The use of interactive game technology to improve the physical health of the elderly : a serious game approach to reduce the risk of falling in older people

University of Technology Sydney. Faculty of Engineering and Information Technology.The elderly population is growing dramatically both in Australia and globally. With age, the human body undergoes a series of changes that can lead to decline in mental and physical health. Decline in motor functions increases the risk of developing health problems such as postural instability, balance disorders or simply having a fall. Falling is the main cause of disability and fatality among the elderly. Statistics show that one in three older adults might experience a fall every year. This could be prevented with regular exercise. Exercises with a walking component have proven to reduce falls by 40%. However, compliance with physical activity is often poor due to the mode of delivery, which is often unattractive. One approach that might help alleviate this is the use of commercial video games to engage the elderly in physical exercise. However, this practice may have undesirable results as such games are not designed to provide therapeutic support for the elderly but instead to entertain a much younger audience. This thesis aims to solve the above problem through the use of interactive game technology by testing that optimal results for the health of the elderly come from the combination of three elements: • the integration of a formal method to assess progress towards and the achievement of the desired health outcomes, • inclusion of meaningful tasks aligned with the specific health objectives • an appropriate game design through the use of user-centred design methodologies. Firstly, literature in the area of video games with health purposes for the elderly is reviewed to develop a clear understanding of the health issues and the research opportunities in the area. Secondly, a series of game prototypes is built and tested to investigate whether off-the-shelf game technology can be used to reliably perform a clinical test for fall risk assessment. Then a game is developed that aims to reduce the risk of falling by training a set of specific cognitive and physical functions that have been shown to be associated with falling. This prototype, known as the StepKinnection game, integrates the concept of an appropriate game design for the elderly, inclusion of meaningful tasks and the collection of stepping performance data. Thirdly, a series of studies on independent-living people aged 65 years and over are conducted. These studies confirmed the ability to reliably perform a clinical test using off-the-shelf game technology, the acceptance and ease of use of the StepKinnection game, and the potential of StepKinnection to reduce the risk of falling in the elderly. Finally, an analytical framework is developed for designing interactive games with health purposes for the elderly. This framework aims to assist the development of games aligned to particular health outcomes. This framework emphasises the importance of aligning the game goals to the expected health outcomes as well as the continuous assessment of progress and effectiveness

Benznidazole biotransformation and multiple targets in <i>Trypanosoma</i> cruzi revealed by metabolomics

&lt;b&gt;Background&lt;/b&gt;&lt;p&gt;&lt;/p&gt; The first line treatment for Chagas disease, a neglected tropical disease caused by the protozoan parasite Trypanosoma cruzi, involves administration of benznidazole (Bzn). Bzn is a 2-nitroimidazole pro-drug which requires nitroreduction to become active, although its mode of action is not fully understood. In the present work we used a non-targeted MS-based metabolomics approach to study the metabolic response of T. cruzi to Bzn.&lt;p&gt;&lt;/p&gt; &lt;b&gt;Methodology/Principal findings&lt;/b&gt;&lt;p&gt;&lt;/p&gt; Parasites treated with Bzn were minimally altered compared to untreated trypanosomes, although the redox active thiols trypanothione, homotrypanothione and cysteine were significantly diminished in abundance post-treatment. In addition, multiple Bzn-derived metabolites were detected after treatment. These metabolites included reduction products, fragments and covalent adducts of reduced Bzn linked to each of the major low molecular weight thiols: trypanothione, glutathione, γ-glutamylcysteine, glutathionylspermidine, cysteine and ovothiol A. Bzn products known to be generated in vitro by the unusual trypanosomal nitroreductase, TcNTRI, were found within the parasites, but low molecular weight adducts of glyoxal, a proposed toxic end-product of NTRI Bzn metabolism, were not detected.&lt;p&gt;&lt;/p&gt; &lt;b&gt;Conclusions/significance&lt;/b&gt;&lt;p&gt;&lt;/p&gt; Our data is indicative of a major role of the thiol binding capacity of Bzn reduction products in the mechanism of Bzn toxicity against T. cruzi

DepQBF 6.0: A Search-Based QBF Solver Beyond Traditional QCDCL

We present the latest major release version 6.0 of the quantified Boolean formula (QBF) solver DepQBF, which is based on QCDCL. QCDCL is an extension of the conflict-driven clause learning (CDCL) paradigm implemented in state of the art propositional satisfiability (SAT) solvers. The Q-resolution calculus (QRES) is a QBF proof system which underlies QCDCL. QCDCL solvers can produce QRES proofs of QBFs in prenex conjunctive normal form (PCNF) as a byproduct of the solving process. In contrast to traditional QCDCL based on QRES, DepQBF 6.0 implements a variant of QCDCL which is based on a generalization of QRES. This generalization is due to a set of additional axioms and leaves the original Q-resolution rules unchanged. The generalization of QRES enables QCDCL to potentially produce exponentially shorter proofs than the traditional variant. We present an overview of the features implemented in DepQBF and report on experimental results which demonstrate the effectiveness of generalized QRES in QCDCL.Comment: 12 pages + appendix; to appear in the proceedings of CADE-26, LNCS, Springer, 201

