treatment of physical conditions in the elderly do appear to confer psychological benefits as well, with reduction in depressive symptoms over the course of treatment. The effects of exercise on reducing depressive symptoms are not dissimilar to the effects of antidepressant drugs and cognitive behaviour therapy. Exercise may be a useful low-tech intervention for people with mild to moderate depression. In particular, exercise may be helpful in the elderly and in patients who have had insufficient response to, or are intolerant of, pharmacotherapy. Mastery of a new skill and positive feedback from others may increase feelings of self-esteem and improve mood. Exercise may distract participants from persistent negative thoughts. Exercise has been shown to improve executive function acutely in adults of all ages. It is possible that dance routines or other exercise regimens requiring some cognitive input may confer additional benefit to cognitive function. Exercise has a moderate effect on the ability of people with dementia to perform activities of daily living and may improve cognitive function. Midlife exercise may also have an impact on later cognitive function.

States of fragility: stabilisation and its implications for humanitarian action.

Science.gov (United States)

Collinson, Sarah; Elhawary, Samir; Muggah, Robert

2010-10-01

This paper explores the evolution of international stabilisation agendas and their significance for humanitarian action. Stabilisation includes a combination of military, humanitarian, political and economic activities to control, contain and manage areas affected by armed conflict and complex emergencies. Encompassing narrow security objectives and broader peace-building efforts, stabilisation is both a conservative and potentially transformative, comprehensive and long-term agenda. The open-ended approach allows for widely varying interpretations and applications in different circumstances and by different actors with an assortment of implications for humanitarian action. The relationship between the two is highly uncertain and contentious, due not only to the controversies surrounding stabilisation policies, but also to deep-seated ambiguities at the heart of humanitarianism. While humanitarian actors are preoccupied with the growing involvement of the military in the humanitarian sphere, the paper argues that it is trends in the humanitarian-political interface that represent the more fundamental dilemma. © 2010 The Author(s). Journal compilation © Overseas Development Institute, 2010.

Effectiveness of a Nintendo Wii balance board exercise programme on standing balance of children with cerebral palsy: A randomised clinical trial protocol

Directory of Open Access Journals (Sweden)

Valeska Gatica-Rojas

2017-06-01

Discussion: This is the first trial that measures and compares the effects of a Nintendo Wii Balance Board exercise programme on standing balance in children with cerebral palsy compared to conventional therapy.

Effects of an exercise programme for chronically ill and mobility-restricted elderly with structured support by the general practitioner's practice (HOMEfit - study protocol of a randomised controlled trial

Directory of Open Access Journals (Sweden)

Hinrichs Timo

2011-12-01

Full Text Available Abstract Background Exercise programmes can be administered successfully as therapeutic agents to patients with a number of chronic diseases and help to improve physical functioning in older adults. Usually, such programmes target either healthy and mobile community-dwelling seniors or elderly individuals living in nursing institutions or special residences. Chronically ill or mobility-restricted individuals, however, are difficult to reach when they live in their own homes. A pilot study has shown good feasibility of a home-based exercise programme that is delivered to this target group through cooperation between general practitioners and exercise therapists. A logical next step involves evaluation of the effects of the programme. Methods/design The study is designed as a randomised controlled trial. We plan to recruit 210 patients (≥ 70 years in about 15 general practices. The experimental intervention (duration 12 weeks-a multidimensional home-based exercise programme-is delivered to the participant by an exercise therapist in counselling sessions at the general practitioner's practice and on the telephone. It is based on methods and strategies for facilitating behaviour change according to the Health Action Process Approach (HAPA. The control intervention-baseline physical activities-differs from the experimental intervention with regard to content of the counselling sessions as well as to content and frequency of the promoted activities. Primary outcome is functional lower body strength measured by the "chair-rise" test. Secondary outcomes are: physical function (battery of motor tests, physical activity (step count, health-related quality of life (SF-8, fall-related self-efficacy (FES-I, and exercise self-efficacy (SSA-Scale. The hypothesis that there will be differences between the two groups (experimental/control with respect to post-interventional chair-rise time will be tested using an ANCOVA with chair-rise time at baseline

Controlled ecological evaluation of an implemented exercise training programme to prevent lower limb injuries in sport: differences in implementation activity.

Science.gov (United States)

Donaldson, Alex; Gabbe, Belinda J; Lloyd, David G; Cook, Jill; Finch, Caroline F

2018-04-24

The public health benefits of injury prevention programmes are maximised when programmes are widely adopted and adhered to. Therefore, these programmes require appropriate implementation support. This study evaluated implementation activity outcomes associated with the implementation of FootyFirst, an exercise training injury prevention programme for community Australian football, both with (FootyFirst+S) and without (FootyFirst+NS) implementation support. An evaluation plan based on the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) Sports Setting Matrix was applied in a controlled ecological evaluation of the implementation of FootyFirst. RE-AIM dimension-specific (range: 0-2) and total RE-AIM scores (range: 0-10) were derived by triangulating data from a number of sources (including surveys, interviews, direct observations and notes) describing FootyFirst implementation activities. The mean dimension-specific and total scores were compared for clubs in regions receiving FootyFirst+S and FootyFirst+NS, through analysis of variance. The mean total RE-AIM score forclubs in the FootyFirst+S regions was 2.4 times higher than for clubs in the FootyFirst+NS region (4.73 vs 1.94; 95% CI for the difference: 1.64 to 3.74). Similarly, all dimension-specific scores were significantly higher for clubs in the FootyFirst+S regions compared with clubs in the FootyFirst+NS region. In all regions, the dimension-specific scores were highest for reach and adoption, and lowest for implementation. Implementing exercise training injury prevention programmes in community sport is challenging. Delivering programme content supported by a context-specific and evidence-informed implementation plan leads to greater implementation activity, which is an important precursor to injury reductions. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise

A Three Month Home Exercise Programme Augmented with Nordic Poles for Patients with Intermittent Claudication Enhances Quality of Life and Continues to Improve Walking Distance and Compliance After One Year.

Science.gov (United States)

Oakley, C; Spafford, C; Beard, J D

2017-05-01

The objective of this study was to collect 1 year follow-up information on walking distance, speed, compliance, and cost in patients with intermittent claudication who took part in a previously reported 12 week randomised clinical trial of a home exercise programme augmented with Nordic pole walking versus controls who walked normally. A second objective was to look at quality of life and ankle brachial pressure indices (ABPIs) after a 12 week augmented home exercise programme. Thirty-two of the 38 patients who completed the original trial were followed-up after 6 and 12 months. Frequency, duration, speed, and distance of walking were recorded using diaries and pedometers. A new observational cohort of 29 patients was recruited to the same augmented home exercise programme. ABPIs, walking improvement, and quality of life questionnaire were recorded at baseline and 12 weeks (end of the programme). Both groups in the follow-up study continued to improve their walking distance and speed over the following year. Compliance was excellent: 98% of the augmented group were still walking with poles at both 6 and 12 months, while 74% of the control group were still walking at the same point. The augmented group increased their mean walking distance to 17.5 km by 12 months, with a mean speed of 4.2 km/hour. The control group only increased their mean walking distance from 4.2 km to 5.6 km, and speed to 3.3 km/hour. Repeated ANOVA showed the results to be highly significant (p = .002). The 21/29 patients who completed the observational study showed a statistically significant increase in resting ABPIs from baseline (mean ± SD 0.75 ± 0.12) to week 12 (mean ± SD 0.85 ± 0.12) (t = (20) -8.89, p = .000 [two-tailed]). All their walking improvement and quality of life parameters improved significantly (p = .002 or less in the six categories) over the same period and their mean health scores improved by 79%. Following a 12 week augmented home exercise

Effects of a supervised, outpatient exercise and physiotherapy programme in children with cystic fibrosis.

Science.gov (United States)

Urquhart, Donald; Sell, Zoe; Dhouieb, Elaine; Bell, Gillian; Oliver, Sarah; Black, Ryan; Tallis, Matthew

2012-12-01

Previous work suggests benefit from outpatient exercise and physiotherapy in children with cystic fibrosis (CF), namely improved exercise capacity and lung function measures, as well reduced intravenous (IV) antibiotic needs. Our study aim was to investigate the effect of a year-long supervised outpatient exercise and physiotherapy programme in children with CF. Subjects with CF aged ≥10 years who had received ≥4 courses of IV antibiotics in 2009 were enrolled and seen fortnightly for supervised exercise and physiotherapy throughout 2010. In addition, they were expected to exercise three times weekly, and if unwell complete additional physiotherapy sessions extra to usual chest physiotherapy. Assessments of exercise capacity using the Modified Shuttle Test (MST) and quality of life (QOL; CFQ-UK) were recorded at baseline and after 1 year. Regular spirometry was performed before and throughout the study. Data were collected on IV antibiotic days. 12 subjects (6 female) were enrolled with mean (95% CI) age of 13.3 (11.8-14.6) years at study entry. A significant reduction in IV antibiotic days from 60 (56-64) days in 2009 to 50 (44-56) in 2010 (P = 0.02) was noted, along with improved MST distance (m) [735 (603-867) vs. 943 (725-1,161), P = 0.04] and level attained [9.4 (8.4-10.5) vs. 11.1 (9.6-12.6), P = 0.04]. Significant improvements in CFQ-UK scores for physical [59 (47-72) vs. 83 (74-92), P = 0.001], emotional [63 (55-72) vs. 84 (74-93), P physiotherapy are associated with improvements in QOL and exercise tolerance, a reduction in IV antibiotic days, and a trend towards reducing lung function decline in children with CF. The cost of IV antibiotics was reduced by £66,384 ($104,000) in 2010 when compared with 2009. Such cost-benefit may have implications for workforce planning and service provision. Copyright © 2012 Wiley Periodicals, Inc.

Stability and stabilisation of a class of networked dynamic systems

Science.gov (United States)

Liu, H. B.; Wang, D. Q.

2018-04-01

We investigate the stability and stabilisation of a linear time invariant networked heterogeneous system with arbitrarily connected subsystems. A new linear matrix inequality based sufficient and necessary condition for the stability is derived, based on which the stabilisation is provided. The obtained conditions efficiently utilise the block-diagonal characteristic of system parameter matrices and the sparseness of subsystem connection matrix. Moreover, a sufficient condition only dependent on each individual subsystem is also presented for the stabilisation of the networked systems with a large scale. Numerical simulations show that these conditions are computationally valid in the analysis and synthesis of a large-scale networked system.

CLIC Drive Beam Phase Stabilisation

CERN Document Server

Gerbershagen, Alexander; Schulte, Daniel

The thesis presents phase stability studies for the Compact Linear Collider (CLIC) and focuses in particular on CLIC Drive Beam longitudinal phase stabilisation. This topic constitutes one of the main feasibility challenges for CLIC construction and is an essential component of the current CLIC stabilisation campaign. The studies are divided into two large interrelated sections: the simulation studies for the CLIC Drive Beam stability, and measurements, data analysis and simulations of the CLIC Test Facility (CTF3) Drive Beam phase errors. A dedicated software tool has been developed for a step-by-step analysis of the error propagation through the CLIC Drive Beam. It uses realistic RF potential and beam loading amplitude functions for the Drive and Main Beam accelerating structures, complete models of the recombination scheme and compressor chicane as well as of further CLIC Drive Beam modules. The tool has been tested extensively and its functionality has been verified. The phase error propagation at CLIC h...

Effectiveness of community-based exercise intervention programme in obese adults with metabolic syndrome.

Science.gov (United States)

Chang, Shu-Hung; Chen, Miao-Chuan; Chien, Nai-Hui; Lin, Hsih-Fong

2016-09-01

The objective of this study was to change the anthropometric, clinical, biochemical indicators and the rate of metabolic syndrome among obese adults in community. Obesity is an indicator of metabolic syndrome and cardiometabolic diseases. Obesity increases national health care expenditure in Taiwan. The high prevalence of obesity is not only a public health issue but also an economic problem. Changes in lifestyle can help to prevent metabolic syndrome for individuals with obesity. A randomised controlled trial was applied. In this randomised controlled trial by location, 136 metabolically abnormal obese individuals were included. The related indicators with metabolic syndrome were measured at baseline and after six months. The experimental group participated in a six-month community-based programme including provided exercise environments, exercise skills and volunteers' reminding. The control group was only provided environment and skills. One hundred and thirty-one participants completed this trail. In comparison with the baseline, the intervention group showed a significant increase in high-density lipoprotein cholesterol (2·34 mg/dl), and decrease in body weight (1·09 kg), waist circumference (3·63 cm), systolic blood pressure (10·52 mmHg), diastolic blood pressure (5·21 mmHg), fasting blood glucose (5·84 mg/dl) and body mass index (0·74 kg/m(2) ). In the control group, significant decrease in body mass index and waist circumference were discovered. Compared to the changes between the two groups, the results showed there were significant differences in waist circumference, systolic blood pressure, diastolic blood pressure and high-density lipoprotein cholesterol. The community-based intervention could help to improve high-density lipoprotein cholesterol, reduce body weight, body mass index, waist circumference, blood pressure and fasting blood glucose in metabolically abnormal obese. This community-based programme helped metabolically abnormal

The effects of balance and postural stability exercises on spa based rehabilitation programme in patients with ankylosing spondylitis.

Science.gov (United States)

Gunay, Selim M; Keser, Ilke; Bicer, Zemzem T

2018-01-01

Ankylosing spondylitis (AS) can cause severe functional disorders that lead to loss of balance. The aim of this study was to investigate the effects of balance and postural stability exercises on spa based rehabilitation programme in AS subjects. Twenty-one participants were randomized to the study (n= 11) and control groups (n= 10). Patients balance and stability were assessed with the Berg Balance Scale (BBS), Timed Up and Go (TUG) Test, Single Leg Stance Test (SLST) and Functional Reach Test (FRT). AS spesicied measures were used for assessing to other parameters. The treatment plan for both groups consisted of conventional transcutaneous electrical nerve stimulation (TENS), spa and land-based exercises 5 days per week for 3 weeks. The study group performed exercises based on postural stability and balance with routine physiotherapy practice in thermal water and in exercise room. The TUG, SLST and FUT scores were significantly increased in the study group. In both groups, the BASMI, BASFI, BASDAI and ASQoL scores decreased significantly by the end of the treatment period (pbalance and stability exercises in addition to spa based routine approaches can increase the duration of maintaining balance and can improve the benefits of physiotherapy.

Gravel road stabilisation of Ehnsjoevaegen, Hallstavik[Using fly ash]; Skogsbilvaegsrenovering av Ehnsjoevaegen, Hallstavik

Energy Technology Data Exchange (ETDEWEB)

Macsik, Josef; Svedberg, Bo [Ecoloop, Stockholm (Sweden)

2006-03-15

Fly ash in geotechnical applications has stabilising, isolating, low permeability and hardening effect. Fly ash can be used in road constructions with low bearing capacity, as well as on top cover material on landfills. The aim of the project was to build a road section with fly ash stabilised gravel, based on laboratory studies, and follow up technical and environmental aspect during the first year after stabilisation. The overall aim of this project was to evaluate fly ash from Holmen Paper, Hallstavik, from technical and environmental point of view in a gravel road construction. A gravel road, Ehnsjoevaegen, was stabilised with fly ash during autumn 2004. This road was a low priority road. The fly ash stabilised road section was 1300 m long. Gravel from the road Ehnsjoevaegen was stabilised and investigated in a laboratory study. Leachability of metals and geotechnical aspects were investigated. The laboratory study showed that fly ash stabilised gravel has high shear strength, however its thawing resistance is not fully acceptable. Additives of cement or merit are needed in order to increase its thawing resistance. The actual road section is not going to be used during thawing period and no additives were used. The test road is divided into different sections including a reference section. The road stabilisation work was conducted with gravel transported to Ehnsjoevaegen from off site and not with gravel from the site. Fly ash was tipped off on a levelled road, followed by tipping of gravel. Mixing fly ash and gravel was done on site by a road scraper. After the mixing the road was gravelled with 0,1 m graded gravel. In this project the fly ash had low water content. In order to get optimal compaction water was added from a tanker supplying water before compacted with a compactor. Results from the pilot test shows that fly ash stabilised gravel can be tipped, mixed and compacted effectively. Tipping can be optimised if fly ash and gravel is mixed in a mixer

Exercise and manual auricular acupuncture: a pilot assessor-blind randomised controlled trial. (The acupuncture and personalised exercise programme (APEP Trial

Directory of Open Access Journals (Sweden)

Hurley D

2008-03-01

Full Text Available Abstract Background Evidence supports the use of exercise for chronic low back pain (CLBP; however, adherence is often poor due to ongoing pain. Auricular acupuncture is a form of pain relief involving the stimulation of points on the outer ear corresponding with specific body parts. It may be a useful adjunct to exercise in managing CLBP; however, there is only limited evidence to support its use with this patient group. Methods/Design This study was designed to test the feasibility of an assessor-blind randomised controlled trial which assess the effects on clinical outcomes and exercise adherence of adding manual auricular acupuncture to a personalised and supervised exercise programme (PEP for CLBP. No sample size calculation has been carried out as this study aims to identify CLBP referral rates within the catchment area of the study site. The researchers aim to recruit four cohorts of n = 20 participants to facilitate a power analysis for a future randomised controlled trial. A computer generated random allocation sequence will be prepared centrally and used to allocate participants by cohort to one of the following interventions: 1 six weeks of PEP plus manual auricular acupuncture; 2 six weeks of PEP alone. Both groups will also complete a further six weeks of self-paced exercise with telephone follow-up support. In addition to a baseline and exit questionnaire at the beginning and end of the study, the following outcomes will be collected at baseline, and after 7, 13 and 25 weeks: pain frequency and bothersomeness, back-specific function, objective assessment and recall of physical activity, use of analgesia, perceived self-efficacy, fear avoidance beliefs, and beliefs about the consequences of back pain. Since this is a feasibility study, significance tests will not be presented, and treatment effects will be represented by point estimates and confidence intervals. For each outcome variable, analysis of covariance will be performed on

Investigations into the stabilisation of drugs by sugar glasses : I. Tablets prepared from stabilised alkaline phosphatase

NARCIS (Netherlands)

Eriksson, H.J.C.; Hinrichs, W.L.J.; van Veen, B.; Somsen, G.W.; de Jong, G.J.; Frijlink, H.W.

2002-01-01

The aim of this study was to investigate the formulation of sugar glass stabilised alkaline phosphatase from bovine intestine (BIAP) into tablets. Two major subjects of tablet formulation were investigated. First, the compaction behaviour of the inulin sugar glass was investigated. Secondly, the

Preparing Stabilisation for 21st Century Security Challenges

Directory of Open Access Journals (Sweden)

Steven A. Zyck

2015-11-01

Full Text Available Stabilisation, as a concept and set of practices, has proliferated over the past two decades and is now implicitly integrated into a range of global frameworks. However, this enthusiasm has at times risked turning this increasingly common, albeit contested, idea into a piece of jargon that discounts its unique facets: a focus on all sorts of violence, not just conflict, that create political instability and human harm and a problem-solving approach that draws selectively on various forms of intervention (e.g., statebuilding, counterinsurgency, peacekeeping, etc. without being beholden to any one toolkit. The pragmatism inherent within the concept of stabilisation will grow increasingly important as new security challenges emerge or proliferate. These include the fragmentation and regionalisation of conflict systems, transnational organised crime, large-scale migration and new, disruptive technologies. Novel approaches rooted in big data and technology will increasingly need to be applied. Most importantly, in foreign policy, military and development communities often driven by perceptions about what causes, ends or prevents violence, stabilisation must maintain its agnostic, problem-solving roots and allegiance to evidence over ideology.

The effectiveness of arthroscopic stabilisation for failed open shoulder instability surgery.

Science.gov (United States)

Millar, N L; Murrell, G A C

2008-06-01

We identified ten patients who underwent arthroscopic revision of anterior shoulder stabilisation between 1999 and 2005. Their results were compared with 15 patients, matched for age and gender, who had a primary arthroscopic stabilisation during the same period. At a mean follow-up of 37 and 36 months, respectively, the scores for pain and shoulder function improved significantly between the pre-operative and follow-up visits in both groups (p = 0.002), with no significant difference between them (p = 0.4). The UCLA and Rowe shoulder scores improved significantly (p = 0.004 and p = 0.002, respectively), with no statistically significant differences between groups (p = 0.6). Kaplan-Meier analysis for time to recurrent instability showed no differences between the groups (p = 0.2). These results suggest that arthroscopic revision anterior shoulder stabilisation is as reliable as primary arthroscopic stabilisation for patients who have had previous open surgery for recurrent anterior instability.

The production of hydrotalcite from magnesite ore as non-toxic heat stabiliser for polyvinyl chloride

Directory of Open Access Journals (Sweden)

J. van der Laan

2005-09-01

Full Text Available In recent years polyvinyl chloride (PVC processors had to submit to worldwide pressure to convert to environmentally friendly stabilisers such as hydrotalcite (HT, since most of the heat stabilisers currently in use contain heavy metals such as lead, cadmium or barium – these being highly toxic. The presently used HT production process is, however, very expensive as it involves the recovering of magnesium from seawater magnesia. The purpose of this study was to prove that it is indeed possible to produce cost effective and non-toxic HT from an alternative source. During this study the costing and heat stabilising ability of the hydrotalcite produced from magnesite was compared to that of commercially available heat stabilisers. The effect of the pre-mixing process, as well as the influence of particle size distribution was also investigated. A cost comparative and stabilising efficiency study indicated the cost effectiveness of HT produced from magnesite ore, in comparison with other commercially available stabilisers. The use of HT as produced from magnesite ore would indeed assist in the worldwide changeover to environmentally friendly stabilisers.

Strategy for developing and conducting nuclear emergency exercises

International Nuclear Information System (INIS)

2007-01-01

Emergency situations demand that actions be taken by responsible organisations and individuals at the site of the emergency and at the local, national and international levels to mitigate the impact on people and the environment. Effective emergency response requires development and implementation of emergency plans and procedures; established arrangements at the local, national and international levels; acquisition and maintenance of resources (funding, equipment and personnel); training of personnel; conduct of exercises; and a 'feedback programme' whereby improvements to the emergency management system are made based on lessons identified from exercises and actual events. A means for demonstrating the effectiveness of an emergency programme is through the conduct of exercises. Exercises demonstrate the effectiveness of plans, procedures, training and equipment; adequacy of response arrangements and resources; capabilities of response personnel in performing their assigned tasks; ability of individuals and organisations to work together; and provide a forum for exploring and testing revisions, modifications, and new and/or proposed changes to any emergency programme element in near realistic situations. Exercises may range in scope from small-scale drills to large-scale national or international exercises. There is clear benefit to organisations in supporting, developing and conducting well-managed exercises. Exercising is a resource-intensive tool; however, it is a critical tool for enhancing performance, testing arrangements and identifying areas for improvement. A thoroughly developed strategy should therefore be in place to ensure maximum value from an exercise programme. This report contributes to the good practice and management of exercise programmes by providing a strategy for improving the value of planning, conducting, participating in and/or supporting exercises. The OECD/NEA International Nuclear Emergency Exercise (INEX) series undertaken over the

stabilisation of niger delta fat clay with blend of binders for subgrade

African Journals Online (AJOL)

HOD

Construction of roads on fine-grained soils without any form of stabilisation is a major ... and Portland Cement (PC) to improve its plasticity, California Bearing Ratio (CBR), and swell. .... sand, DCA, lateralite, and cement in stabilising a fat clay.

Fly ashes as binders for the stabilisation of gravel. Laboratory tests and preparations for a field test; Flygaskor som bindemedel foer stabilisering av grusmaterial. Laboratorieundersoekningar samt foerberedelser infoer provbyggandet

Energy Technology Data Exchange (ETDEWEB)

Lahtinen, Pentti; Jyraevae, Harri; Maijala, Aino; Macsik, Josef

2005-04-01

The project is based on the results of a significant research project FACE (Fly Ash in Civil Engineering). The project aims at the development of binder recipes based on a chosen fly ash from Holmen Paper's Hallsta Pappersbruk for the renovation of a road. The development will benefit from the Finnish research and experience on this type of binders for geotechnical applications. The stabilisation should result in improving bearing capacity and better long-term durability and service life of the gravel roads. The environmentally friendly stabilisation system comprises also the possibility to reuse and recycle the material that already exists in the road to be renovated. The test materials for the development project were the gravel from a chosen test road and the fly ash of Holmen Paper AB. The fly ash was used as the binder material. The geotechnical tests included characterisation tests of the test materials, tests on the stabilised mixes and control tests for the stabilisation recipe. Also, there were tests for the assessment of the environmental impact of the stabilisation. Side by side with those tests there has been a full-scale test, a separate project in Hallstavik, to test the stabilisation process with respect to the technical, environmental and economical aspects of construction. The full-scale test will be reported separately. The project results imply that fly ash can be beneficially used as a binder for the stabilisation of gravel materials and similar materials. Fly ash can be used also with small amounts of other binder materials like cement or blast-furnace slag in order to have a frost resistant material. The project gives also basis for the development of binders for other types of applications, both for the renovation purposes and for the improvement of spoils for construction purposes.

The stabilisation of final focus system

Indian Academy of Sciences (India)

The StaFF (stabilisation of final focus) system will use interferometers to monitor the relative ... quadrupole magnets will be the most demanding application, where mutual and beam- ... interferometers to measure lines of a geodetic network to record relative motion between two beam ... coupled interferometer design.

Labelling and evaluation of new stabilised neurotensin (8-13) analogues for SPET

International Nuclear Information System (INIS)

Chavatte, K.; Terriere, D.; Jeannin, L.

1998-01-01

Neurotensin (8-13) analogues were biologically stabilised by replacement of the peptide bond between amino acids 8 and 9 by the reduced ψ(CH 2 -NH) isostere. DTPA analogues for In-111 labelling and 2-bromo-phenyl-acetyl analogues for radioiodination, showed receptor affinities in the low nanomolar range in combination with a biological half live in human plasma up to 275 minutes. Biodistribution studies in male Wistar rats of metabolically stabilised and non-stabilised 111 In-DTPA-NT(8-13) analogues showed a major clearance from the blood through the kidneys. 125 I-labelled Neurotensin (8-13) analogues showed accumulation up to 2.2% of the injected dose per g tissue in the liver which might be an important disadvantage when diagnosis of tumours in the gut is aimed. It is strongly suggested that stabilised neurotensin (8-13) analogues whether labelled with In-111, I-123 and the near future with Tc-99m, may act as new potential peptidergic radiopharmaceuticals for SPET diagnosis of different NT-receptor positive tumours like non-endocrine pancreas carcinoma, small cell lung carcinoma or colon adeno carcinoma. It is enticing to speculate that metabolically stabilised Neurotensin (8-13) analogues labelled with an appropriate isotope might be useful in therapy of different human cancers. (author)

Effect of diet and physical exercise intervention programmes on coronary heart disease risk in smoking and non-smoking men in Sweden.

Science.gov (United States)

Näslund, G K; Fredrikson, M; Hellénius, M L; de Faire, U

1996-01-01

STUDY OBJECTIVE: To investigate differences between smokers and non-smokers in health behaviour, cardiovascular risk factors, coronary heart disease (CHD) risks, health knowledge, health attitudes, and compliance with a CHD prevention programme. DESIGN: Differences between smokers and non-smokers were studied via medical examinations, questionnaires, physical exercise activity logs, and food record sheets. Data were analysed using univariate and multivariate analyses. The five and 10 year CHD risks were assessed using the Framingham CHD risk estimate. SETTING: The Karolinska Hospital, Stockholm, and Sollentuna Primary Health Centre, Sollentuna, Sweden. PARTICIPANTS: The analyses were based on 158 healthy smoking and non-smoking men aged 35-60 years with raised cardiovascular risk factors who enrolled in controlled, randomised six month diet and exercise programmes. MAIN RESULTS: Discriminant analysis suggested that smokers, compared with non-smokers, were characterised by a higher alcohol energy percent, lower HDL cholesterol concentration, lower systolic blood pressure, and a higher plasminogen activator inhibitor-1 (PAI-1) value. Knowledge of the risk factors for CHD was not a discriminating factor. Both smokers and non-smokers increased the exercise taken, improved their diet, and lowered their CHD risk. Before, as well as after the intervention, smokers had a higher CHD risk than non-smokers. CONCLUSIONS: The best CHD prevention action that could be taken by smokers would of course be to quit smoking. Those who cannot stop should be encouraged to improve their diet and increase the amount of physical exercise they take in order to reduce the health hazards of their smoking behaviour. PMID:8762375

On the design and role of passive stabilisation within the ST40 spherical tokamak

Science.gov (United States)

Buxton, P. F.; Asunta, O.; Gryaznevich, M. P.; Lockley, D.; McNamara, S.; Medvedev, S.; Ruiz de Villa Valdés, E.; Whitfield, G.; Wood, J. M.

2018-06-01

The position of passive stabilisation has been optimised for the low aspect ratio tokamak ST40. We find that passive stabilisation is most effective when conductors are placed near the plasma’s x-point, and the combined effect of having both inboard and outboard passive stabilisation significantly reduces the vertical instability growth rate. The growth rate can be further decreased by cooling the passive conductors down to 80 K. Two concepts for passive stabilisation are considered, passive plates and passive coils, and the relative advantages and disadvantages of each are discussed. Both concepts involve connecting the upper and lower conductors in an ‘anti-symmetric’ manner, which prevents large currents from being induced.

Global D-brane models with stabilised moduli and light axions

Science.gov (United States)

Cicoli, Michele

2014-03-01

We review recent attempts to try to combine global issues of string compactifications, like moduli stabilisation, with local issues, like semi-realistic D-brane constructions. We list the main problems encountered, and outline a possible solution which allows globally consistent embeddings of chiral models. We also argue that this stabilisation mechanism leads to an axiverse. We finally illustrate our general claims in a concrete example where the Calabi-Yau manifold is explicitly described by toric geometry.

Quality stabilisation of synthetic sand containing bentonite in process lines

OpenAIRE

A. Fedoryszyn

2010-01-01

Stabilisation of sand quality requires the monitoring and control of sand moisture contents and its other parameters at each stage of sandprocessing, i.e. during the preparation of return sand mix and rebonding processes. Stabilisation of sand quality necessitates the use of reliable control equipment and evaluation procedures. This study outlines the scope and results of research work aimed to improve the control equipment to enhance the performance of turbine mixers. The paper reviews the m...

Release behavior of triazine residues in stabilised contaminated soils

International Nuclear Information System (INIS)

Ying, G.G.; Kookana, R.S.; Mallavarpu, M.

2005-01-01

This paper reports the release behavior of two triazines (atrazine and simazine) in stabilised soils from a pesticide-contaminated site in South Australia. The soils were contaminated with a range of pesticides, especially with triazine herbicides. With multiple extractions of each soil sample with deionised water (eight in total), 15% of atrazine and 4% of simazine residues were recovered, resulting in very high concentrations of the two herbicides in leachate. The presence of small fractions of surfactants was found to further enhance the release of the residues. Methanol content up to 10% did not substantially influence the concentration of simazine and atrazine released. The study demonstrated that while the stabilisation of contaminated soil with particulate activated carbon (5%) and cement mix (15%) was effective in locking the residues of some pesticides, it failed to immobilise triazine herbicides residues completely. Given the higher water solubility of these herbicides than other compounds more effective strategies to immobilise their residues is needed. - Stabilisation of contaminated soil with a mix of activated carbon and cement may fail to immobilise some contaminants like triazines

Security for whom? Stabilisation and civilian protection in Colombia.

Science.gov (United States)

Elhawary, Samir

2010-10-01

This paper focuses on three periods of stabilisation in Colombia: the Alliance for Progress (1961-73) that sought to stem the threat of communist revolution in Latin America; Plan Colombia and President Alvaro Uribe's 'democratic security' policy (2000-07) aimed at defeating the guerrillas and negotiating a settlement with the paramilitaries; and the current 'integrated approach', adopted from 2007, to consolidate more effectively the state's control of its territory.(1) The paper assesses the extent to which these stabilisation efforts have enhanced the protection of civilians and ultimately finds that in all three periods there has been a disconnect between the discourse and the practice of stabilisation. While they have all sought to enhance security, in actual fact, they have privileged the security of the state and its allies at the expense of the effective protection of the civilian population. This has not only led to widespread human rights abuses but also has undermined the long-term stability being pursued. © 2010 The Author(s). Journal compilation © Overseas Development Institute, 2010.

Steam-cured stabilised soil blocks for masonry construction

Energy Technology Data Exchange (ETDEWEB)

Venkatarama Reddy, B.V. [Indian Inst. of Science, Bangalore (India). Dept. of Civil Engineering; Lokras, S.S. [Indian Inst. of Science, Bangalore (India). ASTRA

1998-12-01

Energy-efficient, economical and durable building materials are essential for sustainable construction practices. The paper deals with production and properties of energy-efficient steam-cured stabilised soil blocks used for masonry construction. Problems of mixing expansive soil and lime, and production of blocks using soil-lime mixtures have been discussed briefly. Details of steam curing of stabilised soil blocks and properties of such blocks are given. A comparison of energy content of steam-cured soil blocks and burnt bricks is presented. It has been shown that energy-efficient steam cured soil blocks (consuming 35% less thermal energy compared to burnt clay bricks) having high compressive strength can be easily produced in a decentralised manner. (orig.)

Stabilisation of photo-multiplying gain; Stabilisation du gain des pbotomultiplicateurs

Energy Technology Data Exchange (ETDEWEB)

Tretiakoff, O; Bailly du Bois, B [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

1956-07-01

The use of photomultiplier tubes in experimental physics is thwarted by their high responsiveness to changes in the feeding tension. Their use can be extended a great deal by a simple efficient stabilizing device which allows them to work in the same way as Geiger-Mueller tubes without losing the advantageous characteristics of photomultiplier tubes. (author) [French] L'utilisation des tubes photomultiplicateurs en physique experimentale se heurte a l'obstacle que constitue leur extreme sensibilite aux variations de la tension d'alimentation. Un systeme de stabilisation simple et efficace, permettant d'apparenter leurs caracteristiques a celles des compteurs Geiger-Muller tout en conservant les avantages propres aux tubes photomultiplicateurs, peut elargir considerablement leur domaine d'emploi. (auteur)

Application of multimedia-based exercise programmes focused on improvement of the schoolgirls' musculoskeletal system during breaks between classes

Science.gov (United States)

Bendíková, Elena

2017-11-01

This pilot study presents theoretical basis related to the purpose and methodology of the presented research the aim of which is to point to the importance of multimedia-based physical activity (exercise programme) done during breaks between classes. The purpose of this programme is to prevent occurrence of functional disorders of the musculoskeletal system among schoolchildren. The experimental and control groups were composed of the female students of the third grade at one secondary school in the town of L. Mikuláš. We obtained the data by means of standardized methods used for assessment of the musculoskeletal system in medical and physical education practice. The obtained qualitative and quantitative data were processed by means of the chi-squared test and the non-parametric Wilcoxon signed-rank test. The results significantly (pmuscular system.

Relationship between daily physical activity and exercise capacity in patients with COPD

NARCIS (Netherlands)

Zwerink, Marlies; van der Palen, Jacobus Adrianus Maria; van der Valk, P.; Brusse-Keizer, M.G.J.; Effing, T.W.

2013-01-01

BACKGROUND: Exercise training programmes for patients with COPD are effective in improving exercise capacity. The few trials that have investigated the effects of exercise programmes on daily physical activity show contradictory results. AIM: To investigate the relation between daily physical

Stabilisering – fra intention til indsats

DEFF Research Database (Denmark)

Jacobsen, Katja Lindskov; Engen, Torben Toftgaard

Stabiliseringsindsatser udgør kun en mindre del af forsvarets samlede ressourcer. Ikke destomindre er stabilisering et vigtigt værktøj i bestræbelserne på at imødegå udfordringer fra syd.Udfordringer, der, hvis de ikke adresseres, kan risikere at få negative konsekvenser for dansksikkerhed. Denne...

Community based physiotherapeutic exercise in COPD self-management: a randomised controlled trial.

NARCIS (Netherlands)

Effing, T.; Zielhuis, G.A.; Kerstjens, H.; Valk, P. van der; Palen, J.A.M. van der

2011-01-01

Little is known about effects of community-based physiotherapeutic exercise programmes incorporated in COPD self-management programmes. In a randomised trial, the effect of such a programme (COPE-active) on exercise capacity and various secondary outcomes including daily activity as a marker of

Community based psysiotherapeutic exercise in COPD self-management: A randomised controlled trial

NARCIS (Netherlands)

Effing, T.W.; Zielhuis, Gerhard; Kerstjens, Huib; van der Valk, Paul; van der Palen, Jacobus Adrianus Maria

2011-01-01

Little is known about effects of community-based physiotherapeutic exercise programmes incorporated in COPD self-management programmes. In a randomised trial, the effect of such a programme (COPE-active) on exercise capacity and various secondary outcomes including daily activity as a marker of

Solidification/stabilisation of liquid oil waste in metakaolin-based geopolymer

Energy Technology Data Exchange (ETDEWEB)

Cantarel, V.; Nouaille, F.; Rooses, A.; Lambertin, D., E-mail: david.lambertin@cea.fr; Poulesquen, A.; Frizon, F.

2015-09-15

Highlights: • Formulation with 20 vol.% of oil in a geopolymer have been successful tested. • Oil waste is encapsulated as oil droplets in metakaolin-based geopolymer. • Oil/geopolymer composite present good mechanical performance. • Carbon lixiviation of oil/geopolymer composite is very low. - Abstract: The solidification/stabilisation of liquid oil waste in metakaolin based geopolymer was studied in the present work. The process consists of obtaining a stabilised emulsion of oil in a water-glass solution and then adding metakaolin to engage the setting of a geopolymer block with an oil emulsion stabilised in the material. Geopolymer/oil composites have been made with various oil fraction (7, 14 and 20 vol.%). The rigidity and the good mechanical properties have been demonstrated with compressive strength tests. Leaching tests evidenced the release of oil from the composite material is very limited whereas the constitutive components of the geopolymer (Na, Si and OH{sup −}) are involved into diffusion process.

War, Peace and Stabilisation: Critically Reconceptualising Stability in Southern Afghanistan

Directory of Open Access Journals (Sweden)

William Robert Carter

2013-06-01

Full Text Available This article critically treats stabilisation theory and programming through a perspective of peace and conflict, and argues for stabilisation’s reconceptualisation. Through tracking the concept’s emergence, it outlines that stabilisation is theoretically rooted in an insecurity-underdevelopment problematic and relies on the Liberal Peace thesis as a solution. When this concept was operationalised in southern Afghanistan, however, it was translated into a praxis informed by state-building and counterinsurgency imperatives. This approach ultimately produced confused, sometimes counterproductive, effects: simultaneously engendering a liberal, negative, rented and victor’s peace. The article concludes by arguing that stabilisation should be reconceptualised so that it pursues a positive and hybrid peace if it is to be a more effective source of guidance for policy and practice. The first step is to denaturalise the ‘formal’ state in conflict and fragile environments as being seen as a panacea to all ills of instability.

Exercise and sports science Australia (ESSA) position statement on exercise and spinal cord injury.

Science.gov (United States)

Tweedy, Sean M; Beckman, Emma M; Geraghty, Timothy J; Theisen, Daniel; Perret, Claudio; Harvey, Lisa A; Vanlandewijck, Yves C

2017-02-01

Traumatic spinal cord injury (SCI) may result in tetraplegia (motor and/or sensory nervous system impairment of the arms, trunk and legs) or paraplegia (motor and/or sensory impairment of the trunk and/or legs only). The adverse effects of SCI on health, fitness and functioning are frequently compounded by profoundly sedentary behaviour. People with paraplegia (PP) and tetraplegia (TP) have reduced exercise capacity due to paralysis/paresis and reduced exercising stroke volume. TP often further reduces exercise capacity due to lower maximum heart-rate and respiratory function. There is strong, consistent evidence that exercise can improve cardiorespiratory fitness and muscular strength in people with SCI. There is emerging evidence for a range of other exercise benefits, including reduced risk of cardio-metabolic disease, depression and shoulder pain, as well as improved respiratory function, quality-of-life and functional independence. Exercise recommendations for people with SCI are: ≥30min of moderate aerobic exercise on ≥5d/week or ≥20min of vigorous aerobic ≥3d/week; strength training on ≥2d/week, including scapula stabilisers and posterior shoulder girdle; and ≥2d/week flexibility training, including shoulder internal and external rotators. These recommendations may be aspirational for profoundly inactive clients and stratification into "beginning", "intermediate" and "advanced" will assist application of the recommendations in clinical practice. Flexibility exercise is recommended to preserve upper limb function but may not prevent contracture. For people with TP, Rating of Perceived Exertion may provide a more valid indication of exercise intensity than heart rate. The safety and effectiveness of exercise interventions can be enhanced by initial screening for autonomic dysreflexia, orthostatic hypotension, exercise-induced hypotension, thermoregulatory dysfunction, pressure sores, spasticity and pain. Copyright © 2016 Sports Medicine Australia

Gait retraining as part of the treatment programme for soldiers with ...

African Journals Online (AJOL)

Background: Gait retraining as part of a treatment programme for exercise-related leg pain (ERLP) was introduced in the sports medicine department of the Royal ... Conclusion: Soldiers with exercise-related leg pain (ERLP), among them patients with Medial Tibial Stress Syndrome, respond well to a treatment programme ...

Individualized exercise prescription in non-alcoholic steatohepatitis: a case report

Directory of Open Access Journals (Sweden)

Miguel Ángel Sánchez-Martos

2015-03-01

Full Text Available The effect of an individualized exercise programme on a non-alcoholic steatohepatitis case is presented. Before entering the programme the patient was treated with conventional recommendations on diet plus aerobic exercise during fourteen years, without major improvements of his analytical parameters. Two years after including him in a tailored exercise programme, aimed to fulfil the recommendations of the American College of Sports Medicine, his blood markers of liver dysfunction and cardio-metabolic risk tended to improve. Consequently, our data support the idea that in non-alcoholic steatohepatitis the exercise-based therapeutic interventions should be individualized taking into account the cardio-respiratory and muscular fitness of the patient, rather than using generic behavioural recommendations.

The Influence of Stabilisation on the Structure of Knits and Tensile Properties of Their Yarns

Directory of Open Access Journals (Sweden)

Rasa TREIGIENĖ

2012-12-01

Full Text Available Plated jersey knits of different composition were knitted and stabilised under hydrothermal conditions of 85 °C for 10, 20 or 30 min in steam ambience. The influence of stabilisation duration on knit structure was estimated as well as change of mechanical properties of the yarns. The obtained data show that 10 min of stabilisation influenced markedly the structure of plated jersey knits comparing with the same effect of 20 min and 30 min. The results of specific breaking force of polyester, cotton and wool yarns show decrease in their strength due to knitting and hydrothermal stabilisation processes.DOI: http://dx.doi.org/10.5755/j01.ms.18.4.3096

Process for the manufacture of a stabilized filament superconductor with a high proportion of stabilising material

International Nuclear Information System (INIS)

Both, R.; Hillmann, H.; Breuer, W.

1987-01-01

In order to manufacture superconductors with a high proportion of stabilising material, a compound body is first formed and is formed by extrusion and drawing to reduce its crossection. This compound body is then introduced into a sheath tube to increase the proportion of stabilising material and is formed to its final dimensions by further drawing processes. Tearing of the superconducting filaments is prevented by sufficient stabilising material (e.g. copper here) being introduced in the central area of the compound body. The filament superconductors can be manufactured at a reasonable price with a high proportion of stabilising material. (orig.) [de

Simulation model of a wind turbine pitch controller for grid frequency stabilisation

Energy Technology Data Exchange (ETDEWEB)

Jauch, Clemens; Cronin, Tom

2005-06-15

This paper describes a pitch angle controller that enables an active-stall wind turbine to dampen actively grid frequency oscillations. This builds on previous work in the area of the transient stability control of active-stall turbines. The phenomenon of grid frequency oscillations is explained briefly and then the task for the wind turbine controller defined. The pitch controller that acts as a grid frequency stabiliser is explained in terms of its layout, control sequence and parameters. Finally, a transient fault situation with subsequent grid frequency oscillations is simulated and it is shown how the grid frequency stabiliser works. The performance of the controller is discussed and the conclusion is drawn that grid frequency stabilisation with an active-stall turbine is possible under certain conditions. (Author)

Transformation Directions of the Financial Policy in the Process of Stabilisation of the Ukrainian Economy

OpenAIRE

Petrushevska Viktoriya V.

2013-01-01

The goal of the article is consideration of theoretical provisions with respect to the state financial policy. The article considers the role of the financial policy in ensuring stabilisation of the Ukrainian financial system. It presents conceptual provisions regarding main goals, mechanisms and instruments of the stabilisation financial policy of the state. It develops economic indicators of its efficiency. The use of indicators of economic efficiency of the stabilisation financial policy b...

Design of the Resistance and Endurance exercise After ChemoTherapy (REACT study: A randomized controlled trial to evaluate the effectiveness and cost-effectiveness of exercise interventions after chemotherapy on physical fitness and fatigue

Directory of Open Access Journals (Sweden)

van Mechelen Willem

2010-11-01

Full Text Available Abstract Background Preliminary studies suggest that physical exercise interventions can improve physical fitness, fatigue and quality of life in cancer patients after completion of chemotherapy. Additional research is needed to rigorously test the effects of exercise programmes among cancer patients and to determine optimal training intensity accordingly. The present paper presents the design of a randomized controlled trial evaluating the effectiveness and cost-effectiveness of a high intensity exercise programme compared to a low-to-moderate intensity exercise programme and a waiting list control group on physical fitness and fatigue as primary outcomes. Methods After baseline measurements, cancer patients who completed chemotherapy are randomly assigned to either a 12-week high intensity exercise programme or a low-to-moderate intensity exercise programme. Next, patients from both groups are randomly assigned to immediate training or a waiting list (i.e. waiting list control group. After 12 weeks, patients of the waiting list control group start with the exercise programme they have been allocated to. Both interventions consist of equal bouts of resistance and endurance interval exercises with the same frequency and duration, but differ in training intensity. Additionally, patients of both exercise programmes are counselled to improve compliance and achieve and maintain an active lifestyle, tailored to their individual preferences and capabilities. Measurements will be performed at baseline (t = 0, 12 weeks after randomization (t = 1, and 64 weeks after randomization (t = 2. The primary outcome measures are cardiorespiratory fitness and muscle strength assessed by means of objective performance indicators, and self-reported fatigue. Secondary outcome measures include health-related quality of life, self-reported physical activity, daily functioning, body composition, mood and sleep disturbances, and return to work. In addition, compliance

Effects of an employee exercise programme on mental health.

Science.gov (United States)

Emerson, N D; Merrill, D A; Shedd, K; Bilder, R M; Siddarth, P

2017-03-01

Prior research indicates that workplace wellness programmes (WWPs) are generally associated with lowered healthcare costs and improved employee health. Despite the importance of mental well-being in workplace productivity and attendance, few WWP studies have focused on improvements in psychological well-being. To examine the effects of the Bruin Health Improvement Program (BHIP), a 3-month exercise and nutrition WWP, on seven domains of health: physical and mental health, stress, energy level, social satisfaction, self-efficacy and quality of life. Using data from BHIP completers, we conducted multiple one-way multivariate analyses of variance and follow-up univariate t-tests to examine changes in physical and mental health, stress, energy level, social satisfaction, self-efficacy and quality of life. Effect sizes were also calculated post hoc to determine the magnitude of each effect. Results for the 281 participants reveal significant improvements across all seven domains (P < 0.001). Effect sizes ranged from 0.19 to 0.67. This study is unique in revealing the effects of a WWP on multiple domains of psychological well-being. Given rising healthcare costs associated with mental health, targeting mental health through WWP may be an effective strategy for reducing indirect healthcare costs associated with absenteeism and presenteeism. © The Author 2016. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oup.com

Noise-cancelled, cavity-enhanced saturation laser spectroscopy for laser frequency stabilisation

International Nuclear Information System (INIS)

Vine, Glenn de; McClelland, David E; Gray, Malcolm B

2006-01-01

We employ a relatively simple experimental technique enabling mechanical-noise free, cavityenhanced spectroscopic measurements of an atomic transition and its hyperfine structure. We demonstrate this technique with the 532 nm frequency doubled output from a Nd:YAG laser and an iodine vapour cell. The resulting cavity-enhanced, noise-cancelled, iodine hyperfine error signal is used as a frequency reference with which we stabilise the frequency of the 1064nm Nd:YAG laser. Preliminary frequency stabilisation results are then presented

Stabilisation of clayey soils with high calcium fly ash and cement

Energy Technology Data Exchange (ETDEWEB)

S. Kolias; V. Kasselouri-Rigopoulou; A. Karahalios [National Technical University of Athens, Athens (Greece)

2005-02-01

The effectiveness of using high calcium fly ash and cement in stabilising fine-grained clayey soils (CL,CH) was investigated in the laboratory. Strength tests in uniaxial compression, in indirect (splitting) tension and flexure were carried out on samples to which various percentages of fly ash and cement had been added. Modulus of elasticity was determined at 90 days with different types of load application and 90-day soaked CBR values are also reported. Pavement structures incorporating subgrades improved by in situ stabilisation with fly ash and cement were analyzed for construction traffic and for operating traffic. These pavements are compared with conventional flexible pavements without improved subgrades and the results clearly show the technical benefits of stabilising clayey soils with fly ash and cement. In addition TG-SDTA and XRD tests were carried out on certain samples in order to study the hydraulic compounds, which were formed.

