Validation of thigh-based accelerometer estimates of postural allocation in 5-12 year-olds

OBJECTIVES: To validate activPAL3™ (AP3) for classifying postural allocation, estimating time spent in postures and examining the number of breaks in sedentary behaviour (SB) in 5-12 year-olds. DESIGN: Laboratory-based validation study. METHODS: Fifty-seven children completed 15 sedentary, light- and moderate-to-vigorous intensity activities. Direct observation (DO) was used as the criterion measure. The accuracy of AP3 was examined using a confusion matrix, equivalence testing, Bland-Altman procedures and a paired t-test for 5-8y and 9-12y. RESULTS: Sensitivity of AP3 was 86.8%, 82.5% and 85.3% for sitting/lying, standing, and stepping, respectively, in 5-8y and 95.3%, 81.5% and 85.1%, respectively, in 9-12y. Time estimates of AP3 were equivalent to DO for sitting/lying in 9-12y and stepping in all ages, but not for sitting/lying in 5-12y and standing in all ages. Underestimation of sitting/lying time was smaller in 9-12y (1.4%, limits of agreement [LoA]: -13.8 to 11.1%) compared to 5-8y (12.6%, LoA: -39.8 to 14.7%). Underestimation for stepping time was small (5-8y: 6.5%, LoA: -18.3 to 5.3%; 9-12y: 7.6%, LoA: -16.8 to 1.6%). Considerable overestimation was found for standing (5-8y: 36.8%, LoA: -16.3 to 89.8%; 9-12y: 19.3%, LoA: -1.6 to 36.9%). SB breaks were significantly overestimated (5-8y: 53.2%, 9-12y: 28.3%, p<0.001). CONCLUSIONS: AP3 showed acceptable accuracy for classifying postures, however estimates of time spent standing were consistently overestimated and individual error was considerable. Estimates of sitting/lying were more accurate for 9-12y. Stepping time was accurately estimated for all ages. SB breaks were significantly overestimated, although the absolute difference was larger in 5-8y. Surveillance applications of AP3 would be acceptable, however, individual level applications might be less accurate.

Ban yue 半月 (The Half Moon Journal) Vol 4 No 12 (05 Jun, 1925)

A bimonthly literary magazine edited by Zhou Shoujuan 周瘦鵑, featuring fiction, topical articles, and entertainment features, published from September 1921 through November 1925.

Ban yue 半月 (The Half Moon Journal) Vol 3 No 12

A bimonthly literary magazine edited by Zhou Shoujuan 周瘦鵑, featuring fiction, topical articles, and entertainment features, published from September 1921 through November 1925.

Ban yue 半月 (The Half Moon Journal) Vol 2 No 23 (12 Aug, 1923)

A bimonthly literary magazine edited by Zhou Shoujuan 周瘦鵑, featuring fiction, topical articles, and entertainment features, published from September 1921 through November 1925.

Ban yue 半月 (The Half Moon Journal) Vol 2 No 12 (02 Mar, 1923)

A bimonthly literary magazine edited by Zhou Shoujuan 周瘦鵑, featuring fiction, topical articles, and entertainment features, published from September 1921 through November 1925.

Ban yue 半月 (The Half Moon Journal) Vol 4 No 12 (05 Jun, 1925)

A bimonthly literary magazine edited by Zhou Shoujuan 周瘦鵑, featuring fiction, topical articles, and entertainment features, published from September 1921 through November 1925.

Ban yue 半月 (The Half Moon Journal) Vol 3 No 12

A bimonthly literary magazine edited by Zhou Shoujuan 周瘦鵑, featuring fiction, topical articles, and entertainment features, published from September 1921 through November 1925.

Ban yue 半月 (The Half Moon Journal) Vol 2 No 23 (12 Aug, 1923)

A bimonthly literary magazine edited by Zhou Shoujuan 周瘦鵑, featuring fiction, topical articles, and entertainment features, published from September 1921 through November 1925.

Ban yue 半月 (The Half Moon Journal) Vol 2 No 23 (12 Aug, 1923)

A bimonthly literary magazine edited by Zhou Shoujuan 周瘦鵑, featuring fiction, topical articles, and entertainment features, published from September 1921 through November 1925.

