Functional status of persons with chronic fatigue syndrome in the Wichita, Kansas, population

BACKGROUND: Scant research has adequately addressed the impact of chronic fatigue syndrome on patients' daily activities and quality of life. Enumerating specific problems related to quality of life in chronic fatigue syndrome patients can help us to better understand and manage this illness. This study addresses issues of functional status in persons with chronic fatigue syndrome and other fatiguing illnesses in a population based sample, which can be generalized to all persons with chronic fatigue. METHODS: We conducted a random telephone survey in Wichita, Kansas to identify persons with chronic fatigue syndrome and other fatiguing illnesses. Respondents reporting severe fatigue of at least 1 month's duration and randomly selected non-fatigued respondents were asked to participate in a detailed telephone interview. Participants were asked about symptoms, medical and psychiatric illnesses, and about physical, social, and recreational functioning. Those meeting the 1994 chronic fatigue syndrome case definition, as determined on the basis of their telephone responses, were invited for clinical evaluation to confirm a diagnosis of chronic fatigue syndrome. For this analysis, we evaluated unemployment due to fatigue, number of hours per week spent on work, chores, and other activities (currently and prior to the onset of fatigue), and energy level. RESULTS: There was no difference between persons with chronic fatigue syndrome and persons with a chronic fatigue syndrome-like illness that could be explained by a medical or psychiatric condition for any of the outcomes we measured except for unemployment due to fatigue (15% vs. 40%, P < .01). Persons with chronic fatigue syndrome and other fatiguing illnesses had substantially less energy and spent less time on hobbies, schooling, or volunteer work than did non-fatigued controls (P < .01). CONCLUSIONS: Persons with chronic fatigue syndrome are as impaired as persons whose fatigue could be explained by a medical or psychiatric condition, and they have less energy than non-fatigued controls

Prediction of relativistic electron flux at geostationary orbit following storms: Multiple regression analysis

Many solar wind and magnetosphere parameters correlate with relativistic electron flux following storms. These include relativistic electron flux before the storm, seed electron flux, solar wind velocity and number density (and their variation), IMF Bz, AE and Kp indices, and ultra low frequency (ULF) and very low frequency (VLF) wave power. However, as all these variables are intercorrelated, we use multiple regression analyses to determine which are the most predictive of flux when other variables are controlled. Using 219 storms (1992-2002), we obtained hourly averaged electron fluxes for outer radiation belt relativistic electrons (>1.5 MeV) and seed electrons (100 keV) from LANL spacecraft (geosynchronous orbit). For each storm, we found the log10 maximum relativistic electron flux 48-120 hours after the end of the main phase of each storm. Each predictor variable was averaged over the 12 hours before the storm, main phase, and the 48 hours following minimum Dst. High levels of flux following storms are best modeled by a set of variables. In decreasing influence, ULF, seed electron flux, Vsw and its variation, and after-storm Bz were the most significant explanatory variables. Kp can be added to the model, but it adds no further explanatory power. Although we included ground-based VLF power from Halley, Antarctica, it shows little predictive ability. We produced predictive models using the coefficients from the regression models, and assessed their effectiveness in predicting novel observations. The correlation between observed values and those predicted by these empirical models ranged from .645 to .795

A whole ecosystem approach to pear psyllid (Cacopsylla pyri) management in a changing climate

