Effectiveness of commercial video gaming on fine motor recovery in chronic stroke within community-level rehabilitation

Introduction: Chronic stroke survivors often live with persisting upper extremity deficits that affect their daily life, and are traditionally offered little rehabilitation. Commercial gaming can act as a motivating way to complete rehabilitation. Purpose: To investigate the effectiveness of commercial gaming as an intervention for fine motor recovery in chronic stroke. Methods: Ten chronic phase post-stroke participants completed a 16-session program using the Nintendo Wii for 15 minutes 2x/week with their more affected hand. Measures used at four testing sessions included: Jebsen Hand Function Test (JHFT), Box and Blocks Test (BBT), Nine Hole Peg Test (NHPT), Stroke Impact Scale (SIS). Results: Significant improvements were found with the JHFT, BBT and NHPT from pre-testing to post-testing. There was an increase in perceived quality of life from pre-testing to post-testing, as determined by the SIS. Conclusion: Commercial gaming may be a viable resource for those with chronic stroke

Paramètres gouvernant la prolifération bactérienne dans les réseaux de distribution

L'étude a permis de suivre l'évolution des caractéristiques physico-chimiques et microbiologiques des eaux dans un réseau de distribution expérimental de taille industrielle, afin de comparer d'une part l'effet du chlore et de la monochloramine sur la biomasse présente dans le système à l'équilibre et d'autre part d'établir des relations quantitatives entre prolifération bactérienne, oxydant et matière organique biodégradable.Dès les premières heures de transit dans le réseau, une consommation des oxydants est constatée, avec toutefois une plus grande stabilité de la monochloramine (vitesse de consommation de 0,05 mgCl2 l-1h-1 et 0,02 mgCl2 l-1h-1 respectivement pour le chlore et la monochloramine).Même en présence d'un désinfectant résiduel, il est possible de noter une accumulation de bactéries-à ta surface des tuyaux de distribution (105 à 106 cellules. cm-2, dont environ 1 % est cultivable sur gélose) qui augmente avec la diminution de concentration du désinfectant résiduel. Les relations logarithmiques entre densité cellulaire (phase eau ou biofilm) et oxydant résiduel montrent d'une part que pour inactiver totalement les bactéries en suspension dans l'eau il convient de maintenir une chloration en continu avec un résiduel constant supérieur ou égal à 0,5 mgCl2 l-1 et, d'autre part que les chloramines sont au moins 2,5 fois moins efficaces que le chlore, même vis-à-vis des bactéries fixées.La présence de matière organique biodégradable dans les eaux explique la prolifération des bactéries dans le système de distribution. Ainsi une concentration additionnelle de 100 µg.l-1 de carbone organique dissous biodégradable (CODB) dans l'eau entrant dans le réseau de distribution occasionne en 24 heures et à 20°C une augmentation du nombre de bactéries fixées (+7,5.105 cellules.cm-2) ou en suspension (+ 4.104 cellules.ml-1) dans le réseau de distribution, à l'équilibre, déjà largement colonisé par des micro-organismes.Ainsi le contrôle de la fraction biodégradable de la matière organique apparaît toujours comme un objectif primordial.This study was carried out in order to evaluate the variations in the physicochemical characteristics of the water in an experimental distribution system.The primary objectives of the study were :- to compare the disinfectant efficiency of chlorine and monochloramine- to establish quantitative correlations among bacterial density, concentration of residual disinfectant, and concentration of biodegradable organic matter.The finished waters were obtained from a water treatment pilot plant characterized by : prechlorination (average treatment rate : 1.4 mgCl2 l-1 and residual alter sand filtration : 0.08 mgCl2 l-1), coagulation-flocculation-sedimentation (FeCl3 treatment rate : 30 to 60 mg l-1 adjusted to the raw water turbidity below 0.3 NTU), sand filtration (filtration rate : 6 h-1) and post-disinfection with chloramine (average treatment rate : 1.8 mgCl2 l-1) or chloramine (average treatment rate : 1.66 mgCl2 l-1). The concentrations of post-disinfectant used were chosen in order to maintain chlorine at 0.2 to 0.5 mgCl2 l-1 and monochloramine at 1 mgC2 l-1 after the first 24 hours residence time in the experimental distribution system.The experimental distribution system is composed of three parallel loops connected in series (31 m length, 100 mm diameter, cement lined cast iron, water velocity : 1m s-1). The configuration and operation of the system permitted a residence time of 24 hours in each loop (that is 72 hours for the whole system). Appropriate sample tap locations facilitated removal of bulk water samples. Special sampling parts also permitted sampling of cement coupons for determination of attached biofilm.The measured parameters were : residual oxidant (DPD method), DOC, BDOC (28 days of incubation at 28 °C with a bacterial inoculum), cell density in the bulk water phase (CFU ml-1) and in the biofilm (CFU cm-2) after 15 days of incubation at 20-22 °C. Total cells were enumerated using the epifluorescence direct count technique.For each experiment, all the sampling sequences were carried out on each of three days, after quasi steady-state was