Functional and radiological outcomes after bridging therapy versus direct thrombectomy in stroke patients with unknown onset: Bridging therapy versus direct thrombectomy in unknown onset stroke patients with 10-point ASPECTS.

BACKGROUND AND PURPOSE: The aim was to assess functional and radiological outcomes after bridging therapy (intravenous thrombolysis plus mechanical thrombectomy) versus direct mechanical thrombectomy (MT) in unknown onset stroke patients. METHODS: A cohort study was conducted on prospectively collected data from unknown onset stroke patients who received endovascular procedures at ≤6 h from symptom recognition or awakening time. RESULTS: Of the 349 patients with a 10-point Alberta Stroke Program Early Computed Tomography Score (ASPECTS), 248 received bridging and 101 received direct MT. Of the 134 patients with 6-9-point ASPECTS, 123 received bridging and 111 received direct MT. Each patient treated with bridging was propensity score matched with a patient treated with direct MT for age, sex, study period, pre-stroke disability, stroke severity, type of stroke onset, symptom recognition to groin time (or awakening to groin time), ASPECTS and procedure time. In the two matched groups with 10-point ASPECTS (n = 73 vs. n = 73), bridging was associated with higher rates of excellent outcome (46.6% vs. 28.8%; odds ratio 2.302, 95% confidence interval 1.010-5.244) and successful recanalization (83.6% vs. 63%; odds ratio 3.028, 95% confidence interval 1.369-6.693) compared with direct MT; no significant association was found between bridging and direct MT with regard to rate of symptomatic intracerebral hemorrhage (0% vs. 1.4%). In the two matched groups with 6-9-point ASPECTS (n = 45 vs. n = 45), no significant associations were found between bridging and direct MT with regard to rates of excellent functional outcome (44.4% vs. 31.1%), successful recanalization (73.3% vs. 76.5%) and symptomatic intracerebral hemorrhage (0% vs. 0%). CONCLUSIONS: Bridging at ≤ 6 h of symptom recognition or awakening time was associated with better functional and radiological outcomes in unknown onset stroke patients with 10-point ASPECTS.

Kickboxing review: anthropometric, psychophysiological and activity profiles and injury epidemiology.

Kickboxing is one of the modern combat sports. The psychophysiological demands of a kickboxing competition require athletes to achieve high thresholds of several aspects of physical fitness. The aim of the current review is to critically analyse and appraise the kickboxer's anthropometric, physiological, physical and psychological attributes with the activity profile and injury epidemiology in order to provide practical recommendations for training as well as new areas of scientific research. The available information shows that both amateur and elite-level male kickboxers are characterized by a higher proportion of mesomorphy with a well-developed muscle mass and low body fat percentage. While there is some variation in the maximum oxygen uptake of kickboxers, moderate to high cardio-respiratory levels are reported for these athletes. Regardless of kickboxers' level, a high peak and mean anaerobic power output were reported. High-level kickboxing performance also requires well-developed muscle power in both the upper and lower limbs. Psychological factors contribute to success that requires high levels of self-confidence, motivation, dispositional hope and optimism, mental toughness/resiliency, and adaptive perfectionism. Psychological attributes also distinguished successful from less successful kickboxers. The activity-to-rest ratio was higher in elite (1:1) than both amateur and national-level (from 1:2 to 1:5) kickboxers, with no significant differences between rounds (round 1=1:4, and rounds 2 and 3=1:5) as well as between winners and losers in amateur and national-level simulated combats. These particular psychophysiological characteristics and performance aspects of kickboxers influence performance and could serve as guidance for training. Finally, kickboxing is characterized by chronic repetitive head trauma, which causes hypopituitarism due to traumatic brain injury (TBI). Future investigations into the physical, physiological and psychological characteristics related to age, gender and competitive levels of kickboxers are required to enrich the current knowledge and to help create the most suitable training programme.

Influence of the aerobic fitness on time spent at high percentage of maximal oxygen uptake during a high-intensity intermittent running.