Intercomparison exercises

International Nuclear Information System (INIS)

Arunachalam, J.

2007-01-01

Intercomparison exercises are vital to many a national programmes. These are only tools available with the laboratories to prove their competence to an international audience and also for the accrediting agencies to assess a laboratory

Low climate stabilisation under diverse growth and convergence scenarios

International Nuclear Information System (INIS)

Markandya, A.; González-Eguino, M.; Criqui, P.; Mima, S.

2014-01-01

In the last decade a number of papers have analysed the consequences of achieving the greenhouse gas concentration levels necessary to maintain global temperature increases below 2 °C above preindustrial levels. Most models and scenarios assume that future trends in global GDP will be similar to the growth experienced in the past century, which would imply multiplying current output by about 19 times in the 21st century. However, natural resource and environmental constraints suggest that future global economic growth may not be so high. Furthermore, the environmental implications of such growth depend on how it is distributed across countries. This paper studies the implications on GHG abatement policies of low global GDP growth and high convergence levels in GDP per capita across countries. A partial equilibrium model (POLES) of the world's energy system is used to provide detailed projections up to 2050 for the different regions of the world. The results suggest that while low stabilisation could be technically feasible and economically viable for the world in all the scenarios considered, it is more likely to occur with more modest global growth. However, that will imply higher global abatement costs relative to GDP. Convergence in living standards on the other hand places greater pressures in terms of the required reduction in emissions. In general we find that there are major differences between regions in terms of the size and the timing of abatement costs and economic impact. - Highlights: • We study the implications of GDP growth and convergence on climate stabilisation. • A partial equilibrium model (POLES) of the world's energy system is used. • Low climate stabilisation is technically feasible and economically viable. • Low stabilisation is more likely to occur with more modest global growth. • Convergence places pressure in terms of the required reduction in emissions

Lactose fermentation at Camembert, made by classic and stabilised

Directory of Open Access Journals (Sweden)

Bogdan Perko

2002-01-01

Full Text Available In our experiments the fermentation of lactose at Camembert type cheese by classic and stabilised technology was monitored. In each of the two technologies two experiments were made. The difference between these two technologies is in pH level, which drops below 5 by classic technology and remains above 5 by stabilised technology at all times. To achieve the criteria of stabilised technology the fermentation was stopped at a desired level of pH, by dropping the cheese in brine at 14 °C. After salting and moulding cheesewas transferred from the first three experiments into a ripening chamber at 11 °C. With the last experiment (stabilised technology the cheese ripened for 3 days at 5 °C. During ripening process pH dropped below 5 in all experiments. The process of fermentation was performed by the following lactic acid bacteria: Streptococcus thermophilus, Lactococcus lactis subsp. lactis and Lactococcus lactis subsp. cremoris. As these lactic acid bacteria ferment differently D-galactose during manufacture and ripening process, the contentof lactose and D-galactose was measured. Based on the results of our research the following conclusion can be made: the action of lactic acid bacteria can not be stropped even at 5 °C. The native microflora, which remains in the milk after thermisation, might be responsible for the fermentation of Dgalactose. It could be possible that the Streptococcus thermophilus enzymes were not inactivated, causing continuation of lactose fermentation even at low temperature. Mesophilic lactococci were inhibited and for that reason Dgalactose accumulated in cheese. Only after cheese were transferred into a ripening chamber at 11 °C and with low lactose concentration in medium left, mesophilic lactococci started to ferment D-galactose.

TOF-SIMS studies of yttria-stabilised zirconia

DEFF Research Database (Denmark)

Hansen, Karin Vels; Norrman, Kion; Mogensen, Mogens Bjerg

2006-01-01

The surface of an as-polished and an as-sintered yttria-stabilised zirconia pellet was analysed with XPS and TOF-SIMS (depth profiling and imaging) in order to study the distribution of impurities. The polished sample was slightly contaminated with Na, K, Mg and Ca. The sintered sample showed...

A complete characterisation of All-versus-Nothing arguments for stabiliser states

OpenAIRE

Abramsky, Samson; Barbosa, Rui Soares; Carù, Giovanni; Perdrix, Simon

2017-01-01

An important class of contextuality arguments in quantum foundations are the All-versus-Nothing (AvN) proofs, generalising a construction originally due to Mermin. We present a general formulation of All-versus-Nothing arguments, and a complete characterisation of all such arguments which arise from stabiliser states. We show that every AvN argument for an n-qubit stabiliser state can be reduced to an AvN proof for a three-qubit state which is local Clifford-equivalent to the tripartite GHZ s...

Effects of a home-exercise therapy programme on cervical and lumbar range of motion among nurses with neck and lower back pain: a quasi-experimental study

OpenAIRE

Freimann, Tiina; Merisalu, Eda; P??suke, Mati

2015-01-01

Background Cervical and lumbar range of motion limitations are usually associated with musculoskeletal pain in the neck and lower back, and are a major health problem among nurses. Physical exercise has been evaluated as an effective intervention method for improving cervical and lumbar range of motion, and for preventing and reducing musculoskeletal pain. The purpose of this study was to investigate the effects of a home-exercise therapy programme on cervical and lumbar range of motion among...

Self-Stabilising Quadrupedal Running by Mechanical Design

Directory of Open Access Journals (Sweden)

Panagiotis Chatzakos

2009-01-01

Full Text Available Dynamic stability allows running animals to maintain preferred speed during locomotion over rough terrain. It appears that rapid disturbance rejection is an emergent property of the mechanical system. In running robots, simple motor control seems to be effective in the negotiation of rough terrain when used in concert with a mechanical system that stabilises passively. Spring-like legs are a means for providing self-stabilising characteristics against external perturbations. In this paper, we show that a quadruped robot could be able to perform self-stable running behaviour in significantly broader ranges of forward speed and pitch rate with a suitable mechanical design, which is not limited to choosing legs spring stiffness only. The results presented here are derived by studying the stability of the passive dynamics of a quadruped robot running in the sagittal plane in a dimensionless context and might explain the success of simple, open loop running controllers on existing experimental quadruped robots. These can be summarised in (a the self-stabilised behaviour of a quadruped robot for a particular gait is greatly related to the magnitude of its dimensionless body inertia, (b the values of hip separation, normalised to rest leg length, and leg relative stiffness of a quadruped robot affect the stability of its motion and should be in inverse proportion to its dimensionless body inertia, and (c the self-stable regime of quadruped running robots is enlarged at relatively high forward speeds. We anticipate the proposed guidelines to assist in the design of new, and modifications of existing, quadruped robots. As an example, specific design changes for the Scout II quadruped robot that might improve its performance are proposed.

Short-Term and Long-Term Effects of an Exercise-Based Patient Education Programme in People with Multiple Sclerosis: A Pilot Study

Directory of Open Access Journals (Sweden)

Christina Lutz

2017-01-01

Full Text Available Background. Although people with Multiple Sclerosis (pwMS benefit from physical exercise, they still show reduced physical activity and exercise behaviour. This study aimed to investigate short- and long-term effects of an exercise-based patient education programme (ePEP that focuses on empowering pwMS to a sustainable and self-regulated exercise training management. Methods. Fourteen pwMS were randomly assigned to immediate experimental group (EG-I: n=8 and waitlist-control group (EG-W: n=6 and attended biweekly in a six-week ePEP. All participants were measured for walking ability, quality of life, fatigue, and self-efficacy towards physical exercise before and after the ePEP, after 12 weeks, and one year after baseline. Short-term effects were analysed in a randomised control trial and long-term effects of all ePEP participants (EG-I + EG-W = EG-all in a quasi-experimental design. Results. Only functional gait significantly improved in EG-I compared to EG-W (p=0.008, r=-0.67. Moderate to large effects were found in EG-all for walking ability. Not significant, however, relevant changes were detected for quality of life and fatigue. Self-efficacy showed no changes. Conclusion. The ePEP seems to be a feasible option to empower pwMS to a self-regulated and sustainable exercise training management shown in long-term walking improvements.

No effects of functional exercise therapy on walking biomechanics in patients with knee osteoarthritis

DEFF Research Database (Denmark)

Henriksen, Marius; Klokker, Louise; Bartholdy, Cecilie

2016-01-01

AIM: To assess the effects of a functional and individualised exercise programme on gait biomechanics during walking in people with knee OA. METHODS: Sixty participants were randomised to 12 weeks of facility-based functional and individualised neuromuscular exercise therapy (ET), 3 sessions per...... limited confidence in the findings due to multiple statistical tests and lack of biomechanical logics. Therefore we conclude that a 12-week supervised individualised neuromuscular exercise programme has no effects on gait biomechanics. Future studies should focus on exercise programmes specifically...

Exercise-based cardiac rehabilitation for adults with atrial fibrillation

DEFF Research Database (Denmark)

Risom, Signe Stelling; Zwisler, Anne Dorthe; Palm Johansen, Pernille

2014-01-01

This is the protocol for a review and there is no abstract. The objectives are as follows: The aim of this review is to assess the benefits and harms of rehabilitation programmes consisting of a physical exercise component that focuses on increasing exercise capacity, and may include a psychoeduca......This is the protocol for a review and there is no abstract. The objectives are as follows: The aim of this review is to assess the benefits and harms of rehabilitation programmes consisting of a physical exercise component that focuses on increasing exercise capacity, and may include...

On matrix stabilisation of d- and f-transition metal ions in unstable oxidation states

Energy Technology Data Exchange (ETDEWEB)

Kiselev, Yurii M [Department of Chemistry, M.V. Lomonosov Moscow State University, Moscow (Russian Federation)

2009-01-31

The state-of-the-art in matrix stabilisation of d- and f-transition metal ions in unstable oxidation states is analysed. Main aspects of this problem concerning the genealogy of appropriate matrix systems are classified. Relevant examples are given and the data that contradict the scheme proposed are discussed. The thermodynamics of the matrix stabilisation effect is considered using the concept of isomorphic miscibility. The influence of defects and non-equilibrium on the matrix stabilisation effect is discussed. The problem of identification of the oxidation states in matrix systems is examined and various types of matrix systems are considered.

On matrix stabilisation of d- and f-transition metal ions in unstable oxidation states

International Nuclear Information System (INIS)

Kiselev, Yurii M

2009-01-01

The state-of-the-art in matrix stabilisation of d- and f-transition metal ions in unstable oxidation states is analysed. Main aspects of this problem concerning the genealogy of appropriate matrix systems are classified. Relevant examples are given and the data that contradict the scheme proposed are discussed. The thermodynamics of the matrix stabilisation effect is considered using the concept of isomorphic miscibility. The influence of defects and non-equilibrium on the matrix stabilisation effect is discussed. The problem of identification of the oxidation states in matrix systems is examined and various types of matrix systems are considered.

Exercise-based cardiac rehabilitation for adults after heart valve surgery

DEFF Research Database (Denmark)

Sibilitz, Kirstine Lærum; Berg, Selina Kikkenborg; Tang, Lars Hermann

2016-01-01

BACKGROUND: Exercise-based cardiac rehabilitation may benefit heart valve surgery patients. We conducted a systematic review to assess the evidence for the use of exercise-based intervention programmes following heart valve surgery. OBJECTIVES: To assess the benefits and harms of exercise......-based cardiac rehabilitation compared with no exercise training intervention, or treatment as usual, in adults following heart valve surgery. We considered programmes including exercise training with or without another intervention (such as a psycho-educational component). SEARCH METHODS: We searched...... handsearched Web of Science, bibliographies of systematic reviews and trial registers (ClinicalTrials.gov, Controlled-trials.com, and The World Health Organization International Clinical Trials Registry Platform). SELECTION CRITERIA: We included randomised clinical trials that investigated exercise...

Management, stabilisation and environmental impact of uranium mill tailings

Energy Technology Data Exchange (ETDEWEB)

1978-01-01

These proceedings deal with the sources of radioactivity arising from uranium mill wastes, the environmental aspects, the management and stabilisation of radioactive wastes and the policies and regulatory aspects.

Management, stabilisation and environmental impact of uranium mill tailings

International Nuclear Information System (INIS)

1978-01-01

These proceedings deal with the sources of radioactivity arising from uranium mill wastes, the environmental aspects, the management and stabilisation of radioactive wastes and the policies and regularoty aspects

Physiotherapeutic scoliosis-specific exercises for adolescents with idiopathic scoliosis.

Science.gov (United States)

Bettany-Saltikov, J; Parent, E; Romano, M; Villagrasa, M; Negrini, S

2014-02-01

The use of exercises for the treatment of Adolescents with Idiopathic Scoliosis is controversial. Whilst exercises are routinely used in a number of central and southern European countries, most centres in the rest of the world (mainly in Anglo-Saxon countries), do not advocate its use. One of the reasons for this is that many health care professionals are usually not conversant with the differences between generalised physiotherapy exercises and physiotherapeutic scoliosis-specific exercises (PSSE): while the former are generic exercises usually consisting of low-impact stretching and strengthening activities like yoga, Pilates and the Alexander technique, PSSE consist of a program of curve-specific exercise protocols which are individually adapted to a patients' curve site, magnitude and clinical characteristics. PSSEs are performed with the therapeutic aim of reducing the deformity and preventing its progression. It also aims to stabilise the improvements achieved with the ultimate goal of limiting the need for corrective braces or the necessity of surgery. This paper introduces the different 'Schools' and approaches of PSSE currently practiced (Scientific Exercise Approach to Scoliosis - SEAS, Schroth, Barcelona Scoliosis Physical Therapy School - BSPTS, Dobomed, Side Shift, Functional Individual Therapy of Scoliosis - FITS and Lyon) and discusses their commonalities and differences.

The integration of studio cycling into a worksite stress management programme.

Science.gov (United States)

Clark, Matthew M; Soyring, Jason E; Jenkins, Sarah M; Daniels, Denise C; Berkland, Bridget E; Werneburg, Brooke L; Hagen, Philip T; Lopez-Jimenez, Francisco; Warren, Beth A; Olsen, Kerry D

2014-04-01

High stress is a prevalent problem in the worksite. To reduce stress, improve productivity, reduce absenteeism, and lower healthcare costs, many companies offer exercise classes or stress management programmes. Although physical activity is an important component of stress management, few worksites have integrated physical activity into their comprehensive stress reduction programmes. The purpose of this single-arm pilot project was to examine the potential effectiveness of an integrated exercise (studio cycling) and cognitive-behavioural stress management programme. Eighty-four adults, 75% female, mostly aged 40+ years, participated in an integrated 12-week cycling studio and cognitive-behavioural stress management programme. Participants experienced a significant and clinically meaningful reduction on the Perceived Stress Scale (p manage stress at the programme's end and at a 1-month follow-up. Participants also reported having significantly improved overall health, improved nutritional habits, higher physical activity level, greater confidence in their ability to follow a healthy diet, higher spiritual well-being, improved sleep, receiving more support for maintaining healthy living and improved quality of life at the completion of the 12-week programme and 1-month follow-up. These findings provide further support for an integrated exercise and stress management programme. © 2013 John Wiley & Sons, Ltd.

Effects of electron beam irradiation on the property behaviour of poly(ether-block-amide) blended with various stabilisers

International Nuclear Information System (INIS)

Murray, Kieran A.; Kennedy, James E.; Barron, Valerie; McEvoy, Brian; Vrain, Olivier; Ryan, Damien; Cowman, Richard; Higginbotham, Clement L.

2015-01-01

Radiosterilisation can induce modifications and/or degradation to transpire in poly(ether-block-amide) (PEBA) following irradiation. The current investigation utilises combined synergistic mixtures of stabilisers to minimise these effects, by melt blending them with the PEBA material. Hindered amine stabilisers (HAS), primary antioxidants and secondary antioxidants were the stabilisers incorporate to reduce/eliminate the effects of 50 kGy electron beam irradiation dose on the material. Results were discussed by comparing the stabilising efficiency of mixtures on the PEBA material in contrast to the control sample. Dynamic frequency sweeps demonstrated the formation of crosslinks, where the degree of crosslinking was dependent on the combination of stabilisers mixed in the base material (PEBA). The storage modulus displayed that PEBA blended with Irganox 565 had very slight changes in contrast to all other samples following irradiation. However, since this sample is a phenol containing system, severe discolouration was observed in comparison to other samples due to the oxidation of the hindered phenol. Overall, this study provides compelling evidence that a combined synergistic mixture of Irganox 565 (multifunctional phenolic antioxidant) and Tinuvin 783 (hindered amide light stabiliser) with PEBA, resulted in the best radiation stability. - Highlights: • PEBA was melt blended with various stabilisers. • All virgin and blended PEBA samples were exposed to electron beam irradiation. • The incorporation of stabilisers into the PEBA material resulted in discolouration. • PEBA blended with Irganox 565 and Tinuvin 783 improved the radiation resistance

Nordic regionalisation of a greenhouse-gas stabilisation scenario

Energy Technology Data Exchange (ETDEWEB)

Wyser, Klaus; Rummukainen, Markku; Strandberg, Gustav

2006-10-15

The impact of a CO{sub 2} stabilisation on the Swedish climate is investigated with the regional climate model RCA3 driven by boundary conditions obtained from a global coupled climate system model (CCSM3). The global model has been forced with observed greenhouse gas concentrations from pre-industrial conditions until today's, and with an idealised further increase until the stabilisation level is reached. After stabilisation the model integration continues for another 150+ years in order to follow the delayed response of the climate system over a period of time. Results from the global and regional climate model are compared against observations and ECMWF reanalysis for 1961-1990. For this period, the global model is found to be too cold over Europe and with a zonal flow from the North Atlantic towards Europe that is too strong. The climate of the driving global model controls the climate of the regional model and the same deviations from one are thus inherited by the other. We therefore analyse the relative climate changes differences, or ratios, of climate variables between future's and today's climate. Compared to pre-industrial conditions, the global mean temperature changes by about 1.5 deg C as a result of the stabilisation at 450 ppmv equivalent CO{sub 2}. Averaged over Europe, the temperature change is slightly larger, and it is even larger for Sweden and Northern Europe. Annual mean precipitation for Europe is unaffected, but Sweden receives more precipitation under higher CO{sub 2} levels. The inter-annual and decadal variability of annual mean temperature and precipitation does not change with any significant degree. The changes in temperature and precipitation are not evenly distributed with the season: the largest warming and increased precipitation in Northern Europe occurs during winter months while the summer climate remains more or less unchanged. The opposite is true for the Mediterranean region where the precipitation decreases

Aquatic exercises versus land based exercises for elderly patients after a total hip replacement

OpenAIRE

Miroljub Jakovljevič; Renata Vauhnik

2011-01-01

Background: Aquatic therapy allows secure, active exercise with pain reduction using a combination of the water’s buoyancy, hydrostatic pressure, resistance and warmth. By aquatic therapy, elderly patients after total hip replacement can achieve more positive effects than by land-based exercise. The aim of the study was to investigate the use of aquatic-based exercises in the rehabilitation programme after a hip fracture surgery in elderly adults. Results: Both groups, regardless of the ty...

Laser stabilisation for velocity-selective atomic absorption

NARCIS (Netherlands)

Meijer, H.A.J.; Meulen, H.P. van der; Ditewig, F.; Wisman, C.J.; Morgenstern, R.

1987-01-01

A relatively simple method is described for stabilising a dye laser at a frequency ν = ν0 + νc in the vicinity of an atomic resonance frequency ν0. The Doppler effect is exploited by looking for atomic fluorescence when a laser beam is crossed with an atomic beam at certain angles αi. Absolute

Stabilising the global greenhouse. A simulation model

International Nuclear Information System (INIS)

Michaelis, P.

1993-01-01

This paper investigates the economic implications of a comprehensive approach to greenhouse policies that strives to stabilise the atmospheric concentration of greenhouse gases at an ecolocially determined threshold level. In a theoretical optimisation model conditions for an efficient allocation of abatement effort among pollutants and over time are derived. The model is empirically specified and adapted to a dynamic Gams-algorithm. By various simulation runs for the period of 1990 to 2110, the economics of greenhouse gas accumulation are explored. In particular, the long-run cost associated with the above stabilisation target are evaluated for three different policy scenarios: i) A comprehensive approach that covers all major greenhouse gases simultaneously, ii) a piecemeal approach that is limited to reducing CO 2 emissions, and iii) a ten-year moratorium that postpones abatement effort until new scientific evidence on the greenhouse effect will become available. Comparing the simulation results suggests that a piecemeal approach would considerably increase total cost, whereas a ten-year moratorium might be reasonable even if the probability of 'good news' is comparatively small. (orig.)

Intensity stabilisation of optical pulse sequences for coherent control of laser-driven qubits

Science.gov (United States)

Thom, Joseph; Yuen, Ben; Wilpers, Guido; Riis, Erling; Sinclair, Alastair G.

2018-05-01

We demonstrate a system for intensity stabilisation of optical pulse sequences used in laser-driven quantum control of trapped ions. Intensity instability is minimised by active stabilisation of the power (over a dynamic range of > 104) and position of the focused beam at the ion. The fractional Allan deviations in power were found to be logic gates to be below 10^{-6} per gate.

Multiple sclerosis patients' experiences in relation to the impact of the kinect virtual home-exercise programme: a qualitative study.

Science.gov (United States)

Palacios-Ceña, Domingo; Ortiz-Gutierrez, Rosa M; Buesa-Estellez, Almudena; Galán-Del-Río, Fernando; Cachon Perez, José M; Martínez-Piedrola, Rosa; Velarde-Garcia, Juan F; Cano-DE-LA-Cuerda, Roberto

2016-06-01

Neurorehabilitation programs are among the most popular therapies aimed at reducing the disabilities that result from multiple sclerosis. Video games have recently gained importance in the rehabilitation of patients with motor neurological dysfunctions. Currently, the studies describing the perspective of patients with multiple sclerosis who have participated in rehabilitation programmes via home-based video games are almost inexistent. The aim of this paper was to explore the experiences of multiple sclerosis patients who performed a virtual home-exercise programme using Kinect. A qualitative research enquiry was conducted as part of a study that examined postural control and balance after a 10-week Kinect home-exercise programme in adults with multiple sclerosis. Patients were recruited from a Neurology Unit of a University Hospital. The inclusion criteria were: subjects aged between 20 and 60 years, diagnosed with multiple sclerosis for over 2 years based on the McDonald Criteria; with an EDSS score ranging from 3 to 5. Purposeful sampling method was implemented. The data collection consisted of unstructured interviews, using open questions, and thematic analysis was conducted. Guidelines for conducting qualitative studies established by the Consolidated Criteria for Reporting Qualitative Research were followed. Twenty-four patients with a mean age of 36.69 were included. Four main themes emerged from the data: 1) regaining previous capacity and abilities. The patients described how, after the treatment with Kinect they felt more independent; 2) sharing the disease. The patients sharing the experience of living with MS with their family, thanks to the use of Kinect; 3) adapting to the new treatment. This refers to how the use of the videogame console incorporated novelties to their rehabilitation programme; and 4) comparing oneself. This refers to the appearance of factors that motivate the patient during KVHEP. The patients' experiences gathered in this study

CoDuSe group exercise programme improves balance and reduces falls in people with multiple sclerosis: A multi-centre, randomized, controlled pilot study.

Science.gov (United States)

Carling, Anna; Forsberg, Anette; Gunnarsson, Martin; Nilsagård, Ylva

2017-09-01

Imbalance leading to falls is common in people with multiple sclerosis (PwMS). To evaluate the effects of a balance group exercise programme (CoDuSe) on balance and walking in PwMS (Expanded Disability Status Scale, 4.0-7.5). A multi-centre, randomized, controlled single-blinded pilot study with random allocation to early or late start of exercise, with the latter group serving as control group for the physical function measures. In total, 14 supervised 60-minute exercise sessions were delivered over 7 weeks. Pretest-posttest analyses were conducted for self-reported near falls and falls in the group starting late. Primary outcome was Berg Balance Scale (BBS). A total of 51 participants were initially enrolled; three were lost to follow-up. Post-intervention, the exercise group showed statistically significant improvement ( p = 0.015) in BBS and borderline significant improvement in MS Walking Scale ( p = 0.051), both with large effect sizes (3.66; -2.89). No other significant differences were found between groups. In the group starting late, numbers of falls and near falls were statistically significantly reduced after exercise compared to before ( p balance and reduced perceived walking limitations, compared to no exercise. The intervention reduced falls and near falls frequency.

Prospective study of exercise intervention in prostate cancer patients on androgen deprivation therapy

International Nuclear Information System (INIS)

Beydoun, Nadine; Bucci, Joseph A.; Chin, Yaw S.; Spry, Nigel; Newton, Robert; Galvão, Daniel A.

2014-01-01

Androgen deprivation therapy (ADT) is an important component of modern prostate cancer treatment. Survival benefits from neo-adjuvant and adjuvant hormones may take years to manifest, and balancing this with potential morbidity of therapy can be challenging. This study aimed to assess whether education and short-term combined aerobic and resistance exercises could help to ameliorate the adverse side effects of ADT. Eight hundred fifty-nine patients with relapsed or metastatic prostate cancer on leuprorelin acetate were allocated to three interventional streams based on patient preference and medical fitness: supervised group (Face-to-Face) exercise sessions, home-based (At Home) exercise or a support programme for those incapable of exercising (Support). Patients enrolled onto Face to Face underwent measurement of body composition and cardiorespiratory fitness variables at baseline and programme completion. Patients in the exercise streams were surveyed to determine the programme's impact on physical fitness and well-being. Statistically significant improvements (p<0.001) were seen in all measured cardiorespiratory fitness and strength variables. Programme attrition rates were low (75/859; 8.7%), the primary reason for withdrawal being discontinuation of hormones (70%). Programme satisfaction was high, with 98% of surveyed patients reporting a positive impact on fitness and 97% planning to continue exercising after programme completion. At 6 months, improved physical and emotional well-being was reported by 93 and 79% of patients, respectively. A short-term structured exercise intervention results in high compliance and significant improvements in muscle strength and cardiorespiratory fitness in prostate cancer patients on ADT.

A Combined Cognitive Stimulation and Physical Exercise Programme (MINDVital) in Early Dementia: Differential Effects on Single- and Dual-Task Gait Performance.

Science.gov (United States)

Tay, Laura; Lim, Wee Shiong; Chan, Mark; Ali, Noorhazlina; Chong, Mei Sian

2016-01-01

Gait disorders are common in early dementia, with particularly pronounced dual-task deficits, contributing to the increased fall risk and mobility decline associated with cognitive impairment. This study examines the effects of a combined cognitive stimulation and physical exercise programme (MINDVital) on gait performance under single- and dual-task conditions in older adults with mild dementia. Thirty-nine patients with early dementia participated in a multi-disciplinary rehabilitation programme comprising both physical exercise and cognitive stimulation. The programme was conducted in 8-week cycles with participants attending once weekly, and all participants completed 2 successive cycles. Cognitive, functional performance and behavioural symptoms were assessed at baseline and at the end of each 8-week cycle. Gait speed was examined under both single- (Timed Up and Go and 6-metre walk tests) and dual-task (animal category and serial counting) conditions. A random effects model was performed for the independent effect of MINDVital on the primary outcome variable of gait speed under dual-task conditions. The mean age of patients enroled in the rehabilitation programme was 79 ± 6.2 years; 25 (64.1%) had a diagnosis of Alzheimer's dementia, and 26 (66.7%) were receiving a cognitive enhancer therapy. There was a significant improvement in cognitive performance [random effects coefficient (standard error) = 0.90 (0.31), p = 0.003] and gait speed under both dual-task situations [animal category: random effects coefficient = 0.04 (0.02), p = 0.039; serial counting: random effects coefficient = 0.05 (0.02), p = 0.013], with reduced dual-task cost for gait speed [serial counting: random effects coefficient = -4.05 (2.35), p = 0.086] following successive MINDVital cycles. No significant improvement in single-task gait speed was observed. Improved cognitive performance over time was a significant determinant of changes in dual-task gait speed [random effects coefficients

Experimental Investigations of Decentralised Control Design for The Stabilisation of Rotor-Gas Bearings

DEFF Research Database (Denmark)

Theisen, Lukas Roy Svane; Galeazzi, Roberto; Niemann, Hans Henrik

2015-01-01

frequencies. Active lubrication of the journal during operations could enhance the damping and stabilisation characteristics of the sytems, and this could be achieved by means of stabilising controllers. This paper investigates the feasibility of using reduced order models obtained through Grey......-Box identification for the design of stabilising controllers, capable of enabling the active lubrication of the journal. The root locus analysis shows that two different control solutions are feasible for the dampening of the first two eigenfrequencies of the rotor-gas bearing in the horizontal and vertical...... directions. Hardening and softening P-lead controllers are designed based on the models experimentally identified, and salient features of both controllers are discussed. Both controllers are implemented and validated on the physical test rig. Experimental results confirm the validity of the proposed...

Guide to oil spill exercise planning

International Nuclear Information System (INIS)

1996-01-01

The International Convention on Oil Pollution Preparedness, Response and Cooperation (OPRC Convention) foresees a future in which all at risk states have national oil spill preparedness and response plans. The Convention also encourages the idea that national plans be developed in cooperation with oil and shipping industries. The ultimate test of any contingency plan is measured by performance in a real emergency. It is vital, therefore, that any programme for developing a national contingency plan must include an ongoing programme to test the plan through realistic exercises. An exercise programme must progressively prepare the Oil Spill Energy Response Team to perform effectively in realistic representations of the risks that the contingency plan has been designed to meet. This report has been designed to guide all those in government or industry who are faced with the responsibility of developing and managing oil spill response exercises at all levels. It carries with it the authority that derives from peer review by many centres of oil spill response excellence around the world. It is well-illustrated with brief case histories of exercises that have been carried out by many IPIECA member companies. Each of those companies has indicated its preparedness to share more information by providing contact name and address details within this report. (author)

Effects of aerobic training intensity on resting, exercise and post-exercise blood pressure, heart rate and heart-rate variability.

Science.gov (United States)

Cornelissen, V A; Verheyden, B; Aubert, A E; Fagard, R H

2010-03-01

We aimed to investigate the effects of endurance training intensity (1) on systolic blood pressure (SBP) and heart rate (HR) at rest before exercise, and during and after a maximal exercise test; and (2) on measures of HR variability at rest before exercise and during recovery from the exercise test, in at least 55-year-old healthy sedentary men and women. A randomized crossover study comprising three 10-week periods was performed. In the first and third period, participants exercised at lower or higher intensity (33% or 66% of HR reserve) in random order, with a sedentary period in between. Training programmes were identical except for intensity, and were performed under supervision thrice for 1 h per week. The results show that in the three conditions, that is, at rest before exercise, during exercise and during recovery, we found endurance training at lower and higher intensity to reduce SBP significantly (Pendurance training did not affect the response of SBP after an acute bout of exercise. The effect of training on HR at rest, during exercise and recovery was more pronounced (Pendurance training had no significant effect on sympathovagal balance. In conclusion, in participants at higher age, both training programmes exert similar effects on SBP at rest, during exercise and during post-exercise recovery, whereas the effects on HR are more pronounced after higher intensity training.

Respiratory exercise in amyotrophic lateral sclerosis.

Science.gov (United States)

Pinto, Susana; Swash, Michael; de Carvalho, Mamede

2012-01-01

We have evaluated the potential role of respiratory exercise by implementing specific inspiratory muscle training in a selected population of early-affected amyotrophic lateral sclerosis (ALS) patients. We studied 26 patients with ALS with normal respiratory function using two groups of patients in a parallel, control-group, randomized, delayed-start design. Patients in the first group (G1) started the active inspiratory exercise programme at entry and were followed for eight months, while the second group (G2) of patients followed a placebo exercise programme for the first four months and then active exercise for the second four-month period. The primary outcome measure was the ALSFRS. Respiratory tests, neurophysiological measurements, fatigue and quality of life scales were secondary outcomes. Analysis of covariance was used to compare changes between and within groups. Results showed that there was no significant difference between the two patient groups. Within-group analysis suggested that inspiratory exercise promotes a transient improvement in the respiratory subscore and in the maximal voluntary ventilation, peak expiratory flow, and sniff inspiratory pressure. In conclusion, there was no clear positive or negative outcome of the respiratory exercise protocol we have proposed, but we cannot rule out a minor positive effect. Exercise regimes merit more detailed clinical evaluation in ALS.

Optimisation of bitumen emulsion properties for ballast stabilisation

International Nuclear Information System (INIS)

D’Angelo, G.; Lo Presti, D.; Thom, N.

2017-01-01

Ballasted track, while providing economical and practical advantages, is associated with high costs and material consumption due to frequent maintenance. More sustainable alternatives to conventional ballasted trackbeds should therefore aim at extending its durability, particularly considering ongoing increases in traffic speed and loads. In this regard, the authors have investigated a solution consisting of bitumen stabilised ballast (BSB), designed to be used for new trackbeds as well as in reinforcing existing ones. This study presents the idea behind the technology and then focuses on a specific part of its development: the optimisation of bitumen emulsion properties and dosage in relation to ballast field conditions. Results showed that overall bitumen stabilisation improved ballast resistance to permanent deformation by enhancing stiffness and damping properties. Scenarios with higher dosage of bitumen emulsion, higher viscosity, quicker setting behaviour, and harder base bitumen seem to represent the most desirable conditions to achieve enhanced in-field performance. [es

Transformation Directions of the Financial Policy in the Process of Stabilisation of the Ukrainian Economy

Directory of Open Access Journals (Sweden)

Petrushevska Viktoriya V.

2013-11-01

Full Text Available The goal of the article is consideration of theoretical provisions with respect to the state financial policy. The article considers the role of the financial policy in ensuring stabilisation of the Ukrainian financial system. It presents conceptual provisions regarding main goals, mechanisms and instruments of the stabilisation financial policy of the state. It develops economic indicators of its efficiency. The use of indicators of economic efficiency of the stabilisation financial policy by the bodies of state authority in their practical activity would provide the society with a possibility to assess expediency of measures of this policy increasing its efficiency and decreasing criticism at the government. A necessary direction of achievement of effectiveness and efficiency of the stabilisation financial policy is taking into consideration interests of all social groups (population, entrepreneurs, financial institutes and companies, etc. by the bodies of state authority in the process of its development and realisation.

Design of a wind turbine pitch angle controller for power system stabilisation

Energy Technology Data Exchange (ETDEWEB)

Jauch, Clemens; Soerensen, Poul [Risoe National Laboratory, Wind Energy Department, P.O. Box 49, DK-4000 Roskilde (Denmark); Islam, Syed M. [Department of Electrical and Computer Engineering, Curtin University of Technology, GPO Box U1987, Perth, WA 6845 (Australia); Bak Jensen, Birgitte [Institute of Energy Technology, Aalborg University, Pontoppidanstraede 101, DK-9220 Aalborg East (Denmark)

2007-11-15

The design of a PID pitch angle controller for a fixed speed active-stall wind turbine, using the root locus method is described in this paper. The purpose of this controller is to enable an active-stall wind turbine to perform power system stabilisation. For the purpose of controller design, the transfer function of the wind turbine is derived from the wind turbine's step response. The performance of this controller is tested by simulation, where the wind turbine model with its pitch angle controller is connected to a power system model. The power system model employed here is a realistic model of the North European power system. A short circuit fault on a busbar close to the wind turbine generator is simulated, and the dynamic responses of the system with and without the power system stabilisation of the wind turbines are presented. Simulations show that in most operating points the pitch controller can effectively contribute to power system stabilisation. (author)

Stabilising a victor's peace? Humanitarian action and reconstruction in eastern Sri Lanka.

Science.gov (United States)

Goodhand, Jonathan

2010-10-01

This paper focuses on the 'Sri Lankan model' of counter-insurgency and stabilisation and its implications for humanitarian and development actors. The Sri Lanka case shows that discourses, policies and practices associated with 'stabilisation' are not confined to 'fragile state' contexts in which there is heavy (and often militarised) international engagement--even though exemplars such as Afghanistan and Iraq have tended to dominate debates on this issue. Rather than being a single template, the 'stabilisation agenda' takes on very different guises in different contexts, presenting quite specific challenges to humanitarian and development actors. This is particularly true in settings like Sri Lanka, where there is a strong state, which seeks to make aid 'coherent' with its own vision of a militarily imposed political settlement. Working in such environments involves navigating a highly-charged domestic political arena, shaped by concerns about sovereignty, nationalism and struggles for legitimacy. © 2010 The Author(s). Journal compilation © Overseas Development Institute, 2010.

Developing a Mind-Body Exercise Programme for Stressed Children

Science.gov (United States)

Wang, Claudia; Seo, Dong-Chul; Geib, Roy W

2017-01-01

Objective: To describe the process of developing a Health Qigong programme for stressed children using a formative evaluation approach. Methods: A multi-step formative evaluation method was utilised. These steps included (1) identifying programme content and drafting the curriculum, (2) synthesising effective and age-appropriate pedagogies, (3)…

Abdominal obesity and metabolic syndrome: exercise as medicine?

Science.gov (United States)

Paley, Carole A; Johnson, Mark I

2018-01-01

Metabolic syndrome is defined as a cluster of at least three out of five clinical risk factors: abdominal (visceral) obesity, hypertension, elevated serum triglycerides, low serum high-density lipoprotein (HDL) and insulin resistance. It is estimated to affect over 20% of the global adult population. Abdominal (visceral) obesity is thought to be the predominant risk factor for metabolic syndrome and as predictions estimate that 50% of adults will be classified as obese by 2030 it is likely that metabolic syndrome will be a significant problem for health services and a drain on health economies.Evidence shows that regular and consistent exercise reduces abdominal obesity and results in favourable changes in body composition. It has therefore been suggested that exercise is a medicine in its own right and should be prescribed as such. This review provides a summary of the current evidence on the pathophysiology of dysfunctional adipose tissue (adiposopathy). It describes the relationship of adiposopathy to metabolic syndrome and how exercise may mediate these processes, and evaluates current evidence on the clinical efficacy of exercise in the management of abdominal obesity. The review also discusses the type and dose of exercise needed for optimal improvements in health status in relation to the available evidence and considers the difficulty in achieving adherence to exercise programmes. There is moderate evidence supporting the use of programmes of exercise to reverse metabolic syndrome although at present the optimal dose and type of exercise is unknown. The main challenge for health care professionals is how to motivate individuals to participate and adherence to programmes of exercise used prophylactically and as a treatment for metabolic syndrome.

Can a conditioning programme improve Handicap Index in ...

African Journals Online (AJOL)

This study was conducted to determine the effects of a conditioning programme on body composition, flexibility, muscular strength, muscular endurance, ... The 14-week training programme consisted of a 60-minute supervised basic conditioning phase (Weeks 1-4: 9 resistance training exercises, 2-3 sets, 12-20 repetitions), ...

Effect of Submaximal Warm-up Exercise on Exercise-induced Asthma in African School Children.

Science.gov (United States)

Mtshali, B F; Mokwena, K; Oguntibeju, O O

2015-03-01

Regular physical activity has long been regarded as an important component of a healthy lifestyle. Exercise-induced asthma (EIA) is one of the major problems interfering with the performance of exercise. A warm-up exercise programme has been cited as a non-pharmacologic means of reducing EIA, but its effect has not been fully elucidated. The aims of this study were to determine the prevalence of unrecognized EIA in Pretoria primary school children, determine the effect of a warm-up exercise programme on EIA and to establish the relationship between history of allergy, family history of asthma and EIA. A random sample of 640 school children was selected. The study was divided into three phases. In phase one, a descriptive cross-sectional study was done using the standardized European Community Respiratory Health Survey (ECRHS) questionnaire. In phase two, non-asthmatic participants that returned a completed questionnaire were included in the field study. Pre-test and post-test experimental designs were used, where peak expiratory flow rate (PEFR) was measured at baseline and within ten minutes after exercise. A total of 340 subjects completed the Free Running Asthma Screening Test (FRAST); EIA was defined as a decrease in baseline PEFR ≥ 10% after exercise and 75 children (22%) had EIA. In phase three, 29 of the 75 subjects participated in the warm-up programme which was performed in the laboratory and subjects acted as their own controls. Predefined protocols for the study were followed. Seventy-five (22%) of the 340 participants had EIA. The mean age, height and weight were 10.51 years, 139.26 cm and 33.45 kg, respectively. Exercise-induced asthma symptoms were cough (25%), chest pain (16%), wheeze (12%) and chest tightness (12%). The history of allergy was 75%, family history of allergy 40% and positive history of allergy when near animals, feathers or in dusty areas 38%. Wheezing during or after exercise, wheezing when near animals, feathers or in dusty areas

Small-State Special Operations in a Comprehensive Stabilisation Context

DEFF Research Database (Denmark)

Johnsen, Anton Asklund

takeaways were: Special operations as a force multiplier: Can special operations enable other stabilisation agents, locals as well as internationals, to accomplish their missions more effectively? This includes NGOs, diplomats or other officials, other military units, etc. How can the mindset required...... to enable ‘whole-of-government’ approaches be promoted? Economy of force considerations: Are special operations truly a cheaper means of reaching certain ends? When are small and indirect approaches involving special operations forces effective and when are they not? Special operations as expansion......“Small-State Special Operations in a Comprehensive Stabilisation Context: What to Know and Where to Go?” was the headline of a conference held at the Royal Danish Defence College, facilitated by the Institute for Strategy. As a product of this conference, a report has been written which highlights...

Feasibility and effects of a physical exercise programme in adults with myotonic dystrophy type 1: a randomized controlled pilot study.

Science.gov (United States)

Kierkegaard, Marie; Harms-Ringdahl, Karin; Edström, Lars; Widén Holmqvist, Lotta; Tollbäck, Anna

2011-07-01

To investigate the feasibility and effects of a physical exercise programme on functioning and health-related quality of life in adults with myotonic dystrophy type 1. A randomized controlled trial. Thirty-five adults with myotonic dystrophy type 1. After stratification for level of functioning, study participants were assigned by lot to either a training group or a control group. Training-group participants attended a 60-minute comprehensive group-training programme, Friskis&Svettis® Open Doors, twice a week for 14 weeks. The six-minute walk test was the primary outcome measure and the timed-stands test, the timed up-and-go test, the Epworth sleepiness scale and the Short Form-36 health survey were secondary outcome measures. Intention-to-treat analyses revealed no significant differences in any outcome measures, except for an increased between-group difference after intervention in the Short Form-36 mental health subscale and a decrease in the vitality subscale for the control group. The programme was well tolerated and many training-group participants perceived subjective changes for the better. No negative effects were reported. The Friskis&Svettis® Open Doors programme was feasible for adults with myotonic dystrophy type 1 who had been screened for cardiac involvement, had distal or mild-to-moderate proximal muscle impairment, and no severe cognitive impairments. No beneficial or detrimental effects were evident.

The Strengthening Exercises in Shoulder Impingement trial (The SExSI-trial) investigating the effectiveness of a simple add-on shoulder strengthening exercise programme in patients with long-lasting subacromial impingement syndrome

DEFF Research Database (Denmark)

Clausen, Mikkel Bek; Bandholm, Thomas; Rathleff, Michael Skovdal

2018-01-01

with pronounced and long-lasting SIS. However, the current rehabilitation of such strength impairments may be inadequate, with novel rehabilitation programmes including exercise therapy only improving external rotation strength by 4-13%. As these previous studies are the basis of current practice, this suggests...... that the strengthening component could be inadequate in the rehabilitation of these patients, and it seems likely that more emphasis should be placed on intensifying this part of the rehabilitation. The purpose of this study is to investigate the effectiveness of a programme consisting of progressive home...... with pronounced and long-lasting SIS, diagnosed using predefined criteria. Participants will be randomised to receive either an add-on intervention of progressive home-based resistance training using an elastic band in addition to usual care or usual care alone in a 1:1 allocation ratio. The randomisation...

Effect of a group intervention in the primary healthcare setting on continuing adherence to physical exercise routines in obese women.

Science.gov (United States)

del Rey-Moya, Luz Maria; Castilla-Álvarez, Carmen; Pichiule-Castañeda, Myrian; Rico-Blázquez, Milagros; Escortell-Mayor, Esperanza; Gómez-Quevedo, Rosa

2013-08-01

To determine the effect of a seven-week-long, group-delivered, nurse-monitored, exercise training programme on the adherence of obese women to physical exercise routines at 12 months. The worldwide obesity epidemic is posing huge public health challenges. The main cause of obesity in Europe is very possibly a sedentary lifestyle. Uncertainty exists regarding whether people will continue to exercise once a structured intervention programme of physical activity ends. No-control-group (before-after) intervention study. One Hundred Seventy-Four women from the Madrid region (Spain) aged ≥ 45 years with a body mass index of ≥30 undertook a maximum of 21 × 1 hour exercise training programme sessions (three per week) over seven weeks starting in February 2009. The number of women making use of exercise training programme before the intervention, and at 6 and 12 months postintervention, was recorded using the Nursing Outcome Classification. Information was collected by interviewing the study subjects. Bivariate (McNemar and Student's t-tests) and multivariate (binary logistic regression) analyses were then performed. The Nursing Outcome Classification Indicator 'Does the subject follow an exercise training programme?' showed that at the end of one year, the percentage of women who remained adhered to exercise training programme increased in those who completed the study (from 11-41%). As the number of programmed exercise training programme sessions completed increased beyond 14, so too did the likelihood of adhering to an exercise training programme regime at one year. The results show that an exercise training programme intervention can encourage obese women to continue exercising after exercise interventions end. This type of intervention could provide a valuable means of helping women lose weight and improve their health. It may also have important economic benefits for health systems. Clinical trials with longer follow-up times and in other populations are needed

Transforming the nature of fatigue through exercise

DEFF Research Database (Denmark)

Adamsen, L; Midtgaard, J; Andersen, C

2004-01-01

The objective of this study was to explore the nature of fatigue in cancer patients with advanced stages of disease undergoing chemotherapy and concurrently participating in a 6-week multidimensional exercise programme (physical exercise, relaxation, massage and body-awareness training). Semi-str...

Exercise-based cardiac rehabilitation for adults after Heart valve surgery (protocol)

DEFF Research Database (Denmark)

Lærum Sibilitz, Kristine; Berg, Selina Kikkenborg; Tang, Lars Hermann

2013-01-01

This is the protocol for a review and there is no abstract. The objectives are as follows: To assess the benefits and harms of exercise-based intervention programmes (exercise-based interventions alone or in combination with psycho-educational components), compared to no intervention, or treatment...... as usual, in adults who have had heart valve surgery. In this review we will focus on programmes that include an exercise-based intervention with, or without, another rehabilitation component (such as a psycho-educational component)....

Obesity, growth hormone and exercise.

Science.gov (United States)

Thomas, Gwendolyn A; Kraemer, William J; Comstock, Brett A; Dunn-Lewis, Courtenay; Maresh, Carl M; Volek, Jeff S

2013-09-01

Growth hormone (GH) is regulated, suppressed and stimulated by numerous physiological stimuli. However, it is believed that obesity disrupts the physiological and pathological factors that regulate, suppress or stimulate GH release. Pulsatile GH has been potently stimulated in healthy subjects by both aerobic and resistance exercise of the right intensity and duration. GH modulates fuel metabolism, reduces total fat mass and abdominal fat mass, and could be a potent stimulus of lipolysis when administered to obese individuals exogenously. Only pulsatile GH has been shown to augment adipose tissue lipolysis and, therefore, increasing pulsatile GH response may be a therapeutic target. This review discusses the factors that cause secretion of GH, how obesity may alter GH secretion and how both aerobic and resistance exercise stimulates GH, as well as how exercise of a specific intensity may be used as a stimulus for GH release in individuals who are obese. Only five prior studies have investigated exercise as a stimulus of endogenous GH in individuals who are obese. Based on prior literature, resistance exercise may provide a therapeutic target for releasing endogenous GH in individuals who are obese if specific exercise programme variables are utilized. Biological activity of GH indicates that this may be an important precursor to beneficial changes in body fat and lean tissue mass in obese individuals. However, additional research is needed including what molecular GH variants are acutely released and involved at target tissues as a result of different exercise stimuli and what specific exercise programme variables may serve to stimulate GH in individuals who are obese.

Effectiveness of a respiratory rehabilitation programme in patients with chronic obstructive pulmonary disease.

