Exercise and Lifestyle Therapy Improves Weight Maintenance in Young People With Psychosis: A Service Evaluation

INTRODUCTION Young people with psychosis typically have higher rates of premature cardiovascular disease and metabolic disorders compared to non-psychotic peers. This has been primarily due to a sedentary lifestyle, poor diet composition, misuse of harmful substances and higher rates of obesity and smoking. When prescribed obesogenic antipsychotic medication, a weight gain of >12 kg within 2 years is typical. PURPOSE: To examine the benefits of a 12 wk exercise and lifestyle intervention entitled ‘Supporting Health and Promoting Exercise’ (SHAPE) for young people recently diagnosed with psychosis. METHODS Participants (n=26; 8 females; mean age 27.7 ± 5.1) engaged in weekly 45’ education sessions on healthy lifestyle behaviors, including: managing anxiety and depression, mindfulness and relaxation training, substance misuse, smoking cessation, healthy eating and nutritional advice, dental and sexual health care. This was followed by a 45’ exercise session including activities such as circuit and resistance training, yoga, and badminton, led by qualified exercise instructors. Anthropometric data were measured at baseline, 12 wk and 12 month post-intervention. Lifestyle behaviors and clinical measurements, including resting heart rate, blood pressure, total cholesterol, triglycerides, HbA1c and prolactin, were assessed at baseline and 12 months post-intervention as part of their routine clinical care plan. Significant differences over time were assessed using Paired Sample t-tests. RESULTS SHAPE participants (n=26) presented with first episode psychosis (n=11), schizophrenia (n=11), bipolar disorder (n=2), at risk mental state (n=1), and persistent delusion disorder (n=1) of which 52% were prescribed highly obesogenic antipsychotic medications (Clozapine and Olanzepine). Mean baseline data suggests participants were at an increased health risk due to elevated values in mean BMI (70% were overweight or obese), waist circumference, resting heart rate, and triglycerides (see Table 1 & 2). Over 50% reported smoking daily and 85% had elevated resting blood pressure (>120/80 mm Hg). At 12 wk post-intervention, no changes were observed in mean BMI or waist circumference (see Table 1); 19 participants either maintained (mean 0.5 kg: range ± 2 kg) or decreased (mean -5.7 kg: range 2-7 kg) weight; 7 participants increased weight (mean 4.9 kg: range 2.0-9.6 kg). At 12 month post-intervention (n=16), no change was evident in mean BMI, waist circumference, or any other clinical variable (see Table 2). Positive impacts on lifestyle behaviors included 7 participants eating ~400g of fruit/vegetables daily, 2 ceased substance use, 2 ceased alcohol use, 4 ceased smoking and 5 were less sedentary. CONCLUSION At the start of the programme, participants were already at an increased risk for cardiometabolic disorders. Findings suggest that SHAPE supported young people with psychosis to: -attenuate their physical health risk following a 12 wk exercise and lifestyle intervention which were sustained at 12 months follow up. -make positive lifestyle behavior changes leading to sustained improvements in weight maintenance and physical health.

Efeito da utilização do Kit Embrapa de Ordenha Manual® para caprinos leiteiros na Contagem Total de Bactérias do leite.

Resumo: A produção de leite de cabra no Brasil destaca-se no Nordeste, onde as condições de criação e os programas governamentais favorecem a produção. A qualidade higiênico-sanitária do leite de cabra, além de ser uma característica indispensável ao produto, exigida pela legislação Brasileira, contribui para diminuição nas perdas econômicas decorrentes da mastite e para a manutenção dos produtores na atividade. O Kit Embrapa de Ordenha Manual® para caprinos leiteiros é um conjunto de utensílios e práticas indispensáveis para a obtenção higiênica do leite de cabra, o qual apresenta-se como uma alternativa viável aos agricultores familiares devido à sua facilidade na utilização e baixo custo de aquisição. O Kit foi implantado e validado em 41 propriedades familiares, localizadas nos estados do Rio Grande do Norte, Paraíba e Ceará. Procedeu-se a coleta de leite de cabra 3 dias antes e 3 dias após a utilização do Kit, para a realização da Contagem Total de Bactérias (CTB). Observou-se uma redução média de 72% da CTB no leite produzido, e, 95% das propriedades adequaram-se à CTB exigida pela legislação Brasileira. [Effect of the use of the Milking Manual® EMBRAPA Kit for dairy goats total count in milk bacteria]. Abstract: The goat milk production in Brazil stands out in the Northeast, where the breeding conditions and government programs favor the production. The sanitary hygienic quality of goat milk as well as being an indispensable feature to the product, required by Brazilian law, contributes to decrease in economic losses resulting from mastitis and to the maintenance of the producers in the activity. The Embrapa manual milking kit® for dairy goats is an essential set of tools and practices for obtaining hygienic goat milk, which presents itself as a viable alternative to farmers due to its ease of use and low cost. The Kit has been deployed and validated in 41 family farms in the states of Rio Grande do Norte, Paraíba and Ceará. The goat milking practice was carried out both three days before and three days after using the kit for the realization of Total Bacteria Count (CTB). There was an average reduction of 72 % CTB on the milk, and 95 % of the properties have adapted to the CTB required by Brazilian law.

