Quantitative assessment of cerebella ataxia through automated upper limb functional tests

Neurological disorders typically exhibit movement disabilities and disorders such as cerebellar ataxia (CA) can cause coordination inaccuracies often manifested as disabilities associated with gait, balance and speech. Since the severity assessment of the disorder is based on the expert clinical opinion, it is likely to be subjective. Automated versions of two upper limb tests: Finger to Nose test (FNT) and Diadochokinesia (DDK) test are investigated in this paper. Inertial Measurement Units (IMU) (BioKinTM ) are employed to capture the disability by measuring limb movements. Translational and rotational accelerations considered as kinematic parameters provided the features relevant to characteristic movements intrinsic to the disability. Principal Component Analysis (PCA) and multi-class Linear Discriminant classifier (LDA) were instrumental in dominant features correlating with the clinical scores. The relationship between clinicians assessment and the objective analysis is examined using Pearson Correlation. This study found that although FNT predominantly consist of translational movements, rotation was the dominant feature while for the case of DDK that predominantly consist of rotational movements, acceleration was the dominant feature. The degree of correlation in each test was also enhanced by combining the features in different tests

BRS and Anti-BRS Symmetry in Topological Yang--Mills Theory

We incorporate both BRS symmetry and anti-BRS symmetry into the quantisation of topological Yang--Mills theory. This refines previous treatments which consider only the BRS symmetry. Our formalism brings out very clearly the geometrical meaning of topological Yang--Mills theory in terms of connections and curvatures in an enlarged superspace; and its simple relationship to the geometry of ordinary Yang--Mills theory. We also discover a certain SU(3) triality between physical spacetime, and the two ghost directions of superspace. Finally, we demonstrate how to recover the usual gauge-fixed topological Yang--Mills action from our formalism.Comment: 17 pages, harvmac, DAMTP R92/3

Prediction of the Levodopa Challenge Test in Parkinson's Disease Using Data from a Wrist-Worn Sensor.

The response to levodopa (LR) is important for managing Parkinson's Disease and is measured with clinical scales prior to (OFF) and after (ON) levodopa. The aim of this study was to ascertain whether an ambulatory wearable device could predict the LR from the response to the first morning dose. The ON and OFF scores were sorted into six categories of severity so that separating Parkinson's Kinetigraph (PKG) features corresponding to the ON and OFF scores became a multi-class classification problem according to whether they fell below or above the threshold for each class. Candidate features were extracted from the PKG data and matched to the class labels. Several linear and non-linear candidate statistical models were examined and compared to classify the six categories of severity. The resulting model predicted a clinically significant LR with an area under the receiver operator curve of 0.92. This study shows that ambulatory data could be used to identify a clinically significant response to levodopa. This study has also identified practical steps that would enhance the reliability of this test in future studies