Science.gov (United States)

Prunera-Pardell, María Jesús; Padín-López, Susana; Domenech-Del Rio, Adolfo; Godoy-Ramírez, Ana

To evaluate the effectiveness of the multidisciplinary respiratory rehabilitation (RR) programme in patients with severe or very severe chronic obstructive pulmonary disease pre the RR programme, at the end of the programme and one year after the RR, measuring changes in ability to exercise (walking test), effort tolerance(forced expiratory volume (FEV1)) and health-related quality of life. Quasi-experimental single group design. We included patients diagnosed with severe or very severe chronic obstructive pulmonary disease (stages III and IV of the GOLD classification) who entered the rehabilitation programme for the years 2011 and 2012. Demographic data, questionnaires on general health-related quality of life (SF-36) and specific to respiratory patients (St George's Respiratory Questionnaire), FEV1% and exercise capacity test (running test 6minutes) were collected. Data were collected before the RR programme, at the end of the RR programme and a year after completing the program. No significant differences in FEV1% values were observed. Regarding exercise capacity, an increase in distance walked in the walking test was noted, which changed significantly after training, 377±59.7 to 415±79 m after one year (P<.01). A statistically significant improvement in mean scores of HRQoL was observed, except for the emotional role dimension of the SF-36 questionnaire. A pulmonary rehabilitation programme for 8 weeks improved the exercise capacity, dyspnoea and quality of life of patients with severe and very severe chronic obstructive pulmonary disease. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

EMDR versus stabilisation in traumatised asylum seekers and refugees: results of a pilot study

Directory of Open Access Journals (Sweden)

Rolf J. Kleber

2011-08-01

Full Text Available Traumatised asylum seekers and refugees are clinically considered a complex population. Discussion exists on whether with this population treatment guidelines for post-traumatic stress disorder (PTSD should be followed and Trauma-Focused Cognitive-Behavioural Therapy (TF-CBT or Eye Movement Desensitisation and Reprocessing (EMDR should be applied, or whether a phased model starting with stabilisation is preferable. Some clinicians fear that trauma-focused interventions may lead to unmanageable distress or may be ineffective. While cognitive-behavioural interventions have been found to be effective with traumatised refugees, no studies concerning the efficacy of EMDR with this population have been conducted as yet.In preparation for a randomised trial comparing EMDR and stabilisation with traumatised refugees, a pilot study with 20 participants was conducted. The objective was to examine feasibility of participation in a randomised trial for this complex population and to examine acceptability and preliminary efficacy of EMDR.Participants were randomly allocated to 11 sessions of either EMDR or stabilisation. Symptoms of PTSD (SCID-I, HTQ, depression and anxiety (HSCL-25, and quality of life (WHOQOL-BREF were assessed at pre- and post-treatment and 3-month follow-up.Participation of traumatised refugees in the study was found feasible, although issues associated with complex traumatisation led to a high pre-treatment attrition and challenges in assessments. Acceptability of EMDR was found equal to that of stabilisation with a high drop-out for both conditions. No participants dropped out of the EMDR condition because of unmanageable distress. While improvement for EMDR participants was small, EMDR was found to be no less efficacious than stabilisation. Different symptom courses between the two conditions, with EMDR showing some improvement and stabilisation showing some deterioration between pre-treatment and post-treatment, justify the conduct

The dynamics of success and failure: how post-behaviour evaluations relate to subsequent exercise intentions and behaviour.

Science.gov (United States)

Kwan, Bethany M; Bryan, Angela D; Sheeran, Paschal

2018-01-25

Exercise behaviour change involves multiple experiences with success and failure. The Model of Action Phases (MAP) offers a dynamic account of how success and failure influence both immediate evaluations and future decisions and actions. However, predictions from the MAP have not been formally tested. A longitudinal daily diary study was used to examine how post-behaviour evaluations of exercise success and failure influence subsequent exercise intentions and behaviour. Participants (N = 104) set exercise goals, and then kept a daily online exercise diary for four weeks. Participants self-reported exercise behaviour, affective response to exercise, self-evaluations after success or failure at following through on intentions to exercise, and intentions to exercise in the next week. Multilevel modelling revealed significant within- and between-participant relationships among post-behaviour evaluations, intentions and subsequent behaviour. Findings supported MAP-derived predictions about how success and failure at exercise are associated with feelings about exercise and the self, and inform subsequent exercise intentions and behaviour. Positive post-behaviour evaluations of success or failure may stabilise positive intentions and aid maintenance of exercise behaviour. Implications of these MAP-based findings for intervention design are discussed.

"Four legs instead of two"--perspectives on a Nordic walking-based walking programme among people with arthritis.

Science.gov (United States)

O'Donovan, Rhona; Kennedy, Norelee

2015-01-01

Nordic Walking (NW) is growing in popularity among people with arthritis. The aim of this study was to explore the perspectives of participants with arthritis on a NW-based walking programme including factors contributing to sustained participation in the programme. Three semi-structured focus groups were conducted with a total of 27 participants with various types of arthritis. The groups consisted of participants who completed a NW-based walking programme in the previous 4 years. Only participants who had sustained involvement in the walking group were included. Groups were audio-recorded, transcribed verbatim and thematic analysis was performed. Participants reported that the walking programme offered numerous benefits. Two distinct themes emerged: (1) "four legs instead of two legs" and (2) "a support group". Theme 1 incorporates the physical, psychological and educational benefits that stem from involvement in a walking group while Theme 2 incorporates the benefits of social support in group-based activity. Several benefits of a NW-based walking programme from the perspectives of individuals with arthritis who engage in group-based walking programmes were identified. The benefits may encourage sustained participation and justify the promotion of NW as an intervention for people with arthritis. Considering how to sustain exercise participation is important to ensure continued benefits from physical activity participation. A community-based Nordic walking-based walking programme for people with arthritis improved exercise knowledge and confidence to exercise. Group exercise is valuable in providing support and motivation to continue exercising.

Wavelength stabilisation during current pulsing of tapered laser

DEFF Research Database (Denmark)

Jensen, Ole Bjarlin

2009-01-01

The use of external feedback to stabilise the frequency of a tapered laser during current pulsing is reported. Using this technique more than 20 W of peak power in 60 ns pulses from the tapered laser is obtained and owing to the external feedback, the laser is tunable in the 778-808 nm range...

Reshaping the DCC Institutional Engagement Programme

Directory of Open Access Journals (Sweden)

Sarah Jones

2014-10-01

Full Text Available This paper shares results from the Digital Curation Centre’s programme of Institutional Engagements (IEs, and describes how we continue to provide tailored support on Research Data Management (RDM to the UK higher education sector.Between Spring 2011 and Spring 2013, the DCC ran a series of 21 Institutional Engagements. The engagement programme involved helping institutions to assess their needs, develop policy and strategy, and begin to implement a range of RDM services.We have conducted a synthesis and evaluation of the programme, analysing the types of assistance requested and the impact of our support. The findings and lessons to emerge from these exercises have informed our future strategy and helped reshape the programme.

Postpartum Exercise among Nigerian Women: Issues Relating to Exercise Performance and Self-Efficacy

Science.gov (United States)

Adeniyi, A. F.; Ogwumike, O. O.; Bamikefa, T. R.

2013-01-01

Physical exercise during postpartum period is beneficial to mothers, and the health gains are abundantly reported. This study characterises the postpartum exercise profile of a group of Nigerian women and reports how their exercise self-efficacies are influenced by sociodemographic characteristics. Participants were women attending the two largest postnatal clinics in Ibadan, south-western Nigeria. A self-developed questionnaire assessed the socio-demographic and exercise profile of participants, while the Exercise Self-Efficacy Scale assessed their exercise self-efficacy. About two-third (61.0%) of the participants were not aware that they could undertake physical exercise to enhance postpartum health, and 109 (47.8%) were not engaged in any exercise. Those who exercised did so for less than three days/week, and 89% of the women did not belong to any exercise support group. Exercise self-efficacy was significantly (P exercise programme, age, employment, work hours/week, monthly income, and number of pregnancies. Most of the women were not aware they could engage in postpartum exercise, and about half were not undertaking it. More women with high compared to moderate exercise self-efficacy undertook the exercise. Efforts at increasing awareness, improving exercise self-efficacy and adoption of postpartum exercise are desirable among the Nigerian women. PMID:23844290

Oil-in-oil emulsions stabilised solely by solid particles.

Science.gov (United States)

Binks, Bernard P; Tyowua, Andrew T

2016-01-21

A brief review of the stabilisation of emulsions of two immiscible oils is given. We then describe the use of fumed silica particles coated with either hydrocarbon or fluorocarbon groups in acting as sole stabilisers of emulsions of various vegetable oils with linear silicone oils (PDMS) of different viscosity. Transitional phase inversion of emulsions, containing equal volumes of the two oils, from silicone-in-vegetable (S/V) to vegetable-in-silicone (V/S) occurs upon increasing the hydrophobicity of the particles. Close to inversion, emulsions are stable to coalescence and gravity-induced separation for at least one year. Increasing the viscosity of the silicone oil enables stable S/V emulsions to be prepared even with relatively hydrophilic particles. Predictions of emulsion type from calculated contact angles of a silica particle at the oil-oil interface are in agreement with experiment provided a small polar contribution to the surface energy of the oils is included. We also show that stable multiple emulsions of V/S/V can be prepared in a two-step procedure using two particle types of different hydrophobicity. At fixed particle concentration, catastrophic phase inversion of emulsions from V/S to S/V can be effected by increasing the volume fraction of vegetable oil. Finally, in the case of sunflower oil + 20 cS PDMS, the study is extended to particles other than silica which differ in chemical type, particle size and particle shape. Consistent with the above findings, we find that only sufficiently hydrophobic particles (clay, zinc oxide, silicone, calcium carbonate) can act as efficient V/S emulsion stabilisers.

The health promotion lifestyle of metabolic syndrome individuals with a diet and exercise programme.

Science.gov (United States)

Lin, Yu-Hua; Chu, Li-Ling

2014-04-01

The purpose of this study was to explore a health promotion lifestyle (HPL) with a diet and exercise programme (DEP) in metabolic syndrome adults. The study consisted of 207 individuals who followed a DEP and 185 who did not. The subjects were rural community adults. Their HPL was evaluated using the Chinese version of the Health Promotion Lifestyle Profile Short Form (HPLP-S). The average HPLP-S score was significantly higher in the DEP group (3.28 ± 0.36) than in the group without the DEP (2.05 ± 0.65). Stepwise regression analysis revealed that group, gender, smoking, alcohol use, marital status, religion and chronic disease were predictors of an HPL and accounted for 67.0% of the variance in the HPLP-S score. This study demonstrates that a DEP has positive effects on a health promotion lifestyle. The community-based DEP targeting health promotion behaviours should be presented as a strategy for metabolic syndrome in adults. © 2013 Wiley Publishing Asia Pty Ltd.

Sports activity after anatomic acromioclavicular joint stabilisation with flip-button technique.

Science.gov (United States)

Porschke, Felix; Schnetzke, Marc; Aytac, Sara; Studier-Fischer, Stefan; Gruetzner, Paul Alfred; Guehring, Thorsten

2017-07-01

Sports activity after surgical AC joint stabilisation has not been comprehensively evaluated to date. The aim of this study was to determine rate, level and time to return to sports after AC joint stabilisation and to identify the influence of overhead sports on post-operative sports activity. In this retrospective case series, a total of 68 patients with a high-grade AC joint dislocation (Rockwood type V) were stabilised using a single TightRope technique. Fifty-five patients (80.9 %) with median age of 42.0 (range, 18-65) years completed questionnaires regarding sports activity before and after surgery. Clinical outcome and complications were also evaluated. Forty-three patients participated in sports regularly before injury. Their sports activity was rated according to Allain, and non-overhead and overhead sports were differentiated. At median follow-up of 24 (18-45) months, 41 of 43 patients (95.3 %) had returned to sports. 63 % returned to the same sports activity as before injury. 16.3 % needed to adapt the type of sports to reduce demanding activities. 11.6 % reduced the frequency and 32.5 % the intensity of sports. The median time to return to sports was 9.5 (3-18) months. Overhead athletes (Allain Type III and IV) had to reduce their sports activity significantly more often (11.8 vs. 53.8 %; p = 0.011) and needed more time to return to sports (9.5 vs. 4.5 months; p = 0.009). After stabilisation of AC joint dislocation, the majority of patients returned to sports after a substantial period of time. Overhead athletes, in particular, required more time and had to considerably reduce their sports activity. The findings impact therapeutic decision-making after AC joint injury and help with the prognosis and assessment of rehabilitation progress. IV.

COPE-ICD: Patient experience of participation in an ICD specific rehabilitation programme

DEFF Research Database (Denmark)

Berg, Selina Kikkenborg; Pedersen, Birthe Dagmar; Svendsen, Jesper Hastrup

2012-01-01

individualized care. Four themes emerged: Knowledge: patients gained much needed understanding; Physical attention: patients interpreted body signals and adjusted their exercise behaviour; Trust: patients regained trust, felt secure and dared to live again; Strategies of living: patients' coping was supported...... through reflection and professional dialogue, and they dealt with the risk of shock or death. CONCLUSION: Participating in an ICD-specific rehabilitation programme can make patients feel inspired and secure through individualized care. They discover that they have to rethink some of their strategies......PURPOSE: Evaluating rehabilitation programmes from the patient's perspective is much needed, as the patients are the most important stakeholders in the health care system. A comprehensive rehabilitation programme, COPE-ICD programme, consists of exercise training and nursing consultations during...

Electrolytic tritium enrichment: Current control using current-stabilised Kepco Type JQE modular supplies

International Nuclear Information System (INIS)

1976-01-01

This note describes the principles, design and operation of a current-stabilised power source for tritium electrolytic enrichment cells. A Kepoo Tpe JE, modular supply is current-stabilised by controlled current feedback. The accompanying control unit incorporates a temperature sensor or the cooling unit of the electrolysis cells, a line monitor to register current shut-off due to temporary power failure, a time-of-day clock, a current control potentiometer and a digital voltmeter providing current reading to an accuracy of 0.01A

Electrolytic tritium enrichment: Current control using current-stabilised Kepco Type JQE modular supplies

Energy Technology Data Exchange (ETDEWEB)

NONE

1976-07-12

This note describes the principles, design and operation of a current-stabilised power source for tritium electrolytic enrichment cells. A Kepoo Tpe JE, modular supply is current-stabilised by controlled current feedback. The accompanying control unit incorporates a temperature sensor or the cooling unit of the electrolysis cells, a line monitor to register current shut-off due to temporary power failure, a time-of-day clock, a current control potentiometer and a digital voltmeter providing current reading to an accuracy of 0.01A.

IAEA-MEL's AQCS programme for marine radioactivity measurements

International Nuclear Information System (INIS)

Povinec, P.P.; Gastaud, J.; Pham, M.K.

1999-01-01

The main objectives of the IAEA-MEL's Analytical Quality Control Services (AQCS) for marine radioactivity measurements are discussed and future plans for the organization of intercomparison exercises and the production of certified reference materials are presented. The new developments should also include implementation of quality assurance programmes in Member States' laboratories, training in quality management and accreditation programmes. (author)

Stabilisation de la formule des traces tordue

CERN Document Server

Moeglin, Colette

2016-01-01

Ce travail en deux volumes donne la preuve de la stabilisation de la formule des trace tordue. Stabiliser la formule des traces tordue est la méthode la plus puissante connue actuellement pour comprendre l'action naturelle du groupe des points adéliques d'un groupe réductif, tordue par un automorphisme, sur les formes automorphes de carré intégrable de ce groupe. Cette compréhension se fait en réduisant le problème, suivant les idées de Langlands, à des groupes plus petits munis d'un certain nombre de données auxiliaires; c'est ce que l'on appelle les données endoscopiques. L'analogue non tordu a été résolu par J. Arthur et dans ce livre on suit la stratégie de celui-ci. Publier ce travail sous forme de livre permet de le rendre le plus complet possible. Les auteurs ont repris la théorie de l'endoscopie tordue développée par R. Kottwitz et D. Shelstad et par J.-P. Labesse. Ils donnent tous les arguments des démonstrations même si nombre d'entre eux se trouvent déjà dans les travaux d'Ar...

Perceptions of exercise among people who have not attended cardiac rehabilitation following myocardial infarction.

Science.gov (United States)

McCorry, Noleen K; Corrigan, Mairead; Tully, Mark A; Dempster, Martin; Downey, Bernadette; Cupples, Margaret E

2009-10-01

Perceptions of exercise among nonattenders of cardiac rehabilitation (CR) were explored using semi-structured interviews. Analysis indicated that participants did not recognize the cardiovascular benefits of exercise, and perceived keeping active through daily activities as sufficient for health. Health professionals were perceived to downplay the importance of exercise and CR, and medication was viewed as being more important than exercise for promoting health. The content of CR programmes and the benefits of exercise need to be further explained to patients post-MI, and in a manner that communicates to patients that these programmes are valued by significant others, particularly health professionals.

Barriers to participation in a phase II cardiac rehabilitation programme.

Science.gov (United States)

Mak, Y M W; Chan, W K; Yue, C S S

2005-12-01

To identify barriers to participation in a phase II cardiac rehabilitation programme and measures that may enhance participation. Prospective study. Regional hospital, Hong Kong. Cardiac patients recruited for a phase I cardiac rehabilitation programme from July 2002 to January 2003. Reasons for not participating in a phase II cardiac rehabilitation programme. Of the 193 patients recruited for a phase I cardiac rehabilitation programme, 152 (79%) patients, with a mean age of 70.3 years (standard deviation, 11.9 years), did not proceed to phase II programme. Eleven (7%) deaths occurred before commencement of phase II and 74 (49%) patients were considered physically unfit. Reasons for the latter included fractures, pain, or degenerative changes in the lower limbs (24%), and co-morbidities such as cerebrovascular accident (19%), chronic renal failure (11%), congestive heart failure (9%), and unstable angina (8%). Phase II rehabilitation was postponed until after completion of scheduled cardiac interventions in 13% of patients. Failure of physicians to arrange the pre-phase II exercise stress test as per protocol was reported in 7% of patients. Other reasons were reported: work or time conflicts (16%), non-compliance with cardiac treatment (5%), financial constraints (4%), self-exercise (3%), fear after exercise stress testing (3%), and patients returning to their original cardiologists for treatment (3%). A significant (79%) proportion of patients did not proceed to a phase II cardiac rehabilitation programme for a variety of reasons. These included physical unfitness, work or time conflicts, and need to attend scheduled cardiac interventions. Further studies are required to determine how to overcome obstacles to cardiac rehabilitation.

Modeling and control of a gravity gradient stabilised satellite

Directory of Open Access Journals (Sweden)

Aage Skullestad

1999-01-01

Full Text Available This paper describes attitude control, i.e., 3-axes stabilisation and pointing, of a proposed Norwegian small gravity gradient stabilized satellite to be launched into low earth orbit. Generally, a gravity gradient stabilised system has limited stability and pointing capabilities, and wheels and/or magnetic coils are added in order to improve the attitude control. The best attitude accuracy is achieved using wheels, which can give accuracies down to less than one degree, but wheels increase the complexity and cost of the satellite. Magnetic coils allow cheaper satellites, and are an attractive solution to small, inexpensive satellites in low earth orbits and may provide an attitude control accuracy of a few degrees. Scientific measurements often require accurate attitude control in one or two axes only. Combining wheel and coil control may, in these cases, provide the best solutions. The simulation results are based on a linearised mathematical model of the satellite.

Comparative Assessment of Stabilised Polybutadiene Binder under Accelerated Ageing

Directory of Open Access Journals (Sweden)

Luiz Felipe Cannaval Sbegue

2016-04-01

Full Text Available Polybutadiene elastomers are versatile materials, being employed at several applications from rocket propellant binder to adhesives and sealants. The elastomers derived from hydroxyl-terminated polybutadiene are usually stabilised with antioxidants to prevent degradation. In this study, a comparative assessment among 2,2’-methylene-bis (4-methyl-6-tert-butylphenol (AO2246, 2,6-di-tert-butyl-4-methylphenol (BHT, p-phenylenediamine (pPDA, and triphenylphosphine (TPP regarding stabilisation of hydroxyl-terminated polybutadiene binder under accelerated ageing (six months at 65 °C was carried out. Evaluation of antioxidants effectiveness was examined through Oxidation Induction time, sol/gel extraction, swelling and mechanical testing, dynamic mechanical analysis, and mass variation measurement. AO2246 yielded the best performance, meanwhile BHT was poorly protective. TPP acted as prooxidant, causing a severe degradation of the binder, and pPDA was not manageable to be assessed due to the lower curing degree of the resulted polyurethane.

[First favourable results of the group education programme Go4it for overweight and obese adolescents].

Science.gov (United States)

Hofsteenge, G H; Weijs, P J M; Chin A Paw, M J M; Delemarre-van de Waal, H A

2008-07-19

To evaluate the effect of Go4it, a multidisciplinary group education programme for adolescents with overweight or obesity. Uncontrolled intervention study. At the obesity outpatient clinic of the Transmural Research and Treatment Centre for Overweight and Obese Children of the VU University Medical Center, Amsterdam, The Netherlands, a group education programme was developed for adolescents (age 12-18 year) who are overweight or obese. Obese adolescents who were referred to the obesity outpatient clinic were asked to participate. During 7 sessions (one session every two weeks) the adolescents were educated on the health consequences of obesity, diet, physical activity, energy balance, improving self-esteem and how to handle bullying and other difficult situations. All sessions were held in groups of 8-10 adolescents. In addition, two sessions were organised for the parents concerning the health consequences of obesity, diet, and physical activity. Body weight and height, glucose tolerance (by an oral glucose tolerance test; OGTT), and insulin resistance were measured at enrolment into the Go4it programme and 6 months later. In total, 93 adolescents (39 boys, 54 girls) were included with a mean age of 3.9 (SD: 1.7) years. Of those, 69 adolescents (74%) attended at least 6 out of 7 sessions of the education programme. Stabilisation or reduction in obesity levels following completion of Go4it was achieved in 51 (74%) of these participants. 50 adolescents had a second OGTT. The BMI standard deviation score (BMI-sds) decreased by 4.3% for boys (p = 0.020) and 3.3% for girls (p = 0.017). Among girls, fasting blood glucose levels decreased by an average of 0.37 mmol/l (95% CI: 0.14-0.60) and insulin concentrations decreased by an average of 299 pmol/l (95% CI: 71-528). Participation in the Go4it education programme is accompanied by a stabilisation or reduction in the level of obesity and has favourable effects on glucose and insulin metabolism.

Physical Exercise and MS Recommendations

DEFF Research Database (Denmark)

Dalgas, U; Ingemann-Hansen, T; Stenager, E

2009-01-01

in a number of physiological functions, which ultimately can lead to functional improvements that have a positive effect on a patients daily life. The purpose of this review is, based on the existing research, to provide clinicians with some easily administrable recommendations for the application of exercise......The use of physical exercise programmes in the rehabilitation of patients with multiple sclerosis (MS) has been a controversial issue for many years. During the last decade, however, evidence from a number of studies has suggested that exercise is a safe and efficient way to induce improvements...

Time Course of Improvement of Metabolic Parameters after a 12 Week Physical Exercise Programme in Patients with Type 2 Diabetes: The Influence of Gender in a Nigerian Population

Directory of Open Access Journals (Sweden)

A. F. Adeniyi

2013-01-01

Full Text Available Gender is a major determinant of the outcomes of many health interventions. This study documents the order of significant improvements in metabolic parameters of patients with type 2 diabetes mellitus (T2DM having metabolic syndrome within 12 weeks of physical exercise programmes. Twenty-nine patients, mean age 49.6 ± 3.7 years, presenting with high fasting plasma glucose, high triglycerides, hypertension, and high waist circumference undertook a thrice weekly aerobic and endurance exercise programme in addition to their drugs and diet. Variables were assessed at baseline and end of every two weeks for twelve weeks. Compared with baseline, significant improvement (P<0.05 in the metabolic parameters occurred in this order for the male participants: fasting glucose (2nd week, triglycerides and waist circumference (4th week, and systolic blood pressure (12th week. For the female participants, it was fasting glucose (4th week, triglycerides (6th week, and waist circumference (10th week. Regardless of the gender, fasting glucose was the first to improve significantly, followed by triglycerides. Hypertension did not improve significantly at all in the female participants as they may require more than twelve weeks of therapeutic exercise for any significant improvement in hypertension.

Genetic factors in exercise adoption, adherence and obesity.

Science.gov (United States)

Herring, M P; Sailors, M H; Bray, M S

2014-01-01

Physical activity and exercise play critical roles in energy balance. While many interventions targeted at increasing physical activity have demonstrated efficacy in promoting weight loss or maintenance in the short term, long term adherence to such programmes is not frequently observed. Numerous factors have been examined for their ability to predict and/or influence physical activity and exercise adherence. Although physical activity has been demonstrated to have a strong genetic component in both animals and humans, few studies have examined the association between genetic variation and exercise adherence. In this review, we provide a detailed overview of the non-genetic and genetic predictors of physical activity and adherence to exercise. In addition, we report the results of analysis of 26 single nucleotide polymorphisms in six candidate genes examined for association to exercise adherence, duration, intensity and total exercise dose in young adults from the Training Interventions and Genetics of Exercise Response (TIGER) Study. Based on both animal and human research, neural signalling and pleasure/reward systems in the brain may drive in large part the propensity to be physically active and to adhere to an exercise programme. Adherence/compliance research in other fields may inform future investigation of the genetics of exercise adherence. © 2013 The Authors. obesity reviews © 2013 International Association for the Study of Obesity.

Preventing Australian football injuries with a targeted neuromuscular control exercise programme: comparative injury rates from a training intervention delivered in a clustered randomised controlled trial.

Science.gov (United States)

Finch, Caroline F; Twomey, Dara M; Fortington, Lauren V; Doyle, Tim L A; Elliott, Bruce C; Akram, Muhammad; Lloyd, David G

2016-04-01

Exercise-based training programmes are commonly used to prevent sports injuries but programme effectiveness within community men's team sport is largely unknown. To present the intention-to-treat analysis of injury outcomes from a clustered randomised controlled trial in community Australian football. Players from 18 male, non-elite, community Australian football clubs across two states were randomly allocated to either a neuromuscular control (NMC) (intervention n=679 players) or standard-practice (control n=885 players) exercise training programme delivered as part of regular team training sessions (2× weekly for 8-week preseason and 18-week regular-season). All game-related injuries and hours of game participation were recorded. Generalised estimating equations, adjusted for clustering (club unit), were used to compute injury incidence rates (IIRs) for all injuries, lower limb injuries (LLIs) and knee injuries sustained during games. The IIRs were compared across groups with cluster-adjusted Injury Rate Ratios (IRRs). Overall, 773 game injuries were recorded. The lower limb was the most frequent body region injured, accounting for 50% of injuries overall, 96 (12%) of which were knee injuries. The NMC players had a reduced LLI rate compared with control players (IRR: 0.78 (95% CI 0.56 to 1.08), p=0.14.) The knee IIR was also reduced for NMC compared with control players (IRR: 0.50 (95% CI 0.24 to 1.05), p=0.07). These intention-to-treat results indicate that positive outcomes can be achieved from targeted training programmes for reducing knee and LLI injury rates in men's community sport. While not statistically significant, reducing the knee injury rate by 50% and the LLI rate by 22% is still a clinically important outcome. Further injury reductions could be achieved with improved training attendance and participation in the programme. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to

String loop moduli stabilisation and cosmology in IIB flux compactifications

International Nuclear Information System (INIS)

Cicoli, M.

2010-01-01

We present a detailed review of the moduli stabilisation mechanism and possible cosmological implications of the LARGE Volume Scenario (LVS) that emerges naturally in the context of type IIB Calabi-Yau flux compactifications. After a quick overview of physics beyond the Standard Model, we present string theory as the most promising candidate for a consistent theory of quantum gravity. We then give a pedagogical introduction to type IIB compactifications on Calabi-Yau orientifolds where most of the moduli are stabilised by turning on background fluxes. However in order to fix the Kaehler moduli one needs to consider several corrections beyond the leading order approximations. After presenting a survey of all the existing solutions to this problem, we derive the topological conditions on an arbitrary Calabi-Yau to obtain the LVS since it requires no fine-tuning of the fluxes and provides a natural solution of the hierarchy problem. After performing a systematic study of the behaviour of string loop corrections for general type IIB compactifications, we show how they play a crucial role to achieve full Kaehler moduli stabilisation in the LVS. Before examining the possible cosmological implication of these scenarios, we present a broad overview of string cosmology. We then notice how, in the case of K3-fibrations, string loop corrections give rise naturally to an inflationary model which yields observable gravity waves. We finally study the finite-temperature behaviour of the LVS and discuss prospects for future work. (Abstract Copyright [2010], Wiley Periodicals, Inc.)

Exercise applications of the programme package OECOSYS 1999

International Nuclear Information System (INIS)

Mueck, K.; Sdouz, G.; Suda, M.

1999-10-01

Under contract to the Austrian Federal Chancellory, directorate VI, the radioecological prediction code OECOSYS was implemented by the Austrian Research Center Seibersdorf on a VAX computer using VAX Fortran in 1989. Successively, in 1992 the program OECOSYS was implemented - in the version of 1989 - on PC's in Seibersdorf and the Ministry using OS/2 and Microsoft-Fortran. In 1993, an update of data sets and program structures which had become necessary by new data and improvements in modelling, was realized for the same customer. In 1998 the new version of the code in form of an EXCEL-version under MS Windows 95 was installed and adapted according to the Austrian parameters. With this version the calculation of two test scenarios in the context of the emergency exercise Hollabrunn was performed. They comprised an accident scenario in the NPP Dukovany. The assumption for the exercise was a severe accident with the failure of all cooling systems and furthermore the failure of the sprinkler system and the barbotage system after 1 hour. The assumptions were independent of the credibility of the accident scenarios with the aim of creating a useful exercise scenario. Two prognosis calculations were performed, one assuming completely dry deposition and one assuming a predominantly wet deposition. (author)

Novel Xylene-Linked Maltoside Amphiphiles (XMAs) for Membrane Protein Stabilisation

DEFF Research Database (Denmark)

Cho, Kyung Ho; Du, Yang; Scull, Nicola J

2015-01-01

Membrane proteins are key functional players in biological systems. These biomacromolecules contain both hydrophilic and hydrophobic regions and thus amphipathic molecules are necessary to extract membrane proteins from their native lipid environments and stabilise them in aqueous solutions...

Robust stabilisation of time-varying delay systems with probabilistic uncertainties

Science.gov (United States)

Jiang, Ning; Xiong, Junlin; Lam, James

2016-09-01

For robust stabilisation of time-varying delay systems, only sufficient conditions are available to date. A natural question is as follows: if the existing sufficient conditions are not satisfied, and hence no controllers can be found, what can one do to improve the stability performance of time-varying delay systems? This question is addressed in this paper when there is a probabilistic structure on the parameter uncertainty set. A randomised algorithm is proposed to design a state-feedback controller, which stabilises the system over the uncertainty domain in a probabilistic sense. The capability of the designed controller is quantified by the probability of stability of the resulting closed-loop system. The accuracy of the solution obtained from the randomised algorithm is also analysed. Finally, numerical examples are used to illustrate the effectiveness and advantages of the developed controller design approach.

External quality audit programmes for radiotherapy dosimetry and equipment

International Nuclear Information System (INIS)

Thwaites, D.I.

1997-01-01

It is widely accepted that individual radiotherapy centres should have in place a comprehensive quality assurance programme on all the necessary steps for the delivery of safe accurate treatment. As regards the performance of radiotherapy equipment and dosimetry, the most widely used process of external checking has been dosimetry intercomparison, comparing independently measured doses to locally stated doses in a variety of conditions. These have been at a number of different levels: from basic beam calibration; up to and including exercises employing anatomic or pseudo-anatomic phantoms and incorporating tests of treatment planning equipment and procedures. Some of these have been one-off exercises, whilst others are continuing, or have given rise to on-going quality audit programmes on a national (or wider) basis. A number of these have evolved, or are evolving, into audits which include external checking of the achievement of standards in performance of treatment equipment, as well as in the dosimetry in each institution involved. The principles and methodologies of the various types of external checking programmes for treatment equipment and dosimetry are reviewed, covering the experimental approaches and the tolerances applied. What is included in a given programme will, of necessity, depend on the resources available and the purpose of the exercise. Methods and tolerances must be matched to endpoint. Tolerance levels must take into account the experimental uncertainties of the measurement methods employed. Finally, external audit can only be used to complement, and in conjunction with, institutional quality assurance programmes and not as a substitute for them

The distribution and stabilisation of dissolved Fe in deep-sea hydrothermal plumes

Science.gov (United States)

Bennett, Sarah A.; Achterberg, Eric P.; Connelly, Douglas P.; Statham, Peter J.; Fones, Gary R.; German, Christopher R.

2008-06-01

We have conducted a study of hydrothermal plumes overlying the Mid-Atlantic Ridge near 5° S to investigate whether there is a significant export flux of dissolved Fe from hydrothermal venting to the oceans. Our study combined measurements of plume-height Fe concentrations from a series of 6 CTD stations together with studies of dissolved Fe speciation in a subset of those samples. At 2.5 km down plume from the nearest known vent site dissolved Fe concentrations were ˜ 20 nM. This is much higher than would be predicted from a combination of plume dilution and dissolved Fe(II) oxidation rates, but consistent with stabilisation due to the presence of organic Fe complexes and Fe colloids. Using Competitive Ligand Exchange-Cathodic Stripping Voltammetry (CLE-CSV), stabilised dissolved Fe complexes were detected within the dissolved Fe fraction on the edges of one non-buoyant hydrothermal plume with observed ligand concentrations high enough to account for stabilisation of ˜ 4% of the total Fe emitted from the 5° S vent sites. If these results were representative of all hydrothermal systems, submarine venting could provide 12-22% of the global deep-ocean dissolved Fe budget.

A mixed methods study to evaluate the clinical and cost-effectiveness of a self-managed exercise programme versus usual physiotherapy for chronic rotator cuff disorders: protocol for the SELF study.

Science.gov (United States)

Littlewood, Chris; Ashton, Jon; Mawson, Sue; May, Stephen; Walters, Stephen

2012-04-30

Shoulder pain is the third most common reason for consultation with a physiotherapist and up to 26% of the general population might be expected to experience an episode at any one time. Disorders of the shoulder muscles and tendons (rotator cuff) are thought to be the commonest cause of this pain. The long-term outcome is frequently poor despite treatment. This means that many patients are exposed to more invasive treatment, e.g. surgery, and/or long-term pain and disability.Patients with this disorder typically receive a course of physiotherapy which might include a range of treatments. Specifically the value of exercise against gravity or resistance (loaded exercise) in the treatment of tendon disorders is promising but appears to be under-used. Loaded exercise in other areas of the body has been favourably evaluated but further investigation is needed to evaluate the impact of these exercises in the shoulder and particularly the role of home based or supervised exercise versus usual treatment requiring clinic attendance. A single-centre pragmatic unblinded parallel group randomised controlled trial will evaluate the effectiveness of a self-managed loaded exercise programme versus usual clinic based physiotherapy. A total of 210 study participants with a primary complaint of shoulder pain suggestive of a rotator cuff disorder will be recruited from NHS physiotherapy waiting lists and allocated to receive a programme of self-managed exercise or usual physiotherapy using a process of block randomisation with sealed opaque envelopes. Baseline assessment for shoulder pain, function and quality of life will be undertaken with the Shoulder Pain & Disability Index, the Patient Specific Functional Scale and the SF-36. Follow-up evaluations will be completed at 3, 6 and 12 months by postal questionnaire. Both interventions will be delivered by NHS Physiotherapist's.An economic analysis will be conducted from an NHS and Personal Social Services perspective to evaluate

Strength training and aerobic exercise training for muscle disease.

NARCIS (Netherlands)

Voet, N.B.M.; Kooi, E.L. van der; Riphagen, I.I.; Lindeman, E.; Engelen, B.G.M. van; Geurts, A.C.H.

2010-01-01

BACKGROUND: Strength training or aerobic exercise programmes might optimise muscle and cardiorespiratory function and prevent additional disuse atrophy and deconditioning in people with a muscle disease. OBJECTIVES: To examine the safety and efficacy of strength training and aerobic exercise

TASTEX: Tokai Advanced Safeguards Technology Exercise

International Nuclear Information System (INIS)

1982-01-01

During the years 1978 to 1981 the Governments of France, Japan and the United States of America cooperated with the International Atomic Energy Agency in the TASTEX (Tokai Advanced Safeguards Technology Exercise) programme. The aim of this programme was to improve the technology for the application of international safeguards at reprocessing facilities, and the results are presented in the present report

The effects of a strength and neuromuscular exercise programme for the lower extremity on knee load, pain and function in obese children and adolescents: study protocol for a randomised controlled trial.

Science.gov (United States)

Horsak, Brian; Artner, David; Baca, Arnold; Pobatschnig, Barbara; Greber-Platzer, Susanne; Nehrer, Stefan; Wondrasch, Barbara

2015-12-23

Childhood obesity is one of the most critical and accelerating health challenges throughout the world. It is a major risk factor for developing varus/valgus misalignments of the knee joint. The combination of misalignment at the knee and excess body mass may result in increased joint stresses and damage to articular cartilage. A training programme, which aims at developing a more neutral alignment of the trunk and lower limbs during movement tasks may be able to reduce knee loading during locomotion. Despite the large number of guidelines for muscle strength training and neuromuscular exercises that exist, most are not specifically designed to target the obese children and adolescent demographic. Therefore, the aim of this study is to evaluate a training programme which combines strength and neuromuscular exercises specifically designed to the needs and limitations of obese children and adolescents and analyse the effects of the training programme from a biomechanical and clinical point of view. A single assessor-blinded, pre-test and post-test randomised controlled trial, with one control and one intervention group will be conducted with 48 boys and girls aged between 10 and 18 years. Intervention group participants will receive a 12-week neuromuscular and quadriceps/hip strength training programme. Three-dimensional (3D) gait analyses during level walking and stair climbing will be performed at baseline and follow-up sessions. The primary outcome parameters for this study will be the overall peak external frontal knee moment and impulse during walking. Secondary outcomes include the subscales of the Knee injury and Osteoarthritis Outcome Score (KOOS), frontal and sagittal kinematics and kinetics for the lower extremities during walking and stair climbing, ratings of change in knee-related well-being, pain and function and adherence to the training programme. In addition, the training programme will be evaulated from a clinical and health status perspective by

European 'Stabilisation through Association'

DEFF Research Database (Denmark)

Rodt, Annemarie Peen

In 2012 the Nobel Committee awarded the European Union (EU) its Peace Prize. It commemorated the building and sustaining of peace between Europeans, a process in which the Nobel Committee proposed that the EU and its predecessors had played an important part. It explicitly commen-ded the Union......’s success in repeatedly reconciling a divided continent and complemented its efforts to build peace beyond its borders. But does the EU (continue to) deserve such praise? This contribution examines European peacebuilding from the early inte-gration of post-World War Two economies, through the uniting...... of Europe after the Cold War to contemporary conflict management efforts in the Western Balkans and the Eastern neighbourhood. The purpose of this endeavour is to examine whether lessons from the European experience can be observed that may facilitate future regional stabilisation processes – within...

Health behaviour change theories: contributions to an ICF-based behavioural exercise therapy for individuals with chronic diseases.

Science.gov (United States)

Geidl, Wolfgang; Semrau, Jana; Pfeifer, Klaus

2014-01-01

The purpose of this perspective is (1) to incorporate recent psychological health behaviour change (HBC) theories into exercise therapeutic programmes, and (2) to introduce the International Classification of Functioning (ICF)-based concept of a behavioural exercise therapy (BET). Relevant personal modifiable factors of physical activity (PA) were identified based on three recent psychological HBC theories. Following the principles of intervention mapping, a matrix of proximal programme objectives specifies desirable parameter values for each personal factor. As a result of analysing reviews on behavioural techniques and intervention programmes of the German rehabilitation setting, we identified exercise-related techniques that impact the personal determinants. Finally, the techniques were integrated into an ICF-based BET concept. Individuals' attitudes, skills, emotions, beliefs and knowledge are important personal factors of PA behaviour. BET systematically addresses these personal factors by a systematic combination of adequate exercise contents with related behavioural techniques. The presented 28 intervention techniques serve as a theory-driven "tool box" for designing complex BET programmes to promote PA. The current paper highlights the usefulness of theory-based integrative research in the field of exercise therapy, offers explicit methods and contents for physical therapists to promote PA behaviour, and introduces the ICF-based conceptual idea of a BET. Implications for Rehabilitation Irrespective of the clients' indication, therapeutic exercise programmes should incorporate effective, theory-based approaches to promote physical activity. Central determinants of physical activity behaviour are a number of personal factors: individuals' attitudes, skills, emotions, beliefs and knowledge. Clinicians implementing exercise therapy should set it within a wider theoretical framework including the personal factors that influence physical activity. To increase

Stabilisation of Na,K-ATPase structure by the cardiotonic steroid ouabain

International Nuclear Information System (INIS)

Miles, Andrew J.; Fedosova, Natalya U.; Hoffmann, Søren V.; Wallace, B.A.; Esmann, Mikael

2013-01-01

Highlights: •Ouabain binding to pig and shark Na,K-ATPase enhances thermal stability. •Ouabain stabilises both membrane-bound and solubilised Na,K-ATPase. •Synchrotron radiation circular dichroism is used for structure determination. •Secondary structure in general is not affected by ouabain binding. •Stabilisation is due to re-arrangement of tertiary structure. -- Abstract: Cardiotonic steroids such as ouabain bind with high affinity to the membrane-bound cation-transporting P-type Na,K-ATPase, leading to complete inhibition of the enzyme. Using synchrotron radiation circular dichroism spectroscopy we show that the enzyme-ouabain complex is less susceptible to thermal denaturation (unfolding) than the ouabain-free enzyme, and this protection is observed with Na,K-ATPase purified from pig kidney as well as from shark rectal glands. It is also shown that detergent-solubilised preparations of Na,K-ATPase are stabilised by ouabain, which could account for the successful crystallisation of Na,K-ATPase in the ouabain-bound form. The secondary structure is not significantly affected by the binding of ouabain. Ouabain appears however, to induce a reorganization of the tertiary structure towards a more compact protein structure which is less prone to unfolding; recent crystal structures of the two enzymes are consistent with this interpretation. These circular dichroism spectroscopic studies in solution therefore provide complementary information to that provided by crystallography

Stabilisation of Na,K-ATPase structure by the cardiotonic steroid ouabain

Energy Technology Data Exchange (ETDEWEB)

Miles, Andrew J. [Institute of Structural and Molecular Biology, Birkbeck College, University of London, London WC1E 7HX (United Kingdom); Fedosova, Natalya U. [Department of Biomedicine, Aarhus University, DK-8000 Aarhus (Denmark); Hoffmann, Søren V. [ISA, Department of Physics and Astronomy, Aarhus University, DK-8000 Aarhus (Denmark); Wallace, B.A. [Institute of Structural and Molecular Biology, Birkbeck College, University of London, London WC1E 7HX (United Kingdom); Esmann, Mikael, E-mail: me@biophys.au.dk [Department of Biomedicine, Aarhus University, DK-8000 Aarhus (Denmark)

2013-05-31

Highlights: •Ouabain binding to pig and shark Na,K-ATPase enhances thermal stability. •Ouabain stabilises both membrane-bound and solubilised Na,K-ATPase. •Synchrotron radiation circular dichroism is used for structure determination. •Secondary structure in general is not affected by ouabain binding. •Stabilisation is due to re-arrangement of tertiary structure. -- Abstract: Cardiotonic steroids such as ouabain bind with high affinity to the membrane-bound cation-transporting P-type Na,K-ATPase, leading to complete inhibition of the enzyme. Using synchrotron radiation circular dichroism spectroscopy we show that the enzyme-ouabain complex is less susceptible to thermal denaturation (unfolding) than the ouabain-free enzyme, and this protection is observed with Na,K-ATPase purified from pig kidney as well as from shark rectal glands. It is also shown that detergent-solubilised preparations of Na,K-ATPase are stabilised by ouabain, which could account for the successful crystallisation of Na,K-ATPase in the ouabain-bound form. The secondary structure is not significantly affected by the binding of ouabain. Ouabain appears however, to induce a reorganization of the tertiary structure towards a more compact protein structure which is less prone to unfolding; recent crystal structures of the two enzymes are consistent with this interpretation. These circular dichroism spectroscopic studies in solution therefore provide complementary information to that provided by crystallography.

Geotechnical properties of peat soil stabilised with shredded waste tyre chips

Directory of Open Access Journals (Sweden)

M.A. Rahgozar

2016-02-01

Full Text Available To accommodate major civil engineering projects in or in the vicinity of peatlands, it is essential to stabilise peat deposits. On the other hand, the accumulation of waste tyres in recent decades has caused environmental problems around the world. An effective remedy for both issues is to use scrap tyre material to stabilise problematic peat soils. This article reports an experimental investigation of the effects of adding shredded tyre chips on the stability and bearing capacity of peat soil. Peat soil samples from the Chaghakhor Wetland (Chaharmahal and Bakhtiari Province, Iran were mixed with sand at a constant dosage of 400 kg m-3 and different percentages (0 %, 5 %, 10 %, 15 % and 20 % by weight of shredded tyre chips. The unconfined compressive strength, effective cohesion, angle of internal friction and coefficient of permeability were measured for all of these mixtures. The results showed that adding shredded tyre chips significantly improved the geotechnical properties of the peat soil. The mixture with 10 % shredded tyre chips showed the highest unconfined compressive strength; the one with 15 % tyre chips exhibited the highest ductility; and adding 20 % shredded tyre chips provided the highest values for angle of internal friction, effective cohesion and coefficient of permeability. Scanning Electron Micrographs (SEM showed that the pore spaces in the stabilised peat were mostly filled with sand.

The effect of a cognitive and a physical stress-reducing programme on psychological complaints

NARCIS (Netherlands)

Rhenen, W. van; Blonk, R.W.B.; Klink, J.J. van der; Dijk, F.J. van; Schaufeli, W.B.

2005-01-01

Objectives: To investigate the short-term and long-term effectiveness of two, brief, preventive, work stress management programmes. One programme was a cognition-focused programme, the other was a newly developed intervention in which physical exercise and relaxation were combined. It was

Exercise training in heart failure.

Science.gov (United States)

Abela, Mark

2018-05-04

Exercise training (ET) in heart failure (HF) has long been established as an important part of HF care. ET is known to improve quality of life and functional capacity in a number of ways. Despite its proposed benefits, evidence supporting its routine inclusion in standard rehabilitation programme is at times conflicting, partly because of the significant heterogeneity present in available randomised controlled trials. There is lack of evidence with regard to the duration of the overall benefit, the optimal exercise regimen and whether certain types of HF aetiologies benefit more than others. The aim of this review is to provide an update to date literature review of the positive and negative evidence surrounding ET in HF, while proposing an efficient novel in-hospital exercise-based rehabilitation programme for patients with HF in addition to a pre-existing HF clinic. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

IMPACT OF A USED STABILISER ON THE CALIFORNIA BEARING RATIO OF THE CLAYEY-SANDY SILT

Directory of Open Access Journals (Sweden)

Katarzyna Kamińska

2017-01-01

Full Text Available The paper aimed at the determination of the California Bearing Ratio of a stabilised and unstabilised fine-grained mineral soil. A clayey-sandy silt with the addition of 3, 6 and 10% of road stabilisers Solidex and Solidex A was used for the tests. The tests were carried out in the press Tritech 50 at the loading of 22 and 44 N. The stabilised samples were subjected to 7-days treatment, whereas unstabilised 4-days treatment. Stabilization with the applied road binders brought positive effects, there occurred a significant improvement in the mechanical properties of the clayey-sandy silt. The better binder, which significantly increased the value of the CBR ratio, was Solidex A. The use of hydraulic binders is of a great importance in road building, because their addition improves the mechanical properties of weaker mineral soils.

Effects of different aerobic exercise programmes with nutritional intervention in sedentary adults with overweight/obesity and hypertension: EXERDIET-HTA study.

Science.gov (United States)

Gorostegi-Anduaga, Ilargi; Corres, Pablo; MartinezAguirre-Betolaza, Aitor; Pérez-Asenjo, Javier; Aispuru, G Rodrigo; Fryer, Simon M; Maldonado-Martín, Sara

2018-03-01

Background Both exercise training and diet are recommended to prevent and control hypertension and overweight/obesity. Purpose The purpose of this study was to determine the effectiveness of different 16-week aerobic exercise programmes with hypocaloric diet on blood pressure, body composition, cardiorespiratory fitness and pharmacological treatment. Methods Overweight/obese, sedentary participants ( n = 175, aged 54.0 ± 8.2 years) with hypertension were randomly assigned into an attention control group (physical activity recommendations) or one of three supervised exercise groups (2 days/week: high-volume with 45 minutes of moderate-intensity continuous training (MICT), high-volume and high-intensity interval training (HIIT), alternating high and moderate intensities, and low-volume HIIT (20 minutes)). All variables were assessed pre- and post-intervention. All participants received the same hypocaloric diet. Results Following the intervention, there was a significant reduction in blood pressure and body mass in all groups with no between-group differences for blood pressure. However, body mass was significantly less reduced in the attention control group compared with all exercise groups (attention control -6.6%, high-volume MICT -8.3%, high-volume HIIT -9.7%, low-volume HIIT -6.9%). HIIT groups had significantly higher cardiorespiratory fitness than high-volume MICT, but there were no significant between-HIIT differences (attention control 16.4%, high-volume MICT 23.6%, high-volume HIIT 36.7%, low-volume HIIT 30.5%). Medication was removed in 7.6% and reduced in 37.7% of the participants. Conclusions The combination of hypocaloric diet with supervised aerobic exercise 2 days/week offers an optimal non-pharmacological tool in the management of blood pressure, cardiorespiratory fitness and body composition in overweight/obese and sedentary individuals with hypertension. High-volume HIIT seems to be better for reducing body mass compared with low

Decentralised stabilising controllers for a class of large-scale linear ...

Indian Academy of Sciences (India)

subsystems resulting from a new aggregation-decomposition technique. The method has been illustrated through a numerical example of a large-scale linear system consisting of three subsystems each of the fourth order. Keywords. Decentralised stabilisation; large-scale linear systems; optimal feedback control; algebraic ...

Dealing with existential anxiety in exercise-based cardiac rehabilitation

DEFF Research Database (Denmark)

Simonÿ, Charlotte; Pedersen, Birthe D; Dreyer, Pia

2015-01-01

rehabilitation. Focus group interviews were conducted at the programme end, and individual interviews were performed one to two months later. The interpretation comprised three methodological steps: naïve reading, structural analysis, and comprehensive interpretation and discussion. Findings Although both......Aims and objectives To investigate patients' lived experiences of exercise-based cardiac rehabilitation. Background Exercise-based cardiac rehabilitation is used to enable patients with cardiac problems to move forward to lead satisfying lives. However, knowledge of patients' concerns while...... it requires specific care. Recognising this anxiety also highlights how participating in the programme can be very demanding, which can help us understand aspects of adherence problems. Of greatest importance is that exercise-based cardiac rehabilitation enables patients to find a new foothold, which...