achieved in the system (4 to 6 weeks after starting each experiment). The data were analysed in order to characterize the treated and distributed waters; the results discussed here are based on the averages of the measured parameters tram the water samples and biofilm samples taken after the system achieved quasi steady-state.Characteristics of the treated watersThe treated waters were characterized by important variations at the DOC, BDOC and cell density. For example, the concentrations of DOC showed a seasonal variation ranging from 0.8 to 1.3 mg Cl-1 in winter to 1.6 to 2.6 mg Cl-1 in summer.The treated waters contained approximately the same concentrations of residual disinfectant, averaging 1.6 mgCl2 l-1 for chlorine and 1.5 mgCl2 l-1 for monochloramine.However, a significant difference cell density was found between the two post-disinfectants. Cell densities by the epifluorescence direct count technic were 1.6 x 103 ml-1 (0.3 % of CFU ml-1) with chlorine and 6.3 x 104 ml-1 (0.03 % of CFU ml-1) with monochloramine. The difference on cell density between the post-chlorination and the post-chloramination treatments has been observed systematically, and may be explained either as cellular lysis with chlorine or an interference when using epifluorescence counting for chlorinated waters.Characteristics of the distributed watersWhatever the season, depletion of oxidant (chlorine or monochloramine), and elimination of dissolved organic matter (DOC, BDOC) occured during the first hours of circulation of water in the distribution system. The net result was an increase in bacterial cell density.During the first hours of circulation of the waters in the distribution system, depletion of the disinfectant occured. Depletion was more rapid for chlorine (-0.05 mgCl2 l-1 h-1) titan for monochloramine (-0.02 mgCl2 l-1 h-1), winch is considered more stable titan chlorine.Even in the presence of a residual disinfectant in the distribution system, microorganisms are present in the water phase (104 to 106 cells ml-1 by epifluorescence direct count; 1 % CFU ml-1 after 15 days of incubation at 20-22 °C) and in the biofilm (105 to 106 cells cm-2 by epifluorescence direct count; 1 % CFU ml-1 after 15 days of incubation at 20-22 °C). The bacterial density increased white the disinfectant residual decreased. The apparent growth rate of the attached biomass (µfix) in loop 2 of the chlorinated distribution system (equivalent to 48 hours detention), was close to the µfix calculated for loop 2 of the chloraminated distribution system : the values were 0.0043 h-1 and 0.005 h-1 respectively.In addition, the change in the organic matter (expressed as DOC) occured in two steps :- a slight increase in DOC during the 24 first hours of residence time (loop 1), when increased residual disinfectant were present.- a bacterial consumption of DOC after 24 hours of residence time (loops 2 and 3), even in the presence of small concentrations of disinfectants.In loop 2 (48 hours residence time of the water in the system; chlorine : 0.01 mgCl2 l-1, chloramine : 0.3 mgCl2 l-1 h-1), the rates of DOC elimination averaged 13 mgCl2 l-1 h-1 and 0.42, mgCl2 l-1 h-1, respectively in the chlorinated and chloraminated distribution systems. This decrease in DOC concentrations was related to the increase in bacterial density.Relationships between cell density, oxidant and organic matterLinear relationships between the concentration of residual oxidant (chlorine or monochloramine) and the cell density in the water phase or in the biofilm show that :- whichever oxidant was used, the pipe loop sections without residual disinfectants were characterized by about 5 x 106 attached cells per cm2 (4 to 10% were able to grow on agar medium in 15 days at 20-22 °C) and by 4 x 105 planktonic cells per ml (1 % CFU ml-1);- consistently, in the sections of the system with a residual disinfectant, the bacteria (CFU and epilluorescence counting) in the water phase were more sensitive to the residual disinfectant (chlorine or monochloramine) than the bacteria attached to the pipe walls (biofilm).However, there was a difference in effectiveness between the two disinfectants; chlorine was more efficient in controlling planktonic bacteria and biofilm bacteria than was monochloramine.For example, to achieve complete inactivation of the planktonic bacteria (CFU ml-1) a constant chlorine residual of 0.5 mgCl2 l-1 was required throughout the whole distribution system, compared to 2.5 times more chloramine to achieve the same efficiency.Finally, with equivalent concentrations of residual disinfectant, the microbiological quality of the chlorinated distribution waters was better than that of the chloraminated distribution waters.From loop to loop, linear relationships between ∆DOC and cell density pointed out that the presence of biodegradable organic matter can explain the bacterial proliferation in the distribution system. For example, a concentration of BDOC as low as 0.1 mgC l-1 resulted in an increase in the cell density : an additional accumulation of 7.5 x 105 attached cells cm-2 and 4 x 104 planktonic cells ml-1 was observed in the experimental distribution system at quasi steady-state.Consequently, the control of the biodegradable organic carbon remains one of the prime objectives in order to achieve biologically stable distribution waters

