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Procesrecht. Verzet. Brengt niet-ontvankelijkheid in het verzet wegens termijnoverschrijding mee dat in reconventie ingestelde vorderingen evenmin kunnen worden beoordeeld?

Nele Bal interviewt Toby Kiers. Dat niet enkel mensen zich bezighouden met ‘economische’ handelingen, constateerde ik bij het lezen van ‘Verweven Leven – de verborgen wereld van schimmels’. Evolutiebiologe Toby Kiers vertelt in dit boek van Merlin Sheldrake over haar fascinerende onderzoek naar de ‘handelaars’ in nutriënten onder de grond: de schimmels. Ik ging bij haar langs om te vragen hoe ze dat onderzoekt en wat we hieruit kunnen leren? Het werd een wervelend gesprek over slimme schimmels, ondergrondse handelspraktijken en de nood aan bescherming van het bodemleven.

Er wordt gebouwd en gebouwd bij Ausnutria, met name in Heerenveen. Natuurlijk heeft de groeimarkt voor babyvoeding op basis van geitenmelk daarmee te maken. Onder leiding van Jeroen Kiers, sinds januari 2020 CEO, is er naast nieuwe fabrieken ook een Nutrition Institute opgericht. “Ik ben van de innovatie”, zegt hij zelf.

Vlees uit Ierland, met gras gevoerd en voorzien van een mooi randje vet, zo ziet Gertjan Kiers zijn vlees het liefst. ‘Vet is smaak, vlees zonder vet is voor mij geen vlees.’ Kiers is een slager met zendingsdrang die bruggen bouwt. ‘Als slager en als vleesveehouder moet je naar elkaar luisteren. Niet het vee afleveren en weer wegwezen.’

De keuze voor een automatisch ruwvoersysteem was voor familie Kiers uit Wachtum duidelijk. Goedkoop uitbreiden in stalcapaciteit en een arbeidsbesparing van 1,5 uur per dag stonden aan de basis voor een investering van 120.000 euro

Material relating to Samuel Saffier's visit to Australia., 281528 item: [2010.0053.00364] "Saffier-Kiers Itinerary 1992"

Material relating to Samuel Saffier's visit to Australia., 281528 item: [2010.0053.00364] "Saffier-Kiers Itinerary 1992"

Bevat 60 bijdragen, geschreven in Den Haag, Groningen, Namen, Rotterdam, Leiden, Spaarndam, Haarlem, Amsterdam. - Lijst van inscriptoren: http://wereldaanboeken.ub.rug.nl/wp-content/uploads/2009/10/HS-ADD-224-lijst-van-inscriptoren-2.pdf, Pp. 51/52, 55/56, 59/60, 129/130 en 171/172 ontbreken. Op p. 51 stond, volgens de 'Index', een bijdrage van Elisabet Getruida Wassenburg, op p. 53 (p. 53 is blanco, dus dit moet mogelijk p. 52 zijn) van Jan Wassenberg (deze beide namen zijn in de 'Index' doorgestreept) en op p. 130 van Reynd Berens Huisman. - Met een, incomplete, lijst van inscribenten ('Index') op pp. 177-178. - Klaas Willem Kiers (ca. 1722-1759) was ingenieur-modellist van prins Willem IV, Een portret van Kiers door Aart Schouwman (p. 175), penseeltekeningen van N. Cuijck (p. 41), Dorothea Kreps (p. 62) en Johannes van Dijk (p. 71), en een ingeplakte gravure (p. 66)., gch 2018

Background and purpose: Various electrodiagnostic criteria have been developed in Guillain–Barré syndrome (GBS). Their performance in a broad representation of GBS patients has not been evaluated. Motor conduction data from the International GBS Outcome Study (IGOS) cohort were used to compare two widely used criterion sets and relate these to diagnostic amyotrophic lateral sclerosis criteria. Methods: From the first 1500 patients in IGOS, nerve conduction studies from 1137 (75.8%) were available for the current study. These patients were classified according to nerve conduction studies criteria proposed by Hadden and Rajabally. Results: Of the 1137 studies, 68.3% (N = 777) were classified identically according to criteria by Hadden and Rajabally: 111 (9.8%) axonal, 366 (32.2%) demyelinating, 195 (17.2%) equivocal, 35 (3.1%) inexcitable and 70 (6.2%) normal. Thus, 360 studies (31.7%) were classified differently. The areas of differences were as follows: 155 studies (13.6%) classified as demyelinating by Hadden and axonal by Rajabally; 122 studies (10.7%) classified as demyelinating by Hadden and equivocal by Rajabally; and 75 studies (6.6%) classified as equivocal by Hadden and axonal by Rajabally. Due to more strictly defined cutoffs fewer patients fulfilled demyelinating criteria by Rajabally than by Hadden, making more patients eligible for axonal or equivocal classification by Rajabally. In 234 (68.6%) axonal studies by Rajabally the revised El Escorial (amyotrophic lateral sclerosis) criteria were fulfilled; in axonal cases by Hadden this was 1.8%. Conclusions and discussion: This study shows that electrodiagnosis in GBS is dependent on the criterion set utilized, both of which are based on expert opinion. Reappraisal of electrodiagnostic subtyping in GBS is warranted.