This study aimed to evaluate absolute and relative (%V.O2max) oxygen uptake (total, during effort and pause), and time spent above 90% of V.O2max during high-intensity intermittent running in subjects with different training status. Fourteen males were evaluated and divided (moderate and high aerobic power) according to their V.O2max obtained in an incremental treadmill test to volitional exhaustion. They were then submitted to high-intensity intermittent aerobic exercise (1 min:1 min at maximum velocity attained during the treadmill test, totalling 4 km). A Student's t test for independent data was conducted to identify differences between groups. The moderate aerobic power group spent more time above 90% V.O2max compared to the high aerobic power group (30.2 ±9.1%; 7.3±6%, respectively, P=0.001). Moreover, the moderate aerobic power group presented lower V.O2total (P=0.011), V.O2effort (P=0.007), higher V.O2total (%V.O2), V.O2effort (P<0.001), V.O2pause (V.O2max%) (P=0.006) compared with the high aerobic power group. There was no difference in V.O2pause between groups (P=0.091), the difference between V.O2 effort and pause was greater for the high aerobic power group compared with the moderate group (4.4±2.1; 7.8±2 mL.kg-1.min-1; P=0.009) and the difference between V.O2 effort and pause (%V.O2max) was not different between groups. To conclude, these results demonstrated that individuals with better aerobic fitness spent less time above 90% of the V.O2max and that this response can be due to better capacity to recover during the pause.

The influence of karate practice level and sex on physiological and perceptual responses in three modern karate training modalities.

OBJECTIVE: The aim of the present study was to examine the influence of karate practice level (national vs international level) and sex (women vs men) on physiological and perceptual responses in three modern karate training modalities (tactical-technical (TT), technical-development (TD), and randori). METHOD: The study included 18 karatekas participating in an eight-session training camp of four TT, two TD, and two randori. During each session, the percentage of maximal heart rate (HR), blood lactate concentration [La(-)], and rating of perceived exertion (RPE) were assessed. RESULTS: The main results showed that the percentage of maximal HR was significantly higher in women than in men regardless of practice level or training modality (70.3 ± 4.1 vs 66.2 ± 6.3, respectively). Moreover, [La(-)] and RPE were significantly lower in international-level karatekas compared with their national-level counterparts whatever the sex or training modality ([La(-)] = 11.4 ± 2.6 vs 8.3 ± 2.4 mmol · L(-1) and RPE = 3.6 ± 1.2 vs 4.3 ± 1.5, respectively). Last, physiological and perceptual responses were significantly higher during randori in comparison with TT and TD for both sexes. CONCLUSION: The combination of [La(-)] and RPE thus seems to be a good indicator for discriminating between national- and international-level karatekas, and randori seems to be an effective means to reproduce official karate sparring.

Maximum number of repetitions, total weight lifted and neuromuscular fatigue in individuals with different training backgrounds.

The aim of this study was to evaluate the performance, as well as neuromuscular activity, in a strength task in subjects with different training backgrounds. Participants (n = 26) were divided into three groups according to their training backgrounds (aerobic, strength or mixed) and submitted to three sessions: (1) determination of the maximum oxygen uptake during the incremental treadmill test to exhaustion and familiarization of the evaluation of maximum strength (1RM) for the half squat; (2) 1RM determination; and (3) strength exercise, four sets at 80% of the 1RM, in which the maximum number of repetitions (MNR), the total weight lifted (TWL), the root mean square (RMS) and median frequency (MF) of the electromyographic (EMG) activity for the second and last repetition were computed. There was an effect of group for MNR, with the aerobic group performing a higher MNR compared to the strength group (P = 0.045), and an effect on MF with a higher value in the second repetition than in the last repetition (P = 0.016). These results demonstrated that individuals with better aerobic fitness were more fatigue resistant than strength trained individuals. The absence of differences in EMG signals indicates that individuals with different training backgrounds have a similar pattern of motor unit recruitment during a resistance exercise performed until failure, and that the greater capacity to perform the MNR probably can be explained by peripheral adaptations.

Aerobic profile of climbers during maximal arm test.

