Sample records for faciei progressiva parry-romberg

  1. "Scleroderma linearis: hemiatrophia faciei progressiva (Parry-Romberg syndrom) without any changes in CNS and linear scleroderma "en coup de sabre" with CNS tumor

    PubMed Central

    Bergler-Czop, Beata; Lis-Święty, Anna; Brzezińska-Wcisło, Ligia

    2009-01-01

    Background Hemifacial atrophy (Parry-Romberg syndrome) is a relatively rare disease. The etiology of the disease is not clear. Some authors postulate its relation with limited scleroderma linearis. Linear scleroderma "en coup de sabre" is characterized by clinical presence of most commonly one-sided linear syndrome. In a number of patients, neurological affection is the medium of the disease. The treatment of both scleroderma varieties is similar to the treatment of limited systemic sclerosis. Case presentation We present two cases of a disease: a case of a 49-year-old woman with a typical image of hemifacial atrophy, without any changes of the nervous system and a case of a 33-year-old patient with an "en coup de sabre" scleroderma and with CNS tumor. Conclusion We described typical cases of a rare diseases, hemifacial atrophy and "en coup de sabre" scleroderma. In the patient diagnosed with Parry-Romberg syndrome, with Borrelia burgdoferi infection and with minor neurological symptoms, despite a four-year case history, there was a lack of proper diagnosis and treatment. In the second patient only skin changes without any neurological symptoms could be observed and only a precise neurological diagnosis revealed the presence of CNS tumor. PMID:19635150

  2. Parry-Romberg syndrome: intracranial MRI appearances.

    PubMed

    Moko, Sheree Bernadette; Mistry, Yezdi; Blandin de Chalain, Tristan Maurice

    2003-10-01

    To gain further insight into the pathogenesis of Parry-Romberg syndrome, a sporadic disease of unknown aetiology characterized by progressive wasting of one side of the face. Cranial MRI was performed in 10 patients with Parry-Romberg syndrome. The central nervous system findings are correlated to clinical findings and a review of the literature. Three patients with a history of migraine had abnormal brain findings confined to the cerebral hemisphere ipsilateral to the facial hemiatrophy. Two patients without CNS symptoms had intracranial changes, one ipsilateral, the other both ipsilateral and contralateral to the facial hemiatrophy, on MRI. These changes consisted of either intracerebral atrophy or white matter hyperintensity. Five patients without CNS symptoms had no pathological intracranial MRI appearances. A significant number of patients with Parry-Romberg syndrome may have underlying brain involvement. These findings are consistent with previous reports.

  3. Parry-Romberg syndrome (progressive hemifacial atrophy) with spasmodic dysphonia--a rare association.

    PubMed

    Mugundhan, K; Selvakumar, C J; Gunasekaran, K; Thiruvarutchelvan, K; Sivakumar, S; Anguraj, M; Arun, S

    2014-04-01

    Parry-Romberg syndrome is a rare clinical entity characterised by progressive hemifacial atrophy with appearance of 'saber'. Various neurological and otorhinolaryngological disorders are associated with this syndrome. The association of Parry -Romberg syndrome with Spasmodic dysphonia has rarely been reported. A 37 year old female presented with progressive atrophy of tissues of left side of face for 10 years and change in voice for 1 year. On examination, wasting and atrophy of tissues including tongue was noted on left side of the face. ENT examination revealed adductor spasmodic dysphonia. We report the rare association of Parry -Romberg syndrome with spasmodic dysphonia.

  4. Parry-Romberg reconstruction: optimal timing for hard and soft tissue procedures.

    PubMed

    Slack, Ginger C; Tabit, Christina J; Allam, Karam A; Kawamoto, Henry K; Bradley, James P

    2012-11-01

    For the treatment of Parry-Romberg syndrome or progressive hemifacial atrophy, we studied 3 controversial issues: (1) optimal timing, (2) need for skeletal reconstruction, and (3) need for soft tissue (medial canthus/lacrimal duct) reconstruction. Patients with Parry-Romberg syndrome (>5 y follow-up) were divided into 2 groups: (1) younger than 14 years and (2) 14 years or older (n = 43). Sex, age, severity of deformity, number of procedures, operative times, and augmentation fat volumes were recorded. Physician and patient satisfaction surveys (5-point scale) were obtained, preoperative and postoperative three-dimensional computed tomographic scans were reviewed, and a digital three-dimensional photogrammetry system was used to determine volume retention. Our results indicate that the younger patient group required more procedures compared with the older patient group (4.3 versus 2.8); however, the younger group had higher patient/family satisfaction scores (3.8 versus 3.0). Skeletal and soft tissue reconstruction resulted in improved symmetry score (60% preoperatively to 93% final) and satisfaction scores (3.4 preoperatively to 3.8 final). Patients with Parry-Romberg syndrome required multiple corrective surgeries but showed improvements even when beginning before puberty. Soft and hard tissue reconstruction was beneficial.

  5. Progressive hemifacial atrophy (Parry-Romberg syndrome). Case report.

    PubMed

    Mazzeo, N; Fisher, J G; Mayer, M H; Mathieu, G P

    1995-01-01

    Progressive hemifacial atrophy (Parry-Romberg syndrome) is a slowly progressing facial atrophy of subcutaneous fat and the wasting of associated skin, cartilage, and bone. This disorder includes an active progressive phase (2 to 10 years) followed by a burning out of the atrophic process with subsequent stability. This article presents a review of the literature and a case report with unique dental involvement as a result of this disease process.

  6. Parry-romberg syndrome with en coup de sabre.

    PubMed

    Jun, Jae Hun; Kim, Ho Youn; Jung, Han Jin; Lee, Weon Ju; Lee, Seok-Jong; Kim, Do Won; Kim, Moon Bum; Kim, Byung Soo

    2011-08-01

    Parry-Romberg syndrome (PRS) is a relatively rare degenerative disorder that is poorly understood. PRS is characterized by slowly progressing atrophy affecting one side of the face, and is frequently associated with localized scleroderma, especially linear scleroderma, which is known as en coup de sabre. This is a report of the author's experiences with PRS accompanying en coup de sabre, and a review of the ongoing considerable debate associated with these two entities. Case 1 was a 37-year-old woman who had right hemifacial atrophy with unilateral en coup de sabre for seven years. Fat grafting to her atrophic lip had been conducted, and steroid injection had been performed on the indurated plaque of the forehead. Case 2 was a 29-year-old woman who had suffered from right hemifacial atrophy and bilateral en coup de sabre for 18 years. Surgical corrections such as scapular osteocutaneous flap and mandible/maxilla distraction showed unsatisfying results.

  7. An overlap case of Parry-Romberg syndrome and en coup de sabre with striking ocular involvement and anti-double-stranded DNA positivity.

    PubMed

    Ataş, Hatice; Gönül, Müzeyyen; Gökçe, Aysun; Acar, Mutlu; Gürdal, Canan

    2018-02-01

    Parry-Romberg syndrome (PRS) may overlap localized scleroderma (morphea) lesions with linear depression (en coup de sabre [ECDS]). Overlap case with PRS and ECDS was presented. Enophthalmos, uveitis, ocular torticollis, keratic linear precipitates, and anti-double-stranded DNA positivity were identified. Subendothelial keratic precipitates detected by an in vivo laser scanning confocal microscopy were the first profiled in the literature. Patients must be evaluated and followed up carefully by their clinics to prevent misdiagnosis and unnecessary procedures such as surgery of ocular torticollis as muscular torticollis.

  8. Clinical application of human adipose tissue-derived mesenchymal stem cells in progressive hemifacial atrophy (Parry-Romberg disease) with microfat grafting techniques using 3-dimensional computed tomography and 3-dimensional camera.

    PubMed

    Koh, Kyung Suk; Oh, Tae Suk; Kim, Hoon; Chung, In Wook; Lee, Kang Woo; Lee, Hyo Bo; Park, Eun Jung; Jung, Jae Seob; Shin, Il Seob; Ra, Jeong Chan; Choi, Jong Woo

    2012-09-01

    Parry-Romberg disease is a rare condition that results in progressive hemifacial atrophy, involving the skin, dermis, subcutaneous fat, muscle, and, finally, cartilage and bone. Patients have been treated with dermofat or fat grafts or by microvascular free flap transfer. We hypothesized that adipose-derived stem cells (ASCs) may improve the results of microfat grafting through enhancing angiogenesis. We evaluated the utility of ASC in microfat grafting of patients with Parry-Romberg disease by measuring the change in the hemifacial volumes after injection of ASCs with microfat grafts or microfat grafts alone. In April 2008, this investigation was approved by the Korean Food and Drug Administration and the institutional review board of the Asan Medical Center (Seoul, Korea) that monitor investigator-initiated trials. Between May 2008 and January 2009, 10 volunteers with Parry-Romberg disease (5 men and 5 women; mean age, 28 y) were recruited; 5 received ASC and microfat grafts and 5 received microfat grafts only. The mean follow-up period was 15 months. Adipose-derived stem cells were obtained from abdominal fat by liposuction and were cultured for 2 weeks. On day 14, patients were injected with fat grafts alone or plus (in the test group) 1 × 10 ASCs. Patients were evaluated postoperatively using a 3-dimensional camera and 3-dimensional CT scans, and grafted fat volumes were objectively calculated. Successful outcomes were evident in all 5 patients receiving microfat grafts and ASCs, and the survival of grafted fat was better than in patients receiving microfat grafts alone. Before surgery, the mean difference between ipsilateral and contralateral hemiface volume in patients receiving microfat grafts and ASCs was 21.71 mL decreasing to 4.47 mL after surgery. Overall resorption in this ASC group was 20.59%. The mean preoperative difference in hemiface volume in those receiving microfat grafts alone was 8.32 mL decreasing to 3.89 mL after surgery. Overall

  9. Mild Cognitive Impairment as a single sign of brain hemiatrophy in patient with Localized Scleroderma and Parry-Romberg Syndrome.

    PubMed

    Klimiec, Elzbieta; Klimkowicz-Mrowiec, Aleksandra

    2016-01-01

    Neurologic involvement is well recognized in Systemic Scleroderma and increasingly reported in Localized Scleroderma. MRI brain abnormalities are often associated with symptoms such as seizures or headaches. In some cases they may be clinically silent. We describe a 23 years old female with head, trunk and limbs scleroderma who developed Parry-Romberg Syndrome. Brain MRI showed ipsilateral temporal lobe atrophy without any prominent neurologic symptoms. Neuropsychological examination revealed Mild Cognitive Impairment. During the 7 years of follow up we have noticed progression of face atrophy but no progression of brain atrophy. Cognitive functions have been stable. This case highlight that major MRI brain abnormalities in LS may occur with only subtle clinical manifestation such as Mild Cognitive Impairment. Copyright © 2016 Polish Neurological Society. Published by Elsevier Urban & Partner Sp. z o.o. All rights reserved.

  10. The Chronic Encephalopathy of Parry Romberg Syndrome and En Coupe De Sabre with a 31-Year-History in a West Indian Woman: Clinical, Immunologic and Neuroimaging Abnormalities.

    PubMed

    Seegobin, Karan; Abdool, Kamille; Ramcharan, Kanterpersad; Dyaanand, Haramnauth; Rampersad, Fidel

    2016-09-30

    We describe a case of Parry Romberg syndrome/ en coupe de sabre in a woman whose disease started as seizures at age 8 but was diagnosed at the age 39. During these 31 years she got married, completed a first degree at university, had two successful pregnancies and has been gainfully employed. The features of generalized tonic-clonic seizures, autoimmune abnormalities, ocular abnormalities, morphea en coup de sabre and brain imaging abnormalities were present. Areas of parietal lobe cerebral calcification were encountered on the computed tomographic scan and bilateral periventricular white matter changes on the magnetic resonance imaging with frontal, temporal and parietal lobe brain atrophy ipsilateral to the facial hemiatrophy. Clinical, immunologic and neuroradiological abnormalities are discussed. In some cases, this illness can run a benign and stable course.

  11. A Significant Proportion of Pediatric Morphea En Coup De Sabre and Parry-Romberg Syndrome Patients Have Neuroimaging Findings

    PubMed Central

    Chiu, Yvonne E.; Vora, Sheetal; Kwon, Eun-Kyung M.; Maheshwari, Mohit

    2012-01-01

    Background/Objectives En coup de sabre (ECDS) and Parry-Romberg syndrome (PRS) are variants of linear morphea on the head and neck that can be associated with neurologic manifestations. Intracranial abnormalities on computed tomography (CT) and magnetic resonance imaging (MRI) can be present in a significant proportion of patients. Methods We describe 32 pediatric patients from our institution with ECDS or PRS, in whom neuroimaging was performed in 21 cases. We also review 51 additional patients from the literature. Results Nineteen percent of the children at our institution had intracranial abnormalities on MRI, half of whom were asymptomatic. Hyperintensities on T2-weighted sequences were the most common finding, present in all patients who had intracranial abnormalities on MRI. Seizures and headaches were the most common neurologic symptom, affecting 13% and 9% of our population, respectively. The presence of neurologic symptoms was not correlated with neuroimaging abnormalities as 2 asymptomatic patients had marked MRI findings, while the MRI was abnormal in only 2/9 symptomatic patients. Similarly, the severity of the superficial disease did not predict neurologic involvement; a patient with subtle skin involvement had striking MRI findings and seizures while another patient with a bony defect had no brain parenchymal involvement. Conclusions Neurologic symptoms and neuroimaging abnormalities are found in a surprisingly substantial percentage of children with ECDS and PRS. Early recognition of neurologic involvement is necessary as it affects treatment choices. As clinical predictors of intracranial abnormalities are poor, strong consideration should be given to obtaining an MRI prior to treatment initiation to assist in management decisions and establish a baseline examination. PMID:23106674

  12. CNS imaging findings associated with Parry-Romberg syndrome and en coup de sabre: correlation to dermatologic and neurologic abnormalities.

    PubMed

    Doolittle, Derrick A; Lehman, Vance T; Schwartz, Kara M; Wong-Kisiel, Lily C; Lehman, Julia S; Tollefson, Megha M

    2015-01-01

    Parry-Romberg syndrome (PRS) and en coup de sabre (ECS) are variants of morphea. Although numerous findings on central nervous system (CNS) imaging of PRS and ECS have been reported, the spectrum and frequency of CNS imaging findings and relation to cutaneous and neurologic abnormalities have not been fully characterized. We retrospectively reviewed patients younger than 50 years at our institution over a 16-year interval who had clinical diagnosis of PRS and ECS by a skin or facial subspecialist. Two neuroradiologists evaluated available imaging and characterized CNS imaging findings. Eighty-eight patients with PRS or ECS were identified (62 women [70.4 %]; mean age 28.8 years). Of the 43 patients with CNS imaging, 19 (44 %) had abnormal findings. The only finding in 1 of these 19 patients was lateral ventricle asymmetry; of the other 18, findings were bilateral in 11 (61 %), ipsilateral to the side of facial involvement in 6 (33 %), and contralateral in 1 (6 %). Sixteen patients had serial imaging examinations over an average of 632 days; 13 (81 %) had stable imaging findings, and 3 (19 %) had change over time. Of six patients with progressive cutaneous findings, five (83 %) had stable imaging findings over time. Among the 23 patients with clinical neurologic abnormality and imaging, 12 (52 %) had abnormal imaging findings. All seven patients with seizures (100 %) had abnormal imaging studies. In PRS and ECS, imaging findings often are bilateral and often do not progress, regardless of cutaneous disease activity. Findings are inconsistently associated with clinical abnormalities.

  13. Lack of IgG antibody seropositivity to Borrelia burgdorferi in patients with Parry-Romberg syndrome and linear morphea en coup de sabre in Mexico.

