Young children's voices in an unlocked Sweden during the COVID-19 pandemic.

AIMS: During the COVID-19 pandemic, Sweden was one of the few countries that rejected lockdowns in favour of recommendations for restrictions, including careful hand hygiene and social distancing. Preschools and primary schools remained open. Several studies have shown negative impacts of the pandemic on children, particularly high levels of anxiety. The study aim was to explore how Swedish school-aged children aged 6-14 years, experienced the COVID-19 pandemic and their perceived anxiety. METHODS: In total, 774 children aged 6-14 years and their guardians answered an online questionnaire containing 24 questions, along with two instruments measuring anxiety: the Children's Anxiety Questionnaire and the Numerical Rating Scale. A convergent parallel mixed-methods design was used for analysing the quantitative and qualitative data. Each data source was first analysed separately, followed by a merged interpretative analysis. RESULTS: The results showed generally low levels of anxiety, with no significant sex differences. Children who refrained from normal social activities or group activities (n=377) had significantly higher levels of anxiety. Most of the children were able to appreciate the bright side of life, despite the social distancing and refraining from activities, which prevented them from meeting and hugging their loved ones. CONCLUSIONS: These Swedish children generally experienced low levels of anxiety, except those who refrained from social activities. Life was nonetheless mostly experienced as normal, largely because schools remained open. Keeping life as normal as possible could be one important factor in preventing higher anxiety and depression levels in children during a pandemic.

To be or not to be vaccinated against COVID-19 - The adolescents' perspective - A mixed-methods study in Sweden.

Vaccination of the population seems to be an important strategy in halting the COVID-19 pandemic in both local and global society. The aim of this study was to explore Swedish adolescents' willingness to be vaccinated against COVID-19 and its association with sociodemographic and other possible factors. A survey was distributed in Sweden between 7 July and 8 November 2020. The main qualitative question concerned adolescents' thoughts on vaccination against COVID-19 and evaluated whether the adolescents would like to be vaccinated when a COVID-19 vaccine is made available. In total, 702 adolescents aged between 15 and 19 responded to the questionnaire. A convergent parallel mixed-methods design was used. The results showed that nearly one in three adolescents had not decided if they wanted to get a COVID-19 vaccine, i.e. 30.5%: n = 214. Of the participants 54.3% (n = 381) were willing to be vaccinated. Girls had higher levels of anxiety about the vaccine compared to boys. In addition, high levels of anxiety impacted on the participants' willingness to be vaccinated. One reason for being undecided about the vaccine was that participants felt they did not know enough about it. Practising social distancing increased willingness to be vaccinated, as reflected in the qualitative results which showed participants wanted to be vaccinated to protect others. The results impart important knowledge to healthcare professionals and contribute to their communication with adolescents about vaccine hesitancy.

Clinical and microbiological features of bacteraemia with Gram-positive anaerobic cocci: a population-based retrospective study.

OBJECTIVES: Gram-positive, anaerobic cocci (GPAC) can cause infections in humans. Only a few cases of bacteraemia with GPAC have been reported. We describe the clinical and microbiological characteristics of GPAC bacteraemia. METHODS: A retrospective population-based study of GPAC bacteraemia 2012-2016 in southern Sweden was performed. GPAC were identified using matrix-associated laser desorption ionization time-of-flight mass spectrometry or 16S rRNA gene sequencing. Etests were used to determine antibiotic susceptibilities. Data on patient and infection characteristics, treatment, and outcome were collected from the medical records. RESULTS: A total of 226 episodes of GPAC bacteraemia in adults were studied; this corresponds to an annual incidence of 3.4 cases per 100,000 persons per year. The bacteria identified were Anaerococcus spp. (n = 43), Atopobium spp. (n = 7), Blautia spp. (n = 1), Finegoldia spp. (n = 15), Parvimonas spp. (n = 100), Peptoniphilus spp. (n = 52), Peptostreptococcus spp. (n = 2), and Ruminococcus spp. (n = 9) of which 200 isolates were identified to the species level. Resistance to imipenem and piperacillin was not identified, whereas resistance among the 229 isolates to penicillin was detected in four, to metronidazole in six, and clindamycin in 16 isolates. The median age of patients was 73 years (55-83, IQR), 57% were male and comorbidities were common. Fifty-one per cent of infections were polymicrobial. In 60% of cases a focus of infection was identified. Forty per cent of patients had either organ dysfunction or shock. The 30-day mortality was 11%, and nosocomial infections were over-represented among the deceased. CONCLUSIONS: GPAC bacteraemia is much more common than previously reported. GPAC-bacteraemia is a condition with significant mortality mainly affecting elderly persons with comorbidities.

