Provider perceptions of physical activity counseling: A systematic review

Background: Although the health benefits of physical activity are well-established, the evidence regarding the efficacy of physical activity counseling by primary care providers is inconclusive. Healthy People 2020 recommends that physicians provide counseling on physical activity to their patients; however, few providers adhere to these guidelines. The primary objective of this review is to systematically summarize and evaluate primary care providers' perceptions and attitudes about physical activity counseling. ^ Methods: A systematic literature search of relevant articles was conducted between January and May 2011 using four databases: MEDLINE (1948 to the present), PsycInfo (1806 to the present), CINAHL Plus with Full Text (1981 to the present), and the Cochrane Library. Studies were included if 1) the study population consisted of primary care providers and, 2) the study evaluated providers' attitudes and perceptions pertaining to physical activity counseling. Both quantitative and studies were considered. ^ Results: Most primary care providers agree that physical activity counseling is important and that they have a role in promoting physical activity to their patients. Providers are uncertain about the effectiveness of counseling, feel only marginally comfortable providing more than general advice about physical activity, and cite major barriers to counseling such as lack of time, lack of training, and lack of reimbursement for their counseling efforts. The evidence in this review suggests that beyond these barriers, providers are more likely to counsel their patients about physical activity if they are active themselves, or if they feel that their patients' condition, such as cardiovascular disease or obesity, would strongly benefit from a lifestyle change. ^ Conclusion: While major barriers to physical activity counseling, such as lack of time for counseling and lack of counseling knowledge still exist, primary care providers are receptive to the idea of acting as physical activity promoters in their clinical practices. However, the barriers encountered need to be addressed on multiple levels (e.g. individual, organizational), and additional training is needed in order for providers to effectively promote the physical activity of their patients.^

Evidence of hepatitis C transmission in healthcare settings in Karachi, Pakistan

Transmission of Hepatitis C (HCV) in Pakistan is a continuing public health problem. Several cultural and behavioral practices promote HCV transmission through the use of unsafe needles and blood products. This study aimed to determine the prominent risk factors associated with HCV transmission in the Indus Hospital catchment population. A case-control study design was implemented to enroll 300 laboratory confirmed HCV+ participants from consulting clinics at Indus Hospital and 300 laboratory confirmed HCV− participants from both the consulting clinics and the surrounding community. Odds ratios and their 95% were calculated for each risk factor to create a two gender specific multivariable models and a combined multivariable model. Participants who received 12 or more injections in the past year, ever received a blood transfusion, or ever had dental work performed were all independently significant more likely to be HCV+ when compared to those who received 1–4 injections in the past year, never received a blood transfusion, or never had dental work performed. Female participants who received 12 or more injections in the past year, had a blood transfusion while pregnant, or ever had dental work performed were all significantly more likely to be HCV+ while males who received 12 or more injections in the past year were also significantly more likely to be HCV+. Participants who brought their own needles to their injections or infusions along with those who were born in the Sindh province were significantly less likely to be HCV+ when compared to those who did not bring their own needles or born in the Punjab province. ^ Clearly transmission in healthcare settings are implicated for HCV transmission. A population level preventative approach must be taken to educate both the population and healthcare practitioners to prevent further transmission in the Pakistani healthcare system. Participants should also be followed and re-interviewed to ask where they received their various treatments as well as assess their knowledge and attitudes towards injections, infusions, and other unsafe medical procedures.^

Sudden Infant Death disparities: A systematic review on health education and policy recommendations for decreasing Sudden Infant Death in the African-American community

Objective: To perform a systematic review of the literature on SIDS and SUID deaths concentrated in the African-American community, describe health education and policy recommendations and recommend a new approach that may aid in decreasing the disparity of infant mortality in the African-American community. ^ Methods: The PubMed database was systematically searched to identify relevant articles for final review and analysis. Using the CASP 2006 system to critique literature, twelve articles were found that met inclusion and exclusion criteria. ^ Results: Evidence in the literature confirmed there was a current disparity among African Americans' infant mortality rates in comparison to other US ethnic groups. The underlying reasons for these disparities included the following maternal and infant characteristics: mothers younger than eighteen, having more than one live infant, having a high school education or less, never been married, and have infants born preterm or with low birth weight. Maternal smoking, substance abuse, and breastfeeding did not have a significant impact on infant sleep environments among African Americans. ^ Conclusion: Tailored health education programs at the community level, better access to pre-pregnancy and prenatal care, and increased maternal perception of risk that is relevant to the infants sleeping environment are all possible solutions that may decrease African American infant mortality rates.^

Miscanthus Establishment and Survival

Rising costs of petroleum fuels and increased awareness of the adverse effects of greenhouse gases have spurred interest in renewable fuels and other ‘green’ products. Recent legislation has set goals of approximately 20 billion gallons of renewable fuel produced from non-corn starch sources by the year 2022. These driving forces have increased interest in dedicated bioenergy crops. Among perennial grasses, which have received an exceptional amount of attention as dedicated energy crops, one stands out: Miscanthus (Miscanthus x giganteus).

