Foot Progression Angle in Individuals with Diabetes Mellitus and Peripheral Neuropathy

Foot progression angle is a spatial walking parameter defined as the orientation of the longitudinal axis of the foot in the transverse plane. Foot progression angle has been linked to the protracted duration and magnitude of regional plantar stresses and loads in areas of the foot at risk for dermal injury in adults with diabetes mellitus and peripheral neuropathy. Prolonged timing and magnitude of elevated plantar stresses and loads on an insensate foot often results in the development and recurrence of neuropathic plantar ulcers in individuals with diabetes mellitus and peripheral neuropathy. The primary objective of this dissertation research was to explore how specific characteristics (magnitude and inter-limb asymmetry) of foot progression angle change with disease progression, to determine static and dynamic predictors of foot progression angle magnitude, and to examine the effect of a modification of foot progression angle on the regional plantar pressure distribution. A portion of this project was to investigate the impact of limited hip joint rotation on external foot progression angle magnitude in individuals with DMPN. This particularly novel aspect of the project represents a considerable expansion of previous literature on hip joint mobility in persons with DM, which has only explored hip joint mobility limitations in the sagittal plane with respect to a decreased walking speed. Given that treatment for joint limitations are within the scope of physical therapist practice, intervention(s) targeting lower extremity joint limitations could potentially serve as treatment sites to minimize risk for NPU development in DMPN

Identification of Whole Mitochondrial Genomes from Venezuela and Implications on Regional Phylogenies in South America

Recent studies have expanded and refined the founding haplogroups of the Americas using whole mitochondrial (mtDNA) genome analysis. In addition to pan-American lineages, a number of studies have identified specific variants that show higher frequencies in restricted geographical areas. In order to further characterize Native American maternal lineages and specifically examine local patterns within South America, we analyzed twelve maternally unrelated Yekuana whole mtDNA genomes from one village (Sharamaña) that include the four major Native American haplogroups A2, B2, C1, and D1. Our study proposes a reconfiguration of one subhaplogroup A2 (A2aa) that is specific to South America and identifies other singleton branches across the four haplogroups. Furthermore, we show nucleotide diversity values that increase from north to south for haplogroups C1 and D1. The results from our work add to the growing mitogenomic data that highlight local phylogenies and support the rapid genetic differentiation of South American populations, which has been correlated with the linguistic diversity in the region by previous studies

Impact of foot progression angle modification on plantar loading in individuals with diabetes mellitus and peripheral neuropathy

AIMS: To determine if participants can reduce foot progression angle (FPA), and if FPA reduction decreases regional plantar stresses and forces in individuals with diabetes. METHODS: DESIGN: Three-group cross-sectional design with repeated measures. SUBJECTS: twenty-eight participants either with diabetes mellitus (DM), diabetes and peripheral neuropathy with (DMPN+NPU) or without a prior history of ulceration (DMPN−NPU) were studied. INTERVENTION: Participants were first instructed to walk over a 3.6 m walkway at their preferred FPA, and then to walk with their foot aligned parallel with the line of gait progression at their self-selected speed. Dynamic plantar kinetics in six masked regions were collected using an EMED-st-P-2 pedobarograph. MAIN MEASURES: Primary outcome measures were FPA, peak plantar pressure (PPP), and force-time integral (FTI). A repeated measures ANOVA was conducted to determine group differences in FPA for both walking conditions. Regional differences in PPPs and FTIs between preferred and corrected walking conditions were analyzed using repeated measures ANCOVA. RESULTS: Participants showed a reduction in FPA magnitude on the ‘Involved’ foot between the preferred and corrected walking conditions (p<0.01). There were no differences in PPPs or FTIs in any mask between walking conditions (p>0.05). CONCLUSION: Results from this investigation offer important evidence that people with diabetes can modify their FPA with a simple intervention of visual and verbal cueing. Future research should examine if gait retraining strategies in regular footwear more effectively offload areas of elevated regional plantar stresses and forces in adults with diabetes mellitus and peripheral neuropathy

A formal test of linguistic and genetic coevolution in native Central and South America

This paper investigates a mechanism of linguistic and genetic coevolution in Native Central and South America. This mechanism proposes that a process of population fissions, expansions into new territories, and isolation of ancestral and descendant groups will produce congruent language and gene trees. To evaluate this population fissions mechanism, we collected published mtDNA sequences for 1,381 individuals from 17 Native Central and South American populations. We then tested the hypothesis that three well-known language classifications also represented the genetic structure of these populations. We rejected the hypothesis for each language classification. Our tests revealed linguistic and genetic correspondence in several shallow branches common to each classification, but no linguistic and genetic correspondence in the deeper branches contained in two of the language classifications. We discuss the possible causes for the lack of congruence between linguistic and genetic structure in the region, and describe alternative mechanisms of linguistic and genetic correspondence and their predictions. Am J Phys Anthropol, 2007. © 2007 Wiley-Liss, Inc.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/55923/1/20542_ftp.pd

The Friend zone: An In/inite Place Where Nothing Good Happens: A Comprehensive Study of Friend zoning Across Varying Genders and Sexual Orientations