Background: Polypharmacy is common among patients with a limited life expectancy, even shortly before death. This is partly inevitable, because these patients often have multiple symptoms which need to be alleviated. However, the use of potentially inappropriate medications (PIMs) in these patients is also common. Although patients and relatives are often willing to deprescribe medication, physicians are sometimes reluctant due to the lack of evidence on appropriate medication management for patients in the last phase of life. The aim of the AMUSE study is to investigate whether the use of CDSS-OPTIMED, a software program that gives weekly personalized medication recommendations to attending physicians of patients with a limited life expectancy, improves patients’ quality of life. Methods: A multicentre stepped-wedge cluster randomized controlled trial will be conducted among patients with a life expectancy of three months or less. The stepped-wedge cluster design, where the clusters are the different study sites, involves sequential crossover of clusters from control to intervention until all clusters are exposed. In total, seven sites (4 hospitals, 2 general practices and 1 hospice from the Netherlands) will participate in this study. During the control period, patients will receive ‘care as usual’. During the intervention period, CDSS-OPTIMED will be activated. CDSS-OPTIMED is a validated software program that analyses the use of medication based on a specific set of clinical rules for patients with a limited life expectancy. The software program will provide the attending physicians with weekly personalized medication recommendations. The primary outcome of this study is patients’ quality of life two weeks after baseline assessment as measured by the EORTC QLQ-C15-PAL questionnaire, quality of life question.Discussion: This will be the first study investigating the effect of weekly personalized medicatio

Distributed Acoustic Sensing (DAS) technology is currently used to monitor seismic activity, offering a unique spatially-dense representation of the along-the-cable strain wavefield. Traditional seismic networks typically rely on the timing of specific seismic phases to estimate source locations. In this context, DAS arrays may fail to provide accurate traveltimes because of spatially-heterogeneous waveforms. The motivations are (but not limited to) the directional sensitivity, the heterogeneous cable ground-coupling and the enhanced sensitivity to lateral variations in the medium elastic properties. The resulting fluctuations in signal-to-noise ratios of the dense DAS channels pose significant challenges in the automatic picking of body phases, e.g., P-wave Absolute Arrival Times (P-ARTs). Consequently, the complex distribution of the estimated traveltimes impacts the accuracy of event locations, especially if incorrect assumptions on error statistics (e.g., Normal distribution) are considered. In this study, we address this issue by exploiting the intrinsic DAS measurements' spatial density and testing selected P-wave Differential Arrival Times (P-DATs) for source location. We estimate P-DATs for all the possible DAS channel pairs by identifying the time delay corresponding to the peak of each cross-correlation function. Subsequently, we select P-DATs based on two criteria: interchannel distance and cross-correlation index value. This procedure is often employed to reduce the risk of mixing delay times from coherent and incoherent waveforms. As a first test, using a probabilistic inversion (Hamiltonian Monte Carlo method), we demonstrate how the selected P-DATs provide a better constraint on the event's azimuthal direction compared to P-ARTs. Then, as a second experiment, we move from a subjective selection of P-DATs. To do so, we test a fully-automated and data-driven covariance matrix weighting procedure, in a probabilistic inversion scheme. Specifically, we com

Dorothy Gibson and Joe Kiers at a celebration in Melbourne for Paul Robeson's birthday on 9th April 1962. The Communist Party of Australia was founded in Sydney in 1920 by a group of Australian Socialists who were inspired by the Russian revolution. It dissolved in 1991. Previous Control Number: UMA/I/7185 Previous Control Number: BWP/1728, 207010 Item: [1991.0152.00151] "Dorothy Gibson and Joe Kiers at a celebration in Melbourne for Paul Robeson's birthday on 9th April 1962."

May Day march in Melbourne, 1975 - Dorothy and Joe Kiers. Previous Control Number: UMA/I/106 Previous Control Number: JE066-20, 200094 Item: [1999.0081.00057] "May Day, 1975 Melbourne - Dorothy and Joe Kiers"

Dorothy Gibson and Joe Kiers at a celebration in Melbourne for Paul Robeson's birthday on 9th April 1962. The Communist Party of Australia was founded in Sydney in 1920 by a group of Australian Socialists who were inspired by the Russian revolution. It dissolved in 1991., 207010 Item: [1991.0152.00151] "Dorothy Gibson and Joe Kiers at a celebration in Melbourne for Paul Robeson's birthday on 9th April 1962."

