The influence of hospital and home environments on physical activity and sedentary behaviour: Perceptions of people recovering from fractures

BACKGROUND

A lack of evidence exists contrasting the factors that influence physical activity and sedentary behaviour in both hospital and home settings before and after discharge from acute hospitalisation for fractures.

OBJECTIVE

To describe and compare perceptions of environmental influences on physical activity in hospital and home settings in people recovering from fractures.

METHOD

Semi-structured interviews were conducted with patients hospitalised following fractures (hip fracture or multi-trauma), exploring the barriers and enablers to physical activity within hospital and home settings. Interviews were conducted within two weeks of hospital discharge, audio recorded and transcribed prior to thematic analysis via a framework approach.

RESULTS

Between December 2022 and May 2023, 12 semi-structured interviews were undertaken with an equal number of participants who sustained an isolated hip fracture or multi-trauma. The median (IQR) age of participants was 60 (52-68) years, with half being male, and the majority sustaining their injuries via transport crashes. Three main themes that influenced physical activity behaviours in hospital and home settings were: having the opportunity, having a reason, and having support and assistance to be active.

CONCLUSION

During the period of reduced physical capability following fracture, patients need to be provided with opportunities and motivation to be active, particularly within the hospital setting. Findings from this study will assist clinicians to better support people recovering from fractures via greater engagement in physical activity within hospital and home settings.

Validity of the activPAL and ActiGraph for measuring sitting time and steps in hospitalised orthopaedic patients with altered weight bearing

PURPOSE

To determine the criterion validity of the activPAL and ActiGraph for measuring steps and sitting/sedentary time, compared to observation, in people hospitalised following orthopaedic lower limb injury who were weight bearing (WB) (i.e., walking) or non-weight bearing (NWB) (i.e., hopping).

MATERIALS AND METHODS

Participants wore an activPAL and ActiGraph on the hip/thigh/unaffected (UA)/affected ankle (AA) while completing bouts of walking and sitting. Lin's concordance correlation coefficient, Bland-Altman methods, and ratio of agreement were used to compare device-measured to observed (videoed) step count, sitting/sedentary time.

RESULTS

In 42 participants, the ActiGraph demonstrated excellent concordance with the observed step count when worn on the ankle (LCC 0.91-0.92) compared to the hip (LCC 0.56) in participants that were WB. The ActiGraph AA achieved the highest concordance (LCC 0.71) with observed steps in participants NWB. The activPAL had poor concordance with observed steps, particularly at slow gait speeds, in participants that were WB (LCC 0.38-0.46), however was less influenced by gait speed and had good concordance in NWB participants (LCC 0.52-0.69). The activPAL (LCC 0.79-0.88) and ActiGraph UA (LCC 0.94) showed excellent concordance with observed sitting and sedentary time, respectively.

CONCLUSIONS

The ActiGraph worn at the ankle provided the most valid measure of steps in people who are WB and NWB following orthopaedic injury, while the activPAL was best for measuring sitting time.Implications for rehabilitationTo accurately measure both steps and sitting time in people with lower limb orthopaedic injuries, a combination of activity monitors should be used (i.e., ActiGraph for steps, activPAL for sitting time).The ActiGraph device when worn on the ankle demonstrated the strongest agreement with observed step count in people who were weight bearing and non-weight bearing.Caution is needed when using thigh- or hip-worn devices in people who walk slowly.

Model-based Analysis for Real-time Label-free Ultraviolet Quantification of Ultrafast Plasmonic Polymerase Chain Reaction

A mathematical model for DNA quantification was calibrated using experimental results from real-time 260nm absorption measurements of plasmonic PCR thermocycling. The effect of different PCR parameters on template amplification was investigated using the calibrated model.

Two-period contra-directional grating assisted coupler

We present the design, analysis, and experimental characterization of a novel integrated add-drop filter capable of filtering simultaneously two independent channels that is based on a contra-directional grating assisted coupler with two different periods. The device performance is explained using Fourier analysis and confirmed with numerical simulations using the eigenmode expansion method. The devices were fabricated using electron-beam lithography on a silicon-on-insulator wafer with a 220 nm thick device layer. The Fourier analysis, simulations and experimental results are in agreement and show that the drop port response of the two-period configuration is the superposition of the drop port responses of two single-period gratings. Therefore, the output channels at drop port can be designed independently and can have different bandwidths.

