Assessment of post-stroke elbow flexor spasticity in different forearm positions

Abstract

Purpose/Aim: There have been conflicting results regarding which muscle contribute most to the elbow spastic flexion deformity. This study aimed to investigate whether flexor spasticity of the elbow changed according to the position of the forearm, and to determine the muscle or muscles that contributed most to the elbow spastic flexion deformity by clinical examination.

Methods: This study is a single group, observational and cross-sectional study. Sixty patients were assessed for elbow flexor spasticity in different forearm positions (pronation, neutral and supination) with Modified Tardieu Scale. The primary outcome measure was a domain of the Modified Tardieu Scale, the dynamic component of spasticity (spasticity angle).

Results: In general, there was a significant difference between forearm positions regarding spasticity angle (p?<?.001). In pairwise comparisons, median spasticity angles in pronation (70 degrees) and neutral position (60 degrees) were significantly higher than those in supination (57.5 degrees) (adjusted p?<?.001 and adjusted p?=?.003, respectively). However, median spasticity angle in pronation did not differ significantly from those in neutral position in favour of pronation (adjusted p?=?.274).

Conclusions: The severity of spasticity changes according to the elbow position which suggests that the magnitude of contribution of each elbow flexor muscle to spastic elbow deformity is different. Reduction of spasticity from pronation to supination leads us to consider brachialis as the most spastic muscle. Since biceps was suggested to be the least spastic muscle in this study, and also to avoid spastic pronation deformity of the forearm, it should be rethought before performing chemodenervation into biceps muscle.     

Exclusive recognition: against reductionism and distortion

This article analyses two dominant discourses of racial politics in Hawai'i and the work they do naturalizing haole (white people or whiteness in Hawai'i) in the islands. The first is the well-worn discourse of racial harmony representing Hawai'i as an idyllic racial paradise with no conflict or inequality. Frequently contrasting the islands with the ‘racist mainland’, this discourse circulates among many communities and is widely referenced. There is also a competing discourse of discrimination against non-locals which contends that haoles and non-local people of colour are disrespected and treated unfairly in Hawai'i. As negative referents for each other, these discourses work to reinforce one another and are historically linked. I suggest that the question of racial politics be reframed towards consideration of the processes of racialization themselves – towards a new way of thinking about racial politics in Hawai'i that breaks free of the not racist/racist dyad.     

Galatella anatolica sp. nov. (Asteraceae: Astereae) from Osmaniye,Turkey

Galatella anatolica Hamzao?lu & Budak sp. nov. (Asteraceae), collected from Osmaniye (Turkey) is here described as a new species. It is similar to G. angustissima (Tausch) Novopokr. in general habit. Both have stems with few branches and 1‐veined middle leaves, but are distinguished by involucral features, series of phyllaries, and lengths of disc florets, achenes and pappus.     

Length–weight relationships of freshwater fishes from the western part of Anatolia,Turkey

Length–weight relationships were calculated for nine freshwater fish species belonging to two families using 1020 specimens from 15 water sources in the western part of Anatolia, Turkey. This study is the first reference on length–parameters for these species, eight of which are endemic, and with new maximum length records for three of the species.     

Life‐history traits of Aphanius danfordii (Boulenger, 1890) (Pisces: Cyprinodontidae), endemic to Kızılırmak Basin (Turkey)

The life‐history traits of Aphanius danfordii in Hirfanl? Reservoir were studied on the basis of 2252 specimens caught between April 2008 and April 2009. Maximum age was determined as five years for both sexes. The overall sex ratio of males to females was 1 : 1.21; however, this ratio varied by age and season. Mean total length at age data derived from scale readings were used to estimate growth. The von Bertalanffy growth parameters were: L_∞ = 126.63 mm, K = ?0.09, t₀ = 2.35 for females; and L_∞ = 61.2 mm, K = ?0.19, t₀ = 2.76 for males. The gonadosomatic index (GSI) values indicated spawning to be from May to September. Absolute fecundity varied from a minimum of 143 eggs for age one to a maximum of 698 eggs for age five. Relationships between fecundity–length and fecundity–weight were described by the equations: F = 0.0002 TL^3.3222 and F = 36.032 W^1.0053, respectively. The equation of the relation between absolute fecundity and age was F = 25.372 t^1.2343.     

Changes in fatty acid composition,cholesterol and fat‐soluble vitamins during development of eggs and larvae in shabbout (Barbus grypus,Heckel 1843)

Changes in fatty acid composition, cholesterol and fat‐soluble vitamins were studied during development (fertilized eggs, yolk‐sac larvae, and after yolk resorption of shabbout, Barbus grypus). Significant differences were found in the monounsaturated fatty acids (MUFAs), polyunsaturated fatty acids (PUFA), PUFA/saturated fatty acids (SFA), ∑n‐3 and eicosapentaenoic acid (EPA)/docosahexaenoic acid (DHA) ratios between eggs and larvae (P < 0.05). Significant differences were also observed in the C14:0, C16:1n‐7, C18:1n‐9, C18:3n‐6, C20:0, C20:4n‐6, C24:0, C24:1, C22:6n‐3 fatty acids between eggs and larvae after yolk‐sac resorption (P < 0.05). Vitamin α‐ Tocopherol and retinol content increased during embryogenesis, but changes were insignificant in retinol acetate, δ‐Tocopherol, K1, K2 and cholesterol content between eggs and larvae after yolk resorption (P > 0.05).     

