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  • 1
    Online Resource
    Online Resource
    Barriers and enablers to exercise adherence in people with nonspecific chronic low back pain: a systematic review of qualitative evidence
    Ovid Technologies (Wolters Kluwer Health) ; 2024
    In:  Pain
    Details
    In: Pain, Ovid Technologies (Wolters Kluwer Health)
    Abstract: Exercise is a first-line treatment for chronic low back pain (CLBP), reducing pain and disability in the short term. However, exercise benefits decrease over time, with a lack of long-term exercise adherence a potential reason for this. This study aimed to synthesize the perceptions and beliefs of individuals with CLBP and identify their barriers and enablers to exercise adherence. We searched CENTRAL, Embase, CINAHL, SPORTDiscus, PubMed, PsycINFO, and Scopus databases from inception to February 28, 2023, for qualitative studies that explored the factors influencing exercise adherence for people with CLBP. A hybrid approach combining thematic synthesis with the Theoretical Domains Framework was used to analyze data. We assessed methodological quality using the Critical Appraisal Skills Programme checklist and the level of confidence of the themes generated using the Confidence in the Evidence from Reviews of Qualitative Studies. Twenty-three papers (n = 21 studies) were included (n = 677 participants). Four main themes affected exercise adherence: (1) exercise, pain, and the body, (2) psychological factors, (3) social factors, and (4) external factors. These themes contained 16 subthemes that were predominantly both barriers and enablers to exercise adherence. The individual's experiences of barriers and enablers were most appropriately represented across a spectrum, where influencing factors could be a barrier or enabler to exercise adherence, and these could be specific to pre-exercise, during-exercise, and post-exercise situations. These findings may be used to improve exercise adherence and ultimately treatment outcomes in people with CLBP.
    Type of Medium: Online Resource
    ISSN: 0304-3959 , 1872-6623
    URL: Article
    DOI: 10.1097/j.pain.0000000000003234
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2024
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  • 2
    Online Resource
    Online Resource
    Unblocking the City? Growth Pressures, Collective Provision, and the Search for New Spaces of Governance in Greater Cambridge, England
    SAGE Publications ; 2004
    In:  Environment and Planning A: Economy and Space Vol. 36, No. 2 ( 2004-02), p. 279-304
    Details
    In: Environment and Planning A: Economy and Space, SAGE Publications, Vol. 36, No. 2 ( 2004-02), p. 279-304
    Abstract: A somewhat overlooked aspect of the geography of ‘after-Fordist’ regulation concerns the precise role of different branches of the state in managing tensions between local economic development and the collective provision of social and physical infrastructure. In the United Kingdom, the state's reluctance to manage or spatially redistribute growth in the South East has resulted in localised pressures on housing markets, the land-use planning system, infrastructure, and the environment, intensifying struggles between progrowth and antigrowth factions in certain places. In this paper the authors examine conflicts arising from the rapid growth of new economic spaces in and around the Cambridge subregion and explore various attempts by different branches of the state and locally dependent factions of capital to overcome barriers to further growth within existing and proposed frameworks for territorial management. A key arena of conflict in this instance centres upon land-use planning and provision of infrastructure. The Cambridge ‘growth crisis’ raises a series of issues about the ability of interests claiming to represent nationally important city-regions to detach such places from their formative local and national modes of regulation.
    Type of Medium: Online Resource
    ISSN: 0308-518X , 1472-3409
    URL: Article
    DOI: 10.1068/a3615
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2004
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    detail.hit.zdb_id: 750312-X
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  • 3
    Online Resource
    Online Resource
    Direct-imaging Discovery of a Substellar Companion Orbiting the Accelerating Variable Star HIP 39017
    American Astronomical Society ; 2024
    In:  The Astronomical Journal Vol. 167, No. 5 ( 2024-05-01), p. 205-
    Details
    In: The Astronomical Journal, American Astronomical Society, Vol. 167, No. 5 ( 2024-05-01), p. 205-
    Abstract: We present the direct-imaging discovery of a substellar companion (a massive planet or low-mass brown dwarf) to the young, γ Doradus ( γ Dor)-type variable star HIP 39017 (HD 65526). The companion’s SCExAO/CHARIS JHK (1.1–2.4 μ m) spectrum and Keck/NIRC2 L ′ photometry indicate that it is an L/T transition object. A comparison of the JHK + L ′ spectrum to several atmospheric model grids finds a significantly better fit to cloudy models than cloudless models. Orbit modeling with relative astrometry and precision stellar astrometry from Hipparcos and Gaia yields a semimajor axis of 23.8 − 6.1 + 8.7 au, a dynamical companion mass of 30 − 12 + 31 M J , and a mass ratio of ∼1.9%, properties most consistent with low-mass brown dwarfs. However, its mass estimated from luminosity models is a lower ∼13.8 M J due to an estimated young age (≲115 Myr); using a weighted posterior distribution informed by conservative mass constraints from luminosity evolutionary models yields a lower dynamical mass of 23.6 − 7.4 + 9.1 M J and a mass ratio of ∼1.4%. Analysis of the host star’s multifrequency γ Dor-type pulsations, astrometric monitoring of HIP 39017 b, and Gaia Data Release 4 astrometry of the star will clarify the system age and better constrain the mass and orbit of the companion. This discovery further reinforces the improved efficiency of targeted direct-imaging campaigns informed by long-baseline, precision stellar astrometry.
