Influence of Visual Feedback On Dynamic Balance Control in Chronic Stroke Survivors

Chronic stroke survivors have an increased incidence of falls during walking, suggesting changes in dynamic balance control post-stroke. Despite this increased incidence of falls during walking, balance control is often studied only in standing. The purpose of this study was to quantify deficits in dynamic balance control during walking, and to evaluate the influence of visual feedback on this control in stroke survivors. Ten individuals with chronic stroke, and ten neurologically intact individuals participated in this study. Walking performance was assessed while participants walked on an instrumented split-belt treadmill with different types of visual feedback. Dynamic balance control was quantified using both the extent of center of mass (COM) movement in the frontal plane over a gait cycle (COM sway), and base of support (step width). Stroke survivors walked with larger COM sway and wider step widths compared to controls. Despite these baseline differences, both groups walked with a similar ratio of step width to COM sway (SW/COM). Providing a stationary target with a laser reference of body movement reduced COM sway only in the stroke group, indicating that visual feedback of sway alters dynamic balance control post-stroke. These results demonstrate that stroke survivors attempt to maintain a similar ratio of step width to COM movement, and visual cues can be used to help control COM movement during walking post-stroke

Gastric Cancer in the Setting of Persistently Elevated Human Chorionic Gonadotropin: A Case Report

A 35-year-old woman presented to the emergency room for the evaluation of failed surgical and medical management of a suspected ectopic pregnancy. When imaging studies were performed, she had lymphadenopathy and diffuse sclerosis of the osseous framework. Multiple biopsies were performed and revealed poorly differentiated metastatic carcinoma with signet ring features. Esophagogastroduodenoscopy confirmed the findings of a Stage IV gastric adenocarcinoma. Signs and symptoms of gastric carcinoma are vague. However, to our knowledge, an elevation in human chorionic gonadotropin (hCG) is not an associated finding. Persistence of hCG has many causes from abnormal pregnancy to menopause and other forms of cancer

OBSERVATIONS OF BIRDS FEEDING ON THE FRUIT OF A SUCCESSIONAL TREE, TOPOBEA MULTIFLORA, IN SOUTHWESTERN COSTA RICA

Abstract ∙ We observed several individuals of a tropical fruiting tree, Topobea multiflora (Melastomataceae), to determine the diversity and prevalence of bird species that use this plant as a food source. Conducted on the south Pacific slope of Costa Rica, these observations are of interest because T. multiflora, though it grows in early successional habitat, attracts many bird species typically associated with mature forest. Most of these species are potential candidates for dispersing the small seeds of mature forest species as they leave the forest to feed on the fruit of T. multiflora. In this study, we recorded 477 observations of 24 species belonging to seven families feeding on T. multiflora fruit during ten count periods of observation. The family Thraupidae (tanagers) had both the highest proportion of feeding observations (65.8%) and the greatest diversity of all visiting taxa (13 species). The five species with the highest overall prevalence (prevalence >5%) were Silver‐throated Tanager (Tangara icterocephala), Cherrie’s Tanager (Ramphocelus costaricensis), Thick‐billed Euphonia (Euphonia laniirostris), Common Bush‐tanager (Chlorospingus ophthalmicus), and Bay‐headed Tanager (Tangara gyrola). Our results suggest that several species of Neotropical frugivores, because of their relationship to T. multiflora, may be considered indicator species of ongoing forest regeneration in southwestern Costa Rica. Resumen ∙ Observaciones de especies de aves alimentándose de frutos de Topobea multiflora en el sudoeste de Costa Rica Observamos varios ejemplares de árboles con frutos de la especie Topobea multiflora (Melastomataceae) para determinar la diversidad y prevalencia de las especies de aves que se alimentan de esta planta. Estas observaciones, realizadas en la pendiente sud‐Pacifica de Costa Rica, son de interés ya que T. multiflora, si bien crece en hábitats con disturbio o en regeneración, atrae muchas especies generalmente asociadas a bosques maduros. La mayoría de estas especies son candidatos potenciales para la dispersión de semillas de especies de plantas de bosques maduros cuando se alejan del bosque para alimentarse de los frutos de T. multiflora. En este estudio, registramos 477 observaciones de alimentación de frutos de T. multiflora, correspondientes a 24 especies pertenecientes a siete familias. La familia Thraupidae (tangaras) presento la mayor abundancia (341 observaciones) y la mayor riqueza de especies (13 especies). Las cinco especies con mayor prevalencia (> 5%) fueron: Tangara goliplateada (Tangara icterocephala), Tangara costarricense (Ramphocelus costaricensis), Eufonia piquigruesa (Euphonia laniirostris), Clorospingo común (Chlorospingus ophthalmicus) y Tangara cabecibaya (Tangara gyrola). Nuestros resultados sugieren que varias especies de aves frugívoras Neotropicales, debido a que frecuentan plantas de T. multiflora, podrían ser consideradas especies indicadoras de procesos de regeneración de bosques.