Wavelength tunable integrated add-drop filter with 10.6 nm bandwidth adjustability

We present the design and characterization of a silicon-on-insulator based bandwidth and wavelength-tunable add-drop filter. The tunability of the device is achieved by independently controlling the central wavelength of two cascaded contra-directional grating assisted couplers. The device was fabricated using e-beam lithography and the tuning is demonstrated using the thermo-optic effect, which was obtained with metal heaters fabricated by a lift-off process. It is experimentally demonstrated that within the wavelength range of 1555 nm to 1573 nm the transmission bandwidth of the device can be tuned from 1.1 nm to 11.7 nm. Moreover, more than 4 nm of central wavelength tuning is demonstrated. The tunability of the central wavelength is limited by the breakdown current of the metal heaters.

Towards integrated and sensitive surface plasmon resonance biosensors: A review of recent progress

The use of surface plasmon resonance (SPR) biosensors is increasingly popular in fundamental biological studies, health science research, drug discovery, clinical diagnosis, and environmental and agricultural monitoring. SPR allows for the qualitative and quantitative measurements of biomolecular interactions in real-time without requiring a labeling procedure. Today, the development of SPR is geared toward the design of compact, low-cost, and sensitive biosensors. Rapid advances in micro-fabrication technology have made available integratable opto-electronic components suitable for SPR. This review paper focuses on the progress made over the past 4 years toward this integration. Readers will find the descriptions of novel SPR optical approaches and materials. Nano-technology is also increasingly used in the design of biologically optimized and optically enhanced surfaces for SPR. Much of this work is leading to the integration of sensitive SPR to lab-on-a-chip platforms.

Six-Degrees-of-Freedom Alignment of Two-Dimensional Array Components by Use of Off-Axis Linear Fresnel Zone Plates

A novel six-degrees-of-freedom (six-DOFs) alignment technique for assembling two-dimensional array components is presented. The technique uses off-axis linear Fresnel zone plates on one component that are combined with alignment targets on the other. The technique is compact and sensitive to all six DOFs; it was used to package an array of microlenses with a 32 x 32 array of GaAs multiple-quantum-well modulators flip-chip bonded to a 9 mm x 9 mm complementary-metal-oxide-semiconductor chip. By use of interference fringes to control the tilt misalignment, the worst-case misalignment of the microlenses relative to the chip is calculated to be as follows: lateral = 3.0 mum, rotational = 0.023 degrees , longitudinal = 13 mum, and tilt = 0.022 degrees . We also propose alternative implementations of the technique, including one that uses on-chip photodetectors to automate this six-DOF alignment technique.

Beam analysis by fractional Fourier transform

A method of spatial modal decomposition for optical beams by fractional Fourier transform, and its practical implementation with reduced complexity by use of modal interleavers, are discussed.

Tolerance stackup effects in free-space optical interconnects

A numerical analysis indicates that tolerance stackup effects in free-space optical interconnects are significant even for short systems containing few components. Results prove that worst-case or root-sum-square analyses are not adequate to predict probable performance accurately. A Monte Carlo analysis must be performed.

Intensity-based modal decomposition of optical beams in terms of Hermite-Gaussian functions

We show that when an arbitrary optical beam is decomposed into a superposition of Hermite-Gaussian functions, it is sufficient to record a number of intensity profiles sampled at various transverse planes to uniquely determine the relative modal weights. This result follows from the parity relation and the nature of the Gouy phase, in addition to the orthogonality of the Fourier-transformed intensity profiles associated with the Hermite-Gaussian modes.

Interconnection of a two-dimensional array of vertical-cavity surface-emitting lasers to a receiver array by means of a fiber image guide

The implementation of a 10-channel parallel optical interconnect consisting of a two-dimensional array of vertical-cavity surface-emitting lasers, a 1.35-m fiber image guide, and a metal-semiconductor-metal receiver array is described. Transmission rates of 250 Mbits/s per channel are demonstrated with an optical cross talk of less than -27 dB and a loss of -3 dB. Coupling issues associated with image guides are analyzed and discussed.

Design, implementation, and characterization of a kinematically aligned, cascaded spot- array generator for a modulator-based free-space optical interconnect

The design and the implementation of a modular spot-array generator for a modulator-based free-space optical interconnect is presented. Two cascaded diffractive optical elements produce 4 x 8 clusters on a 1600 microm x 800 microm pitch, where each cluster is a 4 x 4 array of (1/e(2)) 13.1-microm-radius spots on a 90-microm pitch. The spot-array generator is kinematically aligned to the interconnect system such that no realignment is necessary between removal and reinsertion. Characterization results are presented.

Experimental and numerical analyses of misalignment tolerances in free-space optical interconnects

A comparison of numerical analyses with experimental measurements suggests that both the ray-tracing and the Gaussian beam-propagation models overestimate the misalignment tolerances for on-axis beams and fail to predict the large longitudinal focal shift that occurs for off-axis beams propagating in free-space optical interconnects.