    PubMed

    Gutiérrez-Gómez, Claudia; Godínez-Hana, Ana L; García-Hernández, Marisela; Suárez-Roa, María de Lourdes; Toussaint-Caire, Sonia; Vega-Memije, Elisa; Gutiérrez-Mendoza, Daniela; Pérez-Dosal, Marcia; Medina-De la Garza, Carlos E

    2014-08-01

    Progressive hemifacial atrophy or Parry-Romberg Syndrome (PRS) is a rare, acquired, progressive dysplasia of subcutaneous tissue and bone characterized by unilateral facial involvement. Its etiology is unknown, but theories about its pathogenesis include infectious, degenerative, autoimmune, and traumatic causes among others. The causal relationship of PRS and linear morphea en coup de sabre (LMCS) with Borrelia burgdorferi infection remains controversial. Our goal was to serologically determine anti-B. burgdorferi antibodies in patients diagnosed with PRS and LMCS to establish a possible association as a causative agent. We conducted a serology study with patients belonging to a group of 21 individuals diagnosed with PRS, six with LMCS, and 21 matched controls. Anti-Borrelia IgG antibodies were determined by ELISA. A descriptive statistical analysis and Fischer's exact test were done. In serological tests, only two cases had borderline values and were further analyzed by Western blot with non-confirmatory results. For both the PRS and LMCS group, the association test was not significant, suggesting a lack of association between PRS or LMCS and the presence of anti-Borrelia antibodies. In Mexico there are no previous studies on Borrelia infection and its relationship between PRS or LMCS. Our result showed a lack of association of either clinical entities with anti-Borrelia-antibodies. Former reports of this association may suggest coincidental findings without causal relationship. © 2014 The International Society of Dermatology.

  14. Tinea faciei on the right eyebrow caused by Trichophyton interdigitale.

    PubMed

    Zhuang, Kai Wen; Dai, Ya Ling; Ran, Yu Ping; Lama, Jebina; Fan, Yi Ming

    2016-01-01

    Tinea faciei is a relatively uncommon dermatophyte infection entailing atypical clinical symptoms, usually misdiagnosed and treated with corticosteroids. The authors describe a case of tinea faciei on the right eyebrow caused by Trichophyton interdigitale. The patient was an 18-year-old girl, who had an inflammatory plaque with a scaly, pustular surface on the right eyebrow and upper eyelid, which had persisted for over 1 month. She was once misdiagnosed as having eczema and was treated using corticosteroid cream. A diagnosis of tinea faciei was made based on direct microscopy and culture. The sequencing of the nuclear ribosomal ITS region and β-tubulin gene of the isolate established its T. interdigitale lineage. The patient was cured by treatment with systemic terbinafine in combination with topical application of 1% naftifine-0.25% ketaconazole cream for 2 weeks.

  15. Tinea faciei on the right eyebrow caused by Trichophyton interdigitale*

    PubMed Central

    Zhuang, Kai Wen; Dai, Ya Ling; Ran, Yu Ping; Lama, Jebina; Fan, Yi Ming

    2016-01-01

    Tinea faciei is a relatively uncommon dermatophyte infection entailing atypical clinical symptoms, usually misdiagnosed and treated with corticosteroids. The authors describe a case of tinea faciei on the right eyebrow caused by Trichophyton interdigitale. The patient was an 18-year-old girl, who had an inflammatory plaque with a scaly, pustular surface on the right eyebrow and upper eyelid, which had persisted for over 1 month. She was once misdiagnosed as having eczema and was treated using corticosteroid cream. A diagnosis of tinea faciei was made based on direct microscopy and culture. The sequencing of the nuclear ribosomal ITS region and β-tubulin gene of the isolate established its T. interdigitale lineage. The patient was cured by treatment with systemic terbinafine in combination with topical application of 1% naftifine-0.25% ketaconazole cream for 2 weeks. PMID:28099612

  16. Tinea faciei in a newborn due to Trichophyton tonsurans

    PubMed Central

    Fu, Meihua; Ge, Yiping; Chen, Wei; Feng, Suying; She, Xiaodong; Li, Xiaofang; Liu, Weida

    2013-01-01

    We report here the first case of neonatal tinea faciei caused by Trichophyton tonsurans in mainland China. The mother of the infant had tinea corpris and tinea capitis while the father had tinea incongnito. The infections in the parents were mycologically confirmed to be due to Trichophyton tonsurans. Ttinea faciei in the infant was cured after two-week topical use of amorolfine cream. The mother ceased breastfeeding and took oral terbinafine for 4 weeks. No recurrence was observed in the infant during 12 months of follow-up. PMID:23554797

  17. Tinea faciei in a central Portuguese hospital: A 9-year survey.

    PubMed

    Borges, Ana; Brasileiro, Ana; Galhardas, Célia; Apetato, Margarida

    2018-04-01

    Tinea faciei is a relatively uncommon dermatophytosis that affects the glabrous skin of the face. The aim of this study was to analyse the epidemiologic, clinical and mycological features of tinea faciei cases diagnosed at the Dermatology and Venereology Department of Hospital Santo António dos Capuchos (Lisbon, Portugal). Consecutive cases diagnosed between 2008 and 2016 were studied retrospectively. A total of 72 tinea faciei cases have been diagnosed, involving 37 male and 35 female, aged between 8 months and 86 years. The majority were observed in patients younger than 12 years of age (59.72%). Anthropophilic isolates (mainly Microsporum audouinii, Trichophyton soudanense and Trichophyton rubrum) accounted for 75.7% of the identified dermatophytes. One quarter of the patients were also affected by dermatophytosis in other areas, such as the scalp. Only 10 cases were previously treated with topical steroids due to misdiagnosis. Most patients were treated with topical and systemic antifungal therapy with total resolution of skin lesions, without relapse or side effects. In contrast to other European studies, anthropophilic dermatophytes were the main causative agents of tinea faciei. As previously described to tinea capitis, this result is probably due to changes in the epidemiology of dermatophytes worldwide. © 2017 Blackwell Verlag GmbH.

  18. Parry-Romberg (Syndrome)

    MedlinePlus

    ... Strategy Current Research Research Funded by NINDS Basic Neuroscience Clinical Research Translational Research Research at NINDS Focus ... Diversity Resources Jobs at NINDS Director, Division of Neuroscience Director, NIH BRAIN Initiative® Health Scientist Administrator Channels ...

  19. An unusual clinical presentation of tinea faciei caused by Trichophyton mentagrophytes var. erinacei.

    PubMed

    Lee, Deok-Woo; Yang, Ji-Hye; Choi, Seok-Joo; Won, Chong-Hyun; Chang, Sung-Eun; Lee, Mi-Woo; Choi, Jee-Ho; Moon, Kee-Chan; Kim, Mi-Na

    2011-01-01

    Trichophyton mentagrophytes var. erinacei, the natural host of which is the hedgehog, has been found to cause highly inflammatory and pruritic eruptions, including tinea manuum, tinea corporis, nail infection, kerion, scalp infection, and tinea barbae. To our knowledge, however, no reports have been made of tinea faciei caused by Trichophyton mentagrophytes var. erinacei in the English language literature. We provide here the case of tinea faciei caused by Trichophyton mentagrophytes var. erinacei. © 2011 Wiley Periodicals, Inc.

  20. Tinea capitis and tinea faciei in the Zurich area - an 8-year survey of trends in the epidemiology and treatment patterns.

    PubMed

    Kieliger, S; Glatz, M; Cozzio, A; Bosshard, P P

    2015-08-01

    Tinea capitis and tinea faciei are dermatophyte infections of the scalp and glabrous skin of the face affecting mainly prepubertal children. During the past 30 years, a significant increase and a change in the pattern of infectious agents has been noted for tinea capitis. The aim of this study was to determine trends in the current epidemiological situation of tinea capitis and tinea faciei in the Zurich area, Switzerland and adjacent Central and Eastern Switzerland. Consecutive cases diagnosed between 2006 and 2013 were studied retrospectively. A total of 90 tinea capitis and 40 tinea faciei cases were observed. Anthropophilic isolates (primarily Trichophyton violaceum and Microsporum audouinii) accounted for 76% of tinea capitis cases. In contrast, zoophilic isolates (primarily T. interdigitale) were responsible for 73% of tinea faciei cases. The peak incidence in both conditions was in 4-8 year-old children. While the annual number of tinea faciei cases remained stable over the past 8 years, a trend for an increase in T. violaceum-positive tinea capitis has been observed. This was mainly due to patients of African ethnicity. Anthropophilic isolates accounted for three quarters of tinea capitis and one quarter of tinea faciei cases. T. violaceum-positive tinea capitis was primarily linked to patients of African ethnicity. Tinea capitis caused by Microsporum spp. was more refractory to therapy and needed longer treatment than Trichophyton spp.-induced infection. © 2014 European Academy of Dermatology and Venereology.

  1. Mobile Romberg test assessment (mRomberg).

    PubMed

    Galán-Mercant, Alejandro; Cuesta-Vargas, Antonio I

    2014-09-12

    The diagnosis of frailty is based on physical impairments and clinicians have indicated that early detection is one of the most effective methods for reducing the severity of physical frailty. Maybe, an alternative to the classical diagnosis could be the instrumentalization of classical functional testing, as Romberg test or Timed Get Up and Go Test. The aim of this study was (I) to measure and describe the magnitude of accelerometry values in the Romberg test in two groups of frail and non-frail elderly people through instrumentation with the iPhone 4®, (II) to analyse the performances and differences between the study groups, and (III) to analyse the performances and differences within study groups to characterise accelerometer responses to increasingly difficult challenges to balance. This is a cross-sectional study of 18 subjects over 70 years old, 9 frail subjects and 9 non-frail subjects. The non-parametric Mann-Whitney U test was used for between-group comparisons in means values derived from different tasks. The Wilcoxon Signed-Rank test was used to analyse differences between different variants of the test in both independent study groups. The highest difference between groups was found in the accelerometer values with eyes closed and feet parallel: maximum peak acceleration in the lateral axis (p < 0.01), minimum peak acceleration in the lateral axis (p < 0.01) and minimum peak acceleration from the resultant vector (p < 0.01). Subjects with eyes open and feet parallel, greatest differences found between the groups were in the maximum peak acceleration in the lateral axis (p < 0.01), minimum peak acceleration in the lateral axis (p < 0.01) and minimum peak acceleration from the resultant vector (p < 0.001). With eyes closed and feet in tandem, the greatest differences found between the groups were in the minimum peak acceleration in the lateral axis (p < 0.01). The accelerometer fitted in the iPhone 4® is able to study and analyse the kinematics of the

  2. Early Diagnosis of Fibrodysplasia Ossificans Progressiva

    PubMed Central

    Kaplan, Frederick S.; Xu, Meiqi; Glaser, David L.; Collins, Felicity; Connor, Michael; Kitterman, Joseph; Sillence, David; Zackai, Elaine; Ravitsky, Vardit; Zasloff, Michael; Ganguly, Arupa; Shore, Eileen M.

    2012-01-01

    BACKGROUND Fibrodysplasia ossificans progressiva is a rare and disabling genetic condition characterized by congenital malformation of the great toes and by progressive heterotopic ossification in specific anatomic patterns. Most patients with fibrodys-plasia ossificans progressiva are misdiagnosed early in life before the appearance of heterotopic ossification and undergo diagnostic procedures that can cause lifelong disability. Recently, the genetic cause of fibrodysplasia ossificans progressiva was identified, and definitive genetic testing for fibrodysplasia ossificans progressiva is now available before the appearance of heterotopic ossification. METHODS We recently evaluated 7 children for diagnosis of fibrodysplasia ossificans progressiva before the onset of heterotopic ossification. A medical history, physical examination, and skeletal survey were obtained on all of the patients, as well as clinical genetic testing for the canonical fibrodysplasia ossificans progressiva mutation. RESULTS All 7 of the children (4 girls and 3 boys; ages 3 months to 6 years) had congenital malformations of the great toes, but none had radiographic evidence of heterotopic ossification at the time of evaluation. Five of the 7 children had soft tissue lesions of the neck and back, suggestive of early fibrodysplasia ossificans progressiva flare-ups, 3 of whom had undergone invasive diagnostic procedures that exacerbated their condition. Two children had no history or signs of soft tissue swelling or flare-ups. DNA sequence analysis found that all 7 of the children had the recurrent fibrodysplasia ossificans progressiva missense mutation, a single nucleotide substitution (c.617G>A) at codon 206 in the glycine-serine activation domain of activin receptor IA, a bone morphogenetic protein type 1 receptor. CONCLUSION Clinical suspicion of fibrodysplasia ossificans progressiva early in life on the basis of malformed great toes can lead to early clinical diagnosis, confirmatory

  3. Tinea faciei due to microsporum canis in children: a survey of 46 cases in the District of Cagliari (Italy).

    PubMed

    Atzori, Laura; Aste, Natalia; Aste, Nicola; Pau, Monica

    2012-01-01

    Dermatophytoses are frequent in children, but involvement of the facial skin has peculiar aspects that should be considered a separate entity: tinea faciei. Microsporum canis infection in tinea faciei has not been widely documented. To review cases of tinea faciei due to M. canis in children diagnosed at the Dermatology Clinic, University of Cagliari. Between 1990 and 2009, all children with dermatophyte infections of the facial skin were recruited for the study after parental consent. Diagnosis was made through direct microscopic and cultural examination. Age, sex, clinical form, illness duration, identified dermatophyte, source of infection, and treatment were recorded. Forty-six cases of tinea faciei due to M. canis in children aged 11 months to 15 years (29 male/17 female) were diagnosed. In 42 (91.3%) children, the illness was the result of contact with pets, and 4 (8.7%) cases resulted from contact with children affected by tinea capitis due to M. canis. Clinical manifestations were typical ringworm in 34 (74%) patients, whereas in 12 (26%) cases, atypical forms mimicking atopic dermatitis, impetigo, lupus erythematosus, and periorificial dermatitis were observed. In 18 (39%) cases, involvement of the vellus hair follicle was documented as ectothrix invasion. Topical or systemic antifungal therapy was effective in all patients. Tinea faciei shows a complex spectrum of differential diagnosis and age-related variations with respect to other superficial dermatophytosis. M. canis is the main organism responsible in children residing in Cagliari, capitol city of Sardinia, Italy. Close collaboration with veterinary and educational programs within infant communities are required for adequate prevention. © 2011 Wiley Periodicals, Inc.

  4. Total mandibular subapical osteotomy and Le Fort I osteotomy using piezosurgery and computer-aided designed and manufactured surgical splints: a favorable combination of three techniques in the management of severe mouth asymmetry in Parry-Romberg syndrome.

    PubMed

    Scolozzi, Paolo; Herzog, Georges

    2014-05-01

    Although its pathogenesis remains obscure, Parry-Romberg syndrome (PRS) has been associated with the linear scleroderma en coup de sabre. PRS is characterized by unilateral facial atrophy of the skin, subcutaneous tissue, muscles, and bones with at least 1 dermatome supplied by the trigeminal nerve. Facial asymmetry represents the most common sequela and can involve the soft tissues, craniomaxillofacial skeleton, dentoalveolar area, and temporomandibular joint. Although orthognathic procedures have been reported for skeletal reconstruction, treatment of facial asymmetry has been directed to augmentation of the soft tissue volume on the atrophic side using different recontouring or volumetric augmentation techniques. Total mandibular subapical osteotomy has been used in the management of dentofacial deformities, such as open bite and mandibular dentoalveolar retrusion or protrusion associated with an imbalance between the lower lip and the chin. Management of orthognathic procedures has been improved by the recent introduction of stereolithographic surgical splints using computer-aided design (CAD) and computer-aided manufacturing (CAM) technology and piezosurgery. Piezosurgery has increased security during surgery, especially for delicate procedures associated with a high risk of nerve injury. The present report describes a combined total mandibular subapical osteotomy and Le Fort I osteotomy using piezosurgery and surgical splints fabricated using CAD and CAM for the correction of severe mouth asymmetry related to vertical dentoalveolar disharmony in a patient with PRS. Copyright © 2014 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  5. Clinical features of 80 cases of tinea faciei treated at a rural clinic in Japan.