Hematology and productive performance of nile tilapia (Oreochromis niloticus) naturally infected with Flavobacterium columnare

Columnaris disease is one of the main causes of mortality in tilapia rearing and is responsible for large economic losses worldwide. Hematology is a tool that makes it possible to study organisms' physiological responses to pathogens. It may assist in making diagnoses and prognoses on diseases in fish populations. The hematological variables of nile tilapia were studied in specimens with a clinical diagnosis of columnaris disease and in specimens that were disease-free. The total erythrocyte count, hemoglobin rate, hematocrit percentage, mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), mean corpuscular volume (MCV), organic defense blood cell percentages (leukocytes and thrombocytes) and hepatosomatic and splenosomatic index were determined. The results showed that there were changes in the erythrocytic series and in organic defense blood cells, in the fish infected with the bacterium, with reductions in erythrocytic variables and significant increases in the numbers of circulating lymphocytes and neutrophils.

Impact of maintenance of Macrobrachium rosenbergii de Man, 1879 (Crustacea, Decapoda, Palaemonidae) broodstock on the water used in culture ponds

A produção aquícola gera benefícios sociais e econômicos, no entanto, também pode proporcionar impactos ambientais. Os objetivos deste trabalho foram: a) caracterizar os impactos causados pela manutenção de reprodutores do camarão-da-malásia (Macrobrachium rosenbergii) nas características físicas e químicas da água utilizada nos viveiros de cultivo; e b) avaliar a relação entre a biomassa de camarões e o impacto do cultivo na água utilizada no viveiro. Entre janeiro e dezembro de 2004, foram determinadas, mensalmente, a biomassa de M. rosenbergii, por meio de biometria, e as variáveis físicas e químicas da água de abastecimento e do efluente de um viveiro utilizado para a manutenção de reprodutores. Os resultados mostraram que o efluente possui maiores valores de clorofila a, material particulado em suspensão (MPS), pH, oxigênio dissolvido, nitrogênio Kjeldahl total (NKT) e nitrogênio Kjeldahl dissolvido (NKD), nitrogênio inorgânico (NI), fósforo (PT) e fósforo dissolvido (PD) e P-ortofosfato do que a água de abastecimento do viveiro. A maior biomassa de M. rosenbergii ocorreu em abril (127,0 g.m-2) e a menor em agosto (71,5 g.m-2) e houve correlações lineares positivas entre a biomassa de camarões e a intensidade do aumento de NKT, NKD, NI, PT e PD da água utilizada no viveiro. A manutenção de reprodutores de M. rosenbergii aumentou a clorofila-a, MPS, nitrogênio e fósforo da água utilizada no viveiro. Além disso, o aumento da biomassa de camarões intensifica a exportação de nitrogênio e fósforo do viveiro pelo efluente.

Sex steroid profiles and pair-maintenance behavior of captive wild-caught zebra finches (taeniopygia guttata)

Here, we studied the life-long monogamous zebra finch, to examine the relationship between circulating sex steroid profiles and pair-maintenance behavior in pairs of wild-caught zebra finches (paired in the laboratory for >1 month). We used liquid chromatography-tandem mass spectrometry to examine a total of eight androgens and progestins [pregnenolone, progesterone, dehydroepiandrosterone (DHEA), androstenediol, pregnan-3,17-diol-20-one, androsterone, androstanediol, and testosterone]. In the plasma, only pregnenolone, progesterone, DHEA, and testosterone were above the limit of quantification. Sex steroid profiles were similar between males and females, with only circulating progesterone levels significantly different between the sexes (female > male). Circulating pregnenolone levels were high in both sexes, suggesting that pregnenolone might serve as a circulating prohormone for local steroid synthesis in zebra finches. Furthermore, circulating testosterone levels were extremely low in both sexes. Additionally, we found no correlations between circulating steroid levels and pair-maintenance behavior. Taken together, our data raise several interesting questions about the neuroendocrinology of zebra finches.

Nurses', midwives' and key stakeholders' experiences and perceptions on requirements to demonstrate the maintenance of professional competence.

