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Showing papers by "Suffolk University published in 2017"


Journal ArticleDOI
TL;DR: Flash glucose-sensing technology use in type 2 diabetes with intensive insulin therapy results in no difference in HbA1c change and reduced hypoglycemia, thus offering a safe, effective replacement for SMBG.
Abstract: Glycemic control in participants with insulin-treated diabetes remains challenging. We assessed safety and efficacy of new flash glucose-sensing technology to replace self-monitoring of blood glucose (SMBG). This open-label randomized controlled study (ClinicalTrials.gov, NCT02082184) enrolled adults with type 2 diabetes on intensive insulin therapy from 26 European diabetes centers. Following 2 weeks of blinded sensor wear, 2:1 (intervention/control) randomization (centrally, using biased-coin minimization dependant on study center and insulin administration) was to control (SMBG) or intervention (glucose-sensing technology). Participants and investigators were not masked to group allocation. Primary outcome was difference in HbA1c at 6 months in the full analysis set. Prespecified secondary outcomes included time in hypoglycemia, effect of age, and patient satisfaction. Participants (n = 224) were randomized (149 intervention, 75 controls). At 6 months, there was no difference in the change in HbA1c between intervention and controls: −3.1 ± 0.75 mmol/mol, [−0.29 ± 0.07% (mean ± SE)] and −3.4 ± 1.04 mmol/mol (−0.31 ± 0.09%) respectively; p = 0.8222. A difference was detected in participants aged <65 years [−5.7 ± 0.96 mmol/mol (−0.53 ± 0.09%) and −2.2 ± 1.31 mmol/mol (−0.20 ± 0.12%), respectively; p = 0.0301]. Time in hypoglycemia <3.9 mmol/L (70 mg/dL) reduced by 0.47 ± 0.13 h/day [mean ± SE (p = 0.0006)], and <3.1 mmol/L (55 mg/dL) reduced by 0.22 ± 0.07 h/day (p = 0.0014) for intervention participants compared with controls; reductions of 43% and 53%, respectively. SMBG frequency, similar at baseline, decreased in intervention participants from 3.8 ± 1.4 tests/day (mean ± SD) to 0.3 ± 0.7, remaining unchanged in controls. Treatment satisfaction was higher in intervention compared with controls (DTSQ 13.1 ± 0.50 (mean ± SE) and 9.0 ± 0.72, respectively; p < 0.0001). No serious adverse events or severe hypoglycemic events were reported related to sensor data use. Forty-two serious events [16 (10.7%) intervention participants, 12 (16.0%) controls] were not device-related. Six intervention participants reported nine adverse events for sensor-wear reactions (two severe, six moderate, one mild). Flash glucose-sensing technology use in type 2 diabetes with intensive insulin therapy results in no difference in HbA1c change and reduced hypoglycemia, thus offering a safe, effective replacement for SMBG. ClinicalTrials.gov identifier: NCT02082184. Abbott Diabetes Care.

411 citations


Journal ArticleDOI
TL;DR: A systematic review of the literature identified 12 definitions and 21 models that have been specifically developed for children and young people, with a critical number of definitions and models lacking for children under the age of ten or within a primary school context.
Abstract: Children and young people constitute a core target group for health literacy research and practice: during childhood and youth, fundamental cognitive, physical and emotional development processes take place and health-related behaviours and skills develop. However, there is limited knowledge and academic consensus regarding the abilities and knowledge a child or young person should possess for making sound health decisions. The research presented in this review addresses this gap by providing an overview and synthesis of current understandings of health literacy in childhood and youth. Furthermore, the authors aim to understand to what extent available models capture the unique needs and characteristics of children and young people. Six databases were systematically searched with relevant search terms in English and German. Of the n = 1492 publications identified, N = 1021 entered the abstract screening and N = 340 full-texts were screened for eligibility. A total of 30 articles, which defined or conceptualized generic health literacy for a target population of 18 years or younger, were selected for a four-step inductive content analysis. The systematic review of the literature identified 12 definitions and 21 models that have been specifically developed for children and young people. In the literature, health literacy in children and young people is described as comprising variable sets of key dimensions, each appearing as a cluster of related abilities, skills, commitments, and knowledge that enable a person to approach health information competently and effectively and to derive at health-promoting decisions and actions. Identified definitions and models are very heterogeneous, depicting health literacy as multidimensional, complex construct. Moreover, health literacy is conceptualized as an action competence, with a strong focus on personal attributes, while also recognising its interrelatedness with social and contextual determinants. Life phase specificities are mainly considered from a cognitive and developmental perspective, leaving children’s and young people’s specific needs, vulnerabilities, and social structures poorly incorporated within most models. While a critical number of definitions and models were identified for youth or secondary school students, similar findings are lacking for children under the age of ten or within a primary school context.

