Chapmanmckay8299
Exercise is a recommended component of care for people living with HIV/AIDS; however, it is unclear which type of exercise is most effective. The purpose of this study was to investigate the relative effects of different types of exercise interventions on aerobic capacity measured by peak oxygen consumption (peak VO2) and health-related quality of life (HRQoL) in this population.
For this systematic review and indirect-comparisons meta-analysis (network meta-analysis), different electronic databases were searched up to February 2020 for randomized controlled trials that evaluated the effects of different types of exercise interventions on peak VO2 and HRQoL of people living with HIV/AIDS. Mean differences, standardized mean difference (SMD), and 95% CIs were calculated. Fixed and random effects Bayesian network meta-analysis were used to compare the relative effectiveness of the different exercise interventions.
Forty studies met the study criteria, reporting on a total of 1518 patients. When comparing the exercise interventions with usual care (control group) for the peak VO2 outcome, combined aerobic and resistance exercise was the highest ranked exercise intervention with an SMD of 4.2 (95% CI=2.5 to 5.9), followed by aerobic exercise (SMD=3.1; 95% CI=1.4 to 5.1). Compared with aerobic exercise, resistance training, and yoga, combined aerobic and resistance exercise was the best exercise intervention to promote improvement on physical function, general health, mental health and energy/vitality domains HRQoL.
The combined aerobic and resistance exercise was the highest ranked exercise intervention to improve peak VO2 and HRQoL. Combined aerobic and resistance exercise should be considered as a component of care for people living with HIV/AIDS.
The combined aerobic and resistance exercise was the highest ranked exercise intervention to improve peak VO2 and HRQoL. Combined aerobic and resistance exercise should be considered as a component of care for people living with HIV/AIDS.
It is unknown whether prenatal lipid-based nutrient supplements (LNSs) affect blood pressure (BP). Associations between hypertension and birth outcomes using recently updated BP cutoffs are undetermined.
We aimed to assess the impact of LNSs on maternal hypertension and associations between hypertension and birth outcomes.
Pregnant Ghanaian women at ≤20 weeks of gestation (n=1320) were randomly assigned to receive daily 1) iron and folic acid (IFA), 2) multiple micronutrients (MMN), or 3) LNSs until delivery. BP was measured at enrollment and 36 weeks of gestation. We analyzed the effect of LNSs on BP using ANOVA and associations between hypertension [systolic BP (SBP) ≥130mmHg or diastolic BP (DBP) ≥80mmHg] and birth outcomes by linear and logistic regressions.
Mean±SD SBP and DBP were 110±11 and 63±8mmHg at 36 weeks of gestation and did not differ by supplementation group (SBP, P >0.05; DBP, P >0.05). At enrollment, higher DBP was associated with lower birth weight and shorter gestation; women shorter gestation and smaller birth size; however, only high DBP is associated with LBW and PTB. The new BP cutoffs may help identify pregnancies at risk of adverse birth outcomes.This trial was registered at clinicaltrials.gov as NCT00970866.Ruspolia differens (Serville) (Orthoptera Tettigoniidae) is a delicacy in many African countries. It is commonly mass-harvested from the wild using light traps consisting of energy-intensive mercury bulbs which pollute the environment when poorly disposed. The catch is collected using open-ended drums which are inefficient in retaining the insects. The drums also collect nontarget insects including those that produce toxic chemicals (such as pederin) that cause severe burns to human skin. To prevent escape of trapped R. differens, trappers apply potentially hazardous substances like waste cooking oil on the walls of drums. Here, we modified the collection drum by fitting a funnel to retain R. differens; and partitioned it into three compartments with wire meshes of variable sizes to filter nontarget insects. Additionally, we replaced mercury bulbs with light-emitting diode (LED) bulbs which are energy-efficient. We evaluated the performance of the modified R. differens trap (modified drums and LED bulbs) compared to the current collection drums and mercury bulbs. The catch of R. differens in the modified drums was comparable to that of current drums. Nontarget insects were significantly filtered from the catch collected in modified drums compared to the current drums. Further, LED bulbs of 400 W trapped a comparable quantity of R. differens as 400 W mercury bulbs, but with less than half the consumption of electricity compared to the mercury bulbs. We concluded that modified R. differens light traps have better energy-use efficiency and ensure safety to collectors, processors, and consumers.The current review of the Sterile Insect Technique (SIT) is motivated by new technologies and the recent renaissance of male release field trials, which is driving an evolution in mosquito control and regulation. Practitioners that are releasing male mosquitoes would do well to learn from past successes and failures, including political and public engagement complications. With examples that include nuanced integrations of the different technologies, e.g., combinations of Wolbachia and irradiation, it is critical that scientists understand and communicate accurately about the technologies, including their evolving management by different regulatory agencies in the USA. Some male release approaches are considered 'pesticides' and regulated by federal and state agencies, while other male release approaches are unregulated. It is important to consider how the new technologies fit with the more 'traditional' chemical applications of adulticides and larvicides. The economics of male release programs are substantially different from traditional control costs, which can be a challenge to their adoption by abatement