Mechanical energy in toddler gait - A trade-off between economy and stability?

Mechanical energy expenditure was investigated in children who are just learning to walk and compared with adult mechanical energy expenditure during walking. First, we determined whether the inverted pendulum (IP) mechanism of energy exchange was present in toddlers. It seems that new walkers partially make use of this energy saving mechanism, but it is less efficient than in adults. The reduced recovery values (R=40% at optimal speeds in toddlers compared to 70% in adults) can be explained by their low self-selected walking speed in combination with their tossing gait (large vertical oscillations of the body) and by the observation that during as much as 25–50% of the gait cycle kinetic and potential energy are oscillating in-phase. The second step was to calculate positive external mechanical work (Wext). Since the IP mechanism is less efficient in toddlers, more mass-specific positive work has to be performed to lift and accelerate the centre of mass than in adults walking at the same speed, even when differences in body size are taken into account. The amount of positive internal work (Wint,k) necessary to move the body segments relative to the centre of mass was the third parameter we calculated. In toddlers Wint,k is largely determined by the kinetic energy of the lower limb. Compared to adults, toddlers have to perform less mass-specific work per unit distance to accelerate the body segments since the upper body is kept relatively stiff during walking and there is no arm swing. Apart from work performed on the centre of mass and work performed to move the body segments relative to the centre of mass, when walking some work is also performed during double contact as both legs are pushing against each other. Two methods were used to calculate this amount of work, both leading to the same conclusions. Mass-specific work during double contact is small in toddlers compared to adults because of their low walking speed. Finally the total amount of mechanical work performed in toddlers was compared to the work production observed in adults. Wext seems to be the major determinant for total mechanical energy expenditure. At intermediate froude numbers work production is comparable between adults and toddlers, but at low and high froude numbers Wtot increases due to the steep increases in Wext. Despite the fact that mechanical work requirements in toddler gait are underestimated if work during double contact is not taken into account, it is not a major determinant of the energy cost of walking

Experiences in the development of electronic care plans for the management of comorbidities

Recent studies have shown that care plans with comprehen- sive home interventions can be effective in the management of chronic patients. Evidence also exists about the importance of tailoring these care plans to patients, by integrating comorbidities. In this context, the de- velopment, implementation, outcome analysis, and reengineering of care plans adapted to particular patient groups earn relevance. We are con- cerned with the development and reengineering of electronic care plans dealing with comorbidities. Our hypothesis is that a library of reusable care plan components can facilitate these tasks. To confirm this hypoth- esis we have carried out an experiment consisting in developing a library of care plan components for the management of patients with COPD3 or CHF4, and next building a care plan for stable COPD&CHF patients by (re)using these components. In this paper we report on this experimen

Binary recurrences for which powers of two are discriminating moduli

Given a sequence of distinct positive integers $w_0 , w_1, w_2, \ldots$ and any positive integer $n$, we define the discriminator function $\mathcal{D}_{\bf w}(n)$ to be the smallest positive integer $m$ such that $w_0,\ldots, w_{n-1}$ are pairwise incongruent modulo $m$. In this paper, we classify all binary recurrent sequences $\{w_n\}_{n\geq 0}$ consisting of different integer terms such that $\mathcal{D}_{\bf w}(2^e)=2^e$ for every $e\geq 1.$ For all of these sequences it is expected that one can actually give a fairly simple description of $\mathcal{D}_{\bf w}(n)$ for every $n\ge 1.$ For two infinite families of such sequences this has been done already in 2019 by Faye, Luca and Moree, respectively Ciolan and Moree

The SASSCAL contribution to climate observation, climate data management and data rescue in Southern Africa

A major task of the newly established "Southern African Science Service Centre for Climate Change and Adaptive Land Management" (SASSCAL; www.sasscal.org) and its partners is to provide science-based environmental information and knowledge which includes the provision of consistent and reliable climate data for Southern Africa. Hence, SASSCAL, in close cooperation with the national weather authorities of Angola, Botswana, Germany and Zambia as well as partner institutions in Namibia and South Africa, supports the extension of the regional meteorological observation network and the improvement of the climate archives at national level. With the ongoing rehabilitation of existing weather stations and the new installation of fully automated weather stations (AWS), altogether 105 AWS currently provide a set of climate variables at 15, 30 and 60 min intervals respectively. These records are made available through the SASSCAL WeatherNet, an online platform providing near-real time data as well as various statistics and graphics, all in open access. This effort is complemented by the harmonization and improvement of climate data management concepts at the national weather authorities, capacity building activities and an extension of the data bases with historical climate data which are still available from different sources. These activities are performed through cooperation between regional and German institutions and will provide important information for climate service related activities

Cellular and humoral immune responses and protection against schistosomes induced by a radiation-attenuated vaccine in chimpanzees

The radiation-attenuated Schistosoma mansoni vaccine is highly effective in rodents and primates but has never been tested in humans, primarily for safety reasons. To strengthen its status as a paradigm for a human recombinant antigen vaccine, we have undertaken a small-scale vaccination and challenge experiment in chimpanzees (Pan troglodytes). Immunological, clinical, and parasitological parameters were measured in three animals after multiple vaccinations, together with three controls, during the acute and chronic stages of challenge infection up to chemotherapeutic cure. Vaccination induced a strong in vitro proliferative response and early gamma interferon production, but type 2 cytokines were dominant by the time of challenge. The controls showed little response to challenge infection before the acute stage of the disease, initiated by egg deposition. In contrast, the responses of vaccinated animals were muted throughout the challenge period. Vaccination also induced parasite-specific immunoglobulin M (IgM) and IgG, which reached high levels at the time of challenge, while in control animals levels did not rise markedly before egg deposition. The protective effects of vaccination were manifested as an amelioration of acute disease and overall morbidity, revealed by differences in gamma-glutamyl transferase level, leukocytosis, eosinophilia, and hematocrit. Moreover, vaccinated chimpanzees had a 46% lower level of circulating cathodic antigen and a 38% reduction in fecal egg output, compared to controls, during the chronic phase of infection

Limits on diffuse fluxes of high energy extraterrestrial neutrinos with the AMANDA-B10 detector

Data from the AMANDA-B10 detector taken during the austral winter of 1997 have been searched for a diffuse flux of high energy extraterrestrial muon-neutrinos, as predicted from, e.g., the sum of all active galaxies in the universe. This search yielded no excess events above those expected from the background atmospheric neutrinos, leading to upper limits on the extraterrestrial neutrino flux. For an assumed E^-2 spectrum, a 90% classical confidence level upper limit has been placed at a level E^2 Phi(E) = 8.4 x 10^-7 GeV cm^-2 s^-1 sr^-1 (for a predominant neutrino energy range 6-1000 TeV) which is the most restrictive bound placed by any neutrino detector. When specific predicted spectral forms are considered, it is found that some are excluded.Comment: Submitted to Physical Review Letter

Epidemiological Interactions between Urogenital and Intestinal Human Schistosomiasis in the Context of Praziquantel Treatment across Three West African Countries

© 2015 Knowles et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. The attached file is the published version of the article