323 citations


Journal ArticleDOI
TL;DR: The EAONO/JOS joint consensus on "Definitions, Classification and Staging of Middle Ear Cholesteatoma" was formally presented and plans to set up an "International Otology Outcome Working Group" to work on a minimum common otology data set that the international otology community can use to evaluate their surgical outcome.
Abstract: The European Academy of Otology and Neurotology (EAONO) has previously published a consensus document on the definitions and classification of cholesteatoma. It was based on the Delphi consensus methodology involving the broad EAONO membership. At the same time, the Japanese Otological Society (JOS) had been working independently on the "Classification and Staging of Cholesteatoma." EAONO and JOS then decided to collaborate and produce a joint consensus document. The EAONO/JOS joint consensus on "Definitions, Classification and Staging of Middle Ear Cholesteatoma" was formally presented at the 10th International Conference on Cholesteatoma and Ear Surgery in Edinburgh, June 5-8, 2016. The international otology community who attended the consensus session was given the chance to debate and give their support or disapproval. The statements on the "Definitions of Cholesteatoma" received 89% approval. The "Classification of Cholesteatoma" received almost universal approval (98%). The "EAONO/JOS Staging System on Middle Ear Cholesteatoma" had a majority of approval (75%). Some international otologists wanted to see more prognostic factors being incorporated in the staging system. In response to this, the EAONO/JOS steering group plans to set up an "International Otology Outcome Working Group" to work on a minimum common otology data set that the international otology community can use to evaluate their surgical outcome. This will generate a large database and help identify relevant prognostic factors that can be incorporated into the staging system in future revisions.

177 citations


Journal ArticleDOI
TL;DR: The use of flash glucose-sensing technology for glycemic management in individuals with type 2 diabetes treated by intensive insulin therapy over 12 months was associated with a sustained reduction in hypoglycemia and safely and effectively replaced SMBG.
Abstract: Published evaluations of sensor glucose monitoring use in insulin treated type 2 diabetes are limited. The aim of this study was to assess the impact of flash glucose-sensing technology as a replacement for self-monitoring of blood glucose (SMBG) over a 12-month period in participants with type 2 diabetes who were on intensive insulin therapy. An open-label, randomized, controlled study in adults with type 2 diabetes on intensive insulin therapy from 26 European diabetes centers aimed at assessing flash glucose sensing technology was conducted. Participants (N = 224) were randomized (1:2 respectively) to a control group (n = 75) that used SMBG (FreeStyle Lite™) or to an intervention group (n = 149) which used sensor glucose data (FreeStyle Libre™ Flash Glucose Monitoring System) for self-management over 6 months. All intervention group participants who completed the 6-month treatment phase continued into an additional 6-month open-access phase. A total of 139 intervention participants completed the 6-month treatment phase and continued into the open-access phase. At 12 months (end of open-access period), time in hypoglycemia [sensor glucose <3.9 mmol/L (70 mg/dL)] was reduced by 50% compared to baseline [−0.70 ± 1.85/24 h (mean ± standard deviation); p = 0.0002]. Nocturnal hypoglycemia [2300 to 0600 hours, <3.9 mmol/L (70 mg/dL)] was reduced by 52%; p = 0.0002. There was no change in time in range [sensor glucose 3.9–10.0 mmol/L (70–180 mg/dL)]. SMBG testing fell from a mean of 3.9 (median 3.9) times/day at baseline to 0.2 (0.0), with an average frequency of sensor scanning of 7.1 (5.7) times/day at 12 months, and mean sensor utilization was 83.6 ± 13.8% (median 88.3%) during the open-access phase. During this 6-month extension period no device-related serious adverse events were reported. Nine participants reported 16 instances of device-related adverse events (e.g. infection, allergy) and 28 participants (20.1%) experienced 134 occurrences of anticipated skin symptoms/sensor-insertion events expected with device use (e.g. erythema, itching and rash). The use of flash glucose-sensing technology for glycemic management in individuals with type 2 diabetes treated by intensive insulin therapy over 12 months was associated with a sustained reduction in hypoglycemia and safely and effectively replaced SMBG. ClinicalTrials.gov identifier, NCT02082184.

151 citations


Journal ArticleDOI
TL;DR: Findings support the use of sucrose octasulfate dressing as a local treatment for neuroischaemic diabetic foot ulcers following a randomised, double-blind clinical trial in 43 hospitals with specialised diabetic foot clinics in France, Spain, Italy, Germany, and the UK.

