Holocene climatic variability indicated by a multi-proxy record from southern Africa's highest wetland

The eastern Lesotho Highlands experience climate patterns distinct from those of surrounding lower altitude regions, representing a niche environment with a unique biodiversity, leading to well-adapted but restricted vegetation. This study explores changes in the Holocene composition of diatoms and pollen at southern Africa’s highest altitude wetland (Mafadi: 3390 m a.s.l.). The palaeoenvironmental record for Mafadi Wetland indicates fluctuations between cold, wet conditions, prevalent between ~8140 and 7580 cal. yr BP and between ~5500 and 1100 cal. yr BP, and warmer, drier periods between ~7520 and 6680 cal. yr BP and between ~6160 and 5700 cal. yr BP. Marked climatic variability is noted from ~1100 cal. yr BP with colder conditions at ~150 kyr BP. Notably, the first of these cold periods occurs soon after the Northern Hemisphere 8.2 kyr event, while a second period of notably cold conditions occurs around 1100 cal. yr BP. Variability exists between the moisture reconstructions presented in this study and those from adjacent lower altitude sites, which is hypothesised to reflect variations in the strength and extent of the Westerlies throughout the Holocene

A multi-proxy analysis of late Quaternary palaeoenvironments, Sekhokong Range, eastern Lesotho

The eastern Lesotho Highlands host an array of periglacial and glacial geomorphic features. Their analysis has provided past climate interpretations predominantly for cold periods, yet no multi-proxy temporally continuous palaeoenvironmental records exist. This study presents a palaeoenvironmental reconstruction based on sedimentary characteristics, fossil pollen and diatoms from an alpine wetland located in the Sekhokong Mountain Range. The record commences in the late Pleistocene with a wet period from ∼16 450 to 14 440 cal a BP, interrupted by dry conditions from ∼16 350 to 15 870 cal a BP. From ∼14 150 to 8560 cal a BP, drier conditions are inferred, slowly transitioning to warmer, wetter conditions. Warmer, dry conditions are inferred for ∼8560–7430 cal a BP, followed by cold, wet conditions from ∼7280 to 6560 cal a BP. A dry, warmer period occurs from ∼6560 to 3640 cal a BP indicated by pollen, diatom and sedimentary records, followed by cool, wet conditions from ∼3400 to 1200 cal a BP. The period from ∼1110 cal a BP to the present is characterized by progressive drying. Pronounced cold events are detected from the diatom record. Moisture records appear relatively specific to the topographic setting of Sekhokong near the Great Escarpment edge, probably driven by orographically constrained synoptic controls

Speech audiometry test with picture-related sentence lists in Modern Greek for partially hearing children

Objective: The aim of this study was to develop Greek Sentence Based Speech Audiometry Test in quiet test for Hearing Impaired (HI) children (G-SEBSAT). Methods: Seventy-six children were recruited following approval by the local ethics committee and after obtaining informed consent from their parents. The collection of vocabulary was based on showing pictures selected from popular reading materials in Greek to hearing impaired HI children. A grammatical content analysis was carried out to determine the average syntactic and morphological structures of the sentences used by the HI children. Ten picture related sentence lists were developed based on the vocabulary and the grammatical analysis, and recorded by a male native speaker of standard Modern Greek. These were presented to both normal hearing (NH) and HI children, and the average speech response threshold (SRT) as well as the slope of the SRT curve at the SRT level of 50% correct responses (S50) were recorded in both groups. Sentence lists were validated with respect to the variability of their difficulty within each group, as well the test-retest variability of the respective SRT scores. Results: The average speech response threshold (SRT) across all lists for HI children was 65.27 dB and the slope of the SRT curve at the SRT level of 50% correct responses was 3.11%/dB. The corresponding results across all lists for NH children were 17.66 dB and 9.7%/dB, respectively. The SRT of HI children were strongly positively correlated, in a statistically significant manner with the PTA in both the test and the retest sessions (test: r=0.750, P < 0.0005; retest: r=0.753, P < 0.0005). The Spearman correlation of the rankings of SRT values and the slope values was 0.998 and 0.997 respectively for the HI and 0.939 and 0.88, for the NH group, indicating very low variability across the test and retest sessions. In addition, the analysis of variance (ANOVA) of the average SRT in NH children and the SRT residuals in the HI group indicated that the different sentences were of the same difficulty within each group. ((F(9,81)=0.401, p=0.930 and (F(9,93)=2.241, p=0.025 respectively). Conclusions: A validated sentence based speech audiometry test was created in Greek for the first time. SRT and S50 values for both NH and HI children are comparable to similar tests developed in other languages

Chrysocoma ciliata L. (Asteraceae) in the Lesotho Highlands: an anthropogenically introduced invasive or a niche coloniser?