Maternal obesity has little effect on the immediate offspring but impacts on the next generation

Maternal obesity during pregnancy has been linked to an increased risk of obesity and cardiometabolic disease in the offspring, a phenomenon attributed to developmental programming. Programming effects may be transmissible across generations through both maternal and paternal inheritance, although the mechanisms remain unclear. Using a mouse model, we explored the effects of moderate maternal diet-induced obesity (DIO) on weight gain and glucose-insulin homeostasis in first-generation (F1) and second-generation offspring. DIO was associated with insulin resistance, hyperglycemia and dyslipidemia before pregnancy. Birth weight was reduced in female offspring of DIO mothers (by 6%, P = .039), and DIO offspring were heavier than controls at weaning (males by 47%, females by 27%), however there were no differences in glucose tolerance, plasma lipids, or hepatic gene expression at 6 months. Despite the relative lack of effects in the F1, we found clear fetal growth restriction and persistent metabolic changes in otherwise unmanipulated second-generation offspring with effects on birth weight, insulin levels, and hepatic gene expression that were transmitted through both maternal and paternal lines. This suggests that the consequences of the current dietary obesity epidemic may also have an impact on the descendants of obese individuals, even when the phenotype of the F1 appears largely unaffected

Diet-induced weight loss alters hepatic glucocorticoid metabolism in type 2 diabetes mellitus

Context: Altered tissue-specific glucocorticoid metabolism has been described in uncomplicated obesity and type 2 diabetes. We hypothesized that weight loss induced by diet and exercise, which has previously been shown to reverse abnormal cortisol metabolism in uncomplicated obesity, also normalizes cortisol metabolism in patients with type 2 diabetes. Objective: Test the effects of a diet intervention with added exercise on glucocorticoid metabolism. Design: Two groups followed a Paleolithic diet (PD) for 12 weeks with added 180 min of structured aerobic and resistance exercise per week in one randomized group (PDEX). Setting: Umea University Hospital. Participants: Men and women with type 2 diabetes treated with lifestyle modification +/- metformin were included. Twenty-eight participants (PD, n = 15; PDEX, n = 13) completed measurements of glucocorticoid metabolism. Main outcome measures: Changes in glucocorticoid metabolite levels in 24-h urine samples, expression of HSD1181 mRNA in s.c. adipose tissue and conversion of orally administered cortisone to cortisol measured in plasma. Body composition and insulin sensitivity were measured using a hyperinsulinemic-euglycemic clamp, and liver fat was measured by magnetic resonance spectroscopy. Results: Both groups lost weight and improved insulin sensitivity. Conversion of orally taken cortisone to plasma cortisol and the ratio of 5 alpha-THF + 5 beta-THF/THE in urine increased in both groups. Conclusions: These interventions caused weight loss and improved insulin sensitivity with concomitant increases in the conversion of cortisone to cortisol, which is an estimate of hepatic HSD11B1 activity. This suggests that dysregulation of liver glucocorticoid metabolism in these patients is a consequence rather than a cause of metabolic dysfunction