150 citations


Journal ArticleDOI
TL;DR: This work considers the advantages of adopting key aspects of the 3Rs into experimental biology, represented mainly by the fields of animal behaviour, neurobiology, physiology, toxicology and biomechanics, and recommends focusing on effect sizes accompanied by confidence intervals as a more appropriate means of interpreting data.
Abstract: The 3Rs - Replacement, Reduction and Refinement - are embedded into the legislation and guidelines governing the ethics of animal use in experiments. Here, we consider the advantages of adopting key aspects of the 3Rs into experimental biology, represented mainly by the fields of animal behaviour, neurobiology, physiology, toxicology and biomechanics. Replacing protected animals with less sentient forms or species, cells, tissues or computer modelling approaches has been broadly successful. However, many studies investigate specific models that exhibit a particular adaptation, or a species that is a target for conservation, such that their replacement is inappropriate. Regardless of the species used, refining procedures to ensure the health and well-being of animals prior to and during experiments is crucial for the integrity of the results and legitimacy of the science. Although the concepts of health and welfare are developed for model organisms, relatively little is known regarding non-traditional species that may be more ecologically relevant. Studies should reduce the number of experimental animals by employing the minimum suitable sample size. This is often calculated using power analyses, which is associated with making statistical inferences based on the P-value, yet P-values often leave scientists on shaky ground. We endorse focusing on effect sizes accompanied by confidence intervals as a more appropriate means of interpreting data; in turn, sample size could be calculated based on effect size precision. Ultimately, the appropriate employment of the 3Rs principles in experimental biology empowers scientists in justifying their research, and results in higher-quality science.

143 citations


Journal ArticleDOI
TL;DR: In this paper, the authors contribute to abusive supervision literature by testing supervisors' self-regulation impairment as a key mediator of the relationship between subordinate managers and their supervisors, and demonstrate that this impairment is a predictor of abusive supervision.
Abstract: Drawing on self-regulation theory, we contribute to the abusive supervision literature by testing supervisors’ self-regulation impairment as a key mediator of the relationship between subordinate d...

141 citations


Journal ArticleDOI
John C. Berg1
TL;DR: The U.S. withdrew from the Kyoto Protocol in 2001, and many have feared that it was simply too late to save the planet from catastrophic climate change as mentioned in this paper. But this was not the case.
Abstract: Ever since President George W. Bush withdrew the U.S. from the Kyoto Protocol in 2001, many have feared that it was simply too late to save the planet from catastrophic climate change. The election...

125 citations


Journal ArticleDOI
TL;DR: In this paper, the average composition of clusters with ages > 0.1 Gyr was determined using the Gaia-ESO IDR4 results for open clusters and young-field stars.
Abstract: Context. The spatial distribution of elemental abundances in the disc of our Galaxy gives insights both on its assembly process and subsequent evolution, and on the stellar nucleogenesis of the different elements. Gradients can be traced using several types of objects as, for instance, (young and old) stars, open clusters, HII regions, planetary nebulae. Aims. We aim to trace the radial distributions of abundances of elements produced through different nucleosynthetic channels - the α-elements O, Mg, Si, Ca and Ti, and the iron-peak elements Fe, Cr, Ni and Sc - by use of the Gaia-ESO IDR4 results for open clusters and young-field stars. Methods. From the UVES spectra of member stars, we have determined the average composition of clusters with ages > 0.1 Gyr. We derived statistical ages and distances of field stars. We traced the abundance gradients using the cluster and field populations and compared them with a chemo-dynamical Galactic evolutionary model. Results. The adopted chemo-dynamical model, with the new generation of metallicity-dependent stellar yields for massive stars, is able to reproduce the observed spatial distributions of abundance ratios, in particular the abundance ratios of [O/Fe] and [Mg/Fe] in the inner disc (5 kpc

112 citations


Journal ArticleDOI
TL;DR: Pre‐hospital emergency anaesthesia with oral tracheal intubation is the technique of choice for trauma patients who cannot maintain their airway or achieve adequate ventilation and should be carried out as soon as safely possible, and performed to the same standards as in‐hospitalEmergency anaesthesia.
Abstract: Summary Pre-hospital emergency anaesthesia with oral tracheal intubation is the technique of choice for trauma patients who cannot maintain their airway or achieve adequate ventilation. It should be carried out as soon as safely possible, and performed to the same standards as in-hospital emergency anaesthesia. It should only be conducted within organisations with comprehensive clinical governance arrangements. Techniques should be straightforward, reproducible, as simple as possible and supported by the use of checklists. Monitoring and equipment should meet in-hospital anaesthesia standards. Practitioners need to be competent in the provision of in-hospital emergency anaesthesia and have supervised pre-hospital experience before carrying out pre-hospital emergency anaesthesia. Training programmes allowing the safe delivery of pre-hospital emergency anaesthesia by non-physicians do not currently exist in the UK. Where pre-hospital emergency anaesthesia skills are not available, oxygenation and ventilation should be maintained with the use of second-generation supraglottic airways in patients without airway reflexes, or basic airway manoeuvres and basic airway adjuncts in patients with intact airway reflexes.

