Functioning and disability in multiple sclerosis from the patient perspective

Multiple sclerosis (MS) has a great impact on functioning and disability. The perspective of those who experience the health problem has to be taken into account to obtain an in-depth understanding of functioning and disability. The objective was to describe the areas of functioning and disability and relevant contextual factors in MS from the patient perspective. A qualitative study using focus group methodology was performed. The sample size was determined by saturation. The focus groups were digitally recorded and transcribed verbatim. The meaning condensation procedure was used for data analysis. Identified concepts were linked to International Classification of Functioning, Disability and Health (ICF) categories according to established linking rules. Six focus groups with a total of 27 participants were performed. In total, 1327 concepts were identified and linked to 106 ICF categories of the ICF components Body Functions, Activities and Participation and Environmental Factors. This qualitative study reports on the impact of MS on functioning and disability from the patient perspective. The participants in this study provided information about all physical aspects and areas of daily life affected by the disease, as well as the environmental factors influencing their lives

Kinetics of fragmentation-annihilation processes

We investigate the kinetics of systems in which particles of one species undergo binary fragmentation and pair annihilation. In the latter, nonlinear process, fragments react at collision to produce an inert species, causing loss of mass. We analyse these systems in the reaction-limited regime by solving a continuous model within the mean-field approximation. The rate of fragmentation, for a particle of mass $x$ to break into fragments of masses $y$ and $x-y$, has the form $x^{\lambda-1}$ ($\lambda>0$), and the annihilation rate is constant and independent of the masses of the reactants. We find that the asymptotic regime is characterized by the annihilation of small-mass clusters. The results are compared with those for a model with linear mass-loss (i.e.\ with a sink). We also study more complex models, in which the processes of fragmentation and annihilation are controlled by mutually-reacting catalysts. Both pair- and linear-annihilation are considered. Depending on the specific model and initial densities of the catalysts, the time-decay of the cluster-density can now be very unconventional and even non-universal. The interplay between the intervening processes and the existence of a scaling regime are determined by the asymptotic behaviour of the average-mass and of the mass-density, which may either decay indefinitely or tend to a constant value. We discuss further developments of this class of models and their potential applications.Comment: 16 pages(LaTeX), submitted to Phys. Rev.

Australian GP attitudes to clinical practice guidelines and some implications for translating osteoarthritis care into practice

Abstract Clinical practice guidelines (CPGs) have been shown to improve processes of care and health outcomes, but there is often a discrepancy between recommendations for care and clinical practice. We sought to explore general practitioner attitudes toward CPGs, in general and specifically for osteoarthritis (OA) with the implications for translating OA care into practice. A self-administered questionnaire was conducted in January 2013 of a sample of 228 GPs in New South Wales and South Australia. Seventy-nine GPs returned questionnaires (response rate 35%). Nearly all GPs considered that CPGs support decision making in practice (94%) and medical education (92%). Very few respondents regarded CPGs as a threat to clinical autonomy, and most recognised that individual patient circumstances must be taken into account. Shorter CPG formats were preferred over longer and more comprehensive formats, with preferences being evenly divided amongst respondents for short, 2-3 page summaries, flowcharts or algorithms and single page checklists. GPs considered accessibility to CPGs to be important, and electronic formats were popular. Familiarity and use of The Royal Australian College of General Practitioners OA Guideline was poor with most respondents either not aware of it (30%: 95% CI 27% - 41%), had never used it (19%; 95% CI 12% - 29%), or rarely used it (34%; 95% CI 25% - 45%). If CPGs are to assist with the translation of evidence into practice, they must be easily accessible and in a format that encourages use. Key words: arthritis, primary care, evidence-based medicine, decision making Summary statement What is known about the topic? • Clinical practice guidelines (CPGs) can improve processes of care and health outcomes, however, there is often a gap between evidence-based recommendations for care and clinical practice. What does this paper add? • A better understanding of GP attitudes toward CPGs helps to explain potential barriers to the uptake of evidence-based practice and provides guidance on remedial action that may lead to better health outcomes.a National Health and Medical Research Council Program Grant (Australia, no.568612

Capturing quantitative zooplankton information in the sea : Performance test of laser optical plankton counter and video plankton recorder in Calanus finmarchicus dominated summer situation

Author's accepted version (post-print).NOTICE: this is the author’s version of a work that was accepted for publication in Progress in Oceanography (2012). Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Progress in Oceanography (2012), 108. doi: http://dx.doi.org/10.1016/j.pocean.2012.10.005.We compared two optical plankton counters, the Laser Optical Plankton Counter (LOPC) and the Video Plankton Recorder (VPR) for their abundance estimates of Calanus finmarchicus during an early summer situation (June 2008) in two North Norwegian fjords. The LOPC was mounted on the VPR frame in order to sample the same body of water. The combined system of LOPC and VPR was operated by vertical profiling from the surface to 100 m of depth in several locations of the fjords representing different blooming conditions and zooplankton community structures. Data from the two instruments, as well as from CTD-F, were logged concurrently and retrieved on deck after about 15 depth profiles. Primary data were analysed according to standard routines, and choices made during sampling and analyses (sampling volume, selection of size range, transparency of particles, statistics) are discussed. Data were averaged for every 5, 10 and 15 m depth bins. The vertical profiles of C. finmarchicus CIV–CVI abundance that were obtained by LOPC and VPR, respectively, showed a striking similarity. No significant differences between profiles sampled by these two instruments were observed when data were binned into 15 m bins. At low abundances (<100 Calanus sp. L−1) profiles were significantly different when data were binned into 5- or 10-m bins. This is attributed to the small sampling volumes of the LOPC and the VPR, and to very patchy distributions of copepods, resulting in a high standard deviation between consecutive profiles. Based on the results we conclude that the time is mature for a more extensive use of optical instruments to estimate zooplankton abundances and distributions in the sea

