Effects of Vision on Dynamic Stability Against Backward Loss of Balance in Young and Elderly Subjects

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Strength and Stability Analysis of Rehabilitated Anterior Cruciate Ligament Individuals

International Journal of Exercise Science 11(1): 817-826, 2018.The anterior cruciate ligament (ACL) serves as a vital stabilizer for the human knee, yet it is one of the most injured ligaments in the body. Function of the knee is restored through reconstruction and physical therapy, but long term functional deficits persist in some individuals. To better understand the influence of post rehabilitation outcomes on dynamic balance performance, this study evaluated bilateral differences in strength and stability in 11 participants who have rehabilitated from an ACL reconstruction or repair. The Y-Balance Test and an isokinetic strength assessment using the Biodex dynamometer were used to measure dynamic knee stability and strength, respectively. No significant differences were found in the strength test measurements. However, side to side differences in Y-Balance Test composite score (-2.8±3.1%, p = 0.014), maximal anterior reach (-2.8±2.4 cm, p = 0.01), and posterolateral reach (-2.75±3.5 cm, p = 0.02) were found to be significantly impaired in participants’ involved limbs compared to the uninvolved limbs

Estimating Percent Body Fat in Disabled Individuals with Spinal Cord Injury: A Pilot Study

Accurate and simple to administer field methods that currently exist tend to underestimate values when used to determine percent body fat (%BF) in individuals with spinal cord injury (SCI). This group of people is more prone to obesity and cardiovascular disease (CVD) as well as other secondary conditions. The purpose of this study was to evaluate the accuracy of three methods of measuring body composition as compared to total body dual-energy x-ray absorptiometry (DEXA) scan. These three methods included air displacement plethysmography (Bod Pod), hydrostatic weighing (HW) and seven site skinfold (SKF) measurement as recommended by the American College of Sports Medicine (ACSM). Ten male college students, in the Department of Kinesiology and/or members of the collegiate wheelchair basketball team, participated in the study. Five of the participants were disabled athletes with SCI and five participants were physically active, non-disabled students who served as controls. Of the ten participants, six completed all four of the body composition measures. Both forced vital capacity (FVC), via a flow volume test, and residual volume (RV), via nitrogen washout, were obtained for use in estimating %BF as determined by underwater weighing. The %BF values obtained from the HW using the Siri and Brozek equations had the highest correlation to the DEXA (r=.916). The results of the %BF as measured by the Bod Pod also showed a high correlation (r=.867). Although the SKF method showed a high correlation with the DEXA, (r=.798), it is evident that, with more participants, this method would severely under-predict %BF in the disabled group. In addition, the predicted DEXA from HWSM had a significant relationship (DEXA = 1.342* HWSM -4.795, R2 = .938, SEE = 3.108). These findings suggest that HW and Bod Pod are accurate methods of estimating %BF in both disabled and non-disabled individuals as compared to DEXA

A randomized cross-over study of the quality of cardiopulmonary resuscitation among females performing 30:2 and hands-only cardiopulmonary resuscitation

Abstract Background Hands-Only cardiopulmonary resuscitation (CPR) is recommended for use on adult victims of witnessed out-of-hospital (OOH) sudden cardiac arrest or in instances where rescuers cannot perform ventilations while maintaining minimally interrupted quality compressions. Promotion of Hands-Only CPR should improve the incidence of bystander CPR and, subsequently, survival from OOH cardiac arrest; but, little is known about a rescuer's ability to deliver continuous chest compressions of adequate rate and depth for periods typical of emergency services response time. This study evaluated chest compression rate and depth as subjects performed Hands-Only CPR for 10 minutes. For comparison purposes, each also performed chest compressions with ventilations (30:2) CPR. It also evaluated fatigue and changes in body biomechanics associated with each type of CPR. Methods Twenty healthy female volunteers certified in basic life support performed Hands-Only CPR and 30:2 CPR on a manikin. A mixed model repeated measures cross-over design evaluated chest compression rate and depth, changes in fatigue (chest compression force, perceived exertion, and blood lactate level), and changes in electromyography and joint kinetics and kinematics. Results All subjects completed 10 minutes of 30:2 CPR; but, only 17 completed 10 minutes of Hands-Only CPR. Rate, average depth, percentage at least 38 millimeters deep, and force of compressions were significantly lower in Hands-Only CPR than in 30:2 CPR. Rates were maintained; but, compression depth and force declined significantly from beginning to end CPR with most decrement occurring in the first two minutes. Perceived effort and joint torque changes were significantly greater in Hands-Only CPR. Performance was not influenced by age. Conclusion Hands-Only CPR required greater effort and was harder to sustain than 30:2 CPR. It is not known whether the observed greater decrement in chest compression depth associated with Hands-Only CPR would offset the potential physiological benefit of having fewer interruptions in compressions during an actual resuscitation. The dramatic decrease in compression depth in the first two minutes reinforces current recommendations that rescuers take turns performing compressions, switching every two minutes or less. Further study is recommended to determine the impact of real-time feedback and dispatcher coaching on rescuer performance.http://deepblue.lib.umich.edu/bitstream/2027.42/112830/1/12912_2008_Article_58.pd

