Sagittal Subtalar and Talocrural Joint Assessment During Ambulation With Controlled Ankle Movement (CAM) Boots

Background: The purpose of the current study was to determine sagittal plane talocrural and subtalar kinematic differences between barefoot and controlled ankle movement (CAM) boot walking. This study used fluoroscopic images to determine talar motion relative to tibia and calcaneal motion relative to talus. Methods: Fourteen male subjects (mean age 24.1 ± 3.5 years) screened for normal gait were tested. A fluoroscopy unit was used to collect images at 200 Hz during stance. Sagittal motion of the talocrural and subtalar joints were analyzed barefoot and within short and tall CAM boots. Results: Barefoot talocrural mean maximum plantar and dorsiflexion were 9.2 ± 5.4 degrees and −7.5 ± 7.4 degrees, respectively; short CAM boot mean maximum plantar and dorsiflexion were 3.2 ± 4.0 degrees and −4.8 ± 10.2 degrees, respectively; and tall CAM boot mean maximum plantar and dorsiflexion were −0.2 ± 3.5 degrees and −2.4 ± 5.1 degrees, respectively. Talocrural mean range of motion (ROM) decreased from barefoot (16.7 ± 5.1 degrees) to short CAM boot (8.0 ± 4.9 degrees) to tall CAM boot (2.2 ± 2.5 degrees). Subtalar mean maximum plantarflexion angles were 5.3 ± 5.6 degrees for barefoot walking, 4.1 ± 5.9 degrees for short CAM boot walking, and 3.0 ± 4.7 degrees for tall CAM boot walking. Mean minimum subtalar plantarflexion angles were 0.7 ± 3.2 degrees for barefoot walking, 0.7 ± 2.9 degrees for short CAM boot walking, and 0.1 ± 4.8 degrees for tall CAM boot walking. Subtalar mean ROM decreased from barefoot (4.6 ± 3.9 degrees) to short CAM boot (3.4 ± 3.8 degrees) to tall CAM boot (2.9 ± 2.6 degrees). Conclusion: Tall and short CAM boot intervention was shown to limit both talocrural and subtalar motion in the sagittal plane during ambulation. The greatest reductions were seen with the tall CAM boot, which limited talocrural motion by 86.8% and subtalar motion by 37.0% compared to barefoot. Short CAM boot intervention reduced talocrural motion by 52.1% and subtalar motion by 26.1% compared to barefoot. Clinical Relevance: Both short and tall CAM boots reduced talocrural and subtalar motion during gait. The short CAM boot was more convenient to use, whereas the tall CAM boot more effectively reduced motion. In treatments requiring greater immobilization of the talocrural and subtalar joints, the tall CAM boot should be considered

Teaching writing strategies to young students struggling with writing and at-risk for behavioral disorders: Self-regulated strategy development

This is the publisher's version, also found here: http://cec.metapress.com/content/178520r317650740/?p=03aae0a2540a4a3189d1a9319f390d15&pi=8The article focuses on the use of the self-regulated strategy development (SRSD) educational model, which teaches students the planning, goal setting, and self evaluation skill necessary to writing success. The article outlines the six stages of the SRSD model, including the development of background knowledge, discussion, modeling, memorization, support and independent performance. A case example is presented of students with behavioral or emotional problems working through the method to improve their writing

Study Abroad as an Education Experience: Challenges, Realizations, and Lessons Learned

Study abroad programs can represent an important component of an Information Systems (IS) education. This article presents the views of five scholars on study abroad education. These views are based on their experiences leading such programs, and were presented during a panel session at the America’s Conference on Information Systems (AMCIS) 2010 in Lima, Peru. The panel discussed short-term (seven to fourteen days), medium-term (fourteen to thirty days), and long-term study abroad experiences. In addition, the panelists touched on the logistical issues related to leading a study abroad trip, and on lessons learned by the panelists

The cellular DNA helicase ChlR1 regulates chromatin and nuclear matrix attachment of the human papillomavirus type 16 E2 protein and high copy viral genome establishment