    Type of Medium: Online Resource
    ISSN: 0004-6256 , 1538-3881
    URL: Article
    DOI: 10.3847/1538-3881/ad3077
    RVK:
    US 1090
    Language: Unknown
    Publisher: American Astronomical Society
    Publication Date: 2024
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    detail.hit.zdb_id: 2003104-X
    SSG: 16,12
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  • 4
    Online Resource
    Online Resource
    The environment and the entrepreneurial city: searching for the urban ‘sustainability fix’ in Manchester and Leeds
    Wiley ; 2004
    In:  International Journal of Urban and Regional Research Vol. 28, No. 3 ( 2004-09), p. 549-569
    Details
    In: International Journal of Urban and Regional Research, Wiley, Vol. 28, No. 3 ( 2004-09), p. 549-569
    Abstract: There is evidence that the politics of economic development in the post‐industrial city is increasingly bound up with the ability of urban elites to manage ecological impacts and environmental demands emanating from within and outside the urban area. More than simply a question of promoting quality of life in cities in response to interurban competition and pressures from local residents, the greening of the urban growth machine reflects changes in state rules and incentives structuring urban governance as part of an evolving geopolitics of nature and the environment. The adoption of principles and practices of ecological modernization potentially represents a dramatic shift in the social regulation of urban governance away from unconstrained neoliberalized modes. In this article we explore how different demands on and for urban environmental policy have played out vis‐à‐vis changing modes and practices of governance in two English post‐industrial cities. We explore differences in the ways that entrepreneurial urban regimes have sought to incorporate the green agenda (Leeds), or insulate themselves from ecological dissent (Manchester). We further attempt to conceptualize evolving urban economy‐environment relations in the UK in terms of an ensemble of governance practices, strategies, alliances and discourses that enables the local state to manage, though not necessarily resolve, seemingly conflicting economic, social and environmental demands at different scales of territoriality. Here we propose the notion of an ‘urban sustainability fix’ to describe the selective incorporation of ecological objectives in local territorial structures during an era of ecological modernization. Dans les villes post‐industrielles, la politique de développement économique semble liée de plus en plus étroitement à l'aptitude des élites urbaines à gérer les impacts écologiques et les exigences environnementales venus de l'intérieur et de l'extérieur. Au‐delà de la simple défense d'une qualité de vie en ville, répondant à la concurrence interurbaine et aux pressions des habitants, l'intégration de la cause Verte dans la machine de croissance urbaine reflète les nouvelles règles et mesures d'encouragement étatiques qui structurent la gouvernance des villes dans le cadre d'une géopolitique évolutive de la nature et de l'environnement. L'adoption de principes et pratiques de modernisation écologique pourrait traduire un revirement dans la régulation sociale de la gouvernance urbaine, en remplaçant la totale latitude des réponses néolibérales. L'article explore comment les demandes variées de et en politique urbaine d'environnement se sont exercées dans le contexte changeant des modalités et pratiques de gouvernance de deux villes post‐industrielles anglaises. Il s'intéresse aux différences de démarches qu'ont adoptées des régimes urbains ayant l'esprit d'entreprise pour incorporer le programme vert (Leeds) ou s'affranchir de la dissidence écologique (Manchester). De plus, il s'efforce de conceptualiser les relations évolutives économie‐environnement dans le cadre urbain britannique en tant qu'ensemble de pratiques de gouvernance, stratégies, alliances et discours permettant à l'État local de gérer (sans toujours les satisfaire) des exigences économiques, sociales et environnementales apparemment contradictoires, et ce aux différents échelons de territorialité. La notion de ‘solution de durabilité urbaine’ est proposée pour décrire l'intégration sélective d'objectifs écologiques dans les structures territoriales locales pendant une phase de modernisation écologique.