Over recent decades, concern has been raised regarding the management of Chrysocoma ciliata L. (Asteraceae syn. C. tenuifolia) in the eastern Lesotho Highlands. This shrub species is argued to be a Karroid invasive introduced anthropogenically within the last century. Historical botanical records in Lesotho are scarce, so the origins of this species in the region are as yet uncertain. Speculation is based on the contemporary abundance of these shrubs in overgrazed areas throughout the highlands. This study presents fossil pollen records for the eastern Lesotho Highlands which confirm the presence of this species intermittently throughout the past ~6000 cal yr BP. In so doing, this study refutes claims that the species was introduced anthropogenically within the past 100 years, and of its narrow definition as a Karoo species invasive in Lesotho. The intermittent appearance of this species in the pollen record, however, indicates that it is climate sensitive, colonising the wetlands under conditions unsuitable to other plant species. Evidence presented here calls for a re-evaluation of the categorisation of C. ciliata as an invasive in the Lesotho Highlands, and more critically, for a redevelopment of the environmental management policies which involve this species

Late Quaternary research in southern Africa: progress, challenges and future trajectories

Southern African late Quaternary research has developed rapidly during recent decades, with an increase in the range of proxies used, the inclusion of new field sites, and increased international collaboration and skills transfer. This has enabled recent meta-studies into the synoptic drivers of palaeoenvironmental shifts across the region, and of spatial variability in climatic and environmental changes. Expanded research has also highlighted uncertainties in the understanding of southern African palaeoenvironments, and the relationships with Northern Hemisphere analogues, encouraging on-going critical debate within the discipline. Given current concerns of climate change impacts on the natural environment, the spread of invasives, increased fire frequency, and anthropogenic influences on the natural environment, palaeoenvironmental data and inferences are increasingly being utilised outside of the palaeoenvironmental discipline, providing a valuable inter-disciplinary platform for global change science in the region. Relative to the size, landscape and climatic heterogeneity and resultant biome variability across southern Africa, the network of palaeoenvironmental study sites remains sparse, and arguably insufficient to resolve key debates. This paper critically reviews these spatial gaps in palaeoenvironmental knowledge, with a particular emphasis on the shortfalls of the current network of study sites and palaeoenvironmental records in resolving debates concerning latitudinal shifts of the Westerlies, conditions during the last glacial maximum and contemporaneous Northern and Southern Hemisphere climatic events. Southern African applications of palaeoenvironmental science in exploring ecological trait shifts, fire influences and anthropogenic impacts are briefly discussed, to facilitate the future identification of key sites, proxies, debates and applications in ongoing regional Quaternary work

Repetitive arm functional tasks after stroke (RAFTAS): a pilot randomised controlled trial

Background Repetitive functional task practise (RFTP) is a promising treatment to improve upper limb recovery following stroke. We report the findings of a study to determine the feasibility of a multi-centre randomised controlled trial to evaluate this intervention. Methods A pilot randomised controlled trial was conducted. Patients with new reduced upper limb function were recruited within 14 days of acute stroke from three stroke units in North East England. Participants were randomised to receive a four week upper limb RFTP therapy programme consisting of goal setting, independent activity practise, and twice weekly therapy reviews in addition to usual post stroke rehabilitation, or usual post stroke rehabilitation. The recruitment rate; adherence to the RFTP therapy programme; usual post stroke rehabilitation received; attrition rate; data quality; success of outcome assessor blinding; adverse events; and the views of study participants and therapists about the intervention were recorded. Results Fifty five eligible patients were identified, 4-6% of patients screened at each site. Twenty four patients participated in the pilot study. Two of the three study sites met the recruitment target of 1-2 participants per month. The median number of face to face therapy sessions received was 6 [IQR 3-8]. The median number of daily repetitions of activities recorded was 80 [IQR 39-80]. Data about usual post stroke rehabilitation were available for 18/24 (75%). Outcome data were available for 22/24 (92%) at one month and 20/24 (83%) at three months. Outcome assessors were unblinded to participant group allocation for 11/22 (50%) at one month and 6/20 (30%) at three months. Four adverse events were considered serious as they resulted in hospitalisation. None were related to study treatment. Feedback from patients and local NHS therapists about the RFTP programme was mainly positive. Conclusions A multi-centre randomised controlled trial to evaluate an upper limb RFTP therapy programme provided early after stroke is feasible and acceptable to patients and therapists, but there are issues which needed to be addressed when designing a Phase III study. A Phase III study will need to monitor and report not only recruitment and attrition but also adherence to the intervention, usual post stroke rehabilitation received, and outcome assessor blinding

Characterization of Shewanella oneidensis MtrC: a cell-surface decaheme cytochrome involved in respiratory electron transport to extracellular electron acceptors