Miscanthus Establishment and Survival

Rising costs of petroleum fuels and increased awareness of the adverse effects of greenhouse gases have spurred interest in renewable fuels and other ‘green’ products. Recent legislation has set goals of approximately 20 billion gallons of renewable fuel produced from non-corn starch sources by the year 2022. These driving forces have increased interest in dedicated bioenergy crops. Among perennial grasses, which have received an exceptional amount of attention as dedicated energy crops, one stands out: Miscanthus (Miscanthus x giganteus).

Northwards and eastwards velocities extracted from a historical run (for the year 2000) of the UVic Earth System Climate Model of Weaver et al. (2001)

This study provides a theoretical assessment of the potential bias due to differential lateral transport on multi-proxy studies based on a range of marine microfossils. Microfossils preserved in marine sediments are at the centre of numerous proxies for paleoenvironmental reconstructions. The precision of proxies is based on the assumption that they accurately represent the overlying watercolumn properties and faunas. Here we assess the possibility of a syn-depositional bias in sediment assemblages caused by horizontal drift in the water column, due to differential settling velocities of sedimenting particles based on their shape, size and density, and due to differences in current velocities. Specifically we calculate the post-mortem lateral transport undergone by planktic foraminifera and a range of other biological proxy carriers (diatoms, radiolaria and fecal pellets transporting coccolithophores) in several regions with high current velocities. We find that lateral transport of different planktic foraminiferal species is minimal due to high settling velocities. No significant shape- or size-dependent sorting occurs before reaching the sediment, making planktic foraminiferal ideal proxy carriers. In contrast, diatoms, radiolaria and fecal pellets can be transported up to 500km in some areas. For example in the Agulhas current, transport can lead to differences of up to 2°C in temperature reconstructions between different proxies in response to settling velocities. Therefore, sediment samples are likely to contain different proportions of local and imported particles, decreasing the precision of proxies based on these groups and the accuracy of the temperature reconstruction.

Strontium isotopic ages from IODP Exp307

Sr isotope stratigraphy provides a new age model for the first complete section drilled through a deep-water coral mound. The 155-m-long section from Challenger Mound in the Porcupine Sea-bight, southwest of Ireland, is on Miocene siliciclastics and consists entirely of sediments bearing well-preserved cold-water coral Lophelia pertusa. The 87Sr/86Sr values of 28 coral specimens from the mound show an upward-increasing trend, correspond to ages from 2.6 to 0.5 Ma, and identify a significant hiatus from ca. 1.7 to 1.0 Ma at 23.6 m below seafloor. The age of the basal mound sediments coincides with the intensification of Northern Hemisphere glaciations that set up the modern stratification of the northeast Atlantic and enabled coral growth. Mound growth persisted throughout glacial-interglacial fluctuations, reached a maximum rate (24 cm/k.y.) ca. 2.0 Ma, and ceased at 1.7 Ma. Unlike other buried mounds in Porcupine Seabight, Challenger Mound was only partly covered during its growth interruption, and growth restarted ca. 1.0 Ma.

Carbonate chemistry, temperature and salinity of Lady Elliot Island Reef 2009-2010

Ocean acidification leads to changes in marine carbonate chemistry that are predicted to cause a decline in future coral reef calcification. Several laboratory and mesocosm experiments have described calcification responses of species and communities to increasing CO2. The few in situ studies on natural coral reefs that have been carried out to date have shown a direct relationship between aragonite saturation state (Omega arag) and net community calcification (Gnet). However, these studies have been performed over a limited range of Omega arag values, where extrapolation outside the observational range is required to predict future changes in coral reef calcification. We measured extreme diurnal variability in carbonate chemistry within a reef flat in the southern Great Barrier Reef, Australia. Omega arag varied between 1.1 and 6.5, thus exceeding the magnitude of change expected this century in open ocean subtropical/tropical waters. The observed variability comes about through biological activity on the reef, where changes to the carbonate chemistry are enhanced at low tide when reef flat waters are isolated from open ocean water. We define a relationship between net community calcification and Omega arag, using our in situ measurements. We find net community calcification to be linearly related to Omega arag, while temperature and nutrients had no significant effect on Gnet. Using our relationship between Gnet and Omega arag, we predict that net community calcification will decline by 55% of its preindustrial value by the end of the century. It is not known at this stage whether exposure to large variability in carbonate chemistry will make reef flat organisms more or less vulnerable to the non-calcifying physiological effects of increasing ocean CO2 and future laboratory studies will need to incorporate this natural variability to address this question.