May Day march in Melbourne, 1975 - Dorothy and Joe Kiers., 200094 Item: [1999.0081.00057] "May Day, 1975 Melbourne - Dorothy and Joe Kiers"

Small strips of negatives. Taft's control series: Return/Out, 281548 item: [2010.0053.01368] "J. Kiers"

Small strips of negatives. Taft's control series: Return/Out, 281548 item: [2010.0053.01368] "J. Kiers"

Most researchers receive formal training in frequentist statistics during their undergraduate studies. In particular, hypothesis testing is usually rooted on the null hypothesis significance testing paradigm and its p-value. Null hypothesis Bayesian testing and its so-called Bayes factor are now becoming increasingly popular. Although the Bayes factor is often introduced as being the Bayesian counterpart to the p-value, its computation, use, and interpretation are quite distinct from the p-value. There is now evidence confirming that the application of the Bayes factor in applied research is ill-devised. To improve the current status quo, we have created a Shiny/R app called the Bayes factor, which offers a dynamic tutorial for learning all the basics about the Bayes factor. In this paper, we explain how the app works and we offer suggestions on how to use it in class or self-study settings. The app is freely available at https://statsedge.org/shiny/LearnBF/.

Hypothesis testing is often used for inference in the social sciences. In particular, null hypothesis significance testing (NHST) and its p value have been ubiquitous in published research for decades. Much more recently, null hypothesis Bayesian testing (NHBT) and its Bayes factor have also started to become more commonplace in applied research. Following preliminary work by Wong and colleagues, we investigated how, and to what extent, researchers misapply the Bayes factor in applied psychological research by means of a literature study. Based on a final sample of 167 articles, our results indicate that, not unlike NHST and the p value, the use of NHBT and the Bayes factor also shows signs of misconceptions. We consider the root causes of the identified problems and provide suggestions to improve the current state of affairs. This article is aimed to assist researchers in drawing the best inferences possible while using NHBT and the Bayes factor in applied research.

Contains fulltext : 306416.pdf (Publisher’s version ) (Open Access), OBJECTIVE: To investigate how people with shoulder problems and their physiotherapists perceive the recovery of shoulder problems. METHOD: We performed a qualitative study using semi-structured interviews with patients and their physiotherapists. Nine pairs of patients and physiotherapists (n = 18) were recruited. The transcribed interviews were analyzed in a consecutive multistep iterative process using a conventional content analysis. RESULTS: Analysis of the interviews resulted in three major themes: 'What do I expect from my recovery?', 'Am I recovering?' and 'When do I consider myself recovered?' The patients and physiotherapists talked similarly about the importance of and interdependency between these themes. Central to these three themes are the analysis of the cause of shoulder problems and the experience of uncertainty. Our analyses suggest that there are conceptual differences in how patients and physiotherapists formulate their expectations about recovery, observe the recovering process, and conceptualize when someone may be considered recovered. Different interpretations by the patients of the information provided by the physical therapists appeared to fuel these differences. CONCLUSION: Our results show that the concept of recovery is defined by patients and physiotherapists in three distinct themes. Within these themes the patients and physiotherapists differ substantially in their conceptualization of the recovery. IMPACT STATEMENT: This insight in the concept of recovery can help patients and physiotherapists better understand each other, enhance the alignment of ideas about the care process, and support making decisions together. Physiotherapists should be aware that patients might interpret their words, explanations, and expectations substantially different., 01 juni 2024

Contains fulltext : 305924.pdf (Publisher’s version ) (Open Access)

Standard seismic networks typically use absolute arrival times of specific seismic phases to estimate source locations. In this context, multiple sensors are positioned over a monitored area, aiming to minimize the azimuthal gap to known seismicity clusters. Distributed Acoustic Sensing (DAS) technology, which converts fiber optic cables (FOCs) into very dense seismic arrays, is nowadays used for similar purposes. DAS has the additional advantage of being able to exploit preexisting telecommunication FOCs (Telecom-FOCs). However, since the original installation purpose for Telecom-FOCs doesn’t align with seismological needs, the spanned azimuthal directions can be limited. Hence, relying on absolute arrival times for event location might result in uncertain locations, given poor waveform moveouts and site-specific sources of noise in the data. Nevertheless, the intrinsic DAS channels’ spatial density provide a good opportunity to test multi-channel cross-correlation techniques. Here, to assess the potential benefit from using differential arrival times for event location, we cross-correlate all possible DAS channel pairs and identify P-wave time delays. We focus on well-known test environments (i.e., known event locations) and use a Hamiltonian Monte Carlo algorithm to estimate hypocentral parameter uncertainties, considering both absolute and differential arrival times. We demonstrate how differential arrival times better constrain the events' azimuthal directions compared to absolute arrival times. However, computational costs are inevitably higher due to the significant increase in data points when considering all the P-wave delays. A mitigation to this issue is reached by selecting measurements based on thresholds for the minimum cross-correlation index and maximum interchannel distance. This work illustrates how to potentially alleviate DAS geometrical limitations on event location by exploiting selected differential arrival times.