Effet du chlore sur la colonisation bactérienne d'un réseau expérimental de distribution d'eau

La contamination bactérienne de la phase eau d'un réseau de distribution résulte d'une multiplication des bactéries sur les parois des canalisations d'eau (biofilms) suivie de leur arrachage et de leur transport dans le flux circulant. Ce travail met en évidence l'effet du chlore, d'une part, sur la formation des biofilms et, d'autre part, sur des biofilms déjà constitués. Des éprouvettes de matériaux neufs introduites dans des eaux présentant des concentrations en chlore total variant de 2,4 à 0,02 mg/l et véhiculant entre 0,5 x 106 et 5 x 105 cellules bactériennes/mi (dont 1 à 10 % de bactéries cultivables) sont rapidement colonisées (106 à 108 cellules/cm2). L'effet du chlore est sensible sur les cellules totales pour des concentrations de l'ordre de 1 à 2,4 mg/l. Sur les bactéries cultivables, un ralentissement de la croissance du biofilm est observé dès 0,3 mg/1 de chlore total. Par contre, des résiduels de 0,02 ou 0,05 mg/l sont sans effet sur la cinétique de formation des biofilms. Des résiduels moyens de chlore total compris entre 2,3 et 3,4 mg/l appliqués en continu pendant 14 jours sur un biofilm constitué d'environ 8,7 x 106 cellules par cm2 (1,7 % de bactéries cultivables), entraînent l'élimination d'environ 90 % des bactéries fixées (abattement d'1 logarithme) durant les premiers jours d'exposition. L'altération du biofilm exposé à un résiduel de chlore total de l'ordre de 1,3 mg/l est identique, mais toutefois plus étalée dans le temps. Ces essais réalisés sur des éprouvettes de PVC, PE et mortier de ciment n'ont pas permis la mise en évidence de comportements différents de ces 3 supports..Bacterial accumulation in drinking water systems results both of cell deposition on the pipe walls and attached bacteria growth. The presence of a complex biofilm (cells embedded in a matrix of exopolymers) leads to a continuous contamination of the water phase resulting from the erosion of the attached growing biomass. Then, many tentatives to lmit the formation of such a biofilm have been suggested as the removal of biodegradable organic matter fram water or as the application of disinfectant. However, the efficiency of chlorination of the distribution system is debatable. Indeed, adhesion is often described as a factor of protection of attached bacteria which counterbalances the expected effect of disinfectant. Then, the aim of this experimental work is using a model distribution system to evaluate (i) the kinetics of biofilm accumulation on coupons of new materials (Polyvinyl chlorure : PVC, polyethylene : PE, cement) disposed in a constantly chlorinated system (residual total chlorine from 0.021o 2.4 mg. l-1), (ii) the effect of chlorination on previously accumulated biofilms.The industrial pilot plant used in this study is comprised of five loops serially disposed (fig. 1). From previous study of simulation, one may assume that each loop works like a perfectly mixed reactor when the whole pilot plant is equivalent to an infinite tubular reactor with high axial dispersion coefficient. During the experiment, the pilot was continuously fed with finished drinking water front the surface water treatment plant of city of Nancy (i.e. natural finished water with its own chlorine demand, organic nutrients and heterotrophic bacteria).Total number of cells (epifluorescence counts) and heterotrophic plate count bacteria (15 days of incubation at 20 °C) were enumerated both in the water and, after sonication, on the surface of the coupons of tested materials.The first experimentations show that chlorine slows clown the kinetic of deposition of bacteria onto the pipe wall but never prohibits biofilm formation. When the drinking waters carried from 2.4 to 0.02 mg.1-1 of chlorine and from 0.5 to 5 x 105 ml-1 bacterial cells, biofilm is observed after 24 hours of immersion of the coupons with at least 101 to 106 bacteria/cm2. Respectively, the deposition or/and growth rates of total cells are drastically affected only for chlorine residual as high as 1 to 2.4 mg. 1-1. The number of heterotrophic plate count of the biofilm is affected with lower chlorine residual (around 0.3 mg.1-1) but residual concentration as low as 0.05 mg.1-1 are ineffective.The tentatives carried out in the second experience on preformed biofilms (2 months old biofilms, 8.7 x 106 cells/cm2) show that the continuous application of 2.3 to 3.4 mg. 1-1 of residual chlorine for 14 days, leads to the removal of only 90 % of attached total cells without modifications of the proportion of attached alive bacteria (around 1.7 %) into the biofitm. In other wards, a highly chlorinated networks shows at minima 106 attached cells/cm2. Its generally takes several days to reply to the chlorine demand of the system and to have a quasi steady state reactor in terms of residual chlorine.These assays carried out with three types of coupons (PVC, PE, cement lined cast iron) did not show any difference between the tested materials.The limited efficiency of chlorine against the biofilm can be explained by transfert limitations within the visquous layer, high consumption of chlorine by the biopolymers of the attached matrix (proteins...) or low sensitivity to the disinfectant of the slow growing attached bacteria. Then chlorination is really not a panacea in biofilm war but has to be applied in combination with other methods as biodegradable organic matter removal, hydraulic regime improvement..