High-frequency Near-field Physeter macrocephalus Monitoring by Stereo-Autoencoder and 3D Model of Sonar Organ

International audiencePassive acoustics allow us to study large animals and obtain information that could not be gathered through other methods. In this paper we study a set of near-field audiovisual recordings of a sperm whale pod, acquired with a ultra high-frequency and small aperture antenna. We propose a novel kind of autoencoder, a Stereo-Autoencoder, and show how it allows to build acoustic manifolds in order to increase our knowledge regarding the characterization of their vocalizations, and possible acoustic individual signature

Chest- and Waist-Deep Aquatic Plyometric Training and Average Force, Power, and Vertical-Jump Performance

Purpose: The purpose of the study was to compare effects of chest- and waist-deep water aquatic plyometrics on average force, power and vertical jump. Methods: Twenty-nine male and female participants were assigned to either a control group or 1 of 2 aquatic groups (waist deep and chest deep) and participated in a 6-wk, twice per wk plyometric training program. Average force and power were measured on a force plate using 3 jumps: squat, countermovement, and drop jump. Vertical-jump heights were also recorded. A repeated-measures ANOVA was used to determine significant differences between testing and groups on average force, power and vertical jump. Results: No significant differences were found with average force and power with the squat, countermovement, and vertical jumps. There were significant changes in drop jump average in the control group from the pretest to posttest. Conclusions: With the water depths chosen and held constant, there appears to be no increased benefit in performance variables

The Surviving Sepsis Campaign: research priorities for the administration, epidemiology, scoring and identification of sepsis

Epidemiologia; Disfunció d'òrgans; SèpsiaEpidemiology; Organ dysfunction; SepsisEpidemiología; Disfunción de órganos; SepsisObjective To identify priorities for administrative, epidemiologic and diagnostic research in sepsis. Design As a follow-up to a previous consensus statement about sepsis research, members of the Surviving Sepsis Campaign Research Committee, representing the European Society of Intensive Care Medicine and the Society of Critical Care Medicine addressed six questions regarding care delivery, epidemiology, organ dysfunction, screening, identification of septic shock, and information that can predict outcomes in sepsis. Methods Six questions from the Scoring/Identification and Administration sections of the original Research Priorities publication were explored in greater detail to better examine the knowledge gaps and rationales for questions that were previously identified through a consensus process. Results The document provides a framework for priorities in research to address the following questions: (1) What is the optimal model of delivering sepsis care?; (2) What is the epidemiology of sepsis susceptibility and response to treatment?; (3) What information identifies organ dysfunction?; (4) How can we screen for sepsis in various settings?; (5) How do we identify septic shock?; and (6) What in-hospital clinical information is associated with important outcomes in patients with sepsis? Conclusions There is substantial knowledge of sepsis epidemiology and ways to identify and treat sepsis patients, but many gaps remain. Areas of uncertainty identified in this manuscript can help prioritize initiatives to improve an understanding of individual patient and demographic heterogeneity with sepsis and septic shock, biomarkers and accurate patient identification, organ dysfunction, and ways to improve sepsis care.The authors volunteered their time to producing this manuscript and no funding was used to produce it