    PubMed

    Noguchi, Hiromitsu; Jinnin, Masatoshi; Miyata, Keishi; Hiruma, Masataro; Ihn, Hironobu

    2014-12-01

    From March 2008 through February 2014, 80 patients aged 1-95 years (43 men and 37 women) were diagnosed with tinea faciei by a rural Japanese clinic. The affected sites were the cheek in 42 patients (52.5%), the auricles and area surrounding the auricles in 16 (20.0%), and the mandible in 12 (15.0%); 33 patients (41.2%) had concurrent ringworm in areas other than the face. Twenty-one patients (26.3%) had applied topical steroids to treat a rash. The pathogen responsible for tinea faciei was Trichophyton rubrum in 35 patients (43.7%), T. tonsurans in 19 (23.8%), T. mentagrophytes in 3 (3.8%), T. verrucosum in 2 (2.5%), T. violaceum in 2 (2.5%), Microsporum canis in 17 (21.3%), and M. gypseum in 2 (2.5%). Clinical symptoms were divided into three groups based on the severity of inflammation and the extent of lesions and scored in points. Anthropophilic dermatophytes resulted in a score of 1.82 points for the severity of inflammation and a score of 1.84 points for the extent of lesions while zoophilic dermatophytes resulted in a score of 2.14 points for the severity of inflammation and a score of 1.50 points for the extent of lesions. This indicates that anthropophilic fungi resulted in less inflammation and broader lesions, whereas zoophilic fungi resulted in more intense inflammation and smaller lesions. Patients who had applied topical steroids had a mean score of 1.90 points for the severity of inflammation and a mean score of 2.10 points for the extent of lesions. Patients who had not applied topical steroids had a mean score of 1.95 points for the severity of inflammation and a mean score of 1.59 points for the extent of lesions. The severity of inflammation did not differ significantly. However, lesions were significantly broader in patients who had applied topical steroids than in those who had not applied topical steroids (p < 0.04). The severity of tinea faciei is a useful index for the clinical diagnosis of tinea faciei.

  6. Osteochondral Diseases and Fibrodysplasia Ossificans Progressiva

    PubMed Central

    Kaplan, Frederick S.

    2016-01-01

    Osteochondrodysplasias like thanatophoric dysplasia, osteogenesis imperfecta, achondroplasia, and other genetic skeletal disorders like fibrodysplasia ossificans progressiva are infrequently seen in clinical practice. In cases of sporadic achondroplasia as well as in fibrodysplasia ossificans progressiva, there is a strong association with paternal age, a relationship that is less evident in other genetic osteochondral diseases. No other constitutional or environmental factor has proven to be associated with these disorders. The use of prenatal ultrasonography as a routine component of prenatal care is crucial in the early suspicion of osteochondrodysplasias whereas definitive diagnosis is usually obtained by pre-natal molecular analysis. In the case of fibrodysplasia ossificans progressiva, recognition of congenital great toe malformations associated with rapidly–appearing soft tissue swelling is sufficient to make the proper clinical diagnosis, which can be confirmed by genetic testing. Large regional centres will improve diagnosis performance, provide accurate genetic counselling, and ensure an integral assistance for these often severe and incapacitating conditions. PMID:20824454

  7. Parris Island Wastewater Treatment Plant SCADA Upgrades Final Report

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Meador, Richard J.; Hatley, Darrel D.

    2004-03-18

    Marine Corp Recruit Depot (MCRD), Parris Island, SC, home of the Easter Recruiting Region Marine Corp Boot Camp, found itself in a situation common to Department of Defense (DOD) facilities. It had to deal with several different types of installed energy-related control systems that could not talk to each other. This situation was being exacerbated by the installation of a new and/or unique type of control system for every new building being constructed or older facility that was being upgraded. The Wastewater Treatment Facility (WWTF) and lift station controls were badly in need of a thorough inspection and a newmore » Supervisory Control and Data Acquisition (SCADA) system upgrade to meet environmental, safety, manpower, and maintenance concerns. A project was recently completed to implement such a wastewater treatment SCADA upgrade, which is compatible with other upgrades to the energy monitoring and control systems for Parris Island buildings and the Pacific Northwest National Laboratory (PNNL) Decision Support for Operations and Maintenance (DSOM) system installed at the Central Energy Plant (CEP). This project included design, specification, procurement, installation, and testing an upgraded SCADA alarm, process monitoring, and display system; and training WWTF operators in its operation. The ultimate goal of this and the other PNNL projects at Parris Island is to allow monitoring and control of energy and environmental components from a central location.« less

  8. Role of ocular convergence in the Romberg quotient.

    PubMed

    Lê, Thanh-Thuan; Kapoula, Zoï

    2008-04-01

    The Romberg test generally shows that postural stability is better with eyes open than eyes closed; the Romberg quotient (RQ) is generally 2.5. This study examines the possible role of vergence angle on the RQ. Eighteen young (25.3+/-2.7 years) and 17 old (61.6+/-4.4 years) subjects were required to fixate a target at 40 cm or at 200 cm inducing different vergence angle (i.e. 8.6 degrees and 1.7 degrees, respectively) either with eyes open or closed. Postural stability of subjects was measured with force platform (TechnoConcept). The RQ was about 2 at 40 cm but dropped to 1 at 200 cm. In a second experiment, 15 subjects (26.7+/-5.5 years) run the Romberg test with eye movement measures (Chronos). Subjects were required to fixate a target placed at 20 cm, 40 cm, 90 cm, 200 cm or 350 cm either in light or in dark. The RQ at 20 cm and 40 cm was close to 2 and dropped to 1 at 90 cm and beyond. In parallel, the vergence angle at 20 cm and 40 cm changed significantly between light and dark, while at 90 cm and beyond it was stable (about 2 degrees both in light and dark). The distance had a significant effect on the co-variance between the RQ based on the anterior-posterior sway, and the change of vergence angle. We suggest different ways of control of posture according to the viewing distance: at near distance and in the light, the CNS uses vision coupled with oculo-motor convergence signals (efferent and afferent) leading to high RQ; at intermediate and far distances, it would use mostly internal signals (vestibular, proprioceptive, somatosensory), and similarly in the light and in the dark.

  9. Myositis Ossificans Progressiva (Munchmeyer's Disease)

    PubMed Central

    Illingworth, R. S.

    1971-01-01

    Two cases of myositis ossificans progressiva were treated by corticosteroids. In one case the course of the disease was not affected. In the other case, after 5 years' progression of the disease without treatment, progression ceased, either because of or in spite of corticosteroid treatment, and there has been a remission of 16 years, up to the time of writing. ImagesFIG. 1FIG. 2FIG. 3FIG. 4 PMID:4326279

  10. Misdiagnosed zoophile tinea faciei and tinea corporis effectively treated with isoconazole nitrate and diflucortolone valerate combination therapy.

    PubMed

    Czaika, Viktor A

    2013-05-01

    There have been few published reports on the human transmission of Trichophyton mentagrophytes, a zoophilic fungus frequently occurring in pets. Here we report on 2 girls, living with a pet dwarf rabbit, who presented with inflammatory skin lesions positive for T. mentagrophytes and subsequently diagnosed as zoophile tinea faciei and tinea corporis. The patients were successfully treated with systemic terbinafine and 2-week therapy with Travocort cream containing isoconazole nitrate 1% and diflucortolone valerate 0.1%. © 2013 Blackwell Verlag GmbH.

  11. Pediatric tinea faciei in southern Spain: a 30-year survey.

    PubMed

    del Boz, Javier; Crespo, Vicente; de Troya, Magdalena

    2012-01-01

    Tinea faciei (TF) is a common clinical form of tinea in children that is frequently misdiagnosed and treated with corticosteroids. No large case series of TF focusing on children have been published. The aim of this study was to analyze the main epidemiologic, clinical, and microbiologic features of TF in children over a period of 30 years and compare these features with those of other tineas. We undertook a retrospective study of 818 cases of tinea in children at a referral hospital in southern Spain, diagnosed between 1977 and 2006, concentrating for this study on TF. Of the 73 cases of TF diagnosed, 50.7% were in girls. Most children (46.6%) were 4 to 9 years old. At the time of diagnosis, 29.2% of the cases had been treated with topical steroids. The most frequently isolated dermatophyte was Trichophyton mentagrophytes, which was isolated significantly more frequently in TF than in the other tineas. Cases of TF in children were not extremely unusual, emphasizing that TF must be considered in children with inflammatory facial eruptions. This consideration and the more-frequent use of mycologic tests can help achieve the correct diagnosis, when present. © 2011 Wiley Periodicals, Inc.

  12. The detection of Propionibacterium acnes signatures in granulomas of lupus miliaris disseminatus faciei.

    PubMed

    Nishimoto, Junko; Amano, Masahiro; Setoyama, Mitsuru

    2015-04-01

    Lupus miliaris disseminatus faciei (LMDF) is a papular eruption that occurs on adults' faces, predominantly on the lower eyelids. Histologically, the granulomatous lesions are primarily situated around the hair follicles, particularly the superficial region/infundibula. Its etiology remains to be elucidated. Recently, Propionibacterium acnes (P. acnes) has been suspected as a cause of sarcoidosis. In light of the sarcoid-like reactions that are present in LMDF, we hypothesized that P. acnes may also be implicated in granulomas associated with the disease. We evaluated nine DNA samples from granulomatous lesions from the skin of patients with LMDF. We used laser capture microdissection to extract DNA from these regions. Polymerase chain reaction was performed to amplify segments of the 16S ribosomal RNA of P. acnes, and the P. acnes gene was clearly detectable in all nine DNA samples. The gene was also detected in samples from normal-appearing skin, but these bands were faint in all samples. The results of the present study suggest that P. acnes plays a pathogenetic roles in LMDF. © 2015 Japanese Dermatological Association.

  13. Scleroderma and dentistry: Two case reports.

    PubMed

    Dixit, Shantanu; Kalkur, Chaithra; Sattur, Atul P; Bornstein, Michael M; Melton, Fred

    2016-10-24

    Scleroderma is a chronic connective tissue disorder with unknown etiology. It is characterized by excessive deposition of extracellular matrix in the connective tissues causing vascular disturbances which can result in tissue hypoxia. These changes are manifested as atrophy of the skin and/or mucosa, subcutaneous tissue, muscles, and internal organs. Such changes can be classified into two types, namely, morphea (localized) and diffuse (systemic). Morphea can manifest itself as hemifacial atrophy (Parry-Romberg syndrome) although this remains debatable. Hence, we present a case of morphea, associated with Parry-Romberg syndrome, and a second case with the classical signs of progressive systemic sclerosis. Case one: A 20-year-old man of Dravidian origin presented to our out-patient department with a complaint of facial asymmetry, difficulty in speech, and loss of taste sensation over the last 2 years. There was no history of facial trauma. After physical and radiological investigations, we found gross asymmetry of the left side of his face, a scar on his chin, tongue atrophy, relative microdontia, thinning of the ramus/body of his mandible, and sclerotic lesions on his trunk. Serological investigations were positive for antinuclear antibody for double-stranded deoxyribonucleic acid and mitochondria. A biopsy was suggestive of morphea. Hence, our final diagnosis was mixed morphea with Parry-Romberg syndrome. Case two: A 53-year-old woman of Dravidian origin presented to our out-patient department with a complaint of gradually decreasing mouth opening over the past 7 years. Her medical history was noncontributory. On clinical examination, we found her perioral, neck, and hand skin to be sclerotic. Also, her fingers exhibited bilateral telangiectasia. An oral examination revealed completely edentulous arches as well as xerostomia and candidiasis. Her serological reports were positive for antinuclear antibodies against centromere B, Scl-70, and Ro-52. A hand and

  14. Tinea faciei caused by Trichophyton mentagrophytes (molecular type Arthroderma benhamiae ) mimics impetigo : a case report and literature review of cases in Japan.

    PubMed

    Kimura, Utako; Yokoyama, Kae; Hiruma, Masataro; Kano, Rui; Takamori, Kenji; Suga, Yasushi

    2015-01-01

    A 36-year-old female elementary schoolteacher presented with aggregated serous papules surrounded by mild erythema, extending from both nasal wings/nostrils down to the upper lip. No improvement was seen following treatment of the lesions with topical antibiotics for impetigo. Potassium hydroxide (KOH) direct microscopy confirmed the presence of mycelia, and the infection was diagnosed as tinea faciei. The isolate was identified as Trichophyton mentagrophytes using morphological analysis and as Arthroderma benhamiae using genetic analysis. Here we describe that case and summarize the clinical features of other cases of A. benhamiae infection in Japan that have been reported in the literature.

  15. The use of intraosseous anesthesia in a patient with myositis ossificans progressiva.

    PubMed

    Webb, M D; Wilson, C

    1996-01-01

    The case of a pediatric patient with myositis ossificans progressiva in whom it became increasingly difficult to obtain local anesthesia is presented. Intraosseous anesthesia was successful in allowing pain-free dental treatment to be completed. This approach should be considered in other patients who have limited mouth-opening ability due to injury or disease.

  16. Seafloor features delineate Late Wisconsinan ice stream configurations in eastern Parry Channel, Canadian Arctic Archipelago

    NASA Astrophysics Data System (ADS)

    MacLean, B.; Blasco, S.; Bennett, R.; Lakeman, T.; Pieńkowski, A. J.; Furze, M. F. A.; Hughes Clarke, J.; Patton, E.

    2017-03-01

    Multibeam imagery and 3.5 kHz sub-bottom profiles acquired from CCGS Amundsen between 2003 and 2013 by ArcticNet and the Ocean Mapping Group at the University of New Brunswick provide information on seafloor features, geology, bathymetry and morphology in eastern Parry Channel and the adjoining large channels in the Canadian Arctic Archipelago. Together these include Peel Sound, Barrow Strait, Lancaster Sound, Wellington Channel, Prince Regent Inlet, Admiralty Inlet and Navy Board Inlet. Those data are in part complemented by high resolution single channel seismic reflection profiles acquired by the Geological Survey of Canada in the 1970s and 1980s and by sediment cores that provide chronological and depositional information. The occurrence and pattern of streamlined mega-scale ridge and groove lineations (MSGLs) indicate that these waterways were occupied by glacial ice streams in the past. Chronological information from marine and adjoining terrestrial areas suggests a long history of glacial events ranging in time from Early Pleistocene to Late Wisconsinan. Seafloor morphology and MSGL trends together with terrestrial ice flow patterns indicate that ice streams flowed into Barrow Strait from Peel Sound and Wellington Channel, and ice streams in Prince Regent, Admiralty and Navy Board inlets flowed northward into and eastward along Lancaster Sound. Recession of the ice stream westward along Parry Channel occurred ∼16 cal ka BP to 10.8 cal ka BP. Thick ice-contact sediments deposited by a late ice advance from Prince Regent Inlet constitute the seabed across a large area of western Lancaster Sound. Timing for that late ice advance appears to be bracketed between the 11.5 cal ka BP lift-off of the eastern Parry ice stream north of Prince Leopold Island and the ∼10.0 cal ka BP deglaciation of Prince Regent Inlet. Seafloor morphology and lineation trends suggest that ice delivered by the ice stream in Peel Sound was the westernmost tributary to the ice stream

  17. Prevalence and risk factors for kidney stones in fibrodysplasia ossificans progressiva.

    PubMed

    Gupta, Rishi R; Delai, Patricia L R; Glaser, David L; Rocke, David M; Al Mukaddam, Mona; Pignolo, Robert J; Kaplan, Frederick S

    2018-04-01

    The worldwide prevalence and risk factors for kidney stones in patients with fibrodysplasia ossificans progressiva (FOP) are unknown. We conducted a survey of 383 patient-members of the International Fibrodysplasia Ossificans Progressiva Association, comprising the entire global membership of the international FOP community. Two hundred seven patients from 31 nations and 6 continents (54%) responded. Nineteen of 207 respondents had kidney stones, revealing a worldwide prevalence of 9.2%. In a confirmatory follow-up study of subjects participating in a longitudinal FOP natural history study, 9 of 114 individuals reported a history of kidney stones (7.9%). In both study populations patients with kidney stones were found to be more functionally impaired compared to those without nephrolithiasis. The prevalence of kidney stones in the adult FOP population of the Unites States was 15.8% (9/57 individuals) compared to a sex- and age-weighted prevalence of 4.5% (p=4×10 -5 ) in the general population. Although geographical variation exists, patients with FOP have an approximately three-fold greater prevalence of kidney stones than the general population. This unusually high prevalence may be due to high bone turnover from chronic immobilization, or to unknown mechanistic effects of the activating FOP mutation in activin A receptor, type I/activin-like kinase-2 (ACVR1/ALK2), increasing the disease burden and morbidity in this already disabling condition. Copyright © 2017 Elsevier Inc. All rights reserved.

  18. 33 CFR 334.480 - Archers Creek, Ribbon Creek, and Broad River; U.S. Marine Corps Recruit Depot, Parris Island...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Broad River; U.S. Marine Corps Recruit Depot, Parris Island, South Carolina; danger zones. 334.480... DEFENSE DANGER ZONE AND RESTRICTED AREA REGULATIONS § 334.480 Archers Creek, Ribbon Creek, and Broad River... danger zone on Archers Creek (between the Broad River and Beaufort River), Ribbon Creek, and the Broad...