86 citations


Journal ArticleDOI
TL;DR: A model depicting WNV transmission dynamics is developed, which is optimized using a data assimilation method and two observed data streams, mosquito infection rates and reported human WNV cases, and used to generate retrospective ensemble forecasts of historical WNV outbreaks in Long Island, New York for 2001–2014.
Abstract: West Nile virus (WNV) is now endemic in the continental United States; however, our ability to predict spillover transmission risk and human WNV cases remains limited. Here we develop a model depicting WNV transmission dynamics, which we optimize using a data assimilation method and two observed data streams, mosquito infection rates and reported human WNV cases. The coupled model-inference framework is then used to generate retrospective ensemble forecasts of historical WNV outbreaks in Long Island, New York for 2001-2014. Accurate forecasts of mosquito infection rates are generated before peak infection, and >65% of forecasts accurately predict seasonal total human WNV cases up to 9 weeks before the past reported case. This work provides the foundation for implementation of a statistically rigorous system for real-time forecast of seasonal outbreaks of WNV.

Journal ArticleDOI
TL;DR: CBT and SSRIs for depression were both associated with moderate improvements in QOL, but are possibly caused by different mechanisms.
Abstract: Cognitive-behavioral therapy (CBT) and selective serotonin reuptake inhibitors (SSRIs) are the two first-line treatments for depression, but little is known about their effects on quality of life (QOL). A meta-analysis was conducted to examine changes in QOL in adults with major depressive disorder who received CBT (24 studies examining 1969 patients) or SSRI treatment (13 studies examining 4286 patients) for their depression. Moderate improvements in QOL from pre to post-treatment were observed in both CBT (Hedges’ g = .63) and SSRI (Hedges’ g = .79) treatments. The effect size remained stable over the course of the follow-up period for CBT. No data were available to examine follow-ups in the SSRI group. QOL effect sizes decreased linearly with publication year, and greater improvements in depression were significantly associated with greater improvements in QOL for CBT, but not for SSRIs. CBT and SSRIs for depression were both associated with moderate improvements in QOL, but are possibly caused...

Journal ArticleDOI
TL;DR: In this article, the wheel tracking test was used to evaluate rutting performance, as represented by the parameter Dynamic Stability (DS), of the various asphalt mixes, and the test results were analyzed using range analysis and analysis of variance.
Abstract: Rutting has been one of the major distresses observed on asphalt pavement in China, due to increasing traffic volume, heavy axle load, continuous hot weather, etc., especially in long-steep-slope section, bus stops, etc. Many factors would affect rutting resistance of asphalt pavement, including material properties, climatic condition, traffic volumes, speed, and axle types, and construction quality. The orthogonal experimental design method was used in this study to reduce the number of tests required, without comprising the validity of the test results. The testing variables and their levels were selected according to investigations and field test results. Effects of various factors on asphalt pavement rutting performance were evaluated, including the asphalt binders, mixture type (aggregate gradation), axle load, vehicle speed and temperature. In this study, the wheel tracking test was used to evaluate rutting performance, as represented by the parameter Dynamic Stability (DS), of the various asphalt mixes. Test results were analyzed using range analysis and analysis of variance (ANOVA). All four factors evaluated in this study had significant effects on pavement rutting performance. The ranking of the significance was asphalt mixture type, temperature, loading frequency, and tire-pavement contact pressure. Asphalt mixture type was the most important factor that affects rutting resistance. Within the asphalt mixtures, asphalt binder had significant effects on rutting performance of mixes more than aggregate gradation. Rutting resistance of SBS modified asphalt mixes was significantly better than neat asphalt mixes, and skeleton dense structure mixes were better than suspended dense structure mixes.

