Descriptive Report of the Impact of Fatigue and Current Management Strategies in Cerebral Palsy.

Purpose: Describe the impact of fatigue and self-management practices for adolescents and young adults with cerebral palsy (CP). Methods: Survey of 124 people with CP with the Fatigue Impact and Severity Self-Assessment (FISSA). Results: People in GMFCS Level I experienced little impact of fatigue with high proportions of this group disagreeing to statements about fatigue impacting their general activities, mobility and social activities. People in GMFCS Levels II-V reported impact of fatigue on activities. Differences between groups were evident in questions related to fatigue interference with length of time for physical activity and with motivations to participate in social activities. All other items related to management of fatigue were not significantly different between groups. Conclusions: Fatigue impact is greater for people with more functional limitations. Lack of significant differences between groups on the Management and Activity Modification subscale, indicates more research is needed regarding strategies for fatigue management

Measuring Fatigue In Adolescents And Young Adults With Cerebral Palsy

Fatigue is a significant issue and has been estimated to affect between 30-50% of individuals with cerebral palsy (CP) in various studies; however, there is no validated measure of fatigue for this population. A systematic review revealed no one single measure with adequate psychometric properties for use with individuals with CP. As a result a new tool was created: the Fatigue Impact and Severity Self-Assessment (FISSA). Interviews were conducted with youth and young adults with CP to understand the bodily experience of living with CP and as a client-centered approach to item creation for the FISSA. Focus groups with healthcare professionals were used to reduce the number of items on the FISSA and to ensure relevance to the population. A large survey was conducted to assess the validity, reliability and factor structure of the FISSA. The bodily experience of CP revolved around, and emphasized, fatigue that occurs with walking and prolonged activity. Self-awareness of the individuals’ own bodies emerged as the most important theme and strategies employed to prevent and manage fatigue were elucidated. In the validation study, individuals who self-classified as level I on the Gross Motor Function Classification System (GMFCS) were shown to experienced less fatigue than individuals in any other GMFCS level (II-V) (p\u3c .001). Individuals with higher pain (both impact and severity) also reported higher fatigue scores (p\u3c .001). The FISSA was shown to be reliable (α = 0.95; ICC(3,1)=0.74 (95% CI 0.53-0.87)) and contains 31 items related to two factors (Impact of Fatigue and Management/Activity Modification) that together explain 48.7% of the variance in fatigue scores. The FISSA was created to examine the severity, impact and management of fatigue for youth and young adults with CP. The FISSA is reliable and was able to discriminate between groups expected to experience more fatigue including those with a more severe motor disability according to the GMFCS and individuals with a higher degree of pain. The FISSA allows for individualized identification of the activities of daily living that may be compromised by fatigue, which may enhance collaborative goal setting and intervention planning by clinicians and their clients

A note on the effectiveness of selenium supplementation of Irish-grown Allium crops.

peer-reviewedThis study is funded by the Department of Agriculture and Food through the Network and Team Building Initiative of the Food Institutional Research Measure (FIRM Reference Number 06/NITARFC6).Onions and other Allium crops contain high levels of dietary phenolics and, unlike many other crops, accumulate the beneficial mineral selenium. Selenium-enhanced Allium crops are of interest both from a public good perspective and as a market positioning strategy for growers. Field trials were carried out to i) identify onion and scallion varieties that contain high levels of health-promoting phenolic and flavonoid compounds as potential targets for selenium supplementation and ii) investigate selenium supplementation in the widely-grown commercial onion variety ‘Hyskin’ at different application rates of nitrogen fertilizer. Levels of selenium in onion bulbs were significantly increased from 0.5–5.9 μg/g dry weight (DW) to 40.6–70.0 μg/g DW.Department of Agriculture, Food and the Marin

Validity and reliability of two abbreviated versions of the Gross Motor Function Measure.

Aim: The “gold standard” to measure gross motor functioning for children with cerebral palsy (CP) is the Gross Motor Function Measure (GMFM-66). The purpose of this study was to estimate the validity and reliability of two abbreviated versions (item set (GMFM-66 IS) and basal and ceiling (GMFM-66 B&C) approaches) of the GMFM-66. Methods: Twenty-six children with CP aged 2 to 6 years across all GMFCS levels participated. At session one, both abbreviated versions were administered by two independent raters, followed by the full GMFM-66. In the subsequent session, only the abbreviated versions were administered, by the same raters. Concurrent validity, comparability between versions and test-retest reliability were determined using intraclass correlation coefficients (ICC 2,1). Results: Both versions demonstrated high levels of validity with ICCs reflecting associations with the GMFM-66 of 0.99 (95% CIs ranging from 0.972-0.997). Both versions were also shown to be highly reliable with ICCs greater than 0.98 (95% CIs ranging from 0.965-0.994). Interpretation: Both versions can be used in clinical practice or research. However, the GMFM-66-B&C is recommended as the preferred abbreviated version

Recolonization of Raoul Island by Kermadec red-crowned parakeets Cyanoramphus novaezelandiae cyanurus after eradication of invasive predators, Kermadec Islands archipelago, New Zealand

The Kermadec red-crowned parakeet Cyanoramphus novaezelandiae was driven to extinction on Raoul Island over 150 years ago by introduced cats Felis catus and rats (Rattus norvegicus and R. exulans). These predators were eradicated from the island (2,938 ha) between 2002-04 during the world’s largest multispecies eradication project. In 2008 we documented a unique recolonisation event when parakeets were observed to have returned to Raoul, presumably from a nearby island group, The Herald Islets (51 ha). We captured and aged 100 parakeets, of which 44% were born in 2008, and breeding was observed on Raoul Island. This represents the first evidence of nesting of this species on Raoul Island since 1836. Our findings highlight the global conservation potential for island avifaunas by prioritising eradication areas through consideration of proximity of remnant populations to target management locations, instead of the classical translocation approach alone. The natural recolonization of parakeets on Raoul Island from a satellite source population is to our knowledge, a first for parrot conservation and the first documented population expansion and island recolonization of a parrot species after removal of invasive predators

Construction and validation of the fatigue impact and severity self-assessment for youth and young adults with cerebral palsy.

