TRAINING AND EXPERIENCE ATTENUATE PROTECTIVE GAIT STRATEGIES DURING BEAM WALKING

Walking on a narrow, raised beam is more difficult than walking across a floor. During beam walking, a protective strategy designed to maximise stability is adopted. This study compared the electrical activity (EMG) of selected leg muscles during normal walking with that during beam walking in novice and expert subjects. Results show that whilst changes (compared with normal walking) occurred in all subjects during beam walking, the magnitude of these changes is less in experts than in novices. In particular experts showed reduced muscle co-contraction during beam walking than novices. Thus whilst a protective strategy is elicited in expert subjects, the extent to which it is manifest is reduced. Experts maintain more typical patterns of EMG and should be less prone to muscle fatigue, a factor known to increase the risk of injury

Unmasking quality: exploring meanings of health by doing art

This paper arises from a presentation at the ‘Quality in Healthcare’ symposium at Cumberland Lodge, England, in 2013. MK, CR and SH conceived the paper and led the writing of the manuscript. JF, JL-D, AC, DE contributed substantially to the intellectual content of the paper through providing critical commentary and interpretation. All authors read and approved the final manuscript

Evaluating Patient Preferences of Maintenance Therapy for the Treatment of Chronic Obstructive Pulmonary Disease: A Discrete Choice Experiment in the UK, USA and Germany.

Introduction: With increasing availability of different treatments for chronic obstructive pulmonary disease (COPD), we sought to understand patient preferences for COPD treatment in the UK, USA, and Germany using a discrete choice experiment (DCE). Methods: Qualitative research identified six attributes associated with COPD maintenance treatments: ease of inhaler use, exacerbation frequency, frequency of inhaler use, number of different inhalers used, side effect frequency, and out-of-pocket costs. A DCE using these attributes, with three levels each, was designed and tested through cognitive interviews and piloting. It comprised 18 choice sets, selected using a D-efficient experimental design. Demographics and disease history were collected and the final DCE survey was completed online by participants recruited from panels in the UK, USA and Germany. Responses were analyzed using mixed logit models, with results expressed as odds ratios (ORs). Results: Overall, 450 participants (150 per country) completed the DCE; most (UK and Germany, 97.3%; USA, 98.0%) were included in the final analysis. Based on relative attribute importance, avoidance of side effects was found to be most important (UK: OR 11.65; USA: OR 7.17; Germany: OR 11.45; all p<0.0001), followed by the likelihood of fewer exacerbations (UK: OR 2.22; USA: OR 1.63; Germany: OR 2.54; all p<0.0001) and increased ease of use (UK: OR 1.84; USA: OR 1.84; Germany: OR 1.60; all p<0.0001). Number of inhalers, out-of-pocket costs, and frequency of inhaler use were found to be less important. Preferences were relatively consistent across the three countries. All participants required a reduction in exacerbations to accept more frequent inhaler use or use of more inhalers. Conclusion: When selecting COPD treatment, individuals assigned the highest value to the avoidance of side effects, experiencing fewer exacerbations, and ease of inhaler use. Ensuring that patients' preferences are considered may encourage treatment compliance

Investigating Sharing in Memory for Life Systems

Memory for Life (M4L) systems store and organize life events captured by people in digital form using their cameras, mobile phones and so on. This paper describes M4L systems and the challenges for sharing digital events. Based on the challenges, an investigation is carried out in order to find a suitable technology that allows sharing of digital events according to the social network of a user. For this purpose, Web-based online social networks and peer-to-peer networks are particularly studied. The requirements for a social P2P model for sharing human digital events (HDEs) are suggested as future work

Memory Threads: Organizing Digital Memories to Organize Social P2P Networks

Human remember their memories based on some reference which helps in recalling those memories. These references are usually common for many people, objects, places and so on. We organize human digital memories in the form of memory threads, according to the references of the memories in order to present information about different places, persons, etc. We organize peers in our Entity-based social peer-to-peer network according to memory threads in the form of memory threads-based communities. In our approach, peers having human digital memories with similar reference keys are grouped together under certain criteria. The criteria for thread selects peers with similar digital memories and arrange them in a specific order that define a structure of thread, which allows tracing via memories and accessing peers at different locations in threads easily. This approach is more scalable because it brings the most similar peer together in a community of similar peer. The known location of peer and data allows fast data searching. Also, a community presents useful information about the entity in network

Wild Trypanosoma cruzi I genetic diversity in Brazil suggests admixture and disturbance in parasite populations from the Atlantic Forest region.

