Abstract
This paper presents a study of circumstellar debris around Sun-like stars using data from the Herschel DEBRIS Key Programme. DEBRIS is an unbiased survey comprising the nearest ∼90 stars of ...each spectral type A-M. Analysis of the 275 F-K stars shows that excess emission from a debris disc was detected around 47 stars, giving a detection rate of 17.1$^{+2.6}_{-2.3}$ per cent, with lower rates for later spectral types. For each target a blackbody spectrum was fitted to the dust emission to determine its fractional luminosity and temperature. The derived underlying distribution of fractional luminosity versus blackbody radius in the population showed that most detected discs are concentrated at f ∼ 10−5 and at temperatures corresponding to blackbody radii 7–40 au, which scales to ∼40 au for realistic dust properties (similar to the current Kuiper belt). Two outlying populations are also evident; five stars have exceptionally bright emission ( f > 5 × 10−5), and one has unusually hot dust <4 au. The excess emission distributions at all wavelengths were fitted with a steady-state evolution model, showing that these are compatible with all stars being born with a narrow belt that then undergoes collisional grinding. However, the model cannot explain the hot dust systems – likely originating in transient events – and bright emission systems – arising potentially from atypically massive discs or recent stirring. The emission from the present-day Kuiper belt is predicted to be close to the median of the population, suggesting that half of stars have either depleted their Kuiper belts (similar to the Solar system) or had a lower planetesimal formation efficiency.
Targeting social isolation in older people is a growing public health concern. The proportion of older people in society has increased in recent decades, and it is estimated that approximately 25% of ...the population will be aged 60 or above within the next 20 to 40 years. Social isolation is prevalent amongst older people and evidence indicates the detrimental effect that it can have on health and wellbeing. The aim of this review was to assess the effectiveness of interventions designed to alleviate social isolation and loneliness in older people.
Relevant electronic databases (MEDLINE, EMBASE, ASSIA, IBSS, PsycINFO, PubMed, DARE, Social Care Online, the Cochrane Library and CINAHL) were systematically searched using an extensive search strategy, for randomised controlled trials and quasi-experimental studies published in English before May 2009. Additional articles were identified through citation tracking. Studies were included if they related to older people, if the intervention aimed to alleviate social isolation and loneliness, if intervention participants were compared against inactive controls and, if treatment effects were reported. Two independent reviewers extracted data using a standardised form. Narrative synthesis and vote-counting methods were used to summarise and interpret study data.
Thirty two studies were included in the review. There was evidence of substantial heterogeneity in the interventions delivered and the overall quality of included studies indicated a medium to high risk of bias. Across the three domains of social, mental and physical health, 79% of group-based interventions and 55% of one-to-one interventions reported at least one improved participant outcome. Over 80% of participatory interventions produced beneficial effects across the same domains, compared with 44% of those categorised as non-participatory. Of interventions categorised as having a theoretical basis, 87% reported beneficial effects across the three domains compared with 59% of interventions with no evident theoretical foundation. Regarding intervention type, 86% of those providing activities and 80% of those providing support resulted in improved participant outcomes, compared with 60% of home visiting and 25% of internet training interventions. Fifty eight percent of interventions that explicitly targeted socially isolated or lonely older people reported positive outcomes, compared with 80% of studies with no explicit targeting.
More, well-conducted studies of the effectiveness of social interventions for alleviating social isolation are needed to improve the evidence base. However, it appeared that common characteristics of effective interventions were those developed within the context of a theoretical basis, and those offering social activity and/or support within a group format. Interventions in which older people are active participants also appeared more likely to be effective. Future interventions incorporating all of these characteristics may therefore be more successful in targeting social isolation in older people.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
To develop more efficient programmes for promoting dietary and/or physical activity change (in order to prevent type 2 diabetes) it is critical to ensure that the intervention components and ...characteristics most strongly associated with effectiveness are included. The aim of this systematic review of reviews was to identify intervention components that are associated with increased change in diet and/or physical activity in individuals at risk of type 2 diabetes.
MEDLINE, EMBASE, CINAHL, PsycInfo, and the Cochrane Library were searched for systematic reviews of interventions targeting diet and/or physical activity in adults at risk of developing type 2 diabetes from 1998 to 2008. Two reviewers independently selected reviews and rated methodological quality. Individual analyses from reviews relating effectiveness to intervention components were extracted, graded for evidence quality and summarised.
