Mobile Phone Sensors Can Discern Medication-related Gait Quality Changes in Parkinson\u27s Patients in the Home Environment

Patients with Parkinson\u27s Disease (PD) experience daytime symptom fluctuations, which result in small amplitude, slow and unstable walking during times when medication attenuates. The ability to identify dysfunctional gait patterns throughout the day from raw mobile phone acceleration and gyroscope signals would allow the development of applications to provide real-time interventions to facilitate walking performance by, for example, providing external rhythmic cues. Patients (n = 20, mean Hoehn and Yahr: 2.25) had their ambulatory data recorded and were directly observed twice during one day: once after medication abstention, (OFF) and once approximately 30 min after intake of their medication (ON). Regularized generalized linear models (RGLM), neural networks (NN), and random forest (RF) classification models were individually trained for each participant. Across all subjects, our best performing classifier on average achieved an accuracy of 92.5%. This study demonstrated that smartphone accelerometers and gyroscopes can be used to distinguish between ON versus OFF times, potentially making smartphones useful intervention tools

Does Subthalamic Deep Brain Stimulation Impact Asymmetry and Dyscoordination of Gait in Parkinson’s Disease?

Background. Subthalamic deep brain stimulation (STN-DBS) is an effective treatment for selected Parkinson’s disease (PD) patients. Gait characteristics are often altered after surgery, but quantitative therapeutic effects are poorly described. Objective. The goal of this study was to systematically investigate modifications in asymmetry and dyscoordination of gait 6 months postoperatively in patients with PD and compare the outcomes with preoperative baseline and to asymptomatic controls without PD. Methods. A convenience sample of thirty-two patients with PD (19 with postural instability and gait disorder (PIGD) type and 13 with tremor dominant disease) and 51 asymptomatic controls participated. Parkinson patients were tested prior to the surgery in both OFF and ON medication states, and 6-months postoperatively in the ON stimulation condition. Movement Disorder Society-Unified Parkinson’s Disease Rating Scale (MDS-UPDRS) I to IV and medication were compared to preoperative conditions. Asymmetry ratios, phase coordination index, and walking speed were assessed. Results. MDS-UPDRS I to IV at 6 months improved significantly, and levodopa equivalent daily dosages significantly decreased. STN-DBS increased step time asymmetry (hedges’ g effect sizes [95% confidence interval] between pre- and post-surgery: .27 [-.13, .73]) and phase coordination index (.29 [-.08, .67]). These effects were higher in the PIGD subgroup than the tremor dominant (step time asymmetry: .38 [-.06, .90] vs .09 [-.83, 1.0] and phase coordination index: .39 [-.04, .84] vs .13 [-.76, .96]). Conclusions. This study provides objective evidence of how STN-DBS increases asymmetry and dyscoordination of gait in patients with PD and suggests motor subtypes‐associated differences in the treatment response

Family composition and age at menarche: findings from the international Health Behaviour in School-Aged Children Study

This research was funded by The University of St Andrews and NHS Health Scotland.Background Early menarche has been associated with father absence, stepfather presence and adverse health consequences in later life. This article assesses the association of different family compositions with the age at menarche. Pathways are explored which may explain any association between family characteristics and pubertal timing. Methods Cross-sectional, international data on the age at menarche, family structure and covariates (age, psychosomatic complaints, media consumption, physical activity) were collected from the 2009–2010 Health Behaviour in School-aged Children (HBSC) survey. The sample focuses on 15-year old girls comprising 36,175 individuals across 40 countries in Europe and North America (N = 21,075 for age at menarche). The study examined the association of different family characteristics with age at menarche. Regression and path analyses were applied incorporating multilevel techniques to adjust for the nested nature of data within countries. Results Living with mother (Cohen’s d = .12), father (d = .08), brothers (d = .04) and sisters (d = .06) are independently associated with later age at menarche. Living in a foster home (d = −.16), with ‘someone else’ (d = −.11), stepmother (d = −.10) or stepfather (d = −.06) was associated with earlier menarche. Path models show that up to 89% of these effects can be explained through lifestyle and psychological variables. Conclusions Earlier menarche is reported amongst those with living conditions other than a family consisting of two biological parents. This can partly be explained by girls’ higher Body Mass Index in these families which is a biological determinant of early menarche. Lower physical activity and elevated psychosomatic complaints were also more often found in girls in these family environments.Publisher PDFPeer reviewe

Revealing the Optimal Thresholds for Movement Performance: A Systematic Review and Meta-Analysis to Benchmark Pathological Walking Behaviour

In order to address whether increased levels of movement output variability indicate pathological performance, we systematically reviewed and synthesized meta-analysis data on healthy and pathological motor behavior. After screening up to 24’000 reports from four databases, 85 studies were included containing 2409 patients and 2523 healthy asymptomatic controls. The optimal thresholds of variability with uncertainty boundaries (in % Coefficient of Variation ± Standard Error) were estimated in 7 parameters: stride time (2.34 ± 0.21), stride length (2.99 ± 0.37), step length (3.34 ± 0.84), swing time (2.94 ± 0.60), step time (3.35 ± 0.23), step width (15.87 ± 1.86), and dual-limb support time (6.08 ± 2.83). All spatio-temporal parameters exhibited a positive effect size (pathology led to increased variability) except step width variability (Effect Size = −0.21). By objectively benchmarking thresholds for pathological motor variability also presented through a case-study, this review provides access to movement signatures to understand neurological changes in an individual that are apparent in movement variability. The comprehensive evidence presented now qualifies stride time variability as a movement biomarker, endorsing its applicability as a viable outcome measure in clinical trials

