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The article provides information on complete decongestive therapy as a standard of care for lymphedema. Complete decongestive therapy involves four important elements: manual lymphatic drainage (MLD), compression bandaging, exercise and skin care with extensive patient education. MLD stimulates the lymphatic system to absorb and transport lymph more effectively and permits lymph to be directed across physiological boundaries or watersheds into functioning lymphotomes. Compressive bandaging discourages reaccumulation of lymph by reducing capillary ultrafiltration and optimizes the efficacy of the intrinsic muscle pump. The uses of therapeutic exercise and skin care are further discussed.

Background: Somatic embryogenesis in conifer species has great potential for the forestry industry. Hence, a number of methods have been developed for their efficient and rapid propagation through somatic embryogenesis. Although information is available regarding the previous process-mediated generation of embryogenic cells to form somatic embryos, there is a dearth of information in the literature on the detailed structure of these clusters., Methodology/principal Findings: The main aim of this study was to provide a more detailed structure of the embryogenic tissue clusters obtained through the in vitro propagation of the Norway spruce (Picea abies (L.) Karst.). We primarily focused on the growth of early somatic embryos (ESEs). The data on ESE growth suggested that there may be clear distinctions between their inner and outer regions. Therefore, we selected ESEs collected on the 56th day after sub-cultivation to dissect the homogeneity of the ESE clusters. Two colourimetric assays (acetocarmine and fluorescein diacetate/propidium iodide staining) and one metabolic assay based on the use of 2,3,5-triphenyltetrazolium chloride uncovered large differences in the metabolic activity inside the cluster. Next, we performed nuclear magnetic resonance measurements. The ESE cluster seemed to be compactly aggregated during the first four weeks of cultivation; thereafter, the difference between the 1H nuclei concentration in the inner and outer clusters was more evident. There were clear differences in the visual appearance of embryos from the outer and inner regions. Finally, a cluster was divided into six parts (three each from the inner and the outer regions of the embryo) to determine their growth and viability. The innermost embryos (centripetally towards the cluster centre) could grow after sub-cultivation but exhibited the slowest rate and required the longest time to reach the common growth rate. To confirm our hypothesis on the organisation of the ESE cluster, we investigated the effect of cluster orientation on the cultivation medium and the influence of the change of the cluster's three-dimensional orientation on its development. Maintaining the same position when transferring ESEs into new cultivation medium seemed to be necessary because changes in the orientation significantly affected ESE growth., Conclusions and Significance: This work illustrated the possible inner organisation of ESEs. The outer layer of ESEs is formed by individual somatic embryos with high metabolic activity (and with high demands for nutrients, oxygen and water), while an embryonal group is directed outside of the ESE cluster. Somatic embryos with depressed metabolic activity were localised in the inner regions, where these embryonic tissues probably have a very important transport function.

Aims: To assess the impact of cognitive task solving on respiratory and cardiovascular parameters., Methods: The ML870B80 Exercise Physiology System was used to record concurrently with EEG, the cardiorespiratory and metabolic functions of subjects during cognitive activity. The Expired Minute Ventilation (VE), Oxygen Consumption (VO2), Carbon Dioxide Production (VCO2) and Average Heart Rate (BPM) were ascertained for four periods: (1) rest or starting period, (2) reference period, (3) cognitive task solving period and (4) recovery period. Each period was defined by the type of presented visual stimuli and by the prearranged cognitive activity related to visual stimuli. The personality traits of participants were also determined., Results: The momentary functional state of subject's brain (i.e. the period of the experiment) determined the average values of all measured parameters. During the cognitive task solving period the average VE, VO2 and VCO2 reached the lowest values while the HR behaved reversely--it was the highest in the cognitive task solving period. Further, the average VE, VCO2 and HR values but not VO2 value differed significantly from average values for the same variable measured in the rest period., Conclusion: The changes in respiratory variables during the cognitive task solving period predicate the whole-body metabolic rate rather than the energy metabolism of the brain alone. However, the heart rate related to some personality traits of the subject has a tighter relation to brain's energy metabolic rate during the cognitive task solving--it affects the oxygen supply of the brain.

Aims: To analyze the event-related desynchronization/synchronization (ERD/ERS) attended with the mental load arising while solving two cognitive tasks. The features of the presented visual stimulus determined the type of cognitive task that should be solved., Methods: For each experimental task and everybody's subject FFT Analysis module calculated the total power histograms from a fixed frequency band (3-20 Hz or 8-13 Hz) for each 3-second EEG sample with 50 % overlay and all electrodes. From the histograms the software derived two FFT single values--the average Total Power (TP) and Frequency at Maximum Power (FMP)., Results: It has been shown that during the solution of cognitive tasks the marked changes of ongoing EEG activity appeared. The short lasting and localized amplitude decrease in rhythmic activity (ERD) and the change of EEG frequency were among the most frequent. The ERD extent was determined by an informational content of processed visual stimuli and by the site of scalp-recording electrode. A higher mental load related to the solution of cognitive tasks shifted the average FM to lower frequencies., Conclusion: The suitability of an analysis of ongoing EEG activity to uncover differences in people's brain activation patterns when engaged in performing cognitively demanding tasks was proved.