Stepping stability: effects of sensory perturbation

BACKGROUND: Few tools exist for quantifying locomotor stability in balance impaired populations. The objective of this study was to develop and evaluate a technique for quantifying stability of stepping in healthy people and people with peripheral (vestibular hypofunction, VH) and central (cerebellar pathology, CB) balance dysfunction by means a sensory (auditory) perturbation test. METHODS: Balance impaired and healthy subjects performed a repeated bench stepping task. The perturbation was applied by suddenly changing the cadence of the metronome (100 beat/min to 80 beat/min) at a predetermined time (but unpredictable by the subject) during the trial. Perturbation response was quantified by computing the Euclidian distance, expressed as a fractional error, between the anterior-posterior center of gravity attractor trajectory before and after the perturbation was applied. The error immediately after the perturbation (Emax), error after recovery (Emin) and the recovery response (Edif) were documented for each participant, and groups were compared with ANOVA. RESULTS: Both balance impaired groups exhibited significantly higher Emax (p = .019) and Emin (p = .028) fractional errors compared to the healthy (HE) subjects, but there were no significant differences between CB and VH groups. Although response recovery was slower for CB and VH groups compared to the HE group, the difference was not significant (p = .051). CONCLUSION: The findings suggest that individuals with balance impairment have reduced ability to stabilize locomotor patterns following perturbation, revealing the fragility of their impairment adaptations and compensations. These data suggest that auditory perturbations applied during a challenging stepping task may be useful for measuring rehabilitation outcomes

Analysis of the turbojet engine for propulsion of supersonic fighter airplanes / David S. Gabriel, Richard P. Krebs, E.Clinton Wilcox, Stanley L.Koutz

An analytical investigation was made of two supersonic interceptor type airplanes to determine the most desirable turbojet engine characteristics for this application The airplanes were designed differently primarily because of the amount of subsonic flight incorporated in the flight plan--one flight having none and the other, a cruise radius of 400 nautical miles. Several power plant design variables were varied independently to determine the effect of changes in each parameter on airplane performance. These parameters included compressor pressure ratio, compressor efficiency, turbine-inlet temperature, afterburner temperature, engine specific weight, and air-handling capacity. The effects of using a convergent-divergent exhaust nozzle and of changing the design flight Mach number were also investigated

An Evaluation of the Genetic Structure of Mapleleaf Mussels (Quadrula quadrula) in the Lake Erie Watershed

Physical barriers, habitat fragmentation, invasive species and geographic distance have isolated remnant populations of unionids in Great Lakes coastal refuges. Dreissenid species (Dreissena polymorpha and Dreissena rostriformis bugensis) may be the greatest threat to the survival of unionids in the Great Lakes since their introduction in the late 1980s and early 1990s; however, native unionids remain in coastal habitats of western Lake Erie. One of the most abundant unionid species in Lake Erie, Quadrula quadrula, was collected along coastal areas within the lake and from three tributaries, the Maumee River, Huron River (Ohio), and Grand River (Ontario, Canada) and genotyped at six polymorphic microsatellite loci to determine population structure. There was evidence of genetic differentiation by geographic distance, and genotypes clustered into three geographic regions: Lake Erie, the Maumee River, and the Grand River. Lack of fine-scale genetic differentiation, admixture among these regions, and significant isolation by distance, indicate connectivity and are consistent with a stepping-stone model of divergence across the lake and its tributaries. A diverse gene pool remains should Q. quadrula be able to repopulate more of their historic distribution across the region, but studies of other unionid species are needed to determine whether low levels of differentiation among lake populations or divergence from tributary populations is a common pattern

Modeling Habitat of Freshwater Mussels (Bivalvia:Unionidae) in the Lower Great Lakes 25 Years after the Dreissena Invasion