Nordic hamstring exercise training alters knee joint kinematics and hamstring activation patterns in young men.

Science.gov (United States)

Delahunt, Eamonn; McGroarty, Mark; De Vito, Giuseppe; Ditroilo, Massimiliano

2016-04-01

To investigate the kinematic and muscle activation adaptations during performance of the Nordic hamstring exercise (NHE) to a 6-week eccentric hamstring training programme using the NHE as the sole mode of exercise. Twenty-nine healthy males were randomly allocated to a control (CG) or intervention (IG) group. The IG participated in a 6-week eccentric hamstring exercise programme using the NHE. The findings of the present study were that a 6-week eccentric hamstring training programme improved eccentric hamstring muscle strength (202.4 vs. 177.4 nm, p = 0.0002, Cohen's d = 0.97) and optimized kinematic (longer control of the forward fall component of the NHE, 68.1° vs. 73.7°, p = 0.022, Cohen's d = 0.90) and neuromuscular parameters (increased electromyographic activity of the hamstrings, 83.2 vs. 56.6 % and 92.0 vs. 54.2 %, p 1.25) associated with NHE performance. This study provides some insight into potential mechanisms by which an eccentric hamstring exercise programme utilizing the NHE as the mode of exercise may result in an improvement in hamstring muscle control during eccentric contractions.

Efficacy of intra-articular hyaluronic acid injections and exercise-based rehabilitation programme, administered as isolated or integrated therapeutic regimens for the treatment of knee osteoarthritis.

Science.gov (United States)

Saccomanno, Maristella F; Donati, Fabrizio; Careri, Silvia; Bartoli, Matteo; Severini, Gabriele; Milano, Giuseppe

2016-05-01

To assess the efficacy of intra-articular hyaluronic acid (HA) injections and exercise-based rehabilitation (EBR) programme, administered as isolated or integrated for the treatment of knee osteoarthritis. One hundred sixty-five patients affected by moderate degrees of knee OA were randomly divided into three groups. Group 1 (HA) underwent three HA injections (one every 2 weeks); group 2 (EBR) underwent 20 treatment sessions in a month of an individualized programme; and group 3 (HA + EBR) received both treatments simultaneously. Primary outcome was the Italian version of the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index; secondary outcome was the evaluation of active range of movement (AROM). All patients were evaluated before and 1, 3 and 6 months after treatment. Significance was set at p injections and individualized rehabilitation programmes administered in isolation or in combination are effective in improving knee function and pain relief. The combined treatment showed the greatest pain relief at 1-month follow-up compared to either in isolation. Compared to the previous studies, this is the first study, which proposed an EBR programme tailored to the compartment of the knee joint most involved in the degenerative process. I.

Novel use of hand fracture fixation plates in the surgical stabilisation of flail chest.

LENUS (Irish Health Repository)

Dunlop, Rebecca L E

2010-01-01

Plastic surgeons specialize in working closely with other surgical colleagues to help solve clinical problems. In this case, we performed surgical stabilisation of a large flail chest fragment in conjunction with the cardiothoracic surgical team, using the mini-plating set more commonly used for hand fracture fixation. The use of this fixation system for flail chest has not previously been described, but offers advantages over other reported methods, primarily by dispensing with the need for an extensive thoracotomy incision and by providing robust stabilisation without the presence of prominent hardware.

Effects of treadmill exercise on cortical bone in the third metacarpus of young horses

International Nuclear Information System (INIS)

McCarthy, R.N.; Jeffcott, L.B.

1992-01-01

The effects of exercise and relative inactivity on cortical bone were compared in young horses. Two groups were used; one was given a 14-week programme of exercise (n = 6) and the other kept as unexercised controls (n = 6). The first nine weeks of exercise involved trotting and cantering (2 to 4 km d-1 at speeds up to 12 m s-1) on a treadmill set at an incline of 3 degrees. Over the next five weeks the horses were trained at near maximal speeds (that is, up to 14.5 m s-1) with no incline of the treadmill. At the end of the programme marked differences in cortical porosity and distribution of subperiosteal osteogenesis at the mid-shaft of the third metacarpal bone were found between the groups. Histomorphometrical examination of the dorsal cortex showed minimal bone remodelling in the exercised horses, but extensive modelling as evidenced by the large amount of subperiosteal bone formation. In contrast, the unexercised horses had significantly more bone remodelling and less formation of subperiosteal bone. The histomorphometric and microradiographic findings provided an explanation for changes in the non-invasive bone measurements that occurred during training. Bone mineral content of the mid-metacarpus was found to increase more in the exercised than the unexercised horses despite a lower overall growth in bodyweight. In those horses that completed the full training programme, ultrasound speed increased significantly by the end of the training programme. It remained unchanged in the horse that did not complete the full exercise programme and decreased slightly in the unexercised horses. The difference in ultrasound speed between the groups was considered to reflect differences in intracortical bone porosity, endosteal bone formation and alterations in skin thickness. The stiffness of cortical bone increased significantly in the exercised horses but remained unaltered in the unexercised horses

G-fluxes and non-perturbative stabilisation of heterotic M-theory

International Nuclear Information System (INIS)

Curio, Gottfried; Krause, Axel

2002-01-01

We examine heterotic M-theory compactified on a Calabi-Yau manifold with an additional parallel M5-brane. The dominant non-perturbative effect stems from open membrane instantons connecting the M5 with the boundaries. We derive the four-dimensional low-energy supergravity potential for this situation including subleading contributions as it turns out that the leading term vanishes after minimisation. At the minimum of the potential the M5 gets stabilised at the middle of the orbifold interval while the vacuum energy is shown to be manifestly positive. Moreover, induced by the non-trivial running of the Calabi-Yau volume along the orbifold which is driven by the G-fluxes, we find that the orbifold-length and the Calabi-Yau volume modulus are stabilised at values which are related by the G-flux of the visible boundary. Finally we determine the supersymmetry-breaking scale and the gravitino mass for this open membrane vacuum

Integrated waste management as a climate change stabilisation wedge for the Maltese islands.

Science.gov (United States)

Falzon, Clyde; Fabri, Simon G; Frysinger, Steven

2013-01-01

The continuous increase in anthropogenic greenhouse gas emissions occurring since the Industrial Revolution is offering significant ecological challenges to Earth. These emissions are leading to climate changes which bring about extensive damage to communities, ecosystems and resources. The analysis in this article is focussed on the waste sector within the Maltese islands, which is the largest greenhouse gas emitter in the archipelago following the energy and transportation sectors. This work shows how integrated waste management, based on a life cycle assessment methodology, acts as an effective stabilisation wedge strategy for climate change. Ten different scenarios applicable to the Maltese municipal solid waste management sector are analysed. It is shown that the scenario that is most coherent with the stabilisation wedges strategy for the Maltese islands consists of 50% landfilling, 30% mechanical biological treatment and 20% recyclable waste export for recycling. It is calculated that 16.6 Mt less CO2-e gases would be emitted over 50 years by means of this integrated waste management stabilisation wedge when compared to the business-as-usual scenario. These scientific results provide evidence in support of policy development in Malta that is implemented through legislation, economic instruments and other applicable tools.

Electrokinetic Stabilisation Method of Soft Clay in Pure System using Electrokinetic Geosynthetic Electrode

Science.gov (United States)

Azhar, A. T. S.; Jefferson, I.; Madun, A.; Abidin, M. H. Z.; Rogers, C. D. F.

2018-04-01

Electrokinetic stabilisation (EKS) method has the ability to solve the problems of soft highly compressibility soil. This study will present the results from an experimental study of EKS on soft soils using inactive kaolinite clay, inert electrode and distilled water (DW) as a pure system mechanism before any chemical stabilisers being used in this research. Therefore, this will provide a baseline study to improve the efficiency of EKS approach. The test model was using inert electrode of Electrokinetic Geosythentic (EKG) developed at the Newcastle University to apply a constant voltage gradient of 50 V/m across a soil sample approximately 400 mm. Distilled water was used at the pore electrolyte fluid compartments supplied under zero hydraulic gradient conditions for the periods of 3, 7 and 14 days. Throughout the monitoring, physical and chemical characteristics were measured. Results from the monitoring data, physical and chemical properties of the pure system showed the development of pH gradient, the changes of electrical conductivity and chemical concentrations with regards to the distance from anode and treatment periods due to the electrochemical effects even though there was no chemical stabilisers were introduced or released from the degradation of electrodes.

Self-monitoring has potential for home exercise programmes in patients with haemophilia.

Science.gov (United States)

Goto, M; Takedani, H; Haga, N; Kubota, M; Ishiyama, M; Ito, S; Nitta, O

2014-03-01

Haemophiliacs who have had to keep a physically inactive lifestyle due to bleeding during childhood are likely to have little motivation for exercise. The purpose of this study is to clarify the effectiveness of the self-monitoring of home exercise for haemophiliacs. A randomized controlled trial was conducted with intervention over 8 weeks at four hospitals in Japan. Subjects included 32 male outpatients aged 26-64 years without an inhibitor who were randomly allocated to a self-monitoring group and a control group. Individual exercise guidance with physical activity for improvement of their knee functions was given to both groups. The self-monitoring materials included an activity monitor and a feedback system so that the self-monitoring group could send feedback via the Internet and cellular phone. The self-monitoring was performed by checking exercise adherence and physical activity levels, bleeding history and injection of a coagulation factor. Both groups showed significant improvements in exercise adherence (P self-efficacy (P self-monitoring group compared with those in the control group. No increase in bleeding frequency and pain scale was noted. The self-monitoring of home exercise for haemophilic patients is useful for the improvement of exercise adherence, self-efficacy and knee extension strength. © 2014 John Wiley & Sons Ltd.

A walking programme and a supervised exercise class versus usual physiotherapy for chronic low back pain: a single-blinded randomised controlled trial. (The Supervised Walking In comparison to Fitness Training for Back Pain (SWIFT) Trial).

LENUS (Irish Health Repository)

Hurley, Deirdre A

2009-01-01

BACKGROUND: Chronic low back pain (CLBP) is a persistent disabling condition with rising significant healthcare, social and economic costs. Current research supports the use of exercise-based treatment approaches that encourage people with CLBP to assume a physically active role in their recovery. While international clinical guidelines and systematic reviews for CLBP support supervised group exercise as an attractive first-line option for treating large numbers of CLBP patients at low cost, barriers to their delivery include space and time restrictions in healthcare settings and poor patient attendance. The European Clinical Guidelines have identified the need for research in the use of brief\\/minimal contact self-activation interventions that encourage participation in physical activity for CLBP. Walking may be an ideally suited form of individualized exercise prescription as it is easy to do, requires no special skills or facilities, and is achievable by virtually all ages with little risk of injury, but its effectiveness for LBP is unproven. METHODS AND DESIGN: This study will be an assessor-blinded randomized controlled trial that will investigate the difference in clinical effectiveness and costs of an individualized walking programme and a supervised general exercise programme compared to usual physiotherapy, which will act as the control group, in people with chronic low back pain. A sample of 246 patients will be recruited in Dublin, Ireland through acute general hospital outpatient physiotherapy departments that provide treatment for people with CLBP. Patients will be randomly allocated to one of the three groups in a concealed manner. The main outcomes will be functional disability, pain, quality of life, fear avoidance, back beliefs, physical activity, satisfaction and costs, which will be evaluated at baseline, and 3, 6 and 12 months [follow-up by pre-paid postage]. Qualitative telephone interviews and focus groups will be embedded in the research

Physical exercise: does it help in relieving pain and increasing mobility among older adults with chronic pain?

Science.gov (United States)

Tse, Mimi M Y; Wan, Vanessa T C; Ho, Suki S K

2011-03-01

To provide a physical exercise programme for older adults living in nursing homes. Pain is common among older persons and for those already in long-term care and having difficulty in coping with pain will be at risk of further reducing their optimal independent function. A quasi-experimental single group pretest-posttest design. Older persons from a nursing home were invited to join an eight-week physical exercise programme. Each session lasted an hour and sessions were conducted once a week by physiotherapist and nurses. Physical exercise programme consisted of stretching, strengthening, balancing, towel dancing and self-administered massage to various acupressure points. On completion of each session, older persons were given a pamphlet with pictures to illustrate the exercise of the day and they were encouraged to practise these exercises by themselves. Outcome measures including pain intensity, range of movement, activities of daily living and mobility were collected before and after the physical exercise programme. There were 75 older adult participants (57 female and 18 male, mean age 85.14 SD 5.30). Seventy-three percent (n = 55) of them had pain in the previous three months and were referred as pain group, while 25% (n = 20) were no pain group. Pain scores of 4.89 (on a 10-point scale) indicated medium pain intensity before the intervention for the pain group; the location of pain was mainly in the knee, back and shoulder. On completion of the physical exercise programme, there was a significant decrease in pain intensity to 2.89 (SD 2.14) (p daily living remained unchanged. The present study demonstrated the effectiveness of a physical exercise programme in relieving pain and enhancing functional mobility for older persons. Relevance to clinical practice.  It is important to educate older persons, especially those living in nursing homes, on the importance of engaging in regular physical exercise and maintaining mobility. © 2011 Blackwell Publishing Ltd.

Cold laser machining of nickel-yttrium stabilised zirconia cermets: Composition dependence

International Nuclear Information System (INIS)

Sola, D.; Gurauskis, J.; Pena, J.I.; Orera, V.M.

2009-01-01

Cold laser micromachining efficiency in nickel-yttrium stabilised zirconia cermets was studied as a function of cermet composition. Nickel oxide-yttrium stabilised zirconia ceramic plates obtained via tape casting technique were machined using 8-25 ns pulses of a Nd: YAG laser at the fixed wavelength of 1.064 μm and a frequency of 1 kHz. The morphology of the holes, etched volume, drill diameter, shape and depth were evaluated as a function of the processing parameters such as pulse irradiance and of the initial composition. The laser drilling mechanism was evaluated in terms of laser-material interaction parameters such as beam absorptivity, material spallation and the impact on the overall process discussed. By varying the nickel oxide content of the composite the optical absorption (-value is greatly modified and significantly affected the drilling efficiency of the green state ceramic substrates and the morphology of the holes. Higher depth values and improved drilled volume upto 0.2 mm 3 per pulse were obtained for substrates with higher optical transparency (lower optical absorption value). In addition, a laser beam self-focussing effect is observed for the compositions with less nickel oxide content. Holes with average diameter from 60 μm to 110 μm and upto 1 mm in depth were drilled with a high rate of 40 ms per hole while the final microstructure of the cermet obtained by reduction of the nickel oxide-yttrium stabilised zirconia composites remained unchanged.

Improved fatigue in individuals with multiple sclerosis after participating in a short-term self-care programme.

Science.gov (United States)

Navipour, Hassan; Madani, Hossein; Mohebbi, Mohammad R; Navipour, Reza; Roozbayani, Parviz; Paydar, Afshin

2006-01-01

Fatigue is among the most common, yet least understood symptoms of Multiple Sclerosis (MS). The debilitating symptoms of MS can have adverse effects on the sufferer's self-esteem. We report the effect of a short-term self-managed graded exercise programme on fatigue and self-esteem of patients with MS. Thirty-four (age range: 20-50, mean: 29.7 years; M:F 0.7:1.0) patients with MS who lived in Tehran and were not physically disabled entered the study. Self-esteem score was measured with the Persian translation of the Coopersmith Self-Esteem Inventory. Fatigue was evaluated with a visual analogue scale. The patients performed the self-managed techniques for 6 weeks. Self-esteem and fatigue were evaluated once more after the self-managed graded exercise programme. On paired sample test, the self-esteem score of the patients was significantly different before (53.9) and after (68.1) the self-managed graded exercise programme (Pself-care training as an alternative in rehabilitation of the patients with MS. Self-managed graded exercise programme may be considered as an alternative to direct nursing services for patients with MS.

Implementation of strategies to improve programme effectiveness ...

African Journals Online (AJOL)

of care is also a key component of the right to health and the route to equity and dignity for ... 1 outlines the factors that influence programme effectiveness, including the stakeholders ..... Table 4. Effect of EOST exercises. Submitted data.

Randomised controlled trial examining the effect of an outpatient exercise training programme on haemodynamics and cardiac MR parameters of right ventricular function in patients with pulmonary arterial hypertension: the ExPAH study protocol.

Science.gov (United States)

Chia, Karen S W; Faux, Steven G; Wong, Peter K K; Holloway, Cameron; Assareh, Hassan; McLachlan, Craig S; Kotlyar, Eugene

2017-02-06

Pulmonary hypertension (PH) is a potentially life-threatening condition characterised by elevated pulmonary artery pressure. Early stage PH patients are often asymptomatic. Disease progression is associated with impairment of right ventricular function and progressive dyspnoea. Current guidelines recommend exercise training (grade IIa, level B). However, many questions remain regarding the mechanisms of improvement, intensity of supervision and optimal frequency, duration and intensity of exercise. This study will assess the effect of an outpatient rehabilitation programme on haemodynamics and cardiac right ventricular function in patients with pulmonary arterial hypertension (PAH), a subgroup of PH. This randomised controlled trial involves both a major urban tertiary and smaller regional hospital in New South Wales, Australia. The intervention will compare an outpatient rehabilitation programme with a control group (home exercise programme). Participants will be stable on oral PAH-specific therapy. The primary outcome measure will be right ventricular ejection fraction measured by cardiac MRI. Secondary outcomes will include haemodynamics measured by right heart catheterisation, endurance, functional capacity, health-related quality of life questionnaires and biomarkers of cardiac function and inflammation. Ethical approval has been granted by St Vincent's Hospital, Sydney (HREC/14/SVH/341). Results of this study will be disseminated through presentation at scientific conferences and in scientific journals. ACTRN12615001041549; pre-results. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

Patients' preference for exercise setting and its influence on the health benefits gained from exercise-based cardiac rehabilitation.

Science.gov (United States)

Tang, Lars H; Kikkenborg Berg, Selina; Christensen, Jan; Lawaetz, Jannik; Doherty, Patrick; Taylor, Rod S; Langberg, Henning; Zwisler, Ann-Dorthe

2017-04-01

To assess patient preference for exercise setting and examine if choice of setting influences the long-term health benefit of exercise-based cardiac rehabilitation. Patients participating in a randomised controlled trial following either heart valve surgery, or radiofrequency ablation for atrial fibrillation were given the choice to perform a 12-week exercise programme in either a supervised centre-based, or a self-management home-based setting. Exercise capacity and physical and mental health outcomes were assessed for up to 24months after hospital discharge. Outcomes between settings were compared using a time×setting interaction using a mixed effects regression model. Across the 158 included patients, an equivalent proportion preferred to undertake exercise rehabilitation in a centre-based setting (55%, 95% CI: 45% to 63%) compared to a home-based setting (45%, 95% CI: 37% to 53%, p=0.233). At baseline, those who preferred a home-based setting reported better physical health (mean difference in physical component score: 5.0, 95% CI 2.3 to 7.4; p=0.001) and higher exercise capacity (mean between group difference 15.9watts, 95% CI 3.7 to 28.1; p=0.011). With the exception of the depression score in the Hospital Anxiety and Depression Score (F(3.65), p=0.004), there was no evidence of a significant difference in outcomes between settings. The preference of patients to participate in home-based and centre-based exercise programmes appears to be equivalent and provides similar health benefits. Whilst these findings support that patients should be given the choice between exercise-settings when initiating cardiac rehabilitation, further confirmatory evidence is needed. Copyright © 2017. Published by Elsevier B.V.

A mixed methods study to evaluate the clinical and cost-effectiveness of a self-managed exercise programme versus usual physiotherapy for chronic rotator cuff disorders: protocol for the SELF study

Directory of Open Access Journals (Sweden)

Littlewood Chris

2012-04-01

Full Text Available Abstract Background Shoulder pain is the third most common reason for consultation with a physiotherapist and up to 26% of the general population might be expected to experience an episode at any one time. Disorders of the shoulder muscles and tendons (rotator cuff are thought to be the commonest cause of this pain. The long-term outcome is frequently poor despite treatment. This means that many patients are exposed to more invasive treatment, e.g. surgery, and/or long-term pain and disability. Patients with this disorder typically receive a course of physiotherapy which might include a range of treatments. Specifically the value of exercise against gravity or resistance (loaded exercise in the treatment of tendon disorders is promising but appears to be under-used. Loaded exercise in other areas of the body has been favourably evaluated but further investigation is needed to evaluate the impact of these exercises in the shoulder and particularly the role of home based or supervised exercise versus usual treatment requiring clinic attendance. Methods/Design A single-centre pragmatic unblinded parallel group randomised controlled trial will evaluate the effectiveness of a self-managed loaded exercise programme versus usual clinic based physiotherapy. A total of 210 study participants with a primary complaint of shoulder pain suggestive of a rotator cuff disorder will be recruited from NHS physiotherapy waiting lists and allocated to receive a programme of self-managed exercise or usual physiotherapy using a process of block randomisation with sealed opaque envelopes. Baseline assessment for shoulder pain, function and quality of life will be undertaken with the Shoulder Pain & Disability Index, the Patient Specific Functional Scale and the SF-36. Follow-up evaluations will be completed at 3, 6 and 12 months by postal questionnaire. Both interventions will be delivered by NHS Physiotherapist’s. An economic analysis will be conducted from an

Developments of capacitance stabilised etalon technology

Science.gov (United States)

Bond, R. A.; Foster, M.; Thwaite, C.; Thompson, C. K.; Rees, D.; Bakalski, I. V.; Pereira do Carmo, J.

2017-11-01

This paper describes a high-resolution optical filter (HRF) suitable for narrow bandwidth filtering in LIDAR applications. The filter is composed of a broadband interference filter and a narrowband Fabry-Perot etalon based on the capacitance stabilised concept. The key requirements for the HRF were a bandwidth of less than 40 pm, a tuneable range of over 6 nm and a transmission greater than 50%. These requirements combined with the need for very high out-of-band rejection (greater than 50 dB in the range 300 nm to 1200 nm) drive the design of the filter towards a combination of high transmission broadband filter and high performance tuneable, narrowband filter.

On stabilisability of 2-D MIMO shift-invariant systems

Czech Academy of Sciences Publication Activity Database

Augusta, Petr; Augustová, Petra

2013-01-01

Roč. 350, č. 10 (2013), s. 2949-2966 ISSN 0016-0032 R&D Projects: GA ČR GPP103/12/P494 Institutional support: RVO:67985556 Keywords : spatially invariant system * stabilisation * multiple-input-multiple-output system, * positive polynomial Subject RIV: BC - Control Systems Theory Impact factor: 2.260, year: 2013 http://library.utia.cas.cz/separaty/2013/TR/augusta-0398772.pdf

Amplitude based feedback control for NTM stabilisation at ASDEX Upgrade

Energy Technology Data Exchange (ETDEWEB)

Rapson, Christopher, E-mail: chris.rapson@ipp.mpg.de; Giannone, Louis; Maraschek, Marc; Reich, Matthias; Stober, Joerg; Treutterer, Wolfgang

2014-05-15

Highlights: • Two algorithms have been developed which use the NTM amplitude to control ECCD deposition and stabilise NTMs. • Both algorithms were tested and tuned in a simulation of the full feedback loop including an MRE. • Both algorithms have been successfully deployed in ASDEX Upgrade experiments. • Use of the NTM amplitude adds considerable robustness, which is necessary when trying to target ECCD to within 1 cm of the island location. • This is part of ongoing work to reliably and quickly stabilise NTMs in any plasma scenario. - Abstract: Neoclassical Tearing Modes (NTMs) degrade the confinement in tokamak plasmas at high beta, placing a major limitation on the projected fusion performance. Furthermore, NTMs can lead to disruptions with even more severe consequences. Therefore methods to stabilise NTMs are being developed with high priority at several research institutes worldwide. The favoured method is to deposit Electron Cyclotron Current Drive (ECCD) precisely at the mode location by controlling a movable mirror in the ECCD launcher. This method requires both the mode location and the deposition location to be known with high accuracy in real time. The required accuracy is given by half of the marginal island width, or approximately 1 cm for a m/n = 3/2 NTM at ASDEX Upgrade. Despite considerable development on a range of diagnostics, it remains challenging to provide the necessary accuracy reliably and in real time. To relax the accuracy requirements and add robustness, the feedback controller can additionally consider the effect of ECCD on the NTM amplitude directly. Then the optimal deposition location is simply where the NTM amplitude is minimised. The simplest implementation sweeps the ECCD beam across the expected NTM location. After the sweep, the beam can be returned to the optimal location and held there to stabilise the NTM. Unfortunately, waiting for a full sweep takes too long. Therefore a second method assesses the NTM growth every

An Evidence-Based Framework for Strengthening Exercises to Prevent Hamstring Injury.

Science.gov (United States)

Bourne, Matthew N; Timmins, Ryan G; Opar, David A; Pizzari, Tania; Ruddy, Joshua D; Sims, Casey; Williams, Morgan D; Shield, Anthony J

2018-02-01

Strength training is a valuable component of hamstring strain injury prevention programmes; however, in recent years a significant body of work has emerged to suggest that the acute responses and chronic adaptations to training with different exercises are heterogeneous. Unfortunately, these research findings do not appear to have uniformly influenced clinical guidelines for exercise selection in hamstring injury prevention or rehabilitation programmes. The purpose of this review was to provide the practitioner with an evidence-base from which to prescribe strengthening exercises to mitigate the risk of hamstring injury. Several studies have established that eccentric knee flexor conditioning reduces the risk of hamstring strain injury when compliance is adequate. The benefits of this type of training are likely to be at least partly mediated by increases in biceps femoris long head fascicle length and improvements in eccentric knee flexor strength. Therefore, selecting exercises with a proven benefit on these variables should form the basis of effective injury prevention protocols. In addition, a growing body of work suggests that the patterns of hamstring muscle activation diverge significantly between different exercises. Typically, relatively higher levels of biceps femoris long head and semimembranosus activity have been observed during hip extension-oriented movements, whereas preferential semitendinosus and biceps femoris short head activation have been reported during knee flexion-oriented movements. These findings may have implications for targeting specific muscles in injury prevention programmes. An evidence-based approach to strength training for the prevention of hamstring strain injury should consider the impact of exercise selection on muscle activation, and the effect of training interventions on hamstring muscle architecture, morphology and function. Most importantly, practitioners should consider the effect of a strength training programme on

The effect of fall prevention exercise programmes on fall induced injuries in community dwelling older adults: systematic review and meta-analysis of randomised controlled trials.

Science.gov (United States)

El-Khoury, Fabienne; Cassou, Bernard; Charles, Marie-Aline; Dargent-Molina, Patricia

2013-10-29

To determine whether, and to what extent, fall prevention exercise interventions for older community dwelling people are effective in preventing different types of fall related injuries. Electronic databases (PubMed, the Cochrane Library, Embase, and CINAHL) and reference lists of included studies and relevant reviews from inception to July 2013. Randomised controlled trials of fall prevention exercise interventions, targeting older (>60 years) community dwelling people and providing quantitative data on injurious falls, serious falls, or fall related fractures. Based on a systematic review of the case definitions used in the selected studies, we grouped the definitions of injurious falls into more homogeneous categories to allow comparisons of results across studies and the pooling of data. For each study we extracted or calculated the rate ratio of injurious falls. Depending on the available data, a given study could contribute data relevant to one or more categories of injurious falls. A pooled rate ratio was estimated for each category of injurious falls based on random effects models. 17 trials involving 4305 participants were eligible for meta-analysis. Four categories of falls were identified: all injurious falls, falls resulting in medical care, severe injurious falls, and falls resulting in fractures. Exercise had a significant effect in all categories, with pooled estimates of the rate ratios of 0.63 (95% confidence interval 0.51 to 0.77, 10 trials) for all injurious falls, 0.70 (0.54 to 0.92, 8 trials) for falls resulting in medical care, 0.57 (0.36 to 0.90, 7 trials) for severe injurious falls, and 0.39 (0.22 to 0.66, 6 trials) for falls resulting in fractures, but significant heterogeneity was observed between studies of all injurious falls (I(2)=50%, P=0.04). Exercise programmes designed to prevent falls in older adults also seem to prevent injuries caused by falls, including the most severe ones. Such programmes also reduce the rate of falls leading

Enhancing the quality of life in elderly women through a programme to improve the condition of salivary hypofunction.

Science.gov (United States)

Cho, Eun-Pyol; Hwang, Soo-Jeong; Clovis, Joanne B; Lee, Tae-Yong; Paik, Dai-Il; Hwang, Yoon-Sook

2012-06-01

The purposes of this study were to examine the effects of oral exercise intended to improve the function of the oral cavity in the elderly and their quality of life to pave the way for the development of oral-health promotion programmes geared towards the elderly. The subjects were 78 female Koreans who resided in Seoul and were aged 65 years and older. During a 3-month period, an oral function promotion programme was conducted twice a week, between 10.00 am and 12.00 pm, applying oral exercise suggested by a Japanese public health centre. A survey was conducted by interviewing the selected women to determine the state of their subjective dry mouth, quality of life related to oral health and jaw functional limitation. Their opening, unstimulated whole saliva and pronunciation speed were measured before and after the oral function exercise programme. The subjects showed a significant improvement in subjective dry mouth symptoms, relevant behaviour, the level of discomfort caused by dry mouth and subjective jaw functional limitation during mastication and swallowing and emotional expression after receiving the oral exercise. After the oral exercise, there was a significant increase in mouth opening, unstimulated whole saliva and speaking speed ('patakala' pronunciation) after oral exercise. There was also significant progress in their quality of life related to oral health. Overall improvement in subjective dry mouth symptoms and relevant behaviour over time after oral exercise had a positive correlation with the level of improvement in discomfort triggered by dry mouth and mastication. The level of improvement in OHIP-14 had a positive correlation with the level of overall improvement in dry mouth symptoms and behaviour, the level of improvement in discomfort by dry mouth and that in mastication and swallowing. This study showed the effects of the oral function promotion programme and correlation of oral condition and oral health-related quality of life. It is

Aerobic exercise did not have compensatory effects on physical activity levels in type 2 diabetes patients.

Science.gov (United States)

de Moura, Bruno Pereira; Marins, João Carlos Bouzas; Franceschini, Sylvia Do Carmo Castro; Reis, Janice Sepúlveda; Amorim, Paulo Roberto Dos Santos

2015-01-01

Although exercise promotes beneficial effects in diabetic patients, some studies have questioned the degree of their importance in terms of the increase in total energy expenditure. In these studies, the decrease of physical activity levels (PAL) was referred as "compensatory effect of exercise". However, our aim was to investigate whether aerobic exercise has compensatory effects on PAL in type 2 diabetes patients. Eight volunteers (51.1 ± 8.2 years) were enrolled in a supervised exercise programme for 8 weeks (3 d · wk(-1), 50-60% of VO2 peak for 30-60 min). PAL was measured using tri-axial accelerometers in the 1st, 8th and 12th weeks. Biochemical tests, cardiorespiratory fitness, anthropometric assessment and body composition were measured in the 2nd and 11th weeks. Statistical analysis was performed using non-parametric tests (Friedman and Wilcoxon, P exercise programme generated a significant 14.8% increase in VO2 peak and a 15% reduction in fructosamine. The exercise programme had no compensatory effects on PAL in type 2 diabetes patients, but improved their cardiorespiratory fitness and glycaemic control.

Effectiveness of a home-based pulmonary rehabilitation programme ...

African Journals Online (AJOL)

week home-based pulmonary rehabilitation programme (PRP) improved the baseline measurements of lung function, exercise tolerance and health-related quality of life (HRQoL) in patients receiving out-patient treatment for PTB. Method: A single ...

The effect of an intensive exercise programme on leg function in chronic stroke patients: a pilot study with one-year follow-up.

Science.gov (United States)

Stock, Roland; Mork, Paul Jarle

2009-09-01

To investigate the effect of two weeks of intensive exercise on leg function in chronic stroke patients and to evaluate the feasibility of an intensive exercise programme in a group setting. Pilot study with one-group pre-test post-test design with two pre-tests and one-year follow-up. Inpatient rehabilitation hospital. Twelve hemiparetic patients completed the intervention. Ten patients participated at one-year follow-up. Six hours of daily intensive exercise for two weeks with focus on weight-shifting towards the affected side and increased use of the affected extremity during functional activities. An insole with nubs in the shoe of the non-paretic limb was used to reinforce weight-shift toward the affected side. Timed Up and Go, Four Square Step Test, gait velocity, gait symmetry and muscle strength in knee and ankle muscles. Maximal gait velocity (P = 0.002) and performance time (seconds) on Timed Up and Go (mean, SD; 12.2, 3.8 vs. 9.4, 3.2) and Four Square Step Test improved from pre- to post-test (P = 0.005). Improvements remained significant at follow-up. Preferred gait velocity and gait symmetry remained unchanged. Knee extensor (Pstroke patients. Most improvements persisted at the one-year follow-up.

Randomised controlled trial: Effects of aerobic exercise training programme on indices of adiposity and metabolic markers in hypertension

International Nuclear Information System (INIS)

Lamina, S.; Okoye, C.G.

2013-01-01

Objective: To investigate the effects of interval training programme on blood pressure, maximal oxygen consumption, indices of adiposity and metabolic markers in black African men with essential hypertension. Methods: The study was conducted at Murtala Muhammed Specialist Hospital, Kano, Nigeria, from October 24, 2007 to February 24, 2009. It comprised 245 male patients with mild to moderate (systolic blood pressure 140-179 and diastolic blood pressure 90-109 mmHg) essential hypertension who were age-matched and grouped into experimental and control groups. The experimental group was involved in an 8-week training programme of between 45 and 60 minutes, while the controls remained sedentary during the period. Cardiovascular parameters, maximal oxygen consumption, per cent body fat, waist-to-hip ratio, body mass index, fasting blood sugar, total cholesterol, triglyceride, high density lipoprotein, low density lipoprotein and artherogenic index were assessed. Analysis of co-variance and Pearson correlation tests were used in data analysis which was done using SPSS 16. Results: The study had 140 (57.1%) cases with a mean age of 58.90+-7.35 years, and 105 (42.9%) controls with a mean age of 58.27+-6.24 years. It revealed significant increased effect of interval training programme on maximal oxygen consumption and high-density lipoprotein. There was significant reduction in on all the other controls. Changes in maximal oxygen consumption as a result of interval training significantly and negatively correlated with the other variables except high-density lipoprotein. Conclusions: The therapeutic role of interval exercise training on blood pressure reduction may be mediated through elevation of high-density lipoprotein, reduction of other markers of metabolism, and reduction in bodyweight and fatness. (author)

The effect of environmental conditions and soil physicochemistry on phosphate stabilisation of Pb in shooting range soils.

Science.gov (United States)

Sanderson, Peter; Naidu, Ravi; Bolan, Nanthi

2016-04-01

The stabilisation of Pb in the soil by phosphate is influenced by environmental conditions and physicochemical properties of the soils to which it is applied. Stabilisation of Pb by phosphate was examined in four soils under different environmental conditions. The effect of soil moisture and temperature on stabilisation of Pb by phosphate was examined by measurement of water extractable and bioaccessible Pb, sequential fractionation and X-ray absorption spectroscopy. The addition of humic acid, ammonium nitrate and chloride was also examined for inhibition or improvement of Pb stability with phosphate treatment. The effect of moisture level varied between soils. In soil MB and DA a soil moisture level of 50% water holding capacity was sufficient to maximise stabilisation of Pb, but in soil TV and PE reduction in bioaccessible Pb was inhibited at this moisture level. Providing moisture at twice the soil water holding capacity did not enhance the effect of phosphate on Pb stabilisation. The difference of Pb stability as a result of incubating phosphate treated soils at 18 °C and 37 °C was relatively small. However wet-dry cycles decreased the effectiveness of phosphate treatment. The reduction in bioaccessible Pb obtained was between 20 and 40% with the most optimal treatment conditions. The reduction in water extractable Pb by phosphate was substantial regardless of incubation conditions and the effect of different temperature and soil moisture regimes was not significant. Selective sequential extraction showed phosphate treatment converted Pb in fraction 1 (exchangeable, acid and water soluble) to fraction 2 (reducible). There were small difference in fraction 4 (residual) Pb and fraction 1 as a result of treatment conditions. X-ray absorption spectroscopy of stabilised PE soil revealed small differences in Pb speciation under varying soil moisture and temperature treatments. The addition of humic acid and chloride produced the greatest effect on Pb speciation in

Effects of 16 weeks of aerobic, resistance and combination exercise ...

African Journals Online (AJOL)

Effects of 16 weeks of aerobic, resistance and combination exercise programmes on smoking. ... African Journal for Physical Activity and Health Sciences ... Abstract. Previous research on the cessation of smoking and the prevention of smoking recidivism using exercise training has mainly focused on aerobic training (AER).

Inspiring and Challenging Laboratory Exercise in Multivariable Control Theory – The Four-rotor Helicopter

Directory of Open Access Journals (Sweden)

Dag A. H. Samuelsen

2012-12-01

Full Text Available Engineering students in a module on multivariable control theory are given a laboratory exercise for developing their skills in practical implementation of control systems. This is done in an effort to create a more complete module that gives the students experiences in the practical sides of implementing control systems, while still being theoretically challenging and inspiring. Presenting students with this kind of real-life challenges like sub-optimal models, limited processing time and large degree of uncertainty, is a challenging task, partly due to the need of adapting the level of complexity to the student or group of students doing the exercise in order to keep them engaged throughout the exercise, and in part due to the university's need to reduce expenses related to the administration, supervision, and execution of laboratory exercises. The possibility of adapting the complexity of the exercise to each student's skill level is important, both through the design of the exercise and through the students choosing between different models. The eager student might be tempted by the better performing, but more complex models, while the struggling student can find satisfaction in stabilising the aircraft using the less complex models. The laboratory setup presented uses low-cost components, giving low investment and maintenance costs.

A Narrative Enrichment Programme in literacy development of ...

African Journals Online (AJOL)

Kate H

second part of the programme consisted of supporting exercises that .... language for enjoyment, such as language games and language for laughter (also ..... Available online: http://www.unesco.org/education/GMR2006/full/chapt6_eng.pdf ( ...

Direct and indirect stabilisation mechanisms in multiple electron capture

Energy Technology Data Exchange (ETDEWEB)

Roncin, P. [Paris-11 Univ., 91 - Orsay (France). Lab. de Collisions Atomiques et Moleculaires; Barat, M. [Paris-11 Univ., 91 - Orsay (France). Lab. de Collisions Atomiques et Moleculaires; Gaboriaud, M.N. [Paris-11 Univ., 91 -Orsay (France). Lab. de Collisions Atomiques et Moleculaires; Szilagyi, Z.S. [Paris-11 Univ., 91 - Orsay (France). Lab. de Collisions Atomiques et Moleculaires; Kazansky, A.K. [Paris-11 Univ., 91 - Orsay (France). Lab. de Collisions Atomiques et Moleculaires

1995-05-01

During the last years both experimental and theoretical works have focused on the problem of the stabilisation of two excited electrons on the projectile. In this contribution we would like to give experimental examples of the two suggested mechanisms and their extension to multiple electron capture. Our data are discussed together with those obtained with other experimental techniques and with theoretical predictions. (orig./WL).

Predictability of psychic outcome for exercise training and exercise training including relaxation therapy after myocardial infarction

NARCIS (Netherlands)

H.J. Duivenvoorden (Hugo); J. van Dixhoorn (J.)

1991-01-01

markdownabstractAbstract Predictability of the psychic outcome for two cardiac rehabilitation programmes was investigated in 119 myocardial infarction patients. They were randomly assigned to either a five-week daily exercise training or to an identical training in combination with six sessions

Evaluating the effectiveness of a schools-based programme to promote exercise self-efficacy in children and young people with risk factors for obesity: Steps to active kids (STAK

Directory of Open Access Journals (Sweden)

Yang Min

2011-10-01

Full Text Available Abstract Background Low levels of physical activity in children have been linked to an increased risk of obesity, but many children lack confidence in relation to exercise (exercise self-efficacy. Factors which can impact on confidence include a chronic health condition such as asthma, poor motor skills and being overweight. Increasing levels of physical activity have obvious benefits for children with asthma and children who are overweight, but few activity interventions with children specifically target children with low exercise self-efficacy (ESE. This study aims to evaluate the efficacy and feasibility of a schools-based activity programme suitable for children with risk factors for adult obesity, including asthma, overweight and low exercise self-efficacy. Methods/Design A clustered (at the level of school RCT will be used to compare a targeted, 10 week, stepped activity programme (activity diary, dance DVD, circuit-training and motivational interviewing designed to promote ESE. We will recruit 20 primary schools to participate in the intervention and 9-11 year old children will be screened for low levels of ESE, asthma and overweight. In order to provide sufficient power to detect a difference in primary outcomes (Body Mass Index-BMI & ESE at 12 month follow-up between children in the intervention schools and control schools, the target sample size is 396. Assessments of BMI, ESE, waist circumference, peak flow, activity levels and emotional and behavioural difficulties will be made at baseline, 4 months and 12 month follow-up. Discussion We aim to increase ESE and levels of physical activity in children with risk factors for adult obesity. The outcomes of this study will inform policy makers about the feasibility, acceptability and effectiveness of delivering targeted health interventions within a school setting. Trial Registration ISRCTN Register no. ISRCTN12650001

Report on the Intercomparison Exercises 1993

DEFF Research Database (Denmark)

Aminot, A.; Boer, J. de; Cofino, W.

This report covers the intercomparison exercises - 1993 of the project Quasimeme - Quality Assurance of Information for Marine Environmental Monitoring in Europe. The report is prepared under contract for the measurement and testing programme (BCR) of the European Community....

Exercise treatment for drug abuse -a Danish pilot study

DEFF Research Database (Denmark)

Roessler, Kirsten Kaya

2010-01-01

AIMS: The paper presents a recent Danish programme using exercise to alter the behaviour and body image of drug addicts. METHODS: 38 participants (23 male and 15 female) took part in groups three times per week for a minimum of two to a maximum of six months. Self-reported data combined with the ......AIMS: The paper presents a recent Danish programme using exercise to alter the behaviour and body image of drug addicts. METHODS: 38 participants (23 male and 15 female) took part in groups three times per week for a minimum of two to a maximum of six months. Self-reported data combined...

Metallurgical aspects of the weldability of Cr-Mo stabilised ferritic steels

International Nuclear Information System (INIS)

Colombe, Gerard; Petrequin, Pierre; Donati, J.R.; Zacharie, C.

1977-01-01

Results of tests performed to compare the tendency of 2.25 Cr-Mo and 9 Cr-2 Mo steels stabilised with niobium and niobium + vanadium, to different cracking phenomena susceptible to occur during welding, stress-relieving and service in the conditions of fast breeder reactors are presented

Economic evaluation of a brief education, self-management and upper limb exercise training in people with rheumatoid arthritis (EXTRA) programme: a trial-based analysis.

Science.gov (United States)

Manning, Victoria L; Kaambwa, Billingsley; Ratcliffe, Julie; Scott, David L; Choy, Ernest; Hurley, Michael V; Bearne, Lindsay M

2015-02-01

The aim of this study was to conduct a cost-utility analysis of the Education, Self-management and Upper Limb Exercise Training in People with RA (EXTRA) programme compared with usual care. A within-trial incremental cost-utility analysis was conducted with 108 participants randomized to either the EXTRA programme (n = 52) or usual care (n = 56). A health care perspective was assumed for the primary analysis with a 36 week follow-up. Resource use information was collected on interventions, medication, primary and secondary care contacts, private health care and social care costs. Quality-adjusted life years (QALYs) were calculated from the EuroQol five-dimension three-level (EQ-5D-3L) questionnaire responses at baseline, 12 and 36 weeks. Compared with usual care, total QALYs gained were higher in the EXTRA programme, leading to an increase of 0.0296 QALYs. The mean National Health Service (NHS) costs per participant were slightly higher in the EXTRA programme (by £82), resulting in an incremental cost-effectiveness ratio of £2770 per additional QALY gained. Thus the EXTRA programme was cost effective from an NHS perspective when assessed against the threshold of £20 000-£30 000/QALY gained. Overall, costs were lower in the EXTRA programme compared with usual care, suggesting it was the dominant treatment option from a societal perspective. At a willingness-to-pay of £20 000/QALY gained, there was a 65% probability that the EXTRA programme was the most cost-effective option. These results were robust to sensitivity analyses accounting for missing data, changing the cost perspective and removing cost outliers. The physiotherapist-led EXTRA programme represents a cost-effective use of resources compared with usual care and leads to lower health care costs and work absence. International Standard Randomized Controlled Trial Number Register; http://www.controlled-trials.com/isrctn/ (ISRCTN14268051). © The Author 2014. Published by Oxford University Press on behalf

Stabilisation of ZrO/sub 2/ with rare-earth oxides with atomic numbers from 58 to 71

Energy Technology Data Exchange (ETDEWEB)

Tcheivili, L; Passarino de Marques, M N [Instituto Nacional de Tecnologia Industrial, Buenos Aires (Argentina)

1978-01-01

In the present work, the stabilisation of ZrO/sub 2/ with 14 rare earths (58 to 71) was investigated. The aim was to carry out the experiments at a temperature of 1550/sup 0/C, at which many oxides do not exist in the cubic form and the others, such as PrO/sub 2/ and Lu/sub 2/O/sub 3/, have not yet been studied. All the experiments of the series were carried out under constant conditions, in order to determine if there was any difference in principle between them. All the oxides stabilise ZrO/sub 2/, but those with the lower atomic numbers (58, 59, 60) show some deviation. The minimum and maximum mol% limits were ascertained, between which ZrO/sub 2/ is fully stabilised, and the phases are given which occur with the various mol% proportions. In conclusion, an experiment was carried out with all oxides having di- tri- and quadri-valent cations, which belong to the cubic system. In view of their difference in ionic radius to the Zr/sup 4 +/ ion, the conclusion can be drawn that all oxides which can stabilise ZrO/sub 2/ have larger cation radii than that of the Zr/sup 4 +/ ion.

Exercise to Support Indigenous Pregnant Women to Stop Smoking: Acceptability to Māori.

Science.gov (United States)

Roberts, Vaughan; Glover, Marewa; McCowan, Lesley; Walker, Natalie; Ussher, Michael; Heke, Ihirangi; Maddison, Ralph

2017-11-01

Objectives Smoking during pregnancy is harmful for the woman and the unborn child, and the harms raise risks for the child going forward. Indigenous women often have higher rates of smoking prevalence than non-indigenous. Exercise has been proposed as a strategy to help pregnant smokers to quit. Māori (New Zealand Indigenous) women have high rates of physical activity suggesting that an exercise programme to aid quitting could be an attractive initiative. This study explored attitudes towards an exercise programme to aid smoking cessation for Māori pregnant women. Methods Focus groups with Māori pregnant women, and key stakeholder interviews were conducted. Results Overall, participants were supportive of the idea of a physical activity programme for pregnant Māori smokers to aid smoking cessation. The principal, over-arching finding, consistent across all participants, was the critical need for a Kaupapa Māori approach (designed and run by Māori, for Māori people) for successful programme delivery, whereby Māori cultural values are respected and infused throughout all aspects of the programme. A number of practical and environmental barriers to attendance were raised including: cost, the timing of the programme, accessibility, transport, and childcare considerations. Conclusions A feasibility study is needed to design an intervention following the suggestions presented in this paper with effort given to minimising the negative impact of barriers to attendance.

The effect of group-based exercise on cognitive performance and mood in seniors residing in intermediate care and self-care retirement facilities: a randomised controlled trial.

Science.gov (United States)

Brown, A K; Liu-Ambrose, T; Tate, R; Lord, S R

2009-08-01

To determine the effect of a general group-based exercise programme on cognitive performance and mood among seniors without dementia living in retirement villages. Randomised controlled trial. Four intermediate care and four self-care retirement village sites in Sydney, Australia. 154 seniors (19 men, 135 women; age range 62 to 95 years), who were residents of intermediate care and self-care retirement facilities. Participants were randomised to one of three experimental groups: (1) a general group-based exercise (GE) programme composed of resistance training and balance training exercises; (2) a flexibility exercise and relaxation technique (FR) programme; or (3) no-exercise control (NEC). The intervention groups (GE and FR) participated in 1-hour exercise classes twice a week for a total period of 6 months. Using standard neuropsychological tests, we assessed cognitive performance at baseline and at 6-month re-test in three domains: (1) fluid intelligence; (2) visual, verbal and working memory; and (3) executive functioning. We also assessed mood using the Geriatric Depression Scale (GDS) and the Positive and Negative Affect Schedule (PANAS). The GE programme significantly improved cognitive performance of fluid intelligence compared with FR or NEC. There were also significant improvements in the positive PANAS scale within both the GE and FR groups and an indication that the two exercise programmes reduced depression in those with initially high GDS scores. Our GE programme significantly improved cognitive performance of fluid intelligence in seniors residing in retirement villages compared with our FR programme and the NEC group. Furthermore, both group-based exercise programmes were beneficial for certain aspects of mood within the 6-month intervention period.

