22 research outputs found

    The quick motor function test: a new tool to rate clinical severity and motor function in Pompe patients

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    Pompe disease is a lysosomal storage disorder characterized by progressive muscle weakness. With the emergence of new treatment options, psychometrically robust outcome measures are needed to monitor patients’ clinical status. We constructed a motor function test that is easy and quick to use. The Quick Motor Function Test (QMFT) was constructed on the basis of the clinical expertise of several physicians involved in the care of Pompe patients; the Gross Motor Function Measure and the IPA/Erasmus MC Pompe survey. The test comprises 16 items. Validity and test reliability were determined in a cohort of 91 Pompe patients (5 to 76 years of age). In addition, responsiveness of the scale to changes in clinical condition over time was examined in a subgroup of 18 patients receiving treatment and 23 untreated patients. Interrater and intrarater reliabilities were good (intraclass correlation coefficients: 0.78 to 0.98 and 0.76 to 0.98). The test correlated strongly with proximal muscle strength assessed by hand held dynamometry and manual muscle testing (rs= 0.81, rs=0.89), and showed significant differences between patient groups with different disease severities. A clinical-empirical exploration to assess responsiveness showed promising results, albeit it should be repeated in a larger group of patients. In conclusion, the Quick Motor Function Test can reliably rate clinical severity and motor function in children and adults with Pompe disease

    Serpentine geology links to water quality and heavy metals in sediments of a stream system in central Queensland, Australia

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    Serpentinite soils, common throughout the world, are characterized by low calcium-to-magnesium ratios, low nutrient levels and elevated levels of heavy metals. Yet the water quality and heavy metal concentrations in sediments of streams draining serpentine geology have been little studied. The aim of this work was to collect baseline data on the water quality (for both wet and dry seasons) and metals in sediments at 11 sites on the Marlborough Creek system, which drains serpentine soils in coastal central Queensland, Australia. Water quality of the system was characterized by extremely hard waters (555–698 mg/L as CaCO3), high dissolved salts (684–1285 mg/L), pH (8.3–9.1) and dissolved oxygen (often >110% saturation). Cationic dominance was Mg > Na > Ca > K and for anions HCO3 > Cl > SO4. Al, Cu and Zn in stream waters were naturally high and exceeded Australian and New Zealand Environment and Conservation Council guidelines. Conductivity displayed the highest seasonal variability, decreasing significantly after wet season flows. There was little seasonal variation in pH, which often exceeded regional guidelines. Stream sediments were enriched with concentrations of Ni, Cr, Co and Zn up to 35, 21, 10 and 2 times the world average for shallow sediments, respectively. Concentrations for Ni and Cr were up to 60 and 16 times those of the relevant Interim Sediment Quality Guidelines Low Trigger Values, respectively. The distinctive nature of the water and sediment data suggests that it would be appropriate to establish more localized water quality and sediment guidelines for the creek system for the water quality parameters conductivity, Cu and Zn (and possibly Cr and Cd also), and for sediment concentrations of Cd, Cr and Ni. © 2017, Springer-Verlag Berlin Heidelberg

    Non-woody life-form contribution to vascular plant species richness in a tropical American forest

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    We provide total vascular plant species counts for three 1-ha plots in deciduous, semi-deciduous and evergreen forests in central Bolivia. Species richness ranged from 297 species and 22,360 individuals/ha in the dry deciduous forest to 382 species and 31,670 individuals/ha in the evergreen forest. Orchidaceae, Pteridophyta and Leguminosae were among the most species-rich major plant groups in each plot, and Peperomia (Piperaceae), Pleurothallis (Orchidaceae) and Tillandsia (Bromeliaceae), all epiphytes, were the most species-rich genera. This dominance of a few but very diverse and/or widespread taxa contrasted with the low compositional similarity between plots. In a neotropical context, these Central Bolivian forest plots are similar in total species richness to other dry deciduous and humid montane forests, but less rich than most Amazonian forests. Nevertheless, lianas, terrestrial herbs and especially epiphytes proved to be of equal or higher species richness than most other neotropical forest inventories from which data are available. We therefore highlight the importance of non-woody life-forms (especially epiphytes and terrestrial herbs) in Andean foothill forest ecosystems in terms of species richness and numbers of individuals, representing in some cases nearly 50% of the species and more than 75% of the individuals. These figures stress the need for an increased inventory effort on non-woody plant groups in order to accurately direct conservation actions
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