MtrC is a decaheme c-type cytochrome associated with the outer cell membrane of Fe(III)-respiring species of the Shewanella genus. It is proposed to play a role in anaerobic respiration by mediating electron transfer to extracellular mineral oxides that can serve as terminal electron acceptors. The present work presents the first spectropotentiometric and voltammetric characterization of MtrC, using protein purified from Shewanella oneidensis MR-1. Potentiometric titrations, monitored by UV–vis absorption and electron paramagnetic resonance (EPR) spectroscopy, reveal that the hemes within MtrC titrate over a broad potential range spanning between approximately +100 and approximately -500 mV (vs. the standard hydrogen electrode). Across this potential window the UV–vis absorption spectra are characteristic of low-spin c-type hemes and the EPR spectra reveal broad, complex features that suggest the presence of magnetically spin-coupled low-spin c-hemes. Non-catalytic protein film voltammetry of MtrC demonstrates reversible electrochemistry over a potential window similar to that disclosed spectroscopically. The voltammetry also allows definition of kinetic properties of MtrC in direct electron exchange with a solid electrode surface and during reduction of a model Fe(III) substrate. Taken together, the data provide quantitative information on the potential domain in which MtrC can operate

Use of the Oxford Handicap Scale at hospital discharge to predict Glasgow Outcome Scale at 6 months in patients with traumatic brain injury

BACKGROUND: Traumatic brain injury (TBI) is an important cause of acquired disability. In evaluating the effectiveness of clinical interventions for TBI it is important to measure disability accurately. The Glasgow Outcome Scale (GOS) is the most widely used outcome measure in randomised controlled trials (RCTs) in TBI patients. However GOS measurement is generally collected at 6 months after discharge when loss to follow up could have occurred. The objectives of this study were to evaluate the association and predictive validity between a simple disability scale at hospital discharge, the Oxford Handicap Scale (OHS), and the GOS at 6 months among TBI patients. METHODS: The study was a secondary analysis of a randomised clinical trial among TBI patients (MRC CRASH Trial). A Spearman correlation was estimated to evaluate the association between the OHS and GOS. The validity of different dichotomies of the OHS for predicting GOS at 6 months was assessed by calculating sensitivity, specificity and the C statistic. Uni and multivariate logistic regression models were fitted including OHS as explanatory variable. For each model we analysed its discrimination and calibration. RESULTS: We found that the OHS is highly correlated with GOS at 6 months (spearman correlation 0.75) with evidence of a linear relationship between the two scales. The OHS dichotomy that separates patients with severe dependency or death showed the greatest discrimination (C statistic: 84.3). Among survivors at hospital discharge the OHS showed a very good discrimination (C statistic 0.78) and excellent calibration when used to predict GOS outcome at 6 months. CONCLUSION: We have shown that the OHS, a simple disability scale available at hospital discharge can predict disability accurately, according to the GOS, at 6 months. OHS could be used to improve the design and analysis of clinical trials in TBI patients and may also provide a valuable clinical tool for physicians to improve communication with patients and relatives when assessing a patient's prognosis at hospital discharge

A comparison of location of acute symptomatic vs. 'silent' small vessel lesions

Background: Acute lacunar ischaemic stroke, white matter hyperintensities, and lacunes are all features of cerebral small vessel disease. It is unclear why some small vessel disease lesions present with acute stroke symptoms, whereas others typically do not. Aim: To test if lesion location could be one reason why some small vessel disease lesions present with acute stroke, whereas others accumulate covertly. Methods: We identified prospectively patients who presented with acute lacunar stroke symptoms with a recent small subcortical infarct confirmed on magnetic resonance diffusion imaging. We compared the distribution of the acute infarcts with that of white matter hyperintensity and lacunes using computational image mapping methods. Results: In 188 patients, mean age 67 ± standard deviation 12 years, the lesions that presented with acute lacunar ischaemic stroke were located in or near the main motor and sensory tracts in (descending order): posterior limb of the internal capsule (probability density 0·2/mm3), centrum semiovale (probability density = 0·15/mm3), medial lentiform nucleus/lateral thalamus (probability density = 0·09/mm3), and pons (probability density = 0·02/mm3). Most lacunes were in the lentiform nucleus (probability density = 0·01–0·04/mm3) or external capsule (probability density = 0·05/mm3). Most white matter hyperintensities were in centrum semiovale (except for the area affected by the acute symptomatic infarcts), external capsules, basal ganglia, and brainstem, with little overlap with the acute symptomatic infarcts (analysis of variance, P < 0·01). Conclusions: Lesions that present with acute lacunar ischaemic stroke symptoms may be more likely noticed by the patient through affecting the main motor and sensory tracts, whereas white matter hyperintensity and asymptomatic lacunes mainly affect other areas. Brain location could at least partly explain the symptomatic vs. covert development of small vessel disease