In papillomavirus infections, the viral genome is established as a double-stranded DNA episome. To segregate the episomes into daughter cells during mitosis, they are tethered to cellular chromatin by the viral E2 protein. We previously demonstrated that the E2 proteins of diverse papillomavirus types, including bovine papillomavirus (BPV) and human papillomavirus 16 (HPV16), associate with the cellular DNA helicase ChlR1. This virus-host interaction is important for the tethering of BPV E2 to mitotic chromatin and the stable maintenance of BPV episomes. The role of the association between E2 and ChlR1 in the HPV16 life cycle is unresolved. Here we show that an HPV16 E2 Y131A mutant (E2Y131A) had significantly reduced binding to ChlR1 but retained transcriptional activation and viral origin-dependent replication functions. Subcellular fractionation of keratinocytes expressing E2Y131A showed a marked change in the localization of the protein. Compared to that of wild-type E2 (E2WT), the chromatin-bound pool of E2Y131A was decreased, concomitant with an increase in nuclear matrix-associated protein. Cell cycle synchronization indicated that the shift in subcellular localization of E2Y131A occurred in mid-S phase. A similar alteration between the subcellular pools of the E2WT protein occurred upon ChlR1 silencing. Notably, in an HPV16 life cycle model in primary human keratinocytes, mutant E2Y131A genomes were established as episomes, but at a markedly lower copy number than that of wild-type HPV16 genomes, and they were not maintained upon cell passage. Our studies indicate that ChlR1 is an important regulator of the chromatin association of E2 and of the establishment and maintenance of HPV16 episomes

Timeline Follow-Back Versus Global Self-Reports of Tobacco Smoking: A Comparison of Findings With Non-Daily Smokers

Methods assessing non-daily smoking are of concern because biochemical measures can not verify self-reports beyond 7 days. This study compares two self-reported smoking measures for non-daily smokers. A total of 389 college students, (48% female, 96% white, mean age of 19) smoking between 1 and 29 days out of the past 30, completed computer assessments in three cohorts with the order of administration of the measures counterbalanced. Values from the two measures were highly correlated. Comparisons of Timeline Follow-Back (TLFB) with the global questions for the total sample of non-daily smokers yielded statistically significant differences (p\u3c.001), albeit small, between measures with the TLFB resulting on average in 2.38 more total cigarettes smoked out of the past 30 days, 0.46 less smoking days, and 0.21 more cigarettes smoked per day. Analyses by level of smoking showed that the discordance between the measures differed by frequency of smoking. Global questions of days smoked resulted in frequent reporting in multiples of five days, suggesting digit bias. Overall the two measures of smoking were highly correlated and equally effective for identifying any smoking in a 30-day period among non-daily smokers

Observations and modeling of a hydrothermal plume in Yellowstone Lake

Author Posting. © American Geophysical Union, 20XX. This article is posted here by permission of American Geophysical Union for personal use, not for redistribution. The definitive version was published in Geophysical Research Letters 46(12), (2019): 6435-6442, doi:10.1029/2019GL082523.Acoustic Doppler current profiler and conductivity‐temperature‐depth data acquired in Yellowstone Lake reveal the presence of a buoyant plume above the “Deep Hole” hydrothermal system, located southeast of Stevenson Island. Distributed venting in the ~200 × 200‐m hydrothermal field creates a plume with vertical velocities of ~10 cm/s in the mid‐water column. Salinity profiles indicate that during the period of strong summer stratification the plume rises to a neutral buoyancy horizon at ~45‐m depth, corresponding to a ~70‐m rise height, where it generates an anomaly of ~5% (−0.0014 psu) relative to background lake water. We simulate the plume with a numerical model and find that a heat flux of 28 MW reproduces the salinity and vertical velocity observations, corresponding to a mass flux of 1.4 × 103 kg/s. When observational uncertainties are considered, the heat flux could range between 20 to 50 MW.The authors thank Yellowstone National Park Fisheries and Aquatic Sciences, The Global Foundation for Ocean Exploration, and Paul Fucile for logistical support. This research was supported by the National Science Foundation grants EAR‐1516361 to R. S., EAR‐1514865 to K. L., and EAR‐1515283 to R. H. and J. F. All work in Yellowstone National Park was completed under an authorized Yellowstone research permit (YELL‐2018‐SCI‐7018). CTD and ADCP profiles reported in this paper are available through the Marine Geoscience Data System (doi:10.1594/IEDA/324713 and doi:10.1594/IEDA/324712, accessed last on 17 April 2019, respectively).2019-11-0

Chronic and episodic stress predict physical symptom bother following breast cancer diagnosis.

