Physical fitness, fatigue, and quality of life after liver transplantation

Fatigue is often experienced after liver transplantation. The aims of this cross-sectional study were to assess physical fitness (cardiorespiratory fitness, neuromuscular fitness, body composition) in liver transplant recipients and to explore whether physical fitness is related to severity of fatigue. In addition, we explored the relationship between physical fitness and health-related quality of life. Included were 18 patients 1–5 years after transplantation (aged 48.0 ± 11.8 years) with varying severity of fatigue. Peak oxygen uptake during cycle ergometry, 6-min walk distance, isokinetic muscle strength of the knee extensors, body mass index, waist circumference, skinfold thickness, severity of fatigue, and health-related quality of life were measured. Cardiorespiratory fitness in the liver transplant recipients was on average 16–34% lower than normative values (P ≤ 0.05). Furthermore, the prevalence of obesity seemed to be higher than in the general population (17 vs. 10%). We found no deficit in neuromuscular fitness. Cardiorespiratory fitness was the only fitness component that was related with severity of fatigue (rs = −0.61 to rs = -0.50, P ≤ 0.05). Particularly cardiorespiratory fitness was related with several aspects of health-related quality of life (rs = 0.48 to rs = 0.70, P ≤ 0.05). Results of our study imply that cardiorespiratory fitness and body composition are impaired in liver transplant recipients and that fitness is related with severity of fatigue (only cardiorespiratory fitness) and quality of life (particularly cardiorespiratory fitness) in this group. These findings have implications for the development of rehabilitation programs for liver transplant recipients

Global perspectives on observing ocean boundary current systems

Ocean boundary current systems are key components of the climate system, are hometo highly productive ecosystems, and have numerous societal impacts. Establishmentof a global network of boundary current observing systems is a critical part of ongoingdevelopment of the Global Ocean Observing System. The characteristics of boundarycurrent systems are reviewed, focusing on scientific and societal motivations forsustained observing. Techniques currently used to observe boundary current systemsare reviewed, followed by a census of the current state of boundary current observingsystems globally. The next steps in the development of boundary current observingsystems are considered, leading to several specific recommendations

Towards the development of environmental indices for the Namibian shelf, with particular reference to fisheries management

The Namibian Ministry of Fisheries and Marine Resources has the task of collecting and providing relevant oceanographic information for management of their fisheries. However, quality information is difficult to provide because of the complexity of the processes involved in the Namibian marine ecosystem. Nonetheless, there are oceanographic data available that can contribute to fisheries management by improving the general understanding of important oceanographic processes related to fisheries. The focus of this paper is on the development of simple environmental indices that can serve as a measurement or proxy of the state or intensity of certain important oceanographic processes or variables for temporal comparison. These indices relate to oceanographic processes such as upwelling, frontal movements, anoxic bottom conditions and biological indicators, which can be updated on a regular basis to provide a long-term perspective of the particular processes to management and marine scientists. Keywords: chlorophyll a; dissolved oxygen; environmental index development; Namibia; remote sensing; SST; temperatureAfrican Journal of Marine Science 2007, 29(1): 25–3

Cross-shelf biogeochemical characteristics of sediments in the central Benguela and their relationship to overlying water column hypoxia

Data from two cross-shelf sediment sampling cruises were used to explain reasons for the sediment biogeochemical variability in respect of carbon, nitrogen and sulphur, and how the cycling of these elements governs the biogeochemistry of the overlying water through their control of the redox conditions. The spatial extent of this benthic–pelagic flux link is limited to the innershelf mud belt system on the Namibian shelf. The inshore mud belt is the primary deposition area of the carbon and nitrogen new production export flux. The offshore organic-rich zones are thought to be relict particulate organic matter originating from the inshore mud belt rather than from an overlying pelagic source. These data were used to set up a multi-layer sediment model that was used through sensitivity analyses to elucidate the input characteristics that result in the most significant feedbacks on hypoxia in the overlying water. The analyses showed that, although the new production flux is a requirement to drive an oxygen demand in the sediments, the onset and persistence of anoxia may depend critically on a low-oxygen boundary condition threshold. This is thought to be a key differentiating factor between systems that, despite comparable carbon export fluxes, are characterised by a persistent hypoxia/anoxia signal and those that are characterised by episodic hypoxia events. It was concluded that sediment oxygen demand and methane and ‘sulphide' emissions from the central Benguela sediments are responses to external hypoxia boundary conditions rather than the local drivers of oxygen variability. Keywords: anoxia, Benguela Current, carbon, hypoxia, modelling, Namibia, sediment biogeochemistryAfrican Journal of Marine Science 2007, 29(1): 37–4