Conveying personality traits trough product design for a symbolic product

Product design, through its sensory attributes, plays a major role in product perceptions and its understanding by consumers. It conveys rich symbolic associations and contributes to shape brand image and its personality traits. A flower is a singular product, expressive and particularly evocative through its design. We postulate that flowers can be considered as brands possessing human-like traits. An experiment being run on two flowers\u27 varieties (tulips and roses) with 509 French participants shows how shape (pointed or rounded petals) and brightness (pink for the light color or purple for the dark color) influence the perceived flower\u27s personality, with gender as a moderating variable. The findings confirm the power of design to shape consumers\u27 perceptions, especially for symbolic products such as flowers

The Conserved VPS-50 Protein Functions in Dense-Core Vesicle Maturation and Acidification and Controls Animal Behavior

The modification of behavior in response to experience is crucial for animals to adapt to environmental changes. Although factors such as neuropeptides and hormones are known to function in the switch between alternative behavioral states, the mechanisms by which these factors transduce, store, retrieve, and integrate environmental signals to regulate behavior are poorly understood. The rate of locomotion of the nematode Caenorhabditis elegans depends on both current and past food availability. Specifically, C. elegans slows its locomotion when it encounters food, and animals in a food-deprived state slow even more than animals in a well-fed state. The slowing responses of well-fed and food-deprived animals in the presence of food represent distinct behavioral states, as they are controlled by different sets of genes, neurotransmitters, and neurons. Here we describe an evolutionarily conserved C. elegans protein, VPS-50, that is required for animals to assume the well-fed behavioral state. Both VPS-50 and its murine homolog mVPS50 are expressed in neurons, are associated with synaptic and dense-core vesicles, and control vesicle acidification and hence synaptic function, likely through regulation of the assembly of the V-ATPase complex. We propose that dense-core vesicle acidification controlled by the evolutionarily conserved protein VPS-50/mVPS50 affects behavioral state by modulating neuropeptide levels and presynaptic neuronal function in both C. elegans and mammals.National Institutes of Health (U.S.) (Grant GM024663

ENVIRONMENT AND HEALTH Influence of Resident Salmonella on Contamination of Broiler Flocks

ABSTRACT An epidemiological survey was made of 5329 samples from 10 poultry operations to determine the relationship between total poultry farm environment and incidences of Salmonella contamination of broiler flocks. Samples were analyzed from walls, drinkers, feeders, litter, insects, water, chicks, broilers, and feed to determine the effect of common sanitary practices on Salmonella contamination of flocks

Dynamic MAIT cell response with progressively enhanced innateness during acute HIV-1 infection.

Mucosa-associated invariant T (MAIT) cell loss in chronic HIV-1 infection is a significant insult to antimicrobial immune defenses. Here we investigate the response of MAIT cells during acute HIV-1 infection utilizing the RV217 cohort with paired longitudinal pre- and post-infection samples. MAIT cells are activated and expand in blood and mucosa coincident with peak HIV-1 viremia, in a manner associated with emerging microbial translocation. This is followed by a phase with elevated function as viral replication is controlled to a set-point level, and later by their functional decline at the onset of chronic infection. Interestingly, enhanced innate-like pathways and characteristics develop progressively in MAIT cells during infection, in parallel with TCR repertoire alterations. These findings delineate the dynamic MAIT cell response to acute HIV-1 infection, and show how the MAIT compartment initially responds and expands with enhanced function, followed by progressive reprogramming away from TCR-dependent antibacterial responses towards innate-like functionality