    Type of Medium: Online Resource
    ISSN: 0309-1317 , 1468-2427
    URL: Issue
    URL: Article
    DOI: 10.1111/ijur.2004.28.issue-3
    DOI: 10.1111/j.0309-1317.2004.00535.x
    RVK:
    RA 3294
    Language: English
    Publisher: Wiley
    Publication Date: 2004
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    detail.hit.zdb_id: 751084-6
    SSG: 14
    SSG: 3,4
    SSG: 3,6
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  • 5
    Online Resource
    Online Resource
    From sustainable development to carbon control: eco-state restructuring and the politics of urban and regional development : From sustainable development to carbon control
    Wiley ; 2010
    In:  Transactions of the Institute of British Geographers Vol. 35, No. 1 ( 2010-01), p. 76-93
    Details
    In: Transactions of the Institute of British Geographers, Wiley, Vol. 35, No. 1 ( 2010-01), p. 76-93
    Type of Medium: Online Resource
    ISSN: 0020-2754 , 1475-5661
    URL: Issue
    URL: Journal
    URL: Article
    DOI: 10.1111/tran.2009.35.issue-1
    DOI: 10.1111/(ISSN)1475-5661
    DOI: 10.1111/j.1475-5661.2009.00362.x
    RVK:
    RA 1000
    Language: English
    Publisher: Wiley
    Publication Date: 2010
    detail.hit.zdb_id: 2031328-7
    detail.hit.zdb_id: 1383337-6
    SSG: 14
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  • 6
    Online Resource
    Online Resource
    Simultaneous Adrenal and Cervical Pheochromocytomas in Childhood
    Ovid Technologies (Wolters Kluwer Health) ; 1977
    In:  Annals of Surgery Vol. 185, No. 3 ( 1977-03), p. 273-278
    Details
    In: Annals of Surgery, Ovid Technologies (Wolters Kluwer Health), Vol. 185, No. 3 ( 1977-03), p. 273-278
    Type of Medium: Online Resource
    ISSN: 0003-4932
    URL: Article
    DOI: 10.1097/00000658-197703000-00004
    RVK:
    XA 23900
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 1977
    detail.hit.zdb_id: 340-2
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  • 7
    Online Resource
    Online Resource
    Managing Infrastructural and Service Demands in New Economic Spaces: The New Territorial Politics of Collective Provision
    Informa UK Limited ; 2010
    In:  Regional Studies Vol. 44, No. 2 ( 2010-03), p. 183-200
    Details
    In: Regional Studies, Informa UK Limited, Vol. 44, No. 2 ( 2010-03), p. 183-200
    Type of Medium: Online Resource
    ISSN: 0034-3404 , 1360-0591
    URL: Article
    DOI: 10.1080/00343400802662666
    Language: English
    Publisher: Informa UK Limited
    Publication Date: 2010
    detail.hit.zdb_id: 412842-4
    detail.hit.zdb_id: 2001685-2
    SSG: 14
    SSG: 3,6
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  • 8
    Online Resource
    Online Resource
    BARRIERS AND ENABLERS TO EXERCISE ADHERENCE IN PEOPLE WITH CHRONIC LOW BACK PAIN: A SYSTEMATIC REVIEW OF QUALITATIVE EVIDENCE
    Clinical Exercise Physiology Association ; 2024
    In:  Journal of Clinical Exercise Physiology Vol. 13, No. s2 ( 2024-05-01), p. 412-412
    Details
    In: Journal of Clinical Exercise Physiology, Clinical Exercise Physiology Association, Vol. 13, No. s2 ( 2024-05-01), p. 412-412
    Abstract: Exercise is a first line treatment for chronic low back pain, reducing pain and disability in the short-term. However, exercise benefits decrease over time, with a lack of long-term exercise adherence a potential reason for this. This study aimed to synthesize the perceptions and beliefs of individuals with chronic low back pain and identify their barriers and enablers to exercise adherence. METHODS We searched CENTRAL, EMBASE, CINAHL, SPORTDiscus, PubMed, PsycINFO, CINAHL, and Scopus databases from inception to 28th February 2023 for qualitative studies that explored the factors influencing exercise adherence for people with chronic low back pain. A hybrid approach combining inductive analysis using thematic synthesis and a deductive analysis, which included the Theoretical Domains Framework of behaviour change was used to analyse data. We assessed methodological quality using the Critical Appraisal Skills Programme checklist and the level of confidence of the themes found using the Confidence in the Evidence from Reviews of Qualitative Studies (GRADE-CERQual). RESULTS Twenty-three papers (n=21 studies) were included (n=478 participants). Four main themes impacted exercise adherence: 1) exercise, pain, and the body, 2) psychological factors, 3) social factors and 4) external factors. These themes contained 16 subthemes that were predominantly both barriers and enablers to exercise adherence. There was moderate to high confidence across the findings. CONCLUSION Our analysis found that individual’s experiences of barriers and enablers were most appropriately represented across a spectrum, where influencing factors could be a barrier or enabler to exercise adherence. Barriers and enablers were also found to be specific to pre-exercise, during exercise and post-exercise situations. This may lead to an improved and targeted approach to increasing exercise adherence. Further research is required to develop interventions that can use these findings for a more personalised and patient centred approach to treatment.