Protective role of salicylic acid applied before cold stress on antioxidative system and protein patterns in barley apoplast

This study was carried out to better understand the role of salicylic acid (SA) applied before cold stress in the cold tolerance mechanism. Two barley (Hordeum vulgare) cultivars, cold-sensitive (Akhisar) and cold-tolerant (Tokak), were used and 0.1 mM SA was applied to 7-d-old barley seedlings growing under control conditions (20/18 °C). The seedlings were transferred to cold chamber (7/5 °C) at the age 14, 21, and 28 d. After three days, the leaves were harvested to determine the activities of apoplastic antioxidant enzymes, such as superoxide dismutase (SOD), catalase (CAT), and peroxidase (POX) and ice nucleation activity and electrophoretic patterns of apoplastic proteins. Cold treatment decreased the activities of all enzymes in cold-sensitive cultivar, however, it increased CAT and POX activities in cold-tolerant cultivar. Exogenous SA increased enzyme activities in both cultivars. Ice nucleation activity increased by cold treatment, especially in 17-d-old seedlings in both cultivars. In addition, SA treatment increased ice nucleation activity in all examined samplings in both cultivars. SA treatment caused accumulation or de novo synthesis of some apoplastic proteins. The results of the present study show that exogenous SA can improve cold tolerance by regulating the activities of apoplastic antioxidative enzymes, ice nucleation activity, and the patterns of apoplastic proteins.     

Airborne pollen concentration in Ankara,Turkey 1990–1993

Atmospheric pollen was collected with a Burkard spore trap in Ankara, Turkey, from January 1990 to January 1993. A total of 135.787 grains/m³ belonging to 47 taxa were observed. The local pollen season started in February in 1990 and 1991 and in March in 1992. Relatively low pollen concentrations were recorded in 1990 and 1992, probably because of precipitation and low wind speed in the spring. A relatively high pollen concentration was recorded in 1991 which could be caused by higher wind speed in the spring and more precipitation during the winter. Cupressaceae/Taxaceae, Pinaceae, Gramineae, Betula, Moraceae, Platanus, Populus, Acer, Quercus, Chenopodiaceae/Amaranthaceae, Plantago, Rumex are found to be the dominant pollen types in the atmosphere in Ankara. The pollen composition generally reflects the vegetation of gardens, parks and roadsides, while the natural steppe vegetation of the area around Ankara is not properly represented.     

Role of curcumin in the conversion of asparagine into acrylamide during heating

This study aimed to investigate the ability of curcumin to convert asparagine into acrylamide during heating at different temperatures. Binary and ternary model systems of asparagine–curcumin and asparagine–curcumin–fructose were used to determine the role of curcumin on acrylamide formation in competitive and uncompetitive reaction conditions. The results indicated that curcumin could potentially contribute to acrylamide formation under long-term heating conditions as long as asparagine was present in the medium. The amount of acrylamide formed in the ternary system was slightly higher than in the binary system during heating (p < 0.05), because of the higher concentrations of carbonyl compounds initially available. The kinetic trends were similar in both model systems evidencing that fructose reacted with asparagine more rapidly than curcumin. The data reveal that acrylamide formation in the temperature range of 150–200°C obeys Arrhenius law with activation energy of 79.1 kJ/mole. Data of this work showed the possibility that antioxidants having a carbonyl compound can react directly with ASN leading to acrylamide. The addition of antioxidants to foods may increase the formation of acrylamide upon long-term heating if free sugar concentration is low and ASN concentration is relatively high.     

On-line preconcentration/determination of zinc from water,biological and food samples using synthesized chelating resin and flame atomic absorption spectrometry

An on-line flow injection pre-concentration-flame atomic absorption spectrometry method was developed to determine trace zinc in water (tap, dam, and well water), biological (hair and nail), and liver samples. As a solid phase extractant, a synthesized new chelating resin, poly(2-thiozylmethacrylamide-co-divinylbenzene-co-2-acrylamido-2-methyl-1-propane sulfonic acid) was used. The resin was characterized by Fourier transform infrared spectroscopy, elemental analysis, and surface area by nitrogen sorption. A pre-concentration factor of 40-fold for a sample volume of 12.6 mL was obtained by using the time-based technique. The detection limit for the pre-concentration method was found to be 2.2 μg L^?1. The precision (as RSD,%) for 10 replicate determinations at the 0.04 μg mL^?1 Zn concentration was 1.2%. The calibration graph using the pre-concentration system for zinc was linear with a correlation coefficient of 0.998 in the concentration range from 0.005 to 0.05 μg mL^?1. The applicability and accuracy of the developed method were estimated by the analysis spiked water, biological, liver samples (83–105%), and also certified reference material TMDA-70 (fortified lake water) and SPS-WW1 Batch 111-Wastewater. The results were in agreement with the certified values.