The Effect of Upper Extremity Immobilization Following Surgical Rotator Cuff Repair on Balance in Elderly Individuals

The purpose of this study was to determine if a relationship exists between upper extremity immobilization following surgical rotator cuff repair and balance in elderly individuals. Twenty-eight healthy volunteers (nine with rotator cuff repair, nineteen without) aged 53 to 74 participated in the study. Balance was measured using the Berg Balance Measure, Modified Berg Balance Measure, Functional Reach Test, and force plate analysis. Results were analyzed using t-tests for paired and independent samples, Mann Whitney U (Wilcoxon Rank Sum W) tests and Wilcoxon Matched-Pairs Signed- Ranks tests. Significant differences were found between the post-rotator cuff surgery and control groups for performance on the Berg (p=0.0125) and Modified Berg (p=0.019, p=0.0120), as well as between the sling and no-sling block for two measures of posterior maximal lean (p=0.0249, p=0.0179). Results suggest that long and short term immobilization have some effect on balance. A need for balance training may exist in this population

Understanding Arguments to Protect Farmland in Idaho: Innovative Solutions and Community Insights to Drive Policy Change

Between Spring 2022 and Spring 2023, a team of researchers at Boise State University conducted interviews with people involved in farmland protection efforts. Our goal was to understand how interviewees frame the issue of farmland loss. Frames can draw attention to an issue, contextualize decision-making, and influence the policy solutions considered. Through a frame analysis, we gained a clearer understanding of potential approaches for farmland protection in Idaho. We conducted 10 semi-structured interviews with individuals representing government agencies, academic institutions, land trusts, non-profit organizations, and farmers. After conducting the interviews, we analyzed the transcripts in a systematic manner to identify recurring message frames pertaining to farmland loss. The analysis process enabled us to map these frames onto potential policy solutions applicable to Idaho. Our report outlines the advantages and disadvantages of each frame and pinpoints which ones are likely to resonate with specific groups. Our research revealed a diverse range of frames used to address farmland protection, with many interviewees citing multiple frames. The domestic food security, regional economy, and national/global trade frames are expected to have broad appeal, while the national security and environmental benefits frames may appeal to more specific audiences. The threatened resource and cultural importance frames are likely to resonate with those valuing tradition. We identified a variety of solutions, such as agricultural protection areas, support for rural economies, promotion of regenerative agriculture, and expansion of Idaho\u27s Right to Farm Act protections. Our findings underscore the importance of diverse, flexible, and responsive solutions to improve the feasibility of farmland protection in Idaho. We hope that our work will provide a solid basis for future efforts aimed at preserving Idaho\u27s farmland

Combination Therapy of Brain Natriuretic Peptide and Sildenafil Attenuates Pulmonary Hypertension in Rats [abstract]

Abstract only availableFaculty Mentor: Dr. Vincent DeMarco, Child HealthBackground: Pulmonary arterial hypertension (PAH) is a lethal disease characterized by changes in pulmonary vascular structure and function. We tested the hypothesis that Sildenafil, a phosphodiesterase 5 inhibitor, and brain natriuretic peptide (BNP), a guanosine cyclase stimulator, in combination synergistically attenuates PAH when compared to individual therapy in rats through different mechanisms to increase cGMP while minimizing systemic side effects. Methods: Adult male Sprague-Dawley rats were subcutaneously injected with monocrotaline (n=30, 50 mg/kg). After approximately 5 weeks, rats were anesthetized and instrumented to measure systemic pressure (MAP) and right ventricular systolic pressure (RVSP) during infusions of vehicle solution (n=5), intravenous Sildenafil (84 mg/kg/min; n=8), and intravenous BNP (100 ng/kg/min; n=7) alone and a combination of Sildenafil and BNP (n=10). Results: Sildenafil alone decreased RVSP (-17 ±13.2 mmHg) and had a relatively minimal effect on MAP (-4±9.9 mmHg). BNP decreased RVSP (-19±14 mmHg) but also significantly effected MAP (-11±15.3mmHg). Combination therapy with Sildenafil and BNP lowered RVSP (-20±18.7 mmHg), however it also induced the greatest systemic hypotensive effect (MAP = -19±9.9 mmHg). Conclusion: The combination of Sildenafil and BNP, at these doses, significantly attenuates monocrotaline-induced pulmonary hypertension. However, compared with individual treatment, there is no significant difference in effect on RVSP. Furthermore, additive systemic side effects are too significant to consider combination therapy safe. With a different dosing regime, this combination is a potentially viable option in the treatment of patients with PAH