Postoperative effects of neuromuscular exercise prior to hip or knee arthroplasty

DEFF Research Database (Denmark)

Villadsen, Allan; Overgaard, Søren; Holsgaard-Larsen, Anders

2014-01-01

neuromuscular exercise prior to total joint arthroplasty (TJA) of the hip or knee did not confer additional benefits 3 months postoperatively compared with TJA alone. However, the intervention group experienced a statistically significant short-term benefit in ADL and pain, suggesting an earlier onset......OBJECTIVE: To investigate the postoperative efficacy of a supervised programme of neuromuscular exercise prior to hip or knee arthroplasty. METHODS: In this assessor-blinded randomised controlled trial, we included 165 patients scheduled for hip or knee arthroplasty due to severe osteoarthritis (OA......). An 8-week preoperative neuromuscular supervised exercise programme was delivered twice a week for 1 h as adjunct treatment to the standard arthroplasty procedure and compared with the standard arthroplasty procedure alone. The primary outcome was self-reported physical function measured...

Programmes for tobacco and alcohol users in Australian work-places.

Science.gov (United States)

Richmond, R; Heather, N; Holt, P

1996-12-01

This article presents findings from a survey of programmes available for tobacco and alcohol users working in 455 of Australia's top 600 companies. Companies were twice as likely to have programmes for smokers (43%) as for problem drinkers (24%) and these programmes were more apparent in large companies. The majority of programmes for smoking were delivered within a health promotion context which included other life-style issues, such as nutrition, exercise, weight management and stress management. Although Employee Assistance Programs (EAPs) were the most commonly available type of work-place programme for excessive drinkers and other drug users, followed by Alcoholics Anonymous and local hospital clinics, only 6% had an EAP for alcohol. Only 21% of programmes for smokers and 12% for excessive alcohol users were evaluated. Around one-quarter of companies knew the costs of smoking programmes, and 9% reported costs of conducting programmes for excessive alcohol consumers.

No effect of the FitFor2 exercise programme on blood glucose, insulin sensitivity, and birthweight in pregnant women who were overweight and at risk for gestational diabetes: Results of a randomised controlled trial

NARCIS (Netherlands)

Oostdam, N.; Poppel, M.N.M. van; Wouters, M.G.A.J.; Eekhoff, E.M.W.; Bekedam, D.J.; Kuchenbecker, W.K.H.; Quartero, H.W.P.; Heres, M.H.B.; Mechelen, W. van

2012-01-01

Objective To evaluate the effectiveness of an exercise programme for pregnant women who were overweight or obese and at risk for gestational diabetes mellitus (GDM). Design Randomised controlled trial. Setting Hospitals and midwifery practices in the Netherlands. Population Pregnant women who were

Stabilisation of amorphous furosemide increases the oral drug bioavailability in rats

DEFF Research Database (Denmark)

Nielsen, Line Hagner; Rades, Thomas; Müllertz, Anette

2015-01-01

A glass solution of the amorphous sodium salt of furosemide (ASSF) and polyvinylpyrrolidone (PVP) (80: 20 w/w%) was prepared by spray drying. It was investigated if PVP was able to stabilise ASSF during storage and dissolution and whether this influenced the in vivo performance of the glass...

The defect structure of the double layer in yttria-stabilised zirconia

NARCIS (Netherlands)

Hendriks, M.G.H.M.; ten Elshof, Johan E.; Bouwmeester, Henricus J.M.; Verweij, H.

2002-01-01

The space charge density of 2–10 mol% yttria-stabilised zirconia (YSZ) at the interface with a gold electrode was determined from differential capacity measurements at 748–848 K. The oxygen vacancy fraction in the space charge layer was calculated as function of bias potential, temperature and

An analysis of stabilisation for head and neck image guided IMRT

International Nuclear Information System (INIS)

Middleton, Mark; Nguyen, Huong; Plank, Ashley; Jones, Mark; Shannon, Debbie; Sisson, Toni

2014-01-01

Aims: Daily IGRT using kV imaging has allowed an enhanced field of view for head and neck IMRT patients. This has allowed the treating radiation therapists to note set-up error beyond traditional spatial or translational and include angular error. This study compares two stabilisation methods for head and neck IGRT and compares spatial and angular error between them. Methods and materials: 9 patients were assessed using a CIVCO S-board and generic Silverman head rest and another 9 patients were assessed using a CIVCO S-board with a CIVCO S-type vac-fix bag. Daily IGRT was undertaken and pre-intervention set-up error collected. This was inclusive of error in the lateral, longitudinal and vertical plans and angular discrepancy between cervical spine 1 and cervical spine 7. Results: The vac-fix solution provided a significant reduction in the systematic yaw position (anterior–posterior) (p = 0.04). It also reduced the mean resultant systematic angular error significantly (p = 0.01). The lateral systematic spatial error was decreased significantly by the vac-fix (p = 0.03) whilst the longitudinal and vertical systematic errors were not. The differences in random error between the two stabilisation solutions were not significant. Conclusion: kV IGRT has allowed treating radiation therapists to note angular error in the head and neck region. This can be difficult to deal with using only IGRT. Stabilisation solutions in the head and neck region must be able to manage both spatial and angular set-up error. The vac-fix solution has improved the management of angular error for head and neck IMRT patients

Open versus closed kinetic chain exercises for patellar chondromalacia.

Science.gov (United States)

Bakhtiary, A H; Fatemi, E

2008-02-01

Conservative treatment of patellar chondromalacia has been the subject of several studies. One recommended treatment is a strengthening exercise of the quadriceps muscle, which may be performed in closed or open kinetic chains. This study was designed to compare the effect of straight leg raise (SLR) and semi-squat exercises on the treatment of patellar chondromalacia, which has not been done to date. 32 female university students with a diagnosis of patellar chondromalacia were randomly assigned to two experimental groups: SLR and semi-squat exercise. Before starting exercise protocols, Q angle, maximal isometric voluntary contraction force (MIVCF) of quadriceps, crepitation, circumference of thigh 5 and 10 cm above the patella and patellofemoral pain according to the visual analogue scale (VAS) were assessed. Both groups then followed a 3-week programme of quadriceps muscle strengthening exercises (SLR or semi-squat) starting with 20 exercises twice a day and increasing each session by 5 exercises every 2 days. All measurements were repeated at the end of each week and then again 2 weeks after the 3-week exercise programme. Reduced Q angle (mean differences (SD) 0.8 (0.3), p = 0.016) and crepitation (19.9 (8.5), p = 0.04), and an increase in the MIVCF of the quadriceps (15.8 (5.6), p = 0.01) and thigh circumference (1.5 (0.3), p = 0.001) were found in semi-squat group compared with SLR group. However, patellofemoral pain was decreased significantly in both groups. The results of this study indicate that semi-squat exercises (closed kinetic chain) are more effective than SLR exercise (open kinetic chain) in the treatment of patellar chondromalacia. More studies are needed to investigate the long-term effect of these types of exercise.

Effects of an exercise programme on self-esteem, self-concept and quality of life in women with fibromyalgia: a randomized controlled trial.

Science.gov (United States)

García-Martínez, Aida M; De Paz, José A; Márquez, Sara

2012-07-01

This study was aimed to investigate the effects of an exercise trial on self-esteem, self-concept and quality of life in patients with fibromyalgia and to evaluate whether improvements in psychological distress were related to changes in physical functioning. Twenty-eight women with a primary diagnosis of fibromyalgia were randomized to a usual care control group or to a 12-week supervised training programme consisting of 3 weekly sessions of aerobic, strengthening and flexibility exercises. Outcomes were physical functioning (Fibromyalgia Impact Questionnaire (FIQ), lower-body strength and flexibility) and psychological functioning (SF-36, Rosenberg self-esteem scale and Erdmann self-concept scale). Outcomes were measured at study entry and at the end of the intervention. Compared to the control group, statistically significant improvements in self-esteem, self-concept, FIQ, physical functioning, role physical, bodily pain, vitality, role emotional, social functioning, mental health, isometric strength, muscular endurance and flexibility were evident in the exercise group at the end of treatment. Self-esteem and self-concept scores were correlated positively with role emotional, mental health and the mental component summary of SF-36 and were negatively correlated to FIQ scores. No significant correlation existed between self-esteem or self-concept and isometric strength, muscular endurance or flexibility. Our results highlight the need for a broader array of physical and mental outcomes and the importance of examining patient's perceptions in future research therapies.

Structured exercise training programme versus hypocaloric hyperproteic diet in obese polycystic ovary syndrome patients with anovulatory infertility: a 24-week pilot study.

Science.gov (United States)

Palomba, S; Giallauria, F; Falbo, A; Russo, T; Oppedisano, R; Tolino, A; Colao, A; Vigorito, C; Zullo, F; Orio, F

2008-03-01

Lifestyle modifications are successfully employed to treat obese and overweight women with polycystic ovary syndrome (PCOS). The aims of the current pilot study were (i) to compare the efficacy on reproductive functions of a structured exercise training (SET) programme with a diet programme in obese PCOS patients and (ii) to study their clinical, hormonal and metabolic effects to elucidate potentially different mechanisms of action. Forty obese PCOS patients with anovulatory infertility underwent a SET programme (SET group, n = 20) and a hypocaloric hyperproteic diet (diet group, n = 20). Clinical, hormonal and metabolic data were assessed at baseline, and at 12- and 24-week follow-ups. Primary endpoint was cumulative pregnancy rate. The two groups had similar demographic, anthropometric and biochemical parameters. After intervention, a significant improvement in menstrual cycles and fertility was noted in both groups, with no differences between groups. The frequency of menses and the ovulation rate were significantly (P diet group but the increased cumulative pregnancy rate was not significant. Body weight, body mass index, waist circumference, insulin resistance indexes and serum levels of sex hormone-binding globulin, androstenedione and dehydroepiandrosterone sulphate changed significantly (P diet interventions improve fertility in obese PCOS patients with anovulatory infertility. We hypothesize that in both interventions an improvement in insulin sensitivity is the pivotal factor involved in the restoration of ovarian function but potentially acting through different mechanisms.

Study of the electronics architecture for the mechanical stabilisation of the quadrupoles of the CLIC linear accelerator

CERN Document Server

Artoos, K; Fernandez Carmona, P; Guinchard, M; Hauviller, C; Janssens, S; Kuzmin, A; Slaathaug, A

2010-01-01

To reach a sufficient luminosity, the transverse beam sizes and emittances in future linear particle accelerators should be reduced to the nanometer level. Mechanical stabilisation of the quadrupole magnets is of the utmost importance for this. The piezo actuators used for this purpose can also be used to make fast incremental orientation adjustments with a nanometer resolution. The main requirements for the CLIC stabilisation electronics is a robust, low noise, low delay, high accuracy and resolution, low band and radiation resistant feedback control loop. Due to the high number of controllers (about 4000) a cost optimization should also be made. Different architectures are evaluated for a magnet stabilisation prototype, including the sensors type and configuration, partition between software and hardware for control algorithms, and optimization of the ADC/DAC converters. The controllers will be distributed along the 50 km long accelerator and a communication bus should allow external control. Furthermore, o...

Pre-exercise screening and health coaching in CHD secondary prevention: a qualitative study of the patient experience.

Science.gov (United States)

Shaw, R; Gillies, M; Barber, J; MacIntyre, K; Harkins, C; Findlay, I N; McCloy, K; Gillie, A; Scoular, A; MacIntyre, P D

2012-06-01

Secondary prevention programmes can be effective in reducing morbidity and mortality from coronary heart disease (CHD). In particular, UK guidelines, including those from the Department of Health, emphasize physical activity. However, the effects of secondary prevention programmes with an exercise component are moderate and uptake is highly variable. In order to explore patients' experiences of a pre-exercise screening and health coaching programme (involving one-to-one consultations to support exercise behaviour change), semi-structured telephone interviews were undertaken with 84 CHD patients recruited from primary care. The interviews focused on patients' experiences of the intervention including referral and any recommendations for improvement. A thematic analysis of transcribed interviews showed that the majority of patients were positive about referral. However, patients also identified a number of barriers to attending and completing the programme, including a belief they were sufficiently active already, the existence of other health problems, feeling unsupported in community-based exercise classes and competing demands. Our findings highlight important issues around the choice of an appropriate point of intervention for programmes of this kind as well as the importance of appropriate patient selection, suggesting that the effectiveness of health coaching may be under-reported as a result of including patients who are not yet ready to change their behaviours.

Exercise in Thoroughbred yearlings during sales preparation: a cohort study.

Science.gov (United States)

Bolwell, C F; Rogers, C W; French, N P; Firth, E C

2012-01-01

There is increasing evidence suggesting that early exercise in Thoroughbred racehorses may be beneficial to the development of the musculoskeletal system. At present, information on the exercise programmes and health problems of individual yearlings during a sales preparation is scant. To describe the exercise and health problems of Thoroughbred yearlings during preparation for sales, and to identify variations in exercise between and within farms. A prospective cohort study was used to collect exercise and health information from 18 farms across New Zealand. Daily exercise records for individual horses were recorded during the studfarms' preparation for the annual national yearling sales in January 2009. Data were collected from 319 yearlings, of which 283 (88.7%) were exercised (hand walking, mechanical walker and lungeing) during their preparations. Sales preparation lasted a median of 69 days (interquartile range 61-78) and differed significantly between farms (Psale (P = 0.14) or category of sales price (P = 0.12). Within certain farms, daily exercise differed between horses as did total exercise by gender and the number of days spent in the sales preparation. Lameness was the most common condition affecting yearlings and the overall incidence rate of lameness was 0.08 per 100 horse days (95% confidence interval 0.05-0.13). Incidence rates of lameness varied significantly between farms (P = 0.02), but not by age (P = 0.77), sales type (P = 0.58) or month of the preparation (P = 0.53). Yearling exercise programmes varied between and within farms. Since exercise is already being tailored for each individual horse, there may be an opportunity to allow for modifications to sales preparation with the future career in mind. © 2011 EVJ Ltd.

Modelling, characterisation and uncertainties of stabilised pseudoelastic shape memory alloy helical springs

DEFF Research Database (Denmark)

Enemark, Søren; Santos, Ilmar; Savi, M. A.

2016-01-01

The thermo-mechanical behaviour of pseudoelastic shape memory alloy helical springs is of concern discussing stabilised and cyclic responses. Constitutive description of the shape memory alloy is based on the framework developed by Lagoudas and co-workers incorporating two modifications related t...

An educational approach based on a non-injury model compared with individual symptom-based training in chronic LBP. A pragmatic, randomised trial with a one-year follow-up

DEFF Research Database (Denmark)

Sorensen, Pia Havn; Bendix, Tom; Manniche, Claus

2010-01-01

-injury model with that of a symptom-based physical training method on the outcomes of low back pain (LBP), activity limitation, LBP attitudes (fear-avoidance beliefs and back beliefs), physical activity levels, sick leave, and quality of life, in chronic LBP patients. Methods: The study was a pragmatic, single...... the focus on the pain might facilitate more natural and less painful movements, and that it is beneficial to stay physically active. 2. Individual symptom-based physical training programme : directionalpreference exercises for those centralising their pain with repetitive movements; ‘stabilising exercises......’ for those deemed ‘unstable’ based on specific tests; or intensive dynamic exercises for the remaining patients. Follow-up questionnaires (examiner-blinded) were completed at 2, 6 and 12 months. The main statistical test was an ANCOVA adjusted for baseline values. Results: A total of 207 patients...

Long-term influence of multiple heat extraction bore-holes; programme 3-D FRACTure and comparison with a g-function calculated with the SBM programme

Energy Technology Data Exchange (ETDEWEB)

Brenni, R.; Kohl, Th. [Eidgenoessische Technische Hochschule (ETH), Institut fuer Geophysik, Hoenggerberg (Switzerland); Pahud, D. [Scuola universitaria professionale della Svizzera italiana (SUPSI), Dipartimento delle costruzioni e del territorio (DCT), Laboratorio di energia, ecologia ed economia LEEE, Canobbio (Switzerland)

2001-07-01

For typical bore-hole heat exchangers (length of about 100 m), the long-term influence of neighbouring bore-hole heat exchangers normally appears after several years of operation, and approaches asymptotically a stationary state. Depending on the number of bore-holes involved, it may take from several tens up to several hundred of years before the magnitude of the influence stabilises. Under these conditions it is difficult to collect measurements of thermally interacting bore-hole heat exchangers. However, there is a need to be able to answer the question of the long-term influence of neighbouring borehole heat exchangers, as this situation is supposed to occur more often in the future, as the number of ground-coupled heat pump systems (GCHP system) steadily increases with time. This topic needs also to be studied if themes such as 'neighbour rights' or sustainability related to GCHP system are discussed. This report is focused on the first phase of the project, whose objective is to check the g-function calculation with a more detailed programme. Three bore-holes on an equilateral triangle is the borehole configuration chosen for the comparison between the two computer programmes FRACTure and SBM. SBM is used in the g-function mode, in order to test the concept of g-function against the more detailed programme FRACTure. The agreement between the results obtained with the two programmes indicates that for typical 100 m deep bore-holes the g-function analysis provides fast and sufficiently accurate results. (author)

Mechanisms of change of a novel weight loss programme provided by a third sector organisation: a qualitative interview study.

Science.gov (United States)

McMahon, Naoimh E; Visram, Shelina; Connell, Louise A

2016-05-10

There is a need for theory-driven studies that explore the underlying mechanisms of change of complex weight loss programmes. Such studies will contribute to the existing evidence-base on how these programmes work and thus inform the future development and evaluation of tailored, effective interventions to tackle overweight and obesity. This study explored the mechanisms by which a novel weight loss programme triggered change amongst participants. The programme, delivered by a third sector organisation, addressed both diet and physical activity. Over a 26 week period participants engaged in three weekly sessions (education and exercise in a large group, exercise in a small group and a one-to-one education and exercise session). Novel aspects included the intensity and duration of the programme, a competitive selection process, milestone physical challenges (e.g. working up to a 5 K and 10 K walk/run during the programme), alumni support (face-to-face and online) and family attendance at exercise sessions. Data were collected through interviews with programme providers (n = 2) and focus groups with participants (n = 12). Discussions were audio-recorded, transcribed and analysed using NVivo10. Published behaviour change frameworks and behaviour change technique taxonomies were used to guide the coding process. Clients' interactions with components of the weight loss programme brought about a change in their commitment, knowledge, beliefs about capabilities and social and environmental contexts. Intervention components that generated these changes included the competitive selection process, group and online support, family involvement and overcoming milestone challenges over the 26 week programme. The mechanisms by which these components triggered change differed between participants. There is an urgent need to establish robust interventions that can support people who are overweight and obese to achieve a healthy weight and maintain this change. Third

Mechanisms of change of a novel weight loss programme provided by a third sector organisation: a qualitative interview study

Directory of Open Access Journals (Sweden)

Naoimh E. McMahon

2016-05-01

Full Text Available Abstract Background There is a need for theory-driven studies that explore the underlying mechanisms of change of complex weight loss programmes. Such studies will contribute to the existing evidence-base on how these programmes work and thus inform the future development and evaluation of tailored, effective interventions to tackle overweight and obesity. This study explored the mechanisms by which a novel weight loss programme triggered change amongst participants. The programme, delivered by a third sector organisation, addressed both diet and physical activity. Over a 26 week period participants engaged in three weekly sessions (education and exercise in a large group, exercise in a small group and a one-to-one education and exercise session. Novel aspects included the intensity and duration of the programme, a competitive selection process, milestone physical challenges (e.g. working up to a 5 K and 10 K walk/run during the programme, alumni support (face-to-face and online and family attendance at exercise sessions. Methods Data were collected through interviews with programme providers (n = 2 and focus groups with participants (n = 12. Discussions were audio-recorded, transcribed and analysed using NVivo10. Published behaviour change frameworks and behaviour change technique taxonomies were used to guide the coding process. Results Clients’ interactions with components of the weight loss programme brought about a change in their commitment, knowledge, beliefs about capabilities and social and environmental contexts. Intervention components that generated these changes included the competitive selection process, group and online support, family involvement and overcoming milestone challenges over the 26 week programme. The mechanisms by which these components triggered change differed between participants. Conclusions There is an urgent need to establish robust interventions that can support people who are overweight and

Change in perceived psychosocial status following a 12-week Tai Chi exercise programme.

Science.gov (United States)

Taylor-Piliae, Ruth E; Haskell, William L; Waters, Catherine M; Froelicher, Erika Sivarajan

2006-05-01

This paper reports a study to examine change in psychosocial status following a 12-week Tai Chi exercise intervention among ethnic Chinese people with cardiovascular disease risk factors living in the United States of America. Regular participation in physical activity is associated with protection against cardioavascular disease, and improvements in physical and psychological health. Increasing amounts of scientific evidence suggests that mind-body exercise, such as Tai Chi, are related to improvements in mental health, emotional well-being, and stress reduction. No prior study has examined the effect of a Tai Chi exercise intervention on psychosocial status among people with cardiovascular disease risk factors. This was a quasi-experimental study. Participants attended a 60-minute Tai Chi exercise class three times per week for 12 weeks. Data were collected at baseline, 6 and 12 weeks following the intervention. Psychosocial status was assessed using Chinese versions of Cohen's Perceived Stress Scale, Profile of Mood States, Multidimensional Scale of Perceived Social Support, and Tai Chi exercise self-efficacy. A total of 39 participants, on average 66-year-old (+/-8.3), married (85%), Cantonese-speaking (97%), immigrants participated. The majority were women (69%), with social support (eta2 = 0.12). Tai Chi was a culturally appropriate mind-body exercise for these older adults, with statistically significant psychosocial benefits observed over 12-weeks. Further research examining Tai Chi exercise using a randomized clinical trial design with an attention-control group may reduce potential confounding effects, while exploring potential mechanisms underlying the relaxation response associated with mind-body exercise. In addition, future studies with people with other chronic illnesses in all ethnic groups are recommended to determine if similar benefits can be achieved.

Third programme for the inspection of steel components (PISC III): an introduction

International Nuclear Information System (INIS)

Crutzen, S.

1988-01-01

The purpose of the Third Programme for the Inspection of Steel Components PISC III is to amplify, verify and validate aspects revealed by the PISC II work. To do this the programme is to consider real defects, real geometries in real surroundings, and complementary laboratory exercises and validation of mathematical models. A description is given of the motivation and objectives of PISC III, terms of reference for PISC III and the programme for PISC III. (U.K.)

Subgrouping and TargetEd Exercise pRogrammes for knee and hip OsteoArthritis (STEER OA): a systematic review update and individual participant data meta-analysis protocol.

Science.gov (United States)

Holden, Melanie A; Burke, Danielle L; Runhaar, Jos; van Der Windt, Danielle; Riley, Richard D; Dziedzic, Krysia; Legha, Amardeep; Evans, Amy L; Abbott, J Haxby; Baker, Kristin; Brown, Jenny; Bennell, Kim L; Bossen, Daniël; Brosseau, Lucie; Chaipinyo, Kanda; Christensen, Robin; Cochrane, Tom; de Rooij, Mariette; Doherty, Michael; French, Helen P; Hickson, Sheila; Hinman, Rana S; Hopman-Rock, Marijke; Hurley, Michael V; Ingram, Carol; Knoop, Jesper; Krauss, Inga; McCarthy, Chris; Messier, Stephen P; Patrick, Donald L; Sahin, Nilay; Talbot, Laura A; Taylor, Robert; Teirlinck, Carolien H; van Middelkoop, Marienke; Walker, Christine; Foster, Nadine E

2017-12-22

Knee and hip osteoarthritis (OA) is a leading cause of disability worldwide. Therapeutic exercise is a recommended core treatment for people with knee and hip OA, however, the observed effect sizes for reducing pain and improving physical function are small to moderate. This may be due to insufficient targeting of exercise to subgroups of people who are most likely to respond and/or suboptimal content of exercise programmes. This study aims to identify: (1) subgroups of people with knee and hip OA that do/do not respond to therapeutic exercise and to different types of exercise and (2) mediators of the effect of therapeutic exercise for reducing pain and improving physical function. This will enable optimal targeting and refining the content of future exercise interventions. Systematic review and individual participant data meta-analyses. A previous comprehensive systematic review will be updated to identify randomised controlled trials that compare the effects of therapeutic exercise for people with knee and hip OA on pain and physical function to a non-exercise control. Lead authors of eligible trials will be invited to share individual participant data. Trial-level and participant-level characteristics (for baseline variables and outcomes) of included studies will be summarised. Meta-analyses will use a two-stage approach, where effect estimates are obtained for each trial and then synthesised using a random effects model (to account for heterogeneity). All analyses will be on an intention-to-treat principle and all summary meta-analysis estimates will be reported as standardised mean differences with 95% CI. Research ethical or governance approval is exempt as no new data are being collected and no identifiable participant information will be shared. Findings will be disseminated via national and international conferences, publication in peer-reviewed journals and summaries posted on websites accessed by the public and clinicians. CRD42017054049. © Article

Cost-effectiveness analysis of an 18-week exercise programme for patients with breast and colon cancer undergoing adjuvant chemotherapy: the randomised PACT study.

Science.gov (United States)

May, Anne M; Bosch, Marcel J C; Velthuis, Miranda J; van der Wall, Elsken; Steins Bisschop, Charlotte N; Los, Maartje; Erdkamp, Frans; Bloemendal, Haiko J; de Roos, Marnix A J; Verhaar, Marlies; Ten Bokkel Huinink, Daan; Peeters, Petra H M; de Wit, G Ardine

2017-03-06

Meta-analyses show that exercise interventions during cancer treatment reduce cancer-related fatigue. However, little is known about the cost-effectiveness of such interventions. Here we aim to assess the cost-effectiveness of the 18-week physical activity during cancer treatment (PACT) intervention for patients with breast and colon cancer. The PACT trial showed beneficial effects for fatigue and physical fitness. Cost-effectiveness analyses with a 9-month time horizon (18 weeks of intervention and 18 weeks of follow-up) within the randomised controlled multicentre PACT study. Outpatient clinics of 7 hospitals in the Netherlands (1 academic and 6 general hospitals) PARTICIPANTS: 204 patients with breast cancer and 33 with colon cancer undergoing adjuvant treatment including chemotherapy. Supervised 1-hour aerobic and resistance exercise (twice per week for 18 weeks) or usual care. Costs, quality-adjusted life years (QALY) and the incremental cost-effectiveness ratio. For colon cancer, the cost-effectiveness analysis showed beneficial effects of the exercise intervention with incremental costs savings of €4321 and QALY improvements of 0.03. 100% of bootstrap simulations indicated that the intervention is dominant (ie, cheaper and more effective). For breast cancer, the results did not indicate that the exercise intervention was cost-effective. Incremental costs were €2912, and the incremental effect was 0.01 QALY. At a Dutch threshold value of €20 000 per QALY, the probability that the intervention is cost-effective was 2%. Our results suggest that the 18-week exercise programme was cost-effective for colon cancer, but not for breast cancer. ISRCTN43801571. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

Implementing an exercise-training programme to prevent lower-limb injuries: considerations for the development of a randomised controlled trial intervention delivery plan.

Science.gov (United States)

Finch, Caroline F; White, Peta; Twomey, Dara; Ullah, Shahid

2011-08-01

To identify important considerations for the delivery of an exercise training intervention in a randomised controlled trial to maximise subsequent participation in that randomised controlled trial and intervention uptake. A cross-sectional survey, with a theoretical basis derived from the Health Belief Model (HBM) and the Reach, Efficacy/Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework. 374 male senior Australian Football players, aged 17-38 years. Beliefs about lower-limb injury causation/prevention, and the relative value of exercise training for performance and injury prevention. The data are interpreted within HBM constructs and implications for subsequent intervention implementation considered within the RE-AIM framework. Ordinal logistic regression compared belief scores across player characteristics. 74.4% of players agreed that doing specific exercises during training would reduce their risk of lower-limb injury and would be willing to undertake them. However, 64.1% agreed that training should focus more on improving game performance than injury prevention. Younger players (both in terms of age and playing experience) generally had more positive views. Players were most supportive of kicking (98.9%) and ball-handling (97.0%) skills for performance and warm-up runs and cool-downs (both 91.5%) for injury prevention. Fewer than three-quarters of all players believed that balance (69.2%), landing (71.3%) or cutting/stepping (72.8) training had injury-prevention benefits. Delivery of future exercise training programmes for injury prevention aimed at these players should be implemented as part of routine football activities and integrated with those as standard practice, as a means of associating them with training benefits for this sport.

Stabiliser Fault Emergency Control using Reconfiguration to Preserve Power System Stability

DEFF Research Database (Denmark)

Pedersen, Andreas Søndergaard; Richter, Jan H.; Tabatabaeipour, Mojtaba

2014-01-01

Stabiliser faults in multi-machine power systems are examined in this paper where fault-masking and system reconguration of the nonlinear system is obtained using a virtual actuator approach. Phasor Measurement Units, which can be integrated in wide-area transmission grids to improve the performa...

Feedback stabilisation of pool-boiling systems : for application in thermal management schemes

NARCIS (Netherlands)

Gils, van R.W.

2012-01-01

The research scope of this thesis is the stabilisation of unstable states in a pool-boiling system. Thereto, a compact mathematical model is employed. Pool-boiling systems serve as physical model for practical applications of boiling heat transfer in industry. Boiling has advantages over

Survey on national practices and lessons learnt from off-site nuclear emergency exercises

International Nuclear Information System (INIS)

Viktorsson, C.

1993-01-01

Nuclear emergency exercises are considered to make an important contribution to the efficiency of emergency preparedness. Generally, the details of the emergency exercises are specified for each country and often for each site, reflecting the particular features that exist in relation to general emergency arrangements. The Chernobyl accident brought a new dimension into the arena of emergency arrangements - the international dimension. New conventions and revised international guidance have been issued and have been or are being included in national emergency plans. The OECD Nuclear Energy Agency decided in 1990 to promote international co-operation in the field of emergency exercises and has adopted a programme of work in this field. One component of this programme, which concerns a survey on national practices and lessons learnt from the planning and conduct of emergency exercises, is dealt with in this paper

Cardiopulmonary exercise testing – effective method for evaluation and recommendation of individualized exercise training in patients with metabolic syndrome

Directory of Open Access Journals (Sweden)

Claudiu Avram

2011-12-01

Full Text Available The present study aims to emphasize the role of cardiopulmonary exercise training (CPET in evaluation and recommendation of individualized exercise training in patients with a metabolic syndrome. Methods: We performed a prospective longitudinal study of 9 months. The study group consisted of 28 young patients (21.3±3.1 years old without contraindications to exercise, previously diagnosed with metabolic syndrome according to NCEP-ATPIII criteria. All patients were evaluating at baseline and after 3 months of intervention and at the end of the study (after 9 months. The evaluation consists in performing a CPET on bicycle ergometer in which subjects were monitored in terms of cardiac and respiratory parameters. The CPET results allow us to establish the range of effort intensity in which the patient should exercise in order to burn calories and achieve the maximum fat oxidation rate. All patients benefit from an intensive interval exercise training programme, supervised and guided by a physical therapist. Exercise training consisted in 50 minutes sessions, 3 times per week, at intensive endurance training zone (in the range of anaerobic threshold, completed by 1 minute interval in the range between anaerobic threshold (AT and respiratory compensation point (RCP, for every 5 minutes of training. Results: After 9 months of intervention we noticed an improvement of abdominal obesity (waist circumference decreased from 98.98±10.14 cm to 89.54±12.32 cm, p<0.001, physical fitness (V’O2peak increased from 1.83±0.33 l/min to 2.13±0.4 l/min, p<0.001 and endurance (Oxygen uptake in the range of anaerobic treshold increase from 1.27±0.27 l/min to 1.55±0.31 l/min, p<0.001. Conclusions: Cardiopulmonary exercise testing together with training zones determinations is a useful tool for assessing the exercise capacity and drawing up individual workouts. Active and closely monitored intervention by individualized exercise training programmes leads to

Biomechanical Evaluation of the MACSTL Internal Fixator for Thoracic Spinal Stabilisation

Directory of Open Access Journals (Sweden)

R. Veselý

2008-01-01

Full Text Available Unstable fractures of the thoracic spine in humans represent a serious social and economic issue. They may lead to persistent consequences and chronic disease. The anatomical and biomechanical characteristics of the thoracic spine are different from all the other spinal parts due to its higher mobility. The vertebrae of the chest area are less mobile, conferring a higher degree of rigidity to the spine. To destabilize this relatively rigid system, a considerable force is necessary. The treatment of unstable spinal fractures is solely surgical. The decompression of the spinal canal with reposition and stabilisation of the fracture is indicated urgently. This intervention is performed mostly from the posterior approach in the first phase. However, the anterior spinal column is the structure responsible for the stability of the spine. Therefore, the recent advances in spine surgery focus on this area of expertise. For this reason, we carried out a bio-mechanical study aimed at assessing the effectiveness of two surgical tactics used. The study consisted of comparative experiments performed by computer-aided device on segments of pig cadavers (n = 5. The experiment involved a comparison of segments of the thoracic spine under the following conditions: an anatomically intact segment, a spine segment with an artificially created anterior instability, and a segment with an applied internal fixator. The experiment compared the mechanical characteristics of these segments. The experiment has demonstrated that after application of the internal fixator used for stabilisation of the injured anterior spinal column at defined pre-loading of 200 N, the stability of damaged spinal segment in torsion increased twofold. It was also verified that sufficient stability can be ensured using the Modular Anterior Construct System (MACSTL implant for ventral stabilisation of thoracic spine unstable injuries. Endoscopic application of this implant represents an

An inpatient lifestyle-change programme improves heart rate recovery in overweight and obese children and adolescents (LOGIC Trial).

Science.gov (United States)

Wilks, Désirée C; Rank, Melanie; Christle, Jeff; Langhof, Helmut; Siegrist, Monika; Halle, Martin

2014-07-01

Impaired heart rate recovery (HRR) is a strong predictor of overall mortality and cardio-metabolic risk. This study aimed at investigating (1) the effect of participation in a lifestyle-change programme for weight loss on HRR in overweight and obese children and (2) potential associations between the changes in one minute HRR (HRR1) and fitness, weight loss and cardio-metabolic risk. The analysis included 429 individuals (169 boys) aged 13.9 ± 2.3 years who participated in an inpatient weight loss programme for four to six weeks. At baseline and the end of the programme clinical investigations were performed, including blood analyses, blood pressure, anthropometry and maximal cycle ergometer exercise testing with continuous heart rate (HR) monitoring. HRR was calculated as the difference between the highest exercising HR and HR at one, three and five minutes post-exercise. Average body weight decreased from 90.7 ± 22.5 kg to 81.9 ± 20.0 kg and peak exercise capacity increased from 1.66 ± 0.38 W/kg to 2.05 ± 0.45 W/kg (p exercise capacity (p inpatient weight loss programme in overweight and obese children. This was not associated with improvements in body weight and cardio-metabolic risk; hence HRR would be a valuable addition to cardiovascular risk assessment in this group. © The European Society of Cardiology 2012.

Interval exercise versus continuous exercise in patients with moderate to severe chronic obstructive pulmonary disease – study protocol for a randomised controlled trial [ISRCTN11611768

Directory of Open Access Journals (Sweden)

Zaugg Christian

2004-08-01

Full Text Available Abstract Background Physical exercise has become a cornerstone of management of chronic obstructive pulmonary disease (COPD because it leads to clinically relevant improvements of exercise capacity and health-related quality of life (HRQL. Despite the scarcity of randomised trials directly comparing exercise protocols, current guidelines recommend high intensity continuous exercise for lower extremities as the probably most effective exercise modality. However, for patients admitted to inpatient respiratory rehabilitation programmes, it is often difficult to initiate such an exercise programme because they are severely limited by dyspnoea and leg fatigue and therefore unable to perform continuous exercise at higher intensities and for periods longer than 30 minutes. Interval exercise may be an attractive alternative for these COPD patients because it allows high intensity exercise with recovery periods. The aim of this study is to assess if interval exercise compared to high intensity continuous exercise is not of inferior effectiveness in terms of HRQL and exercise capacity improvements but associated with better exercise tolerance in patients with moderate to severe COPD at the beginning of a respiratory rehabilitation. Methods/Design We will assign patients with moderately severe to severe COPD to either continuous exercise or interval exercise using a stratified randomisation. Patients will follow 12–15 exercise sessions during a comprehensive inpatient respiratory rehabilitation. Primary end point for effectiveness is HRQL as measured by the Chronic Respiratory Questionnaire (CRQ two weeks after the end of rehabilitation and secondary endpoints include additional clinical outcomes such as functional exercise capacity, other HRQL measures, patients' experience of physical exercise as well as physiological measures of the effects of physical exercise such as cardiopulmonary exercise testing. Including expected drop-outs, we will need 52

EMG evaluation of hip adduction exercises for soccer players

DEFF Research Database (Denmark)

Serner, Andreas; Jakobsen, Markus Due; Andersen, Lars Louis

2014-01-01

INTRODUCTION: Exercise programmes are used in the prevention and treatment of adductor-related groin injuries in soccer; however, there is a lack of knowledge concerning the intensity of frequently used exercises. OBJECTIVE: Primarily to investigate muscle activity of adductor longus during six...... traditional and two new hip adduction exercises. Additionally, to analyse muscle activation of gluteals and abdominals. MATERIALS AND METHODS: 40 healthy male elite soccer players, training >5 h a week, participated in the study. Muscle activity using surface electromyography (sEMG) was measured bilaterally...

Individual optimization of pacing sensors improves exercise capacity without influencing quality of life

NARCIS (Netherlands)

Erol-Yilmaz, Ayten; Schrama, Tim A.; Tanka, Jutta Schroeder; Tijssen, Jan G.; Wilde, Arthur A.; Tukkie, Raymond

2005-01-01

Introduction: Programmable pacemaker sensor features are frequently used in default setting. Limited data are available about the effect of sensor optimization on exercise capacity and quality of life (QOL), Influence of individual optimization of sensors on QOL and exercise tolerance was

Summary of the findings of the FUMEX programme

International Nuclear Information System (INIS)

Chantoin, P.; Wisenack, W.

1997-01-01

Description of fuel behavior during normal, transient and accident conditions has always represented a most challenging and important problem. The ultimate goal is a description of fuel behavior in all conditions to derive safety rules, improved design and economics. The FUMEX programme, promoted by the Agency with the support of the Halden project, is the second co-ordinated research programme in this area. The first step of FUMEX was to conduct a blind exercise which was carried out using 19 computer codes on 10 experimental rods irradiated in the Halden reactor. The results of this exercise are reported here and show an important improvement of modelling tools since 1984, especially due to the development of national and international parametric studies. However, shortcomings still exist and improvement in the evaluation of PCI, fuel temperature and fission gas release, especially during ramp, is not very well understood. The fuel clad gap modelling also requires further improvement. (author). 7 refs, 7 figs, 4 tabs

Summary of the findings of the FUMEX programme

Energy Technology Data Exchange (ETDEWEB)

Chantoin, P [International Atomic Energy Agency, Vienna (Austria); Wisenack, W [Institutt for Energiteknikk, Halden (Norway). OECD Halden Reaktor Projekt

1997-08-01

Description of fuel behavior during normal, transient and accident conditions has always represented a most challenging and important problem. The ultimate goal is a description of fuel behavior in all conditions to derive safety rules, improved design and economics. The FUMEX programme, promoted by the Agency with the support of the Halden project, is the second co-ordinated research programme in this area. The first step of FUMEX was to conduct a blind exercise which was carried out using 19 computer codes on 10 experimental rods irradiated in the Halden reactor. The results of this exercise are reported here and show an important improvement of modelling tools since 1984, especially due to the development of national and international parametric studies. However, shortcomings still exist and improvement in the evaluation of PCI, fuel temperature and fission gas release, especially during ramp, is not very well understood. The fuel clad gap modelling also requires further improvement. (author). 7 refs, 7 figs, 4 tabs.

Effects of two physical education programmes on health- and skill-related physical fitness of Albanian children.

Science.gov (United States)

Jarani, J; Grøntved, A; Muca, F; Spahi, A; Qefalia, D; Ushtelenca, K; Kasa, A; Caporossi, D; Gallotta, M C

2016-01-01

This study aims to evaluate the effectiveness of two school-based physical education (PE) programmes (exercise-based and games-based) compared with traditional PE, on health- and skill-related physical fitness components in children in Tirana, Albania. Participants were 378 first-grade (6.8 years) and 389 fourth-grade (9.8 years) children attending four randomly selected schools in Tirana. Twenty-four school classes within these schools were randomly selected (stratified by school and school grade) to participate as exercise group (EG), games group (GG) and control group (CG). Both EG and GG intervention programmes were taught by professional PE teachers using station/circuit teaching framework while CG referred to traditional PE school lessons by a general teacher. All programmes ran in parallel and lasted 5 months, having the same frequency (twice weekly) and duration (45 min). Heart rate (HR) monitoring showed that intensity during PE lessons was significantly higher in the intervention groups compared with control (P games programmes significantly improved several health- and skill-related fitness indicators compared with traditional PE lessons (e.g. gross motor skill summary score: 9.4 (95% CI 7.9; 10.9) for exercise vs. control and 6.5 (95% CI 5.1; 8.1) for games vs. control, cardiorespiratory fitness: 2.0 ml O2 · min(-1) · kg(-1) (95% CI 1.5; 2.4) for exercise vs. control and 1.4 ml O2 · min(-1) · kg(-1) (95% CI 1.0; 1.8) for games vs. control). Furthermore, compared to games-based PE, exercise-based PE showed more positive changes in some gross motor coordination skills outcomes, coordination skills outcomes and cardiorespiratory fitness. The results from this study show that exercise- and games-based PE represents a useful strategy for improving health- and skill-related physical fitness in Albanian elementary school children. In addition, the study shows that exercise-based PE was more effective than games-based PE in improving gross motor function

The Potential Of The Soil For Stabilisation Of Organic Carbon In Soil Aggregates

Directory of Open Access Journals (Sweden)

Tobiašová Erika

2015-06-01

Full Text Available Carbon stabilisation in soil is the result of interaction between the chemical and physical mechanisms of protection and the dominance of the mechanism depends not only on the long-term constant characteristics of soil but also on the properties, which can be partly influenced by human activities. In this study, the potential of the soil for stabilisation of carbon (Ps in different soil types depending on soil properties was compared. Experiment included six soils (Eutric Fluvisol, Mollic Fluvisol, Haplic Chernozem, Haplic Luvisol, Eutric Cambisol, and Rendzic Leptosol of different land uses (forest, meadow, urban, and agro-ecosystem in Slovakia. Ps was determined with dependence on the ratio of labile and stable fractions of carbon in the soil macro-aggregates. Ps was in an exponential dependence (r = 0.942; P < 0.01 with production potential of the soil, and the fractions of dry-sieved aggregates larger than 3 mm play an important role in the first stages of the carbon stabilisation. The suitable parameter, which reflects the changes in carbon stability in the soil is the ratio of the labile carbon and non-labile carbon in the soil macro-aggregates (L/NL. Lower values of L/NL that indicate a higher stability of carbon were determined at a higher pH, at the higher content of carbonates and exchangeable basic cations, and at a higherportion of humic acids free and bound with mobile sesquioxides R2O3.

Music use and exercise: A mixed methods study of activity, autonomy and adherence

OpenAIRE

Hallett, Rachel Justine

2015-01-01

Regular exercise improves both physical and mental health but many people struggle to adhere to exercise programmes. Music is widely used by exercisers, and may aid adherence, but no evidence has yet substantiated this.\\ud \\ud This thesis consists of four studies exploring exercise music’s potential to assist adherence. In Study 1 (N = 282), online survey responses indicated that women were more likely to use exercise music and to synchronise movement to the beat than men, that running perfor...

Private sector and stabilisation in Afghanistan

DEFF Research Database (Denmark)

Magaard, Tina

I briefet opsummerer Tina Magaard de vigtigste konklusioner fra konferencen ”Private sector and stabilisation in Afghanistan – a neglected match?”, som blandt andet gav indsigt i udfordringerne og mulighederne for den private sektor i Afghanistan. Ved at kombinere perspektiver fra strategiske...... studier med forretnings- og udviklingsstudier tilbød konferencen en dybere indsigt i udfordringerne og mulighederne for den private sektor i Afghanistan. Samtidig blev der åbnet en række nye perspektiver for interaktionen mellem den private sektor og stabiliseringsoperationer i en post-krigskontekst som...... Afghanistan. Selvom udgangspunktet var Afghanistan, er konferencens konklusioner i høj grad relevante for andre konflikt/post-konfliktområder. Konferencen var organiseret i et samarbejde mellem Centre for Business and Development Studies (Copenhagen Business School), Public-Private Platform (Copenhagen...

Metastable SUSY Breaking, de Sitter Moduli Stabilisation and Kähler Moduli Inflation

CERN Document Server

Krippendorf, Sven

2009-01-01

We study the influence of anomalous U(1) symmetries and their associated D-terms on the vacuum structure of global field theories once they are coupled to N=1 supergravity and in the context of string compactifications with moduli stabilisation. In particular, we focus on a IIB string motivated construction of the ISS scenario and examine the influence of one additional U(1) symmetry on the vacuum structure. We point out that in the simplest one-Kahler modulus compactification, the original ISS vacuum gets generically destabilised by a runaway behaviour of the potential in the modulus direction. In more general compactifications with several Kahler moduli, we find a novel realisation of the LARGE volume scenario with D-term uplifting to de Sitter space and both D-term and F-term supersymmetry breaking. The structure of soft supersymmetry breaking terms is determined in the preferred scenario where the standard model cycle is not stabilised non-perturbatively and found to be flavour universal. Our scenario als...

Design of a wind turbine pitch angle controller for power system stabilisation

DEFF Research Database (Denmark)

Jauch, Clemens; Islam, S.M.; Sørensen, Poul Ejnar

2007-01-01

The design of a PID pitch angle controller for a fixed speed active-stall wind turbine, using the root locus method is described in this paper. The purpose of this controller is to enable an active-stall wind turbine to perform power system stabilisation. For the purpose of controller design......, the transfer function of the wind turbine is derived from the wind turbine's step response. The performance of this controller is tested by simulation, where the wind turbine model with its pitch angle controller is connected to a power system model. The power system model employed here is a realistic model...... of the North European power system. A short circuit fault on a busbar close to the wind turbine generator is simulated, and the dynamic responses of the system with and without the power system stabilisation of the wind turbines are presented. Simulations show that in most operating points the pitch controller...

Exercise-, nature- and socially interactive-based initiatives improve mood and self-esteem in the clinical population.

Science.gov (United States)

Barton, Jo; Griffin, Murray; Pretty, Jules

2012-03-01

This study evaluated two existing group-based health promotion initiatives (a social club and a swimming group) and compared these to a new green exercise programme (weekly countryside and urban park walks). Participants represented a clinical population (N = 53) and were all experiencing a range of mental health problems. They only attended one of the three programmes and sessions were held once a week for six weeks in all initiatives. Composite questionnaires incorporating two standardized measures to analyse changes in self-esteem and mood were completed before and after all sessions. A significant main effect for self-esteem and mood pre and post activity (p self-esteem was significantly greater in the green exercise group compared with the social activities club (p self-esteem and mood levels improved over the six-week period and improvements were related to attendance in the green exercise group. Green exercise as a health-promoting initiative for people experiencing mental ill health is equally as effective as existing programmes. Combining exercise, nature and social components in future initiatives may play a key role in managing and supporting recovery from mental ill health, suggesting a potential 'green' approach to mental healthcare and promotion.

Overview of the projects sponsored within th EU-R and D framework programme

International Nuclear Information System (INIS)

Zurita, A.; Goethem, G. van; Bermejo, J.M.

1999-01-01

Assuming that preventive measures to avoid reactor pressure vessel (RPV) failure under core degradation scenarios have failed, the stabilisation of the core melts after its release from the RPV is a key issue. Adequate cooling of the ex-vessel corium and the control of its interactions with the coolant and structures are the main challenges to mitigate and stabilise the situation preserving the containment integrity. In this regard, the on-going Fourth Euratom Framework Programme (4 th EFP) contributes with experimental and theoretical research activities aimed at responding to the main challenges mentioned, by satisfying three objectives: - To improve the understanding of the basic physics related to ex-vessel corium behaviour from the phenomenological and technological viewpoints, as well as to provide a methodology for investigating it and setting up joint multi-partner projects to be co-sponsored and co-ordinated by the EC; - to quantify and reduce the uncertainties associated with the risk issues by conducting experimental and numerical investigations and eventually to achieve a European consensus on the phenomenology and on accident mitigation strategies; - to provide a technological response to the risk issues by developing engineered safety systems (e.g. core-catchers) and severe accident management strategies (e.g. guidelines), and to discuss such a technological response with the end users of these technologies, i.e. designers and licensers. To fulfil these objectives, the 4 th EFP co-sponsors a total of five projects within the cluster 'Ex-Vessel Corium Behaviour and Coolability' of the Nuclear Fission Safety Programme. The research undertaken addresses the main different aspects such as the determination of the composition and thermodynamic data of the melt; experiments on spreading behaviour on various types of surfaces, as well as on corium coolability by flooding or water injection; investigation of corium stratification, crust and heat transfer

Effects of heat on physicochemical properties of whey protein-stabilised emulsions

NARCIS (Netherlands)

Sliwinski, E.L.; Zoet, F.D.; Boekel, van M.A.J.S.; Wouters, J.T.M.; Roubos-van den Hil, P.J.

2003-01-01

The effect of heating has been studied for whey protein-stabilised oil-in-water emulsions (25.0% (w/w) soybean oil, 3.0% (w/w) whey protein isolate, pH 7.0). These emulsions were heated between 55 and 95 degreesC as a function of time and the effect on particle size distribution, adsorbed protein

A Pilot Test of the Additive Benefits of Physical Exercise to CBT for OCD.