Radboud University, 09 september 2022, Promotores : Wees, P.J. van der, Nijhuis-van der Sanden, M.W.G. Co-promotores : Dulmen, S.A. van, Kiers, H., Contains fulltext : 252888.pdf (Publisher’s version ) (Open Access)

Since the 1980s, college students in the U.S. have self-reported a decline in their physical and emotional health. With these conditions compounded by the COVID-19 pandemic and its physical distancing restrictions, higher education institutions have an increased responsibility to establish strategic interventions and health-promoting programs for their students. Research collaborations between public health professionals and environmental designers have highlighted the benefits of environmental factors, such as wildlife, street trees, and public parks, on mental health. This pilot project aims to build upon the transdisciplinary dialogue between ecology, design, and public health by examining the social benefits of grazing lawnscape management, which is the practice of using herbivorous livestock to manage turfgrass areas. Through the design of an accessible central campus grazing space for a flock of 25 sheep and use of online questionnaires, a smartphone-based single-item survey, and open-ended feedback given via social media, the UC Davis Sheepmower Project addresses three primary questions: (1) Are there differences in self-reported stress levels and well-being between people who did not watch grazing sheep (no sheepmower group) compared with those who did watch grazing sheep (sheepmower group)? (2) Does holding sheep grazing events create opportunities for education about well-being and engagement with the campus community? (3) Can this type of urban grazing installation ultimately contribute to the overall identity of a college campus? Web-based questionnaire results indicate there is no significant difference in self-reported stress levels between the two groups; however, the moment-in-time smartphone-based single item question suggests that the presence of sheep provides temporary, noticeable relief and enhanced mood for those who observe the animals. Reflections posted on social media suggested that participants found the sheep grazing events fostered feeli

Objective: To describe the heterogeneity of electrodiagnostic (EDx) studies in Guillain-Barré syndrome (GBS) patients collected as part of the International GBS Outcome Study (IGOS). Methods: Prospectively collected clinical and EDx data were available in 957 IGOS patients from 115 centers. Only the first EDx study was included in the current analysis. Results: Median timing of the EDx study was 7 days (interquartile range 4–11) from symptom onset. Methodology varied between centers, countries and regions. Reference values from the responding 103 centers were derived locally in 49%, from publications in 37% and from a combination of these in the remaining 15%. Amplitude measurement in the EDx studies (baseline-to-peak or peak-to-peak) differed from the way this was done in the reference values, in 22% of motor and 39% of sensory conduction. There was marked variability in both motor and sensory reference values, although only a few outliers accounted for this. Conclusions: Our study showed extensive variation in the clinical practice of EDx in GBS patients among IGOS centers across the regions. Significance: Besides EDx variation in GBS patients participating in IGOS, this diversity is likely to be present in other neuromuscular disorders and centers. This underlines the need for standardization of EDx in future multinational GBS studies.

Senjanovic and Tello have analyzed how one could determine the neutrino Dirac mass matrix in the minimal left-right model, assuming that the mass matrices for the light and heavy neutrinos could be taken as inputs. They have provided an analytical solution for the Dirac mass matrix in the case that the left-right symmetry is implemented via a generalized parity symmetry and that this symmetry remains unbroken in the Dirac Yukawa sector. We extend the work of Senjanovic and Tello to the case in which the generalized parity symmetry is broken in the Dirac Yukawa sector. In this case the elegant method outlined by Senjanovic and Tello breaks down and we need to adopt a numerical approach. Several iterative approaches are described; these are found to work in some cases but to be highly unstable in others. A stable, prescriptive numerical algorithm is described that works in all but a vanishingly small number of cases. We apply this algorithm to numerical data sets that are consistent with current experimental constraints on neutrino masses and mixings. We also provide some additional context and supporting explanations for the case in which the parity symmetry is unbroken., Comment: 34 pages, 4 figures; published version

Electrodiagnostic (EDx) studies are helpful in diagnosing and subtyping of Guillain-Barré syndrome (GBS). Published criteria for differentiation into GBS subtypes focus on cutoff values, but other items receive less attention, although they may influence EDx subtyping: (a) extensiveness of EDx testing, (b) nerve-specific considerations, (c) distal compound muscle action potential (CMAP)-amplitude requirements, (d) criteria for conduction block and temporal dispersion. The aims of this study were to investigate how these aspects were approached by neuromuscular EDx experts in practice and how this was done in previously published EDx criteria for GBS. A completed questionnaire was returned by 24 (of 49) members of the electrophysiology expertise group from the International GBS Outcome Study. Six published EDx criteria for GBS subtyping were compared regarding these aspects. The indicated minimal number of motor nerves to study varied among respondents and tended to be more extensive in equivocal than normal studies. Respondents varied considerably regarding usage of compression sites for subtyping (median/wrist, ulnar/elbow, peroneal/fibular head): 29% used all variables from all sites, 13% excluded all sites, and 58% used only some sites and/or variables. Thirty-eight percent of respondents required a minimal distal CMAP amplitude to classify distal motor latency as demyelinating, and 58% did for motor conduction velocity. For proximal/distal CMAP-amplitude ratio and F-wave latency, a requisite minimal CMAP amplitude was more often required (79%). Also, the various published criteria sets showed differences on all items. Practical use of EDx criteria for subtyping GBS vary extensively across respondents, potentially lowering the reproducibility of GBS subtyping.