Wildlife and pollution: 2001-02 Annual Report

The Wildlife and Pollution contract covers a long-term monitoring programme, the Predatory Bird Monitoring Scheme (PBMS), that examines the levels of certain pollutants in selected wildlife species in Britain. The programme was started in the early 1960s, when there were serious concerns over the effects of organochlorine insecticides and organomercury fungicides on various species of birds and mammals. This early work demonstrated the effects of the organochlorines and eventually contributed to the ban on their use in the UK and abroad. The programme has subsequently assessed the success of these bans by measuring whether there has been a decline in the concentrations of organochlorine pesticides in the livers and eggs of predatory and freshwater fish-eating birds. Investigations have also been made into the levels of industrial polychlorinated biphenyls (PCBs), following their identification as pollutants in 1966. Mercury levels, derived from both agricultural and industrial sources, have also been tracked, although mercury concentrations were not measured in birds collected in 2001. In recent years, investigations have been made into the effects of the newest generation of rodenticides on barn owls Tyto alba. Northern gannet Morus bassanus eggs are also collected approximately biennially from two colonies and, when available, from other sites; eggs were last collected in 2000. This programme is now the longest-running of its kind anywhere in the world and the findings stimulate considerable interest internationally, as well as in Britain. Annual reports give an interim summary of results and every three years these annual results are gathered together into a more substantial report in which they are integrated with previous findings. The latest report of this type covers the period up to and including 2000 (Shore et al. 2005). Results are published periodically in the scientific literature. This current report presents the results of analyses carried out on material collected in 2001. It also includes a review of long-term trends in second-generation anticoagulant rodenticide residues in barn owls that occurred during the monitoring period up to and including the year 2001. The Wildlife and Pollution contract was the subject of scientific assessment within JNCC's rolling programme of peer review in autumn 1993 and was further assessed in 1996. As a result of the last two assessments, some monitoring was curtailed. Most notably, common kestrels Falco tinnunculus are no longer monitored for organochlorines. However, from 2001 onwards, kestrels will be monitored for second-generation anticoagulant rodenticides following the results from an individual study, carried out as part of the PBMS activities, which demonstrated that this species may be particularly vulnerable to exposure to these compounds (Shore et al. 2001). Carcasses and eggs of predatory bird species (such as peregrine falcon Falco peregrinus, common buzzard Buteo buteo, long-eared owl Asio otus, little owl Athene noctua, common kingfisher Alcedo atthis, great crested grebe Podiceps cristatus, and great bittern Botaurus stellaris) which do not form the core part of the PBMS, but are sent to the Centre for Ecology & Hydrology (CEH) by volunteers, are not analysed chemically. However, post-mortem examinations are carried out the carcasses, relevant information is recorded and the cause of death is determined (and reported back to the volunteer who submitted the carcass). Samples of the egg contents and body organs for these species, and samples for the species that do form part of the core monitoring, are all archived at -20°C as part of CEH's unique long-term tissue bank, and are often used in specific targeted research studies in subsequent years. Each section within the Wildlife and Pollution contract is summarised below. Each is dependent on the provision of material from amateur naturalists and other interested parties, and it is not always possible to obtain desired material for analysis, especially from remote areas

Wildlife and pollution: 2000-01 Annual Report

The Wildlife and Pollution contract covers a long-term monitoring programme that examines the levels of certain pollutants in selected wildlife species in Britain. The programme was started in the early 1960s, when there were serious concerns over the effects of organochlorine insecticides and organomercury fungicides on various species of birds and mammals. This early work demonstrated the effects of the organochlorines, and eventually contributed to the ban on their use in the UK and abroad. The programme has measured levels of these compounds in predatory and fish-eating birds since then. Investigations have also been made into the levels of industrial polychlorinated biphenyls (PCBs), following their identification as pollutants in 1966. Mercury levels, derived from both agricultural and industrial sources, have also been tracked. In recent years, investigations have been made into the effects of the latest generation of rodenticides on barn owls Tyto alba. Northern gannet Morus bassanus eggs are also collected approximately biennially from two colonies and, when available, from other sites; eggs were collected from one site in 2000. This programme is now the longest-running of its kind anywhere in the world and the findings stimulate considerable interest internationally, as well as in Britain. Annual reports give an interim summary of results. This current report presents the results of analyses carried out on material collected in 2000. Every three years these annual results are gathered together into a more substantial report in which they are integrated with previous findings. The last report of this type covered the period up to and including 1997 (Newton et al. 1998) and is updated here. The present report summarises the long-term trends in all contaminants (except rodenticides, analysed in Shore et al. 2005) that occurred during the monitoring period up to and including the year 2000. Results are published periodically in the scientific literature, and recent key papers are listed in the references to the present report. The Wildlife and Pollution contract was the subject of scientific assessment within JNCC's rolling programme of peer review in autumn 1993 and was further assessed in 1996. As a result of the last two assessments, some monitoring was curtailed. Specifically, common kestrels Falco tinnunculus were no longer monitored for organochlorines, although from 2001 this species will be monitored annually for second-generation anticoagulant rodenticides. The Centre for Ecology & Hydrology (CEH) still collects specimens for studying other contaminants as part of its core research programme. Similarly, other species (peregrine falcon Falco peregrinus, common buzzard Buteo buteo, long-eared owl Asio otus, little owl Athene noctua, common kingfisher Alcedo atthis, great crested grebe Podiceps cristatus, and great bittern Botaurus stellaris) that were received in small numbers in occasional years were also not analysed routinely, although some were analysed in specific one-off studies and tissues from all birds received at CEH in 2000 are archived in deep-freeze for future potential analyses. Each section within the Wildlife and Pollution contract is summarised below. Each is dependent on the provision of material from amateur naturalists and other interested parties, and it is not always possible to obtain desired material for analysis, especially from remote areas

