PurposeTo investigate the effect of Tai Chi exercise on postural balance among people with dementia (PWD) and the feasibility of a definitive trial on falls prevention.Patients and methodsDyads, comprising community-dwelling PWD and their informal carer (N=85), were randomised to usual care (n=43) or usual care plus weekly Tai Chi classes and home practice for 20 weeks (n=42). The primary outcome was the timed up and go test. All outcomes for PWD and their carers were assessed six months post-baseline, except for falls, which were collected prospectively over the six-month follow-up period.ResultsFor PWD, there was no significant difference at follow-up on the timed up and go test (mean difference [MD] = 0.82, 95% confidence interval [CI] = −2.17, 3.81). At follow-up, PWD in the Tai Chi group had significantly higher quality of life (MD = 0.051, 95% CI = 0.002, 0.100, standardised effect size [ES] = 0.51) and a significantly lower rate of falls (rate ratio = 0.35, 95% CI =0.15, 0.81), which was no longer significant when an outlier was removed. Carers in the Tai Chi group at follow-up were significantly worse on the timed up and go test (MD = 1.83, 95% CI = 0.12, 3.53, ES = 0.61). The remaining secondary outcomes were not significant. No serious adverse events were related to participation in Tai Chi.ConclusionWith refinement, this Tai Chi intervention has potential to reduce the incidence of falls and improve quality of life among community-dwelling PWD [Trial registration: NCT02864056].
Grazing by Acartia tonsa in large-volume ( l m3) enclosures caused significant changes in the abundance and species composition of natural phytoplankton. Cell densities and biomass were reduced 20-34 % in two separate experiments. Calculations suggest that grazing was responsible for all of the biomass reduction that occurred. Centric diatoms, especially Skeletonema costatum, were reduced in grazed tanks relative to controls, while microflagellates were greatly increased. Accordingly, size distribution was also affected by zooplankton grazing. Grazed phytoplankton assemblages were composed of a much smaller dominant size class (< 7 pm) than were control assemblages (10-15 pm).
The surface-swimming duration of basking sharks (Cetorhinus maximus) was determined in the western English Channel from May to July over a five-year period. Surface duration showed marked variation from 0·17 to 1·45 h over the short time period from late May to mid-June. Stepwise multiple regression was used to identify any relationships between surface-swimming duration and time of day, daily sea surface temperature (SST), and zooplankton density. There was no support for any effects of SST or two measures of zooplankton density (median and maximum densities). However, there were significant relationships for surface duration with time of day and minimum zooplankton density (r2=0·50) indicating basking sharks respond to the abundance of prey and its temporal availability. This suggests that the probability of sighting sharks at the surface will vary depending on the diel period and the surface abundance of zooplankton.
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