Eteokles in Spain? On Brecht’s Mein Bruder war ein Flieger

One of Bertolt Brecht’s most famous poems, Mein Bruder war ein Flieger, is often invoked as a manifesto for pacifist ideals, but some essential questions (who is the lyric I? what is the literal meaning of the poem?) have hardly received any attention. By evoking the poem’s nature as a Kinderlied, the context of its first publication, and its relationship with Brecht’s play Die Gewehre der Frau Carrar, this article tentatively identifies the source of its final pointe in a famous passage of Aeschylus’ Seven against Thebes, thereby suggesting—on the basis of textual comparisons—an example of far-reaching, ideological Antikerezeption in Brecht’s oeuvre, working all the way down to his Kalendergeschichten and to his Antigone

Development of clean coal and clean soil technologies using advanced agglomeration techniques

Three major topics are discussed in this report: (1) Upgrading of Low Rank Coals by the Agflotherm Process. Test data, procedures, equipment, etc., are described for co-upgrading of subbituminous coals and heavy oil; (2) Upgrading of Bituminous Coals by the Agflotherm Process. Experimental procedures and data, bench and pilot scale equipments, etc., for beneficiating bituminous coals are described; (3) Soil Clean-up and Hydrocarbon Waste Treatment Process. Batch and pilot plant tests are described for soil contaminated by tar refuse from manufactured gas plant sites. (VC

Application of the PIV method for evaluation of segregation process during outflow of gas - solid body mixture from a horizontal channel

Niniejszy artykuł prezentuje wpływ prędkości powietrza na trajektorie ruchu cząstek układu dwuskładnikowego podczas wypływu z kanału poziomego. Badania przeprowadzono dla kulek plastikowych o różnej gęstości dla zakresu prędkości 5,95-9,92 m/s. Do określenia trajektorii ruchu cząstek ciała stałego wykorzystano cyfrową anemo-metrię obrazową.The paper presents an influence of air velocity on particle movement trajectory in the two-component system during outlet from a horizontal channel. The researches were conducted for plastic spheres of different density and for the air velocity range of 5.95-9.92 m/s. The particle movement trajectory was determined using digital pictorial anemometry

Assessment of monodispersing material segregation with the used of digital particle image velocimetry (DPIV) technique in waste management contest

Przedstawiono wizualne badania procesu segregacji cząstek monodyspersyjnych w separatorze powietrznym. Opisano koncepcję stanowiska pomiarowego z aplikacją toru optycznego do pomiarów za pomocą szybkiej kamery wideo. Do opisu zjawisk zastosowano algorytmy cyfrowej anemometrii obrazowej (DPIV). Zaprezentowano ocenę zmiany stopnia segregacji w zależności od parametrów przepływowych w urządzeniu.Authors propose visualization research of monodispersing material separation in pneumatic separator. Conception of experimental stand with application of optical track based on fast video camera was described. Digital Particle Image Velocimetry (DPIV) for assessment of physical phenomena during pneumatic segregation was used. In the paper also correlation between two-dimensional concentration factor and flow parameters in device was described

Respiratory function, physical activity and body composition in adult rural population

objective. The aim of this study was to evaluate functioning of the respiratory system and to estimate the correlation between the function parameters of the respiratory system and the level of physical activity and body composition in the adult rural population. The study involved a group of 116 people from rural population aged 35–60 years, staying on 3-week rehabilitation camps. They were divided into two groups: men (29) and women (87). The somatic features: body height, body weight, Body Mass Index (BMI) and body copmposition were analysed, on the status of smoking and declared level of physical activity (PA) was checked. For the evaluation of the functional parameters of the respiratory system the pattern of flow volume curve was used. The following parameters were determined: vital capacity (VC), forced vital capacity (FVC), forced expiratory volume in one second (FEV1), peak expiratory flow (PEF), MEF50 (maximum expiratory flow at 50% of VC) and Tiffenau index. Hand grip and maximum torque of the knee join flexor and extensor muscles was measured. As expected, men had significantly higher levels of respiratory parameters. In analyzing the status of smoking cigarettes, it can be stated that the majority of subjects are smokers. conclusions. The values of functional parameters of the respiratory system were suitable for the age they were within the norm and did not show lung ventilation disorder. Most subjects of the study declared low physical activity which may be due to manual work on the farm. Smoking cigarettes significantly lowered the value of such parameters as FEV1, PEF and MEF50 only in the male group but the values did not indicate ventilatory disorder. Parameters of the respiratory system show the highest correlations with the parameters of muscle strength. Significant correlations with body compositions parameters (FFM, water) have been noticed too