Diversity of hard-bottom fauna relative to environmental gradients in Kongsfjorden, Svalbard

A baseline study of hard-bottom zoobenthos in relation to environmental gradients in Kongsfjorden, a glacial fjord in Svalbard, is presented, based on collections from 1996 to 1998. The total species richness in 62 samples from 0 to 30 m depth along five transects was 403 species. Because 32 taxa could not be identified to species level and because 11 species are probably new to science, the total number of identified species was 360. Of these, 47 species are new for Svalbard waters. Bryozoa was the most diverse group. Biogeographic composition revealed features of both Arctic and sub-Arctic properties of the fauna. Species richness, frequency of species occurrence, mean abundance and biomass generally decreased towards the tidal glaciers in inner Kongsfjorden. Among eight environmental factors, depth was most important for explaining variance in the composition of the zoobenthos. The diversity was consistently low at shallow depths, whereas the non-linear patterns of species composition of deeper samples indicated a transitional zone between surface and deeper water masses at 15&#x2013;20 m depth. Groups of &#x201C;colonial&#x201D; and &#x201C;non-colonial&#x201D; species differed in diversity, biogeographic composition and distribution by location and depth as well as in relation to other environmental factors. &#x201C;Non-colonial&#x201D; species made a greater contribution than &#x201C;colonial&#x201D; species to total species richness, total occurrence and biomass in samples, and were more influenced by the depth gradient. Biogeographic composition was sensitive to variation of zoobenthic characteristics over the studied depth range. A list of recorded species and a description of sampling sites are presented

Biovolume spectrum theories applied: spatial patterns of trophic levels within a mesozooplankton community at the polar front

Three-dimensional data on the mesoscale distribution of hydrography and mesozooplankton were collected at the Polar Front, northwestern Barents Sea, in spring 2008 (29 April–15 May) using a combination of multinet and towed instrument platform equipped with Laser Optical Plankton Counter, fluorometer and CTD. Trophic levels (TLs) within the zooplankton community (whole community and size-separated) were analysed for three consecutive periods using biovolume spectrum theory, which proved to be a powerful tool in the physically and biologically variable frontal system. Trophic structure was highly variable in time and across the Polar Front, but was mostly related to the phytoplankton bloom (as determined by fluorescence). High TLs of 5.5 within the zooplankton community were observed outside bloom situations (mostly in Atlantic Water) and were likely due to increased omnivory of Calanus spp., which dominated the large zooplankton size group that had a lower TL (2.2) during the bloom than outside blooms (max. TL 5.6). A strong input of herbivorous barnacle nauplii (Cirripedia) into the upper layer (35 000 ind. m−3 in net samples) substantially decreased mean TL in the marginal ice zone. Differences in TL estimates based on biovolume spectrum theory and other methods (stable isotopes, lipid markers, dietary analyses) are discussed

THE ESTIMATION OF GENETIC DISTANCE BETWEEN GERMAN CATTLE BREEDS

Za budući izbor uzgoja potrebno je očuvanje genetske raznolikosti u životinja. U filogenetskim proučavanjima mikrosateliti su dokazani kao snažno sredstvo. (Bowcock et al. 1994.). Procjena genetskih udaljenosti što se temelji na učestalosti alela mikrosatelitskih markera pomoći će u procjeni veličine razlika između usko povezanih pasmina stoke. Pasmina Shorthom i Angler mogu se identificirati kao sporedne pasmine, pa je stoga razvoj programa očuvanja vrlo koristan. Prilagođenje pasmine Orginal Black Pied još nije jasno. Odredit će se dodatni markeri kako bi se povećala točnost procjene. Niti vrijednosti udaljenosti između Holsteina i mliječnog Red Pied niti slični uzgojni ciljevi čini se da nisu razuman razlog da se ove pasmine drže odijeljeno. Ovaj će rad biti od pomoći u odlučivanju o očuvanju pasmina u posebnim programima očuvanja konzervacijom in vivo i in vitro

Sinking Organic Particles in the Ocean—Flux Estimates From in situ Optical Devices

Optical particle measurements are emerging as an important technique for understanding the ocean carbon cycle, including contributions to estimates of their downward flux, which sequesters carbon dioxide (CO2) in the deep sea. Optical instruments can be used from ships or installed on autonomous platforms, delivering much greater spatial and temporal coverage of particles in the mesopelagic zone of the ocean than traditional techniques, such as sediment traps. Technologies to image particles have advanced greatly over the last two decades, but the quantitative translation of these immense datasets into biogeochemical properties remains a challenge. In particular, advances are needed to enable the optimal translation of imaged objects into carbon content and sinking velocities. In addition, different devices often measure different optical properties, leading to difficulties in comparing results. Here we provide a practical overview of the challenges and potential of using these instruments, as a step toward improvement and expansion of their applications