People with newly diagnosed multiple sclerosis benefit from a complex preventative intervention-a single group prospective study with follow up

Background

Newly diagnosed people with multiple sclerosis frequently report fatigue, pain, depression and anxiety. Preventative programmes may be beneficial, but there is limited evidence of their effectiveness, especially long-term follow-up.

Methods

The programme consisted of 6-month face to face intervention (an introductory workshop, psychology-led group sessions and individual physical therapy) followed by 6-month self-guided therapy. Outcome measures were taken at baseline, 6 and 12 months. Primary outcomes measures were self-report questionnaires for fatigue, satisfaction with life and disease acceptance. Secondary outcomes were spirometry, spiroergometric parameters and neuroactive steroid levels.

Results

From 22 participants enrolled, 17 completed the first 6 months and 13 the follow-up. Fatigue measured on the Fatigue scale for motor and cognitive functions decreased significantly at 6 months (p = 0.035) and at follow-up (p = 0.007). The Modified Fatigue Impact Scale (p = 0.035) and Satisfaction With Life Scale (p = 0.007) significantly increased at follow-up. Spirometry, spiroergometric parameters, steroid hormones and neuroactive steroids levels did not change significantly.

Conclusion

This programme reduces fatigue and improves satisfaction with life in this patient group with improvements sustained at 12 months. People who participated more frequently showed greater benefit.

Clinical rehabilitation impact

The paper describes the effects of a complex preventative intervention for people with newly diagnosed Multiple Sclerosis. The study found that this programme reduces fatigue and improves satisfaction with life with long-term benefit (at 12-month follow up). The individuals who participated less frequently experienced fewer benefits.

Biochar in manure can suppress water stress of sugar beet (Beta vulgaris) and increase sucrose content in tubers

Increased soil drought events threaten the yields of sugar beet (Beta vulgaris L.) and other staples of arable production in central Europe. In this study we evaluated soil moisture and nutrients as impacted by a two and five % (wt) addition of biochar, manure and their blend to a loamy-sand Regosol. Cyclical soil drought was achieved by the controlled reduction of watering by 75% in pot experiments. Ongoing soil moisture and nutrient measurements were taken, and physiological parameters of sugar beet plants were analysed three weeks after the induced drought. At the end of the experiment (16 weeks) plants were harvested and their mass assessed, as well as their nutrient, pigment and sugar contents. In contrast to the addition of manure, soil volumetric water contents were two to three times greater after biochar amendment, compared to the control soil. Porewater analysis revealed that nutrient leaching (e.g., NO₃^-, K⁺) from manure addition to soil was reduced when biochar was blended in (by ≤86% compared to manure alone). Crop analysis showed that leaf gas exchanges were moderated during drought following soil amendment, and leaf and tuber yields were increased furthest when combined biochar-manure blends were applied (> 2-times compared to the control). Perhaps most importantly, the advantageous soil conditions induced by the combined biochar and manure addition also resulted in significantly increased sugar contents in plants (2.4-times) pointing to immediate practical applications of these results in the field.

Ontogeny of social hierarchy in two European house mouse subspecies and difference in the social rank of dispersing males

In social species such as house mouse, being dominant is vital. Determination of dominance may start early in life and vary during ontogeny. We asked whether pre-pubertal and adolescent behaviour predicts the rank a male mouse finally obtains. Moreover, we asked how dominant vs. subordinate adults differ in exploration and propensity to emigrate. We studied fraternal pairs as the simple social units, from weaning to full-grown adulthood. By utilizing two mouse subspecies known to differ in many behavioural traits, we take into account any potential subspecific idiosyncrasies. We did not find any significant effect of future social status on any behavioural type displayed before adulthood, but the subspecies themselves differ in behaviours prevailing in particular ontogeny phases. While musculus males start as more pro-social, they later became significantly more passive. Conversely, domesticus are slightly less passive at the beginning but significantly more proactive close to adulthood and rapidly establishing hierarchy through overt conflicts. We found no difference in exploration between ranks, however, domesticus males were significantly more active in an unknown area than musculus. Most importantly, while dominant domesticus males seem to be more prone to emigration, in musculus it was the subordinate males who left base significantly more often. This is consistent with extended contests of musculus males over dominance found in this study as well as with differences in endocrinological changes we have reported previously.

Sperm quality, aggressiveness and generation turnover may facilitate unidirectional Y chromosome introgression across the European house mouse hybrid zone

The widespread and locally massive introgression of Y chromosomes of the eastern house mouse (Mus musculus musculus) into the range of the western subspecies (M. m. domesticus) in Central Europe calls for an explanation of its underlying mechanisms. Given the paternal inheritance pattern, obvious candidates for traits mediating the introgression are characters associated with sperm quantity and quality. We can also expect traits such as size, aggression or the length of generation cycles to facilitate the spread. We have created two consomic strains carrying the non-recombining region of the Y chromosome of the opposite subspecies, allowing us to study introgression in both directions, something impossible in nature due to the unidirectionality of introgression. We analyzed several traits potentially related to male fitness. Transmission of the domesticus Y onto the musculus background had negative effects on all studied traits. Likewise, domesticus males possessing the musculus Y had, on average, smaller body and testes and lower sperm count than the parental strain. However, the same consomic males tended to produce less- dissociated sperm heads, to win more dyadic encounters, and to have shorter generation cycles than pure domesticus males. These data suggest that the domesticus Y is disadvantageous on the musculus background, while introgression in the opposite direction can confer a recognizable, though not always significant, selective advantage. Our results are thus congruent with the unidirectional musculus → domesticus Y chromosome introgression in Central Europe. In addition to some previous studies, they show this to be a multifaceted phenomenon demanding a multidisciplinary approach.