  19. 33 CFR 334.480 - Archers Creek, Ribbon Creek, and Broad River; U.S. Marine Corps Recruit Depot, Parris Island...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Broad River; U.S. Marine Corps Recruit Depot, Parris Island, South Carolina; danger zones. 334.480... DEFENSE DANGER ZONE AND RESTRICTED AREA REGULATIONS § 334.480 Archers Creek, Ribbon Creek, and Broad River... danger zone on Archers Creek (between the Broad River and Beaufort River), Ribbon Creek, and the Broad...

  20. 33 CFR 334.480 - Archers Creek, Ribbon Creek, and Broad River; U.S. Marine Corps Recruit Depot, Parris Island...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Broad River; U.S. Marine Corps Recruit Depot, Parris Island, South Carolina; danger zones. 334.480... DEFENSE DANGER ZONE AND RESTRICTED AREA REGULATIONS § 334.480 Archers Creek, Ribbon Creek, and Broad River... danger zone on Archers Creek (between the Broad River and Beaufort River), Ribbon Creek, and the Broad...

  1. 76 FR 35379 - Archers Creek, Ribbon Creek, and Broad River; U.S. Marine Corps Recruit Depot, Parris Island, SC...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-17

    ..., Ribbon Creek, and Broad River; U.S. Marine Corps Recruit Depot, Parris Island, SC; Danger Zone AGENCY... use these portions of Archers Creek, Ribbon Creek, and the Broad River when the rifle and pistol.... 334.480 to read as follows: Sec. 334.480 Archers Creek, Ribbon Creek, and Broad River; U.S. Marine...

  2. Cellular and morphological aspects of fibrodysplasia ossificans progressiva

    PubMed Central

    Martelli, Anderson; Santos, Arnaldo Rodrigues

    2014-01-01

    Fibrodysplasia ossificans progressiva (FOP) is a rare congenital disease that causes bone formation within the muscles, tendons, ligaments and connective tissues. There is no cure for this disorder and only treatment of the symptoms is available. The purpose of this study was to review the literature and describe the clinical, cellular and molecular aspects of FOP. The material used for the study was obtained by reviewing scientific articles published in various literature-indexed databases. In view of its rarity and of the lack of insightful information and the unpredictability of its course, FOP is a challenging disorder for professionals who are confronted by it. However, this rare disease raises a great deal of interest because understanding the mechanism of mature bone formation can encourage research lines related to bone regeneration and the prevention of heterotopic ossification. PMID:25482313

  3. Genetic abnormalities in fibrodysplasia ossificans progressiva.

    PubMed

    Miao, Jinglei; Zhang, Chaoyue; Wu, Song; Peng, Zhi; Tania, Mousumi

    2012-01-01

    Fibrodysplasia ossificans progressiva (FOP), characterized by congenital malformation of bones, is an autosomal dominant disorder. This is a rare genetic disorder and its worldwide prevalence is approximately 1/2,000,000. There is no ethnic, racial, gender, or geographic predilection to FOP. It is regarded as one of the intractable disorders, which is not only an extremely disabling disease but also a condition of considerably shortened lifespan. Although the genetic defects of FOP are not completely known, several clinical and animal model studies have implicated that mutations in bone morphogenetic proteins, their receptors, and activin receptor type IA (ACVR1) genes are associated with FOP primarily. The noggin (NOG) gene has also been reported in some studies. In most of the cases of FOP, the mutation was found as 'de novo' however there is paternal age effect on mutations. Unfortunately, at present there is no efficient treatment for FOP. The recent discoveries of genetic basis of FOP provide a clue to the underlying pathophysiology and potential therapy. This review article focuses on the genetic mutations in FOP, their usage as diagnostic markers, and possible target specific drug development to treat FOP patients.

  4. Neuroimaging and clinical findings in a case of linear scleroderma en coup de sabre.

    PubMed

    Duman, Ikram E; Ekinci, Gazanfer

    2018-06-01

    Linear scleroderma "en coup de sabre" is a subset of localized scleroderma with band-like sclerotic lesions typically involving the frontoparietal regions of the scalp. En coup de sabre and Parry-Romberg syndrome are variants of linear morphea on the head and neck that can be associated with neurologic manifestations. On imaging, patients may have lesions in the cerebrum ipsilateral to the scalp abnormality. We present a case of an 8-year-old girl with a left frontoparietal "en coup de sabre" scalp lesion and describe the neuroimaging findings of frontoparietal white matter lesion discovered incidentally on routine magnetic resonance imaging. The patient had no neurologic symptoms given the lesion identified.

  5. Use of Nanoscale Emulsified Zero-valent Iron to Treat a Chlorinated Solvent Source Zone at Site 45, Marine Corp Recruit Depot, Parris Island, South Carolina

    EPA Science Inventory

    This document summarizes the research activities currently underway at the Solid Waste Management Unit 45 (Site 45), Marine Corps Recruit Depot, Parris Island, South Carolina. A pilot field test was initiated in 2005 at this site to evaluate the effectiveness of nanoscale emulsif...

  6. Mobility challenges and solutions for fibrodysplasia ossificans progressiva.

    PubMed

    Levy, C; Berner, T F; Sandhu, P S; McCarty, B; Denniston, N L

    1999-10-01

    Fibrodysplasia ossificans progressiva (FOP) is a rare genetic disorder characterized by progressive soft tissue ossification. Although signs may be present at birth, the first appearance of ectopic bone typically occurs in early childhood. The primary target is the axial musculature. Eventually ectopic bone also occurs in ligaments, fascia, aponeurosis, tendons, and joint capsules of the appendicular skeleton with a proximal to distal predilection. As the disease advances, mobility becomes restricted, and affected individuals are typically limited to bed or chair by their early 30s. This report describes a 30-year-old woman with advanced FOP. She had a fused spine and a fixed pelvis, with hips and knees locked in flexion and feet in plantarflexion. Her upper limb mobility was similarly restricted. She was not able to stand upright or sit independently. The modification of a commercially available power wheelchair that allowed the patient to maintain her employment as a preschool teacher and custom shoes are described. Creative physiatric intervention is essential to liberate human potential for people with FOP.

  7. Public health assessment for USMC Marine Corps Recruit Depot (a/k/a Parris Island Marine Corps Recruit Depot), Parris Island, Beaufort County, South Carolina, Region 4. Cerclis No. SC6170022762

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    NONE

    1996-09-12

    Marine Corps Recruit Depot, (MCRD) Parris Island was proposed for listing on U.S. Environmental Protection Agency`s National Priorities List in August 1994. We identified two areas where chemical contaminants in soil entered the surface water wetland areas and bioaccumulated in edible fish and shellfish species: (1) contaminated fish and shellfish at the Causeway Landfill (Site 3) and (2) contaminated shellfish near the Rifle Range. These exposure situations pose no apparent public health hazard due to the low levels of contaminants detected in fish and shellfish. However, because the landfill has no impermeable cap nor leachate collection system, it is notmore » known whether contaminants in fish and shellfish will increase over time. The remaining 57 contaminated areas pose no public health hazard because people are not coming in contact with contaminants.« less

  8. Neurological Manifestations in Parry–Romberg Syndrome: 2 Case Reports

    PubMed Central

    Vix, Justine; Mathis, Stéphane; Lacoste, Mathieu; Guillevin, Rémy; Neau, Jean-Philippe

    2015-01-01

    Abstract Parry–Romberg syndrome (PRS) is a variant of morphea usually characterized by a slowly progressive course. Clinical and radiological involvement of the central nervous system may be observed in PRS. We describe 2 patients with PRS and neurological symptoms (one with trigeminal neuralgia associated with deafness, and the second with hemifacial pain associated with migraine without aura) in conjunction with abnormal cerebral MRI including white matter T2 hyperintensities and enhancement with gadolinium. Despite the absence of specific immunosuppressive treatments, both patients have presented stable imaging during follow-up without any clinical neurologic progression. We have performed a large review of the medical literature on patients with PRS and neurological involvement (total of 129 patients) Central nervous system involvement is frequent among PRS patients and is inconsistently associated with clinical abnormalities. These various neurological manifestations include seizures, headaches, movement disorders, neuropsychological symptoms, and focal symptoms. Cerebral MRI may reveal frequent abnormalities, which can be bilateral or more often homolateral to the skin lesions, localized or so widespread so as to involve the whole hemisphere: T2 hyperintensities, mostly in the subcortical white matter, gadolinium enhancement, brain atrophy, and calcifications. These radiological lesions do not usually progress over time. Steroids or immunosuppressive treatments are controversial since it remains unclear to what extent they are beneficial and there is often no neurological progression. PMID:26181554

  9. Pilot-Scale Demonstration of In-Situ Chemical Oxidation Involving Chlorinated Volatile Organic Compounds - Design and Deployment Guidelines (Parris Island, SC, U.S. Marine Corp Recruit Depot, Site 45 Pilot Study)

    EPA Science Inventory

    A pilot-scale in situ chemical oxidation (ISCO) demonstration, involving subsurface injections of sodium permanganate (NaMnO4), was performed at the US Marine Corp Recruit Depot (MCRD), site 45 (Parris Island (PI), SC). The ground water was originally contaminated with perchloroe...

  10. Mast cell inhibition as a therapeutic approach in fibrodysplasia ossificans progressiva (FOP).

    PubMed

    Brennan, Tracy A; Lindborg, Carter M; Bergbauer, Christian R; Wang, Haitao; Kaplan, Frederick S; Pignolo, Robert J

    2018-04-01

    Episodic flare-ups of fibrodysplasia ossificans progressiva (FOP) are characterized clinically by severe, often posttraumatic, connective tissue swelling and intramuscular edema, followed histologically by an intense and highly angiogenic fibroproliferative reaction. This early inflammatory and angiogenic fibroproliferative response is accompanied by the presence of abundant mast cells far in excess of other reported myopathies. Using an injury-induced, constitutively-active transgenic mouse model of FOP we show that mast cell inhibition by cromolyn, but not aprepitant, results in a dramatic reduction of heterotopic ossification. Cromolyn, but not aprepitant, significantly decreases the total number of mast cells in FOP lesions. Furthermore, cromolyn specifically diminishes the number of degranulating and resting degranulated mast cells in pre-osseous lesions. This work demonstrates that consideration of FOP as a type of localized mastocytosis may offer new therapeutic interventions for treatment of this devastating condition. Copyright © 2017 Elsevier Inc. All rights reserved.

  11. Application of human induced pluripotent stem cells to model fibrodysplasia ossificans progressiva.

    PubMed

    Barruet, Emilie; Hsiao, Edward C

    2018-04-01

    Fibrodysplasia ossificans progressiva (FOP) is a genetic condition characterized by massive heterotopic ossification. FOP patients have mutations in the Activin A type I receptor (ACVR1), a bone morphogenetic protein (BMP) receptor. FOP is a progressive and debilitating disease characterized by bone formation flares that often occur after trauma. Since it is often difficult or impossible to obtain large amounts of tissue from human donors due to the risks of inciting more heterotopic bone formation, human induced pluripotent stem cells (hiPSCs) provide an attractive source for establishing in vitro disease models and for applications in drug screening. hiPSCs have the ability to self-renew, allowing researchers to obtain large amounts of starting material. hiPSCs also have the potential to differentiate into any cell type in the body. In this review, we discuss how the application of hiPSC technology to studying FOP has changed our perspectives on FOP disease pathogenesis. We also consider ongoing challenges and emerging opportunities for the use of human iPSCs in drug discovery and regenerative medicine. Copyright © 2017 Elsevier Inc. All rights reserved.

  12. Walking with eyes closed is easier than walking with eyes open without visual cues: The Romberg task versus the goggle task.

    PubMed

    Yelnik, A P; Tasseel Ponche, S; Andriantsifanetra, C; Provost, C; Calvalido, A; Rougier, P

    2015-12-01

    The Romberg test, with the subject standing and with eyes closed, gives diagnostic arguments for a proprioceptive disorder. Closing the eyes is also used in balance rehabilitation as a main way to stimulate neural plasticity with proprioceptive, vestibular and even cerebellar disorders. Nevertheless, standing and walking with eyes closed or with eyes open in the dark are certainly 2 different tasks. We aimed to compare walking with eyes open, closed and wearing black or white goggles in healthy subjects. A total of 50 healthy participants were randomly divided into 2 protocols and asked to walk on a 5-m pressure-sensitive mat, under 3 conditions: (1) eyes open (EO), eyes closed (EC) and eyes open with black goggles (BG) and (2) EO, EO with BG and with white goggles (WG). Gait was described by velocity (m·s(-1)), double support (% gait cycle), gait variability index (GVI/100) and exit from the mat (%). Analysis involved repeated measures Anova, Holm-Sidak's multiple comparisons test for parametric parameters (GVI) and Dunn's multiple comparisons test for non-parametric parameters. As compared with walking with EC, walking with BG produced lower median velocity, by 6% (EO 1.26; BG 1.01 vs EC 1.07 m·s(-1), P=0.0328), and lower mean GVI, by 8% (EO 91.8; BG 66.8 vs EC 72.24, P=0.009). Parameters did not differ between walking under the BG and WG conditions. The goggle task increases the difficulty in walking with visual deprivation compared to the Romberg task, so the goggle task can be proposed to gradually increase the difficulty in walking with visual deprivation (from eyes closed to eyes open in black goggles). Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  13. Longitudinal patient-reported mobility assessment in fibrodysplasia ossificans progressiva (FOP).

    PubMed

    Kaplan, Frederick S; Al Mukaddam, Mona; Pignolo, Robert J

    2018-04-01

    Fibrodysplasia ossificans progressiva (FOP) is a rare, disabling genetic disorder characterized by episodic soft tissue swelling (flare-ups) that leads to progressive heterotopic ossification and restricted joint mobility. Here we present the first longitudinal patient-reported mobility assessment (PRMA) in FOP based on a simple evaluation tool. At initial presentation and follow-up (1-11year span; median: 6 year span), 64 patients (36 females; 28 males) with classic FOP completed a questionnaire designed to rapidly assess mobility at 15 sites (three axial; six upper limb, and six lower limb). In order to validate this instrument, twenty-one of 64 patients (33%) underwent a cumulative analogue joint involvement scale (CAJIS) evaluation by two physicians within six months of their second self-assessment. We found that: 1) mobility changes were episodic and regional, occurring first in the neck and trunk, followed by the upper limbs and finally the lower limbs; 2) interval improvements in mobility did occur, most notably in the lower limbs (18%), and less so in the upper limbs (12%) and trunk (3%), and 3) patient-reported mobility assessments correlate highly (R 2 =0.81) with physician-reported CAJIS evaluations. This is the first longitudinal PRMA in FOP and provides a simple and valid tool that can be used in the design and evaluation of clinical trials in this progressively disabling disease. Copyright © 2017 Elsevier Inc. All rights reserved.

