Influence of Accelerometer Placement and/or Heart Rate on Energy Expenditure Prediction during Uphill Exercise

Studies using a triaxial accelerometer and heart rate (HR) simultaneously for estimating energy expenditure (EE) during uphill exercise are rare. Exploring the optimal location for placing the accelerometer for predicting EE during uphill exercise is essential. Sixteen healthy male participants (M ± SEM; age 25.00 ± 0.61 years; body weight 74.13 ± 2.51 kg; body height 1.74 ± 0.01 m; body mass index 24.30 ± 0.63 kg/m²) exercised on a treadmill under 12 conditions (4 speeds and 3 gradients) on 3 days. Triaxial accelerometers, an HR recorder, and a metabolic measurement system were simultaneously used. Accelerometer outputs from various anatomical locations (upper arm, chest, lower back, waist, thigh, and instep) showed significant positive correlations with EE (0.819, 0.846, 0.816, 0.820, 0.672, and 0.669, respectively; p < .05). The linear regression equation for changes in HR showed the highest coefficient of determination (r²) of .837 with 87.9% reliability. When the HR signal was included, the r² value (> .842) and reliability (87.9%) between the accelerometer outputs and EE improved. Accelerometer outputs from the waist position alone provide highly accurate EE values. Using both accelerometer outputs and HR for EE estimation during uphill exercise is feasible and improves the accuracy of EE prediction.     

初中生风险决策表现的认知建模分析:自尊及性别的影响

选取山东省某初中308名学生,采用爱荷华博弈任务,使用“效用-固着”模型对决策包含的动机、认知、反应心理过程进行认知建模分析,探究自尊水平和性别对初中生风险决策表现的影响。结果发现,初中生的风险决策表现不佳,对损失不敏感。在控制年级的影响后,分层回归分析表明:(1)自尊水平和性别对决策的动机过程的影响存在交互作用,男生无论自尊高低对收益都较为关注,女生中高自尊者更加关注收益。(2)决策成绩不存在显著的性别差异,但男生更多选择有着较高损失值的不利选项,而女生更多选择损失频率较低的有利选项。(3)自尊的影响主要体现在动机和认知过程,高自尊水平者在动机过程中更多表现出对损失的规避,在认知过程中更多地考虑维持之前的决策选择。     

Posttraumatic Overmodulation,Callous–Unemotional Traits,and Offending Among Justice-Involved Youth

A large body of research has demonstrated an association between childhood trauma exposure (TE) and adolescent delinquency. This association may be explained by callous–unemotional (CU) traits, which may stem from TE and are associated with persistent offending and recidivism. However, research on the mechanisms underlying TE and delinquency has lacked specificity regarding the posttraumatic symptoms that may drive this effect, particularly new models that distinguish between posttraumatic symptoms (PTS) of overmodulation versus undermodulation. This article sought to investigate the role of overmodulation in the association between TE and CU traits and their relations with persistent offending. Participants included 829 detained youth who completed self-report measures of TE, PTS, and CU traits. Official records of youth offenses were also obtained. Results of path analyses demonstrated that the association between interpersonal TE and persistent offending exhibited an indirect effect through overmodulation and CU traits. Efforts to address overmodulation among traumatized detained youth may represent a promising avenue of intervention for reducing recidivism.     

High fatigue and its associations with health and work related factors among female medical personnel at 54 hospitals in Zhuhai,China

The present study aimed to investigate the prevalence of fatigue and determine factors associated with fatigue in female medical personnel. Based on a cross-sectional study, a total of 1608 female medical personnel at 54 hospitals in Zhuhai, China were recruited by a multistage stratified cluster sampling method. The Symptoms Checklist-90-Revised and Chalder Fatigue Scale were used to assess psychiatric symptoms and fatigue, respectively. Data regarding demographic, health, and work related variables were also collected. Multivariate logistic regression model was constructed to determine the influencing factors of fatigue. Approximately 83% of participants had experienced fatigue in the past week. The risk of fatigue was higher in aged 30–39 years old than older or younger participants; Longer sleeping time predicted a lower prevalence of fatigue (OR = .35), while tense physician-patient relationship predicted a higher prevalence of fatigue (OR = 1.77). Depression (OR = 1.76) and anxiety (OR = 1.96) were found related to fatigue. Additionally, fatigue was associated with marital status, occupation, health related factors (exercise, regular diet, and health status), and work related factors (hospital rank and turnover intention). These study findings might facilitate development and implementation of targeted interventions and preventive measures.     