Journal ArticleDOI
TL;DR: In this article, a multilevel model that positions trait curiosity as a key individual difference during the revision and evaluation stages of the creative process is proposed and test a multi-level model.
Abstract: We propose and test a multilevel model that positions trait curiosity as a key individual difference during the revision and evaluation stages of the creative process. Using a sample of T-shirt designers, their creative drafts, and the questions and comments that feedback seekers and providers posted to an online workshop, we find curiosity acts as a bridge connecting creative workers with their feedback providers in novel ways. We advance pliable guidance as a theoretical umbrella to describe how feedback seekers and providers in creative work find a balance between the direction that makes feedback informative and the freedom to explore that infuses new ideas in their work. Our findings show that more curious individuals seek feedback by asking more open questions, which allows them to obtain more feedback. We also find that ambivalent feedback is more likely to lead to feedback acceptance and design revision. Finally, our results suggest that curiosity is an important moderator of how creative workers ...

Journal ArticleDOI
TL;DR: A shift away from the current reliance on disparate environmental impact assessments and limited strategic environmental assessments is recommended, and a move towards establishing a common system of coordinated data and research relative to ecologically meaningful areas, focussed on the needs of decision makers tasked with protecting and conserving marine ecosystems and services is recommended.

Journal ArticleDOI
TL;DR: These validated 8-week FA and OM training programs can be applied in future research to assess practice-specific effects of meditation and isolate hypothesized active ingredients and practice- specific mechanistic target engagement.

Journal ArticleDOI
TL;DR: It is shown that short-term protocols (CODJ-G and COD-G) are important and able to give meaningful improvements on power and speed parameters in a specific soccer population.
Abstract: Beato, M, Bianchi, M, Coratella, G, Merlini, M, and Drust, B. Effects of plyometric and directional training on speed and jump performance in elite youth soccer players. J Strength Cond Res 32(2): 289-296, 2018-Soccer players perform approximately 1,350 activities (every 4-6 seconds), such as accelerations/decelerations and changes of direction (CODs) during matches. It is well established that COD and plyometric training have a positive impact on fitness parameters in football players. This study analyzed the effect of a complex COD and plyometric protocol (CODJ-G) compared with an isolated COD protocol (COD-G) training on elite football players. A randomized pre-post parallel group trial was used in this study. Twenty-one youth players were enrolled in this study (mean ± SD; age 17 ± 0.8 years, mass 70.1 ± 6.4 kg, and height 177.4 ± 6.2 cm). Players were randomized into 2 different groups: CODJ-G (n = 11) and COD-G (n = 10), training frequency of 2 times a week more than 6 weeks. Sprint 10, 30, and 40 m, long jump, triple hop jump, and 505 COD test were considered. Exercise-induced within-group changes in performance for both CODJ-G and COD-G: long jump (effect size [ES] = 0.32 and ES = 0.26, respectively) and sprint 10 m (ES = -0.51 and ES = -0.22, respectively), after 6 weeks of training. Moreover, CODJ-G reported substantially better results (between-group changes) in long jump test (ES = 0.32). In conclusion, this study showed that short-term protocols (CODJ-G and COD-G) are important and able to give meaningful improvements on power and speed parameters in a specific soccer population. CODJ-G showed a larger effect in sprint and jump parameters compared with COD-G after the training protocol. This study offers important implications for designing COD and jumps training in elite soccer.

Journal ArticleDOI
01 Aug 2017-PLOS ONE
TL;DR: Stenotic nostrils, BCS, and NGR were found to be valid, easily applicable predictors for BOAS (+), and the NGR in bulldogs was the only significant predictor that also had satisfactory inter-observer reproducibility.
Abstract: Extremely brachycephalic, or short-muzzled, dog breeds such as pugs, French bulldogs, and bulldogs are prone to the conformation-related respiratory disorder-brachycephalic obstructive airway syndrome (BOAS). Affected dogs present with a wide range of clinical signs from snoring and exercise intolerance, to life-threatening events such as syncope. In this study, conformational risk factors for BOAS that could potentially aid in breeding away from BOAS were sought. Six hundred and four pugs, French bulldogs, and bulldogs were included in the study. Soft tape measurements of the head and body were used and the inter-observer reproducibility was evaluated. Breed-specific models were developed to assess the associations between the conformational factors and BOAS status based on functional grading. The models were further validated by means of a BOAS index, which is an objective measurement of respiratory function using whole-body barometric plethysmography. The final models have good predictive power for discriminating BOAS (-) and BOAS (+) phenotypes indicated by the area under the curve values of >80% on the receiver operating curves. When other factors were controlled, stenotic nostrils were associated with BOAS in all three breeds; pugs and bulldogs with higher body condition scores (BCS) had a higher risk of developing BOAS. Among the standardized conformational measurements (i.e. craniofacial ratio (CFR), eye width ratio (EWR), skull index (SI), neck girth ratio (NGR), and neck length ratio (NLR)), for pugs EWR and SI, for French bulldogs NGR and NLR, and for bulldogs SI and NGR showed significant associations with BOAS status. However, the NGR in bulldogs was the only significant predictor that also had satisfactory inter-observer reproducibility. A NGR higher than 0.71 in male bulldogs was predictive of BOAS with approximately 70% sensitivity and specificity. In conclusion, stenotic nostrils, BCS, and NGR were found to be valid, easily applicable predictors for BOAS (+).