  14. Clinical staging of Fibrodysplasia Ossificans Progressiva (FOP).

    PubMed

    Pignolo, Robert J; Kaplan, Frederick S

    2018-04-01

    Fibrodyplasia ossificans progressiva (FOP) is an ultra-rare genetic condition of heterotopic ossification (HO) that results in progressive loss of joint function, ultimately rendering movement impossible. Death is most commonly the result of thoracic insufficiency syndrome, or complications related to recurrent respiratory infections. There are no current treatments for FOP, but early and emerging clinical trials offer hope for this devastating disease. With the recent reporting of a comprehensive global natural history study, scales to assess joint dysfunction, and a more accurate prediction of joint survival, it is now possible to construct a conceptual framework for the clinical staging of FOP. Based on assessment of FOP features in seven areas, it is possible to assign five clinical stages. FOP features include flare-up activity, body regions affected, thoracic insufficiency, other complications, activities of daily living (ADLs), ambulatory status, and the cumulative joint involvement scale (CAJIS) score. Assessments of these features assign an individual with FOP to early/mild, moderate, severe, profound, or late-stage disease. These criteria seek to be flexible enough to be used by clinicians without reliance on advanced imaging or specialized testing, as well as by investigators involved in research or clinical trial studies who would have these tools available. These staging measures for FOP assess the influence of HO and accelerated joint dysfunction (due to congenital abnormalities) on the ability to perform common functional activities, and thus a delay or lack of progression from one stage to the next represents the ultimate test of efficacy for drug trials. This framework will serve both as a prediction tool for FOP progression as well as a critical opportunity to substantiate therapeutic interventions. The staging system proposed here will permit an accurate assessment of severity to appropriately develop or revise clinical plans of care, define

  15. A Study to Determine The Best Way, Within Existing Constraints, to Minimize Lost Training Time Due to Recruit Sick Call at the Marine Corps Recruit Depot, Parris Island, South Carolina

    DTIC Science & Technology

    1988-07-01

    Assistants. Chicago, IL; American Medical Association, 1985 Light, 1317 Nichols, AW. *Physician Extenders, the Law , and the Future.’ Journal of Family...97 * 4 . LIST OF TABLES Table 1 Distance of Subpopulations from Branch ............ 35 Medical Clinic, MCRD, Parris Island Table 2 Total Recruit...Sick Call, June 1987 to ............. 50 May 1988 Table 3 Number of Recruit Sick Call Visits Per Day ........ 50 at the Branch Medical Clinic. MCRD

  16. Acute unilateral hip pain in fibrodysplasia ossificans progressiva (FOP).

    PubMed

    Kaplan, Frederick S; Al Mukaddam, Mona; Pignolo, Robert J

    2018-04-01

    Flare-ups of the hips are among the most feared and disabling complications of fibrodysplasia ossificans progressiva (FOP) and are poorly understood. In order to better understand the nature of hip flare-ups in FOP, we evaluated 25 consecutive individuals with classic FOP (14 males, 11 females; 3-56years old, median age, 17years old) who presented with acute unilateral hip pain. All 25 individuals were suspected of having a flare-up of the hip based on clinical history and a favorable response to a four day course of high-dose oral prednisone. Ten individuals (40%) experienced rebound symptoms of pain and/or stiffness within seven days after discontinuation of prednisone and all ten subsequently developed heterotopic ossification (HO) or decreased mobility of the affected hip. None of the 14 individuals who experienced sustained relief of symptoms following a course of oral prednisone experienced HO or decreased mobility. Incidental radiographic findings at the time of presentation were multifactoral and included osteochondromas of the proximal femur (18/25; 72%), degenerative arthritis (17/25; 68%), developmental hip dysplasia (15/25; 60%), previously existing heterotopic ossification (12/25; 48%), intra-articular synovial osteochondromatosis (8/25; 32%) or traumatic fractures through pre-existing heterotopic bone (1/25; 4%). Developmental joint pathology may confound clinical evaluation of hip pain in FOP. The most useful modality for suspecting an ossification-prone flare-up of the hip was lack of sustained response to a brief course of oral prednisone. Evaluation of soft tissue edema by ultrasound or magnetic resonance imaging showed promise in identifying ossification-prone flare-ups and warrants further analysis in prospective studies. Copyright © 2017 Elsevier Inc. All rights reserved.

  17. Neurologic Involvement in Scleroderma en Coup de Sabre

    PubMed Central

    Amaral, Tiago Nardi; Marques Neto, João Francisco; Lapa, Aline Tamires; Peres, Fernando Augusto; Guirau, Caio Rodrigues; Appenzeller, Simone

    2012-01-01

    Localized scleroderma is a rare disease, characterized by sclerotic lesions. A variety of presentations have been described, with different clinical characteristics and specific prognosis. In scleroderma en coup de sabre (LScs) the atrophic lesion in frontoparietal area is the disease hallmark. Skin and subcutaneous are the mainly affected tissues, but case reports of muscle, cartilage, and bone involvement are frequent. These cases pose a difficult differential diagnosis with Parry-Romberg syndrome. Once considered an exclusive cutaneous disorder, the neurologic involvement present in LScs has been described in several case reports. Seizures are most frequently observed, but focal neurologic deficits, movement disorders, trigeminal neuralgia, and mimics of hemiplegic migraines have been reported. Computed tomography and magnetic resonance imaging have aided the characterization of central nervous system lesions, and cerebral angiograms have pointed to vasculitis as a part of disease pathogenesis. In this paper we describe the clinical and radiologic aspects of neurologic involvement in LScs. PMID:22319646

  18. Sewers as a source and sink of chlorinated-solvent groundwater contamination, Marine Corps Recruit Depot, Parris Island, South Carolina

    USGS Publications Warehouse

    Vroblesky, D.A.; Petkewich, M.D.; Lowery, M.A.; Landmeyer, J.E.

    2011-01-01

    Groundwater contamination by tetrachloroethene and its dechlorination products is present in two partially intermingled plumes in the surficial aquifer near a former dry-cleaning facility at Site 45, Marine Corps Recruit Depot, Parris Island, South Carolina. The northern plume originates from the vicinity of former above-ground storage tanks. Free-phase tetrachloroethene from activities in this area entered the groundwater. The southern plume originates at a nearby, new dry-cleaning facility, but probably was the result of contamination released to the aquifer from a leaking sanitary sewer line from the former dry-cleaning facility. Discharge of dissolved groundwater contamination is primarily to leaking storm sewers below the water table. The strong influence of sanitary sewers on source distribution and of storm sewers on plume orientation and discharge at this site indicates that groundwater-contamination investigators should consider the potential influence of sewer systems at their sites. ?? 2011, National Ground Water Association.

  19. Joint-specific risk of impaired function in fibrodysplasia ossificans progressiva (FOP).

    PubMed

    Pignolo, Robert J; Durbin-Johnson, Blythe P; Rocke, David M; Kaplan, Frederick S

    2018-04-01

    Fibrodysplasia ossificans progressiva (FOP) causes progressive disability due to heterotopic ossification from episodic flare-ups. Using data from 500 FOP patients (representing 63% of all known patients world-wide), age- and joint-specific risks of new joint involvement were estimated using parametric and nonparametric statistical methods. Compared to data from a 1994 survey of 44 individuals with FOP, our current estimates of age- and joint-specific risks of new joint involvement are more accurate (narrower confidence limits), based on a wider range of ages, and have less bias due to its greater comprehensiveness (captures over three-fifths of the known FOP patients worldwide). For the neck, chest, abdomen, and upper back, the estimated hazard decreases over time. For the jaw, lower back, shoulder, elbow, wrist, fingers, hip, knee, ankle, and foot, the estimated hazard increases initially then either plateaus or decreases. At any given time and for any anatomic site, the data indicate which joints are at risk. This study of approximately 63% of the world's known population of FOP patients provides a refined estimate of risk for new involvement at any joint at any age, as well as the proportion of patients with uninvolved joints at any age. Importantly, these joint-specific survival curves can be used to facilitate clinical trial design and to determine if potential treatments can modify the predicted trajectory of progressive joint dysfunction. Copyright © 2017 Elsevier Inc. All rights reserved.

  20. Acute and chronic rapamycin use in patients with Fibrodysplasia Ossificans Progressiva: A report of two cases.

    PubMed

    Kaplan, Frederick S; Zeitlin, Leonid; Dunn, Stephen P; Benor, Shira; Hagin, David; Al Mukaddam, Mona; Pignolo, Robert J

    2018-04-01

    Fibrodysplasia Ossificans Progressiva (FOP) is an ultrarare genetic disorder of progressive, disabling heterotopic ossification for which there is presently no definitive treatment. Several recent studies in genetic mouse models of FOP support involvement of the mechanistic target of rapamycin complex 1 (mTORC1) pathway in the pathophysiology of FOP and propose the repurposed use of rapamycin, an inhibitor of mTORC1 signaling in clinical trials for the management of FOP. Here we report two patients with the classic FOP mutation who received rapamycin-one for four months on a compassionate basis for treatment of acute flare-ups of the neck and back that were refractory to corticosteroid therapy-and the other for 18years for chronic immunosuppression following liver transplantation for intercurrent cytomegalovirus infection. In both patients, FOP progressed despite the use of rapamycin. This report highlights the real-world use of rapamycin in two FOP patients and provides insight into the use of rapamycin in clinical trials for the management of FOP. Copyright © 2017 Elsevier Inc. All rights reserved.

  1. 'Sea legs': sharpened Romberg test after three days on a live-aboard dive boat.

    PubMed

    Gibbs, Clinton R; Commons, Katherine H; Brown, Lawrence H; Blake, Denise F

    2010-12-01

    The sharpened Romberg test (SRT) is commonly used by diving and hyperbaric physicians as an indicator of neurological decompression illness (DCI). People who spend a prolonged time on a boat at sea experience impairment in their balance on returning to shore, a condition known as mal de debarquement ('sea legs'). This conditioning of the vestibular system to the rocking motion of a boat at sea may impact on the utility of the SRT in assessing a diver with potential DCI after a live-aboard dive trip. To assess the impact 'sea legs' has on the SRT after three days on a live-aboard dive trip. Thirty-nine staff and passengers of a three-day, live-aboard dive trip performed a SRT before and after their journey, with assessment of potential variables, including middle ear barotrauma, alcohol consumption, sea-sickness and occult DCI. There was no statistically significant impact on SRT performance, with 100% completion pre-trip and 35 out of 36 divers (97.2%) post-trip. There were trends towards more attempts being required and time needed for successful SRT post-trip, but these were not statistically significant. There was a small, but noteworthy incidence of middle-ear barotrauma, with seven people affected pre-trip, and 13 post-trip. There was a higher incidence in student divers. Middle-ear barotrauma did not appear to have a direct impact on SRT performance. There was no significant impact on SRT performance resulting from 'sea legs' after three days at sea. Recreational divers, especially dive students, have a substantial incidence of mild middle ear barotrauma.

  2. An Acvr1 R206H knock-in mouse has fibrodysplasia ossificans progressiva

    PubMed Central

    Chakkalakal, Salin A.; Zhang, Deyu; Culbert, Andria L.; Convente, Michael R.; Caron, Robert J.; Wright, Alexander C.; Maidment, Andrew D.A.; Kaplan, Frederick S.; Shore, Eileen M.

    2013-01-01

    Fibrodysplasia ossificans progressiva (FOP; MIM #135100) is a debilitating genetic disorder of dysregulated cellular differentiation characterized by malformation of the great toes during embryonic skeletal development and by progressive heterotopic endochondral ossification post-natally. Patients with these classic clinical features of FOP have the identical heterozygous single nucleotide substitution (c.617G>A; R206H) in the gene encoding ACVR1/ALK2, a bone morphogenetic protein (BMP) type I receptor. Gene targeting was used to develop a knock-in mouse model for FOP (Acvr1R206H/+). Radiographic analysis of Acvr1R206H/+ chimeric mice revealed that this mutation induced malformed first digits in the hind limbs and post-natal extra-skeletal bone formation, recapitulating the human disease. Histological analysis of murine lesions showed inflammatory infiltration and apoptosis of skeletal muscle followed by robust formation of heterotopic bone through an endochondral pathway, identical to that seen in patients. Progenitor cells of a Tie2+ lineage participated in each stage of endochondral osteogenesis. We further determined that both wild-type and mutant cells are present within the ectopic bone tissue, an unexpected finding that indicates that although the mutation is necessary to induce the bone formation process, the mutation is not required for progenitor cell contribution to bone and cartilage. This unique knock-in mouse model provides novel insight into the genetic regulation of heterotopic ossification and establishes the first direct in vivo evidence that the R206H mutation in ACVR1 causes FOP. PMID:22508565

  3. [Anesthesiologic problems in patients with fibrodysplasia ossificans progressiva].

    PubMed

    Meier, R; Bolliger, K P

    1996-07-01

    Fibrodysplasia ossificans progressiva (FOP) is a rare, congenital disease of the striated muscular system, ligaments and fascia; it leads to complete ossification in adult life. The disease usually begins in the first decade of life and is accompanied by abnormalities of the hands and feet that have already begun to occur at birth. There is no effective therapy. Although some of these patients have to undergo an operation, there is very little information available on anaesthetic procedures. CASE REPORT. A 49-year-old-woman came to the anaesthetic ward for amputation of her left foot with the diagnosis of fibrodysplasia ossificans progressive (FOP) and an infection resistant to any antibiotic treatment. Except for her left elbow, she could not move any of her extremities. Her back and neck were stiff (Figs. 1, 2), she could not open her mouth more than 2.5 cm, and her teeth were full of cavities and loose (Fig. 3). Aspiration of gastric content some time ago was known. Lung function showed a restrictive pattern. She suffered from kyphoscoliosis and needed chronic nasal administration of O2. With this therapy the arterial blood gas analysis was normal. Right bundle-branch block on the electrocardiogram was found. She was in a wheelchair and was completely dependent on the help of others. She was taking no medicine at the time of admission. A second operation was necessary because of reactive bone proliferation with a danger of skin perforation. DISCUSSION. This rare and congenital disease was first described in 1648 by G. Patin [14] and again in 1736 by J. Freke [10]. Since then, the progressive ossification of striated muscles, ligaments and facia has been described more than 600 times. Despite this fact, descriptions of anaesthetic procedures are rare. Because of the neck stiffness, the small mouth opening, the poor teeth and the recently observed history of aspiration, fiberoptic nasal intubation when the patient is awake was found to be the best choice. The

  4. Resource utilisation by deep-sea megabenthos in the Canadian High Arctic (Baffin Bay and Parry Channel)

    NASA Astrophysics Data System (ADS)

    Bourgeois, Solveig; Witte, Ursula; Harrison, Ailish M.; Makela, Anni; Kazanidis, Georgios; Archambault, Philippe

    2016-04-01

    Ongoing climate change in the Arctic is causing drastic alteration of the Arctic marine ecosystem functioning, such as shifts in patterns of primary production, and modifying the present tight pelagic-benthic coupling. Subsequently benthic communities, which rely upon organic matter produced in the top layers of the Ocean, will also be affected by these changes. The benthic megafaunal communities play a significant role in ecological processes and ecosystem functioning (i.e. organic matter recycling, bioturbation, food source for the higher trophic levels…). Yet, information is scarce regarding the main food sources for dominant benthic organisms, and therefore the impact of the ongoing changes is difficult to assess. The goal of this study is to investigate the preferential feeding of different carbon sources by megabenthic organisms in the Canadian High Arctic and to identify environmental drivers which explain the observed trends. In summer 2013, benthic megafauna was collected at 9 stations spread along latitudinal (58 to 81°N) and longitudinal (62 to 114°W) transects in the Baffin Bay and Parry Channel, respectively. Carbon and nitrogen bulk stable isotope analyses (δ13C and δ15N) were performed on several species divided into groups according to their feeding type. This study highlights distinct trends in δ13C values of benthic organisms suggesting the importance of both phytoplankton and ice algae as carbon sources for megafauna in the Canadian High Arctic. The importance of physical and biological parameters as drivers of food web structure will be furthermore discussed.

  5. The role of carboxy-terminal cross-linking telopeptide of type I collagen, dual x-ray absorptiometry bone strain and Romberg test in a new osteoporotic fracture risk evaluation: A proposal from an observational study.

    PubMed

    Ulivieri, Fabio M; Piodi, Luca P; Grossi, Enzo; Rinaudo, Luca; Messina, Carmelo; Tassi, Anna P; Filopanti, Marcello; Tirelli, Anna; Sardanelli, Francesco

    2018-01-01

    The consolidated way of diagnosing and treating osteoporosis in order to prevent fragility fractures has recently been questioned by some papers, which complained of overdiagnosis and consequent overtreatment of this pathology with underestimating other causes of the fragility fractures, like falls. A new clinical approach is proposed for identifying the subgroup of patients prone to fragility fractures. This retrospective observational study was conducted from January to June 2015 at the Nuclear Medicine-Bone Metabolic Unit of the of the Fondazione IRCCS Ca' Granda, Milan, Italy. An Italian population of 125 consecutive postmenopausal women was investigated for bone quantity and bone quality. Patients with neurological diseases regarding balance and vestibular dysfunction, sarcopenia, past or current history of diseases and use of drugs known to affect bone metabolism were excluded. Dual X-ray absorptiometry was used to assess bone quantity (bone mineral density) and bone quality (trabecular bone score and bone strain). Biochemical markers of bone turnover (type I collagen carboxy-terminal telopeptide, alkaline phosphatase, vitamin D) have been measured. Morphometric fractures have been searched by spine radiography. Balance was evaluated by the Romberg test. The data were evaluated with the neural network analysis using the Auto Contractive Map algorithm. The resulting semantic map shows the Minimal Spanning Tree and the Maximally Regular Graph of the interrelations between bone status parameters, balance conditions and fractures of the studied population. A low fracture risk seems to be related to a low carboxy-terminal cross-linking telopeptide of type I collagen level, whereas a positive Romberg test, together with compromised bone trabecular microarchitecture DXA parameters, appears to be strictly connected with fragility fractures. A simple assessment of the risk of fragility fracture is proposed in order to identify those frail patients at risk for

  6. [Autologous fat grafting in children].

