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1.
Occup Ther Health Care ; 32(4): 341-362, 2018 Oct.
Article in English | MEDLINE | ID: mdl-30380958

ABSTRACT

The cross-sectional study investigated the relationship between quality of life, activity, and participation in 93 adults with type 2 diabetes mellitus at a primary care center. Moderately strong correlations were found between quality of life and leisure/work, outdoor and social activities, but not with domestic activities. Leisure/work, outdoor, and social activities accounted for 18% of the variance in the quality of life variables. In a follow-up model, age, depression, and falls efficacy accounted for another 51% of the variance in total quality of life. Findings provide support for the expansion of occupational therapy's role in diabetes self-management, to incorporate leisure, social, and community activities and fall risk management interventions.


Subject(s)
Diabetes Mellitus, Type 2/psychology , Quality of Life , Accidental Falls/statistics & numerical data , Activities of Daily Living , Adult , Aged , Aged, 80 and over , Cross-Sectional Studies , Depressive Disorder/psychology , Exercise/physiology , Exercise/psychology , Female , Humans , Male , Middle Aged
2.
Clin Diabetes ; 36(3): 232-243, 2018 Jul.
Article in English | MEDLINE | ID: mdl-30078943

ABSTRACT

IN BRIEF Participation in domestic, leisure, work, and community-based activities may relate to glycemic control, emergency department use, and hospitalizations in individuals with type 2 diabetes and low socioeconomic status. This study sought to determine how such role-related activity levels relate to A1C, emergency department use, and hospitalizations.

3.
Complement Ther Clin Pract ; 31: 369-373, 2018 May.
Article in English | MEDLINE | ID: mdl-29526474

ABSTRACT

OBJECTIVE: Assess pre to-post outcomes for people with chronic pain and Type 2 Diabetes Mellitus (T2DM) randomized to an 8-week yoga intervention or usual care. METHODS: Participants were included if they self-reported: chronic pain; T2DM; >18 years old; no exercise restrictions or consistent yoga; and consented to the study. RESULTS: After yoga, there were significant improvements in: Brief Pain Inventory pain interference (49 ±â€¯15.00 vs. 41.25 ±â€¯19.46, p = .034); Fullerton Advanced Balance scale (14.2 ±â€¯14.1 vs. 20.4 ±â€¯13.5, p = .03); upper extremity strength (7.7 ±â€¯6.3 vs.10.8 ±â€¯6.5, p = .02); lower extremity strength (4.1 ±â€¯3.8 vs. 6.7 ±â€¯4.8, p = .02); and RAND 36-item Health Survey quality of life scores (81.1 ±â€¯7.7 vs. 91.9 ±â€¯8.9, p = .04). Balance scores became significantly worse during the 8 weeks for people randomized to the control (27.1 ±â€¯9.9 vs. 21.7 ±â€¯13.4, = p.01). CONCLUSION: Data from this small RCT indicates yoga may be therapeutic and may improve multiple outcomes in this seemingly at-risk population. CLINICAL TRIALS NUMBER: NCT03010878.


Subject(s)
Accidental Falls/prevention & control , Chronic Pain/therapy , Diabetes Mellitus, Type 2/therapy , Yoga , Adult , Aged , Female , Humans , Male , Middle Aged , Quality of Life
4.
Nat Commun ; 8: 14194, 2017 02 10.
Article in English | MEDLINE | ID: mdl-28186094

ABSTRACT

The degree to which debris-covered glaciers record past environmental conditions is debated. Here we describe a novel palaeoclimate archive derived from the surface morphology and internal debris within cold-based debris-covered glaciers in Antarctica. Results show that subtle changes in mass balance impart major changes in the concentration of englacial debris and corresponding surface topography, and that over the past ∼220 ka, at least, the changes are related to obliquity-paced solar radiation, manifest as variations in total summer energy. Our findings emphasize solar radiation as a significant driver of mass balance changes in high-latitude mountain systems, and demonstrate that debris-covered glaciers are among the most sensitive recorders of obliquity-paced climate variability in interior Antarctica, in contrast to most other Antarctic archives that favour eccentricity-paced forcing over the same time period. Furthermore, our results open the possibility that similar-appearing debris-covered glaciers on Mars may likewise hold clues to environmental change.

