Gait analysis through sound

Gait analysis in clinical practice begins with observation. When abnormalities are detected at this stage, more detailed data are collected through assessments using measurement instruments. Clinical observation is extremely important, as a wide range of information can be obtained. Assessments are conducted through visual observation, and key features to be noted have already been published and used extensively. Clinicians also notice abnormalities in gait sound; however, publications on this subject are yet to be published. This paper has been prepared based on the authorʼs clinical experiences and describes the information that can be obtained from sounds created during the gait cycle

Investigation of the optimal location of the metatarsal pad in the standing position

The location of the metatarsal pads was quantitated in 16 healthy men (32 feet) using plantar pressure measurement and numeric rating scale (NRS) systems. Plantar pressure measurement system (F-Scan, Nitta co. Japan) was used to measure plantar pressure in subjects standing still under 5 different placement conditions of metatarsal pads (thickness, 8 mm). Measurement was also performed with no pads (control, 0 mm). After plantar pressure measurement under each condition, subjects rated pain caused by the height of the pads using NRS. The results showed that the placement was optimum when the apex of the pad was located 2 cm proximal and 5 mm lateral to the proximal end of the second metatarsal head along the longitudinal axis of feet

Tag-KEM/DEM: A New Framework for Hybrid Encryption

This paper presents a novel framework for the generic construction of hybrid encryption schemes which produces more efficient schemes than the ones known before. A previous framework introduced by Shoup combines a key encapsulation mechanism (KEM) and a data encryption mechanism (DEM). While it is sufficient to require both components to be secure against chosen ciphertext attacks (CCA-secure), Kurosawa and Desmedt showed a particular example of KEM that is not CCA-secure but can be securely combined with a specific type of CCA-secure DEM to obtain a more efficient, CCA-secure hybrid encryption scheme. There are also many other efficient hybrid encryption schemes in the literature that do not fit Shoup\u27s framework. These facts serve as motivation to seek another framework. The framework we propose yields more efficient hybrid scheme, and in addition provides insightful explanation about existing schemes that do not fit into the previous framework. Moreover, it allows immediate conversion from a class of threshold public-key encryption to a hybrid one without considerable overhead, which may not be possible in the previous approach

Effects of Valsartan on Inflammatory and Oxidative Stress Markers in Hypertensive, Hyperglycemic Patients: An Open-Label, Prospective Study

AbstractBackground: Diabetes mellitus and hypertension are aggravated by activation of the renin-angiotensin system caused by increased oxygen stress and local inflammatory responses. Several studies have suggested that angiotensin II type 1 receptors can reduce inflammatory markers (high-sensitivity C-reactive protein [hs-CRP], interleukin [IL]-6, IL-18, soluble vascular cell adhesion molecule [VCAM]-I, and l-selectin) and oxidative stress markers (urinary 8-hydroxy-7,8-dihydro-2'-deoxyguanosine [8-OHdG] and 8-epi-prostaglandin F2α [8-isoprostane]) in hypertensive patients.Objective: The aim of this study was to assess the effects of valsartan, an angiotensin II receptor blocker, on inflammatory and oxidative stress markers in hypertensive patients with mild diabetes or impaired glucose tolerance.Methods: In this open-label, prospective study, hypertensive patients aged >20 years with mild diabetes (requiring treatment by diet alone or an oral hypoglycemic), seen on an outpatient basis at the Division of Diabetes, Metabolism, and Endocrinology, Omori Hospital, Toyko, Japan, who were receiving a therapeutic dietary regimen for ≥1 month in the treatment of diabetes or hypertension, were eligible for enrollment. Blood pressure, inflammatory markers (hs-CRP, IL-6, IL-18, VCAM-1, and L-selectin), and oxidative stress markers (urinary 8-OHdG and 8-isoprostane) were monitored before treatment commencement with valsartan (40-80 mg/d) and after 3 months of treatment.Results: A total of 26 patients (18 men, 8 women; mean [SD] age, 57.7 [11.3] years; mean [SD] weight, 65.3 [13.1] kg) were enrolled in the study. After 3 months of treatment, patients' mean (SD) blood pressure had significantly decreased from 153.1 (11.2)/88.3 (11.4) to 143.7 (13.7)/85.2 (9.0) mm Hg (P < 0.05). Among the inflammatory and oxidative stress markers, hs-CRP, VCAM-1, and urinary 8-OHdG concentrations decreased significantly from 0.231 (0.199) to 0.134 (0.111) mg/dL (P = 0.043), 471.1 (193.9) to 403.2 (135.2) ng/mL (P = 0.012), and 12.12 (5.99) to 8.07 (3.36) ng/mg · creatinine (P = 0.001), respectively. The reductions in these markers were observed in patients regardless of whether or not their glycosylated hemoglobin (HbA1c) concentration improved (defined as a decrease of ≥1% in HbA1c).Conclusion: This small, open-label, prospective study found that a 3-month treatment with valsartan was associated with a significant reduction of hs-CRP, VCAM-1, and urinary 8-OHdG concentrations independent of improvement in HbA1c concentration in these hypertensive patients with hyperglycemia