Dysregulation of glucocorticoid metabolism in murine obesity: comparable effects of leptin resistance and deficiency

In obese humans, metabolism of glucocorticoids by 11β-hydroxysteroid dehydrogenase type 1 (11β-HSD1) and A-ring reduction (by 5α- and 5β-reductases) is dysregulated in a tissue specific manner. These changes have been recapitulated in leptin resistant obese Zucker rats but were not observed in high-fat fed Wistar rats. Recent data from mouse models suggest that such discrepancies may reflect differences in leptin signalling. We therefore compared glucocorticoid metabolism in murine models of leptin deficiency and resistance. Male ob/ob and db/db mice and their respective littermate controls (n=10–12/group) were studied at the age of 12 weeks. Enzyme activities and mRNA expression were quantified in snap-frozen tissues. The patterns of altered pathways of steroid metabolism in obesity were similar in ob/ob and db/db mice. In liver, 5β-reductase activity and mRNA were increased and 11β-HSD1 decreased in obese mice, whereas 5α-reductase 1 (5αR1) mRNA was not altered. In visceral adipose depots, 5β-reductase was not expressed, 11β-HSD1 activity was increased and 5αR1 mRNA was not altered in obesity. By contrast, in subcutaneous adipose tissue 11β-HSD1 and 5αR1 mRNA were decreased. Systematic differences were not found between ob/ob and db/db murine models of obesity, suggesting that variations in leptin signalling through the short splice variant of the Ob receptor do not contribute to dysregulation of glucocorticoid metabolism

The RR Lyrae variables and Horizontal Branch of NGC6656 (M22)

The first calibrated broadband UBVI time-series photometry is presented for the RR Lyrae variable stars in NGC6656 (M22), with observations spanning a range of twenty-two years. We have also redetermined the variability types and periods for the RR Lyrae stars identified previously by photographic observations, revising the number of fundamental-mode RR Lyrae variables (RR0) to 10 and the number of first-overtone variables (RR1) to 16. The mean periods of the RR0 and RR1 variables are _{RR0}=0.66 \pm 0.02 d and _{RR1}=0.33 \pm 0.01 d, respectively, supporting an Oosterhoff II classification for the cluster. The number ratio of RR1- to all RR-type variables is N_1/N_{RR}=0.61, also consistent with an Oosterhoff II designation. Both the RR Lyrae stars' minimum light colors and the blue edge of the RR Lyrae instability strip suggest E(B-V)=0.36 \pm 0.02 mag toward M22. Regarding the HB morphology of M22, we find (B-R)/(B+V+R)=+0.97 \pm 0.1 and at least one "gap" located in an unusual part of the blue HB, in the middle of the so-called hot HB stars.Comment: accepted to A

Is measurement uncertainty from sampling related to analyte concentration?

The contribution of sampling to the combined uncertainty of measurement is assessed using a combination of literature review and experimental determination of sampling variability in a range of foodstuffs in order to determine whether there is a consistent relationship between analyte level and proportion of variation attributable to sampling. Experimental determinations used the duplicate method, an economical method of assessing the relative contributions of sampling and analytical variability to the overall variance of results. The experimental work covered sampling of retail foodstuffs. 101 estimates of between-target, between-sampling, and within-sample variance were obtained. It is shown for the first time that sampling variance across the food sector appears to follow a Horwitz-like relationship sufficient to provide estimated between-sample standard deviation to within approximately an order of magnitude. The results from different methods of data processing for sampling uncertainty experiments are also compared. It is shown that for the data sets obtained experimentally in this study, log- transformation is of minor importance while the use of robust statistical methods can have greater but less predictable effects on estimated sampling variance