Such symptoms are manifold, for a review see (Fodor et al. 2002): They comprise impairments of chlorophyll synthesis resulting in chlorotic leaves, changed ratios of chlorophyll a and b (Murthy et al. 1984Viehweger and Geipel 2010Mysliwa-Kurdziel et al. 2004) and photosynthetic activity (Küpper et al. 2007), dwarfism of plants or effects on root ultrastructure (Barcelo et al. 2004) (Table 1).
These comprise impairment of the immune system, poor nutritional status as well as photosensitising and direct mutagenic effects of acetaldehyde, the primary oxidative metabolite of ethanol (Poschl and Seitz, 2004; Saladi et al, 2010).
The authors recommend the following for further research in wheelchair court sports: 1) Development of a test or scale for trunk impairment, comprising all biomechanical impairments of the trunk (trunk muscle strength, trunk coordination and trunk range of motion) [2].
The outcomes will be grouped into three categories: (1) fatigue, (2) cognitive impairment and (3) psychological impairment (comprised of anxiety, depression and PTSD).
A severe impairment comprised any of non-ambulant cerebral palsy (GMFCS levels 3-5), blindness, profound sensorineural hearing loss not improved by aids, or a developmental quotient less than 3 standard deviations below the mean for age.
Therefore, a sport class does not necessarily comprise one impairment type alone, but can include athletes with different impairments.
HAND comprises of a series of neurological impairments ranging from asymptomatic neurocognitive impairment (ANI), to minor neurocognitive disorder (MND), to the most severe manifestation of HAND, HIV-associated dementia (HAD) [6].
The risk factor in this mortality study is comprised of selected impairments that are routinely underwritten and for which extra premium is typically assessed.
Cases with high distress and high impairment (Kessler-10 score >30, WSAS score >20) formed the largest group comprising 39% of this sample, with just under a third of the sample classified in the high distress/low impairment (15%) or low distress/high impairment (14%) groups and the remainder (32%) categorised as having low distress/low impairment (see Table 1).
The third group of outcomes comprised specific impairments that parents were asked about, including difficulty hearing or seeing, and whether the child had cerebral palsy or seizures.