Identification of 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD)-inducible genes in human amniotic epithelial cells

BACKGROUND: Exposure to dioxins results in a broad range of pathophysiological disorders in human fetuses. In order to evaluate the effects of dioxins on the feto-placental tissues, we analyzed the gene expression in 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) treated primary cultures of human amniotic epithelial cells. METHODS: Human amniotic epithelial cells were dispersed by trypsin from amniotic membranes and cultured in DME/Ham's F12 medium supplemented with 10% FBS. Two weeks after plating, cells were treated with 50 nM TCDD or DMSO (control), further incubated for 48 hrs, and the gene expression was analyzed by DNA microarray technology and quantitative real-time PCR. RESULTS: Thirty eight TCDD-inducible genes, including cytochromeP4501A1 and cytochromeP4501B1, were identified. One of the remarkable profiles of the gene expression was the prominent up-regulation of interferon-inducible genes. The genes involved in the interferon gene expression and interferon signaling pathways were also up-regulated. Furthermore, the expression of genes related to collagen synthesis or degradation was enhanced by TCDD. CONCLUSION: Using DNA microarray and quantitative real-time PCR analyses, we identified TCDD-inducible genes, including interferon-inducible genes and genes related to collagen synthesis or degradation, in human amniotic epithelial cells

Musical instrument training program improves verbal memory and neural efficiency in novice older adults

楽器訓練で高齢者の認知機能が向上することを確認 --訓練による脳活動の変化を高齢者で初報告--. 京都大学プレスリリース. 2020-12-24.Previous studies indicate that musical instrument training may improve the cognitive function of older adults. However, little is known about the neural origins of training‐related improvement in cognitive function. Here, we assessed the effects of instrumental training program on cognitive functions and neural efficiency in musically naïve older adults (61–85 years old). Participants were assigned to either the intervention group, which received a 4‐month instrumental training program using keyboard harmonica, or a control group without any alternative training. Cognitive measurements and functional magnetic resonance imaging during visual working memory (VWM) task were administered before and after the intervention in both groups. Behavioral data revealed that the intervention group significantly improved memory performance on the test that measures verbal recall compared to the control group. Neuroimaging data revealed that brain activation in the right supplementary motor area, left precuneus, and bilateral posterior cingulate gyrus (PCgG) during the VWM task decreased after instrumental training only in the intervention group. Task‐related functional connectivity (FC) analysis revealed that the intervention group showed decreased FC between the right PCgG and left middle temporal gyrus, and between the left putamen and right superior temporal gyrus (lPu‐rSTG) during a VWM task after the intervention. Furthermore, a greater improvement in memory performance in the intervention group was associated with a larger reduction in lPu‐rSTG FC, which might be interpreted as improved neural efficiency. Our results indicate that the musical instrument training program may contribute to improvements in verbal memory and neural efficiency in novice older adults