BACKGROUND: Trypanosoma cruzi (Kinetoplastida, Trypanosomatidae) infection is an ancient and widespread zoonosis distributed throughout the Americas. Ecologically, Brazil comprises several distinct biomes: Amazonia, Cerrado, Caatinga, Pantanal and the Atlantic Forest. Sylvatic T. cruzi transmission is known to occur throughout these biomes, with multiple hosts and vectors involved. Parasite species-level genetic diversity can be a useful marker for ecosystem health. Our aims were to: investigate sylvatic T. cruzi genetic diversity across different biomes, detect instances of genetic exchange, and explore the possible impact of ecological disturbance on parasite diversity at an intra-species level. METHODS: We characterised 107 isolates of T. cruzi I (TcI; discrete typing unit, DTU I) from different major Brazilian biomes with twenty-seven nuclear microsatellite loci. A representative subset of biologically cloned isolates was further characterised using ten mitochondrial gene loci. We compared these data generated from Brazilian TcI isolates from around America. RESULTS: Genetic diversity was remarkably high, including one divergent cluster that branched outside the known genetic diversity of TcI in the Americas. We detected evidence for mitochondrial introgression and genetic exchange between the eastern Amazon and Caatinga. Finally, we found strong signatures of admixture among isolates from the Atlantic Forest region by comparison to parasites from other study sites. CONCLUSIONS: Atlantic Forest sylvatic TcI populations are highly fragmented and admixed by comparison to others around Brazil. We speculate on: the possible causes of Atlantic Forest admixture; the role of T. cruzi as a sentinel for ecosystem health, and the impact disrupted sylvatic transmission cycles might have on accurate source attribution in oral outbreaks

Food fussiness and food neophobia share a common etiology in early childhood

BACKGROUND: 'Food fussiness' (FF) is the tendency to be highly selective about which foods one is willing to eat, and emerges in early childhood; 'food neophobia' (FN) is a closely related characteristic but specifically refers to rejection of unfamiliar food. These behaviors are associated, but the extent to which their etiological architecture overlaps is unknown. The objective of this study was to quantify the relative contribution of genetic and environmental influences to variation in FF and FN in early childhood; and to establish the extent to which they share common genetic and environmental influences. METHOD: Participants were 1,921 families with 16-month-old twins from the Gemini birth cohort. Parents completed the Child Eating Behaviour Questionnaire which included three FF items and four FN items. Bivariate quantitative genetic modeling was used to quantify: (a) genetic and environmental contributions to variation in FF and FN; and (b) the extent to which genetic or environmental influences on FF and FN are shared across the traits. RESULTS: Food fussiness and FN were strongly correlated (r = .72, p < .001). Proportions of variation in FF were equally explained by genetic (.46; 95% CI: 0.41-0.52) and shared environmental influences (.46; 95% CI: 0.41-0.51). Shared environmental effects accounted for a significantly lower proportion of variation in FN (.22; 95% CI: 0.14-0.30), but genetic influences were not significantly different from those on FF (.58, 95% CI: 0.50-0.67). FF and FN largely shared a common etiology, indicated by high genetic (.73; 95% CI: 0.67-0.78) and shared environmental correlations (.78; 95% CI: 0.69-0.86) across the two traits. CONCLUSIONS: Food fussiness and FN both show considerable heritability at 16 months but shared environmental factors, for example the home environment, influenced more interindividual differences in the expression of FF than in FN. FF and FN largely share a common etiology