"One size does not fit all" - Barriers to and facilitators of physical activity in adolescents with epilepsy.

OBJECTIVE: To explore the barriers to physical activity and to identify the support needed to facilitate physical activity in adolescents with epilepsy (AWE). METHODS: AWE (aged 11-16 years) and their caregivers completed survey-based open questions regarding perceived barriers to, and facilitators of physical activity in young people with epilepsy. The responses were analysed using Thematic Analysis. RESULTS: Themes concerning barriers to physical activity included concerns about seizure safety, general anxiety and anxiety related to seizures, stigma/negative attitudes associated with having epilepsy, tiredness, and perceived lack of physical competence. Themes regarding the support needed to facilitate physical activity included better education amongst staff/coaches about epilepsy (e.g., seizure management/prevention, associated fatigue/tiredness), improvements in societal attitudes towards epilepsy, flexibility/tailoring of activities to the child's needs (e.g., need for breaks), and peer support for young people with epilepsy to encourage engagement in physical activity. CONCLUSIONS: There is a perception among AWE and caregivers, that significant barriers exist with regard to engaging in physical activity for young people with epilepsy. Barriers are related to concerns about seizure management but also wider safety and social issues. A number of facilitators were identified to promote physical activity engagement in AWE, including education for staff and caregivers, peer support, and tailoring activities to the adolescent's needs. There is a need to develop interventions to reduce barriers to physical activity in young people with epilepsy.

Analytical solution for compositional profile driven by gravitational segregation and diffusion.

An alternative analytical solution is presented, based on irreversible thermodynamics, that describes the equilibrium distribution of the components of a nonideal fluid mixture in a one-dimensional hydrostatic and isothermal system. In such a system, the vertical compositional profile of the fluid at equilibrium will be determined by the interaction of gravitational and chemical potentials. Our alternative analytical solution estimates this profile from the overall composition of the fluid. It is thus more general than the existing solution, which requires knowledge of the fluid composition at a given depth and assumes that the vertical compositional profile of this fluid is already at equilibrium. The solution is demonstrated by comparison against results obtained from previously published molecular dynamics simulations of segregation in a binary mixture and against numerical simulations of a real hydrocarbon reservoir system.