Journal ArticleDOI
TL;DR: In this paper, a cross-national survey between U.S. and Brazilian consumers was conducted to examine how consumers' perceived sensitivity and willingness to provide information are affected by country of origin, age, perceived privacy control, consumer data relationship (with a friend, marketer, trusted marketer or unknown marketer), and type of information (whether it is personally identifiable information or linkable).
Abstract: This article develops information continua for (1) the perceived sensitivity of data and (2) consumers’ willingness to disclose information that can be used to evaluate information attitudes of U.S. and Brazilian consumers. Using a cross-national survey between U.S. and Brazilian consumers, this research examines how consumers’ perceived sensitivity and willingness to provide information are affected by country of origin, age, perceived privacy control, consumer data relationship (with a friend, marketer, trusted marketer, or unknown marketer), and type of information (whether it is personally identifiable information or linkable). The findings provide public policy insights into potential market solutions and regulatory approaches that bridge the gap between marketers’ need for personalizing customer relationships and consumers' preferences for information privacy.

Journal ArticleDOI
TL;DR: The downregulation of TauT suggests it plays an important role in muscle Carnosine accumulation with BA supplementation, whereas the variability in changes in muscle carnosine content between individuals suggests that other determinants other than the availability of BA may also bear a major influence on muscle carnOSine content.
Abstract: Introduction: Skeletal muscle carnosine content can be increased through [beta]-alanine supplementation, but the maximum increase achievable with supplementation is unknown. No study has investigated the effects of prolonged supplementation on carnosine-related genes or exercise capacity. Purpose: To investigate the effects of 24-weeks of [beta]-alanine supplementation on muscle carnosine content, gene expression and high-intensity cycling capacity (CCT110%). Methods: Twenty-five active males were supplemented with 6.4 g[middle dot]day-1 of sustained release [beta]-alanine (BA) or placebo (PL) over a 24-week period. Every 4 weeks participants provided a muscle biopsy and performed the CCT110%. Biopsies were analysed for muscle carnosine content and gene expression (CARNS, TauT, ABAT, CNDP2, PHT1, PEPT2 and PAT1). Results: Carnosine content was increased from baseline at every time point in BA (all P<0.0001; Week 4: +11.37+/-7.03 mmol[middle dot]kg-1dm, Week 8: +13.88+/-7.84 mmol[middle dot]kg-1dm, Week 12: +16.95+/-8.54 mmol[middle dot]kg-1dm, Week 16: +17.63+/-8.42 mmol[middle dot]kg-1dm, Week 20: +21.20+/-7.86 mmol[middle dot]kg-1dm, Week 24: +20.15+/-7.63 mmol[middle dot]kg-1dm), but not PL (all P=1.00). Maximal changes were +25.66+/-7.63 mmol[middle dot]kg-1dm (range: +17.13 to +41.32 mmol[middle dot]kg-1dm), and absolute maximal content was 48.03+/-8.97 mmol[middle dot]kg-1dm (range: 31.79 to 63.92 mmol[middle dot]kg-1dm). There was an effect of supplement (P=0.002) on TauT; no further differences in gene expression were shown. Exercise capacity was improved in BA (P=0.05) with possible to almost certain improvements across all weeks. Conclusions: Twenty-four weeks of [beta]-alanine supplementation increased muscle carnosine content and improved high-intensity cycling capacity. Downregulation of TauT suggests it plays an important role in muscle carnosine accumulation with [beta]-alanine supplementation, while the variability in changes in muscle carnosine content between individuals suggests that other determinants other than the availability of [beta]-alanine may also bear a major influence on muscle carnosine content.

Journal ArticleDOI
TL;DR: The authors examined whether dividend policy is associated with earnings management and whether the relationship varies across countries with wide-ranging degrees of institutional strength and transparency, and found that firms may employ dividend policies associated with less earnings manipulation to mitigate agency concerns and to establish credible reputation, thereby facilitating access to external funds.

Journal ArticleDOI
TL;DR: In this paper, the authors study firms in the formal sector operating in countries with different institutional backgrounds, and compare the incentives and constraints of staying within the formal sectors against the competitive pressures originating from the informal sector.