Whole ecosystem-based approaches are becoming increasingly common in pest management within agricultural systems. These strategies consider all trophic levels and abiotic processes within an ecosystem, including interactions between different factors. This review outlines a whole ecosystem approach to the integrated pest management (IPM) of pear psyllid (Cacopsylla pyri Linnaeus) within pear (Pyrus communis L.) orchards, focusing on potential disruptions as a result of climate change. Pear psyllid is estimated to cost the UK pear industry £5 million per annum and has a significant economic impact on pear production globally. Pesticide resistance is well documented in psyllids, leading many growers to rely on biological control using natural enemies during the summer months. In addition, multiple insecticides commonly used in pear psyllid control have been withdrawn from the UK and Europe, emphasizing the need for alternative control methods. There is growing concern that climate change could alter trophic interactions and phenological events within agroecosystems. For example, warmer temperatures could lead to earlier pear flowering and pest emergence, as well as faster insect development rates and altered activity levels. If climate change impacts pear psyllid differently to natural enemies, then trophic mismatches could occur, impacting pest populations. This review aims to evaluate current strategies used in C. pyri management; discuss trophic interactions within this agroecosystem and highlight potential changes in the top-down and bottom-up control of C. pyri as a result of climate change. This review provides a recommended approach to pear psyllid management, identifies evidence gaps and outlines areas of future research

Effect of Plain Versus Sugar-Sweetened Breakfast on Energy Balance and Metabolic Health : A Randomized Crossover Trial

We would like to thank Pippa Heath for her help with randomization, our participants, and Dr. Graham Horgan for statistical advice. Funding Information Economic and Social Research Council. Grant Number: ES/J50015X/1 Biotechnology and Biological Sciences Research Council (BBSRC) GlaxoSmithKline Lucozade Ribena Suntory Kellogg’s Nestlé PepsiCo Sugar Nutrition UK Danone Baby Nutrition the Alpro Foundation Kellogg Europe Unilever Volac International The Collagen Research Institute British Summer FruitsPeer reviewedPublisher PD

Nonlinear and synergistic effects of ULF Pc5, VLF chorus, and EMIC waves on relativistic electron flux at geosynchronous orbit

Using data covering the years 2005‐2009, we study the linear and nonlinear responses of log10 relativistic electron flux measured at geosynchronous orbit to ULF Pc5, VLF lower band chorus, and EMIC waves. We use regression models incorporating a quadratic term and a synergistic interaction term. Relativistic electron fluxes respond to ULF Pc5 and VLF chorus waves both linearly and nonlinearly. ULF Pc5 waves contribute both to electron enhancement (at mid‐range wave activity) and loss (at high levels of wave activity). Nonlinear effects of VLF chorus are positive (i.e., cause acceleration), adding to the positive linear effects. Synergistic interaction effects between high levels of VLF chorus and mid‐range values of ULF Pc5 waves result in more electron acceleration than would be predicted by a simpler additive model. Similarly, the negative effect of EMIC waves (losses) is more influential than would be predicted by a linear model when combined with either VLF chorus or ULF Pc5 waves. During disturbed conditions (high Kp), geostationary electron flux responds more strongly to the same levels of ULF Pc5 and VLF chorus waves. This flux also responds more to ULF Pc5 and chorus waves during southward Bz conditions. Unstandardized regression coefficients for models incorporating nonlinear and synergistic effects of waves are presented for use in future modelling

Chronic Fatigue Syndrome – A clinically empirical approach to its definition and study

BACKGROUND: The lack of standardized criteria for defining chronic fatigue syndrome (CFS) has constrained research. The objective of this study was to apply the 1994 CFS criteria by standardized reproducible criteria. METHODS: This population-based case control study enrolled 227 adults identified from the population of Wichita with: (1) CFS (n = 58); (2) non-fatigued controls matched to CFS on sex, race, age and body mass index (n = 55); (3) persons with medically unexplained fatigue not CFS, which we term ISF (n = 59); (4) CFS accompanied by melancholic depression (n = 27); and (5) ISF plus melancholic depression (n = 28). Participants were admitted to a hospital for two days and underwent medical history and physical examination, the Diagnostic Interview Schedule, and laboratory testing to identify medical and psychiatric conditions exclusionary for CFS. Illness classification at the time of the clinical study utilized two algorithms: (1) the same criteria as in the surveillance study; (2) a standardized clinically empirical algorithm based on quantitative assessment of the major domains of CFS (impairment, fatigue, and accompanying symptoms). RESULTS: One hundred and sixty-four participants had no exclusionary conditions at the time of this study. Clinically empirical classification identified 43 subjects as CFS, 57 as ISF, and 64 as not ill. There was minimal association between the empirical classification and classification by the surveillance criteria. Subjects empirically classified as CFS had significantly worse impairment (evaluated by the SF-36), more severe fatigue (documented by the multidimensional fatigue inventory), more frequent and severe accompanying symptoms than those with ISF, who in turn had significantly worse scores than the not ill; this was not true for classification by the surveillance algorithm. CONCLUSION: The empirical definition includes all aspects of CFS specified in the 1994 case definition and identifies persons with CFS in a precise manner that can be readily reproduced by both investigators and clinicians