    Type of Medium: Online Resource
    ISSN: 2165-7629 , 2165-6193
    URL: Article
    DOI: 10.31189/2165-7629-13-s2.412
    Language: English
    Publisher: Clinical Exercise Physiology Association
    Publication Date: 2024
    detail.hit.zdb_id: 2818165-7
    detail.hit.zdb_id: 2818168-2
    SSG: 31
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  • 9
    Online Resource
    Online Resource
    Effects of fluoxetine on functional outcomes after acute stroke (FOCUS): a pragmatic, double-blind, randomised, controlled trial
    Elsevier BV ; 2019
    In:  The Lancet Vol. 393, No. 10168 ( 2019-01), p. 265-274
    Details
    In: The Lancet, Elsevier BV, Vol. 393, No. 10168 ( 2019-01), p. 265-274
    Type of Medium: Online Resource
    ISSN: 0140-6736
    URL: Article
    DOI: 10.1016/S0140-6736(18)32823-X
    RVK:
    XA 10000
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2019
    detail.hit.zdb_id: 3306-6
    SSG: 5,21
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  • 10
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    Online Resource
    Surveying nearby brown dwarfs with HGCA: direct imaging discovery of a faint, high-mass brown dwarf orbiting HD 176535 A
    Oxford University Press (OUP) ; 2023
    In:  Monthly Notices of the Royal Astronomical Society Vol. 522, No. 4 ( 2023-05-11), p. 5622-5637
    Details
    In: Monthly Notices of the Royal Astronomical Society, Oxford University Press (OUP), Vol. 522, No. 4 ( 2023-05-11), p. 5622-5637
    Abstract: Brown dwarfs with well-measured masses, ages, and luminosities provide direct benchmark tests of substellar formation and evolutionary models. We report the first results from a direct imaging survey aiming to find and characterize substellar companions to nearby accelerating stars with the assistance of the Hipparcos–Gaia Catalog of Accelerations (HGCA). In this paper, we present a joint high-contrast imaging and astrometric discovery of a substellar companion to HD 176535 A, a K3.5V main-sequence star aged approximately $3.59_{-1.15}^{+0.87}$ Gyr at a distance of 36.99 ± 0.03 pc. In advance of our high-contrast imaging observations, we combined precision High Accuracy Radial velocity Planet Searcher (HARPS) Radial Velocities (RVs) and HGCA astrometry to predict the potential companion’s location and mass. We thereafter acquired two nights of KeckAO/NIRC2 direct imaging observations in the L′ band, which revealed a companion with a contrast of $\Delta L^{\prime }_p = 9.20\pm 0.06$ mag at a projected separation of ≈0.35 arcsec (≈13 au) from the host star. We revise our orbital fit by incorporating our dual-epoch relative astrometry using the open-source Markov chain Monte Carlo orbit fitting code orvara. We obtain a dynamical mass of $65.9_{-1.7}^{+2.0} M_{\rm Jup}$ that places HD 176535 B firmly in the brown dwarf regime. HD 176535 B is a new benchmark dwarf useful for constraining the evolutionary and atmospheric models of high-mass brown dwarfs. We found a luminosity of $\rm log(\mathit{ L}_{bol}/L_{\odot }) = -5.26\pm 0.07$ and a model-dependent effective temperature of 980 ± 35 K for HD 176535 B. We infer HD 176535 B to be a T dwarf from its mass, age, and luminosity. Our dynamical mass suggests that some substellar evolutionary models may be underestimating luminosity for high-mass T dwarfs. Given its angular separation and luminosity, HD 176535 B would make a promising candidate for Aperture Masking Interferometry with JWST and GRAVITY/Keck Planet Imager and Characterizer, and further spectroscopic characterization with instruments like the CHARIS/SCExAO/Subaru integral field spectrograph.
    Type of Medium: Online Resource
    ISSN: 0035-8711 , 1365-2966
    URL: Article
    DOI: 10.1093/mnras/stad1315
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2023
    detail.hit.zdb_id: 207232-4
    detail.hit.zdb_id: 2016084-7
    SSG: 16,12
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