Data from an Observational Study

Introduction Effective management and development of new treatment strategies for response fluctuations in advanced Parkinson’s disease (PD) largely depends on clinical rating instruments such as the PD home diary. The Parkinson’s kinetigraph (PKG) measures movement accelerations and analyzes the spectral power of the low frequencies of the accelerometer data. New algorithms convert each hour of continuous PKG data into one of the three motor categories used in the PD home diary, namely motor Off state and On state with and without dyskinesia. Objective To compare quantitative motor state assessment in fluctuating PD patients using the PKG with motor state ratings from PD home diaries. Methods Observational cohort study on 24 in-patients with documented motor fluctuations who completed diaries by rating motor Off, On without dyskinesia, On with dyskinesia, and asleep for every hour for 5 consecutive days. Simultaneously collected PKG data (recorded between 6 am and 10 pm) were analyzed and calibrated to the patient’s individual thresholds for Off and dyskinetic state by novel algorithms classifying the continuous accelerometer data into these motor states for every hour between 6 am and 10 pm. Results From a total of 2,040 hours, 1,752 hours (87.4%) were available for analyses from calibrated PKG data (7.5% sleeping time and 5.1% unclassified motor state time were excluded from analyses). Distributions of total motor state hours per day measured by PKG showed moderate-to-strong correlation to those assessed by diaries for the different motor states (Pearson’s correlations coefficients: 0.404–0.658), but inter-rating method agreements on the single- hour-level were only low-to-moderate (Cohen’s κ: 0.215–0.324). Conclusion The PKG has been shown to capture motor fluctuations in patients with advanced PD. The limited correlation of hour-to-hour diary and PKG recordings should be addressed in further studies

Savings bank depositors in a crisis: Glasgow 1847 and 1857

Savings banks were created as a means to encourage the newly created working class to save for the uncertainties of urban industrial life. This article explores the success of the Savings Bank of Glasgow, and pays particular attention to the response of savers to the financial and commercial crises of 1847 and 1857. The crisis of 1847 was shallower but longer lasting in Glasgow, while that of 1857 was greatly exacerbated by local conditions in the short term, but of little long-term importance to savers. It suggests that, in both crises, some elements of contagion may have been present but that those who panicked in 1857 were systematically different from those who did not

Non-Singularity of the Exact Two-Dimensional String Black Hole

We study the global structure of the exact two-dimensional space-time which emerges from string theory. Previous work has shown that in the semi-classical limit, this is a black hole similar to the Schwarzschild solution. However, we find that in the exact case, a new Euclidean region appears "between" the singularity and black hole interior. However the boundary between the Lorentzian and Euclidean regions is a coordinate singularity, which turns out to be a surface of time reflection symmetry in an extended space-time. Thus strings having fallen through the black hole horizon would eventually emerge through another one into a new asymptotically flat region. The maximally extended space-time consists of an infinite number of universes connected by wormholes. There are no singularities present in this geometry. We also calculate the mass and temperature associated with the space-time.Comment: 9 pages, latex, DAMTP R93/

Measurement of axial rigidity and postural instability using wearable sensors

Axial Bradykinesia is an important feature of advanced Parkinson\u27s disease (PD). The purpose of this study is to quantify axial bradykinesia using wearable sensors with the long-term aim of quantifying these movements, while the subject performs routine domestic activities. We measured back movements during common daily activities such as pouring, pointing, walking straight and walking around a chair with a test system engaging a minimal number of Inertial Measurement (IM) based wearable sensors. Participants included controls and PD patients whose rotation and flexion of the back was captured by the time delay between motion signals from sensors attached to the upper and lower back. PD subjects could be distinguished from controls using only two sensors. These findings suggest that a small number of sensors and similar analyses could distinguish between variations in bradykinesia in subjects with measurements performed outside of the laboratory. The subjects could engage in routine activities leading to progressive assessments of therapeutic outcomes