This study compared measurements of upper body aerobic fitness in elite (EC; n=7) and intermediate rock climbers (IC; n=7), and a control group (C; n=7). Subjects underwent an upper limb incremental test on hand cycle ergometer, with increments of 23 W · min(-1), until exhaustion. Ventilation (VE) data were smoothed to 10 s averages and plotted against time for the visual determination of the first (VT1) and second (VT2) ventilatory thresholds. Peak power output was not different among groups [EC=130.9 (±11.8) W; IC=122.1 (±28.4) W; C=115.4 (±15.1) W], but time to exhaustion was significantly higher in EC than IC and C. VO(2 PEAK) was significantly higher in EC [36.8 (±5.7) mL.kg(-1).min(-1)] and IC [35.5 (±5.2) mL.kg(-1).min(-1)] than C [28.8 (±5.0) mL.kg(-1).min(-1)], but there was no difference between EC and IC. VT1 was significantly higher in EC than C [EC=69.0 (±9.4) W; IC=62.4 (±13.0) W; C=52.1 (±11.8) W], but no significant difference was observed in VT2 [EC=103.5 (±18.8) W; IC=92.0 (±22.0) W; C=85.6 (±19.7) W]. These results show that elite indoor rock climbers elicit higher aerobic fitness profile than control subjects when measured with an upper body test.

Development, validity and reliability of a questionnaire designed to evaluate rapid weight loss patterns in judo players.

The aim of this study was to develop a questionnaire to evaluate rapid weight loss patterns of competitive judo players and to assess its validity and reliability. We evaluated the reliability (n=94), content validity (evaluation by 10 experts), discriminant validity (differences in scores between athletes with body weight below and above their weight class; n=100) and convergent validity (correlation with Restraint Scale; n=60). No item was considered unclear or ambiguous by more than 20% of the experts. The intraclass Coefficient Correlation was above 0.90 for all questions whose answers were parametric (P<0.001; n=94) and no significant differences were found between test and retest scores (n=94--Wilcoxon's signed rank test). Cronbach's alpha was 0.98 for scores obtained between test and retest. Non-numerical questions showed proportions of agreement >80%; Spearman's Correlation between the Restraint Scale and the Rapid Weight Loss Questionnaire was 0.62 (P<0.001; n=60). Athletes below their weight class (n=50) had a significantly lower score compared with athletes above the weight class (n=50; P<0.001--Mann-Whitney U test). In conclusion, the questionnaire showed good validity and reliability and could be used accurately to assess weight loss patterns of judo players.

Predicting MAOD using only a supramaximal exhaustive test.

The objective of this study was to propose an alternative method (MAOD(ALT)) to estimate the maximal accumulated oxygen deficit (MAOD) using only one supramaximal exhaustive test. Nine participants performed the following tests: (a) a maximal incremental exercise test, (b) six submaximal constant workload tests, and (c) a supramaximal constant workload test. Traditional MAOD was determined by calculating the difference between predicted O(2) demand and accumulated O(2) uptake during the supramaximal test. MAOD(ALT) was established by summing the fast component of excess post-exercise oxygen consumption and the O(2) equivalent for energy provided by blood lactate accumulation, both of which were measured during the supramaximal test. There was no significant difference between MAOD (2.82+/-0.45 L) and MAOD(ALT) (2.77+/-0.37 L) (P=0.60). The correlation between MAOD and MAOD(ALT) was also high (r=0.78; P=0.014). These data indicate that the MAOD(ALT) can be used to estimate the MAOD.

Sleep quality and duration are associated with performance in maximal incremental test.

BACKGROUND AND OBJECTIVE: Inadequate sleep patterns may be considered a trigger to development of several metabolic diseases. Additionally, sleep deprivation and poor sleep quality can negatively impact performance in exercise training. However, the impact of sleep duration and sleep quality on performance during incremental maximal test performed by healthy men is unclear. Therefore, the purpose of the study was to analyze the association between sleep pattern (duration and quality) and performance during maximal incremental test in healthy male individuals. METHODS: A total of 28 healthy males volunteered to take part in the study. Sleep quality, sleep duration and physical activity were subjectively assessed by questionnaires. Sleep pattern was classified by sleep duration (>7h or <7h of sleep per night) and sleep quality according to the sum of measured points and/or scores by the Pittsburgh Sleep Quality Index (PSQI). Incremental exercise test was performed at 35 watts for untrained subjects, 70 watts for physically active subjects and 105 watts for well-trained subjects. RESULTS: HRmax was correlated with sleep quality (r=0.411, p=0.030) and sleep duration (r=-0.430, p=0.022). Participants reporting good sleep quality presented higher values of Wmax, VO2max and lower values of HRmax when compared to participants with altered sleep. Regarding sleep duration, only Wmax was influenced by the amount of sleeping hours per night and this association remained significant even after adjustment by VO2max. CONCLUSION: Sleep duration and quality are associated, at least in part, with performance during maximal incremental test among healthy men, with losses in Wmax and HRmax. In addition, our results suggest that the relationship between sleep patterns and performance, mainly in Wmax, is independent of fitness condition.