5.
Sci Rep ; 7: 41433, 2017 01 31.
Article in English | MEDLINE | ID: mdl-28139676

ABSTRACT

We mapped six distinct glacial moraines alongside Stocking Glacier in the McMurdo Dry Valleys, Antarctica. Stocking Glacier is one of several alpine glaciers in the Dry Valleys fringed by multiple cold-based drop moraines. To determine the age of the outermost moraine, we collected 10 boulders of Ferrar Dolerite along the crest of the moraine and analyzed mineral separates of pyroxene for cosmogenic 3He. On the basis of these measurements, the exposure age for the outermost moraine is 391 ± 35 ka. This represents the first documented advance of alpine glacier ice in the Dry Valleys during Marine Isotope Stage (MIS) 11. At this time, Stocking Glacier was ~20-30% larger than today. The cause of ice expansion is uncertain, but most likely it is related to increased atmospheric temperature and precipitation, associated with reduced ice extent in the nearby Ross Embayment. The data suggest complex local environmental response to warm climates in Antarctica and have implications for glacial response to Holocene warming. The study also demonstrates the potential for using alpine glacier chronologies in the Transantarctic Mountains as proxies for retreat of grounded glacier ice in the Ross Embayment.

6.
Sci Rep ; 3: 2269, 2013.
Article in English | MEDLINE | ID: mdl-23881292

ABSTRACT

Thermokarst is a land surface lowered and disrupted by melting ground ice. Thermokarst is a major driver of landscape change in the Arctic, but has been considered to be a minor process in Antarctica. Here, we use ground-based and airborne LiDAR coupled with timelapse imaging and meteorological data to show that 1) thermokarst formation has accelerated in Garwood Valley, Antarctica; 2) the rate of thermokarst erosion is presently ~ 10 times the average Holocene rate; and 3) the increased rate of thermokarst formation is driven most strongly by increasing insolation and sediment/albedo feedbacks. This suggests that sediment enhancement of insolation-driven melting may act similarly to expected increases in Antarctic air temperature (presently occurring along the Antarctic Peninsula), and may serve as a leading indicator of imminent landscape change in Antarctica that will generate thermokarst landforms similar to those in Arctic periglacial terrains.

7.
Sci Rep ; 3: 1166, 2013.
Article in English | MEDLINE | ID: mdl-23378901

ABSTRACT

The discovery on Mars of recurring slope lineae (RSL), thought to represent seasonal brines, has sparked interest in analogous environments on Earth. We report on new studies of Don Juan Pond (DJP), which exists at the upper limit of ephemeral water in the McMurdo Dry Valleys (MDV) of Antarctica, and is adjacent to several steep-sloped water tracks, the closest analog for RSL. The source of DJP has been interpreted to be deep groundwater. We present time-lapse data and meteorological measurements that confirm deliquescence within the DJP watershed and show that this, together with small amounts of meltwater, are capable of generating brines that control summertime water levels. Groundwater input was not observed. In addition to providing an analog for RSL formation, CaCl(2) brines and chloride deposits in basins may provide clues to the origin of ancient chloride deposits on Mars dating from the transition period from "warm/wet" to "cold/dry" climates.

8.
Proc Natl Acad Sci U S A ; 105(36): 13258-63, 2008 Sep 09.
Article in English | MEDLINE | ID: mdl-18725636

ABSTRACT

Features seen in portions of a typical midlatitude Martian impact crater show that gully formation follows a geologically recent period of midlatitude glaciation. Geological evidence indicates that, in the relatively recent past, sufficient snow and ice accumulated on the pole-facing crater wall to cause glacial flow and filling of the crater floor with debris-covered glaciers. As glaciation waned, debris-covered glaciers ceased flowing, accumulation zones lost ice, and newly exposed wall alcoves continued as the location for limited snow/frost deposition, entrapment, and preservation. Analysis of the insolation geometry of this pole-facing crater wall, and similar occurrences in other craters at these latitudes on Mars, shows that they are uniquely favored for accumulation of snow and ice, and a relatively more rapid exposure to warmer summer temperatures. We show that, after the last glaciation, melting of residual snow and ice in alcoves could have formed the fluvial channels and sedimentary fans of the gullies. Recent modeling shows that top-down melting can occur in these microenvironments under conditions similar to those currently observed on Mars, if small amounts of snow or frost accumulate in alcoves and channels. Accumulation and melting is even more favored in the somewhat wetter, relatively recent geological past of Mars, after the period of active glaciation.