Emergencia y crecimiento de plántulas de variedades de albahaca (Ocimum basilicum L.) en condiciones salinas

La albahaca presenta variabilidad en la tolerancia al estrés salino y se considera una planta sensible a la salinidad al inicio del crecimiento. El objetivo del estudio fue determinar el efecto del NaCl en la emergencia y crecimiento de albahaca. Se utilizaron veinte variedades sometidas a 0; 50 y 100 mM de NaCl, en un diseño completamente al azar con cuatro repeticiones. Las variables medidas fueron porcentaje y tasa de emergencia, longitud de radícula, altura de plántula, biomasa fresca y seca de radícula y de parte aérea. Los resultados mostraron que la variedad con mayor porcentaje de emergencia fue Thai, mientras que Sweet Genovese y Napoletano exhibieron los menores porcentajes. La variedad Thai mostró la mayor tasa de emergencia y Sweet Genovese la menor. Sweet Dani, Thai, Italian Large Leaf y Red Rubin presentaron mayor longitud de radícula, mientras que Sweet Dani, Italian Large Leaf, Dolly y Emily mostraron mayor biomasa fresca y seca de radícula. Sweet Dani, Licorice, Genovese y Napoletano exhibieron mayor altura de plántula, mientras que Sweet Genovese, Thai y Dolly presentaron mayor biomasa fresca y seca de parte aérea. Se discute la respuesta diferencial de las variedades al NaCl en la emergencia de plántulas.

Geochemistry of dikes and lavas from the north wall of the Hess Deep Rift

An investigation of ~1-m.y.-old dikes and lavas from the north wall of the Hess Deep Rift (2°15'N, 101°30'W) collected during Alvin expeditions provides a detailed view of the evolution of fast spreading oceanic crust. The study area encompasses 25 km of an east-west flow line, representing ~370,000 years of crustal accretion at the East Pacific Rise. Samples analyzed exhibit depleted incompatible trace element abundances and ratios [(La/Sm)N < 1]. Indices of fractionation (MgO), and incompatible element ratios (La/Sm, Nb/Ti) show no systematic trends along flow line. Rather, over short (<4 m) and long (~25 km) distances, significant variations are observed in major and trace element concentrations and ratios. Modeling of these variations attests to the juxtaposition of dikes of distinct parental magma compositions. These findings, combined with studies of segmentation of the subaxial magma chamber and lateral magma transport in dikes along rift-dominated systems, suggest a more realistic model of the magmatic system underlying the East Pacific Rise relative to the commonly assumed twodimensional model. In this model, melts from a heterogeneous mantle feed distinct portions of a segmented axial magma reservoir. Dikes emanating from these distinct reservoirs transport magma along axis, resulting in interleaved dikes and host lavas with different evolutionary histories. This model suggests the use of axial or flow line lava compositions to infer the evolution of axial magma chambers should be approached with caution because dikes may never erupt lava or may transport magma significant distances along axis and erupt lavas far from their axial magma chamber of origin.

La dialéctica sujeto/mundo en Anima mía, de Carlos Marzal

Carlos Marzal (Valencia, 1961) es uno de los poetas españoles de mayor renombre en estas dos últimas décadas. El propósito de esta ponencia es acercarnos a su último poemario Ánima mía publicado en el año 2009. Como veremos en este trabajo la escritura poética de Marzal adhiere a una vasta genealogía que arranca en el siglo XVII, con la elección de un tono de voz próximo a la contención y la reducción que caracterizaran al barroco tanto hispánico como sajón. Más que de lecturas o influencias, Marzal prefiere hablar de la voluntad de 'unir ciertos nombres al suyo propio'. Así, desde la publicación de Metales pesados, libro bisagra en su trayectoria escritural, hay que mencionar los nombres de San Juan de la Cruz y Heráclito, Hiedegger y Tertuliano, Emily Dickinson y George Santayana, Manrique y Juan Ramón Jiménez, Bécquer y Miguel Hernández, José Hierro, John Keats y Horacio. Como veremos a lo largo de este trabajo, Anima mía es un libro de síntesis, de madurez y aprendizaje, de amoroso entendimiento con el mundo; un libro que se orienta hacia el tono celebratorio, el del canto de alabanza y la cadencia hímnica de visos claramente neorrománticos