Rheumatoid arthritis is associated with negatively variable impacts on domains of female sexual function: evidence from a systematic review and meta-analysis

To systematically review the literature to identify the impact of rheumatoid arthritis (RA) on specific female sexual function domains. A meta-analysis was performed and the related literature were searched in MEDLINE, EMBASE, Cochrane Library, CNKI, CBM and Web of Science databases, and in reference lists of articles and systematic reviews. Score of the Female Sexual Function Index (FSFI) was used as the outcome measurement, and mean differences (MD) with 95% confidence intervals (CI) were calculated. Five studies were included, including 346 women with RA and 237 healthy female controls. Each domain of the FSFI score: lubrication (MD, ?2.48; 95% CI, ?3.69, ?1.28), orgasm-1.71 (?2.09, ?1.33), sexual desire-1.27 (?1.59, ?0.95), satisfaction-1.67 (?2.18, ?1.16), arousal-1.83 (?2.85, ?0.82), pain-1.57 (?2.43, ?0.70) and the total score ?8.84 (?11.88, ?5.79) were lower in RA women than healthy controls. Furthermore, lubrication dimension was most severely affected especially. This meta-analysis showed that female RA patients scored lower in each dimension of FSFI, mostly in the lubrication domain. It demonstrated that targeted interventions should be done to improve their sexual function. Future well-designed researches with larger sample sizes are necessary to evaluate the potential risk factors which determine female sexual dysfunction.     

Effects of varying numbers of Likert scale points on factor structure of the Rosenberg Self‐Esteem Scale

Likert‐type rating scales are among the most widely used tools in psychological research. Different numbers of response categories would likely affect response style, data distribution, reliability, and construct validity. There is a lack of research in factor structure invariance under Likert scales with different numbers of categories. The purpose of this study is to examine the effects of varying numbers of Likert points (4–11) on scale properties such as factor structure, external validity, and latent means based on the Rosenberg Self‐Esteem Scale (M. Rosenberg, 1989 ). The sample consists of 1,807 students from secondary schools in Macau. Confirmatory factor analysis shows that the correlated two‐factor model is the most appropriate one; longitudinal invariance analysis reveals that measurement invariance across Likert scales was satisfied at the scalar level. In addition, latent mean scores on the two factors as well as observed means on the subscales are comparable across Likert scales. Moreover, the measurement model across Likert scales exhibit similar external validity. Although psychometric properties are mostly similar among a different number of points, the 4‐point Likert scale is not recommended for its higher skewness and lower loadings; the 11‐point Likert scale from 0 to 10 is slightly preferred for its higher loadings and composite reliability.     

Perceived stigma of caregivers: Psychometric evaluation for Devaluation of Consumer Families Scale

Background/Objective: The Devaluation of Consumer Families Scale (DCFS) is commonly used to measure perceived stigma towards family members of people with mental illness. However, its factorial structure has never been confirmed using confirmatory factor analysis (CFA). This study aimed to test the psychometric properties of the DCFS Taiwan version (DCFS-TW). Method: Family caregivers (N=511) completed the DCFS-TW (97 completed the DCFS again after 2 to 4 weeks) and other instruments. CFA, test-retest reliability, internal consistency, concurrent validity, and known-group validity were analyzed. Results: The three-factor structure of the DCFS-TW performed better than the one-factor structure. Test-retest reliability (r = .66) and internal consistency were satisfactory (α = .85); concurrent validity (absolute r = .20 to .58) was acceptable; known-group validity was supported by the significantly different DCFS-TW scores in clinical characteristics (had been vs. had not been hospitalized; had been vs. had not been compulsorily admitted). Conclusions: The DCFS-TW has decent psychometric properties and is suitable for health professionals to measure perceived stigma towards family members of people with mental illness.     

肠促胰素对2型糖尿病胰岛功能的影响

胰岛β细胞功能障碍是2型糖尿病的重要发病机制之一,而现有治疗手段保护β细胞功能作用有限。最新的研究发现,肠促胰素不仅能够改善口细胞功能,而且能够避免低血糖、体重增加等不良反应,是治疗2型糖尿病的新途径。本文通过回顾公开发表的临床研究,对2型糖尿病口细胞功能、传统治疗及肠促胰素对β细胞功能的保护及延缓疾病进展作用进行了综...     

围手术期血糖控制

糖尿病患者围手术期血糖控制是临床糖尿病处理的一大难题,围手术期血糖控制状况对术后病死率及感染等并发症有重要影响.良好的血糖控制可以改善患者预后,但严格控制血糖也会增加低血糖和多项不良事件发生的风险.目前时围手术期血糖控制的目标尚无统一标准,缺乏充分的前瞻性对比研究和循证证据.本文作者对近几年关于围手术期血糖控制相关文献综合整理,结合相关临床经验,就围手术期血糖控制进行探讨.