OBJECTIVE: To describe the heterogeneity of electrodiagnostic (EDx) studies in Guillain-Barré syndrome (GBS) patients collected as part of the International GBS Outcome Study (IGOS).METHODS: Prospectively collected clinical and EDx data were available in 957 IGOS patients from 115 centers. Only the first EDx study was included in the current analysis.RESULTS: Median timing of the EDx study was 7 days (interquartile range 4-11) from symptom onset. Methodology varied between centers, countries and regions. Reference values from the responding 103 centers were derived locally in 49%, from publications in 37% and from a combination of these in the remaining 15%. Amplitude measurement in the EDx studies (baseline-to-peak or peak-to-peak) differed from the way this was done in the reference values, in 22% of motor and 39% of sensory conduction. There was marked variability in both motor and sensory reference values, although only a few outliers accounted for this.CONCLUSIONS: Our study showed extensive variation in the clinical practice of EDx in GBS patients among IGOS centers across the regions.SIGNIFICANCE: Besides EDx variation in GBS patients participating in IGOS, this diversity is likely to be present in other neuromuscular disorders and centers. This underlines the need for standardization of EDx in future multinational GBS studies.

Objective: To describe the heterogeneity of electrodiagnostic (EDx) studies in Guillain-Barré syndrome (GBS) patients collected as part of the International GBS Outcome Study (IGOS). Methods: Prospectively collected clinical and EDx data were available in 957 IGOS patients from 115 centers. Only the first EDx study was included in the current analysis. Results: Median timing of the EDx study was 7 days (interquartile range 4–11) from symptom onset. Methodology varied between centers, countries and regions. Reference values from the responding 103 centers were derived locally in 49%, from publications in 37% and from a combination of these in the remaining 15%. Amplitude measurement in the EDx studies (baseline-to-peak or peak-to-peak) differed from the way this was done in the reference values, in 22% of motor and 39% of sensory conduction. There was marked variability in both motor and sensory reference values, although only a few outliers accounted for this. Conclusions: Our study showed extensive variation in the clinical practice of EDx in GBS patients among IGOS centers across the regions. Significance: Besides EDx variation in GBS patients participating in IGOS, this diversity is likely to be present in other neuromuscular disorders and centers. This underlines the need for standardization of EDx in future multinational GBS studies.

This study aimed 1) to assess the test-retest reliability of dynamic postural stability index (DPSI) assessments using a ski-specific jump protocol that consists of single-leg landings on a three-dimensional force plate after forward-performed double-leg drop jumps from a box over a hurdle (DJSLLs), 2) to provide reference values for female and male youth competitive alpine skiers; 3) to explore their changes in DPSI over 3 years during adolescence; and 4) to investigate potential associations of DPSI with age and biological maturation. Using three-dimensional force plates, 16 healthy subjects were tested on the same day (test-retest reliability experiment; five test-retest assessments of right leg landings), and 76 youth skiers aged 13-15 years were tested 3 times within 2 years (main experiment; average of two trials per leg each time). The test-retest reliability experiment revealed an ICC(3,1) and 95% CI of 0.86 [0.74, 0.94] for absolute DPSI assessment. The within-subject SEM of absolute DPSI was 16.30 N [13.66 N, 20.65 N], and the standardized typical error was moderate (0.39 [0.33, 0.50]). Both absolute and relative DPSI values were comparable between male and female youth competitive alpine skiers. The mean absolute DPSI in year 1 (195.7 ± 40.9 N), year 2 (196.5 ± 38.9 N) and year 3 (211.5 ± 41.3 N) continuously increased (i.e., worsened) (p < 0.001). Mean relative, i.e. body weight force normalized, DPSI values significantly decreased, i.e., improved, from year 1 to 2 (0.42 ± 0.01 vs. 0.36 ± 0.004; p < 0.001) and year 1 to 3 (0.42 ± 0.01 vs. 0.36 ± 0.01; p < 0.001). Absolute DPSI correlated with age and biological maturation, while no such correlations were found for relative DPSI values. Our findings suggest that DPSI is a reliable and sensitive measure of dynamic postural control during DJSLLs and that relative DPSI improves annually in competitive youth skiers when accounting for body weight. Future work should consider biological maturation testing duri

[Background] Microbiome dynamics are both crucial indicators and potential drivers of human health, agricultural output, and industrial bio-applications. However, predicting microbiome dynamics is notoriously difficult because communities often show abrupt structural changes, such as “dysbiosis” in human microbiomes. [Methods] We integrated theoretical frameworks and empirical analyses with the aim of anticipating drastic shifts of microbial communities. We monitored 48 experimental microbiomes for 110 days and observed that various community-level events, including collapse and gradual compositional changes, occurred according to a defined set of environmental conditions. We analyzed the time-series data based on statistical physics and non-linear mechanics to describe the characteristics of the microbiome dynamics and to examine the predictability of major shifts in microbial community structure. [Results] We confirmed that the abrupt community changes observed through the time-series could be described as shifts between “alternative stable states“ or dynamics around complex attractors. Furthermore, collapses of microbiome structure were successfully anticipated by means of the diagnostic threshold defined with the “energy landscape” analysis of statistical physics or that of a stability index of nonlinear mechanics. [Conclusions] The results indicate that abrupt microbiome events in complex microbial communities can be forecasted by extending classic ecological concepts to the scale of species-rich microbial systems.