Aerobic training program for the enhancements of HR and VO2 off-kinetics in elite judo athletes.

AIM: The purpose of this study was to investigate the physiologic and performance changes with the addition of high-intensity interval training (HIIT) to a traditional judo programme. METHODS: Nine elite judokas (6 males and 3 females; age: 20±4 yrs; body mass: 69±2 kg; height: 172±7 cm; judo practice time: 13±6 yrs; weekly training volume: 13±5 hours, mean±SD) were recruited to perform a 12-week specific aerobic training program, which consisted of 2 session/week of 30-min continuous run at 60% at Vmax and one session/week of high-intensity interval training 15x1-min at 90% of Vmax with 1 min of active recovery at 60% of Vmax. Before and after the intervention all athletes performed a graded maximal exercise Test to measure maximal oxygen consumption (V̇O2max), ventilatory threshold (VT), maximal velocity (Vmax), heart rate (HR) and V̇O2 off kinetics. V̇O2 and HR recovery kinetics were evaluated on a breath-by-breath basis using a single component exponential function. Anaerobic capacity during specific movements was assessed with the Special judo fitness Test (SJFT). RESULTS: The maximal speed reached during the maximal aerobic power test significantly increaseed (P=0.04), but V̇O2max did not change. τ of HR and of V̇O2 recovery significantly decreased by 17.3% (P=0.04) and 22.0% (P<0.01), respectively. VT increased (6.6%; P=0.03) and the SJFT Index improved (12%; P<0.001) 12% after training. CONCLUSION: The aerobic fitness of elite judokas may be improved by adding aerobic routines to the normal training enhancing the recovery capacity.

Positive direct antiglobulin test in a pediatric patient following high-dose cisplatin.

A positive direct antiglobulin test (DAT) and hemolytic anemia are uncommon side effect of cisplatin (CDDP) therapy. A 9-year-old girl treated for extraosseus Ewing's sarcoma with a multiagent regimen, including 200 mg/m2 CDDP preceded by vincristine (VCR) and cyclophosphamide (CY), developed a positive DAT, followed by hemolytic anemia. When CDDP therapy was discontinued, the DAT became negative and no signs of anemia were observed during the maintenance treatment, which included VCR and actinomycin D.

Childhood systemic lupus erythematosus: a review of 30 cases.

We review 30 cases of pediatric systemic lupus erythematosus followed over an 8-year period at our institution. The female to male ratio was 3.3:1; the age at diagnosis ranged between 3.5 and 16 years. On first admission, renal involvement was detected in the majority of the patients, as assessed by laboratory findings and/or clinical manifestations. Other frequently observed symptoms were fever, skin rashes, arthralgias and/or arthritis and serositis. All of the patients were treated with corticosteroids and most of them also received immunosuppressive drugs in order to control disease activity. Two patients were lost to the follow-up, five died and only one of the 23 evaluable patients is off therapy after a median follow-up of 5 years. This study confirms that pediatric systemic lupus erythematosus is a very aggressive disease.

Changes of immunological parameters during auranofin treatment in children affected with juvenile chronic arthritis.

Auranofin [S-triethylphosphine gold-2,3,4,6 tetra-O-acetyl-l-thio-beta-D-glucopyranoside) SK&F 39162) has been administered at 0.1-0.25 mg/kg/day as the sole remission-inducing drug to 46 children affected with juvenile chronic arthritis (JCA). There were 22 males and 24 females; 12 children were affected with pauciarticular onset JCA, 26 with polyarticular onset JCA and 8 with systemic onset JCA. Three sets of efficacy criteria were evaluated quarterly: eight clinical, (Ritchie Index, number of affected, swollen and limited joints, number of joint with increased temperature, morning stiffness, Steinbrocker functional class, physician's disease evaluation), three hematochemical and one therapeutical. In most patients a panel of immunological parameters was routinely performed inclusive of peripheral blood lymphocyte subsets, serum immunoglobulins and C3c-C4 complement components. Patients who showed a definite improvement of at least two out of the three orders of efficacy criteria were classified as responders to auranofin. Out of the 35 patients evaluable after at least six months of treatment there were 24 (68%) responders. Nonresponders had a basal higher level of serum IgA and a basal lower level of serum C4. Both responders and nonresponders presented a reduction of the T4/T8 ratio during auranofin treatment, while only in responders did the basal high levels of IgG and C3c show a definite decrease.