    PubMed

    Baptista, C; Bertrand, B; Philandrianos, C; Degardin, N; Casanova, D

    2016-10-01

    Lipofilling or fat grafting transfer is defined as a technique of filling soft tissue by autologous fat grafting. The basic principle of lipofilling is based on a harvest of adipose tissue, followed by a reinjection after treatment. Lipofilling main objective is a volume defect filling, but also improving cutaneous trophicity. Lipofilling specificities among children is mainly based on these indications. Complications of autologous fat grafting among children are the same as those in adults: we distinguish short-term complications (intraoperative and perioperative) and the medium and long-term complications. The harvesting of fat tissue is the main limiting factor of the technique, due to low percentage of body fat of children. Indications of lipofilling among children may be specific or similar to those in adults. There are two types of indications: cosmetic, in which the aim of lipofilling is correcting a defect density, acquired (iatrogenic, post-traumatic scar) or malformation (otomandibular dysplasia, craniosynostosis, Parry Romberg syndrom, Poland syndrom, pectus excavatum…). The aim of functional indications is correcting a velar insufficiency or lagophthalmos. In the paediatric sector, lipofilling has become an alternative to the conventional techniques, by its reliability, safety, reproducibility, and good results. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  7. High-throughput screening for modulators of ACVR1 transcription: discovery of potential therapeutics for fibrodysplasia ossificans progressiva

    PubMed Central

    Cappato, Serena; Tonachini, Laura; Giacopelli, Francesca; Tirone, Mario; Galietta, Luis J. V.; Sormani, Martina; Giovenzana, Anna; Spinelli, Antonello E.; Canciani, Barbara; Brunelli, Silvia; Ravazzolo, Roberto

    2016-01-01

    ABSTRACT The ACVR1 gene encodes a type I receptor of bone morphogenetic proteins (BMPs). Activating mutations in ACVR1 are responsible for fibrodysplasia ossificans progressiva (FOP), a rare disease characterized by congenital toe malformation and progressive heterotopic endochondral ossification leading to severe and cumulative disability. Until now, no therapy has been available to prevent soft-tissue swelling (flare-ups) that trigger the ossification process. With the aim of finding a new therapeutic strategy for FOP, we developed a high-throughput screening (HTS) assay to identify inhibitors of ACVR1 gene expression among drugs already approved for the therapy of other diseases. The screening, based on an ACVR1 promoter assay, was followed by an in vitro and in vivo test to validate and characterize candidate molecules. Among compounds that modulate the ACVR1 promoter activity, we selected the one showing the highest inhibitory effect, dipyridamole, a drug that is currently used as a platelet anti-aggregant. The inhibitory effect was detectable on ACVR1 gene expression, on the whole Smad-dependent BMP signaling pathway, and on chondrogenic and osteogenic differentiation processes by in vitro cellular assays. Moreover, dipyridamole reduced the process of heterotopic bone formation in vivo. Our drug repositioning strategy has led to the identification of dipyridamole as a possible therapeutic tool for the treatment of FOP. Furthermore, our study has also defined a pipeline of assays that will be useful for the evaluation of other pharmacological inhibitors of heterotopic ossification. PMID:27125279

  8. Relationship between skin diseases and extracutaneous complications of diabetes mellitus: clinical analysis of 750 patients.

    PubMed

    Demirseren, Duriye Deniz; Emre, Selma; Akoglu, Gulsen; Arpacı, Dilek; Arman, Aysegul; Metin, Ahmet; Cakır, Bekir

    2014-02-01

    The relationship between skin diseases and extracutaneous complications in diabetes mellitus (DM) is unclear. We aimed to investigate the relationship between skin disorders and diabetic neuropathy, nephropathy, and retinopathy in patients with DM. A total of 750 patients with DM were prospectively enrolled. Demographic and clinical features, skin disorders, glycosylated hemoglobin (HbA1c) levels, and presence of nephropathy, neuropathy, and retinopathy were noted. Of the patients, 38.0% had neuropathy, 23.3% had nephropathy, and 22.9% had retinopathy. Any skin disorder was present in 79.2% (n = 594) of patients. The most common skin manifestations were cutaneous infections (47.5%), xerosis (26.4%), and inflammatory skin diseases (20.7%). The frequency of cutaneous infections, fungal infections, diabetic foot, rubeosis faciei, and pigmented purpuric dermatitis was higher in patients with nephropathy than in those without nephropathy. Cutaneous infections, diabetic foot, rubeosis faciei, and diabetic dermopathy were more common in patients with neuropathy. Fungal infections, diabetic foot, rubeosis faciei, diabetic dermopathy, and pigmented purpuric dermatitis were more frequent in patients with retinopathy. Patients with HbA1c ≥8 mmol/mL had more skin disorders than those with HbA1c <8 mmol/mL (P < 0.05 for all). Skin disorders may be clues to the presence of associated microvascular complications of DM.

  9. Static and dynamic balance of children and adolescents with sensorineural hearing loss.

    PubMed

    Melo, Renato de Souza; Marinho, Sônia Elvira Dos Santos; Freire, Maryelly Evelly Araújo; Souza, Robson Arruda; Damasceno, Hélio Anderson Melo; Raposo, Maria Cristina Falcão

    2017-01-01

    To assess the static and dynamic balance performance of students with normal hearing and with sensorineural hearing loss. A cross-sectional study assessing 96 students, 48 with normal hearing and 48 with sensorineural hearing loss of both sexes, aged 7 and 18 years. To evaluate static balance, Romberg, Romberg-Barré and Fournier tests were used; and for the dynamic balance, we applied the Unterberger test. Hearing loss students showed more changes in static and dynamic balance as compared to normal hearing, in all tests used (p<0.001). The same difference was found when subjects were grouped by sex. For females, Romberg, Romberg-Barré, Fournier and Unterberger test p values were, respectively, p=0.004, p<0.001, p<0.001 and p=0.023; for males, the p values were p=0.009, p<0.001, p<0.001 and p=0.002, respectively. The same difference was observed when students were classified by age. For 7 to 10 years old students, the p values for Romberg, Romberg-Barré and Fournier tests were, respectively, p=0.007, p<0.001 and p=0.001; for those aged 11 and 14 years, the p values for Romberg, Romberg-Barré, Fournier and Unterberger tests were p=0.002, p<0.001, p<0.001 and p=0.015, respectively; and for those aged 15 and 18 years, the p values for Romberg-Barré, Fournier and Unterberger tests were, respectively, p=0.037, p<0.001 and p=0.037. Hearing-loss students showed more changes in static and dynamic balance comparing to normal hearing of same sex and age groups.

  10. The Natural History of Flare-Ups in Fibrodysplasia Ossificans Progressiva (FOP): A Comprehensive Global Assessment.

    PubMed

    Pignolo, Robert J; Bedford-Gay, Christopher; Liljesthröm, Moira; Durbin-Johnson, Blythe P; Shore, Eileen M; Rocke, David M; Kaplan, Frederick S

    2016-03-01

    Fibrodysplasia ossificans progressiva (FOP) leads to disabling heterotopic ossification (HO) from episodic flare-ups. However, the natural history of FOP flare-ups is poorly understood. A 78-question survey on FOP flare-ups, translated into 15 languages, was sent to 685 classically-affected patients in 45 countries (six continents). Five hundred patients or knowledgeable informants responded (73%; 44% males, 56% females; ages: 1 to 71 years; median: 23 years). The most common presenting symptoms of flare-ups were swelling (93%), pain (86%), or decreased mobility (79%). Seventy-one percent experienced a flare-up within the preceding 12 months (52% spontaneous; 48% trauma-related). Twenty-five percent of those who had received an intramuscular injection reported an immediate flare-up at the injection site, 84% of whom developed HO. Axial flare-ups most frequently involved the back (41.6%), neck (26.4%), or jaw (19.4%). Flare-ups occurred more frequently in the upper limbs before 8 years of age, but more frequently in the lower limbs thereafter. Appendicular flare-ups occurred more frequently at proximal than at distal sites without preferential sidedness. Seventy percent of patients reported functional loss from a flare-up. Thirty-two percent reported complete resolution of at least one flare-up and 12% without any functional loss (mostly in the head or back). The most disabling flare-ups occurred at the shoulders or hips. Surprisingly, 47% reported progression of FOP without obvious flare-ups. Worldwide, 198 treatments were reported; anti-inflammatory agents were most common. Seventy-five percent used short-term glucocorticoids as a treatment for flare-ups at appendicular sites. Fifty-five percent reported that glucocorticoids improved symptoms occasionally whereas 31% reported that they always did. Only 12% reported complete resolution of a flare-up with glucocorticoids. Forty-three percent reported rebound symptoms within 1 to 7 days after completing a course of

  11. The FOP Connection Registry: Design of an international patient-sponsored registry for Fibrodysplasia Ossificans Progressiva.

    PubMed

    Mantick, Neal; Bachman, Eric; Baujat, Genevieve; Brown, Matt; Collins, Oliver; De Cunto, Carmen; Delai, Patricia; Eekhoff, Marelise; Zum Felde, Roger; Grogan, Donna Roy; Haga, Nobuhiko; Hsiao, Edward; Kantanie, Sharon; Kaplan, Frederick; Keen, Richard; Milosevic, Jelena; Morhart, Rolf; Pignolo, Robert; Qian, Xiaobing; di Rocco, Maja; Scott, Christiaan; Sherman, Adam; Wallace, Marin; Williams, Nicky; Zhang, Keqin; Bogard, Betsy

    2018-04-01

    The Fibrodysplasia Ossificans Progressiva (FOP) Connection Registry is an international, voluntary, observational study that directly captures demographic and disease information initially from patients with FOP (the patient portal) and in the near future from treating physicians (the physician portal) via a secure web-based tool. It was launched by the International FOP Association (IFOPA) with a guiding vision to develop and manage one unified, global, and coordinated Registry allowing the assembly of the most comprehensive data on FOP. This will ultimately facilitate greater access and sharing of patient data and enable better and faster development of therapies and tracking their long-term treatment effectiveness and safety. This report outlines the FOP Connection Registry's design and procedures for data collection and reporting, as well as the long-term sustainability of Registry. Patient-reported, aggregate data are summarized for the first 196 enrolled patients, representing participation from 42 countries and approximately 25% of the world's known FOP population. Fifty-seven percent of the current Registry participants are female with a mean age of 23.8years (median=21years, range=1, 76years). Among the Registry participants who provided their FOP type, 51% reported FOP Classic (R206H), 41% reported FOP Type Unknown, and 8% reported FOP Variant. Patients reported 5.4years (median=3.0years, range=0, 45.8years) as the mean age at which they noticed their first FOP symptoms and a mean age at final FOP diagnosis of 7.5years (median=5.0years, range=0.1, 48.4years). Information on the patients' diagnostic journeys in arriving at a correct diagnosis of FOP is also presented. These early patient-reported data suggest that the IFOPA's vision of one, unified, global, and coordinated approach to the FOP Connection Registry is well underway to being realized. In addition, the positive response from the FOP patient community to the initial launch of the Registry

  12. An Empirical Evaluation of Five Circular Error Probable Estimation Techniques and a Method for Improving Them

    DTIC Science & Technology

    1993-03-10

    template which runs a Romberg algorithm in the background to numerically integrate the BVN [12:257]. Appendix A als- lists the results from two other...for computing these values: a Taylor series expansion, the Romberg algorithm , and the CBN technique. Appendix A lists CEPpop. values for eleven...determining factor in this selection process. Of the 175 populations ex- amined in the experiment, the MathCAD version of the Romberg algorithm failed

  13. Prevalence of fibrodysplasia ossificans progressiva (FOP) in France: an estimate based on a record linkage of two national databases.

    PubMed

    Baujat, Geneviève; Choquet, Rémy; Bouée, Stéphane; Jeanbat, Viviane; Courouve, Laurène; Ruel, Amélie; Michot, Caroline; Le Quan Sang, Kim-Hanh; Lapidus, David; Messiaen, Claude; Landais, Paul; Cormier-Daire, Valérie

    2017-06-30

    Fibrodysplasia ossificans progressiva (FOP) is a rare, severely disabling, and life-shortening genetic disorder that causes the formation of heterotopic bone within soft connective tissue. Previous studies found that the FOP prevalence was about one in every two million lives. The aim of this study is to estimate the FOP prevalence in France by probabilistic record-linkage of 2 national databases: 1) the PMSI (Programme de médicalisation des systèmes d'information), an administrative database that records all hospitalization activities in France and 2) CEMARA, a registry database developed by the French Centres of Reference for Rare Diseases. Using a capture-recapture methodology to adjust the crude number of patients identified in both data sources, 89 FOP patients were identified, which results in a prevalence of 1.36 per million inhabitants (CI95% = [1.10; 1.68]). FOP patients' mean age was 25 years, only 14.9% were above 40 years, and 53% of them were males. The first symptoms - beside toe malformations- occurred after birth for 97.3% of them. Mean age at identified symptoms was 7 years and above 18 years for only 6.9% of patients. Mean age at diagnosis was 10 years, and above 18 years for 14.9% of the patients. FOP patients were distributed across France. Despite the challenge of ascertaining patients with rare diseases, we report a much higher prevalence of FOP in France than in previous studies elsewhere. We suggest that efforts to identify patients and confirm the diagnosis of FOP should be reinforced and extended at both national and European level.

  14. Understanding balance differences in individuals with multiple sclerosis with mild disability: an investigation of differences in sensory feedback on postural control during a Romberg task.

    PubMed

    Denommé, Luke T; Mandalfino, Patricia; Cinelli, Michael E

    2014-06-01

    A major presenting symptom in 'individuals with multiple sclerosis with mild balance disability' (IwMS) is poor postural control, resulting from slowed spinal somatosensory conduction. Postural control deficits in IwMS are most apparent when vision is removed and the base of support is reduced such is the case during tandem and single support stances. The current study used center of pressure (COP) measurements to determine whether postural control differences exist between IwMS and either 'healthy age-matched individuals' (HAMI) or 'community-dwelling older adults' (OA). Postural control was evaluated using a Romberg standing task, which required participants to stand with their feet together and hands by their sides for 45 s with either their eyes open or closed. Results revealed that COP velocity root mean square was greater in IwMS and their COP position was closer to their self-selected maximum stability limits (e.g., greater Standing Index proportion) when vision was removed compared to HAMI. Conversely, IwMS displayed similar postural control characteristics to OA. The current study highlights two novel findings: (1) the utility of novel COP measurements to assess differences in the level of postural control in IwMS; and (2) the benefit of assessing postural control levels in IwMS to not only a population with a fully intact and functional postural control system (HAMI) but also to another population that is thought to experience postural control deficits (OA).

  15. Amelioration of Acute Sequelae of Blast Induced Mild Traumatic Brain Injury by N-Acetyl Cysteine: A Double-Blind, Placebo Controlled Study

    DTIC Science & Technology

    2013-01-23

    turning of the subjects head by the investigator [17]), an abnormal Romberg /tandem Rom- berg test (excessive swaying or falling while attempting to stand...of ,22. Criteria for resolution of balance dysfunction were no subjective dizziness, normal head thrust and Romberg tests , and a normal DGI...Agrawal Y, Carey JP, Hoffman HJ, Sklare DA, Schubert MC (2011) The modified Romberg Balance Test : normative data in U.S. adults. Otol Neurotol 32: 309–311

  16. Source, Transport, and Fate of Groundwater Contamination at Site 45, Marine Corps Recruit Depot, Parris Island, South Carolina

    USGS Publications Warehouse

    Vroblesky, Don A.; Petkewich, Matthew D.; Landmeyer, James E.; Lowery, Mark A.