Science.gov (United States)

Rector, Neil A; Richter, Margaret A; Lerman, Bethany; Regev, Rotem

2015-01-01

The majority of "responders" to first-line cognitive-behavioural therapy (CBT) and pharmacological treatments for obsessive-compulsive disorder (OCD) are left with residual symptoms that are clinically relevant and disabling. Therefore, there is pressing need for widely accessible efficacious alternative and/or adjunctive treatments for OCD. Accumulating evidence suggests that physical exercise may be one such intervention in the mood and anxiety disorders broadly, although we are aware of only two positive small-scale pilot studies that have tested its clinical benefits in OCD. This pilot study aimed to test the feasibility and preliminary efficacy of adding a structured physical exercise programme to CBT for OCD. A standard CBT group was delivered concurrently with a 12-week customized exercise programme to 11 participants. The exercise regimen was individualized for each participant based on peak heart rate measured using an incremental maximal exercise test. Reports of exercise adherence across the 12-week regimen exceeded 80%. A paired-samples t-test indicated very large treatment effects in Yale-Brown Obsessive-Compulsive Scale scores from pre- to post-treatment in CBT group cohorts led by expert CBT OCD specialists (d = 2.55) and junior CBT clinician non-OCD specialists (d = 2.12). These treatment effects are very large and exceed effects typically observed with individual and group-based CBT for OCD based on leading meta-analytic reviews, as well as previously obtained treatment effects for CBT using the same recruitment protocol without exercise. As such, this pilot work demonstrates the feasibility and significant potential clinical utility of a 12-week aerobic exercise programme delivered in conjunction with CBT for OCD.

Perceived exercise benefits and barriers of non-exercising female university students in the United Kingdom.

Science.gov (United States)

Lovell, Geoff P; El Ansari, Walid; Parker, John K

2010-03-01

Many individuals do not engage in sufficient physical activity due to low perceived benefits and high perceived barriers to exercise. Given the increasing incidence of obesity and obesity related health disorders, this topic requires further exploration. We used the Exercise Benefits/Barriers Scale to assess perceived benefit and barrier intensities to exercise in 200 non-exercising female university students (mean age 19.3 years, SD = 1.06) in the UK. Although our participants were selected because they self reported themselves to be non-exercising, however they reported significantly higher perceived benefits from exercise than perceived barriers to exercise [t(199) = 6.18, p exercise was physical performance followed by the benefits of psychological outlook, preventive health, life enhancement, and then social interaction. Physical performance was rated significantly higher than all other benefits. Psychological outlook and preventive health were not rated significantly different, although both were significantly higher than life enhancement and social interaction. Life enhancement was also rated significantly higher than social interaction. The greatest perceived barrier to exercise was physical exertion, which was rated significantly higher than time expenditure, exercise milieu, and family discouragement barriers. Implications from this investigation for the design of physical activity programmes include the importance, for females, of a perception of high benefit/barrier ratio that could be conducive to participation in exercise. Applied interventions need to assist female students to 'disengage' from or overcome any perceived 'unpleasantness' of physical exertion during physical activity (decrease their perceived barriers), and to further highlight the multiple health and other benefits of regular exercising (increase their perceived benefits).

Quality assurance programme for environmental radioactivity measurements at the Hong Kong observatory

International Nuclear Information System (INIS)

Wong, M.C.; Mok, H.Y.

1999-01-01

The Hong Kong Observatory (HKO) runs an Environmental Radiation Monitoring Programme (ERMP) to monitor the environmental radiation levels in Hong Kong. In the ERMP, about 400 environmental samples are delivered to the HKO Radiation Laboratory each year for alpha, beta and gamma measurements. The quality of the radiation measurements is assured through an internal quality assurance programme and inter-laboratory comparison exercises

Re-use of stabilised flue gas ashes from solid waste incineration in cement-treated base layers for pavements

DEFF Research Database (Denmark)

Cai, Zuansi; Jensen, Dorthe Lærke; Christensen, Thomas Højlund

2003-01-01

Fly ash from coal-burning power plants has been used extensively as a pozzolan and fine filter in concrete for many years. Laboratory experiments were performed investigating the effect of substituting the coal-based fly ash with chemically stabilised flue gas ashes (FGA) from waste incineration...... more than 5 MPa after 7 days. The tank leaching tests revealed that leaching of heavy metals was not significantly affected by the use of chemically stabilised flue gas ashes from waste incineration. Assuming that diffusion controls the leaching process it was calculated that less than 1% of the metals...... would teach during a 100-year period from a 0.5 m thick concrete stab exposed to water on one side. Leaching of the common ions Ca, Cl, Na and SO4 was increased 3-20 times from the specimens with chemically stabilised flue gas ashes from waste incineration. However, the quantities leached were still...

[A difficult stabilisation. Chlorpromazine in the fifties in Belgium].

Science.gov (United States)

Majerus, Benoît

2010-01-01

Through a Belgian case study the article tries to trace the gradual stabilisation of chlorpromazine as an antipsychotic in the 1950s. By varying ranges and angles of approach it shows the heterogeneity of actors involved and the semantic bricolage that accompany the marketing of the first antipsychotic. Far from being a revolution, the presence of Largactil in psychiatric practice is rather characterised by integration into a wider range of medicines and sinuous searching to give sense to this new drug.

Effects of exercise training in patients with idiopathic pulmonary arterial hypertension

OpenAIRE

de Man, F.S.; Handoko, M.L.; Groepenhoff, H.; van 't Hul, A.J.; Abbink, J.; Koppers, R.J.H.; Grotjohan, H.P.; Twisk, J.W.R.; Bogaard, H.J.; Boonstra, A.; Postmus, P.E.; Westerhof, N.; van der Laarse, W.J.; Vonk Noordegraaf, A.

2009-01-01

We determined the physiological effects of exercise training on exercise capacity and quadriceps muscle function in patients with idiopathic pulmonary arterial hypertension (iPAH). In total, 19 clinically stable iPAH patients (New York Heart Association II-III) underwent a supervised exercise training programme for the duration of 12 weeks. Maximal capacity, endurance capacity and quadriceps function were assessed at baseline and after 12 weeks. In 12 patients, serial quadriceps muscle biopsi...

Exercise-based cardiac rehabilitation for adults with atrial fibrillation

DEFF Research Database (Denmark)

Risom, Signe Stelling; Zwisler, Ann-Dorthe; Johansen, Pernille Palm

2017-01-01

BACKGROUND: Exercise-based cardiac rehabilitation may benefit adults with atrial fibrillation or those who had been treated for atrial fibrillation. Atrial fibrillation is caused by multiple micro re-entry circuits within the atrial tissue, which result in chaotic rapid activity in the atria....... OBJECTIVES: To assess the benefits and harms of exercise-based rehabilitation programmes, alone or with another intervention, compared with no-exercise training controls in adults who currently have AF, or have been treated for AF. SEARCH METHODS: We searched the following electronic databases; CENTRAL...... the benefits and harms of exercise-based cardiac rehabilitation for adults with atrial fibrillation on patient-relevant outcomes....

Interfacial behaviour of sodium stearoyllactylate (SSL) as an oil-in-water pickering emulsion stabiliser.

Science.gov (United States)

Kurukji, D; Pichot, R; Spyropoulos, F; Norton, I T

2013-11-01

The ability of a food ingredient, sodium stearoyllactylate (SSL), to stabilise oil-in-water (O/W) emulsions against coalescence was investigated, and closely linked to its capacity to act as a Pickering stabiliser. Results showed that emulsion stability could be achieved with a relatively low SSL concentration (≥0.1 wt%), and cryogenic-scanning electron microscopy (cryo-SEM) visualisation of emulsion structure revealed the presence of colloidal SSL aggregates adsorbed at the oil-water interface. Surface properties of SSL could be modified by altering the size of these aggregates in water; a faster decrease in surface tension was observed when SSL dispersions were subjected to high pressure homogenisation (HPH). The rate of SSL adsorption at the sunflower oil-water interface also increased after HPH, and a higher interfacial tension (IFT) was observed with increasing SSL concentration. Differential scanning calorimetry (DSC) enabled a comparison of the thermal behaviour of SSL in aqueous dispersions with SSL-stabilised O/W emulsions. SSL melting enthalpy depended on emulsion interfacial area and the corresponding DSC data was used to determine the amount of SSL adsorbed at the oil-water interface. An idealised theoretical interfacial coverage calculation based on Pickering emulsion theory was in general agreement with the mass of SSL adsorbed as predicted by DSC. Copyright © 2013 The Authors. Published by Elsevier Inc. All rights reserved.

A 4-week, lifestyle-integrated, home-based exercise training programme elicits improvements in physical function and lean mass in older men and women: a pilot study.

Science.gov (United States)

Cegielski, Jessica; Brook, Matthew S; Quinlan, Jonathan I; Wilkinson, Daniel J; Smith, Kenneth; Atherton, Philip J; Phillips, Bethan E

2017-01-01

Developing alternative exercise programmes that can alleviate certain barriers to exercise such as psychological, environmental or socio-economical barriers, but provide similar physiological benefits e.g. increases in muscle mass and strength, is of grave importance. This pilot study aimed to assess the efficacy of an unsupervised, 4-week, whole-body home-based exercise training (HBET) programme, incorporated into daily living activities, on skeletal muscle mass, power and strength. Twelve healthy older volunteers (63±3 years, 7 men: 5 women, BMI: 29±1 kg/m²) carried out the 4-week "lifestyle-integrated" HBET of 8 exercises, 3x12 repetitions each, every day. Before and after HBET, a number of physical function tests were carried out: unilateral leg extension 1-RM (one- repetition maximum), MVC (maximal voluntary contraction) leg extension, lower leg muscle power (via Nottingham Power Rig), handgrip strength and SPPBT (short physical performance battery test). A D 3 -Creatine method was used for assessment of whole-body skeletal muscle mass, and ultrasound was used to measure the quadriceps cross-sectional area (CSA) and vastus lateralis muscle thickness. Four weeks HBET elicited significant (p<0.05) improvements in leg muscle power (276.7±38.5 vs. 323.4±43.4 W), maximal voluntary contraction (60°: 154.2±18.4 vs. 168.8±15.2 Nm, 90°: 152.1±10.5 vs. 159.1±11.4 Nm) and quadriceps CSA (57.5±5.4 vs. 59.0±5.3 cm 2 ), with a trend for an increase in leg strength (1-RM: 45.7±5.9 vs. 49.6±6.0 kg, P=0.08). This was despite there being no significant differences in whole-body skeletal muscle mass, as assessed via D 3 -Creatine. This study demonstrates that increases in multiple aspects of muscle function can be achieved in older adults with just 4-weeks of "lifestyle-integrated" HBET, with a cost-effective means. This training mode may prove to be a beneficial alternative for maintaining and/or improving muscle mass and function in older adults.

Physiotherapy programme reduces fatigue in patients with advanced cancer receiving palliative care: randomized controlled trial.

Science.gov (United States)

Pyszora, Anna; Budzyński, Jacek; Wójcik, Agnieszka; Prokop, Anna; Krajnik, Małgorzata

2017-09-01

Cancer-related fatigue (CRF) is a common and relevant symptom in patients with advanced cancer that significantly decreases their quality of life. The aim of this study was to evaluate the effect of a physiotherapy programme on CRF and other symptoms in patients diagnosed with advanced cancer. The study was designed as a randomized controlled trial. Sixty patients diagnosed with advanced cancer receiving palliative care were randomized into two groups: the treatment group (n = 30) and the control group (n = 30). The therapy took place three times a week for 2 weeks. The 30-min physiotherapy session included active exercises, myofascial release and proprioceptive neuromuscular facilitation (PNF) techniques. The control group did not exercise. The outcomes included Brief Fatigue Inventory (BFI), Edmonton Symptom Assessment Scale (ESAS) and satisfaction scores. The exercise programme caused a significant reduction in fatigue scores (BFI) in terms of severity of fatigue and its impact on daily functioning. In the control group, no significant changes in the BFI were observed. Moreover, the physiotherapy programme improved patients' general well-being and reduced the intensity of coexisting symptoms such as pain, drowsiness, lack of appetite and depression. The analysis of satisfaction scores showed that it was also positively evaluated by patients. The physiotherapy programme, which included active exercises, myofascial release and PNF techniques, had beneficial effects on CRF and other symptoms in patients with advanced cancer who received palliative care. The results of the study suggest that physiotherapy is a safe and effective method of CRF management.

Predicting older adults' maintenance in exercise participation using an integrated social psychological model

NARCIS (Netherlands)

Stiggelbout, M.; Hopman-Rock, M.; Crone, M.; Lechner, L.; Mechelen, W. van

2006-01-01

Little is known about the predictors of maintenance in organized exercise programmes. The aim of this study was to investigate the behavioral predictors of maintenance of exercise participation in older adults, using an integrated social psychological model. To this end, we carried out a prospective

Therapeutic role of continuous exercise training programme on the ...

African Journals Online (AJOL)

The continuous (n=112; 58.63 ± 7.22 years) group involved in an 8 weeks continuous training (60-79% HR max reserve) programme of between 45 minutes to 60 minutes, while age-matched controls hypertensive (n=105; 58.27± 6.24 years) group remain sedentary during this period. Cardiovascular parameters [Systolic ...

Stabilisation of Clay Soil with Lime and Melon Husk Ash for use in Farm Structures

Directory of Open Access Journals (Sweden)

I. S. Mohammed

2014-08-01

Full Text Available The rising cost of traditional stabilising agents and the need for economical utilisation of industrial and agricultural waste for beneficial engineering purposes has encouraged an investigation into the stabilization of clay soil with lime and melon husk ash. The chemical composition of the melon husk ash that was used in stabilising clay soil was determined. The clay soil was divided into two parts, one part was used to determine the index properties while the other part was treated at British Standard Light (BSL compaction energy with 0 %, 2 %, 4 %, 6 % and 8 % melon husk ash by dry weight of the soil and each was admixed with 2 %, 4 %, 6 % and 8 % lime. The stabilised clay soil was cured for 7, 14 and 28 days before the unconfined compressive strength were determined while the coefficients of permeability of the stabilised clay soil were also determined at 28 days of curing. The data obtained from the experiment was subjected to analysis of variance to examine the significance at 5% level. Results showed that the natural clay soil belong to A-7-6 or CH (clay of high plasticity in the American Association of State Highway Transportation Official (AASHTO and Unified Soil Classification System (1986. The chemical composition of the ash had aluminum oxide, iron oxide and silicon dioxide values of 18.5%, 2.82% and 51.24% respectively. The unconfined compressive strength and coefficient of permeability of the natural clay soil was determined to be 285 kN/m2 and 1.45 x 10-5 cm/s, respectively. Increase in melon husk ash and lime percent increases the unconfined compressive strength (UCS of the stabilised clay soil significantly (p < 0.05 and decrease the coefficient of permeability when compared with the natural clay soil. The peak values of unconfined compressive strength for 7, 14 and 28 days of curing are 1200 kN/m2, 1598 kN/m2 and 1695 kN/m2 respectively at 6% MHA and 8% lime content while the lowest value for coefficient of permeability was 0

En route vers la nano stabilisation de CLIC faisceau principale et focalisation finale

CERN Document Server

Artoos, K; Guinchard, M; Hauviller, Claude; Lackner, F; CERN. Geneva. TS Department

2008-01-01

Pour atteindre la luminosité voulue de CLIC, la taille transversale du faisceau doit être de l?ordre du nanomètre. Ceci nécessite une stabilité vibratoire des quadripôles du faisceau principal de 1 nm et même 0.1 nm pour les doublets de la focalisation finale. La nano technologie et la nano stabilisation sont des activités qui évoluent rapidement dans l?industrie et centres de recherche pour des applications très variées comme l?électronique, l?optique, la chimie voire la médecine. Cette présentation décrit les avancées techniques nécessaires pour atteindre l?objectif de CLIC et les projets et collaborations R&D prévus pour démontrer la faisabilité de la nano stabilisation de CLIC en 2010.

effect of a low-intensity resistance exercise programme with blood

African Journals Online (AJOL)

Body fat was measured by means of bioelectrical impedance analysis (InBody 720 ... coefficient variance percentage of 4.9 and 7.7, respectively (Daughaday & Rotwein, 1989). Exercise ..... Frontiers in Physiology, 4(September): 249 (online).

The Research Assessment Exercise (RAE) 2001 revisited--the University of Liverpool UoA11 experience

International Nuclear Information System (INIS)

Scutt, Diane

2004-01-01

The Research Assessment Exercise (RAE) is undertaken approximately every 6 years by the Higher Education Funding Council to examine the quality of research activity generated by academic departments. All departments delivering radiography programmes fall under RAE Unit of Assessment 11. The following review reports on the strategy adopted by the Department of Medical Imaging at the University of Liverpool for RAE 2001 and explores how departments delivering Allied Health Professions programmes, particularly radiography, may enhance their research performance for the next exercise

Metastable SUSY breaking, de Sitter moduli stabilisation and Kaehler moduli inflation

International Nuclear Information System (INIS)

Krippendorf, Sven; Quevedo, Fernando

2009-01-01

We study the influence of anomalous U(1) symmetries and their associated D-terms on the vacuum structure of global field theories once they are coupled to N = 1 supergravity and in the context of string compactifications with moduli stabilisation. In particular, we focus on a IIB string motivated construction of the ISS scenario and examine the influence of one additional U(1) symmetry on the vacuum structure. We point out that in the simplest one-Kaehler modulus compactification, the original ISS vacuum gets generically destabilised by a runaway behaviour of the potential in the modulus direction. In more general compactifications with several Kaehler moduli, we find a novel realisation of the LARGE volume scenario with D-term uplifting to de Sitter space and both D-term and F-term supersymmetry breaking. The structure of soft supersymmetry breaking terms is determined in the preferred scenario where the standard model cycle is not stabilised non-perturbatively and found to be flavour universal. Our scenario also provides a purely supersymmetric realisation of Kaehler moduli (blow-up and fibre) inflation, with similar observational properties as the original proposals but without the need to include an extra (non-SUSY) uplifting term.

The detection and stabilisation of limit cycle for deterministic finite automata

Science.gov (United States)

Han, Xiaoguang; Chen, Zengqiang; Liu, Zhongxin; Zhang, Qing

2018-04-01

In this paper, the topological structure properties of deterministic finite automata (DFA), under the framework of the semi-tensor product of matrices, are investigated. First, the dynamics of DFA are converted into a new algebraic form as a discrete-time linear system by means of Boolean algebra. Using this algebraic description, the approach of calculating the limit cycles of different lengths is given. Second, we present two fundamental concepts, namely, domain of attraction of limit cycle and prereachability set. Based on the prereachability set, an explicit solution of calculating domain of attraction of a limit cycle is completely characterised. Third, we define the globally attractive limit cycle, and then the necessary and sufficient condition for verifying whether all state trajectories of a DFA enter a given limit cycle in a finite number of transitions is given. Fourth, the problem of whether a DFA can be stabilised to a limit cycle by the state feedback controller is discussed. Criteria for limit cycle-stabilisation are established. All state feedback controllers which implement the minimal length trajectories from each state to the limit cycle are obtained by using the proposed algorithm. Finally, an illustrative example is presented to show the theoretical results.

Novel solid – solid phase change material based on polyethylene glycol and cellulose used for temperature stabilisation

Directory of Open Access Journals (Sweden)

Wojda Marta

2014-01-01

Full Text Available Thermal management is one of crucial issues in the development of modern electronic devices. In the recent years interest in phase change materials (PCMs as alternative cooling possibility has increased significantly. Preliminary results concerning the research into possibility of the use of solid-solid phase change materials (S-S PCMs for stabilisation temperature of electronic devices has been presented in the paper. Novel solid-solid phase change material based on polyethylene glycol and cellulose has been synthesized. Attempt to improve its thermal conductivity has been taken. Material has been synthesized for the purpose of stabilisation of temperature of electronic devices.

The streamline upwind Petrov-Galerkin stabilising method for the numerical solution of highly advective problems

Directory of Open Access Journals (Sweden)

Carlos Humberto Galeano Urueña

2009-05-01

Full Text Available This article describes the streamline upwind Petrov-Galerkin (SUPG method as being a stabilisation technique for resolving the diffusion-advection-reaction equation by finite elements. The first part of this article has a short analysis of the importance of this type of differential equation in modelling physical phenomena in multiple fields. A one-dimensional description of the SUPG me- thod is then given to extend this basis to two and three dimensions. The outcome of a strongly advective and a high numerical complexity experiment is presented. The results show how the version of the implemented SUPG technique allowed stabilised approaches in space, even for high Peclet numbers. Additional graphs of the numerical experiments presented here can be downloaded from www.gnum.unal.edu.co.

Morphological and health-related changes associated with a 12-week self-guided exercise programme in overweight adults: a pilot study.

Science.gov (United States)

Stewart, Arthur D; Rolland, Catherine; Gryka, Ania; Findlay, Sally; Smith, Sara; Jones, Jacklyn; Davidson, Isobel M

2014-01-01

Over 12 weeks, supervised physical activity (PA) interventions have demonstrated improvements in morphological and health parameters, whereas community walking programmes have not. The present study piloted a self-guided programme for promoting PA and reducing sedentary behaviour in overweight individuals and measured its effect on a range of health outcomes. Six male and 16 female sedentary adults aged 48.5 ± 5.5 years with body mass index (BMI) 33.4 ± 6.3 kg m(-2) were assessed for anthropometric variables, blood pressure, functional capacity, well-being and fatigue. After an exercise consultation, participants pursued their own activity and monitored PA points weekly. At baseline, mid-point and 12 weeks, eight participants wore activity monitors, and all participants undertook a 5-day food diary to monitor dietary intake. In 17 completers, mass, BMI, sit-to-stand, physical and general fatigue had improved by 6 weeks. By 12 weeks, waist, sagittal abdominal diameter (SAD), diastolic blood pressure, well-being and most fatigue dimensions had also improved. Throughout the intervention, PA was stable, energy intake and lying time decreased and standing time increased; thus, changes in both energy intake and expenditure explain the health-related outcomes. Observed changes in function, fatigue and quality of life are consistent with visceral fat loss and can occur at levels of weight loss which may not be considered clinically significant.

A Course Programme in Mobile Robotics with Integrated Hands-on Exercises and Competitions

DEFF Research Database (Denmark)

Ravn, Ole; Andersen, Nils Axel

2010-01-01

The paper describes the design of and the considerations for a course programme in mobile robotics at the Technical University of Denmark. An integrated approach was taken designing mobile robot hardware, software and course curricula in an interconnected way. The courses in the programme all...

Reactor physics in support of the naval nuclear propulsion programme

International Nuclear Information System (INIS)

Lisley, P.G.; Beeley, P.A.

1994-01-01

Reactor physics is a core component of all courses but in particular two postgraduate courses taught at the department in support of the naval nuclear propulsion programme. All of the courses include the following elements: lectures and problem solving exercises, laboratory work, experiments on the Jason zero power Argonaut reactor, demonstration of PWR behavior on a digital computer simulator and project work. This paper will highlight the emphasis on reactor physics in all elements of the education and training programme. (authors). 9 refs

A Peer Review of the RPII Environmental Monitoring Programme

International Nuclear Information System (INIS)

Mitchell, P.; Hunt, J.; Ledgerwood, K.; Nielsen, S.; O'Donnell, C

2009-12-01

The RPII has since the early 1980s carried out an environmental monitoring programme covering radioactivity in air, food and water. The primary focus of this programme has been the assessment of human exposure and the protection of human health. The programme aims to meet Irish and European Union legal requirements, other national and international commitments and to support the RPII's advisory and information provision functions. In 2009 the RPII had the scope and effectiveness of its monitoring programme reviewed by an international peer group. This report provides the background to the review; an overview of the documents provided to the peer group for conduction of the review; and the comments and recommendations by the peer group. The key objectives of the review was to consider whether the RPII environmental monitoring programme is meeting the stated aims and objectives and to provide recommendations for improvement if required. This exercise is part of a continual process of review and improvement of the RPII's monitoring programme. It addresses both continuous monitoring and project based elements of the programme. It was designed to be conducted at a strategic rather than an operational level

Stabilising greenhouse gas concentrations at low levels. An assessment of options and costs

Energy Technology Data Exchange (ETDEWEB)

Van Vuuren, D.P.; Den Elzen, M.G.J.; Lucas, P.L.; Eickhout, B.; Strengers, B.J.; Van Ruijven, B.; Berk, M.M.; De Vries, H.J.M.; Wonink, S.J.; Van den Houdt, R.; Oostenrijk, R. [Netherlands Environmental Assessment Agency MNP, Bilthoven (Netherlands); Hoogwijk, M. [Ecofys, Utrecht (Netherlands); Meinshausen, M. [Potsdam Institute for Climate Impact Research PIK, Postdam (Germany)

2006-10-15

Preventing 'dangerous anthropogenic interference of the climate system' may require stabilisation of greenhouse gas concentrations in the atmosphere at relatively low levels such as 550 ppm CO2-eq. and below. Relatively few studies exist that have analysed the possibilities and implications of meeting such stringent climate targets. This report presents a series of related papers that address this issue - either by focusing on individual options or by presenting overall strategies at the global and regional level. The results show that it is technically possible to reach ambitious climate targets - with abatement costs for default assumptions in the order of 1-2% of global GDP. To achieve these lower concentration levels, global emissions need to peak within 15-20 years. The stabilisation scenarios use a large portfolio of measures, including energy efficiency but also carbon capture and storage, large scale application of bio-energy, reduction of non-CO2 gasses, increased use of renewable and/or nuclear power and carbon plantations.

The effect of unstable-surface functional exercises on static balance in adolescents with intellectual disability – a preliminary report

Directory of Open Access Journals (Sweden)

Edyta Mikołajczyk

2014-04-01

Full Text Available Introduction : Independent and safe mobility considerably affects social functioning and performing activities of daily living (ADL. People with intellectual disabilities commonly have a reduced sense of balanced posture. Aim of the research study: Examination static balance in adolescents with moderate intellectual disabilities under the influence of a 12-week programme of functional exercises on unstable surfaces. Material and methods: Static balance was assessed on an Alfa stabilometric platform. A total of 34 adolescents, aged 14–16 years, were involved in the tests. They were divided into two groups: group one took part in a 12-week exercise programme, and group two constituted a control group. Results: A statistically significant difference (p < 0.05 between the scores of the experimental and control group was revealed after the termination of the exercise programme, and it related to the Centre of Pressure (COP surface area in the balance assessment test with eyes closed. The suggested battery of exercises considerably (p < 0.05 affected the shortening of the path length in the balance assessment test with eyes open. Those differences were not observed in the control group. The experimental group boasted a statistically significant (p < 0.05 shortening of the path length and a smaller surface area covered by the COP in exercises with eyes closed. Conclusions: The suggested training programme improved static balance in intellectually disabled adolescents who took part in regular exercise sessions.

Perceived Exercise Benefits and Barriers of Non-Exercising Female University Students in the United Kingdom

Directory of Open Access Journals (Sweden)

John K. Parker

2010-03-01

Full Text Available Many individuals do not engage in sufficient physical activity due to low perceived benefits and high perceived barriers to exercise. Given the increasing incidence of obesity and obesity related health disorders, this topic requires further exploration. We used the Exercise Benefits/Barriers Scale to assess perceived benefit and barrier intensities to exercise in 200 non-exercising female university students (mean age 19.3 years, SD = 1.06 in the UK. Although our participants were selected because they self reported themselves to be non-exercising, however they reported significantly higher perceived benefits from exercise than perceived barriers to exercise [t(199 = 6.18, p < 0.001], and their perceived benefit/barrier ratio was 1.33. The greatest perceived benefit from exercise was physical performance followed by the benefits of psychological outlook, preventive health, life enhancement, and then social interaction. Physical performance was rated significantly higher than all other benefits. Psychological outlook and preventive health were not rated significantly different, although both were significantly higher than life enhancement and social interaction. Life enhancement was also rated significantly higher than social interaction. The greatest perceived barrier to exercise was physical exertion, which was rated significantly higher than time expenditure, exercise milieu, and family discouragement barriers. Implications from this investigation for the design of physical activity programmes include the importance, for females, of a perception of high benefit/barrier ratio that could be conducive to participation in exercise. Applied interventions need to assist female students to ‘disengage’ from or overcome any perceived ‘unpleasantness’ of physical exertion during physical activity (decrease their perceived barriers, and to further highlight the multiple health and other benefits of regular exercising (increase their perceived

Efficacy of a movement control injury prevention programme in adult men’s community rugby union: a cluster randomised controlled trial

Science.gov (United States)

Attwood, Matthew J; Roberts, Simon P; Trewartha, Grant; England, Mike E; Stokes, Keith A

2018-01-01

Background Exercise programmes aimed at reducing injury have been shown to be efficacious for some non-collision sports, but evidence in adult men’s collision sports such as rugby union is lacking. Objective To evaluate the efficacy of a movement control injury prevention exercise programme for reducing match injuries in adult men’s community rugby union players. Methods 856 clubs were invited to participate in this prospective cluster randomised (single-blind) controlled trial where clubs were the unit of randomisation. 81 volunteered and were randomly assigned (intervention/control). A 42-week exercise programme was followed throughout the season. The control programme reflected ‘normal practice’ exercises, whereas the intervention focused on proprioception, balance, cutting, landing and resistance exercises. Outcome measures were match injury incidence and burden for: (1) all ≥8 days time-loss injuries and (2) targeted (lower limb, shoulder, head and neck, excluding fractures and lacerations) ≥8 days time-loss injuries. Results Poisson regression identified no clear effects on overall injury outcomes. A likely beneficial difference in targeted injury incidence (rate ratio (RR), 90% CI=0.6, 0.4 to 1.0) was identified, with a 40% reduction in lower-limb incidence (RR, 90% CI=0.6, 0.4 to 1.0) and a 60% reduction in concussion incidence (RR, 90% CI=0.4, 0.2 to 0.7) in the intervention group. Comparison between arms for clubs with highest compliance (≥median compliance) demonstrated very likely beneficial 60% reductions in targeted injury incidence (RR, 90% CI=0.4, 0.2 to 0.8) and targeted injury burden (RR, 90% CI=0.4, 0.2 to 0.7). Conclusions The movement control injury prevention programme resulted in likely beneficial reductions in lower-limb injuries and concussion. Higher intervention compliance was associated with reduced targeted injury incidence and burden. PMID:29055883

Benefits of aerobic exercise after stroke.

Science.gov (United States)

Potempa, K; Braun, L T; Tinknell, T; Popovich, J

1996-05-01

The debilitating loss of function after a stroke has both primary and secondary effects on sensorimotor function. Primary effects include paresis, paralysis, spasticity, and sensory-perceptual dysfunction due to upper motor neuron damage. Secondary effects, contractures and disuse muscle atrophy, are also debilitating. This paper presents theoretical and empirical benefits of aerobic exercise after stroke, issues relevant to measuring peak capacity, exercise training protocols, and the clinical use of aerobic exercise in this patient population. A stroke, and resulting hemiparesis, produces physiological changes in muscle fibres and muscle metabolism during exercise. These changes, along with comorbid cardiovascular disease, must be considered when exercising stroke patients. While few studies have measured peak exercise capacity in hemiparetic populations, it has been consistently observed in these studies that stroke patients have a lower functional capacity than healthy populations. Hemiparetic patients have low peak exercise responses probably due to a reduced number of motor units available for recruitment during dynamic exercise, the reduced oxidative capacity of paretic muscle, and decreased overall endurance. Consequently, traditional methods to predict aerobic capacity are not appropriate for use with stroke patients. Endurance exercise training is increasingly recognised as an important component in rehabilitation. An average improvement in maximal oxygen consumption (VO2max) of 13.3% in stroke patients who participated in a 10-week aerobic exercise training programme has been reported compared with controls. This study underscored the potential benefits of aerobic exercise training in stroke patients. In this paper, advantages and disadvantages of exercise modalities are discussed in relation to stroke patients. Recommendations are presented to maximise physical performance and minimise potential cardiac risks during exercise.

Self-perceived health status and sleep quality of older adults living in community after elastic band exercises.

Science.gov (United States)

Chan, Shu-Ya; Chen, Kuei-Min

2017-07-01

To test the effectiveness of a six-month senior elastic band exercise programme on the self-perceived health status and sleep quality of older adults living in community settings. Health issues common among older adults living in community settings include poor physical and mental health conditions and sleep quality. Engagement in appropriate exercise programmes facilitates alleviating these health issues among older adults. A quasi-experimental design was applied. A convenience sample of older adults was drawn from six senior-citizen activity centres in southern Taiwan. Participants were assigned to either an experimental group (three centres, n = 97) or a control group (three centres, n = 102) based on the senior-citizen activity centres they attended. The participants in the experimental group carried out the Senior Elastic Band exercise programme for six months (three times per week and 40 minutes per session) in addition to their daily activities. The participants in the control group maintained their daily activities. The participants' self-perceived health status and sleep quality were examined at the baseline, three-month interval and six-month interval. In total, 169 participants completed the six-month study: 84 constituted the experimental group and 85 constituted the control group. At the three-month interval, the participants in the experimental group had greater improvements in self-perceived physical health, overall sleep quality, sleep latency and sleep duration compared with those in the control group; these significant changes continued throughout the six-month study. The Senior Elastic Band exercise programme showed promising effects in improving the self-perceived physical health and sleep quality of older adults living in community settings. Healthcare professionals can incorporate the Senior Elastic Band exercise programme as one of the health promotion activities for older adults living in community settings. © 2016 John Wiley & Sons

Major Practicum as a Learning Site for Exercise Science Professionals: A Pilot Study

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Tinning, Richard; Jenkins, David; Collins, Jessie; Rossi, Tony; Brancato, Tania

2012-01-01

Exercise science is now an integral part of the allied health framework in Australia and graduates from accredited programmes are equipped with skills recognised as being important in the prevention and management of lifestyle-related diseases. This pilot study sought to determine the experiences of 11 final-year exercise science students in their…

How to adapt the pulmonary rehabilitation programme to patients with chronic respiratory disease other than COPD

Directory of Open Access Journals (Sweden)

Anne E. Holland

2013-12-01

Full Text Available Dyspnoea, fatigue, reduced exercise tolerance, peripheral muscle dysfunction and mood disorders are common features of many chronic respiratory disorders. Pulmonary rehabilitation successfully treats these manifestations in chronic obstructive pulmonary disease (COPD and emerging evidence suggests that these benefits could be extended to other chronic respiratory conditions, although adaptations to the standard programme format may be required. Whilst the benefits of exercise training are well established in asthma, pulmonary rehabilitation can also provide evidence-based interventions including breathing techniques and self-management training. In interstitial lung disease, a small number of trials show improved exercise capacity, symptoms and quality of life following pulmonary rehabilitation, which is a positive development for patients who may have few treatment options. In pulmonary arterial hypertension, exercise training is safe and effective if patients are stable on medical therapy and close supervision is provided. Pulmonary rehabilitation for bronchiectasis, including exercise training and airway clearance techniques, improves exercise capacity and quality of life. In nonsmall cell lung cancer, a comprehensive interdisciplinary approach is required to ensure the success of pulmonary rehabilitation following surgery. Pulmonary rehabilitation programmes provide important and underutilised opportunities to improve the integrated care of people with chronic respiratory disorders other than COPD.

Patients' preference for exercise setting and its influence on the health benefits gained from exercise-based cardiac rehabilitation

DEFF Research Database (Denmark)

Tang, Lars H.; Kikkenborg Berg, Selina; Christensen, Jan

2017-01-01

.011). With the exception of the depression score in the Hospital Anxiety and Depression Score (F(3.65), p=0.004), there was no evidence of a significant difference in outcomes between settings. CONCLUSION: The preference of patients to participate in home-based and centre-based exercise programmes appears to be equivalent...

Green synthesis of highly concentrated aqueous colloidal solutions of large starch-stabilised silver nanoplatelets.

Science.gov (United States)

Cheng, Fei; Betts, Jonathan W; Kelly, Stephen M; Hector, Andrew L

2015-01-01

A simple, environmentally friendly and cost-effective method has been developed to prepare a range of aqueous silver colloidal solutions, using ascorbic acid as a reducing agent, water-soluble starch as a combined crystallising, stabilising and solubilising agent, and water as the solvent. The diameter of silver nanoplatelets increases with higher concentrations of AgNO3 and starch. The silver nanoparticles are also more uniform in shape the greater the diameter of the nanoparticles. Colloidal solutions with a very high concentration of large, flat, hexagonal silver nanoplatelets (~230 nm in breadth) have been used to deposit and fix an antibacterial coating of these large starch-stabilised silver nanoplates on commercial cotton fibres, using a simple dip-coating process using water as the solvent, in order to study the dependence of the antibacterial properties of these nanoplatelets on their size. Copyright © 2014 Elsevier B.V. All rights reserved.

COMPARATIVE EFFECT OF SPECIFIC YOGIC EXERCISES AND COMBINATION OF SPECIFIC YOGIC EXERCISES WITH AUTOGENIC TRAINING ON VITAL CAPACITY OF THE MIDDLE AGED MEN

Directory of Open Access Journals (Sweden)

SURESH KUMAR

2009-12-01

Full Text Available The purpose of the study is to find out the comparative effect of specific yogic exercises and combination of specific yogic exercises with autogenic training on vital capacity of the middle aged men. The study tried to find out type of training program that had a maximum effect on the vital capacity of the subjects. The study has been conducted on sixty middle aged men, in the age group of 30 to 50 years. The subjects (N=60 were at random divided into three equalgroups two experimental Groups and one control group, and group consisting of 20 middle aged men. Two experimental Groups participated in two different training programmes i.e. Specific yogic exercises and Combination of specific yogic exercises with autogenic training for twenty four weeks and control group performed the routine work. The data was collected were collected in beginning ,at the end of twelve week and twenty four week of training program in term of pre, mid and post test respectively by using Wetspirometer. The training schedule was prepared systematically and carefully,keeping the individual differences of the subjects and loading principals in mind. Repeated measures of ANOVA andNewman Keul’s test were applied to find out significance of mean difference among the three tests. ANACOVA andScheffe’s Post Hoc test were applied to determine the significance of mean difference among the three groups. From the results it was found that the Practice of the combination of specific yogic exercises with autogenic training is significantly effective than the specific yogic exercises programme and control group in improving the vital capacityamong the middle aged men. Twelve weeks’ practice of combination of specific yogic exercises with autogenic training significantly improved in the vital capacity among the middle aged men than the twenty four weeks of practice

Adapted PBL Practical Exercises: Benefits for Apprentices

Science.gov (United States)

Monks, Alan

2010-01-01

Use was made of adapted problem-based learning (PBL) practical exercises to address the disengagement of apprentices with the existing assembly-style electronic laboratory programme. Apprentices perceived the traditional routines as having little real-world relevance. This detracted from the value and benefit to them of the practical component of…

Subgrouping and TargetEd Exercise pRogrammes for knee and hip OsteoArthritis (STEER OA)

DEFF Research Database (Denmark)

Holden, Melanie A; Burke, Danielle L; Runhaar, Jos

2017-01-01

INTRODUCTION: Knee and hip osteoarthritis (OA) is a leading cause of disability worldwide. Therapeutic exercise is a recommended core treatment for people with knee and hip OA, however, the observed effect sizes for reducing pain and improving physical function are small to moderate. This may...... and (2) mediators of the effect of therapeutic exercise for reducing pain and improving physical function. This will enable optimal targeting and refining the content of future exercise interventions. METHODS AND ANALYSIS: Systematic review and individual participant data meta-analyses. A previous...... comprehensive systematic review will be updated to identify randomised controlled trials that compare the effects of therapeutic exercise for people with knee and hip OA on pain and physical function to a non-exercise control. Lead authors of eligible trials will be invited to share individual participant data...

Aquatic treadmill water level influence on pelvic limb kinematics in cranial cruciate ligament-deficient dogs with surgically stabilised stifles.

Science.gov (United States)

Bertocci, G; Smalley, C; Brown, N; Bialczak, K; Carroll, D

2018-02-01

To compare pelvic limb joint kinematics and temporal gait characteristics during land-based and aquatic-based treadmill walking in dogs that have undergone surgical stabilisation for cranial cruciate ligament deficiency. Client-owned dogs with surgically stabilised stifles following cranial cruciate ligament deficiency performed three walking trials consisting of three consecutive gait cycles on an aquatic treadmill under four water levels. Hip, stifle and hock range of motion; peak extension; and peak flexion were assessed for the affected limb at each water level. Gait cycle time and stance phase percentage were also determined. Ten client-owned dogs of varying breeds were evaluated at a mean of 55·2 days postoperatively. Aquatic treadmill water level influenced pelvic limb kinematics and temporal gait outcomes. Increased stifle joint flexion was observed as treadmill water level increased, peaking when the water level was at the hip. Similarly, hip flexion increased at the hip water level. Stifle range of motion was greatest at stifle and hip water levels. Stance phase percentage was significantly decreased when water level was at the hip. Aquatic treadmill walking has become a common rehabilitation modality following surgical stabilisation of cranial cruciate ligament deficiency. However, evidence-based best practice guidelines to enhance stifle kinematics do not exist. Our findings suggest that rehabilitation utilising a water level at or above the stifle will achieve the best stifle kinematics following surgical stifle stabilisation. © 2017 British Small Animal Veterinary Association.

A new methodology for studying nanoparticle interactions in biological systems: Dispersing titania in biocompatible media using chemical stabilisers

Science.gov (United States)

Ramirez-Garcia, Sonia; Chen, Lan; Morris, Michael A.; Dawson, Kenneth A.

2011-11-01

We report here a highly successful and original protocol for the dispersion of nanoparticles in biocompatible fluids for in vitro and in vivo studies of the nanoparticle-biology interaction. Titania is chosen as a suitable model as it is one of the priority materials listed by the OECD and small particles of the anatase structure are extensively used as e.g. photocatalysts in solar cells. Consequently, its delivery into the environment and its interaction with biological organisms is unavoidable. Therefore, its biological effect needs to be understood. In this work, we prepared stable nanoparticle dispersions of anatase aggregates using citrate stabilisations between 45 and 55 nm at concentrations of up to 10 mg mL-1. The optimum pH for this type of suspension was 7, resulting in ζ-potentials of approximately -50 mV. The stabilised aggregates were the subject of dialysis to produce stable dispersions without the chemical stabiliser, thus allowing studies in the absence of potentially toxic chemicals. Different sizing techniques such as Dynamic Light Scattering (DLS), Nanoparticle Tracking Analysis (NTA) and Differential Centrifuge Sedimentation (DCS) were used to characterise the different suspensions. The results obtained with each of these techniques are compared and a critical analysis of the suitability of each technique is given.We report here a highly successful and original protocol for the dispersion of nanoparticles in biocompatible fluids for in vitro and in vivo studies of the nanoparticle-biology interaction. Titania is chosen as a suitable model as it is one of the priority materials listed by the OECD and small particles of the anatase structure are extensively used as e.g. photocatalysts in solar cells. Consequently, its delivery into the environment and its interaction with biological organisms is unavoidable. Therefore, its biological effect needs to be understood. In this work, we prepared stable nanoparticle dispersions of anatase aggregates

Solid dispersions based on inulin for the stabilisation and formulation of delta 9-tetrahydrocannabinol

NARCIS (Netherlands)

van Drooge, D J; Hinrichs, W L J; Wegman, K A M; Visser, M R; Eissens, A C; Frijlink, H W

2004-01-01

The aim of this study was to develop a dry powder formulation that stabilises the chemically labile lipophilic Delta(9)-tetrahydrocannabinol (THC), that rapidly dissolves in water in order to increase the bioavailability and that opens new routes of administration. It was investigated whether these

Input and output constraints-based stabilisation of switched nonlinear systems with unstable subsystems and its application

Science.gov (United States)

Chen, Chao; Liu, Qian; Zhao, Jun

2018-01-01

This paper studies the problem of stabilisation of switched nonlinear systems with output and input constraints. We propose a recursive approach to solve this issue. None of the subsystems are assumed to be stablisable while the switched system is stabilised by dual design of controllers for subsystems and a switching law. When only dealing with bounded input, we provide nested switching controllers using an extended backstepping procedure. If both input and output constraints are taken into consideration, a Barrier Lyapunov Function is employed during operation to construct multiple Lyapunov functions for switched nonlinear system in the backstepping procedure. As a practical example, the control design of an equilibrium manifold expansion model of aero-engine is given to demonstrate the effectiveness of the proposed design method.

Cardiac parasympathetic reactivation following exercise: implications for training prescription.

Science.gov (United States)

Stanley, Jamie; Peake, Jonathan M; Buchheit, Martin

2013-12-01

/training status. Our results demonstrate that the time required for complete cardiac autonomic recovery after a single aerobic-based training session is up to 24 h following low-intensity exercise, 24-48 h following threshold-intensity exercise and at least 48 h following high-intensity exercise. Based on limited data, exercise duration is unlikely to be the greatest determinant of cardiac parasympathetic reactivation. Cardiac autonomic recovery occurs more rapidly in individuals with greater aerobic fitness. Our data lend support to the concept that in conjunction with daily training logs, data on cardiac parasympathetic activity are useful for individualizing training programmes. In the final sections of this review, we provide recommendations for structuring training microcycles with reference to cardiac parasympathetic recovery kinetics. Ultimately, coaches should structure training programmes tailored to the unique recovery kinetics of each individual.

Correlation between inter-vertebral disc morphology and the results in patients undergoing Graf ligament stabilisation.

Science.gov (United States)

Askar, Zahid; Wardlaw, Douglas; Muthukumar, Thillainayagamike; Smith, Frank; Kader, Deiary; Gibson, Suzy

2004-12-01

Previous studies have shown Graf ligament stabilisation procedure to give mixed results in the short to medium term. The aim of this study was to correlate the pre-operative state of the disc, multifidus muscles, age of the patient, levels operated and the clinical outcome after a mean follow-up of 47 months. Graf ligament stabilisation procedure was carried out in 38 patients between 1996 and 1999. Their post-operative status was assessed using MacNab criteria. The post-operative follow-up was by postal questionnaires and review of the clinical notes. Disc morphology and multifidus muscle wasting was graded blindly and independently. The intra- and interobserver reliability was measured with kappa score and classified using the kappa classification of Landis and Koch. Correlation was measured with the help of Spearman correlation coefficient. Thirty-eight patients (100%) returned the questionnaires. Mean follow-up time was 47.55 months. Fifty-nine levels were operated on. Mean age was 39.68 years. The overall re-operation rate was 15.8%. The intra- and interobserver reliability was graded as good to substantial. Twenty-two patients (57.89%) were satisfied with the procedure. There was no statistically significant correlation between disc morphology, multifidus muscle wasting, sex, age, number of levels operated, the levels operated, and the satisfaction rate. The indications of Graf ligament stabilisation procedure are not clear. Further work is necessary to clearly identify the indication for the procedure.

The Belgian nuclear higher education network: the evolution of an academic programme in nuclear engineering

International Nuclear Information System (INIS)

Berkvens, T.; Coeck, M.

2014-01-01

The master-after-master in nuclear engineering provided by the Belgian Nuclear higher Education Network (BNEN) is a one-year, 60 ECTS programme which combines the expertise of six Belgian universities and SCK.CEN, the Belgian Nuclear Research Centre, which participates through its Academy for Nuclear Science and Technology. It was created in close collaboration with representatives of academia, research centres, industry and other nuclear stakeholders. The BNEN consortium Due to its modular programme, BNEN is accessible for both full-time students (mainly young engineering graduates) as well as young professionals already employed in the nuclear industry. The programme is offered in English to facilitate the participation of international students. One of the important aspects of the BNEN programme is the fact that exercises and hands-on sessions in the specialised laboratories of SCK.CEN complement the theoretical classes to bring the students into contact with all facets of nuclear energy. Several of SCK.CEN's researchers provide valuable contributions to the programme through seminars and practical exercises. From their daily practices and responsibilities they give an expert view on the subjects that are being taught. In 2012, in the framework of an official accreditation process all aspects of the BNEN programme were audited by an international visitation panel. The most important outcome of this process is the current reform of the academic programme, which will be implemented in the academic year 2014-2015, taking into account the recommendations by the visitation panel. In this paper, the history of the BNEN programme will be discussed, the new BNEN programme will be presented as well as the process that has led to its implementation. (authors)

Phase stabilisation of hexagonal barium titanate doped with transition metals: A computational study

International Nuclear Information System (INIS)

Dawson, J.A.; Freeman, C.L.; Harding, J.H.; Sinclair, D.C.

2013-01-01

Interatomic potentials recently developed for the modelling of BaTiO 3 have been used to explore the stabilisation of the hexagonal polymorph of BaTiO 3 by doping with transition metals (namely Mn, Co, Fe and Ni) at the Ti-site. Classical simulations have been completed on both the cubic and hexagonal polymorphs to investigate the energetic consequences of transition metal doping on each polymorph. Ti-site charge compensation mechanisms have been used for the multi-valent transition metal ions and cluster binding energies have been considered. Simulations show a significant energetic gain when doping occurs at Ti sites in the face sharing dimers (Ti 2 sites) of the hexagonal polymorph compared with the doping of the cubic polymorph. This energetic difference between the two polymorphs is true for all transition metals tested and all charge states and in the case of tri- and tetra-valent dopants negative solution energies are found for the hexagonal polymorph suggesting actual polymorph stabilisation occurs with the incorporation of these ions as observed experimentally. Oxidation during incorporation of Ni 2+ and Fe 3+ ions has also been considered. - Graphical abstract: The representation of the strongest binding energy clusters for tri-valent dopants—(a) Ti 2 /O 1 cluster and (b) Ti 2 /O 2 cluster. Highlights: ► Classical simulations show a significant energetic gain when doping occurs at Ti sites in the face sharing dimers (Ti2 sites) of the hexagonal polymorph compared with the doping of the cubic polymorph. ► This energetic difference between the two polymorphs is true for all transition metals tested and all charge states. ► In the case of tri- and tetra- valent dopants negative solution energies are found for the hexagonal polymorph suggesting actual polymorph stabilisation occurs with the incorporation of these ions

Satisfactory short-term outcomes of the STABILISE technique for type B aortic dissection.