Effects of recovery type after a judo combat on blood lactate removal and on performance in an intermittent anaerobic task.

AIM: The objective of this study was to verify the effects of active (AR) and passive recovery (PR) after a judo match on blood lactate removal and on performance in an anaerobic intermittent task (4 bouts of upper body Wingate tests with 3-min interval between bouts; 4WT). METHODS: The sample was constituted by 17 male judo players of different competitive levels: A) National (Brazil) and International medallists (n. 5). B) State (São Paulo) medallists (n. 7). C) City (São Paulo) medallists (n. 5). The subjects were submitted to: 1) a treadmill test for determination of V.O2peak and velocity at anaerobic threshold (VAT); 2) body composition; 3) a 5-min judo combat, 15-min of AR or PR followed by 4WT. RESULTS: The groups did not differ with respect to: body weight, V.O2peak, VAT, body fat percentage, blood lactate after combats. No difference was observed in performance between AR and PR, despite a lower blood lactate after combat (10 and 15 min) during AR compared to PR. Groups A and B performed better in the high-intensity intermittent exercise compared to athletes with lower competitive level (C). CONCLUSION: The ability to maintain power output during intermittent anaerobic exercises can discriminate properly judo players of different levels. Lactate removal was improved with AR when compared to PR but AR did not improve performance in a subsequent intermittent anaerobic exercise.

[High-dose chemotherapy, G-CSF and the use of peripheral blood progenitor cells in patients with poor-prognosis neuroblastoma]. / Chemioterapia ad alte dosi, G-CSF ed uso di cellule progenitrici da sangue periferico in pazienti affetti da neuroblastoma a cattiva prognosi.

In the past decade there has been an increasing use of high dose of chemo-radiotherapy in the treatment of poor prognosis solid tumors of childhood. The autologous bone marrow transplantation is the most used technique for circumventing the infectious and haemorrhagic complications occurring in the prolonged period of myelotoxicity. The faster recovery assured by the peripheral blood progenitor cells (PBPC) makes this procedure an attractive alternative. The advent of new apheretic modalities and the use of combinations of active antineoplastic drugs with various growth factors, such as G-CSF, GM-CSF and IL-3, has allowed to collect and concentrate the mononuclear fraction of peripheral blood leukocytes. The optimal timing for the collection is a crucial point and the utilization of flow cytometry for the determinations of circulating CD34+ cells in the peripheral blood is so far the best indicator for successful apheresis. The authors describe their experience in 16 children affected by poor prognosis neuroblastoma who had undergone high dose chemotherapy followed by G-CSF administration and PBPC collection. The details of apheretic techniques and the characteristics of conditioning regimen and haematologic recovery after PBPC reinfusion are also presented.

[Total body irradiation, vincristine in continuous infusion and high-dose melphalan with transplant of autologous bone marrow in the treatment of neuroblastoma]. / Irradiazione corporea totale, vincristina in infusione continua e melfalan ad alte dosi con trapianto di midollo autologo nel trattamento del neuroblastoma.

High dose chemo-radiotherapy followed by autologous bone marrow transplantation (ABMT) is known to be an effective treatment in stage IV neuroblastoma (NB). Since October '84, 19 children with NB (12 relapsed or resistant: Group A; 7 in first CR: Group B) received ablative therapy (AT) consisting of VCR (4 mg/mg), L-PAM (140 mg/mg) and fractionated TBI (1000 Rads). Induction strategy at diagnosis or at relapse included high dose Peptichemio, 2-3 cycles of Vincristine-Cyclophosphamide--high dose Platinum and surgery. Bone marrow was harvested after 2 evaluation proved negative by cytomorphology, histology and immunofluorescence. Mononuclear cells (median 6.7 x 10(7)/kg) were cryopreserved and reinfused without purging. At the time of AT in Group A8 children were in CR, 4 had minimal diseases; in Group B 6 were in CR and one in PR. One toxicity-related death occurred on day 7 in a child in first CR; median duration of granulocytopenia 0.5 x 10(9)/l and thrombocytopenia less than 50 x 10(9)/l were 20 days (R: 9-40) and 27 days (R: 11-51) respectively. Persistent immune thrombocytopenia occurred in 4 children. Fever higher tha 38 degrees C developed in all patients: sepsis was documented in 6 patients. Extramedullary toxicity was moderate: GI tract was the most affected. Two out of 5 children who received AT having residual disease achieved CR; relapse or progression of disease occurred in all these patients. Four out of 8 children in second or subsequent CR and 4 out of 5 in first CR are alive and well at 3-12 months (median 7).(ABSTRACT TRUNCATED AT 250 WORDS)