Ban yue 半月 (The Half Moon Journal) Vol 2 No 12 (02 Mar, 1923)

A bimonthly literary magazine edited by Zhou Shoujuan 周瘦鵑, featuring fiction, topical articles, and entertainment features, published from September 1921 through November 1925.

Ban yue 半月 (The Half Moon Journal) Vol 1 No 12 (27 Feb, 1922)

A bimonthly literary magazine edited by Zhou Shoujuan 周瘦鵑, featuring fiction, topical articles, and entertainment features, published from September 1921 through November 1925.

Ban yue 半月 (The Half Moon Journal) Vol 1 No 9 (12 Jan, 1922)

A bimonthly literary magazine edited by Zhou Shoujuan 周瘦鵑, featuring fiction, topical articles, and entertainment features, published from September 1921 through November 1925.

Variability in the international normalised ratio (INR) in patients with antiphospholipid syndrome and positive lupus anticoagulant: should the INR targets be higher?

El síndrome antifosfolípido es un desorden autoinmune caracterizado por hipercoagulabilidad que requiere terapia anticoagulante como pilar fundamental, siendo la warfarina el tratamiento de elección en los casos que requieren manejo por largos periodos. Sin embargo, los pacientes con anticoagulante lúpico positivo representan un reto porque tienen mayor riesgo de presentar eventos trombóticos, sumado a que el seguimiento con el International Normalized Ratio (INR) no es confiable, ya que estos anticuerpos generan interferencia con las pruebas de laboratorio basadas en fosfolípidos, como es el caso del tiempo de protrombina (PT) con INR basal prolongado, incluso antes del inicio de la terapia anticoagulante. Por tal razón, se ilustra el caso de una paciente con síndrome antifosfolípido primario y anticoagulante lúpico positivo quien ha presentado múltiples episodios trombóticos, a pesar de recibir terapia anticoagulante. Además se hace una revisión de la literatura disponible y se postulan nuevas metas de INR en estos pacientes diferentes de las que se plantean actualmente.

Caracterización de la función cognitiva de niños con síndrome de down de 5 a 12 años en la ciudad de Bogotá

Los niños que padecen trisomía 21 poseen una serie de características físicas, neurológicas y neuropsicológicas específicas, las cuales han sido investigadas a profundidad en diferentes países, de lo cual se han desarrollado protocolos de evaluación para estos niños acorde a su nacionalidad (García, 2010). A pesar de que Colombia es uno de los países en los cuales el síndrome de Down se presenta con mayor frecuencia, hasta la fecha, no se encuentran estudios que enfaticen en las habilidades neuropsicológicas de esta población específica, por lo cual no se han desarrollado protocolos de evaluación adecuados para los niños con síndrome este síndrome. Esta investigación se llevó acabo con una población de 88 niños a los cuales se les aplicó el inventario de desarrollo BATTELLE, y se identificó que los niños con síndrome Down de 5 a 12 años obtienen un puntaje que se encuentra en 4 desviaciones estándar por debajo de la media típica. Lo anterior demuestra una característica específica de esta población en cuanto a patrones de desarrollo en las cuales, se evidencia dificultad más importante en las área cognición y de la comunicación expresiva. Con respecto a los intervalos de edad se identificó que a lo largo de estos el desempeño en las áreas evaluadas decrece. esto puede estar relacionado con la mayor complejidad de los hitos del desarrollo para una edad esperada. Debido a que los hitos del desarrollo esperados varían a lo largo de los periodos del ciclo vital del ser humano, estos tienden a aumentar su complejidad en etapas del desarrollo más avanzados; como estos niños poseen una serie de dificultades en las funciones ejecutivas y cognición, no lograrán alcanzar dichos hitos del desarrollo.

Raman spectroscopy of some complex arsenate minerals—implications for soil remediation

The application of spectroscopy to the study of contaminants in soils is important. Among the many contaminants is arsenic, which is highly labile and may leach to non-contaminated areas. Minerals of arsenate may form depending upon the availability of specific cations for example calcium and iron. Such minerals include carminite, pharmacosiderite and talmessite. Each of these arsenate minerals can be identified by its characteristic Raman spectrum enabling identification.