Topology and Evolution of Technology Innovation Networks

The web of relations linking technological innovation can be fairly described in terms of patent citations. The resulting patent citation network provides a picture of the large-scale organization of innovations and its time evolution. Here we study the patterns of change of patents registered by the US Patent and Trademark Office (USPTO). We show that the scaling behavior exhibited by this network is consistent with a preferential attachment mechanism together with a Weibull-shaped aging term. Such attachment kernel is shared by scientific citation networks, thus indicating an universal type of mechanism linking ideas and designs and their evolution. The implications for evolutionary theory of innovation are discussed.Comment: 6 pages, 5 figures, submitted to Physical Review

Facial nerve electrodiagnostics for patients with facial palsy : a clinical practice guideline

Purpose Facial nerve electrodiagnostics is a well-established and important tool for decision making in patients with facial nerve diseases. Nevertheless, many otorhinolaryngologist-head and neck surgeons do not routinely use facial nerve electrodiagnostics. This may be due to a current lack of agreement on methodology, interpretation, validity, and clinical application. Electrophysiological analyses of the facial nerve and the mimic muscles can assist in diagnosis, assess the lesion severity, and aid in decision making. With acute facial palsy, it is a valuable tool for predicting recovery. Methods This paper presents a guideline prepared by members of the International Head and Neck Scientific Group and of the Multidisciplinary Salivary Gland Society for use in cases of peripheral facial nerve disorders based on a systematic literature search. Results Required equipment, practical implementation, and interpretation of the results of facial nerve electrodiagnostics are presented. Conclusion The aim of this guideline is to inform all involved parties (i.e. otorhinolaryngologist-head and neck surgeons and other medical specialists, therapeutic professionals and the affected persons) and to provide practical recommendations for the diagnostic use of facial nerve electrodiagnostics.Peer reviewe

A method for accurate spatial registration of PET images and histopathology slices

Background: Accurate alignment between histopathology slices and positron emission tomography (PET) images is important for radiopharmaceutical validation studies. Limited data is available on the registration accuracy that can be achieved between PET and histopathology slices acquired under routine pathology conditions where slices may be non-parallel, non-contiguously cut and of standard block size. The purpose of this study was to demonstrate a method for aligning PET images and histopathology slices acquired from patients with laryngeal cancer and to assess the registration accuracy obtained under these conditions. Methods: Six subjects with laryngeal cancer underwent a 64Cu-copper-II-diacetyl-bis(N4-methylthiosemicarbazone) (64Cu-ATSM) PET computed tomography (CT) scan prior to total laryngectomy. Sea urchin spines were inserted into the pathology specimen to act as fiducial markers. The specimen was fixed in formalin, as per standard histopathology operating procedures, and was then CT scanned and cut into millimetre-thick tissue slices. A subset of the tissue slices that included both tumour and fiducial markers was taken and embedded in paraffin blocks. Subsequently, microtome sectioning and haematoxylin and eosin staining were performed to produce 5-μm-thick tissue sections for microscopic digitisation. A series of rigid registration procedures was performed between the different imaging modalities (PET; in vivo CT—i.e. the CT component of the PET-CT; ex vivo CT; histology slices) with the ex vivo CT serving as the reference image. In vivo and ex vivo CTs were registered using landmark-based registration. Histopathology and ex vivo CT images were aligned using the sea urchin spines with additional anatomical landmarks where available. Registration errors were estimated using a leave-one-out strategy for in vivo to ex vivo CT and were estimated from the RMS landmark accuracy for histopathology to ex vivo CT. Results: The mean ± SD accuracy for registration of the in vivo to ex vivo CT images was 2.66 ± 0.66 mm, and the accuracy for registration of histopathology to ex vivo CT was 0.86 ± 0.41 mm. Estimating the PET to in vivo CT registration accuracy to equal the PET-CT alignment accuracy of 1 mm resulted in an overall average registration error between PET and histopathology slices of 3.0 ± 0.7 mm. Conclusions: We have developed a registration method to align PET images and histopathology slices with an accuracy comparable to the spatial resolution of the PET images.</p