Anthropometric characteristics of top-class Brazilian jiu jitsu athletes: role of fighting style / Características antropométricas en atletas de jiu jitsu brasilero de alto nivel: rol del estilo de lucha

Human performance efficiency and effectiveness in different sports depend to a large extent on the size, weight and proportion of the physique of the athlete. The aim of this study was to identify morphological characteristics of Brazilian Jiu-Jitsu (BJJ) athletes. The sample consisted of 25 highly trained male athletes who were classified according to their fighting style; guard fighter (GF) vs. pass fighter (PF). The athletes were assessed for somatotype, body composition and proportionality. For the whole group of athletes the somatotype was 2.23±0.68, 6.33±1.14, and 1.75±0.87 for endomorph, mesomorph and ectomorph components, respectively. Muscle and adipose tissue percentages were 52.34±2.15% and 19.30±2.51%, respectively. PF were significantly more mesomorph (p< 0.05) and less ectomorph (p< 0.05) than GF. Also, PF had significantly higher phantom Z score for bone mass vs. GF (0.51±0.57 vs. 0.01±0.54; p<0.05), and significantly lower muscle mass- bone mass ratio (4.55±0.31 vs. 4.77±0.56; p<0.05), height (1.71±0.06 vs. 1.77±0.07; p<0.05) and height weight ratio (40.58±1.11 vs. 41.84±1.22). Our results show that morphological characteristics are related to different fighting styles in BJJ athletes.

La eficiencia y efectividad del rendimiento humano en diferentes deportes depende en gran medida del tamaño, peso y proporción del físico del atleta. El objetivo de este estudio fue identificar las características morfológicas de atletas jiu-jitsu brasileros. La muestra consintió de 25 atletas varones altamente entrenados, quienes fueron clasificados de acuerdo a su estilo de lucha; guarderos (GF) vs pasadores (PF). Se evaluó en los atletas somatotipo, composición corporal y proporcionalidad. Para el grupo total de atletas el somatotipo fue 2,23±0,68, 6,33±1,14 y 1,75±0,78 para el endomorfismo, mesomorfismo y ectomorfismo, respectivamente. Los porcentajes de tejido muscular y adiposo fueron 52,34±2,15% and 19,30±2,51%, respectivamente. PF fueron significativamente las mesomorfos (p<0,05) y menos ectomorfos (p<0,05) que GF. Además PF tuvieron una significativamente alto Z score para la masa ósea (4,55±0,31 vs. 4,77±0,56; p<0,05), estatura (1,71±0,06 vs. 1,77±0,07; p<0,05) y relación altura peso (40,58±1.11 vs. 41,84±1.22). Nuestros resultados muestran que las características morfológicas están relacionadas a diferentes estilos de lucha en atletas de BJJ.

A rosetting test with papain-treated erythrocytes (RBC) for the detection of a minor erythrocyte population (chimerism) with different antigenic expressivity.

A rosetting test with papain-treated erythrocytes was set up and evaluated for the detection of minor erythrocyte populations (chimerism), which can be distinguished by their antigenic differences. The test, for Rh system antigenic differences, has been able to detect erythrocyte populations with a 0.5: 1000 density and a sensitivity 3-4 times as high as that of the antiglobulin test. Critical elements for the optimization of the test are: the final ratio between papain-treated erythrocytes and erythrocytes examined (2:1); the specificity check of the antiserum used which, considering the increased sensitivity, must be performed by the rosetting test itself; the accurate and delicate resuspension of the final pellet. Some disadvantages are the impossibility to detect antigenicity that can be altered by papain and, above all, the scarce possibility of quantifying, if not roughly, the size of the minor population.