The effect of rider weight and additional weight in Icelandic horses in tölt: part I. Physiological responses.

This study examined the effect of increasing BW ratio (BWR) between rider and horse, in the BWR range common for Icelandic horses (20% to 35%), on heart rate (HR), plasma lactate concentration (Lac), BWR at Lac 4 mmol/l (W4), breathing frequency (BF), rectal temperature (RT) and hematocrit (Hct) in Icelandic horses. In total, eight experienced school-horses were used in an incremental exercise test performed outdoors on an oval riding track and one rider rode all horses. The exercise test consisted of five phases (each 642 m) in tölt, a four-beat symmetrical gait, at a speed of 5.4±0.1 m/s (mean±SD), where BWR between rider (including saddle) and horse started at 20% (BWR20), was increased to 25% (BWR25), 30% (BWR30), and 35% (BWR35) and finally decreased to 20% (BWR20b). Between phases, the horses were stopped (~5.5 min) to add lead weights to specially adjusted saddle bags and a vest on the rider. Heart rate was measured during warm-up, the exercise test and after 5, 15 and 30 min of recovery and blood samples were taken and BF recorded at rest, and at end of each of these aforementioned occasions. Rectal temperature was measured at rest, at end of the exercise test and after a 30-min recovery period. Body size and body condition score (BCS) were registered and a clinical examination performed on the day before the test and for 2 days after. Heart rate and BF increased linearly (P0.05), but negative correlations (P<0.05) existed between body size measurements and Hct. While HR, Hct and BF recovered to values at rest within 30 min, Lac and RT did not. All horses had no clinical remarks on palpation and at walk 1 and 2 days after the test. In conclusion, increasing BWR from 20% to 35% resulted in increased HR, Lac, RT and BF responses in the test group of experienced adult Icelandic riding horses. The horses mainly worked aerobically until BWR reached 22.7%, but considerable individual differences (17.0% to 27.5%) existed that were not linked to horse size, but to back BCS.

A comparison of the physiological response to tölt and trot in the Icelandic horse.

This study compared the effect of ridden tölt and trot at 3 speeds on physiological responses in trained adult (15.3 ± 1.6 yr) Icelandic horses. The experiment had a crossover design with 8 horses, 2 treatments (incremental exercise test in tölt and trot), and 2 riders. Each horse performed 2 tests per day (1 gait with 2 riders, minimum 4.5 h between) on 2 separate days, with 1 d of rest in between. The exercise test consisted of three 642-m phases at 3.0 m/s (Speed), 4.0 m/s (Speed), and 5.0 m/s (Speed) and was performed outdoors on a 300-m oval gravel riding track in northern Iceland in May 2012. Heart rate (HR) was measured during warm-up, the exercise test, and after 5, 15, and 30 min of recovery. Blood samples were taken at rest, after warm-up, after each phase of the exercise test, and after 5, 15, and 30 min of recovery. Respiratory rate was counted for at least 15 s at rest, at the end of the exercise test, and at the end of the 30-min recovery, and rectal temperature was measured on these occasions. There were no differences in HR between tölt and trot at any time point ( > 0.05). At Speed, hematocrit and plasma lactate concentration were greater ( < 0.05) in tölt (40% ± 1%, 1.1 ± 0.06 mmol/L) than in trot (39% ± 1%; 0.9 ± 0.06 mmol/L). There was a prolonged recovery of hematocrit and respiratory rate, a slower decrease in rectal temperature, and a tendency of a prolonged recovery of plasma lactate concentration ( = 0.0675) after tölt. In conclusion, there were only minor differences in physiological responses to tölt and trot in this selected group of experienced adult Icelandic horses and the biological and practical significance of the slightly elevated physiological responses to tölt and the slower recovery remains to be determined.

Physiological response to a breed evaluation field test in Icelandic horses.