Seasonal dynamics and exports of elements from a first‐order stream to a large inland lake in Michigan

Headwater streams are critical components of drainage systems, directly connecting terrestrial and downstream aquatic ecosystems. The amount of water in a stream can alter hydrologic connectivity between the stream and surrounding landscape and is ultimately an important driver of what constituents headwater streams transport. There is a shortage of studies that explore concentration–discharge (C‐Q) relationships in headwater systems, especially forested watersheds, where the hydrological and ecological processes that control the processing and export of solutes can be directly investigated. We sought to identify the temporal dynamics and spatial patterns of stream chemistry at three points along a forested headwater stream in Northern Michigan and utilize C‐Q relationships to explore transport dynamics and potential sources of solutes in the stream. Along the stream, surface flow was seasonal in the main stem, and perennial flow was spatially discontinuous for all but the lowest reaches. Spring snowmelt was the dominant hydrological event in the year with peak flows an order of magnitude larger at the mouth and upper reaches than annual mean discharge. All three C‐Q shapes (positive, negative, and flat) were observed at all locations along the stream, with a higher proportion of the analytes showing significant relationships at the mouth than at the mid or upper flumes. At the mouth, positive (flushing) C‐Q shapes were observed for dissolved organic carbon and total suspended solids, whereas negative (dilution) C‐Q shapes were observed for most cations (Na+, Mg2+, Ca2+) and biologically cycled anions (NO3−, PO43−, SO42−). Most analytes displayed significant C‐Q relationships at the mouth, indicating that discharge is a significant driving factor controlling stream chemistry. However, the importance of discharge appeared to decrease moving upstream to the headwaters where more localized or temporally dynamic factors may become more important controls on stream solute patterns.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/149221/1/hyp13416.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/149221/2/hyp13416_am.pd

Comparison of microbial community structures in soils with woody organic amendments and soils with traditional local organic amendments in Ningxia of Northern China

Background Addition of organic amendments has been commonly adopted as a means to restore degraded soils globally. More recently, the use of woody organic amendments has been recognized as a viable method of capturing and retaining water and restoring degraded and desertified soil, especially in semi-arid regions. However, the impacts of woody amendments on soil microbial community structure, versus other traditional organic supplements is less understood. Methods Three locally available natural organic materials of different qualities, i.e., cow manure (CM), corn straw (CS), and chipped poplar branches (PB) were selected as treatments in Ningxia, Northern China and compared with control soils. Four microcosms served as replicates for each treatment. All treatments contained desertified soil; treatments with amendments were mixed with 3% (w/w) of one of the above organic materials. After 7 and 15 months from the start of the experiment, soil samples were analyzed for chemical and physical properties, along with biological properties, which included microbial α-diversity, community structure, and relative abundance of microbial phyla. Results Both bacterial and fungal α-diversity indices were weakly affected by amendments throughout the experimental period. All amendments yielded different microbial community compositions than the Control soils. The microbial community composition in the CS and PB treatments also were different from the CM treatment. After 15 months of the experiment, CS and PB exhibited similar microbial community composition, which was consistent with their similar soil physical and chemical properties. Moreover, CS and PB also appeared to exert similar effects on the abundance of some microbial taxa, and both of these treatments yield different abundances of microbial taxa than the CM treatment. Conclusion New local organic amendment with PB tended to affect the microbial community in a similar way to the traditional local organic amendment with CS, but different from the most traditional local organic amendment with CM in Ningxia, Northern China. Moreover, the high C/N-sensitive, and lignin and cellulose decompose-related microbial phyla increased in CS and PB have benefits in decomposing those incorporated organic materials and improving soil properties. Therefore, we recommend that PB should also be considered as a viable soil organic amendment for future not in Ningxia, but also in other places

Public Health Interventions Guided by Houston\u27s Wastewater Surveillance Program During the COVID-19 Pandemic