“Friend zone” is a popular culture term used to describe a friendship where one member in a friend dyad desires a romantic or sexual relationship and the other member does not. Sexual Script Theory (Simon & Gagnon, 2003) and Sexual Strategies Theory (Buss & Schmidt, 1993) suggest that individuals will typically view the friend zone as a Qield dominated by female-to-male interactions, given sexual scripts on women as gatekeepers and men as being more active in initiating relationships. It may be expected then that men and women and individuals who are not exclusively heterosexual may then follow different scripts for making and negotiating friend zone choices. There is very little data available concerning instances of the use of the term friend zone in same-sex friendship interactions. Individuals are typically expected to have relationships that conform to the heteronormative script, so most people are resistant to the thought of being attracted to others of the same sex (Lamb, 2004). Because of this, many “best friendships” between those of the same sex have been used as protection against claims of same-sex attraction/relationships (Lamb, 2004). Given the lack of research on same-sex friend zoning, as well as the restrictive nature of heteronormative scripts, the current study explores the practice of friend zoning within same-sex friendships.https://orb.binghamton.edu/research_days_posters/1003/thumbnail.jp

Associations between Dopamine D4 Receptor Gene Variation with Both Infidelity and Sexual Promiscuity

Human sexual behavior is highly variable both within and between populations. While sex-related characteristics and sexual behavior are central to evolutionary theory (sexual selection), little is known about the genetic bases of individual variation in sexual behavior. The variable number tandem repeats (VNTR) polymorphism in exon III of the human dopamine D4 receptor gene (DRD4) has been correlated with an array of behavioral phenotypes and may be predicatively responsible for variation in motivating some sexual behaviors, particularly promiscuity and infidelity.We administered an anonymous survey on personal history of sexual behavior and intimate relationships to 181 young adults. We also collected buccal wash samples and genotyped the DRD4 VNTR. Here we show that individuals with at least one 7-repeat allele (7R+) report a greater categorical rate of promiscuous sexual behavior (i.e., having ever had a "one-night stand") and report a more than 50% increase in instances of sexual infidelity.DRD4 VNTR genotype varies considerably within and among populations and has been subject to relatively recent, local selective pressures. Individual differences in sexual behavior are likely partially mediated by individual genetic variation in genes coding for motivation and reward in the brain. Conceptualizing these findings in terms of r/K selection theory suggests a mechanism for selective pressure for and against the 7R+ genotype that may explain the considerable global allelic variation for this polymorphism

Mitochondrial Genetic Diversity and its Determinants in Island Melanesia

For a long time, many physical anthropologists and human geneticists considered Island Melanesian populations to be genetically impoverished, dominated by the effects of random genetic drift because of their small sizes, internally very homogeneous, and therefore of little relevance in reconstructing past human migrations. This view is changing. Here we present the developing detailed picture of mitochondrial DNA (mtDNA) variation in eastern New Guinea and Island Melanesia that reflects linguistic distinctions within the region as well as considerable island-by-island isolation. It also appears that the patterns of variation reflect marital migration distinctions between bush and beach populations. We have identified a number of regionally specific mtDNA variants. We also question the widely accepted hypothesis that the mtDNA variant referred to as the ‘Polynesian Motif’ (or alternatively the ‘Austronesian Motif’) developed outside this region somewhere to the west. It may well have first appeared among certain non-Austronesian speaking groups in eastern New Guinea or the Bismarcks. Overall, the developing mtDNA pattern appears to be more easily reconciled with that of other genetic and biometric variables

Mitochondrial echoes of first settlement and genetic continuity in El Salvador

Background: From Paleo-Indian times to recent historical episodes, the Mesoamerican isthmus played an important role in the distribution and patterns of variability all around the double American continent. However, the amount of genetic information currently available on Central American continental populations is very scarce. In order to shed light on the role of Mesoamerica in the peopling of the New World, the present study focuses on the analysis of the mtDNA variation in a population sample from El Salvador. Methodology/Principal Findings: We have carried out DNA sequencing of the entire control region of the mitochondrial DNA (mtDNA) genome in 90 individuals from El Salvador. We have also compiled more than 3,985 control region profiles from the public domain and the literature in order to carry out inter-population comparisons. The results reveal a predominant Native American component in this region: by far, the most prevalent mtDNA haplogroup in this country (at ~90%) is A2, in contrast with other North, Meso- and South American populations. Haplogroup A2 shows a star-like phylogeny and is very diverse with a substantial proportion of mtDNAs (45%; sequence range 16090–16365) still unobserved in other American populations. Two different Bayesian approaches used to estimate admixture proportions in El Salvador shows that the majority of the mtDNAs observed come from North America. A preliminary founder analysis indicates that the settlement of El Salvador occurred about 13,400±5,200 Y.B.P.. The founder age of A2 in El Salvador is close to the overall age of A2 in America, which suggests that the colonization of this region occurred within a few thousand years of the initial expansion into the Americas. Conclusions/Significance: As a whole, the results are compatible with the hypothesis that today's A2 variability in El Salvador represents to a large extent the indigenous component of the region. Concordant with this hypothesis is also the observation of a very limited contribution from European and African women (~5%). This implies that the Atlantic slave trade had a very small demographic impact in El Salvador in contrast to its transformation of the gene pool in neighbouring populations from the Caribbean facade