A large geometric distortion in the first photointermediate of rhodopsin, determined by double-quantum solid-state NMR

Double-quantum magic-angle-spinning NMR experiments were performed on 11,12-C-13(2)-retinylidene-rhodopsin under illumination at low temperature, in order to characterize torsional angle changes at the C11-C12 photoisomerization site. The sample was illuminated in the NMR rotor at low temperature (similar to 120 K) in order to trap the primary photointermediate, bathorhodopsin. The NMR data are consistent with a strong torsional twist of the HCCH moiety at the isomerization site. Although the HCCH torsional twist was determined to be at least 40A degrees, it was not possible to quantify it more closely. The presence of a strong twist is in agreement with previous Raman observations. The energetic implications of this geometric distortion are discussed

The submarine volcano eruption at the island of El Hierro: physical-chemical perturbation and biological response

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Epigenetics modifications and Subclinical Atherosclerosis in Obstructive Sleep Apnea: The EPIOSA study.

Background Obstructive sleep apnea (OSA) is associated with increased risk for cardiovascular morbidity and mortality. Epidemiological and animal models studies generate hypotheses for innovative strategies in OSA management by interferig intermediates mechanisms associated with cardiovascular complications. We have thus initiated the Epigenetics modification in Obstructive Sleep Apnea (EPIOSA) study (ClinicalTrials.gov identifier: NCT02131610). Methods/design EPIOSA is a prospective cohort study aiming to recruit 350 participants of caucasian ethnicity and free of other chronic or inflammatory diseases: 300 patients with prevalent OSA and 50 non-OSA subjects. All of them will be follow-up for at least 5 years. Recruitment and study visits are performed in single University-based sleep clinic using standard operating procedures. At baseline and at each one year follow-up examination, patients are subjected to a core phenotyping protocol. This includes a standardized questionnaire and physical examination to determine incident comorbidities and health resources utilization, with a primary focus on cardiovascular events. Confirmatory outcomes information is requested from patient records and the regional Department of Health Services. Every year, OSA status will be assessed by full sleep study and blood samples will be obtained for immediate standard biochemistry, hematology, inflammatory cytokines and cytometry analysis. For biobanking, aliquots of serum, plasma, urine, mRNA and DNA are also obtained. Bilateral carotid echography will be performed to assess subclinical atherosclerosis and atherosclerosis progression. OSA patients are treated according with national guidelines. Discussion EPIOSA will enable the prospective evaluation of inflammatory and epigenetics mechanism involved in cardiovascular complication of treated and non-treated patients with OSA compared with non OSA subjects

Near-infrared spectroscopy and geostatistical analysis for modeling spatial distribution of analytical constituents in bulk animal by-product protein meals

Control and inspection operations within the context of safety and quality assessment of bulk foods and feeds are not only of particular importance, they are also demanding challenges, given the complexity of food/feed production systems and the variability of product properties. Existing methodologies have a variety of limitations, such as high costs of implementation per sample or shortcomings in early detection of potential threats for human/animal health or quality deviations. Therefore, new proposals are required for the analysis of raw materials in situ in a more efficient and cost-effective manner. For this purpose, a pilot laboratory study was performed on a set of bulk lots of animal by-product protein meals to introduce and test an approach based on near-infrared (NIR) spectroscopy and geostatistical analysis. Spectral data, provided by a fiber optic probe connected to a Fourier transform (FT) NIR spectrometer, were used to predict moisture and crude protein content at each sampling point. Variographic analysis was carried out for spatial structure characterization, while ordinary Kriging achieved continuous maps for those parameters. The results indicated that the methodology could be a first approximation to an approach that, properly complemented with the Theory of Sampling and supported by experimental validation in real-life conditions, would enhance efficiency and the decision-making process regarding safety and adulteration issues

VEZF1 elements mediate protection from DNA methylation

There is growing consensus that genome organization and long-range gene regulation involves partitioning of the genome into domains of distinct epigenetic chromatin states. Chromatin insulator or barrier elements are key components of these processes as they can establish boundaries between chromatin states. The ability of elements such as the paradigm &#946;-globin HS4 insulator to block the range of enhancers or the spread of repressive histone modifications is well established. Here we have addressed the hypothesis that a barrier element in vertebrates should be capable of defending a gene from silencing by DNA methylation. Using an established stable reporter gene system, we find that HS4 acts specifically to protect a gene promoter from de novo DNA methylation. Notably, protection from methylation can occur in the absence of histone acetylation or transcription. There is a division of labor at HS4; the sequences that mediate protection from methylation are separable from those that mediate CTCF-dependent enhancer blocking and USF-dependent histone modification recruitment. The zinc finger protein VEZF1 was purified as the factor that specifically interacts with the methylation protection elements. VEZF1 is a candidate CpG island protection factor as the G-rich sequences bound by VEZF1 are frequently found at CpG island promoters. Indeed, we show that VEZF1 elements are sufficient to mediate demethylation and protection of the APRT CpG island promoter from DNA methylation. We propose that many barrier elements in vertebrates will prevent DNA methylation in addition to blocking the propagation of repressive histone modifications, as either process is sufficient to direct the establishment of an epigenetically stable silent chromatin stat