Finding remnant populations of species that are of conservation concern can be difficult, particularly in aquatic habitats. Models of ecological niches can aid in the discovery of refuges. Remnant populations of native freshwater mussels (unionids) have been found in Lakes Erie and St Clair. Our goals were to predict undiscovered refuges in Lake Ontario based on habitat analysis from Lake Erie and to conduct surveys to test those predictions. We built a presence-only model on environmental data including attributes of the benthic zone and shoreline where mussels occurred in Lake Erie. We found a link between small- and large-scale variables related to unionid persistence. Bathymetry, fetch, and shoreline geomorphology contributed most to the model. These variables correspond to local-scale environmental factors important for unionid survival, including presence of vegetation and substrate composition, which explained ∼22% of the variance in presence, abundance, and richness. The model predicted that 0.8% of the near-shore area of Lake Ontario should be habitat for unionids. In surveys at 34 locations on the USA shore of Lake Ontario, we found 1800 unionids of 11 species and showed that areasOntario, a result signifying generality of our model for conservation approaches to freshwater mussels

Design, recruitment outcomes, and sample characteristics of the Strategies for Prescribing Analgesics Comparative Effectiveness (SPACE) trial

This manuscript describes the study protocol, recruitment outcomes, and baseline participant characteristics for the Strategies for Prescribing Analgesics Comparative Effectiveness (SPACE) trial. SPACE is a pragmatic randomized comparative effectiveness trial conducted in multiple VA primary care clinics within one VA health care system. The objective was to compare benefits and harms of opioid therapy versus non-opioid medication therapy over 12 months among patients with moderate-to-severe chronic back pain or hip/knee osteoarthritis pain despite analgesic therapy; patients already receiving regular opioid therapy were excluded. Key design features include comparing two clinically-relevant medication interventions, pragmatic eligibility criteria, and flexible treat-to-target interventions. Screening, recruitment and study enrollment were conducted over 31 months. A total of 4491 patients were contacted for eligibility screening; 53.1% were ineligible, 41.0% refused, and 5.9% enrolled. The most common reasons for ineligibility were not meeting pain location and severity criteria. The most common study-specific reasons for refusal were preference for no opioid use and preference for no pain medications. Of 265 enrolled patients, 25 withdrew before randomization. Of 240 randomized patients, 87.9% were male, 84.1% were white, and age range was 21–80 years. Past-year mental health diagnoses were 28.3% depression, 17% anxiety, 9.4% PTSD, 7.9% alcohol use disorder, and 2.6% drug use disorder. In conclusion, although recruitment for this trial was challenging, characteristics of enrolled participants suggest we were successful in recruiting patients similar to those prescribed opioid therapy in usual care

Assessing the Effect of Seasonal Agriculture on the Condition and Winter Survival of a Migratory Songbird in Mexico

  Migratory birds can spend 8 months of the year on their wintering grounds and the conversion of natural habitats to agriculture in Latin America has been implicated in population declines of several Neotropical migrants. Despite this, few studies have directly assessed the value of agricultural habitat for wintering migrants. We compared the condition and survival of Yellow Warblers (Setophaga petechia) occupying natural (riparian forest, scrub‐mangrove) and agricultural habitat (annually cropped sorghum, corn, and chili‐peppers separated by hedgerow) in western Mexico. We assessed condition with five metrics (daily and seasonal changes in size‐adjusted body mass, leukocyte profiles, rectrix regrowth rate, rectrix quality, and dates of departure on spring migration). We used Cormack–Jolly–Seber models fitted to mark‐resighting data collected over 4 years (2012–2015) to estimate January–May monthly survival rates. We found that birds occupying agricultural habitat and riparian forest had higher monthly apparent survival between January and May than birds in scrub‐mangrove. Birds in agricultural habitat also grew higher quality feathers (i.e., rectrices with a higher barbule density) than those in natural habitat. In contrast, birds in agricultural habitat were lighter than those in riparian habitat. We found no detectable effect of winter habitat use on daily or season changes in size‐adjusted mass and H/L ratios, although the effect of winter habitat use on departure rates differed for males and females. Our results demonstrate that agricultural habitat may provide suitable winter habitat for a long‐distance migrant and suggest that feather quality can be an indicator of winter habitat quality

Competitive Replacement of Invasive Congeners May Relax Impact on Native Species: Interactions among Zebra, Quagga, and Native Unionid Mussels