Purpose: The Fatigue Impact and Severity Self-Assessment (FISSA) was created to assess the impact, severity and self-management of fatigue for individuals with cerebral palsy (CP) aged 14-31. Methods Used: Items were generated from a review of measures and interviews with individuals with CP. Focus groups with healthcare professionals were used for item reduction. A mailed survey was conducted (n=163/367) to assess the factor structure, known-groups validity and test-retest reliability. Results Obtained: The final measure contained 31-items in two factors and discriminated between individuals expected to have different levels of fatigue. Individuals with more functional abilities reported less fatigue (p\u3c 0.002) and those with higher pain reported higher fatigue (p\u3c 0.001). The FISSA was shown to have adequate test-retest reliability, ICC(3,1)=0.74 (95% CI 0.53-0.87). Conclusions Reached: The FISSA valid and reliable for individuals with CP. It allows for identification of the activities that may be compromised by fatigue to enhance collaborative goal setting and intervention planning

Profiles of Fatigue Severity and Variability Among Adolescents and Young Adults with Cerebral Palsy

Background: Individuals with cerebral palsy (CP) experience progressive changes in functional status with the development of secondary impairments such as fatigue. Detailed accounts of the fatigue experience in CP are lacking. Purpose: This study describes the severity and variability of fatigue in CP using the Fatigue Impact and Severity Self-Assessment. Methods: This was a descriptive cross-sectional study surveying 130 (61 males) individuals (mean age 18 years, 11 months; SD four years, six months) with CP. Analyses comprised comparisons between two groups (Gross Motor Function Classification System (GMFCS) I and II-V), frequency counts and proportions. Results: Significant differences exist between GMFCS groups for all fatigue severity questions. In addition, 38% of individuals classified as GMFCS level I reported their average fatigue as moderate to severe and 53% experienced fatigue on three or more days in the previous week. Sixty-eight percent of individuals classified as GMFCS II-V reported their average fatigue to be moderate to severe and 78% were fatigued on three or more days in the previous week. Conclusions: Fatigue is a highly individualized phenomenon with significant burden for individuals with CP regardless of functional ability. Individuals in GMFCS Levels II-V reported increased fatigue severity and would benefit from specific management interventions

Observations on the water distribution and extractable sugar content in carrot slices after pulsed electric field treatment

peer-reviewedThe impact of pulsed electric field (PEF) processing conditions on the distribution of water in carrot tissue and extractability of soluble sugars from carrot slices was studied. Time domain NMR relaxometry was used to investigate the water proton mobility in PEF-treated carrot samples. Three distinct transverse relaxation peaks were observed in untreated carrots. After PEF treatment only two slightly-overlapping peaks were found; these were attributed to water present in the cytoplasm and vacuole of carrot xylem and phloem tissues. This post-treatment observation indicated an increase in water permeability of tissues and/or a loss of integrity in the tonoplast. In general, the stronger the electric field applied, the lower the area representing transverse relaxation (T2) values irrespective of treatment duration. Moreover an increase in sucrose, β- and α-glucose and fructose concentrations of carrot slice extracts after PEF treatment suggested increases in both cell wall and vacuole permeability as a result of exposure to pulsed electric fields.The authors acknowledge financial support from the Irish Phytochemical Food Network (IPFN) project funded under the Food Institutional Research Measure (FIRM, 06/TNI/AFRC6) of the Irish Department of Agriculture, Food and Marine. Dr. Aguiló-Aguayo thanks Generalitat of Catalonia for the postdoctoral grant Beatriu de Pinós (BP-DGR2010). E. Balagueró thanks the Lifelong Learning Programme for the internship grant Leonardo da Vinci MOTIVA3 (201 1-1-ES1-LEO02-34225)

Qualitative and Quantitative Analysis of Polyphenols in Lamiaceae Plants—A Review

peer-reviewedLamiaceae species are promising potential sources of natural antioxidants, owing to their high polyphenol content. In addition, increasing scientific and epidemiological evidence have associated consumption of foods rich in polyphenols with health benefits such as decreased risk of cardiovascular diseases mediated through anti-inflammatory effects. The complex and diverse nature of polyphenols and the huge variation in their levels in commonly consumed herbs make their analysis challenging. Innovative robust analytical tools are constantly developing to meet these challenges. In this review, we present advances in the state of the art for the identification and quantification of polyphenols in Lamiaceae species. Novel chromatographic techniques that have been employed in the past decades are discussed, ranging from ultra-high-pressure liquid chromatography to hyphenated spectroscopic methods, whereas performance characteristics such as selectivity and specificity are also summarized