Breast cancer patients often experience adverse physical side effects of medical treatments. According to the biobehavioral model of cancer stress and disease, life stress during diagnosis and treatment may negatively influence the trajectory of women's physical health-related adjustment to breast cancer. This longitudinal study examined chronic and episodic stress as predictors of bothersome physical symptoms during the year after breast cancer diagnosis. Women diagnosed with breast cancer in the previous 4 months (N = 460) completed a life stress interview for contextual assessment of chronic and episodic stress severity at study entry and 9 months later. Physical symptom bother (e.g., pain, fatigue) was measured at study entry, every 6 weeks through 6 months, and at nine and 12 months. In multilevel structural equation modeling (MSEM) analyses, both chronic stress and episodic stress occurring shortly after diagnosis predicted greater physical symptom bother over the study period. Episodic stress reported to have occurred prior to diagnosis did not predict symptom bother in MSEM analyses, and the interaction between chronic and episodic stress on symptom bother was not significant. Results suggest that ongoing chronic stress and episodic stress occurring shortly after breast cancer diagnosis are important predictors of bothersome symptoms during and after cancer treatment. Screening for chronic stress and recent stressful life events in the months following diagnosis may help to identify breast cancer patients at risk for persistent and bothersome physical symptoms. Interventions to prevent or ameliorate treatment-related physical symptoms may confer added benefit by addressing ongoing non-cancer-related stress in women's lives

Global observational diagnosis of soil moisture control on the land surface energy balance

An understanding of where and how strongly the surface energy budget is constrained by soil moisture is hindered by a lack of large-scale observations, and this contributes to uncertainty in climate models. Here we present a new approach combining satellite observations of land surface temperature and rainfall.We derive a Relative Warming Rate (RWR) diagnostic, which is a measure of how rapidly the land warms relative to the overlying atmosphere during 10 day dry spells. In our dry spell composites, 73% of the land surface between 60°S and 60°N warms faster than the atmosphere, indicating water-stressed conditions, and increases in sensible heat. Higher RWRs are found for shorter vegetation and bare soil than for tall, deep-rooted vegetation, due to differences in aerodynamic and hydrological properties. We show how the variation of RWR with antecedent rainfall helps to identify different evaporative regimes in the major nonpolar climate zones

\u3ci\u3eCritical Social Justice Issues for School Practitioners\u3c/i\u3e

Editors: Sandra Harris and Stacey Edmonson Chapter 5: From Ice Raids to Equity: Hispanic Students\u27 Progress through High School in an Immigrant Responsive City, co-authored by John Hill, UNO faculty member. Chapter 9: Focusing School Leadership on Poverty and Ethnicity for K-12 Student Success, co-authored by Jeanne L. Surface, Kay A. Keiser, Peter J. Smith, and Karen L. Hayes. This project was borne of a desire to support these scholar-practitioner leaders. We invited educational leaders to share recent studies which brought issues of social justice to the fore. Certainly, the 20 papers that were accepted as chapters for this book do not address all of the problems with which educators are faced. Nor do the 20 chapters provide definitive answers to these difficult issues. However, they do provide valuable information and ensure that thoughtful, reflective dialogue is occurring regarding critical social justice understandings or misunderstandings.https://digitalcommons.unomaha.edu/facultybooks/1173/thumbnail.jp

Evaluating the use of high-fidelity simulators during mock neonatal resuscitation scenarios in trying to improve confidence in residents

Objective: The purpose of this study was to investigate the effect of the use of high-fidelity simulators with multidisciplinary teaching on self-reported confidence in residents. Methods: A total of 26 residents participated in a session led by a pediatric faculty member and a Neonatal Intensive Care Unit transport nurse using a high-fidelity pediatric simulator. Multiple scenarios were presented and each resident took turns in various roles. Pre-intervention surveys based on a 5-point Likert-type scale were given before the scenarios and were compared to the results of identical post-intervention surveys. Results: Statistically significant (p \u3c 0.05) pre to post gains for self-confidence were observed. Improvements in confidence were analyzed using the mean difference. The largest improvement in confidence was seen in the ability to treat neonatal respiratory arrest. This was followed by the ability to supervise/run a code, and the ability to place an umbilical venous catheter. Conclusion: These results revealed that high-fidelity simulation-based training has significant positive gains in residents’ self-reported confidence