Fear of exercise and health-related quality of life in patients with an implantable cardioverter defibrillator

Several studies have reported improved survival rates thanks to the use of an implantable cardioverter defibrillator (ICD) in the treatment of patients with life-threatening arrhythmia. However, the effects of the ICD on health-related quality of life (HR-QoL) of these patients are not clear. The aim of this study is to describe HR-QoL and fear of exercise in ICD patients. Eighty-nine ICD patients from the University Hospital in Groningen, the Netherlands, participated in this study. HR-QoL was measured using the Rand-36 and the Quality of Life After Myocardial Infarction Dutch language version questionnaires. Fear of exercise was measured using the Tampa Scale for Kinesiophobia, Dutch version and the Fear Avoidance Beliefs Questionnaire, Dutch version. Association between outcome variables was analysed by linear regression analyses. Study results show that the HR-QoL of patients with ICDs in our study population is significantly worse than that of normal healthy people. Furthermore, fear of exercise is negatively associated with HR-QoL corrected for sex, age and number of years living with an ICD. After implantation of the ICD, patients with a clear fear of exercise should be identified and interventions should be considered in order to increase their HR-QoL

An \u3cem\u3ein vitro\u3c/em\u3e Study on the Influence of Residual Sugars on Aerobic Changes in Grass Silages

How do residual sugars in high dry matter grass silages influence microbial metabolism? To answer this question a simple laboratory method was developed using pH as main indicator for aerobic changes

Development of a Method for the Fast and Complete Assessment of Quality Characteristics in Undried Grass Silages by Means of an NIR-Diode Array Spectrometer

Traditionally, the determination of grass silage is very time consuming and needs a lot of manpower and chemicals. The advantages of conventional laboratory NIRS instruments are well known but their disadvantage lies in their lacking suitability for on-farm use. A new type of spectrometer based on diode arrays may be used for this purpose. However, these new instruments still need to be calibrated for an accurate estimate of the fermentative and nutritive value of wet and unchopped grass silage

Compilation of a Database of Research Information on Legume Based Grazing Systems; a Part of the Leggraze Research Project

The establishment of a publicly accessible web-resident database of published and current European research on agronomy, animal production and environmental impact of legume based grazing systems is reported. This database facilitates the sharing of information among the partners of the Low input animal production based on forage legumes for grazing systems (Leggraze), a research project funded by the UE (QL K5 CT-2001-02328). It also forms an important tool for transferring the results of the project to the wider research community and to end users in the agricultural sector and to policy makers at national and community level

Special issue: Innovations in farming systems approaches: Introduction

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Effect of Residual Sugar in High Sugar Grass Silages on Aerobic Stability

New varieties of Lolium perenne, bred for high sugar content, can contain up to 30% of water soluble carbohydrates (WSC). Only a fraction of such high contents are metabolised during a normal fermentation and the high residual sugar content (RSC) of these silages can improve the efficiency of use of nitrogen by ruminants. However, these RSC at opening for feed-out could be preferentially metabolised relative to fermentation products by all aerobically growing fungi and bacteria present on the forage. A high RSC thus can increase the risk of aerobic deterioration over that of extensively fermented silages, containing predominantly organic acids, which are initially utilised by certain yeasts. The objective of this study was to assess the relationship between RSC and aerobic stability of silages prepared with either optimal ensiling conditions or with a defined air challenge treatment to make them prone to aerobic deterioration. The latter is a useful method to test the efficacy of aerobic stability improving silage additives, requiring unstable controls (Pahlow et al., 1999)