Of 3856 identified articles, 30 met the inclusion criteria and 129 analyses related intervention components to effectiveness. These included causal analyses (based on randomisation of participants to different intervention conditions) and associative analyses (e.g. meta-regression). Overall, interventions produced clinically meaningful weight loss (3-5 kg at 12 months; 2-3 kg at 36 months) and increased physical activity (30-60 mins/week of moderate activity at 12-18 months). Based on causal analyses, intervention effectiveness was increased by engaging social support, targeting both diet and physical activity, and using well-defined/established behaviour change techniques. Increased effectiveness was also associated with increased contact frequency and using a specific cluster of "self-regulatory" behaviour change techniques (e.g. goal-setting, self-monitoring). No clear relationships were found between effectiveness and intervention setting, delivery mode, study population or delivery provider. Evidence on long-term effectiveness suggested the need for greater consideration of behaviour maintenance strategies.
This comprehensive review of reviews identifies specific components which are associated with increased effectiveness in interventions to promote change in diet and/or physical activity. To maximise the efficiency of programmes for diabetes prevention, practitioners and commissioning organisations should consider including these components.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
Abstract
The European FP7 project DIANA has performed a coherent analysis of a large set of observational data of protoplanetary disks by means of thermo-chemical disk models. The collected data ...include extinction-corrected stellar UV and X-ray input spectra (as seen by the disk), photometric fluxes, low and high resolution spectra, interferometric data, emission line fluxes, line velocity profiles and line maps, which probe the dust, polycyclic aromatic hydrocarbons (PAHs) and the gas in these objects. We define and apply a standardized modeling procedure to fit these data by state-of-the-art modeling codes (
ProDiMo
,
MCFOST
,
MCMax
), solving continuum and line radiative transfer (RT), disk chemistry, and the heating and cooling balance for both the gas and the dust. 3D diagnostic RT tools (e.g., FLiTs) are eventually used to predict all available observations from the same disk model, the DIANA-standard model. Our aim is to determine the physical parameters of the disks, such as total gas and dust masses, the dust properties, the disk shape, and the chemical structure in these disks. We allow for up to two radial disk zones to obtain our best-fitting models that have about 20 free parameters. This approach is novel and unique in its completeness and level of consistency. It allows us to break some of the degeneracies arising from pure Spectral Energy Distribution (SED) modeling. In this paper, we present the results from pure SED fitting for 27 objects and from the all inclusive DIANA-standard models for 14 objects. Our analysis shows a number of Herbig Ae and T Tauri stars with very cold and massive outer disks which are situated at least partly in the shadow of a tall and gas-rich inner disk. The disk masses derived are often in excess to previously published values, since these disks are partially optically thick even at millimeter wavelength and so cold that they emit less than in the Rayleigh–Jeans limit. We fit most infrared to millimeter emission line fluxes within a factor better than 3, simultaneously with SED, PAH features and radial brightness profiles extracted from images at various wavelengths. However, some line fluxes may deviate by a larger factor, and sometimes we find puzzling data which the models cannot reproduce. Some of these issues are probably caused by foreground cloud absorption or object variability. Our data collection, the fitted physical disk parameters as well as the full model output are available to the community through an online database (
http://www.univie.ac.at/diana
).
The development of shampoo and cleansing formulations in cosmetics is at a crossroads due to consumer demands for better performing, more natural products and also the strong commitment of cosmetic ...companies to improve the sustainability of cosmetic products. In order to go beyond traditional formulations, it is of great importance to clearly establish the science behind cleansing technologies and appreciate the specificity of cleansing biological surfaces such as hair and skin.
In this review, we present recent advances in our knowledge of the physicochemical properties of the hair surface from both an experimental and a theoretical point of view. We discuss the opportunities and challenges that newer, sustainable formulations bring compared to petroleum-based ingredients. The inevitable evolution towards more bio-based, eco-friendly ingredients and sustainable formulations requires a complete rethink of many well-known physicochemical principles.
The pivotal role of digital sciences and modelling in the understanding and conception of new ingredients and formulations is discussed. We describe recent numerical approaches that take into account the specificities of the hair surface in terms of structuration, different methods that study the adsorption of formulation ingredients and finally the success of new data-driven approaches.
We conclude with practical examples on current formulation efforts incorporating bio-surfactants, controlling foaming and searching for new rheological properties.
Display omitted
•Advanced view of the hair surface as a 2D and 3D structured surface of lipids and chemical anionic groups.•Current and new experimental approaches for the understanding of the adsorption of polymers and surfactants in shampoos.•Review of the eco-sustainable principles needed in the design of future cleaning formulations.•How numerical methods (coarse, atom based, and data driven) help the design of new performant eco-friendly formulations.•Specificity of bio surfactants as ingredients, and new trends in foaming and rheology of cleansing formulations.