Contains fulltext : 296154.pdf (Publisher’s version ) (Open Access), BACKGROUND: The Observable Movement Quality scale for patients with low back pain (OMQ-LBP) is a newly developed measurement instrument for use in primary care settings of physical and exercise therapists to assess movement quality (MQ) of patients with low back pain (LBP). OBJECTIVE: This study aims to determine validity, reliability and feasibility of the OMQ-LBP. The OMQ-LBP consists of a standardized movement circuit (performed twice) consisting of five daily activities problematic for LBP patients, which are scored with an 11-item observation list. METHODS: Construct validity was determined by testing seven hypotheses on associations between constructs (n = 85 patients with LBP) and four hypotheses on known group differences (n = 85 patients with LBP and n = 63 healthy controls; n = 35 matched participant-patients having VAS-pain ≥ 20 mm during and/or after both circuits and healthy controls). Internal consistency was analyzed with Cronbach's alpha (n = 85 patients with LBP). For inter- and intra-rater reliability Intraclass Correlation Coefficient (ICC) values were examined (n = 14 therapists: seven primary care physical therapists and seven exercise therapists). Additionally, content validity and feasibility were determined using thematic analysis of a brief interview with participants, patients (n = 38) and therapists (n = 14). RESULTS: After Bonferroni correction 2/7 associations between constructs and 2/4 significant group differences were confirmed. Cronbach's alpha was 0,79. The ICC-values of interrater reliability of the OMQ-LBP total score and the duration score were 0.56 and 0.99 and intra-rater reliability 0.82 and 0,93, respectively. Thematic analysis revealed five themes. Three themes elucidate that both patients and therapists perceived the content of the OMQ-LBP as valid. The fourth theme exhibits that OMQ-LBP provides a clear and unambiguous language for MQ in patients with LBP. Theme 5 depicts that the OMQ-LBP seems feasible, but video recordin

Species utilizing the same resources often fail to coexist for extended periods of time. Such competitive exclusion mechanisms potentially underly microbiome dynamics, causing breakdowns of communities composed of species with similar genetic backgrounds of resource utilization. Although genes responsible for competitive exclusion among a small number of species have been investigated in pioneering studies, it remains a major challenge to integrate genomics and ecology for understanding stable coexistence in species-rich communities. Here, we examine whether community-scale analyses of functional gene redundancy can provide a useful platform for interpreting and predicting collapse of bacterial communities. Through 110-day time-series of experimental microbiome dynamics, we analyzed the metagenome-assembled genomes of co-occurring bacterial species. We then inferred ecological niche space based on the multivariate analysis of the genome compositions. The analysis allowed us to evaluate potential shifts in the level of niche overlap between species through time. We hypothesized that community-scale pressure of competitive exclusion could be evaluated by quantifying overlap of genetically determined resource-use profiles (metabolic pathway profiles) among coexisting species. We found that the degree of community compositional changes observed in the experimental microbiome was correlated with the magnitude of gene-repertoire overlaps among bacterial species, although the causation between the two variables deserves future extensive research. The metagenome-based analysis of genetic potential for competitive exclusion will help us forecast major events in microbiome dynamics such as sudden community collapse (i.e., dysbiosis).

For over 300 million years, insects have relied on symbiotic microbes for nutrition and defence. However, it is unclear whether specific ecological conditions have repeatedly favoured the evolution of symbioses, and how this has influenced insect diversification. Here, using data on 1,850 microbe–insect symbioses across 402 insect families, we found that symbionts have allowed insects to specialize on a range of nutrient-imbalanced diets, including phloem, blood and wood. Across diets, the only limiting nutrient consistently associated with the evolution of obligate symbiosis was B vitamins. The shift to new diets, facilitated by symbionts, had mixed consequences for insect diversification. In some cases, such as herbivory, it resulted in spectacular species proliferation. In other niches, such as strict blood feeding, diversification has been severely constrained. Symbioses therefore appear to solve widespread nutrient deficiencies for insects, but the consequences for insect diversification depend on the feeding niche that is invaded.