This study examined the response in terms of heart rate (HR), respiratory rate (RR), haematocrit (Htc), rectal temperature (RT), and some plasma variables in Icelandic horses of different sexes and ages performing the riding assessment in a breed evaluation field test (BEFT). The study was conducted in Iceland on 266 horses (180 mares and 86 stallions, divided into four age groups; 4, 5, 6 and ≥7 years old). RT and RR were recorded and blood samples were taken before the warm-up and after the riding assessment. Horse HR, velocity and distance were recorded during the warm-up, the riding assessment and a 5-min recovery period. The distance covered in the BEFT was 2.9 ± 0.4 km (range: 1.8 to 3.8 km, n=248), the duration was 9:37 ± 1:22 min:s (range: 5:07 to 15:32 min:s, n=260) and the average speed was 17.8 ± 1.4 km/h (range: 13.2 to 21.3 km/h, n=248). Average HR was 184 ± 13 b.p.m. (range: 138 to 210 b.p.m., n=102) and peak HR 224 ± 9 b.p.m. (range: 195 to 238 b.p.m., n=102), and 36% of the BEFT was performed at HR ≥200 b.p.m. Post-exercise plasma lactate concentration (Lac) was 18.0 ± 6.5 mmol/l (range: 2.1 to 34.4 mmol/l, n=266), and there was an increase in total plasma protein, plasma creatine kinase and aspartate amino transferase concentration, as well as RR, RT and Htc. Stallions covered a longer total distance (in the warm-up and BEFT) (P<0.05), at a faster speed during BEFT (P<0.001) than mares and had higher Htc and lower HR and post-exercise Lac values. There were few effects of age, but the 4- and 5-year-old horses had lower Htc than older horses and 4-year-old horses had higher post-exercise RR than older horses, although they were ridden for a shorter distance, shorter duration and at lower peak velocity (P<0.1). The results showed that the riding assessment in the BEFT is a high-intensity exercise. The results also showed that aerobic fitness was higher in stallions and that age had a limited effect on the physiological response. It is suggested that these results should be used as a guide for the development of training programmes and fitness tests in Icelandic horses that would improve both performance and welfare of the horse.

Comparison of grass haylage digestibility and metabolic plasma profile in Icelandic and Standardbred horses.

The aim of the present study was to compare digestibility and metabolic response in Icelandic and Standardbred horses fed two grass haylages harvested at different stages of maturity. Six horses of each breed were used in a 24-day change-over design. A total collection of faeces was made on days 15-17 and 22-24. Blood samples were collected on day 24 of each period and analysed for total plasma protein (TPP), plasma urea, non-esterified fatty acids, cortisol and insulin concentration. There were no differences in digestibility coefficients of crude protein, neutral detergent fibre or energy between breeds but organic matter digestibility was higher in the Standardbred horses. On both haylages, the Icelandic horses gained weight whereas the Standardbred horses lost weight. The Icelandic horses had higher TPP, plasma insulin and lower plasma urea concentrations. Our results indicate that the Icelandic horse may be more prone to maintain positive energy balance in relation to the Standardbred horse, but there were no indication of a better digestive capacity in the Icelandic horses.

Impact of feeding level on digestibility of a haylage-only diet in Icelandic horses.

Eight mature Icelandic geldings were used in an experiment arranged as a change-over design to evaluate the effect of feeding level on the digestibility of a high-energy haylage-only diet. The horses were fed a low feeding level 10.7 g dry matter (DM)/kg body weight (BW) (maintenance) and a high feeding level 18.1 g DM/kg BW (1.5 × maintenance) during two 23 days experimental periods. Total collection of faeces was performed for 6 days at the end of each period to determine the coefficient of total tract apparent digestibility (CTTAD). The CTTAD for DM, organic matter, neutral detergent fibre (NDF), acid detergent fibre and energy was higher in horses fed at the low level of feed intake, while feeding level did not affect the CTTAD of crude protein. The largest difference in CTTAD between feeding levels was found for NDF. The content (/kg DM) of digestible energy in the haylage was 11.3 MJ at the low level of feed intake and 10.6 MJ at the high level of feed intake. It can be concluded that feeding level has a large impact on the digestibility and energy value of early cut haylage in Icelandic horses.

Scattering phenomena in volume holograms with strong coupling.

A qualitative analysis of various diffraction phenomena, visible in scattering volume gratings, like scattering rings, Kossel lines, dark scattering rings, is made for gratings including higher order harmonics and for gratings with strong coupling. An interference phenomenon, explained by the dynamical theory of diffraction, is demonstrated. In order to simplify the analysis of these phenomena and diffraction in volume gratings in general, a modification of the traditional Ewald construction is introduced. This modification is geometrically equivalent but physically more consistent and, for instance, defines how the observer is related to the wave vector sphere and also permits the location and extent of the intermodulation spectrum to be easily constructed. The construction is applied to the recording and readout of multiple recording by superposition in volume holograms as an illustration.