Determining when and where the ecological impacts of invasive species will be most detrimental and whether the effects of multiple invaders will be superadditive, or subadditive, is critical for developing global management priorities to protect native species in advance of future invasions. Over the past century, the decline of freshwater bivalves of the family Unionidae has been greatly accelerated by the invasion of Dreissena. The purpose of this study was to evaluate the current infestation rates of unionids by zebra (Dreissena polymorpha) and quagga (D. rostriformis bugensis) mussels in the lower Great Lakes region 25 years after they nearly extirpated native unionids. In 2011–2012, we collected infestation data for over 4000 unionids from 26 species at 198 nearshore sites in lakes Erie, Ontario, and St. Clair, the Detroit River, and inland Michigan lakes and compared those results to studies from the early 1990s. We found that the frequency of unionid infestation by Dreissena recently declined, and the number of dreissenids attached to unionids in the lower Great Lakes has fallen almost ten-fold since the early 1990s. We also found that the rate of infestation depends on the dominant Dreissena species in the lake: zebra mussels infested unionids much more often and in greater numbers. Consequently, the proportion of infested unionids, as well as the number and weight of attached dreissenids were lower in waterbodies dominated by quagga mussels. This is the first large-scale systematic study that revealed how minor differences between two taxonomically and functionally related invaders may have large consequences for native communities they invade

A nipple shield delivery system for oral drug delivery to breastfeeding infants : Microbicide delivery to inactivate HIV

A new drug delivery method for infants is presented which incorporates an active pharmaceutical ingredient (API)-loaded insert into a nipple shield delivery system (NSDS). The API is released directly into milk during breastfeeding. This study investigates the feasibility of using the NSDS to deliver the microbicide sodium dodecyl sulfate (SDS), with the goal of preventing mother-to-child transmission (MTCT) of HIV during breastfeeding in low-resource settings, when there is no safer alternative for the infant but to breastfeed. SDS has been previously shown to effectively inactivate HIV in human milk. An apparatus was developed to simulate milk flow through and drug release from a NSDS. Using this apparatus milk was pulsed through a prototype device containing a non-woven fiber insert impregnated with SDS and the microbicide was rapidly released. The total SDS release from inserts ranged from 70 to 100% of the average 0.07 g load within 50 ml (the volume of a typical breastfeed). Human milk spiked with H9/HIVIIIB cells was also passed through the same set-up. Greater than 99% reduction of cell-associated HIV infectivity was achieved in the first 10 ml of milk. This proof of concept study demonstrates efficient drug delivery to breastfeeding infants is achievable using the NSDS

Predictive Spatial Dynamics and Strategic Planning for Raccoon Rabies Emergence in Ohio

Rabies is an important public health concern in North America because of recent epidemics of a rabies virus variant associated with raccoons. The costs associated with surveillance, diagnostic testing, and post-exposure treatment of humans exposed to rabies have fostered coordinated efforts to control rabies spread by distributing an oral rabies vaccine to wild raccoons. Authorities have tried to contain westward expansion of the epidemic front of raccoon-associated rabies via a vaccine corridor established in counties of eastern Ohio, western Pennsylvania, and West Virginia. Although sporadic cases of rabies have been identified in Ohio since oral rabies vaccine distribution in 1998, the first evidence of a significant breach in this vaccine corridor was not detected until 2004 in Lake County, Ohio. Herein, we forecast the spatial spread of rabies in Ohio from this breach using a stochastic spatial model that was first developed for exploratory data analysis in Connecticut and next used to successfully hind-cast wave-front dynamics of rabies spread across New York. The projections, based on expansion from the Lake County breach, are strongly affected by the spread of rabies by rare, but unpredictable long-distance translocation of rabid raccoons; rabies may traverse central Ohio at a rate 2.5-fold greater than previously analyzed wildlife epidemics. Using prior estimates of the impact of local heterogeneities on wave-front propagation and of the time lag between surveillance-based detection of an initial rabies case to full-blown epidemic, specific regions within the state are identified for vaccine delivery and expanded surveillance effort