Journal ArticleDOI
20 Nov 2017
TL;DR: It is proposed that supervisor-employee power distance orientation incompatibility will be related to employees’ experience of higher levels of relationship conflict with their supervisors, and gender dissimilarity acts as a conditional moderator, neutralizing the power distance incongruence effect and the asymmetrical incongrience effect.
Abstract: According to interpersonal interaction theory, relational harmony surfaces when two individuals have compatible interaction styles. Building from this theory, we propose that supervisor-employee power distance orientation incompatibility will be related to employees' experience of higher levels of relationship conflict with their supervisors. Additionally, we propose an asymmetrical incongruence effect such that relationship conflict will be highest when supervisors are high in power distance and employees are low in power distance. Furthermore, we address calls in interpersonal interaction research for more direct attention to the social context of the dyadic interaction and explore the moderating effects of supervisor-employee gender (dis)similarity on the relationship between this incompatibility and conflict. We propose that supervisor-employee gender dissimilarity (e.g., male-female or female-male pairs) acts as a conditional moderator, neutralizing the power distance incongruence effect and the asymmetrical incongruence effect. Using 259 supervisor-employee dyads in the physical therapy industry, the hypotheses were generally supported. Theoretical and practical implications regarding the unique benefits of power distance compatibility and gender diversity in supervisor-employee dyads are discussed. (PsycINFO Database Record

Journal ArticleDOI
TL;DR: This document provides a practical approach to diagnosis and assessment of dilated cardiomyopathy that is aimed at the practising sonographer.
Abstract: Heart failure (HF) is a debilitating and life-threatening condition, with 5-year survival rate lower than breast or prostate cancer. It is the leading cause of hospital admission in over 65s, and these admissions are projected to rise by more than 50% over the next 25 years. Transthoracic echocardiography (TTE) is the first-line step in diagnosis in acute and chronic HF and provides immediate information on chamber volumes, ventricular systolic and diastolic function, wall thickness, valve function and the presence of pericardial effusion, while contributing to information on aetiology. Dilated cardiomyopathy (DCM) is the third most common cause of HF and is the most common cardiomyopathy. It is defined by the presence of left ventricular dilatation and left ventricular systolic dysfunction in the absence of abnormal loading conditions (hypertension and valve disease) or coronary artery disease sufficient to cause global systolic impairment. This document provides a practical approach to diagnosis and assessment of dilated cardiomyopathy that is aimed at the practising sonographer.


Journal ArticleDOI
TL;DR: Coaches and physical trainers can obtain useful information to design training programmes taking into account the quantification of locomotor and mechanical activities performed during a non-competitive female futsal match, measuring the differences between the first and second half.
Abstract: Match analysis technology has been extensively used in football, but there is limited literature on its use in futsal. Despite its increased popularity, the female futsal game model has never been quantified. The aim of this study was to quantify locomotor and mechanical activities performed during a non-competitive female futsal match, measuring the differences between the first and second half. Sixteen female futsal players of the Italian 2nd division were enrolled (age 27±5 years, height 1.65±0.09 m, body weight 56.9±7.7 kg, BMI 20.9±1.9, fat mass 21.5±2.9%). Locomotor and mechanical activities were recorded by means of the 10 Hz GPS StatSports system. Games were performed on a 38x18 m synthetic grass outdoor pitch. Significant differences were found between the first and second half in total distance (1424±114 and 1313±113 m,p<0.05), relative velocity (70±6 and 64±6 m min-1, p<0.05), high speed running (28±16 and 22±19 m, p<0.05) and high metabolic distance (80 ± 29 and 69 ± 28 m, p<0.05). The match analysis of female futsal matches provides useful information about its external load demands. Female futsal players decreased the workload in the second half compared to the first one during this non-competitive match. It was found that fatigue impairs the performance in the second part of the game. Coaches and physical trainers can obtain useful information to design training programmes taking into account the quantification of locomotor and mechanical activities performed in this study.

Journal ArticleDOI
TL;DR: The results indicate that participants experienced significant reductions in PTSD and dissociative symptomatology above and beyond similar treatments of a shorter duration.
Abstract: Background: Yoga has been found to be an effective posttraumatic stress disorder (PTSD) treatment for a variety of trauma survivors, including females with chronic PTSD. Aim/Purpose: The current study builds on extant research by examining an extended trauma-sensitive yoga treatment for women with chronic PTSD. The study sought to optimize the results of a treatment protocol examined in a recent randomized controlled trial with a shorter duration and without assignment or monitoring of home practice. Materials and Methods: The authors examined a 20-week trauma-sensitive yoga treatment in a non-randomized single-group treatment feasibility study for women with chronic treatment-resistant PTSD (N = 9). The authors examined PTSD and dissociation symptom reduction over several assessment periods. Results: The results indicate that participants experienced significant reductions in PTSD and dissociative symptomatology above and beyond similar treatments of a shorter duration. Conclusions: The findings...