Time-efficient physical activity intervention for older adolescents with disability : rationale and study protocol for the Burn 2 Learn adapted (B2La) cluster randomised controlled trial

Introduction Physical activity declines during adolescence, with the lowest levels of activity observed among those with disability. Schools are ideal settings to address this issue; however, few school-based interventions have been specifically designed for older adolescents with disability. Our aim is to investigate the effects of a school-based physical activity programme, involving high-intensity interval training (HIIT), on physical, mental and cognitive health in older adolescents with disability. Methods and analysis We will evaluate the Burn 2 Learn adapted (B2La) intervention using a two-arm, parallel group, cluster randomised controlled trial with allocation occurring at the school level (treatment or waitlist control). Secondary schools will be recruited in two cohorts from New South Wales, Australia. We will aim to recruit 300 older adolescents (aged 15–19 years) with disability from 30 secondary schools (10 in cohort 1 and 20 in cohort 2). Schools allocated to the intervention group will deliver two HIIT sessions per week during scheduled specialist support classes. The sessions will include foundational aerobic and muscle strengthening exercises tailored to meet student needs. We will provide teachers with training, resources, and support to facilitate the delivery of the B2La programme. Study outcomes will be assessed at baseline, 6 months (primary endpoint), and 9 months. Our primary outcome is functional capacity assessed using the 6 min walk/push test. Secondary outcomes include physical activity, muscular fitness, body composition, cognitive function, quality of life, physical literacy, and on-task behaviour in the classroom. We will also conduct economic and process evaluations to determine cost-effectiveness, programme acceptability, implementation, adaptability, and sustainability in schools. Ethics and dissemination This study has received approval from the University of Newcastle (H-2021–0262) and the New South Wales Department of Education (SERAP: 2021257) human research ethics committees. Findings will be published in peer-reviewed journals, and key stakeholders will be provided with a detailed report following the study. Trial registration number Australian New Zealand Clinical Trials Registry Number: ACTRN12621000884808

Consumer e-health education in HIV/AIDS: a pilot study of a web-based video workshop

BACKGROUND: Members of the HIV/AIDS community are known to use web-based tools to support learning about treatment issues. Initial research indicated components such as message forums or web-based documentation were effectively used by persons with HIV/AIDS. Video has also shown promise as a technology to aid consumer health education. However, no research has been published thus far investigating the impact of web-based environments combining these components in an educational workshop format. METHODS: In this qualitative study HIV/AIDS community members provided feedback on an integrated web-based consumer health education environment. Participants were recruited through organizations that serve the HIV/AIDS community located in Toronto, Canada. Demographics, data on Internet use, including messages exchanged in the study environment were collected. A group interview provided feedback on usability of the study environment, preferences for information formats, use of the message forum, and other sources for learning about treatment information. RESULTS: In this pilot study analysis of the posted messages did not demonstrate use for learning of the workshop content. Participants did not generally find the environment of value for learning about treatment information. However, participants did share how they were meeting these needs. It was indicated that a combination of resources are being used to find and discuss treatment information, including in-person sources. CONCLUSION: More research on the ways in which treatment information needs are being met by HIV/AIDS community members and how technology fits in this process is necessary before investing large amounts of money into web-based interventions. Although this study had a limited number of participants, the findings were unexpected and, therefore, of interest to those who intend to implement online consumer health education initiatives or interventions