    2009-01-01

    Groundwater contamination by tetrachloroethene and its dechlorination products is present in two partially intermingled plumes in the surficial aquifer near a former dry-cleaning facility at Site 45, Marine Corps Recruit Depot, Parris Island, South Carolina. The northern plume originates from the vicinity of former above-ground storage tanks. Free-phase tetrachloroethene from activities in this area entered the groundwater and the storm sewer. The southern plume originates at a nearby new dry-cleaning facility, but probably was the result of contamination released to the aquifer from a leaking sanitary sewer line from the former dry-cleaning facility. Discharge of dissolved groundwater contamination is primarily to leaking storm sewers below the water table. Extensive biodegradation of the contamination takes place in the surficial aquifer; however, the biodegradation is insufficient to reduce trichloroethene to less than milligram-per-liter concentrations prior to discharging into the storm sewers. The groundwater volatile organic compounds entering the storm sewers are substantially diluted by tidal flushing upon entry and are subject to volatilization as they are transported through the storm sewer to a discharge point in a tributary to Ballast Creek. TCE concentrations of about 2-6 micrograms per liter were present in storm-sewer water near the discharge point (sampled at manhole STS26). On three out of four sampling events at manhole STS14, the storm-sewer water contained no vinyl chloride. During a time of relatively high groundwater levels, however, 20 micrograms per liter of vinyl chloride was present in STS14 storm-sewer water. Because groundwater leaks into that storm sewer and because the storm sewer upgradient from manhole STS14 is adjacent to part of the aquifer where 2,290 micrograms per liter of vinyl chloride have been detected, there is a potential for substantially increased concentrations of vinyl chloride to discharge at the storm-sewer outfall

  17. Identification and characterization of regulatory elements in the promoter of ACVR1, the gene mutated in Fibrodysplasia Ossificans Progressiva

    PubMed Central

    2013-01-01

    Background The ACVR1 gene encodes a type I receptor for bone morphogenetic proteins (BMPs). Mutations in the ACVR1 gene are associated with Fibrodysplasia Ossificans Progressiva (FOP), a rare and extremely disabling disorder characterized by congenital malformation of the great toes and progressive heterotopic endochondral ossification in muscles and other non-skeletal tissues. Several aspects of FOP pathophysiology are still poorly understood, including mechanisms regulating ACVR1 expression. This work aimed to identify regulatory elements that control ACVR1 gene transcription. Methods and results We first characterized the structure and composition of human ACVR1 gene transcripts by identifying the transcription start site, and then characterized a 2.9 kb upstream region. This region showed strong activating activity when tested by reporter gene assays in transfected cells. We identified specific elements within the 2.9 kb region that are important for transcription factor binding using deletion constructs, co-transfection experiments with plasmids expressing selected transcription factors, site-directed mutagenesis of consensus binding-site sequences, and by protein/DNA binding assays. We also characterized a GC-rich minimal promoter region containing binding sites for the Sp1 transcription factor. Conclusions Our results showed that several transcription factors such as Egr-1, Egr-2, ZBTB7A/LRF, and Hey1, regulate the ACVR1 promoter by binding to the -762/-308 region, which is essential to confer maximal transcriptional activity. The Sp1 transcription factor acts at the most proximal promoter segment upstream of the transcription start site. We observed significant differences in different cell types suggesting tissue specificity of transcriptional regulation. These findings provide novel insights into the molecular mechanisms that regulate expression of the ACVR1 gene and that could be targets of new strategies for future therapeutic treatments. PMID:24047559

  18. FIELD EVALUATION OF THE TREATMENT OF DNAPL USING EMULSIFIED ZERO-VALENT IRON (DNAPL CONFERENCE)

    EPA Science Inventory

    A pilot scale field demonstration of dense non-aqueous phase liquids (DNAPL) treatment using emulsified zero-valent iron (EZVI) is being conducted at Parris Island Marine Corps Recruit Depot (MCRD), Parris Island SC. The demonstration is being conducted by Geosyntec, the Nationa...

  19. FIELD EVALUATION OF THE TREATMENT OF DNAPL USING EMULSIFIED ZERO-VALENT IRON (Battelle Conference)

    EPA Science Inventory

    A pilot scale field demonstration of dense non-aqueous phase liquids (DNAPL) treatment using emulsified zero-valent iron (EZVI) was conducted at Parris Island Marine Corps Recruit Depot (MCRD), Parris Island, SC. The EZVI technology was developed at the University of Central Fl...

  20. FIELD EVALUATION OF THE TREATMENT OF DNAPL USING EMULSIFIED ZERO-VALENT IRON (BATTELLE PRESENTATION)

    EPA Science Inventory

    A pilot scale field demonstration of dense non-aqueous phase liquids (DNAPL) treatment using emulsified zero-valent iron (EZVI) is being conducted at Parris Island Marine Corps Recruit Depot (MCRD), Parris Island SC. The EZVI technology was developed at the University of Central ...

  1. FIELD EVALUATION OF THE TREATMENT OF DNAPL USING EMULSIFIED ZERO-VALENT IRON

    EPA Science Inventory

    A pilot scale field demonstration of dense non-aqueous phase liquids (DNAPL) treatment using emulsified zero-valent iron (EZVI) is being conducted at Parris Island Marine Corps Recruit Depot (MCRD), Parris Island SC. The demonstration is being conducted by Geosyntec, the Nationa...

  2. Application of the ex-Gaussian function to the effect of the word blindness suggestion on Stroop task performance suggests no word blindness

    PubMed Central

    Parris, Benjamin A.; Dienes, Zoltan; Hodgson, Timothy L.

    2013-01-01

    The aim of the present paper was to apply the ex-Gaussian function to data reported by Parris et al. (2012) given its utility in studies involving the Stroop task. Parris et al. showed an effect of the word blindness suggestion when Response-Stimulus Interval (RSI) was 500 ms but not when it was 3500 ms. Analysis revealed that: (1) The effect of the suggestion on interference is observed in μ, supporting converging evidence indicating the suggestion operates over response competition mechanisms; and, (2) Contrary to Parris et al. an effect of the suggestion was observed in μ when RSI was 3500 ms. The reanalysis of the data from Parris et al. (2012) supports the utility of ex-Gaussian analysis in revealing effects that might otherwise be thought of as absent. We suggest that word reading itself is not suppressed by the suggestion but instead that response conflict is dealt with more effectively. PMID:24065947

  3. Application of the ex-Gaussian function to the effect of the word blindness suggestion on Stroop task performance suggests no word blindness.

    PubMed

    Parris, Benjamin A; Dienes, Zoltan; Hodgson, Timothy L

    2013-01-01

    The aim of the present paper was to apply the ex-Gaussian function to data reported by Parris et al. (2012) given its utility in studies involving the Stroop task. Parris et al. showed an effect of the word blindness suggestion when Response-Stimulus Interval (RSI) was 500 ms but not when it was 3500 ms. Analysis revealed that: (1) The effect of the suggestion on interference is observed in μ, supporting converging evidence indicating the suggestion operates over response competition mechanisms; and, (2) Contrary to Parris et al. an effect of the suggestion was observed in μ when RSI was 3500 ms. The reanalysis of the data from Parris et al. (2012) supports the utility of ex-Gaussian analysis in revealing effects that might otherwise be thought of as absent. We suggest that word reading itself is not suppressed by the suggestion but instead that response conflict is dealt with more effectively.

  4. Evaluation of Insecticides, Repellents, and Other Approaches to the Control of Coastal Stand Flies, Culicoides spp.

    DTIC Science & Technology

    1984-05-01

    mosquitoes and tabanids on Parris Island, SC. Mosq. News (in press). Harlan, H. J., C. E. Schreck, and D. L. Kline. 1983. Insect repellent jacket tests...Kline, J. F. Reinert, and T. L. Biery. 1984. Effects of aerial applications of naled on Culicoides biting midges, mosquitoes and tabanids on Parris

  5. Functional Analysis and Treatment of Coprophagia

    ERIC Educational Resources Information Center

    Ing, Anna D.; Roane, Henry S.; Veenstra, Rebecca A.

    2011-01-01

    Coprophagia, the ingestion of fecal matter, occurs among some individuals with developmental disabilities and is associated with a variety of health risks (e.g., diarrhea, intestinal parasites, blood-borne pathogens; Parry-Jones & Parry-Jones, 1992). Studies that have evaluated operant-based treatments of coprophagia have been limited by a lack of…

  6. [Cross-cultural adaptation and validation of the Dizziness Handicap Inventory: Argentine version].

    PubMed

    Caldara, Betina; Asenzo, Adriana I; Brusotti Paglia, Gabriela; Ferreri, Eliana; Gomez, Ramiro S; Laiz, Mariela M; Luques, María L; Mangoni, Ana P; Marazzi, Carla; Matesa, María A; Peker, Guillermo; Pratto, Romina A; Quiroga, Cecilia E; Rapela, Laura; Ruiz, Vanesa R; Sanchez, Noelia; Taglioretti, Célide L; Tana, Andrés M; Zandstra, Ingrid V

    2012-01-01

    The Dizziness Handicap Inventory is a useful tool for quantifying self-perceived handicap in patients with vertigo, dizziness or unsteadiness and its impact on daily living activities. The Dizziness Handicap Inventory identifies functional, physical and emotional disorders related to balance disturbance. Our objective was to cross-culturally adapt the Peninsular Spanish version of the Dizziness Handicap Inventory for use in Argentina and validate the adapted Argentinian version. We included both healthy subjects and patients with vertigo, dizziness or unsteadiness, aged 18 to 85 years, native Spanish-speaking Argentinians. We introduced linguistic and cultural modifications to the Peninsular Spanish version to obtain the Argentinian one. This version was given twice to 108 patients, 24 to 72 h apart. Internal consistency, test-retest reliability and construct validity were assessed using a visual analogue scale, the Romberg test, the tandem Romberg test and the tandem gait test. We found high internal consistency (α=0.87) and very high test-retest reliability for the total Dizziness Handicap Inventory score (intraclass correlation coefficient: 0.98) and its subscales. The total Dizziness Handicap Inventory and the functional subscale were found to correlate significantly with the Romberg and tandem Romberg tests. The emotional subscale showed a significant correlation with the Romberg test and the eyes-open tandem Romberg test (P<.05) The Argentinian version of the Dizziness Handicap Inventory proved to be a reliable and valid tool to quantify self-perceived handicap resulting from vertigo, dizziness or unsteadiness. Copyright © 2011 Elsevier España, S.L. All rights reserved.

  7. Intracranial imaging of uncommon diseases is more frequently reported in clinical publications than in radiology publications.

    PubMed

    Lehman, V T; Doolittle, D A; Hunt, C H; Eckel, L J; Black, D F; Schwartz, K M; Diehn, F E

    2014-01-01

    Descriptions of uncommon diseases with intracranial imaging abnormalities are often difficult to find in the radiology literature. We hypothesized that reported imaging findings of such conditions in the recent literature were more frequent in clinical compared with radiology journals. PubMed searches from December 1, 2007 to December 1, 2012 were performed for 5 uncommon CNS diseases with intracranial imaging manifestations: 1) Susac syndrome; 2) amyloid β-related angiitis; 3) Parry-Romberg syndrome/en coup de sabre; 4) transient lesion of the splenium of the corpus callosum; and 5) reversible cerebral vasoconstriction syndrome. Articles were classified as a case report, case series, or original research. Journals were categorized as radiology or clinical. The 1- and 5-year Impact Factors of the journals were recorded. Two hundred two articles were identified for the 5 diseases, including 151 (74%) case reports, 26 case series (13%), and 25 original research articles (13%); 179 (89%) were published in nonradiology journals, compared with 23 (11%) in radiology journals. There was no significant difference between the mean 1- and 5-year Impact Factors of the radiology and clinical journals. Recent reports of the selected uncommon diseases with intracranial manifestations are more frequent in clinical journals when compared with dedicated radiology publications. Most publications are case reports. Radiologists should review both radiology and clinical journals when reviewing imaging features of uncommon diseases affecting the brain. Lack of reporting on such disease in the radiology literature may have significant practice, educational, and research implications for the radiology community.

  8. [Static posturography versus clinical tests in elderly people with vestibular pathology].

    PubMed

    Ortuño-Cortés, Miguel A; Martín-Sanz, Eduardo; Barona-de Guzmán, Rafael

    2008-01-01

    Balance can be quantified by clinical tests and through instrumental studies. The objective of this paper is to determine the correlation between static posturography and 4 clinical tests of balance in elderly people with vestibular disorders and to identify its capability to discriminate the groups studied. 60 patients with vestibular disorders and 60 healthy subjects performed 4 clinical tests (one leg standing with opened eyes, Timed Up and Go, Tinetti and Berg tests) and a static posturography analysis (NedSVE/IBV system) under 4 conditions: Romberg Test, Eyes Open (REO), Romberg Test, Eyes Closed (REC), Romberg Test on Foam with Eyes Open (RFEO), and Romberg Test on Foam with Eyes Closed (RFEC). RFEO correlated best with the clinical tests and RFEC was the worst. RFEO distinguished between healthy individuals and decompensated patients. RFEO gave the best information about postural balance in the elderly. RFEC was not useful. Static posturography can be useful to distinguish vestibular compensation status.

  9. Dermatitis toxica faciei after boric acid.

    PubMed

    Jiráková, Anna; Rajská, Lucie; Rob, Filip; Gregorová, Jana; Hercogová, Jana

    2015-01-01

    An adverse toxic reaction to the topical application of a 2% boric acid solution is described in a 2-year-old girl. Topical boric acid is licensed for use in children above the age of 10 in the Czech Republic. However, it can be bought over the counter and it is very often used in younger children. Due to its fast absorption and slow elimination, there is a high risk of systemic side effects. On the other hand, topical side effects are not reported in the present literature. © 2014 Wiley Periodicals, Inc.

  10. Reliability and Validity Evidence of Multiple Balance Assessments in Athletes With a Concussion

    PubMed Central

    Murray, Nicholas; Salvatore, Anthony; Powell, Douglas; Reed-Jones, Rebecca

    2014-01-01

    Context: An estimated 300 000 sport-related concussion injuries occur in the United States annually. Approximately 30% of individuals with concussions experience balance disturbances. Common methods of balance assessment include the Clinical Test of Sensory Organization and Balance (CTSIB), the Sensory Organization Test (SOT), the Balance Error Scoring System (BESS), and the Romberg test; however, the National Collegiate Athletic Association recommended the Wii Fit as an alternative measure of balance in athletes with a concussion. A central concern regarding the implementation of the Wii Fit is whether it is reliable and valid for measuring balance disturbance in athletes with concussion. Objective: To examine the reliability and validity evidence for the CTSIB, SOT, BESS, Romberg test, and Wii Fit for detecting balance disturbance in athletes with a concussion. Data Sources: Literature considered for review included publications with reliability and validity data for the assessments of balance (CTSIB, SOT, BESS, Romberg test, and Wii Fit) from PubMed, PsycINFO, and CINAHL. Data Extraction: We identified 63 relevant articles for consideration in the review. Of the 63 articles, 28 were considered appropriate for inclusion and 35 were excluded. Data Synthesis: No current reliability or validity information supports the use of the CTSIB, SOT, Romberg test, or Wii Fit for balance assessment in athletes with a concussion. The BESS demonstrated moderate to high reliability (interclass correlation coefficient = 0.87) and low to moderate validity (sensitivity = 34%, specificity = 87%). However, the Romberg test and Wii Fit have been shown to be reliable tools in the assessment of balance in Parkinson patients. Conclusions: The BESS can evaluate balance problems after a concussion. However, it lacks the ability to detect balance problems after the third day of recovery. Further investigation is needed to establish the use of the CTSIB, SOT, Romberg test, and Wii Fit for

  11. Ewald sums for Yukawa potentials in quasi-two-dimensional systems

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Mazars, Martial

    2007-02-07

    In this article, the author derive Ewald sums for Yukawa potential for three-dimensional systems with two-dimensional periodicity. This sums are derived from the Ewald sums for Yukawa potentials with three-dimensional periodicity [G. Salin and J.-M. Caillol, J. Chem. Phys.113, 10459 (2000)] by using the method proposed by Parry for the Coulomb interactions [D. E. Parry, Surf. Sci.49, 433 (1975); 54, 195 (1976)].