Science.gov (United States)

Melissano, Germano; Bertoglio, Luca; Rinaldi, Enrico; Mascia, Daniele; Kahlberg, Andrea; Loschi, Diletta; De Luca, Monica; Monaco, Fabrizio; Chiesa, Roberto

2018-03-29

The aim of this study was to evaluate the perioperative and short-term results in a cohort of patients treated during the last year at our institution with the stent-assisted balloon-induced intimal disruption and relamination in aortic dissection repair (STABILISE) technique for acute complicated aortic dissection. Between June 2016 and June 2017, 10 patients (all male; mean age, 62.6 ± 7.4 years) received treatment for acute complicated aortic dissection with the STABILISE technique. After a standard provisional extension to induce complete attachment procedure using the commercially available endovascular dissection system (Cook Medical, Bloomington, Ind), the distal stent graft area and the bare stent area were ballooned to completely exclude the thoracic false lumen (FL) and to obtain a single-channeled abdominal aorta. Computed tomography was routinely performed within the first postoperative week before discharge and then at 3 months, at 6 months, and yearly thereafter. The technical and clinical success rates were analyzed. The 30-day technical and clinical success rates were 100%, with complete thrombosis of the thoracic FL and no type I endoleak. Malperfusion was resolved in all cases. No aortic ruptures were recorded, and no open conversion was required. One case of delayed spinal cord ischemia fully resolved within the discharge period. Predischarge computed tomography showed complete thrombosis of the thoracic FL in all cases. In two cases, some degree of patency of the abdominal FL was observed. At short-term follow-up, the overall aortic diameters remained stable with no further dilation. The STABILISE technique was safe and feasible in this cohort of patients, with complete thrombosis of the thoracic FL and creation of a single-channeled aorta in most cases. Further studies are needed to ascertain the long-term behavior of the treated aorta. Copyright © 2018 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.

Stabilisation of the grain market by the flexible use of grain for bioethanol

NARCIS (Netherlands)

Helming, J.F.M.; Pronk, A.; Woltjer, I.

2010-01-01

This report reviews whether the grain market and grain price can be stabilised by the variation of the use of grain in the EU-27's production of bioethanol. The time horizon of this study is 2020, whereby account is taken of the minimum 10% obligation for biofuel use in the EU-27. An economic

Effectiveness of a Home-Based Active Video Game Programme in Young Cystic Fibrosis Patients.

Science.gov (United States)

Del Corral, Tamara; Cebrià I Iranzo, Maria Àngels; López-de-Uralde-Villanueva, Ibai; Martínez-Alejos, Roberto; Blanco, Isabel; Vilaró, Jordi

2018-01-01

Exercise-based rehabilitation is already a part of cystic fibrosis (CF) treatment; however, patient adherence is low. To assess the effectiveness of a home exercise programme using active video games (AVGs) as a training modality for children and adolescents with CF. Thirty-nine children with CF were randomised to a control group (CG, n = 20, age 11 ± 6 years; FEV1 86.2 ± 20.5% of predicted) or a training group (AVGG, n = 19, age 13 ± 3 years; FEV1 82.7 ± 21.7% of predicted). The home training protocol consisted of 30- to 60-min sessions, 5 days/week, for 6 weeks using a Nintendo Wii™ platform. Exercise capacity was measured by the 6-min walk test (6MWT) and modified shuttle walk test (MSWT); muscular strength was estimated using the horizontal jump test (HJT), medicine ball throw (MBT), and hand grip strength (right [RHG]; left [LHG]); and quality of life was rated using the Cystic Fibrosis Questionnaire-Revised (CFQ-R). All the children were measured at baseline, after rehabilitation, and at 12 months. For the group × time interaction ANOVAs, the AVGG showed significant between-group differences in exercise capacity: 6MWT farthest walking distance, 38.4 m (p < 0.01); MSWT farthest walking distance, 78.4 m (p < 0.05); and muscular strength: HJT 9.8 cm, MBT 30.8 cm, RHG 7 kg, and LHG 6.5 kg (p < 0.01), before versus after intervention. The CFQ-R reported significantly higher scores on respiratory symptoms after the intervention and favoured the AVGG, and there was an improvement in other domains after 12 months. Adherence to the home exercise programme was 95% during the 6- week intervention period. A home-based programme using AVGs can effectively improve exercise capacity, muscular strength and quality of life in the short-term in children and adolescents with CF. The effects of training on muscle performance and quality of life were sustained over 12 months. © 2017 S. Karger AG, Basel.

Integration of vehicle yaw stabilisation and rollover prevention through nonlinear hierarchical control allocation

Science.gov (United States)

Alberding, Matthäus B.; Tjønnås, Johannes; Johansen, Tor A.

2014-12-01

This work presents an approach to rollover prevention that takes advantage of the modular structure and optimisation properties of the control allocation paradigm. It eliminates the need for a stabilising roll controller by introducing rollover prevention as a constraint on the control allocation problem. The major advantage of this approach is the control authority margin that remains with a high-level controller even during interventions for rollover prevention. In this work, the high-level control is assigned to a yaw stabilising controller. It could be replaced by any other controller. The constraint for rollover prevention could be replaced by or extended to different control objectives. This work uses differential braking for actuation. The use of additional or different actuators is possible. The developed control algorithm is computationally efficient and suitable for low-cost automotive electronic control units. The predictive design of the rollover prevention constraint does not require any sensor equipment in addition to the yaw controller. The method is validated using an industrial multi-body vehicle simulation environment.

Effects of a standard provision versus an autonomy supportive exercise referral programme on physical activity, quality of life and well-being indicators: a cluster randomised controlled trial

Science.gov (United States)

2014-01-01

in both the standard provision exercise referral and the SDT-based intervention at programme end. At 6-months, observed between arm and within intervention arm differences for indicators of emotional health, and the results of the process model, were in line with SDT. The challenges in optimising recruitment and implementation of SDT-based training in the context of health and leisure services are discussed. Trial registration The trial is registered as Current Controlled trials ISRCTN07682833. PMID:24475766

Effects of a standard provision versus an autonomy supportive exercise referral programme on physical activity, quality of life and well-being indicators: a cluster randomised controlled trial.

Science.gov (United States)

Duda, Joan L; Williams, Geoffrey C; Ntoumanis, Nikos; Daley, Amanda; Eves, Frank F; Mutrie, Nanette; Rouse, Peter C; Lodhia, Rekha; Blamey, Ruth V; Jolly, Kate

2014-01-29

The National Institute for Health and Clinical Excellence in the UK has recommended that the effectiveness of ongoing exercise referral schemes to promote physical activity should be examined in research trials. Recent empirical evidence in health care and physical activity promotion contexts provides a foundation for testing the feasibility and impact of a Self Determination Theory-based (SDT) exercise referral consultation. An exploratory cluster randomised controlled trial comparing standard provision exercise referral with an exercise referral intervention grounded in Self Determination Theory. Individuals (N = 347) referred to an exercise referral scheme were recruited into the trial from 13 centres.Outcomes and processes of change measured at baseline, 3 and 6-months: Minutes of self-reported moderate or vigorous physical activity (PA) per week (primary outcome), health status, positive and negative indicators of emotional well-being, anxiety, depression, quality of life (QOL), vitality, and perceptions of autonomy support from the advisor, need satisfaction (3 and 6 months only), intentions to be active, and motivational regulations for exercise.Blood pressure and weight were assessed at baseline and 6 months. Perceptions of the autonomy support provided by the health and fitness advisor (HFA) did not differ by arm. Between group changes over the 6-months revealed significant differences for reported anxiety only. Within arm contrasts revealed significant improvements in anxiety and most of the Dartmouth CO-OP domains in the SDT arm at 6 months, which were not seen in the standard exercise referral group. A process model depicting hypothesized relationships between advisor autonomy support, need satisfaction and more autonomous motivation, enhanced well being and PA engagement at follow up was supported. Significant gains in physical activity and improvements in quality of life and well-being outcomes emerged in both the standard provision exercise

Use of lignite fly ash as an additive in alkaline stabilisation and pasteurisation of wastewater sludge

Energy Technology Data Exchange (ETDEWEB)

Kocaer, F.O.; Alkan, U.; Baskaya, H.S. [Uludag University, Bursa (Turkey). Faculty of Engineering & Architecture

2003-10-01

The possibility of using lignite fly ash in low doses for reducing the pathogen levels in wastewater sludge was investigated. The results showed that using fly ash alone in doses of 40%,80% and 120% (on a dry weight basis), did not produce an alkaline environment for an efficient removal of pathogens. However, using fly ash in conjunction with the minimum amount of quicklime may act as an effective way of fecal coliform removal in both alkaline stabilisation and pasteurisation processes. It was shown that using fly ash in doses of 80% and 120% in alkaline stabilisation and pasteurisation processes prevented the pH decays and regrowth of pathogens during 60 days of storage period. The results of the study confirmed that alkaline pasteurisation process produces a product which is more resistant to pH decays and regrowth of fecal coliforms compared to that of alkaline stabilisation. Consequently, the overall results of this study indicated that the minimum lime and fly ash dosages required to generate a Class B biosolid were 10-15% and 80%, respectively. On the other hand, heating sludge to 50{degree}C prior to the addition of 10-15% quicklime and 80% fly ash followed by further heating to 70{degree}C and then sustaining at this temperature for 30 minutes were sufficient to generate a Class A biosolid.

Efficacy of a movement control injury prevention programme in adult men's community rugby union: a cluster randomised controlled trial.

Science.gov (United States)

Attwood, Matthew J; Roberts, Simon P; Trewartha, Grant; England, Mike E; Stokes, Keith A

2018-03-01

Exercise programmes aimed at reducing injury have been shown to be efficacious for some non-collision sports, but evidence in adult men's collision sports such as rugby union is lacking. To evaluate the efficacy of a movement control injury prevention exercise programme for reducing match injuries in adult men's community rugby union players. 856 clubs were invited to participate in this prospective cluster randomised (single-blind) controlled trial where clubs were the unit of randomisation. 81 volunteered and were randomly assigned (intervention/control). A 42-week exercise programme was followed throughout the season. The control programme reflected 'normal practice' exercises, whereas the intervention focused on proprioception, balance, cutting, landing and resistance exercises.Outcome measures were match injury incidence and burden for: (1) all ≥8 days time-loss injuries and (2) targeted (lower limb, shoulder, head and neck, excluding fractures and lacerations) ≥8 days time-loss injuries. Poisson regression identified no clear effects on overall injury outcomes. A likely beneficial difference in targeted injury incidence (rate ratio (RR), 90% CI=0.6, 0.4 to 1.0) was identified, with a 40% reduction in lower-limb incidence (RR, 90% CI=0.6, 0.4 to 1.0) and a 60% reduction in concussion incidence (RR, 90% CI=0.4, 0.2 to 0.7) in the intervention group. Comparison between arms for clubs with highest compliance (≥median compliance) demonstrated very likely beneficial 60% reductions in targeted injury incidence (RR, 90% CI=0.4, 0.2 to 0.8) and targeted injury burden (RR, 90% CI=0.4, 0.2 to 0.7). The movement control injury prevention programme resulted in likely beneficial reductions in lower-limb injuries and concussion. Higher intervention compliance was associated with reduced targeted injury incidence and burden. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is

[Development of an evidence-based self-management programme for patients in the first year after renal transplantation with a focus on prevention of weight gain, physical exercise and drug adherence].

Science.gov (United States)

Schmid-Mohler, Gabriela; Fehr, Thomas; Witschi, Patrick; Albiez, Thomas; Biotti, Beatrice; Spirig, Rebecca

2013-06-01

In the first year after kidney transplantation patients are challenged with incorporating new behaviour patterns into their daily lives. Due to the higher risk of cardiovascular disease amongst kidney transplant recipients, behaviours such as preventing undesired weight gain, exercising, avoiding smoking, and managing medications take on crucial importance. The aim of the project was to develop a programme based on prevailing evidence to promote self-management skills in this patient population. To this end a participatory action research approach was chosen. The programme was developed with inter-professional collaboration under the direction of an advanced practice nurse. As theoretical framework for the development of the intervention models of behaviour change and self-management were chosen. The content is based on current literature and includes the viewpoints of both patients and nursing experts. The programme consists of three elements: 1) Educational brochures developed through inter-professional collaboration and evaluated in a pilot survey. These brochures provide a framework for appointments with nursing professionals. 2) The appointments are a forum in which the patient can gain access to relevant information and can be supported in putting sustainable health-related behaviours into practice in daily life. 3) A peer programme that uses treatment plans to encourage patients deviating from preferred health-related behaviours to make changes in their behaviour. The programme evaluation started in May of 2012. Results of the pilot study are expected in 2014.

Strength training and aerobic exercise training for muscle disease

NARCIS (Netherlands)

Voet, N.B.M.; Kooi, E.L. van der; Riphagen, I.I.; Lindeman, E.; Engelen, B.G.M. van; Geurts, A.C.H.

2013-01-01

BACKGROUND: Strength training or aerobic exercise programmes might optimise muscle and cardiorespiratory function and prevent additional disuse atrophy and deconditioning in people with a muscle disease. This is an update of a review first published in 2004. OBJECTIVES: To examine the safety and

Anisotropic modulus stabilisation. Strings at LHC scales with micron-sized extra dimensions

Energy Technology Data Exchange (ETDEWEB)

Cicoli, M. [Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany); Burgess, C.P. [McMaster Univ., Hamilton (Canada). Dept. of Physics and Astronomy; Perimeter Institute for Theoretical Physics, Waterloo (Canada); Quevedo, F. [Cambridge Univ. (United Kingdom). DAMTP/CMS; Abdus Salam International Centre for Theoretical Physics, Trieste (Italy)

2011-04-15

We construct flux-stabilised Type IIB string compactifications whose extra dimensions have very different sizes, and use these to describe several types of vacua with a TeV string scale. Because we can access regimes where two dimensions are hierarchically larger than the other four, we find examples where two dimensions are micron-sized while the other four are at the weak scale in addition to more standard examples with all six extra dimensions equally large. Besides providing ultraviolet completeness, the phenomenology of these models is richer than vanilla large-dimensional models in several generic ways: (i) they are supersymmetric, with supersymmetry broken at sub-eV scales in the bulk but only nonlinearly realised in the Standard Model sector, leading to no MSSM superpartners for ordinary particles and many more bulk missing-energy channels, as in supersymmetric large extra dimensions (SLED); (ii) small cycles in the more complicated extra-dimensional geometry allow some KK states to reside at TeV scales even if all six extra dimensions are nominally much larger; (iii) a rich spectrum of string and KK states at TeV scales; and (iv) an equally rich spectrum of very light moduli exist having unusually small (but technically natural) masses, with potentially interesting implications for cosmology and astrophysics that nonetheless evade new-force constraints. The hierarchy problem is solved in these models because the extra-dimensional volume is naturally stabilised at exponentially large values: the extra dimensions are Calabi-Yau geometries with a 4D K3-fibration over a 2D base, with moduli stabilised within the well-established LARGE-Volume scenario. The new technical step is the use of poly-instanton corrections to the superpotential (which, unlike for simpler models, are present on K3-fibered Calabi-Yau compactifications) to obtain a large hierarchy between the sizes of different dimensions. For several scenarios we identify the low-energy spectrum and

Anisotropic modulus stabilisation. Strings at LHC scales with micron-sized extra dimensions

International Nuclear Information System (INIS)

Cicoli, M.; Burgess, C.P.; Quevedo, F.

2011-04-01

We construct flux-stabilised Type IIB string compactifications whose extra dimensions have very different sizes, and use these to describe several types of vacua with a TeV string scale. Because we can access regimes where two dimensions are hierarchically larger than the other four, we find examples where two dimensions are micron-sized while the other four are at the weak scale in addition to more standard examples with all six extra dimensions equally large. Besides providing ultraviolet completeness, the phenomenology of these models is richer than vanilla large-dimensional models in several generic ways: (i) they are supersymmetric, with supersymmetry broken at sub-eV scales in the bulk but only nonlinearly realised in the Standard Model sector, leading to no MSSM superpartners for ordinary particles and many more bulk missing-energy channels, as in supersymmetric large extra dimensions (SLED); (ii) small cycles in the more complicated extra-dimensional geometry allow some KK states to reside at TeV scales even if all six extra dimensions are nominally much larger; (iii) a rich spectrum of string and KK states at TeV scales; and (iv) an equally rich spectrum of very light moduli exist having unusually small (but technically natural) masses, with potentially interesting implications for cosmology and astrophysics that nonetheless evade new-force constraints. The hierarchy problem is solved in these models because the extra-dimensional volume is naturally stabilised at exponentially large values: the extra dimensions are Calabi-Yau geometries with a 4D K3-fibration over a 2D base, with moduli stabilised within the well-established LARGE-Volume scenario. The new technical step is the use of poly-instanton corrections to the superpotential (which, unlike for simpler models, are present on K3-fibered Calabi-Yau compactifications) to obtain a large hierarchy between the sizes of different dimensions. For several scenarios we identify the low-energy spectrum and

Is coracoclavicular stabilisation alone sufficient for the endoscopic treatment of severe acromioclavicular joint dislocation (Rockwood types III, IV, and V)?

Science.gov (United States)

Barth, J; Duparc, F; Andrieu, K; Duport, M; Toussaint, B; Bertiaux, S; Clavert, P; Gastaud, O; Brassart, N; Beaudouin, E; De Mourgues, P; Berne, D; Bahurel, J; Najihi, N; Boyer, P; Faivre, B; Meyer, A; Nourissat, G; Poulain, S; Bruchou, F; Ménard, J F

2015-12-01

The primary objective was to evaluate correlations linking anatomical to functional outcomes after endoscopically assisted repair of acute acromioclavicular joint dislocation (ACJD). Combined acromioclavicular and coracoclavicular stabilisation improves radiological outcomes compared to coracoclavicular stabilisation alone. A prospective multicentre study was performed. Clinical outcome measures were pain intensity on a visual analogue scale (VAS), subjective functional impairment (QuickDASH score), and Constant's score. Anatomical outcomes were assessed on standard radiographs (anteroposterior view of the acromioclavicular girdle and bilateral axillary views) obtained preoperatively and postoperatively and on postoperative dynamic radiographs taken as described by Tauber et al. Of 116 patients with acute ACJD included in the study, 48% had type III, 30% type IV, and 22% type V ACJD according to the Rockwood classification. Coracoclavicular stabilisation was achieved using a double endobutton in 93% of patients, and concomitant acromioclavicular stabilisation was performed in 50% of patients. The objective functional outcome was good, with an unweighted Constant's score ≥ 85/100 and a subjective QuickDASH functional disability score ≤ 10 in 75% of patients. The radiographic analysis showed significant improvements from the preoperative to the 1-year postoperative values in the vertical plane (decrease in the coracoclavicular ratio from 214 to 128%, p=10(-6)) and in the horizontal plane (decrease in posterior displacement from 4 to 0mm, p=5×10(-5)). The anatomical outcome correlated significantly with the functional outcome (absolute R value=0.19 and p=0.045). We found no statistically significant differences across the various types of constructs used. Intra-operative control of the acromioclavicular joint did not improve the result. Implantation of a biological graft significantly improved both the anatomical outcome in the vertical plane (p=0.04) and

Importance of Intercomparison Exercises in Assessment of Internal Exposure by Whole-Body Counter

International Nuclear Information System (INIS)

Andrasi, A.

2001-01-01

Full text: Basic requirement for any kind of measurement is to check and prove the reliability and correctness of the measured results. Quality assurance programmes require several activities among which the participation in intercomparison exercises plays an important role. Since the determination of radioactive materials in the human body by whole-body counting technique implies many sources of uncertainties the reliability of calibration data and consequently the measured results have to be checked by participation in intercomparison quality control programmes. In these programmes mostly different kinds of phantoms simulating the human body are circulated among the participating laboratories, however sometimes contaminated persons are also subjects of intercomparison measurements. There are guidelines in several countries laid down concerning the requirements of whole-body counter measurements where the performance criteria for the relative bias, precision and minimum detectable amounts are formulated. These quantities are mostly the subject of intercomparison programmes. The whole body counter laboratory of the KFKI Atomic Energy Research Institute participated in intercomparison exercises several times in the last few years. The lessons learned during these activities helped in checking the capabilities of applied methods and measuring geometry as well as contributed in improving the accuracy of the measured results. A short overview on the previous international intercomparison exercises their main characteristics the results obtained and conclusions drawn are discussed in the paper with special attention to those in which also our laboratory participated. (author)

Traditional Gymnastic Exercises for the Pelvic Floor Often Lead to Bladder Neck Descent - a Study Using Perineal Ultrasound.

Science.gov (United States)

Baeßler, Kaven; Junginger, Bärbel

2017-07-01

The aims of physiotherapy in stress incontinent women are to improve pelvic floor function and the continence mechanism including bladder neck support and urethral closure pressure. In Germany, traditional conservative treatment often includes gymnastic exercises with unclear effects on the bladder neck. The aim of this study was to sonographically assess bladder neck movements during selected exercises. Fifteen healthy, continent women without previous vaginal births, who were able to voluntarily contract their pelvic floor muscels performed the shoulder bridge, the abdominal press, tiptoe and the Pilates clam exercises. The first set was performed without any additional instructions. During the second set directions were given to activate the pelvic floor before beginning each exercise and to maintain the contraction throughout the exercise. Bladder neck movement was measured on perineal ultrasound using a validated method with the pubic symphysis as a reference point. The median age of participants was 32 years, median BMI was 23. Eight women were nulliparous and seven had given birth to 1 - 2 children via caesarean section. When exercises were performed without voluntary pelvic floor contraction the bladder neck descended on average between 2.3 and 4.4 mm, and with pelvic floor contraction prior to the exercise only between 0.5 and 2.1 mm (p > 0.05 except for abdominal press p = 0.007). The Pilates clam exercise and toe stand stabilised the bladder neck most effectively. Bladder neck descent often occurs during pelvic floor gymnastic exercises as traditionally performed in Germany, and a voluntary pelvic floor contraction during the exercises does not necessarily prevent this.

Inacessible Andean sites reveal land-use induced stabilisation of soil organic carbon

Science.gov (United States)

Heitkamp, Felix; Maqsood, Shafique; Sylvester, Steven; Kessler, Michael; Jungkunst, Hermann

2015-04-01

Human activity affects properties and development of ecosystems across the globe to such a degree that it is challenging to get baseline values for undisturbed ecosystems. This is especially true for soils, which are affected by land-use history and hold a legacy of past human interventions. Therefore, it is still largely unknown how soil would have developed "naturally" and if processes of organic matter stabilisation would be different in comparison to managed soils. Here, we show undisturbed soil development, i.e., the processes of weathering and accumulation of soil organic carbon (SOC), by comparing pristine with grazed sites in the high Andes (4500 m) of southern Peru. We located study plots on a large ledge (0.2 km²) that is only accessible with mountaineering equipment. Plots with pristine vegetation were compared to rangeland plots that were constantly under grazing management for at least four millennia. All "state factors"; climate, potential biota, topography, parent material and time; besides "land-use" were, therefore, identical. Vegetation change, induced by grazing management, led to lower vegetation cover of the soil, thereby increasing soil surface temperatures and soil acidification. Both factors increased weathering in rangeland soils, as indicated by the presence of pedogenic oxides, especially amorphous Al-(oxy)hydroxides (oxalate-extractable Al). Higher losses of base cations (K, Na, Ca) and lower pH-values were related to a low base saturation of exchange sites in rangelands. Therefore, rangeland soils were classified as Umbrisol, whereas soils under pristine vegetation were classified as Phaeozeme. All profiles were rich in SOC (100 to 126 g kg-1) with no significant differences in concentrations or stocks. SOC of rangeland soils was, however, less available for microorganisms (proportion of microbial C on SOC: 1.8 vs. 0.6% in pristine and rangeland soils, respectively) and showed higher stability against thermal degradation. Reasons for

Food-grade Pickering stabilisation of foams by in situ hydrophobisation of calcium carbonate particles

NARCIS (Netherlands)

Binks, Bernard P.; Muijlwijk, K.; Koman, Henriëtte; Poortinga, A.T.

2017-01-01

The aim of this study was to investigate the possibility of stabilising foam bubbles in water by adsorption of calcium carbonate (CaCO3) particles. Because CaCO3 is hydrophilic and not surface-active, particles were hydrophobised in situ with several emulsifiers. The used emulsifiers were food-grade

Food-grade pickering stabilisation of foams by in situ hydrophobisation of calcium carbonate particles

NARCIS (Netherlands)

Binks, B.P.; Muijlwijk, K.; Koman, H.; Poortinga, A.T.

2017-01-01

The aim of this study was to investigate the possibility of stabilising foam bubbles in water by adsorption of calcium carbonate (CaCO3) particles. Because CaCO3 is hydrophilic and not surface-active, particles were hydrophobised in situ with several emulsifiers. The used emulsifiers were food-grade

Effects of draught load exercise and training on calcium homeostasis in horses.

Science.gov (United States)

Vervuert, I; Coenen, M; Zamhöfer, J

2005-01-01

This study was conducted to investigate the effects of draught load exercise on calcium (Ca) homeostasis in young horses. Five 2-year-old untrained Standardbred horses were studied in a 4-month training programme. All exercise workouts were performed on a treadmill at a 6% incline and with a constant draught load of 40 kg (0.44 kN). The training programme started with a standardized exercise test (SET 1; six incremental steps of 5 min duration each, first step 1.38 m/s, stepwise increase by 0.56 m/s). A training programme was then initiated which consisted of low-speed exercise sessions (LSE; constant velocity at 1.67 m/s for 60 min, 48 training sessions in total). After the 16th and 48th LSE sessions, SETs (SET 2: middle of training period, SET 3: finishing training period) were performed again under the identical test protocol of SET 1. Blood samples for blood lactate, plasma total Ca, blood ionized calcium (Ca(2+)), blood pH, plasma inorganic phosphorus (P(i)) and plasma intact parathyroid hormone (PTH) were collected before, during and after SETs, and before and after the first, 16th, 32nd and 48th LSE sessions. During SETs there was a decrease in ionized Ca(2+) and a rise in lactate, P(i) and intact PTH. The LSEs resulted in an increase in pH and P(i), whereas lactate, ionized Ca(2+), total Ca and intact PTH were not affected. No changes in Ca metabolism were detected in the course of training. Results of this study suggest that the type of exercise influences Ca homeostasis and intact PTH response, but that these effects are not influenced in the course of the training period.

Caloric restriction and aerobic exercise in sarcopenic and non-sarcopenic obese women: an observational and retrospective study.

Science.gov (United States)

Barbat-Artigas, Sébastien; Garnier, Sophie; Joffroy, Sandra; Riesco, Éléonor; Sanguignol, Frédéric; Vellas, Bruno; Rolland, Yves; Andrieu, Sandrine; Aubertin-Leheudre, Mylène; Mauriège, Pascale

2016-06-01

Sarcopenic obese (SO) individuals are a unique subset of subjects that combines obesity and sarcopenia. Traditional weight loss programmes including aerobic exercises may worsen their condition by further reducing their lean mass. The objective of this observational and retrospective study was to verify the effect of a mixed weight loss programme combining caloric restriction and exercise on body composition, and lipid-lipoprotein profile of obese women according to their sarcopenic status. One hundred and forty-six obese women (body mass index ≥ 30 kg/m(2) and fat mass ≥ 40%) participated to the 3 week usual and institutionalized weight-reducing programme combining a dietary plan (1400 ± 200 kcal/day) and aerobic exercise (1 h/day, 6 days/week) of a specialized medical institution. The lean body mass index (LMI; lean mass/height(2)) was calculated, and women in the lowest tertile of LMI were considered SO. At baseline, SO women were older, and their body weight and LMI were lower than non-sarcopenic obese (N-SO) women (p women similarly lost fat mass and improved their lipid-lipoprotein profile (p women lost lean mass (p restriction and aerobic exercise may significantly reduce fat mass and improve lipid-lipoprotein profile in obese women, independently of their sarcopenic status. Such programmes may have deleterious effects on lean mass in N-SO subjects, only.

Dorsal surgical stabilisation using tension bands for treatment of traumatic atlanto-occipital instability in a cat.

Science.gov (United States)

Vedrine, B; Maurin, M P

2017-12-01

An atlanto-occipital instability secondary to a dog bite was diagnosed in a 4-year-old Persian cat. Dorsal stabilisation of the instability was made with two OrthoFiber prostheses (Securos), which were used as tension bands between the nuchal crests of the occipital bone and the spinous process of the axis. Total recovery was achieved 4 days after surgery. Normal alignment of the atlanto-occipital joint was observed on survey radiographs taken 6 weeks post-surgery. Although the right loop had failed, the alignment was still normal and no neurological after-effects could be identified. Dorsal divergent tension bands between the nuchal crests of the occipital bone and the spinous process of the axis can be used to stabilise traumatic atlanto-occipital instability. © 2017 Australian Veterinary Association.

A long-term cohort study of the muscle apparatus of female volleyball players after the application of a compensatory programme

Directory of Open Access Journals (Sweden)

Tamara Čučková

2017-11-01

Full Text Available Volleyball is a sport with great unilateral load that can have a negative impact on a postural system. The aim of the study was to perform a detailed examination of posture and muscle imbalance in elite female volleyball athletes and, according to the results of the examination, to put together compensatory exercises and to assess their effect. A group of elite junior female volleyball players (n = 12 was examined by an experienced physiotherapist using a complex kinesiological analysis especially focused on body posture (from frontal, sagittal and dorsal plane, shortened muscles and performance of basic movement patterns (hip extension, hip abduction, sit-up, cervical flexion, shoulder abduction, push-up. The preliminary examination showed that every tested player had some kind of posture deficiency. The compensatory programme, consisting of breathing techniques, stretching exercises, strengthening exercises with an elastic band, and balance exercises with a Bosu balance trainer, was applied at the end of every training session over the competitive parts of two volleyball seasons. Before the application of the exercise programme we found flat back in 92% subjects, whereas 33% of subjects exhibited it after compensation. Improvement was noted in the intensified lumbar lordosis (from 50% subjects to 42%, and scoliotic body posture (from 50% to 17%. The biggest improvement in shortened muscles in the upper body was observed on the m. levator scapulae (from 83% subjects to 8% and the m. trapezius (from 42% subjects to 8%; and in the lower body m. triceps surae (from 75% subjects to 33% and hip abductors (from 83% subjects to 25%. The study suggests that balance exercises with a Bosu balance trainer and exercises with an exercise elastic band seem to be useful for volleyball since we noted improvement in body posture, movement patterns and muscle shortness. We therefore highly recommend this compensatory programme.

Reciprocal within-day associations between incidental affect and exercise: An EMA study.

Science.gov (United States)

Emerson, Jessica A; Dunsiger, Shira; Williams, David M

2018-01-01

Previous research suggests that how people feel throughout the course of a day (i.e. incidental affect) is predictive of exercise behaviour. A mostly separate literature suggests that exercise can lead to more positive incidental affect. This study examines the potential reciprocal effects of incidental affect and exercise behaviour within the same day. Fifty-nine low-active (exercise exercise promotion programme. Ecological momentary assessment was used to record self-reported exercise sessions in real time and incidental affective valence (feeling good/bad) as assessed by the 11-point Feeling Scale at random times throughout the day. Use of a within-subjects cross-lagged, autoregressive model showed that participants were more likely to exercise on days when they experienced more positive incidental affect earlier in the day (b = .58, SE = .10, p exercised (b = .26, SE = .03, p exercising are reciprocally influential within the course of a day.

Effect of an aerobic-based physical activity programme on physical ...

African Journals Online (AJOL)

The purpose of this study was to determine whether a 10 week aerobic-based exercise programme performed twice a week, with a 30 minutes duration and an intensity level of 55 – 70% heart rate max would improve aerobic endurance, muscular strength, muscular endurance, flexibility and body composition of 10 – 15 ...

Exercise and Parkinson's: benefits for cognition and quality of life.

Science.gov (United States)

Cruise, K E; Bucks, R S; Loftus, A M; Newton, R U; Pegoraro, R; Thomas, M G

2011-01-01

The benefits of physical exercise for psychological aspects of quality of life (QoL) are well established in normally ageing adults, yet potential benefits for people with Parkinson's disease (PD) have received limited attention. This study evaluated the benefits of exercise for cognitive functioning, mood and disease-specific QoL for people with PD. Twenty-eight individuals with PD were allocated to an exercise intervention program (EIP, n = 15) or control group (n = 13). The EIP group undertook a programme of progressive anabolic and aerobic exercise twice weekly for 12 weeks. The control group maintained their usual lifestyle. Exercise was shown to have selective benefits for cognitive functioning by improving frontal lobe based executive function. No significant effects were demonstrated for mood or disease-specific QoL. These results are consistent with previous research demonstrating selective benefits of exercise for executive function among normal ageing adults and PD. Copyright © 2010 The Authors. Journal compilation © 2010 Blackwell Munksgaard.

Secondary prevention through cardiac rehabilitation: physical activity counselling and exercise training: key components of the position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation

DEFF Research Database (Denmark)

Corrà, Ugo; Piepoli, Massimo F; Carré, François

2010-01-01

, exercise training, diet/nutritional counselling, weight control management, lipid management, blood pressure monitoring, smoking cessation, and psychosocial management. Cardiac rehabilitation services are by definition multi-factorial and comprehensive, with physical activity counselling and exercise...... training as central components in all rehabilitation and preventive interventions. Many of the risk factor improvements occurring in CR can be mediated through exercise training programmes. This call-for-action paper presents the key components of a CR programme: physical activity counselling and exercise...

Global output feedback stabilisation of stochastic high-order feedforward nonlinear systems with time-delay

Science.gov (United States)

Zhang, Kemei; Zhao, Cong-Ran; Xie, Xue-Jun

2015-12-01

This paper considers the problem of output feedback stabilisation for stochastic high-order feedforward nonlinear systems with time-varying delay. By using the homogeneous domination theory and solving several troublesome obstacles in the design and analysis, an output feedback controller is constructed to drive the closed-loop system globally asymptotically stable in probability.

Assessment of the impact of NUC accreditation exercise on ...

African Journals Online (AJOL)

This is a survey research aimed at determining the impact of National Universities Commission's accreditation exercise on personnel in the business education programmes of the universities in the South-east Geopolitical Zone of Nigeria. One research question and one null hypothesis guided the study. The population ...

The problem of oxidation state stabilisation and some regularities of a Periodic system of the elements

International Nuclear Information System (INIS)

Kiselev, Yurii M; Tretyakov, Yuri D

1999-01-01

The general principles of the concept of oxidation state stabilisation are formulated. Problems associated with the preparation and provision of the highest valent forms of transition elements are considered. The empirical data concerning the synthesis of new compounds of rare-earth elements and d elements in unusually high oxidation states are analysed. The possibility of occurrence of the oxidation states + 9 and + 10 for some elements (for example, for iridium and platinum in tetraoxo ions) are discussed. Approaches to the realisation of these states are outlined and it is demonstrated that solid phases or matrices containing alkali metal cations are the most promising systems for the stabilisation of these high oxidation states. Selected thermodynamic features typical of metal halides and oxides and the regularities of the changes in the extreme oxidation states of d elements are considered. The bibliography includes 266 references.

Patient Reported Outcomes in a New Home-Based Rehabilitation Programme for Prostate Cancer Patients

DEFF Research Database (Denmark)

Villumsen, Brigitta R; Jørgensen, Martin Grønbech; Frystyk, Jan

2015-01-01

The most optimal exercise plan for men with prostate cancer (PC) receiving androgen deprivation therapy needs to be identified. We plan to investigate a 12-week home-based health programme (exergaming) on physical function, fatigue and metabolic parameters in this group. In addition, our study...... will explore the satisfaction and experience with the health game programme. To the best of our knowledge this is the first RCT study to investigate the effect of a home based health game programme on PC patients. No statistical analysis have been made thus far because inclusion is ongoing, however baseline...

An introduction to the PISC II project - programme for the inspection of steel components

International Nuclear Information System (INIS)

Nichols, R.; McDonald, N.R.

1987-01-01

The paper describes the work of the Plate Inspection Steering Committee (PISC) on the non-destructive examination of reactor pressure vessel steels. A description is given of the PISC I exercise on flaw measurements in test plates, including the PISC procedure and the alternative procedures in the PISC I exercise. The motivation for a PISC II programme is described, together with the objectives and terms of reference of PISC II. (U.K.)

'Pragmatic randomized controlled trial of individually prescribed exercise versus usual care in a heterogeneous cancer survivor population': a feasibility study PEACH trial: prescribed exercise after chemotherapy.

LENUS (Irish Health Repository)

Walsh, Julie M

2010-01-01

BACKGROUND: Many cancer survivors suffer a range of physical and psychological symptoms which may persist for months or years after cessation of treatment. Despite the known benefits of exercise and its potential to address many of the adverse effects of treatment, the role of exercise as well as optimum duration, frequency, and intensity in this population has yet to be fully elucidated. Many cancer rehabilitation programmes presented in the literature are very long and have tight eligibility criteria which make them non-applicable to the majority of cancer survivors. This paper presents the protocol of a novel 8-week intervention which aims to increase fitness, and address other physical symptoms in a heterogeneous cancer survivor population. METHODS\\/DESIGN: The aim is to recruit 64 cancer survivors 2-6 months after completion of chemotherapy, usually adjuvant, with curative intent. Subjects will be recruited through oncology clinics in a single institution and randomised to usual care or an exercise intervention. The exercise intervention consists of two specifically tailored supervised moderate intensity aerobic exercise sessions weekly over 8-weeks. All participants will be assessed at baseline (0 weeks), at the end of the intervention (8 weeks), and at 3-month follow-up. The primary outcome measure is fitness, and secondary patient-related outcome measures include fatigue, quality of life, and morphological outcomes. A further secondary outcome is process evaluation including adherence to and compliance with the exercise program. DISCUSSION: This study will provide valuable information about the physical outcomes of this 8-week supervised aerobic programme. Additionally, process information and economic evaluation will inform the feasibility of implementing this program in a heterogeneous population post cessation of chemotherapy.

Evaluation of technetium-99m exametazime stabilised with cobalt chloride as a blood flow tracer in focal cerebral ischaemia

Energy Technology Data Exchange (ETDEWEB)

Gartshore, G [Wellcome Surgical Inst. and Hugh Fraser Neuroscience Labs., Glasgow Univ. (United Kingdom); Bannan, P [Wellcome Surgical Inst. and Hugh Fraser Neuroscience Labs., Glasgow Univ. (United Kingdom); Patterson, J [Wellcome Surgical Inst. and Hugh Fraser Neuroscience Labs., Glasgow Univ. (United Kingdom); Higley, B [Wellcome Surgical Inst. and Hugh Fraser Neuroscience Labs., Glasgow Univ. (United Kingdom); McCulloch, J [Wellcome Surgical Inst. and Hugh Fraser Neuroscience Labs., Glasgow Univ. (United Kingdom)

1994-09-01

A protocol has been devised to effectively extend the limited post-reconstitution shelf life of technetium-99m exametazime as a radiopharmaceutical for imaging cerebral blood flow (CBF) distribution. The potential of [sup 99m]Tc-exametazime stabilised with cobalt chloride for imaging CBF distribution as late as 4 h after reconstitution has been examined in ischaemic and non-ischaemic tissue in halothane-anaesthetised cats. Focal cerebral ischaemia was produced by permanent middle cerebral artery occlusion. The relationship between [sup 99m]Tc-exametazime uptake and retention and CBF (assessed with [[sup 14]C]iodoantipyrine 10 min after first radiopharmaceutical administration) was determined in the same tissue section with double label autoradiography. Over the CBF range 0 - 80 ml 100 g[sup -1] min[sup -1], the uptake of [sup 99m]Tc-exametazime (quantitatively and topographically) was linearly related to CBF irrespective of whether the [sup 99m]Tc-labelled tracer was unstabilised (and administered within 10 min of reconstitution) or was stabilised with cobalt chloride (and administered up to 240 min after reconstitution). For levels of CBF in excess of 80 ml 100 g[sup -1] min[sup -1] the excellent topographical relationship between [sup 99m]Tc-exametazime distribution and CBF is maintained but quantitatively, [sup 99m]Tc-exametazime underestimates CBF to a similar degree in animals receiving stabilised and unstabilised [sup 99m]Tc-exametazime. The presence of the stabiliser, cobalt chloride, extends greatly the period over which [sup 99m]Tc-exametazime can be used after reconstitution to generate images of CBF distribution in normal and ischaemic cerebral tissue. (orig.)

Exercise Training in Children and Adolescents with Cystic Fibrosis: Theory into Practice

Directory of Open Access Journals (Sweden)

Craig A. Williams

2010-01-01

Full Text Available Physical activity and exercise training play an important role in the clinical management of patients with cystic fibrosis (CF. Exercise training is more common and recognized as an essential part of rehabilitation programmes and overall CF care. Regular exercise training is associated with improved aerobic and anaerobic capacity, higher pulmonary function, and enhanced airway mucus clearance. Furthermore, patients with higher aerobic fitness have an improved survival. Aerobic and anaerobic training may have different effects, while the combination of both have been reported to be beneficial in CF. However, exercise training remains underutilised and not always incorporated into routine CF management. We provide an update on aerobic and anaerobic responses to exercise and general training recommendations in children and adolescents with CF. We propose that an active lifestyle and exercise training are an efficacious part of regular CF patient management.

A Note on the Effects of the Income Stabilisation Tool on Income Inequality in Agriculture

NARCIS (Netherlands)

Finger, R.; Benni, El N.

2014-01-01

Increasing concerns with income risks in agriculture have led to discussions on the introduction of an Income Stabilisation Tool (IST) in Europe. In this note, we extend existing evaluations of the IST by investigating the potential effect of the IST on inequality in farm incomes using Swiss

Research and training programmes

Directory of Open Access Journals (Sweden)

Daksha Patel

2007-03-01

Full Text Available Research is defined in the Oxford English Dictionary as “a systematic investigation and study of materials and sources in order to establish facts and reach new conclusions.”Research is embedded in the curricula of most postgraduate training programmes; students are expected to complete some form of original work towards a dissertation. This often evokes a range of reactions: “What is the purpose of this exercise? Why do I have to do research when I just want to do a job? Shouldn’t research rather be left to experts? I can’t do the course; I have no research background!”

A randomised controlled trial evaluating family mediated exercise (FAME therapy following stroke

Directory of Open Access Journals (Sweden)

Stokes Emma

2008-06-01

Full Text Available Abstract Background Stroke is a leading cause of disability among adults worldwide. Evidence suggests that increased duration of exercise therapy following stroke has a positive impact on functional outcome following stroke. The main objective of this randomised controlled trial is to evaluate the impact of additional family assisted exercise therapy in people with acute stroke. Methods/Design A prospective multi-centre single blind randomised controlled trial will be conducted. Forty patients with acute stroke will be randomised into either an experimental or control group. The experimental group will receive routine therapy and additional lower limb exercise therapy in the form of family assisted exercises. The control group will receive routine therapy with no additional formal input from their family members. Participants will be assessed at baseline, post intervention and followed up at three months using a series of standardised outcome measures. A secondary aim of the project is to evaluate the impact of the family mediated exercise programme on the person with stroke and the individual(s assisting in the delivery of exercises using a qualitative methodology. The study has gained ethical approval from the Research Ethics Committees of each of the clinical sites involved in the study. Discussion This study will evaluate a structured programme of exercises that can be delivered to people with stroke by their 'family members/friends'. Given that the progressive increase in the population of older people is likely to lead to an increased prevalence of stroke in the future, it is important to reduce the burden of this illness on the individual, the family and society. Family mediated exercises can maximise the carry over outside formal physiotherapy sessions, giving patients the opportunity for informal practice. Trial Registration The protocol for this study is registered with the US NIH Clinical trials registry (NCT00666744

Leachability and heavy metal speciation of 17-year old stabilised/solidified contaminated site soils

Energy Technology Data Exchange (ETDEWEB)

Wang, Fei, E-mail: fwtiffany@gmail.com [Department of Engineering, University of Cambridge, Trumpington Street, Cambridge CB2 1PZ (United Kingdom); Wang, Hailing, E-mail: wanghailing@njtech.edu.cn [College of Environment, Nanjing Tech University, Nanjing 210009 (China); Al-Tabbaa, Abir, E-mail: aa22@cam.ac.uk [Department of Engineering, University of Cambridge, Trumpington Street, Cambridge CB2 1PZ (United Kingdom)

2014-08-15

Highlights: • The effectiveness of the cement-based S/S at 17 years in West Drayton site is still satisfactory. • Major leaching of Cu, Zn, Ni, Cd and Pb in all mixes took place in the Fe/Mn oxides phase. • The hydration process has been fully completed and further carbonation took place at 17 years. • Microstructure analyses show that unreacted PFA exists. - Abstract: The long-term leachability, heavy metal speciation transformation and binding mechanisms in a field stabilised/solidified contaminated soil (made ground) from West Drayton site were recently investigated following in situ auger mixing treatment with a number of cement-based binders back in 1996. Two batch leaching tests (TCLP and BS EN 12457) and a modified five step sequential extraction procedure along with X-ray diffraction (XRD) and scanning electron microscopy (SEM) analyses were employed for the testing of the 17-year-old field soil. The results of batch leaching tests show that the treatment employed remained effective at 17 years of service time, with all BS EN 12457 test samples and most of TCLP test samples satisfied drinking water standards. Sequential extraction results illustrate that the leaching of Cu, Ni, Zn, Pb and Cd in all mixes mainly occurred at the Fe/Mn phase, ranging from 43% to 83%. Amongst the five metals tested, Ni was the most stable with around 40% remained in the residual phase for all the different cement-based binder stabilised/solidified samples. XRD and SEM analyses show that the hydration process has been fully completed and further carbonation took place. In summary, this study confirms that such cement-based stabilisation/solidification (S/S) treatment can achieve satisfactory durability and thus is a reliable technique for long-term remediation of heavy metal contaminated soil.

Preparation of highly stabilised natural rubber latex for radiation vulcanisation

International Nuclear Information System (INIS)

Kulatunge, S.S.; Nadarajah, M.; Kalyani, N.M.V.; Chandralal, H.N.K.K.; Devendra, R.

1996-01-01

There is a bright future for radiation vulcanised natural rubber latex (RVNRL) but there are problems in manufacturing it as the centrifuged latex to be used for radiation has to be kept for at least a month or sometimes even three to six months before adding the sensitisers and even then the latex sometimes coagulates on adding the sensitisers. This paper describes a process by which the latex can be stabilised by addition of an anionic soap before centrifuging so that it has a high mechanical stability and hence can be used even within one week of the manufacture of the centrifuged latex

Long-term benefits of exercising on quality of life and fatigue in multiple sclerosis patients with mild disability: a pilot study.

Science.gov (United States)

McCullagh, Ruth; Fitzgerald, Anthony P; Murphy, Raymond P; Cooke, Grace

2008-03-01

To determine if exercise benefits patients with multiple sclerosis. Randomized controlled trial. Participants exercised at home and also attended exercise classes held in a hospital physiotherapy gym. Thirty patients, diagnosed and independently mobile, were recruited in the Dublin area. For three months, classes were held twice-weekly and participants exercised independently once-weekly. The control group was monitored monthly and management remained unchanged. Measurements were taken at baseline, three and six months. The Modified Fatigue Impact Scale (MFIS), Multiple Sclerosis Impact Scale-29 (MSIS-29) and Functional Assessment of Multiple Sclerosis (FAMS) were used to measure fatigue and quality of life (QOL). Heart rate (HR) and the Borg's Rating of Perceived Exertion (RPE) were recorded during an incremental exercise test. The change from baseline scores between groups was compared using the Mann-Whitney U-test. Twenty-four participants completed the programme (n = 12 in each group). Based on the change in scores at three months, the exercise group had significantly greater improvements in exercise capacity (HR: -14 [-18.5, -2.5] versus 0.5 [-4, 5.5], P= 0.009), QOL (FAMS: 23 [9.5, 42.5] versus -3.5 [-16, 5], P=0.006) and fatigue (MFIS: -13 [-20, -3] versus 1 [-4, 4.5], P=0.02). At six months, the difference in change scores remained significant for FAMS (19 [14, 31] versus -4.5 [-25, 8], P=0.002) and MFIS (-8.5 [-19.5, -1] versus 0.5 [-2.5, 6.5], P=0.02) only. A three-month exercise programme improved participants' exercise capacity, QOL and fatigue, with the improvements in QOL and fatigue lasting beyond the programme.

A standardised individual unsupervised water exercise intervention for healthy pregnant women. A qualitative feasibility study

DEFF Research Database (Denmark)

Backhausen, Mette G; Katballe, Malene; Hansson, Helena

2014-01-01

INTRODUCTION: Low back pain during pregnancy is common and associated with sick leave. Studies suggest that exercise may reduce low back pain during pregnancy. Before carrying out a randomised controlled trail with individual water exercise as intervention a qualitative feasibility study was done....... OBJECTIVE: To explore women's views and experiences of the acceptability and benefits of and possible barriers to the standardised individual unsupervised water exercise intervention. MATERIALS AND METHODS: Eleven women were interviewed after participating in a water exercise intervention. Content analysis...... was used. RESULTS: Four main categories emerged: motivation to participate, attitudes towards the exercise programme, perception of benefits, and acceptability of supportive components. The women had a desire to stay physically active during pregnancy and found water exercise a suitable, type of exercise...