Facilitative interactions between microbial species are ubiquitous in various types of ecosystems on the Earth. Therefore, inferring how entangled webs of interspecific interactions shift through time in microbial ecosystems is an essential step for understanding ecological processes driving microbiome dynamics. By compiling shotgun metagenomic sequencing data of an experimental microbial community, we examined how the architectural features of facilitative interaction networks could change through time. A metabolic modeling approach for estimating dependence between microbial genomes (species) allowed us to infer the network structure of potential facilitative interactions at 13 time points through the 110-day monitoring of experimental microbiomes. We then found that positive feedback loops, which were theoretically predicted to promote cascade breakdown of ecological communities, existed within the inferred networks of metabolic interactions prior to the drastic community-compositional shift observed in the microbiome time-series. We further applied "directed-graph" analyses to pinpoint potential keystone species located at the "upper stream" positions of such feedback loops. These analyses on facilitative interactions will help us understand key mechanisms causing catastrophic shifts in microbial community structure.

Background: Microbiome dynamics are both crucial indicators and potential drivers of human health, agricultural output, and industrial bio-applications. However, predicting microbiome dynamics is notoriously difficult because communities often show abrupt structural changes, such as “dysbiosis” in human microbiomes. Methods: We integrated theoretical frameworks and empirical analyses with the aim of anticipating drastic shifts of microbial communities. We monitored 48 experimental microbiomes for 110 days and observed that various community-level events, including collapse and gradual compositional changes, occurred according to a defined set of environmental conditions. We analyzed the time-series data based on statistical physics and non-linear mechanics to describe the characteristics of the microbiome dynamics and to examine the predictability of major shifts in microbial community structure. Results: We confirmed that the abrupt community changes observed through the time-series could be described as shifts between “alternative stable states“ or dynamics around complex attractors. Furthermore, collapses of microbiome structure were successfully anticipated by means of the diagnostic threshold defined with the “energy landscape” analysis of statistical physics or that of a stability index of nonlinear mechanics. Conclusions: The results indicate that abrupt microbiome events in complex microbial communities can be forecasted by extending classic ecological concepts to the scale of species-rich microbial systems. [MediaObject not available: see fulltext.]. © 2023, The Author(s).

The last 25 years have shown a steady increase in attention for the Bayes factor as a tool for hypothesis evaluation and model selection. The present review highlights the potential of the Bayes factor in psychological research. We discuss six types of applications: Bayesian evaluation of point null, interval, and informative hypotheses, Bayesian evidence synthesis, Bayesian variable selection and model averaging, and Bayesian evaluation of cognitive models. We elaborate what each application entails, give illustrative examples, and provide an overview of key references and software with links to other applications. The paper is concluded with a discussion of the opportunities and pitfalls of Bayes factor applications and a sketch of corresponding future research lines.

Background: Pain-related cognitions are associated with motor control changes in people with chronic low-back pain (CLBP). The mechanism underlying this association is unclear. We propose that perceived threat increases muscle-spindle-reflex-gains, which reduces the effect of mechanical perturbations, and simultaneously decreases movement precision. Aim: To evaluate effects of CLBP and pain-related cognitions on the impact of mechanical perturbations on trunk movement, and associations between these perturbation effects and movement precision. Methods: 30 participants with CLBP and 30 healthy controls, performed two consecutive trials of a seated repetitive reaching task. During both trials participants were warned for mechanical perturbations, which were only administered during the second trial. The perturbation effect was characterized by the deviation of the trajectory of the T8 vertebra relative to the sacrum. Trunk movement precision was expressed as tracking error during a trunk movement target tracking task. We assessed pain-related cognitions with the task-specific ‘Expected Back Strain’-scale (EBS). We used a two-way-Anova to assess the effect of Group (CLBP vs back-healthy) and dichotomized EBS (higher vs lower) on the perturbation effect, and a Pearson's correlation to assess associations between perturbation effects and movement precision. Findings: Higher EBS was associated with smaller perturbation effects (p ≤ 0.011). A negative correlation was found between the perturbation effect and the tracking error, in the higher EBS-group (r = −0.5, p = 0.013). Interpretation: These results demonstrate that pain-related cognitions influence trunk movement control and support the idea that more negative pain-related cognitions lead to an increased resistance against perturbations, at the expense of movement precision.

Severe knee injuries are common in alpine skiing and the hamstring muscles are known to counteract the anterior tibial displacement that typically accompanies major injury mechanisms. This study aimed to assess the Maximal Eccentric Hamstring Strength (MEHS) of youth competitive alpine skiers during Nordic Hamstring Exercise (NHE) in terms of dependence of sex, age and biological maturation. A total of 246 7- to 15-year-old skiers were tested with respect to their MEHS using an NHE-based measurement device (Vald Performance, Newstead, Australia). Significantly greater absolute MEHS was observed in skiers of the under 15 years (U15) category compared to skiers under 10 years old (U10) (227.9 ± 61.1 N vs. 142.6 ± 28.9 N; p < 0.001), also when grouped by sex. Absolute MEHS was revealed to be lower in U15 females compared to males (213.5 ± 49.0 N vs. 241.9 ± 68.4 N; p = 0.001); in U10 skiers there was no sex difference. For all age groups and sexes, absolute MEHS values were significantly correlated with age and biological maturation (p < 0.001). However, when normalized to body weight such associations disappeared, which is why this is strongly recommended when testing around their growth spurt. Overall, this study established sport-specific normative reference data that may be of interest to researchers and sport practitioners alike.