9.
Proc Natl Acad Sci U S A ; 105(31): 10676-80, 2008 Aug 05.
Article in English | MEDLINE | ID: mdl-18678903

ABSTRACT

A major obstacle in understanding the evolution of Cenozoic climate has been the lack of well dated terrestrial evidence from high-latitude, glaciated regions. Here, we report the discovery of exceptionally well preserved fossils of lacustrine and terrestrial organisms from the McMurdo Dry Valleys sector of the Transantarctic Mountains for which we have established a precise radiometric chronology. The fossils, which include diatoms, palynomorphs, mosses, ostracodes, and insects, represent the last vestige of a tundra community that inhabited the mountains before stepped cooling that first brought a full polar climate to Antarctica. Paleoecological analyses, (40)Ar/(39)Ar analyses of associated ash fall, and climate inferences from glaciological modeling together suggest that mean summer temperatures in the region cooled by at least 8 degrees C between 14.07 +/- 0.05 Ma and 13.85 +/- 0.03 Ma. These results provide novel constraints for the timing and amplitude of middle-Miocene cooling in Antarctica and reveal the ecological legacy of this global climate transition.


Subject(s)
Climate , Ecosystem , Fossils , Geology , Animals , Antarctic Regions , Bryophyta/anatomy & histology , Diatoms/cytology , Geography , Geological Phenomena , Invertebrates/anatomy & histology
10.
Proc Biol Sci ; 275(1650): 2449-54, 2008 Nov 07.
Article in English | MEDLINE | ID: mdl-18647723

ABSTRACT

A newly discovered Konservat-Lagerstätte from the Middle Miocene of the western Olympus Range, Dry Valleys, Antarctica, yields cypridoidean ostracods complete with preserved body and appendages. This is the first record of three-dimensionally fossilized animal soft tissues from the continent. The ostracods are preserved in goethite, secondary after pyrite, representing a novel mode of exceptional preservation. They signal a high-latitude (greater than 77 degrees south) lake setting (Palaeolake Boreas) viable for benthic animal colonization prior to 14 Myr ago. Their presence supports the notion of warmer, tundra-like environmental conditions persisting in the Dry Valleys until the Middle Miocene.


Subject(s)
Crustacea/ultrastructure , Fossils , Animals , Antarctic Regions , Environment , Microscopy, Electron, Scanning , Paleontology
11.
Proc Natl Acad Sci U S A ; 104(33): 13455-60, 2007 Aug 14.
Article in English | MEDLINE | ID: mdl-17686983

ABSTRACT

Although the vast majority of ice that formed on the Antarctic continent over the past 34 million years has been lost to the oceans, pockets of ancient ice persist in the Dry Valleys of the Transantarctic Mountains. Here we report on the potential metabolic activity of microbes and the state of community DNA in ice derived from Mullins and upper Beacon Valleys. The minimum age of the former is 100 ka, whereas that of the latter is approximately 8 Ma, making it the oldest known ice on Earth. In both samples, radiolabeled substrates were incorporated into macromolecules, and microbes grew in nutrient-enriched meltwaters, but metabolic activity and cell viability were critically compromised with age. Although a 16S rDNA-based community reconstruction suggested relatively low bacterial sequence diversity in both ice samples, metagenomic analyses of community DNA revealed many diverse orthologs to extant metabolic genes. Analyses of five ice samples, spanning the last 8 million years in this region, demonstrated an exponential decline in the average community DNA size with a half-life of approximately 1.1 million years, thereby constraining the geological preservation of microbes in icy environments and the possible exchange of genetic material to the oceans.


Subject(s)
Fossils , Genes , Ice , Base Sequence , DNA Primers , DNA, Ribosomal/genetics , Microscopy, Electron, Scanning , Molecular Sequence Data , Polymerase Chain Reaction
12.
Nature ; 426(6968): 797-802, 2003 Dec 18.
Article in English | MEDLINE | ID: mdl-14685228

ABSTRACT

A key pacemaker of ice ages on the Earth is climatic forcing due to variations in planetary orbital parameters. Recent Mars exploration has revealed dusty, water-ice-rich mantling deposits that are layered, metres thick and latitude dependent, occurring in both hemispheres from mid-latitudes to the poles. Here we show evidence that these deposits formed during a geologically recent ice age that occurred from about 2.1 to 0.4 Myr ago. The deposits were emplaced symmetrically down to latitudes of approximately 30 degrees--equivalent to Saudi Arabia and the southern United States on the Earth--in response to the changing stability of water ice and dust during variations in obliquity (the angle between Mars' pole of rotation and the ecliptic plane) reaching 30-35 degrees. Mars is at present in an 'interglacial' period, and the ice-rich deposits are undergoing reworking, degradation and retreat in response to the current instability of near-surface ice. Unlike the Earth, martian ice ages are characterized by warmer polar climates and enhanced equatorward transport of atmospheric water and dust to produce widespread smooth deposits down to mid-latitudes.


Subject(s)
Climate , Extraterrestrial Environment/chemistry , Ice/analysis , Mars , Models, Theoretical , Temperature , Time Factors
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