Eccentric versus conventional exercise therapy in patients with rotator cuff tendinopathy: a randomized, single blinded, clinical trial.

Science.gov (United States)

Dejaco, Beate; Habets, Bas; van Loon, Corné; van Grinsven, Susan; van Cingel, Robert

2017-07-01

To investigate the effectiveness of isolated eccentric versus conventional exercise therapy in patients with rotator cuff tendinopathy. Thirty-six patients with rotator cuff tendinopathy, diagnosed by an orthopaedic surgeon, were included and randomly allocated to an isolated eccentric exercise (EE) group (n = 20, mean age = 50.2 ± 10.8 years) or a conventional exercise (CG) group (n = 16, mean age = 48.6 ± 12.3 years). Both groups fulfilled a 12-week daily home-based exercise programme and received a total amount of nine treatment sessions. The Constant Murley score was used to evaluate both objective (e.g. range of motion and strength) and subjective measures (e.g. pain and activities of daily living). A visual analogue scale (VAS) was used to evaluate pain during daily activities. As secondary outcomes, shoulder range of motion and isometric abduction strength in 45° in the scapular plane were evaluated. All measurements were taken at baseline, at 6, 12 and 26 weeks. After 26 weeks, both groups showed a significant increase in the Constant Murley score and a significant decrease in VAS scores. No difference was found between the groups, for any of the evaluated outcome measures. A 12-week-isolated eccentric training programme of the rotator cuff is beneficial for shoulder function and pain after 26 weeks in patients with rotator cuff tendinopathy. However, it is no more beneficial than a conventional exercise programme for the rotator cuff and scapular muscles. Based on the results, clinicians should take into account that performing two eccentric exercises twice a day is as effective as performing six concentric/eccentric exercises once a day in patients with rotator cuff tendinopathy.

Effect of outpatient exercise training programmes in patients with chronic heart failure: a systematic review

NARCIS (Netherlands)

van der Meer, Suzan; Zwerink, Marlies; van Brussel, M.; van der Valk, P.D.; Wajon, E.M.; van der Palen, Jacobus Adrianus Maria

2012-01-01

Advantages of outpatient exercise training are reduced waiting lists, better compliance, reduced time investment by the patient with reduced travel expenses, and less dependence on other people to participate. Therefore, this systematic review studies the effects of outpatient exercise training

IDEAS/IAEA intercomparison exercise on internal dose assessment. Intercomparison exercise on Internal Dose Assessment performed jointly by the International Atomic Energy Agency and the IDEAS project (''General Guidelines for the Evaluation of Incorporation Monitoring Data'', carried out within the 5th EU Framework Programme)

International Nuclear Information System (INIS)

Hurtgen, C.; Andrasi, A.; Bailey, M.R.

2005-10-01

There were several intercomparison exercises organized already at national and international levels for the assessment of occupational exposure due to intakes of radionuclides. These intercomparison exercises revealed significant differences in the approaches, methods and assumptions, and consequently in the results. In the frame of the IDEAS project .General Guidelines for the Evaluation of Incorporation Monitoring Data., launched in the 5th EU Framework Programme, a new intercomparison exercise was performed. Originally it was planned to organise this intercomparison exercise on a European scale. Because of the relevance of the issue for the whole community of internal dosimetrists, however, it was decided to organise the exercise on a broader scale together with the IAEA. This new intercomparison exercise especially focuses on the effect of the guidelines for harmonisation of internal dosimetry. In addition it also consider the following aspects: - to provide possibilities for the participating laboratories to check the quality of their internal dose assessment methods in applying the recent ICRP recommendations (new respiratory tract model etc.); - to compare different approaches in interpretation of internal contamination monitoring data; - to quantify the differences in internal dose assessment based on the new guidelines or on other procedures, respectively; - to provide some figures of the influence of the input parameters on the monitoring results and - to provide a broad forum for information exchange. Several cases have been selected for the exercise with the aim to cover a wide range of practices in the nuclear fuel cycle and medical applications. The case were: 1. Acute intake of HTO; 2. Acute inhalation of fission products 137 Cs and 90 Sr; 3. Intake of 60 Co; 4. Repeated intakes of 131 I; 5. Intake of enriched uranium; 6. Single intake of Pu radionuclides and 241 Am. A web-based approach was being used for the presentation of the cases, collection of

Energy technology programmes 1993-1998. Evaluation report

Energy Technology Data Exchange (ETDEWEB)

1999-09-01

In the late 1980s Finland`s Ministry of Trade and Industry (KTM) initiated a series of research and development (R and D) programmes in the field of energy technology. Subsequently, in 1993, it launched a further suite of eleven Energy Technology Programmes scheduled to run over the period 1993-1998. Aimed at the development of efficient and environmentally sound energy technologies intended to be competitive in the international marketplace, the programmes sought to involve the research, industrial and public sectors in some FIM 1.2 billion of research and development activity. The technology areas spanned: Combustion and gasification techniques Bioenergy, Advanced energy systems and technologies (e.g. wind, solar energy), Fusion, Energy and environmental technology, Energy and the environment in transportation, Energy use in buildings, Energy in steel and metal production, Energy in paper and board production, District heating, Electricity distribution automation. In early 1995, the Technology Development Centre of Finland (Tekes) assumed responsibility for the funding, management and administration of the programmes. As the final year of activities began, Tekes commissioned Technopolis to assemble a team to conduct a major review of all eleven programmes over the course of 1998. The broad aim of the exercise was to review the experience of the eleven technology R and D programmes and to make suggestions for the future. In particular, the intention was to cover a number of distinct levels. Most important were the Programme and Portfolio levels. At the individual Programme level, the review was to comment on the relevance, calibre and impact of programmes, concentrating in particular on the following: Relevance - were programme and project level goals in line with Finnish interests and comparable agendas in other countries; Efficiency - how well were the programmes implemented and managed; Quality - how did the scientific and technological quality of the work

Limited use of surgeon's advice on exercise for knee osteoarthritis

DEFF Research Database (Denmark)

Ryaa, Sofie; Ingelsrud, Lina H; Skou, Søren T

2018-01-01

INTRODUCTION: The Good Life with osteoArthritis in Denmark (GLA:D) programme consists of patient education and supervised exercise therapy and adheres to clinical guidelines for knee osteoarthritis (OA). The purpose of this study was to present the treatment choice and clinical results of patients...

Development and implementation of a lifestyle intervention to promote physical activity and healthy diet in the Dutch general practice setting: the BeweegKuur programme

Directory of Open Access Journals (Sweden)

de Vries Nanne K

2010-05-01

Full Text Available Abstract Background The number of patients with diabetes is increasing. BeweegKuur (Dutch for 'Exercise Therapy' is a Dutch lifestyle intervention which aims to effectively and feasibly promote physical activity and better dietary behaviour in primary health care to prevent diabetes. Methods The goal of this paper is to present the development process and the contents of the intervention, using a model of systematic health promotion planning. The intervention consists of a 1-year programme for diabetic and prediabetic patients. Patients are referred by their general practitioner (GP to a lifestyle advisor (LSA, usually the practice nurse or a physiotherapist. Based on specific inclusion criteria and in close collaboration with the patient, an individual exercise programme is designed and supervised by the LSA. This programme can be attended at existing local exercise facilities or (temporarily under the supervision of a specialized exercise coach or physiotherapist. All participants are also referred to a dietician and receive diet-related group education. In the first pilot year (2008, the BeweegKuur programme was implemented in 7 regions in the Netherlands (19 GP practices and health centres, while 14 regions (41 GP practices and health centres participated during the second year. The aim is to implement BeweegKuur in all regions of the Netherlands by 2012. Discussion The BeweegKuur programme was systematically developed in an evidence- and practice-based process. Formative monitoring studies and (controlled effectiveness studies are needed to examine the diffusion process and the effectiveness and cost-effectiveness of the intervention.

β1 subunit stabilises sodium channel Nav1.7 against mechanical stress.

Science.gov (United States)

Körner, Jannis; Meents, Jannis; Machtens, Jan-Philipp; Lampert, Angelika

2018-06-01

The voltage-gated sodium channel Nav1.7 is a key player in neuronal excitability and pain signalling. In addition to voltage sensing, the channel is also modulated by mechanical stress. Using whole-cell patch-clamp experiments, we discovered that the sodium channel subunit β1 is able to prevent the impact of mechanical stress on Nav1.7. An intramolecular disulfide bond of β1 was identified to be essential for stabilisation of inactivation, but not activation, against mechanical stress using molecular dynamics simulations, homology modelling and site-directed mutagenesis. Our results highlight the role of segment 6 of domain IV in fast inactivation. We present a candidate mechanism for sodium channel stabilisation against mechanical stress, ensuring reliable channel functionality in living systems. Voltage-gated sodium channels are key players in neuronal excitability and pain signalling. Precise gating of these channels is crucial as even small functional alterations can lead to pathological phenotypes such as pain or heart failure. Mechanical stress has been shown to affect sodium channel activation and inactivation. This suggests that stabilising components are necessary to ensure precise channel gating in living organisms. Here, we show that mechanical shear stress affects voltage dependence of activation and fast inactivation of the Nav1.7 channel. Co-expression of the β1 subunit, however, protects both gating modes of Nav1.7 against mechanical shear stress. Using molecular dynamics simulation, homology modelling and site-directed mutagenesis, we identify an intramolecular disulfide bond of β1 (Cys21-Cys43) which is partially involved in this process: the β1-C43A mutant prevents mechanical modulation of voltage dependence of activation, but not of fast inactivation. Our data emphasise the unique role of segment 6 of domain IV for sodium channel fast inactivation and confirm previous reports that the intracellular process of fast inactivation can be

Process Evaluation of the Teacher Training for an AIDS Prevention Programme

Science.gov (United States)

Ahmed, Nazeema; Flisher, Alan J.; Mathews, Catherine; Jansen, Shahieda; Mukoma, Wanjiru; Schaalma, Herman

2006-01-01

This paper provides a process evaluation of a 6-day teacher training programme which forms part of a sexuality education project. The training aimed at providing teachers with the necessary knowledge and skills to effectively teach a 16-lesson Grade 8 (14 year olds) life skills curriculum consisting of participatory exercises on sexual…

The effect of exercise repetition on the frequency characteristics of motor output force: implications for Achilles tendinopathy rehabilitation.

Science.gov (United States)

Grigg, Nicole L; Wearing, Scott C; O'Toole, John M; Smeathers, James E

2014-01-01

To investigate the frequency characteristics of the ground reaction force (GRF) recorded throughout the eccentric Achilles tendon rehabilitation programme described by Alfredson. Controlled laboratory study, longitudinal. Nine healthy adult males performed six sets (15 repetitions per set) of eccentric ankle exercise. Ground reaction force was recorded throughout the exercise protocol. For each exercise repetition the frequency power spectrum of the resultant ground reaction force was calculated and normalised to total power. The magnitude of peak relative power within the 8-12 Hz bandwidth and the frequency at which this peak occurred was determined. The magnitude of peak relative power within the 8-12 Hz bandwidth increased with each successive exercise set and following the 4th set (60 repetitions) of exercise the frequency at which peak relative power occurred shifted from 9 to 10 Hz. The increase in magnitude and frequency of ground reaction force vibrations with an increasing number of exercise repetitions is likely connected to changes in muscle activation with fatigue and tendon conditioning. This research illustrates the potential for the number of exercise repetitions performed to influence the tendons' mechanical environment, with implications for tendon remodelling and the clinical efficacy of eccentric rehabilitation programmes for Achilles tendinopathy. Copyright © 2013 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

A 4-week, lifestyle-integrated, home-based exercise training programme elicits improvements in physical function and lean mass in older men and women: a pilot study [version 2; referees: 2 approved

Directory of Open Access Journals (Sweden)

Jessica Cegielski

2017-09-01

Full Text Available Background: Developing alternative exercise programmes that can alleviate certain barriers to exercise such as psychological, environmental or socio-economical barriers, but provide similar physiological benefits e.g. increases in muscle mass and strength, is of grave importance. This pilot study aimed to assess the efficacy of an unsupervised, 4-week, whole-body home-based exercise training (HBET programme, incorporated into daily living activities, on skeletal muscle mass, power and strength. Methods: Twelve healthy older volunteers (63±3 years, 7 men: 5 women, BMI: 29±1 kg/m² carried out the 4-week “lifestyle-integrated” HBET of 8 exercises, 3x12 repetitions each, every day. Before and after HBET, a number of physical function tests were carried out: unilateral leg extension 1-RM (one- repetition maximum, MVC (maximal voluntary contraction leg extension, lower leg muscle power (via Nottingham Power Rig, handgrip strength and SPPBT (short physical performance battery test. A D3-Creatine method was used for assessment of whole-body skeletal muscle mass, and ultrasound was used to measure the quadriceps cross-sectional area (CSA and vastus lateralis muscle thickness. Results: Four weeks HBET elicited significant (p<0.05 improvements in leg muscle power (276.7±38.5 vs. 323.4±43.4 W, maximal voluntary contraction (60°: 154.2±18.4 vs. 168.8±15.2 Nm, 90°: 152.1±10.5 vs. 159.1±11.4 Nm and quadriceps CSA (57.5±5.4 vs. 59.0±5.3 cm2, with a trend for an increase in leg strength (1-RM: 45.7±5.9 vs. 49.6±6.0 kg, P=0.08. This was despite there being no significant differences in whole-body skeletal muscle mass, as assessed via D3-Creatine. Conclusions: This study demonstrates that increases in multiple aspects of muscle function can be achieved in older adults with just 4-weeks of “lifestyle-integrated” HBET, with a cost-effective means. This training mode may prove to be a beneficial alternative for maintaining and/or improving

Physical exercise training for cystic fibrosis.

Science.gov (United States)

Radtke, Thomas; Nevitt, Sarah J; Hebestreit, Helge; Kriemler, Susi

2017-11-01

with cystic fibrosis aerobic or anaerobic physical exercise training (or a combination of both) has a positive effect on aerobic exercise capacity, pulmonary function and health-related quality of life. No study reported on mortality; two studies reported on adverse events (moderate-quality evidence); one of each study reported on pulmonary exacerbations (low-quality evidence) and diabetic control (very low-quality evidence). Although improvements were not consistent between studies and ranged from no effects to clearly positive effects, the most consistent effects of the heterogeneous exercise training modalities and durations were found for maximal aerobic exercise capacity (in four out of seven studies) with unclear effects on forced expiratory volume in one second (in two out of 11 studies) and health-related quality of life (in two out of seven studies). Evidence about the efficacy of physical exercise training in cystic fibrosis from 15 small studies with low to moderate methodological quality is limited. Exercise training is already part of regular outpatient care offered to most people with cystic fibrosis, and since there is some evidence for beneficial effects on aerobic fitness and no negative side effects exist, there is no reason to actively discourage this. The benefits from including physical exercise training in an individual's regular care may be influenced by the type and duration of the training programme. High-quality randomised controlled trials are needed to comprehensively assess the benefits of exercise programmes in people with cystic fibrosis and the relative benefits of the addition of aerobic versus anaerobic versus a combination of both types of physical exercise training to the care of people with cystic fibrosis.

Foresight and strategy in national research councils and research programmes

DEFF Research Database (Denmark)

Andersen, Per Dannemand; Borup, Mads

2009-01-01

This paper addresses the issue of foresight and strategy processes of national research councils and research programmes. It is based on a study of strategy processes in national research councils and programmes and the challenges faced by their strategy activities. We analysed the strategy...... processes of two organisations: the Danish Technical Research Council and the Danish Energy Research Programme. We analysed the mechanisms of the strategy processes and studied the actors involved. The actors’ understanding of strategy was also included in the analysis. Based on these analyses we argue...... that the impact of foresight exercises can be improved if we have a better understanding of the traditions and new challenges faced by the research councils. We also argue that a more formal use of foresight elements might improve the legitimacy and impact of the strategic considerations of research councils...

Analysis of designed experiments by stabilised PLS Regression and jack-knifing

DEFF Research Database (Denmark)

Martens, Harald; Høy, M.; Westad, F.

2001-01-01

Pragmatical, visually oriented methods for assessing and optimising bi-linear regression models are described, and applied to PLS Regression (PLSR) analysis of multi-response data from controlled experiments. The paper outlines some ways to stabilise the PLSR method to extend its range...... the reliability of the linear and bi-linear model parameter estimates. The paper illustrates how the obtained PLSR "significance" probabilities are similar to those from conventional factorial ANOVA, but the PLSR is shown to give important additional overview plots of the main relevant structures in the multi....... An Introduction, Wiley, Chichester, UK, 2001]....

Handbook for the planning, co-ordination and evaluation of emergency exercises in nuclear power plants

International Nuclear Information System (INIS)

Schmidtborn, I.; Bath, N.

1999-01-01

The efficiency of the on-site emergency organization in German nuclear power plants is tested regularly through emergency exercises. To achieve federal harmonization on a high level of quality a handbook for the planning, co-ordination and evaluation of such exercises has been developed in the frame of the regulatory investigation programme. In this handbook requirements are set out for emergency training. Key elements are a modular structure, rules to be observed and guidance for post-exercise evaluation. (orig.) [de

The PISC programme on defective steam generator tubes inspection summary report

International Nuclear Information System (INIS)

Birac, C.; Comby, R.; Maciga, G.; Zanella, G.; Perez Prat, J.; Estorff, U. von

1995-01-01

The PISC III Actions are intended to extend the results and methodologies of the previous PISC exercises, i.e. the validation of the capabilities of the various examination techniques when used on real defects in real components under realistic conditions of inspection. The objective of this action is relatively close to that of the heavy structures programmes: the experimental evaluation of the performance of test procedures used for steam generator tubes in nuclear power plants during in-service or pre-service inspections. The exercise is a capability exercise consisting of Round Robin Tests on individual tubes including calibration, training and blind test tubes. In this paper the main conclusions from the RRT conducted in the framework of Action 5 will be presented and discussed. (author). 7 refs, 4 figs, 2 tabs

Chronobiological considerations for exercise and heart disease.

Science.gov (United States)

Atkinson, Greg; Drust, Barry; George, Keith; Reilly, Thomas; Waterhouse, Jim

2006-01-01

Although regular physical activity is beneficial for many clinical conditions, an acute bout of exercise might increase the risk of an adverse clinical event, such as sudden cardiac death or myocardial infarction, particularly in vulnerable individuals. Since it is also known that the incidence of these events peaks in the morning and that some cardiac patients prefer to schedule leisure-time physical activity before lunch, the question arises as to whether morning exercise is 'inherently' more risky than physical activity performed at other times of day. We attempt to answer this question by reviewing the relevant epidemiological data as well as the results of chronobiological and exercise-related studies that have concentrated on the pathophysiological mechanisms for sudden cardiac events. We also consider generally how chronobiology might impact on exercise prescription in heart disease. We performed a structured literature search in the PubMed and WEBofSCIENCE databases for relevant studies published between 1981 and 2004. The limited amount of published epidemiological data did not allow us to conclude that a bout of vigorous exercise in the morning increases the relative risk of either primary cardiac events in apparently healthy individuals, or secondary events in cardiac patients enrolled in supervised exercise programmes. Nevertheless, these data are not directly relevant to individuals who have a history of heart disease and perform uncontrolled habitual activities. It appears as though the influence of time of day on the cardiovascular safety of this type of exercise has not been examined in this population. There is evidence that several pathophysiological variables (e.g. blood pressure, endothelial function, fibrinolysis) vary in parallel with typical diurnal changes in freely chosen activity. Nevertheless, few studies have been designed to examine specifically whether such variables respond differently to a 'set' level of exercise in the morning

Outdoor physical activity for older people-the senior exercise park: Current research, challenges and future directions.

Science.gov (United States)

Levinger, Pazit; Sales, Myrla; Polman, Remco; Haines, Terry; Dow, Briony; Biddle, Stuart J H; Duque, Gustavo; Hill, Keith D

2018-03-14

Exercising outdoors provide beneficial effect on mental and physical health for all ages. However, few older people exercise outdoors other than walking. While outdoor gyms have become increasingly common in Australia, limited outdoor exercise equipment specifically designed for older people is available in public spaces. We have set up and evaluated a unique purpose-built outdoor exercise park for older people in the community setting and demonstrated positive physical and well-being outcomes associated with the provision of this unique exercise mode and social programme. This study is a reflective narrative describing this innovative exercise approach and reports challenges associated with establishment of the exercise park, conducting the randomised trial, strategies adopted to address these challenges and recommendations for future implementation of this approach in the community. Many challenges were encountered, including securing appropriate land to locate the exercise park, control of environmental factors for safety (non-slippery ground and equipment) as well as logistics in running the exercise programme itself. Several adjustments in the equipment were also required to ensure safe use by older people. The inclusion of outdoor equipment for older people in public spaces or urban parks is important and careful consideration needs to be taken by local/public authorities to provide access, amenities and safety for all as well as activities to suit all ages. SO WHAT?: Seniors' exercise parks can be installed in public places and may provide an enjoyable and effective approach to engage older individuals in a more active and healthier lifestyle. © 2018 The Authors. Health Promotion Journal of Australia published by John Wiley & Sons Australia, Ltd on behalf of Australian Health Promotion Association.

A randomized controlled trial of aquatic and land-based exercise in patients with knee osteoarthritis

DEFF Research Database (Denmark)

Lund, H.; Weile, U.; Christensen, R.

2008-01-01

patients reported adverse events (i.e. discomfort) in land-based exercise, while only 3 reported adverse events in the aquatic exercise. Conclusion: Only land-based exercise showed some improvement in pain and muscle strength compared with the control group, while no clinical benefits were detectable after......Objective: To compare the efficacy of aquatic exercise and a land-based exercise programme vs control in patients with knee osteoarthritis. Methods: Primary outcome was change in pain, and in addition Knee Injury and Osteoarthritis Outcome Score questionnaire (KOOS). Standing balance and strength...... was also measured after and at 3-month follow-up. Seventy-nine patients (62 women), with a mean age of 68 years (age range 40-89 years) were randomized to aquatic exercise (n = 27), land-based exercise (n = 25) or control (n = 27). Results: No effect was observed immediately after exercise cessation (8...

Therapeutic validity and effectiveness of preoperative exercise on functional recovery after joint replacement: a systematic review and meta-analysis.

NARCIS (Netherlands)

Hoogeboom, T.J.; Oosting, E.; Vriezekolk, J.E.; Veenhof, C.; Siemonsma, P.C.; Bie, R.A. de; Ende, C.H.M. van den; Meeteren, N.L.U. van

2012-01-01

Background: Our aim was to develop a rating scale to assess the therapeutic validity of therapeutic exercise programmes. By use of this rating scale we investigated the therapeutic validity of therapeutic exercise in patients awaiting primary total joint replacement (TJR). Finally, we studied the

Do clinicians prescribe exercise similarly in patients with different cardiovascular diseases? Findings from the EAPC EXPERT working group survey

NARCIS (Netherlands)

Hansen, Dominique; Rovelo Ruiz, Gustavo; Doherty, Patrick; Iliou, Marie-Christine; Vromen, Tom; Hinton, Sally; Frederix, Ines; Wilhelm, Matthias; Schmid, Jean-Paul; Abreu, Ana; Ambrosetti, Marco; Garcia-Porrero, Esteban; Coninx, Karin; Dendale, Paul

2018-01-01

peak), frequency (median (IQR): 4 (2) days/week), session duration (median (IQR): 45 (18) min/session), programme duration (median (IQR): 12 (18) weeks), total exercise volume (median (IQR): 1215 (1961) peak-effort training hours) and prescription of strength training exercises (prescribed in 78% of

Canadian programme overview

International Nuclear Information System (INIS)

Fluke, R.J.

1997-01-01

In a severe accident, hydrogen is released into containment. When it is well mixed, the hydrogen mixture is nonflammable because there is sufficient dilution by the large containment volume. This is the desired end point. However, the release may occur into smaller compartments of containment, stratification may occur, and local pockets of flammable mixtures may arise if hydrogen is released faster than processes that mix and disperse it. Long term hydrogen generation from water radiolysis must also be considered. Hydrogen mitigation and control strategies adopted or considered in Canada include fanforced mixing, glow plug igniters, recombiners, venting through filters, or combinations of these. The Canadian hydrogen programme is focussed on understanding hydrogen combustion behaviour and providing the data needed to demonstrate the adequacy of hydrogen mitigation and control strategies. The programme includes both experimental and modelling components of hydrogen combustion and distribution. Experiments include mixing tests, deflagration tests, diffusion flames, transition from deflagration to detonation, and testing the performance of igniters and recombiners. Modelling is focussing on the GOTHIC code as an industry standard. Detailed three dimensional modelling of gas mixing and combustion are underway, and a code validation matrix is being assembled for validation exercises. Significant progress has been made, highlights from which are being presented at this workshop. (author)

Domestic round robin exercise on analysis of uranium for nuclear material handling facilities in Japan

International Nuclear Information System (INIS)

Kato, Yoshiyasu; Nagai, Kohta; Handa, Takamitsu; Inoue, Shin-ichi; Sato, Yoshihiro

2016-01-01

Interlaboratory comparison programme as well as internal quality control system is an effective tool for an analytical laboratory responsible to nuclear material accountancy of a nuclear facility to maintain and enhance its capability for analysis. However, it is a burden on nuclear material handling facilities in Japan to attend interlaboratory comparison programme run by overseas institutions because of high costs and complicated procedure for importing nuclear materials, and therefore facilities which can participate in such international programme would be limited. Nuclear Material Control Center has hence started and organised an annual domestic round robin exercise on analysis of uranium standard materials, funded by the Japan Safeguards Office of the Nuclear Regulation Authority, since 2008 to enhance analytical capability of Japanese Facilities. The outline of the round robin exercise will be given and the results of uranium isotopic and concentration analysis reported by participant facilities from 2008 to 2015 will be summarised in the presentation. (author)

Immobilised native plant cysteine proteases: packed-bed reactor for white wine protein stabilisation.

Science.gov (United States)

Benucci, Ilaria; Lombardelli, Claudio; Liburdi, Katia; Acciaro, Giuseppe; Zappino, Matteo; Esti, Marco

2016-02-01

This research presents a feasibility study of using a continuous packed-bed reactor (PBR), containing immobilised native plant cysteine proteases, as a specific and mild alternative technique relative to the usual bentonite fining for white wine protein stabilisation. The operational parameters for a PBR containing immobilised bromelain (PBR-br) or immobilised papain (PBR-pa) were optimised using model wine fortified with synthetic substrate (Bz-Phe-Val-Arg-pNA). The effectiveness of PBR-br, both in terms of hazing potential and total protein decrease, was significantly higher than PBR-pa, in all the seven unfined, white wines used. Among the wines tested, Sauvignon Blanc, given its total protein content as well as its very high intrinsic instability, was selected as a control wine to evaluate the effect of the treatment on wine as to its soluble protein profile, phenolic composition, mineral component, and sensory properties. The treatment in a PBR containing immobilised bromelain appeared effective in decreasing both wine hazing potential and total protein amount, while it did not significantly affect the phenol compounds, the mineral component nor the sensory quality of wine. The enzymatic treatment in PBR was shown to be a specific and mild technique for use as an alternative to bentonite fining for white wine protein stabilisation.

Carbon nanoparticle stabilised liquid|liquid micro-interfaces for electrochemically driven ion-transfer processes

International Nuclear Information System (INIS)

MacDonald, Stuart M.; Fletcher, Paul D.I.; Cui Zhenggang; Opallo, Marcin; Chen Jingyuan; Marken, Frank

2007-01-01

Stabilised liquid|liquid interfaces between an organic 4-(3-phenylpropyl)-pyridine (PPP) phase and an aqueous electrolyte phase are obtained in the presence of suitable nanoparticles. The use of nanoparticulate stabilisers (ca. 30 nm diameter laponite or 9-18 nm diameter carbon) in 'Pickering' emulsion systems allows stable organic microdroplets to be formed and these are readily deposited onto conventional tin-doped indium oxide (ITO) electrodes. In contrast to the electrically insulating laponite nanoparticles, conducting carbon nanoparticles are shown to effectively catalyse the simultaneous electron transfer and ion transfer process at triple phase boundary junctions. Anion transfer processes between the aqueous and organic phase are driven electrochemically at the extensive triple phase junction carbon nanoparticle|4-(3-phenylpropyl)-pyridine|aqueous electrolyte. The organic phase consists of a redox active reagent 5,10,15,20-tetraphenyl-21H,23H-porphinato manganese(III) (MnTPP + ), 5,10,15,20-tetraphenyl-21H,23H-porphinato iron(III) (FeTPP + ), or proto-porphyrinato-IX iron(III) (hemin) dissolved in 4-(3-phenylpropyl)-pyridine (PPP). The composition of the aqueous electrolyte phase determines the reversible potential for the Nernstian anion transfer process. The methodology is shown to be versatile and, in future, could be applied more generally in liquid|liquid electroanalysis

Voltage-stabilised elastomers with increased relative permittivity and high electrical breakdown strength by means of phase separating binary copolymer blends of silicone elastomers

DEFF Research Database (Denmark)

A Razak, Aliff Hisyam; Yu, Liyun; Skov, Anne Ladegaard

2017-01-01

Increased electrical breakdown strength and increased dielectric permittivity of silicone-based dielectric elastomers are achieved by means of the addition of so-called voltage-stabilisers prepared from PDMS–PPMS copolymers as well as PDMS–PEG copolymers in order to compensate for the negative...... effect of softness on electrical stability of silicone elastomers. The voltage-stabilised elastomer, incorporating a high-permittivity PDMS–PEG copolymer, possesses increased relative permittivity, high electrical breakdown strength, excellent network integrity and low dielectric loss and paves the way...

Exercise therapy, manual therapy, or both, for osteoarthritis of the hip or knee: a factorial randomised controlled trial protocol

Directory of Open Access Journals (Sweden)

Baxter G David

2009-02-01

Full Text Available Abstract Background Non-pharmacological, non-surgical interventions are recommended as the first line of treatment for osteoarthritis (OA of the hip and knee. There is evidence that exercise therapy is effective for reducing pain and improving function in patients with knee OA, some evidence that exercise therapy is effective for hip OA, and early indications that manual therapy may be efficacious for hip and knee OA. There is little evidence as to which approach is more effective, if benefits endure, or if providing these therapies is cost-effective for the management of this disorder. The MOA Trial (Management of OsteoArthritis aims to test the effectiveness of two physiotherapy interventions for improving disability and pain in adults with hip or knee OA in New Zealand. Specifically, our primary objectives are to investigate whether: 1. Exercise therapy versus no exercise therapy improves disability at 12 months; 2. Manual physiotherapy versus no manual therapy improves disability at 12 months; 3. Providing physiotherapy programmes in addition to usual care is more cost-effective than usual care alone in the management of osteoarthritis at 24 months. Methods This is a 2 × 2 factorial randomised controlled trial. We plan to recruit 224 participants with hip or knee OA. Eligible participants will be randomly allocated to receive either: (a a supervised multi-modal exercise therapy programme; (b an individualised manual therapy programme; (c both exercise therapy and manual therapy; or, (d no trial physiotherapy. All participants will continue to receive usual medical care. The outcome assessors, orthopaedic surgeons, general medical practitioners, and statistician will be blind to group allocation until the statistical analysis is completed. The trial is funded by Health Research Council of New Zealand Project Grants (Project numbers 07/199, 07/200. Discussion The MOA Trial will be the first to investigate the effectiveness and cost

Stabilised frequency of extreme positive Indian Ocean Dipole under 1.5 °C warming.

Science.gov (United States)

Cai, Wenju; Wang, Guojian; Gan, Bolan; Wu, Lixin; Santoso, Agus; Lin, Xiaopei; Chen, Zhaohui; Jia, Fan; Yamagata, Toshio

2018-04-12

Extreme positive Indian Ocean Dipole (pIOD) affects weather, agriculture, ecosystems, and public health worldwide, particularly when exacerbated by an extreme El Niño. The Paris Agreement aims to limit warming below 2 °C and ideally below 1.5 °C in global mean temperature (GMT), but how extreme pIOD will respond to this target is unclear. Here we show that the frequency increases linearly as the warming proceeds, and doubles at 1.5 °C warming from the pre-industrial level (statistically significant above the 90% confidence level), underscored by a strong intermodel agreement with 11 out of 13 models producing an increase. However, in sharp contrast to a continuous increase in extreme El Niño frequency long after GMT stabilisation, the extreme pIOD frequency peaks as the GMT stabilises. The contrasting response corresponds to a 50% reduction in frequency of an extreme El Niño preceded by an extreme pIOD from that projected under a business-as-usual scenario.

Do clinicians prescribe exercise similarly in patients with different cardiovascular diseases? Findings from the EAPC EXPERT working group survey.

Science.gov (United States)

Hansen, Dominique; Rovelo Ruiz, Gustavo; Doherty, Patrick; Iliou, Marie-Christine; Vromen, Tom; Hinton, Sally; Frederix, Ines; Wilhelm, Matthias; Schmid, Jean-Paul; Abreu, Ana; Ambrosetti, Marco; Garcia-Porrero, Esteban; Coninx, Karin; Dendale, Paul

2018-05-01

Background Although disease-specific exercise guidelines for cardiovascular disease (CVD) are widely available, it remains uncertain whether these different exercise guidelines are integrated properly for patients with different CVDs. The aim of this study was to assess the inter-clinician variance in exercise prescription for patients with various CVDs and to compare these prescriptions with recommendations from the EXercise Prescription in Everyday practice and Rehabilitative Training (EXPERT) tool, a digital decision support system for integrated state-of-the-art exercise prescription in CVD. Design The study was a prospective observational survey. Methods Fifty-three CV rehabilitation clinicians from nine European countries were asked to prescribe exercise intensity (based on percentage of peak heart rate (HR peak )), frequency, session duration, programme duration and exercise type (endurance or strength training) for the same five patients. Exercise prescriptions were compared between clinicians, and relationships with clinician characteristics were studied. In addition, these exercise prescriptions were compared with recommendations from the EXPERT tool. Results A large inter-clinician variance was found for prescribed exercise intensity (median (interquartile range (IQR)): 83 (13) % of HR peak ), frequency (median (IQR): 4 (2) days/week), session duration (median (IQR): 45 (18) min/session), programme duration (median (IQR): 12 (18) weeks), total exercise volume (median (IQR): 1215 (1961) peak-effort training hours) and prescription of strength training exercises (prescribed in 78% of all cases). Moreover, clinicians' exercise prescriptions were significantly different from those of the EXPERT tool ( p < 0.001). Conclusions This study reveals significant inter-clinician variance in exercise prescription for patients with different CVDs and disagreement with an integrated state-of-the-art system for exercise prescription, justifying the need for

Long-term outcomes from Healthy Eating and Exercise Lifestyle Program for overweight people with heart disease and diabetes.

Science.gov (United States)

Alharbi, Muaddi; Gallagher, Robyn; Kirkness, Ann; Sibbritt, David; Tofler, Geoffrey

2016-02-01

The benefits of exercise and weight reduction for overweight or obese people with coronary heart disease and/or diabetes mellitus are well recognised. The Healthy Eating and Exercise Lifestyle Program demonstrated these outcomes at 4 months, but longer-term outcomes are not yet reported. To determine whether positive weight, body mass index, waist and exercise duration outcomes were sustained in the long term (12 months) and to identify the independent predictors of these outcomes at 4 and 12 months. Longitudinal design, combining data of all Healthy Eating and Exercise Lifestyle Program participants (intervention and wait-list control, n = 134). Participants had a body mass index between 27 and 39 kg/m(2) and had completed cardiac rehabilitation and/or diabetes education programmes. Healthy Eating and Exercise Lifestyle Program intervention included an active phase of two 1-hour group-based supervised structured exercise sessions every week for 4 months and four 90-minute group information and support sessions. The maintenance phase included one 90-minute group-based booster information session and three 15-minute goal-focused telephone follow-up calls over 8 months. Participants had statistically significant reductions from baseline in weight, body mass index and waist circumference and improvements in exercise duration and capacity at 4 and 12 months. Time, self-efficacy, depressive symptoms and male gender were independent predictors for body mass index, waist and/or exercise duration (p Healthy Eating and Exercise Lifestyle Program was an effective programme to achieve and sustain weight loss and increase exercise participation over 1 year. © The European Society of Cardiology 2014.

Immobilised native plant cysteine proteases: packed-bed reactor for white wine protein stabilisation

OpenAIRE

Benucci, Ilaria; Lombardelli, Claudio; Liburdi, Katia; Acciaro, Giuseppe; Zappino, Matteo; Esti, Marco

2015-01-01

This research presents a feasibility study of using a continuous packed-bed reactor (PBR), containing immobilised native plant cysteine proteases, as a specific and mild alternative technique relative to the usual bentonite fining for white wine protein stabilisation. The operational parameters for a PBR containing immobilised bromelain (PBR-br) or immobilised papain (PBR-pa) were optimised using model wine fortified with synthetic substrate (Bz-Phe-Val-Arg-pNA). The effectiveness of PBR-br, ...

CFD predictions of wake-stabilised jet flames in a cross-flow

International Nuclear Information System (INIS)

Lawal, Mohammed S.; Fairweather, Michael; Gogolek, Peter; Ingham, Derek B.; Ma, Lin; Pourkashanian, Mohamed; Williams, Alan

2013-01-01

This study describes an investigation into predicting the major flow properties in wake-stabilised jet flames in a cross flow of air using first- and second-order turbulence models, applied within a RANS (Reynolds-averaged Navier–Stokes) modelling framework. Standard and RNG (re-normalisation group) versions of the k-ε turbulence model were employed at the first-order level and the results compared with a second-moment closure, or RSM (Reynolds stress model). The combustion process was modelled using the laminar flamelet approach together with a thermal radiation model using the discrete ordinate method. The ability of the various turbulence models to reproduce experimentally established flame appearance, profiles of velocity and turbulence intensity, as well as the combustion efficiency of such flames is reported. The results show that all the turbulence models predict similar velocity profiles over the majority of the flow domain considered, except in the wake region, where the predictions of the RSM and RNG k-ε models are in closer agreement with experimental data. In contrast, the standard k-ε model over-predicts the peak turbulence intensity. Also, it is found that the RSM provides superior predictions of the planar recirculation and flame zones attached to the release pipe in the wake region. - Highlights: ► We investigated the prediction of the major properties in wake-stabilised methane jet flames in a cross flow. ► The ability of the various turbulence models to reproduce experimentally established flame parameters is reported. ► All the turbulence models considered predict similar velocity profiles, except in the wake region

The Nordic programme for nuclear safety 1990-1993

International Nuclear Information System (INIS)

1992-08-01

The status report for the first half of the year 1992 of the Nordic programme for nuclear safety 1990-1993 contains summaries of the progress of the projects under the four sections of the programme. These sections are divided under the main headings of dealing with readiness in abnormal radiation situations, nuclear wastes and deposition, radioecology and reactor safety. The projects included in the first part concern radiation-spreading prognoses and consequences for the area, strategies and methods for measuring and management of exchange of data between decision-makers, evaluation and harmonizing of remedial measures, public information, Nordic exercises in readiness and the determination of radioactive contamination in the area. Projects under the second section concern exemptions from regulatory control of radioactive material, experiences of demolition of uranium cleaning systems, storing of information, handling of radioactive wastes from reactor accidents, transport etc., and geological and climatological processes of significance for long-term safety in a final storage system. The third section of the programme handles training and quality assurance methods, aquatic radioecology, agricultural and natural ecosystems. The fourth section treats data on the safety status of Greifswald I-IV, Leningrad I-IV, Ignalia I-II, ship reactors, Brunsbuettel, Kruemmel and Kola I-IV. The programme's total budget is presented. (AB)

Combination of a structured aerobic and resistance exercise improves glycaemic control in pregnant women diagnosed with gestational diabetes mellitus. A randomised controlled trial.

Science.gov (United States)

Sklempe Kokic, Iva; Ivanisevic, Marina; Biolo, Gianni; Simunic, Bostjan; Kokic, Tomislav; Pisot, Rado

2017-10-18

Gestational diabetes mellitus, defined as any carbohydrate intolerance first diagnosed during pregnancy, is associated with a variety of adverse outcomes, both for the mother and her child. To investigate the impact of a structured exercise programme which consisted of aerobic and resistance exercises on the parameters of glycaemic control and other health-related outcomes in pregnant women diagnosed with gestational diabetes mellitus. Thirty-eight pregnant women diagnosed with gestational diabetes mellitus were randomised to two groups. Experimental group was treated with standard antenatal care for gestational diabetes mellitus, and regular supervised exercise programme plus daily brisk walks of at least 30min. Control group received only standard antenatal care for gestational diabetes mellitus. The exercise programme was started from the time of diagnosis of diabetes until birth. It was performed two times per week and sessions lasted 50-55min. The experimental group had lower postprandial glucose levels at the end of pregnancy (P<0.001). There was no significant difference between groups in the level of fasting glucose at the end of pregnancy. Also, there were no significant differences in the rate of complications during pregnancy and birth, need for pharmacological therapy, maternal body mass and body fat percentage gains during pregnancy, and neonatal Apgar scores, body mass and ponderal index. Neonatal body mass index was higher in the experimental group (P=0.035). The structured exercise programme had a beneficial effect on postprandial glucose levels at the end of pregnancy. Copyright © 2017 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

Suspensions on the basis of stabilised zirconium oxide for three-dimensional printing

Science.gov (United States)

Sokolov, P. S.; Komissarenko, D. A.; Shmeleva, I. A.; Slyusar, I. V.; Dosovitskiy, G. A.; Evdokimov, P. V.; Putlyaev, V. I.; Dosovitskiy, A. E.

2018-04-01

Present work considers the first results on rheological and photo-curing behaviour of suspension consisting of nanocrystalline stabilised zirconium dioxide powders (19 - 27 vol. %) and a liquid UV-photosensitive organic monomer. At ambient temperature compositions showed a viscosity of 2.5 and 0.8 Pa×s at 10 and 100 s-1 shear rates, respectively. Printability of these compositions was subsequently investigated by using an stereolithography machine Ember (Autodesk). 3D objects were later sintered in a separate furnace into dense translucent ZrO2 ceramics.

Tai Chi Chuan: an ancient wisdom on exercise and health promotion.

Science.gov (United States)

Lan, Ching; Lai, Jin-Shin; Chen, Ssu-Yuan

2002-01-01

Tai Chi Chuan (TCC) is a Chinese conditioning exercise and is well known for its slow and graceful movements. Recent investigations have found that TCC is beneficial to cardiorespiratory function, strength, balance, flexibility, microcirculation and psychological profile. The long-term practice of TCC can attenuate the age decline in physical function, and consequently it is a suitable exercise for the middle-aged and elderly individuals. TCC can be prescribed as an alternative exercise programme for selected patients with cardiovascular, orthopaedic, or neurological diseases, and can reduce the risk of falls in elderly individuals. The exercise intensity of TCC depends on training style, posture and duration. Participants can choose to perform a complete set of TCC or selected movements according to their needs. In conclusion, TCC has potential benefits in health promotion, and is appropriate for implementation in the community.

Status of cold chain in routine immunisation centres of the Expanded Programme on Immunisation in Quetta, Pakistan.

Science.gov (United States)

Buledi, Rahim; Butt, Zahid Ahmad; Ahmed, Jamil; Alizai, Aamir Akram

2017-05-01

To determine the status of cold chain and knowledge and practices of health workers about cold chain maintenance in routine immunisation health centres. This cross-sectional study was conducted in Quetta, Pakistan, from May to July 2012, and comprised health facilities in the district. We interviewed the staff responsible for vaccine storage and cold chain maintenance and used a checklist to assess cold chain maintenance of routine expanded programme on immunisation vaccines. SPSS 16 was used for data analysis.. Of the 42 health facilities, staff of 13(30%) wrongly indicated that measles and Bacillus Calmette-Guérin were cold sensitive vaccines. Temperature of the ice-lined refrigerators was not maintained twice daily in 18(43%) centres. There were no voltage stabilisers and standby power generators in 31(74%) and 38(90%) centres, respectively. Vaccine arrangement was found to be inappropriate in ice-lined refrigerators of 38(90%) centres and ice packs were incorrectly used in carriers in 22(52%) centres. Vaccine stock was not charted in 39(93%) centres. Moreover, 4(10%) facilities did not have dedicated expanded programme on immunisation rooms whereas about 5(12%) and 33(79%) had no vaccinator and separate expanded programme on immunisation incharge appointed. Also, 32(76%) centres did not have a female vaccinator appointed. Although the majority of health staff had adequate knowledge, there were weaknesses in practice of maintaining the cold chain.

Women's attitudes towards a pre-conception healthy lifestyle programme.

Science.gov (United States)

Funk, K L; LeBlanc, E S; Vesco, K K; Stevens, V J

2015-04-01

Nearly half of US women begin pregnancy overweight or obese and more than half of overweight or obese pregnant women experience excessive gestational weight gain. Recent lifestyle intervention programmes have helped women avoid excessive weight gain during pregnancy, but helping women lose weight before pregnancy may be a more effective way to improve pregnancy outcomes. This study assessed women's attitudes towards pre-conception diet and weight management interventions. An anonymous survey was conducted in patients waiting in a health maintenance organization's obstetrics and primary care waiting rooms. It focused on attitudes towards participating in a pre-conception, lifestyle change programme. Eighty percent of the 126 women surveyed were pregnant or considering pregnancy within 5 years. Of the 126 respondents, 60 (48%) were overweight or obese. Of these, 96% rated healthy diet and healthy weight before pregnancy as very important or important and 77% favoured a healthy lifestyle programme (diet, weight management and physical activity) before becoming pregnant. Likewise, overweight or obese women reported being likely or highly likely to participate in specific intervention programme aspects such as keeping phone appointments (77%), using a programme website (70%) and keeping food and exercise records (63%). Survey results show that women in this population believe that adopting a healthy lifestyle and losing weight are important before pregnancy and that they are enthusiastic about programmes that will help them achieve those goals in preparation for pregnancy. © 2015 World Obesity.

Efficacy of a multi-component exercise programme and nutritional supplementation on musculoskeletal health in men treated with androgen deprivation therapy for prostate cancer (IMPACT): study protocol of a randomised controlled trial.

Science.gov (United States)

Owen, Patrick J; Daly, Robin M; Livingston, Patricia M; Mundell, Niamh L; Dalla Via, Jack; Millar, Jeremy L; Fraser, Steve F

2017-10-03

Prostate cancer is the most commonly diagnosed cancer in men in developed countries. Androgen deprivation therapy (ADT) is a systemic treatment shown to increase survival in selected patients with prostate cancer. The use of ADT continues to increase for all stages and grades of prostate cancer despite known treatment-induced adverse effects. The primary aim of this study is to examine the efficacy of a targeted, multi-component resistance and impact-loading exercise programme together with a daily protein-, calcium- and vitamin D-enriched supplement on bone health in men treated with ADT for prostate cancer. Secondary aims are to determine the effects of this intervention on measures of total body and regional body composition, cardiometabolic risk, inflammatory markers, health-related quality of life and cognitive function. This study is a two-arm randomised controlled trial. Men currently treated with ADT for prostate cancer will be randomised to either a 52-week, community-based, exercise training and nutritional supplementation intervention (n = 51) or usual care control (n = 51). Participants will be assessed at baseline, 26 weeks and 52 weeks for all measures. The primary outcome measures are proximal femur and lumbar spine areal bone mineral density (BMD). Secondary outcomes comprise: changes in tibial and radial bone structure and strength, total body and regional body composition, muscle strength and function, as well as cardiometabolic health, catabolic/inflammatory and anabolic/anti-inflammatory cytokines, health-related quality of life and cognitive function. This study investigates whether a multi-component intervention incorporating a targeted bone and muscle-loading programme in combination with a protein-, calcium- and vitamin D-enriched supplement can ameliorate multiple adverse effects of ADT when compared to usual care. The results will contribute to the development of exercise training and nutrition guidelines for optimising overall

Concurrent aerobic plus resistance exercise versus aerobic exercise alone to improve health outcomes in paediatric obesity: a systematic review and meta-analysis.

Science.gov (United States)

García-Hermoso, Antonio; Ramírez-Vélez, Robinson; Ramírez-Campillo, Rodrigo; Peterson, Mark D; Martínez-Vizcaíno, Vicente

2018-02-01

To determine if the combination of aerobic and resistance exercise is superior to aerobic exercise alone for the health of obese children and adolescents. Systematic review with meta-analysis. Computerised search of 3 databases (MEDLINE, EMBASE, and Cochrane Controlled Trials Registry). Studies that compared the effect of supervised concurrent exercise versus aerobic exercise interventions, with anthropometric and metabolic outcomes in paediatric obesity (6-18 years old). The mean differences (MD) of the parameters from preintervention to postintervention between groups were pooled using a random-effects model. 12 trials with 555 youths were included in the meta-analysis. Compared with aerobic exercise alone, concurrent exercise resulted in greater reductions in body mass (MD=-2.28 kg), fat mass (MD=-3.49%; and MD=-4.34 kg) and low-density lipoprotein cholesterol (MD=-10.20 mg/dL); as well as greater increases in lean body mass (MD=2.20 kg) and adiponectin level (MD=2.59 μg/mL). Differences were larger for longer term programmes (>24 weeks). Concurrent aerobic plus resistance exercise improves body composition, metabolic profiles, and inflammatory state in the obese paediatric population. CRD42016039807. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.