Purpose To investigate for socially isolated older people, and older people at risk of social isolation: (1) health status and health-related quality of life (HRQL); (2) the relationship between ...social isolation and health status/HRQL; (3) the relationship between two alternative measures of health status/HRQL. Methods Older people at risk of social isolation (n = 393) completed the EQ-5D and the SF-12. Multiple regression analyses were performed to examine the relationship between levels of social isolation and health status/HRQL, controlling for demographic/clinical characteristics. The agreement between EQ-5D and SF-6D (SF-12) scores was explored using descriptive psychometric techniques. Results Health status and health state values were much lower than UK general population age-matched norms. After controlling for depression, physical co-morbidities, age, gender, living alone status, employment and accommodation, social isolation was significantly associated, to a degree that was clinically relevant, with EQ-5D DSI, SF-6D (SF-12) and SF-12 MCS scores. The potential for ceiling effects on the EQ-5D with this population was identified. Conclusion This work highlights the burden that social isolation may have on the health and well-being of older people. The potential HRQL gains from addressing social isolation may be considerable, with those at risk of social isolation also a key target group.
Abstract
Background
Although physical activity interventions are frequently reported to be effective, long-term changes are needed to generate meaningful health benefits. There are criticisms that ...evaluations of physical activity interventions mostly report short-term outcomes and that these are often self-reported rather than measured objectively. This study therefore aimed to assess the long-term (at least 24 month) effectiveness of behavioural interventions on objectively measured physical activity.
Methods
We conducted a systematic review with a meta-analysis of effects on objectively measured physical activity. We searched: Cochrane CENTRAL, EMBASE, PsychInfo, CINAHL and Pubmed up to 10th January 2022. Studies were included if they were in English and included a physical intervention that assessed physical activity in the long-term (defined as at least 24 months).
Results
Eight
studies with 8480 participants were identified with data suitable for meta-analysis. There was a significant effect of interventions on daily steps 24 months post baseline (four studies, SMD: 0.15, 95% CI: 0.02 to 0.28) with similar results at 36 to 48 months of follow up (four studies, SMD: 0.17, 95% CI: 0.07 to 0.27). There was a significant effect of interventions on moderate-to-vigorous physical activity 24 months post baseline (four studies, SMD: 0.18 95% CI: 0.07 to 0.29) and at 36 to 48 months (three studies, SMD: 0.16 95% CI: 0.09 to 0.23). The mean effect size was small. However, the changes in moderate-to-vigorous physical activity and steps per day were clinically meaningful in the best-performing studies.
Conclusion
This review suggests that behavioural interventions can be effective in promoting small, but clinically meaningful increases in objectively measured physical activity for up to 48 months. There is therefore a need to develop interventions that can achieve greater increases in long-term physical activity with greater efficiency.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
To investigate the feasibility and acceptability of a volunteer-led balance programme for older adults.
A feasibility cluster RCT with focus groups were conducted in faith-based institutions. ...Eligibility criteria were: participants were ≥65 years, able to do five times sit -to-stand, had no falls in the previous six months and had good mental capacity. The intervention included supervised group exercises and exercise booklets for six months, education and a fall poster. Assessments included, TUG, MCTSiB, FTST, FES, mABC, OPQoL and DGLS at baseline, 6 weeks, and 6 months. Feasibility measures included numbers of volunteers, sessions, and volunteers" time commitment, views of participants about sustainability of program using qualitative focus groups and volunteers' ability to deliver programme.
Three churches participated with 31 participants in each group. Participants had a mean age of 77.3 years, were 100% British, and 79% female. The sample size estimate for a future trial using TUG, was 79 per group. Focus groups showed perceived social and physical improvements in participants, need to extend the programme to the wider community, and increased confidence, participation and socialisation.
The community-based balance training in faith-based institutions, was feasible and acceptable in one geographical area and requires evaluation in cohesive diverse communities.
Implications for Rehabilitation
If an institution or a community is united through faith, culture, national roots, or tradition, then these groups are ideal for such balance rehabilitation programmes, because of the familiarity of the location and people, cohesive culture or their ideology to help their communities.
Participants and volunteers perceived improved participation, confidence and socialisation and were keen to continue programme.
It is important to develop community-based falls prevention programmes that the National Health Service (NHS) can partially support using volunteers to reduce the burden of falls in the community and for the NHS.