Aim: To present the qualitative findings from a study on the development of scheme(s) to give evidence of maintenance of professional competence for nurses and midwives. Background: Key issues in maintenance of professional competence include notions of self- assessment, verification of engagement and practice hours, provision of an evidential record, the role of the employer and articulation of possible consequences for non-adherence with the requirements. Schemes to demonstrate the maintenance of professional competence have application to nurses, midwives and regulatory bodies and healthcare employers worldwide. Design: A mixed methods approach was used. This included an online survey of nurses and midwives and focus groups with nurses and midwives and other key stakeholders. The qualitative data are reported in this study. Methods: Focus groups were conducted among a purposive sample of nurses, midwives and key stakeholders from January–May 2015. A total of 13 focus groups with 91 participants contributed to the study. Findings: Four major themes were identified: Definitions and Characteristics of Competence; Continuing Professional Development and Demonstrating Competence; Assessment of Competence; The Nursing and Midwifery Board of Ireland and employers as regulators and enablers of maintaining professional competence. Conclusion: Competence incorporates knowledge, skills, attitudes, professionalism, application of evidence and translating learning into practice. It is specific to the nurse's/midwife's role, organizational needs, patient's needs and the individual nurse's/midwife's learning needs. Competencies develop over time and change as nurses and midwives work in different practice areas. Thus, role-specific competence is linked to recent engagement in practice.

Urban agriculture up-scaled: economically and socially productive public green space

'Space is fundamental in any form of commnunal Life; space is fundamental in any exercise of power' (Foucault & Rabinow, 1984: 252). Public green space has the potential to provide one our last remaining free sources of access to open land, clean air, vegetation, water and soil within the urban realm. In most developed countries, this space - due to complex, interconnected legacies of enclosure, privatisation, population growth, urbanisation and 'modernisation' - typically exists as controlled, contrived, scenic picturesque landscapes, unavailable for forms ofcivic, productive and generative activities at scale, such as public urban agriculture. Narrow assessment of green space's on-going financial and maintenance costs fail to recognise wider gains (such as physical and psychological wellness, increased property value , decreased crime rates) (Maller, 2002· Woolley, 2004; Sherer, 2006) and despite attempts, studies that present financial benefits of green spaces have not yet managed to stem the tide of budget cut and reduced spending. Perhaps more importantly, income-generating strategies within public green spaces have not been sufficiently explored. Such approaches could help to develop more convincing arguments analogous with the measurement metrics and quantitative language threatening green space's optimisation and survival. By 'up-scaling' public green space's productive capacity within an ethical framework, we have the potential to greatly enhance social and environmental performance - shifting the existing paradigm from passive to active, consumptive to generative and centralised to collective.

First reproductive and productive results on “Ribatejano pig”

The present trail aimed to study the effect of crossbreeding between Alentejano (AL) and Bísaro (BI) swine breeds (“Ribatejano pig”) on some reproductive and productive traits. Nine AL gilts and sows and six BI gilts were crossed with BI and AL boars, respectively. Mating and farrowing dates, prolificacy and litter size at 28d were registered for all sows. The pregnancy length of AL sows was shorter (111±0.4d vs 113.7±0.5d; p=0.002) than the observed on BI females. The BI gilts presented higher prolificacy rate than AL on both total born (11.0±1.0 vs 6.7±0.8; P=0.004) and born alive piglets (10.0±1.0 vs 6.7±0.8; p=0.026). The mortality rate was similar in both genotypes (p=0.255) being on average 12%, therefore at 28d after farrowing the litter size remained higher in BI sows (8.5±0.8 vs 6.1±0.6; p= 0.032). A subset of each genotype (4 gilts) was supervised during farrowing and lactation (until 28d) and piglets were weighed at birth, 24h and 28d of live. Farrowing length was not significantly different (p=0.253) between genotypes, averaging 97±22 min. When compared to ALBI (AL x BI) piglets, the BIAL (BI x AL) piglets were heavier at birth (1402±46g vs 1209±36g; p=0.002). Colostrum intake of piglets per kg of birth weight on the first 24h of life was similar between genotypes (p=0.735) being 289±15g for ALBI and 281±19g for BIAL piglets. The growth rate of piglets from birth to 28d and piglet weight at 28d was not different between genotypes (p=0.161 and p=0.091) averaging 195±6g and 6761±181g, respectively. Litter weight at 28d tended (P=0.06) to be higher on ALBI litters (56.6±4.0kg) than BIAL litters (43.2±4.0kg). This results obtained within the frame of Treasure project* are, at our knowledge, the first data of these crossbred piglets and could be used in future as reference for further studies and also for farmers that may try these cross on a commercial basis.

Determination of preventive maintenance lead time using hybrid analysis

The time for conducting Preventive Maintenance (PM) on an asset is often determined using a predefined alarm limit based on trends of a hazard function. In this paper, the authors propose using both hazard and reliability functions to improve the accuracy of the prediction particularly when the failure characteristic of the asset whole life is modelled using different failure distributions for the different stages of the life of the asset. The proposed method is validated using simulations and case studies.