Journal ArticleDOI
TL;DR: In this article, the authors focused on fishing effort allocation in three fleet types: fleets fishing for demersal species using active gears, fleet fishing using passive gears and fleet fishing for pelagic species, and concluded that fishers are attracted by higher expected revenue, tradition, species targeting and presence of others.
Abstract: Anticipating fisher behaviour is necessary for successful fisheries management. Of the different concepts that have been developed to understand individual fisher behaviour, random utility models (RUMs) have attracted considerable attention in the past three decades, and more particularly so since the 2000s. This study aimed at summarizing and analysing the information gathered from RUMs used during the last three decades around the globe. A methodology has been developed to standardize information across different studies and compare RUM results. The studies selected focused on fishing effort allocation. Six types of fisher behaviour drivers were considered: the presence of other vessels in the same fishing area, tradition, expected revenue, species targeting, costs, and risk-taking. Analyses were performed using three separate linear modelling approaches to assess the extent to which these different drivers impacted fisher behaviour in three fleet types: fleets fishing for demersal species using active gears, fleets fishing for demersal species using passive gears and fleets fishing for pelagic species. Fishers are attracted by higher expected revenue, tradition, species targeting and presence of others, but avoid choices involving large costs. Results also suggest that fishers fishing for demersal species using active gears are generally more influenced by past seasonal (long-term) patterns than by the most recent (short-term) information. Finally, the comparison of expected revenue with other fisher behaviour drivers highlights that demersal fishing vessels are risk-averse and that tradition and species targeting influence fisher decisions more than expected revenue.

Journal ArticleDOI
TL;DR: A review of the state of the art and latest progress in research on various challenges in the integration of fisheries into MSP can be found in this article, where the authors address a wide range of integration challenges, starting with techniques to analyse where fishermen actually fish, assessing the drivers for fishermen's behaviour, seasonal dynamics and long-term spatial changes of commercial fish species under various anthropogenic pressures along their successive life stages, the effects of spatial competition on fisheries and projections on those spaces that might become important fishing areas in the future.
Abstract: The relationship between fisheries and marine spatial planning (MSP) is still widely unsettled. While several scientific studies highlight the strong relation between fisheries and MSP, as well as ways in which fisheries could be included in MSP, the actual integration of fisheries into MSP often fails. In this article, we review the state of the art and latest progress in research on various challenges in the integration of fisheries into MSP. The reviewed studies address a wide range of integration challenges, starting with techniques to analyse where fishermen actually fish, assessing the drivers for fishermen's behaviour, seasonal dynamics and long-term spatial changes of commercial fish species under various anthropogenic pressures along their successive life stages, the effects of spatial competition on fisheries and projections on those spaces that might become important fishing areas in the future, and finally, examining how fisheries could benefit from MSP. This paper gives an overview of the latest developments on concepts, tools, and methods. It becomes apparent that the spatial and temporal dynamics of fish and fisheries, as well as the definition of spatial preferences, remain major challenges, but that an integration of fisheries is already possible today.

Journal ArticleDOI
26 Apr 2017
TL;DR: The establishment and implementation of the first multiplex real-time PCR assay with the capability to simultaneously detect and differentiate all five pathogens in a single reaction is described, revealing a high prevalence of B. microti in ticks from Suffolk County, NY.
Abstract: Ixodes scapularis ticks are implicated in transmission of Anaplasma phagocytophilum, Borrelia burgdorferi, Borrelia miyamotoi, Babesia microti, and Powassan virus. We describe the establishment and implementation of the first multiplex real-time PCR assay with the capability to simultaneously detect and differentiate all five pathogens in a single reaction. The application of this assay for analysis of ticks at sites in New York and Connecticut revealed a high prevalence of B. microti in ticks from Suffolk County, NY. These findings are consistent with reports of a higher incidence of babesiosis from clinicians managing the care of patients with tick-borne diseases in this region. IMPORTANCE The understanding of pathogen prevalence is an important factor in the determination of human risks for tick-borne diseases and can help guide diagnosis and treatment. The implementation of our assay addresses a critical need in surveillance of tick-borne diseases, through generation of a comprehensive assessment of pathogen prevalence in I. scapularis. Our finding of a high frequency of ticks infected with Babesia microti in Suffolk County, NY, implicates this agent as a probable frequent cause of non-Lyme tick-borne disease in this area.