districts. However, there is substantial need to overcome these complications and challenges, because the problem with invasive mosquitoes grows ever worse with factors that include insecticide resistance, globalization and climate change.To evaluate perimeter trap crops for management of harlequin bug, Murgantia histrionica (Hahn), we undertook greenhouse and field experiments with mustard greens as trap crop for a collard cash crop. We confirmed that harlequin bugs prefer to immigrate to and reside on mustard. Females, however, in greenhouse cage experiments, 'commuted' to collards to lay their eggs. In separate spring and fall field plantings, using replicated 12 m by 12 m collard plots in 1-ha fields, we tested mustard planted as an adjacent perimeter trap crop, or a perimeter trap crop separated by 2 unplanted rows (2.3 m), or with no trap crop. Adults accumulated on the spring mustard crop but overall numbers remained low, with all collards sustaining less then 1% leaves damaged. In the fall, the separation of 2.3 m reduced oviposition on collards fourfold, and feeding damage approximately 2.5-fold, compared to collards with an adjacent trap crop. Fall control plots with no border trap crop showed even lower foliar damage; likely result of preferential immigration of harlequin bugs to mustard at the field scale, resulting in fewer bugs near the control treatment plots. Thus, the spatial arrangement of the mustard trap crop, and its separation from the cash crop, influences pest abundance and damage. A separated mustard border can reduce bug movement including female commuting and egg-laying, thus better protecting the collard cash crop. Future research should address reduction in area of trap crops, deployment of semiochemicals, and possible changes in timing, to promote trap cropping that is practical for grower implementation.
The transition from home to a nursing home is a stressful event for both older persons and informal caregivers. Currently, this transition process is often fragmented, which can create a vicious cycle of healthcare-related events. Knowledge of existing care interventions can prevent or break this cycle. SCH442416 This project aims to summarize existing interventions for improving transitional care, identifying their effectiveness and key components.
A scoping review was performed within the European TRANS-SENIOR consortium. The databases PubMed, EMBASE, PsycINFO, Medline, and CINAHL were searched. Studies were included if they described interventions designed to improve the transition from home to a nursing home.
17 studies were identified, describing 13 interventions. The majority of these interventions focused on nursing home adjustment with one study including the entire transition pathway. The study identified eight multi- and five single-component interventions. From the multi-component interventions, seven are initiatives on the pathway from home to a nursing home.
The purpose of this study was to explore anxiety, worry, and posttraumatic stress symptoms (PTSS) in parents of children with food allergies, and to evaluate whether these three psychological outcomes could be predicted by allergy severity, intolerance of uncertainty, and food allergy self-efficacy.
Participants were 105 parents who reported their children to have medically diagnosed food allergies. Participants were recruited to a study on parent wellbeing through an allergy clinic and social media advertisements. Participants completed online questionnaires assessing anxiety, worry, PTSS, intolerance of uncertainty, food allergy self-efficacy, and demographic and allergy information.
In this sample, 81.0% of parents reported clinically significant worry, 42.3% met the clinical cut-off for PTSS, and 39.1% reported moderate-extremely severe anxiety. Greater intolerance of uncertainty and lower food allergy self-efficacy were associated with poorer psychological outcomes, with mixed results for allergy severity. However, intolerance of uncertainty was the only variable to consistently account for unique variance within regression models.
This study highlights the need for greater awareness of mental health in parents of children with food allergy. The study also indicates that factors impacting on parents' perception of threat may be most strongly predictive of psychological outcomes, warranting further research. Finally, the study indicates that intolerance of uncertainty may be a promising target for psychological interventions within this population.
This study highlights the need for greater awareness of mental health in parents of children with food allergy. The study also indicates that factors impacting on parents' perception of threat may be most strongly predictive of psychological outcomes, warranting further research. Finally, the study indicates that intolerance of uncertainty may be a promising target for psychological interventions within this population.Hive design and apicultural processes have not been fundamentally changed since the design and commercialization of the Langstroth moveable frame hive in 1854. Colonies of Apis mellifera Linnaeus (Hymentoptera Apidae) (the honey bee) maintain a brood nest temperature within the narrow range of 34.5-35.5°C, critical for brood development. Apis mellifera invest considerable energy to maintain hive homeostasis through behavioral modification of the hive environment. Human honey-harvesting processes and removal of the honey-filled comb (a source of thermal mass) have a detrimental impact on hive temperature that requires an increased investment of energy to rectify. This additional energy demand on the bees is a form of stress to the colony and diverts workers away from other essential tasks to that of environmental management. We investigated the thermal energy loss resulting from the removal and extraction of honey, the rate of thermal loss of an Australian standard Langstroth 10 frame hive, and the effect of honey and wax as a thermal mass in unoccupied bee hive.