Objectives (1) To update experts' priorities of perceived key injury risk factors in alpine ski racing based on a framework and list derived 10 years ago, (2) to identify additionally emerging risk factors since then and (3) to compile a list with countermeasure suggestions. Methods A sample of 532 expert stakeholders (athletes, coaches, team medical staff, Ski Racing Suppliers (SRS) and International Ski Federation (FIS) representatives) from the World Cup (WC), European Cup (EC) and FIS-race level participated in a cross-sectional online survey. Experts were asked to name those risk factors with the highest believed impact on injury risk and rank them according to their current priority from a predefined list. In addition, experts were encouraged to name additional (not listed) risk factors and to suggest countermeasures. Results Regardless of stakeholder role and competition level, snow-related factors appeared to have the highest perceived priority. However, WC athletes' and coaches' perceptions were also related to equipment, while at the EC and FIS-race level fatigue and physical fitness-related factors were considered important. Athletes' perceptions were largely in agreement with SRS (ie, snow-related and equipment-related factors). At the same time, while coaches, team medical staff and FIS representatives additionally emphasised fatigue and physical fitness-related factors. Conclusion Experts' perceptions on key injury risk factors in alpine ski racing depend on the stakeholder role and differ between the competition levels. Thus, to develop effective prevention measures and to successfully implement them, all relevant stakeholders should be given a voice, and prevention efforts should be targeted to the specific level.

BACKGROUND: Neurological presentations resulting from nitrous oxide (N2 O) abuse are increasing in Australia and worldwide. Despite known neuropsychiatric sequelae, N2 O canisters remain readily available and its use unregulated. AIMS: To examine the demographics, clinical and electrophysiological findings of patients presenting with neurological complications of N2 O abuse, and thus inform clinicians and public health decision-makers of the significant public health concerns of this increasing practice. METHODS: Consecutive patients presenting to a tertiary referral metropolitan hospital were included in this series. Patients were identified by a search of discharge summaries of patients admitted with acute or subacute neuropathy or myelopathy and a history of N2 O abuse, and from the electrophysiology database. RESULTS: Thirteen patients were identified, most presenting with subacute paraesthesia, sensory ataxia and lower limb weakness. Eleven had low serum vitamin B12 . Spinal magnetic resonance imaging was consistent with subacute combined degeneration in eight. Nerve conduction studies revealed a motor or sensorimotor axonal neuropathy (three with motor predominance). There was a bimodal demographic distribution consisting of socially isolated, international university students and local residents with a history of mental illness and polydrug abuse. CONCLUSIONS: Recreational N2 O use is an emerging health problem in Australia. International university students and patients with pre-existing mental illness or polydrug use appear to be at increased risk. A severe motor neuropathy may emerge following vitamin B12 replacement. Public health measures are required to limit the availability of N2 O and to educate adolescents and young adults about the potential for significant harm.

The last 25 years have shown a steady increase in attention for the Bayes factor as a tool for hypothesis evaluation and model selection. The present review highlights the potential of the Bayes factor in psychological research. We discuss six types of applications: Bayesian evaluation of point null, interval, and informative hypotheses, Bayesian evidence synthesis, Bayesian variable selection and model averaging, and Bayesian evaluation of cognitive models. We elaborate what each application entails, give illustrative examples, and provide an overview of key references and software with links to other applications. The article is concluded with a discussion of the opportunities and pitfalls of Bayes factor applications and a sketch of corresponding future research lines.

To describe the heterogeneity of electrodiagnostic (EDx) studies in Guillain-Barré syndrome (GBS) patients collected as part of the International GBS Outcome Study (IGOS). Prospectively collected clinical and EDx data were available in 957 IGOS patients from 115 centers. Only the first EDx study was included in the current analysis. Median timing of the EDx study was 7 days (interquartile range 4-11) from symptom onset. Methodology varied between centers, countries and regions. Reference values from the responding 103 centers were derived locally in 49%, from publications in 37% and from a combination of these in the remaining 15%. Amplitude measurement in the EDx studies (baseline-to-peak or peak-to-peak) differed from the way this was done in the reference values, in 22% of motor and 39% of sensory conduction. There was marked variability in both motor and sensory reference values, although only a few outliers accounted for this. Our study showed extensive variation in the clinical practice of EDx in GBS patients among IGOS centers across the regions. Besides EDx variation in GBS patients participating in IGOS, this diversity is likely to be present in other neuromuscular disorders and centers. This underlines the need for standardization of EDx in future multinational GBS studies.

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Contains fulltext : 253057.pdf (Publisher’s version ) (Open Access)