Since the start of the COVID-19 pandemic, wastewater surveillance has emerged as a powerful tool used by public health authorities to track SARS-CoV-2 infections in communities. In May 2020, the Houston Health Department began working with a coalition of municipal and academic partners to develop a wastewater monitoring and reporting system for the city of Houston, Texas. Data collected from the system are integrated with other COVID-19 surveillance data and communicated through different channels to local authorities and the general public. This information is used to shape policies and inform actions to mitigate and prevent the spread of COVID-19 at municipal, institutional, and individual levels. Based on the success of this monitoring and reporting system to drive public health protection efforts, the wastewater surveillance program is likely to become a standard part of the public health toolkit for responding to infectious diseases and, potentially, other disease-causing outbreaks

Change in Physical Activity after a Diabetes Diagnosis: Opportunity for Intervention

INTRODUCTION: Moderate intensity physical activity is recommended for individuals with diabetes to control glucose and prevent diabetes-related complications. The extent to which a diabetes diagnosis motivates patients to increase physical activity is unclear. This study used data from the Women\u27s Health Initiative Observational Study (baseline data collected from 1993-1998) to examine change in physical activity and sedentary behavior in women who reported a diabetes diagnosis compared to women who did not report diabetes over 7 years of follow-up (up to 2005). METHODS: Participants (n=84,300) were post-menopausal women who did not report diabetes at baseline [mean age=63.49; standard deviation (SD)=7.34; mean BMI=26.98 kg/m; SD=5.67]. Linear mixed model analyses were conducted adjusting for study year, age, race/ethnicity, BMI, education, family history of diabetes, physical functioning, pain, energy/fatigue, social functioning, depression, number of chronic diseases and vigorous exercise at age 18. Analyses were completed in August 2012. RESULTS: Participants who reported a diabetes diagnosis during follow-up were more likely to report increasing their total physical activity (p=0.002), walking (p CONCLUSION: A diabetes diagnosis may prompt patients to increase physical activity. Healthcare professionals should consider how best to capitalize on this opportunity to encourage increased physical activity and maintenance

Cognitive phenotypes in late-onset epilepsy: results from the atherosclerosis risk in communities study

Introduction Cognitive phenotyping is a widely used approach to characterize the heterogeneity of deficits in patients with a range of neurological disorders but has only recently been applied to patients with epilepsy. In this study, we identify cognitive phenotypes in older adults with late-onset epilepsy (LOE) and examine their demographic, clinical, and vascular profiles. Further, we examine whether specific phenotypes pose an increased risk for progressive cognitive decline. Methods Participants were part of the Atherosclerosis Risk in Communities Study (ARIC), a prospective longitudinal community-based cohort study of 15,792 individuals initially enrolled in 1987–1989. LOE was identified from linked Centers for Medicare and Medicaid Services claims data. Ninety-one participants with LOE completed comprehensive testing either prior to or after seizure onset as part of a larger cohort in the ARIC Neurocognitive Study in either 2011–2013 or 2016–2017 (follow-up mean = 4.9 years). Cognitive phenotypes in individuals with LOE were derived by calculating test-level impairments for each participant (i.e., ≤1 SD below cognitively normal participants on measures of language, memory, and executive function/processing speed); and then assigning participants to phenotypes if they were impaired on at least two tests within a domain. The total number of impaired domains was used to determine the cognitive phenotypes (i.e., Minimal/No Impairment, Single Domain, or Multidomain). Results At our baseline (Visit 5), 36.3% met criteria for Minimal/No Impairment, 35% for Single Domain Impairment (with executive functioning/ processing speed impaired in 53.6%), and 28.7% for Multidomain Impairment. The Minimal/No Impairment group had higher education and occupational complexity. There were no differences in clinical or vascular risk factors across phenotypes. Of those participants with longitudinal data (Visit 6; n = 24), 62.5% declined (i.e., progressed to a more impaired phenotype) and 37.5% remained stable. Those who remained stable were more highly educated compared to those that declined. Discussion Our results demonstrate the presence of identifiable cognitive phenotypes in older adults with LOE. These results also highlight the high prevalence of cognitive impairments across domains, with deficits in executive function/processing speed the most common isolated impairment. We also demonstrate that higher education was associated with a Minimal/No Impairment phenotype and lower risk for cognitive decline over time