  12. A cross-sectional electromyography assessment in linear scleroderma patients

    PubMed Central

    2014-01-01

    Background Muscle atrophy and asymmetric extremity growth is a common feature of linear scleroderma (LS). Extra-cutaneous features are also common and primary neurologic involvement, with sympathetic dysfunction, may have a pathogenic role in subcutaneous and muscle atrophy. The aim was investigate nerve conduction and muscle involvement by electromyography in pediatric patients with LS. Methods We conducted a retrospective review of LS pediatric patients who had regular follow up at a single pediatric center from 1997–2013. We selected participants if they had consistently good follow up and enrolled consecutive patients in the study. We examined LS photos as well as clinical, serological and imaging findings. Electromyograms (EMG) were performed with bilateral symmetric technique, using surface and needle electrodes, comparing the affected side with the contralateral side. Abnormal muscle activity was categorized as a myopathic or neurogenic pattern. Results Nine LS subjects were selected for EMG, 2 with Parry-Romberg/Hemifacial Atrophy Syndrome, 7 linear scleroderma of an extremity and 2 with mixed forms (linear and morphea). Electromyogram analysis indicated that all but one had asymmetric myopathic pattern in muscles underlying the linear streaks. Motor and sensory nerve conduction was also evaluated in upper and lower limbs and one presented a neurogenic pattern. Masticatory muscle testing showed a myopathic pattern in the atrophic face of 2 cases with head and face involvement. Conclusion In our small series of LS patients, we found a surprising amount of muscle dysfunction by EMG. The muscle involvement may be possibly related to a secondary peripheral nerve involvement due to LS inflammation and fibrosis. Further collaborative studies to confirm these findings are needed. PMID:25053924

  13. Optics and Symbolic Computing

    DTIC Science & Technology

    1990-02-15

    Reading, MA 1984. 3. E. Charniak, D. McDermott, Introduction to Artificial Intelligence, Addison-Wesley, Reading, MA, 1985. 4. Fennell and Lesser...Whitehead, M., Parry , G., MIdwinter, J. E., 4istry, P., Pate, 𔃾. A., ;oberts, J. S., Novel .onresonant Optoelectronic Device, Elect. Lett 23(2), 92-93...250 (1986). 27. P. Wheatley, P. J Bradley., M. Whitehead, G. Parry , J. E. Midwinter, P. Mistry, M. A. Pate and J. S. Roberts, Novel Nonresonant

  14. The Role of Osteopontin in the Malignancy of Human Breast Carcinoma

    DTIC Science & Technology

    1998-06-01

    1997): The urokinase-type plasminogen activator system in cancer metastasis: a review. Int. J. Cancer 72:1-22. 59. Yebra M, Parry GCN, Str6mblad S...involved in the motility response) (Andreasen et al., 1997; Yebra et al., 1996). The finding that human breast epithelial cells upregulated for OPN...247-255. Xuan JW, Hota C, Shigeyama Y, D’Errico JA, Somerman MJ, and Chambers AF. (1995). J. Cell Biochem., 57, 680-690. Yebra M, Parry GCN

  15. Insensitivity of the "Romberg test of standing balance on firm and compliant support surfaces" to the results of caloric and VEMP tests.

    PubMed

    Jacobson, Gary P; McCaslin, Devin L; Piker, Erin G; Gruenwald, Jill; Grantham, Sarah; Tegel, Lauren

    2011-01-01

    The objective of this study was to assess the sensitivity, specificity, and positive and negative predictive value of the Romberg Test of Standing Balance on Firm and Compliant Support Surfaces (RTSBFCSS) for the identification of patients with vestibular system impairments affecting the horizontal semicircular canal, saccule, and/or inferior and superior vestibular nerves. The RTSBFCSS was developed for the National Health and Nutrition Examination Survey (NHANES) and was used recently to estimate the numbers of individuals aged 40 yr or older with vestibular system impairments among the general population of the United States. A retrospective analysis of the medical records of 103 consecutive patients aged 40 yr or older (mean age 59 ± 12 yr, 71 females) who had undergone vestibular assessment at the Balance Disorders Clinic at the Vanderbilt University School of Medicine. Patients with complete electro- or videonystagmography testing, cervical vestibular evoked myogenic potential (cVEMP) testing, and the RTSBFCSS screening test were included in the analysis. A series of 2 × 2 tables were created that represented the number of "true positives," "true negatives," "false positives," and "false negatives" of the RTSBFCSS under conditions where the caloric test was abnormal and then separately where the cVEMP test was abnormal. The data were analyzed in a manner such that sensitivity, specificity, and both positive and negative predictive value of the RTSBFCSS could be calculated. When the caloric test was used as the criterion standard and the subject selection criteria in the NHANES study were used (i.e., subjects who were able to maintain postural stability for trials 1-3 of the RTSBFCSS; N = 45), the sensitivity and specificity of the RTSBFCSS to impairment of the horizontal semicircular canal or superior vestibular nerve were 55% and 64%, respectively, yielding positive and negative predictive values of 55% and 64%, respectively. When all patients aged 40 yr

  16. The Restricted Isometry Property for Time-Frequency Structured Random Matrices

    DTIC Science & Technology

    2011-06-16

    tests illustrating the use of Ψg for compressive sensing are presented in [41]. They illustrate that empirically Ψg performs very similarly to a...E.J., J., Tao, T., Romberg , J.: Robust uncertainty principles: exact signal reconstruction from highly incomplete frequency information. IEEE Trans...Inform. Theory 52(2), 489–509 (2006) [12] Candès, E.J., Romberg , J., Tao, T.: Stable signal recovery from incomplete and inaccurate mea- surements. Comm

  17. Restricted Mandibular Movement Attributed to Ossification of Mandibular Depressors and Medial Pterygoid Muscles in Patients With Fibrodysplasia Ossificans Progressiva: A Report of 3 Cases.

    PubMed

    Okuno, Tetsuko; Suzuki, Hitoshi; Inoue, Akio; Kusukawa, Jingo

    2017-09-01

    Fibrodysplasia ossificans progressiva (FOP) is an extremely rare genetic condition characterized by congenital malformation and progressive heterotopic ossification (HO) caused by a recurrent single nucleotide substitution at position 617 in the ACVR1 gene. As the condition progresses, HO leads to joint ankylosis, breathing difficulties, and mouth-opening restriction, and it can shorten the patient's lifespan. This report describes 3 cases of FOP confirmed by genetic testing in patients with restricted mouth opening. Each patient presented a different onset and degree of jaw movement restriction. The anatomic ossification site of the mandibular joint was examined in each patient using reconstructed computed tomographic (CT) images and 3-dimensional reconstructed CT (3D-CT) images. A 29-year-old woman complained of jaw movement restriction since 13 years of age. 3D-CT image of the mandibular joint showed an osseous bridge, formed by the mandibular depressors that open the mouth, between the hyoid bone and the mentum of the mandible. A 39-year-old man presented with jaw movement restriction that developed at 3 years of age after a mouth injury. 3D-CT image of the jaw showed ankylosis of the jaw from ossification of the mandibular depressors that was worse than in patient 1. CT images showed no HO findings of the masticatory muscles. To the authors' knowledge, these are the first 2 case descriptions of the anatomic site of ankylosis involving HO of the mandibular depressors in the jaw resulting from FOP. In contrast, a 62-year-old bedridden woman with an interincisal distance longer than 10 mm (onset, 39 years of age) had no HO of the mandibular depressors and slight HO of the medial pterygoid muscle on the right and left sides. These findings suggest that restricted mouth opening varies according to the presence or absence of HO of the mandibular depressors. Copyright © 2017. Published by Elsevier Inc.

  18. Activin A amplifies dysregulated BMP signaling and induces chondro-osseous differentiation of primary connective tissue progenitor cells in patients with fibrodysplasia ossificans progressiva (FOP).

    PubMed

    Wang, Haitao; Shore, Eileen M; Pignolo, Robert J; Kaplan, Frederick S

    2018-04-01

    Fibrodysplasia ossificans progressiva (FOP), is caused by mutations in the type I BMP receptor ACVR1 that lead to increased activation of the BMP-pSmad1/5/8 signaling pathway. Recent findings suggest that Activin A (Act A) promiscuously stimulates the bone morphogenetic protein (BMP) signaling pathway in vitro and mediates heterotopic ossification (HO) in mouse models of FOP, but primary data from FOP patient cells are lacking. To examine BMP-pSmad1/5/8 pathway signaling and chondro-osseous differentiation in response to endogenous and exogenous Act A in primary connective tissue progenitor cells [CTPCs; also known as stem cells from human exfoliated deciduous teeth (SHED) cells] from patients with FOP. These cells express the common FOP mutation, ACVR1 (R206H). We found that Act A amplifies dysregulated BMP pathway signaling in human FOP primary CTPCs cells through the Smad1/5/8 pathway and induces chondro-osseous differentiation. Amplification of BMP-pSmad1/5/8 signaling was inhibited by Follistatin and by a neutralizing antibody to Activin A. The increased basal pSmad1/5/8 activity, as well as the hypoxia-induced stimulation of FOP CTPCs cells, were BMP4 and Act A independent. Importantly, either BMP4 or Act A stimulated pSmad1/5/8 pathway signaling but BMP4 signaling was not dependent on Activin A and vice versa. Circulating plasma levels of Act A or BMP4 are similar in controls compared to FOP patients, and suggest the potential for an autocrine or paracrine route for pathological signaling. The mutated FOP receptor [ACVR1 (R206H)] is hypersensitive to BMP4 and uniquely sensitive (compared to the wild type receptor) to Act A. Both canonical and non-canonical ligands have a synergistic effect on BMP-pSmad1/5/8 signaling in FOP CTPCs and may cooperate to alter the threshold for HO in FOP. Our findings in primary human FOP CTPCs have important implications for the design of clinical trials to inhibit dysregulated BMP pathway signaling in humans who have FOP

  19. Postural stability of preoperative acoustic neuroma patients assessed by sway magnetometry: are they unsteady?

    PubMed

    Collins, Melanie M; Johnson, Ian J M; Clifford, Elaine; Birchall, John P; O'Donoghue, Gerald M

    2003-04-01

    The objective was to evaluate the preoperative postural stability of acoustic neuroma patients using sway magnetometry. Prospective two-center study. Fifty-one patients (mean age, 53 years) diagnosed with unilateral acoustic neuroma on magnetic resonance imaging at two tertiary referral centers were studied. Preoperatively, each patient had sway patterns (with eyes open and with eyes closed, and standing on foam) recorded for 120 seconds by sway magnetometry. Path length for 30 seconds was calculated. The Romberg coefficient (path length with eyes open divided by path length with eyes closed) was calculated. Forty-four percent of patients had abnormal path lengths with eyes open, and 49% with eyes closed. The Romberg coefficients were significantly lower than normal (P <.001; 95% CI, 0.19-0.87). Mean Romberg coefficient was 0.59 (normal value = 0.73), and all patients had a coefficient of less than 1. Half of preoperative acoustic neuroma patients are unsteady, exhibiting abnormal sway patterns based on path length measurements. The increase in sway path length demonstrable in normal subjects with eyes closed was significantly exaggerated in patients with acoustic neuroma.

  20. Open source posturography.

    PubMed

    Rey-Martinez, Jorge; Pérez-Fernández, Nicolás

    2016-12-01

    The proposed validation goal of 0.9 in intra-class correlation coefficient was reached with the results of this study. With the obtained results we consider that the developed software (RombergLab) is a validated balance assessment software. The reliability of this software is dependent of the used force platform technical specifications. Develop and validate a posturography software and share its source code in open source terms. Prospective non-randomized validation study: 20 consecutive adults underwent two balance assessment tests, six condition posturography was performed using a clinical approved software and force platform and the same conditions were measured using the new developed open source software using a low cost force platform. Intra-class correlation index of the sway area obtained from the center of pressure variations in both devices for the six conditions was the main variable used for validation. Excellent concordance between RombergLab and clinical approved force platform was obtained (intra-class correlation coefficient =0.94). A Bland and Altman graphic concordance plot was also obtained. The source code used to develop RombergLab was published in open source terms.

  1. Balance performance in older adults and its relationship with falling.

    PubMed

    Jalali, Mir Mohammad; Gerami, Hooshang; Heidarzadeh, Abtin; Soleimani, Robabeh

    2015-06-01

    A normal consequence of aging is a general deterioration in a number of musculoskeletal and sensory systems that affect postural control and balance. The aim of this study was to evaluate history of falls among active older individuals in Iran, and estimate the risk factors for falls among this population. A total of 448 active older subjects from rural region of Rasht city, Iran, were included. They were divided into three groups depending on their age: young-old (n = 266); middle-old (n = 154) and oldest-old (n = 28). We assessed balance performance by One-Leg Balance (OLB), Functional Reach (FR), Timed Up and Go (TUG) and Romberg tests. The fall rate (>2 in the last year) was 27.0 %. The cut-off point 13.75 s for TUG test showed 84.7 % sensitivity and 56 % specificity. Also the best cut-off point for OLB test was 12.7 s (63 % sensitivity and 83.5 % specificity). Logistic regression analysis revealed that age, BMI, diabetes, and failure in OLB, FR, and Romberg tests predicted fall risk. The decision tree classification of older individuals showed three categorical variables, which in their order of importance included diabetes, Romberg test, and OLB test. This study revealed the value of history taking about diabetes as a predictor for existing falling. Decision tree technique showed that Romberg and OLB tests help in identifying older adults with balance problems. Given the incidence and consequences of falls among older adults, large-scale prospective studies on older individuals to identify those prone to falls are warranted.

  2. Correlation between the dizziness handicap inventory and balance performance during the acute phase of unilateral vestibulopathy.

    PubMed

    Son, Eun Jin; Lee, Dong-Hee; Oh, Jeong-Hoon; Seo, Jae-Hyun; Jeon, Eun-Ju

    2015-01-01

    The dizziness handicap inventory (DHI) is widely used to evaluate self-perceived handicap due to dizziness, and is known to correlate with vestibular function tests in chronic dizziness. However, whether DHI reflects subjective symptoms during the acute phase has not been studied. This study aims to investigate the correlations of subjective and objective measurements to highlight parameters that reflect the severity of dizziness during the first week of acute unilateral vestibulopathy. Thirty-seven patients with acute unilateral vestibulopathy were examined. Patients' subjective perceptions of dizziness were measured using the DHI, Vertigo Visual Analog Scale (VVAS), Disability Scale (DS), and Activity-Specific Balance Scale (ABC). Additionally, the oculomotor tests, Romberg and sharpened Romberg tests, functional reach test, and dynamic visual acuity tests were performed. The correlation between the DHI and other tests was evaluated. DHI-total scores exhibited a moderately positive correlation with VVAS and DS, and a moderately negative correlation with ABC. However, DHI-total score did not correlate with results of the Romberg, sharpened Romberg, or functional reach tests. When compared among four groups divided according to DHI scores, VVAS and DS scores exhibited statistically significant differences, but no significant differences were detected for other test results. Our findings revealed that the DHI correlated significantly with self-perceived symptoms measured by VVAS and DS, but not ABC. There was no significant correlation with other balance function tests during the first week of acute vestibulopathy. The results suggest that DHI, VVAS and DS may be more useful to measure the severity of acute dizziness symptoms. Copyright © 2015 Elsevier Inc. All rights reserved.

  3. Collis-Romberg Mathematical Problem Solving Profiles.

    ERIC Educational Resources Information Center

    Collis, K. F.; Romberg, T. A.

    Problem solving has become a focus of mathematics programs in Australia in recent years, necessitating the assessment of students' problem-solving abilities. This manual provides a problem-solving assessment and teaching resource package containing four elements: (1) profiles assessment items; (2) profiles diagnostic forms for recording individual…

  4. ACVR1 p.Q207E causes classic fibrodysplasia ossificans progressiva and is functionally distinct from the engineered constitutively active ACVR1 p.Q207D variant

    PubMed Central

    Haupt, Julia; Deichsel, Alexandra; Stange, Katja; Ast, Cindy; Bocciardi, Renata; Ravazzolo, Roberto; Di Rocco, Maja; Ferrari, Paola; Landi, Antonio; Kaplan, Frederick S.; Shore, Eileen M.; Reissner, Carsten; Seemann, Petra

    2014-01-01

    Fibrodysplasia ossificans progressiva (FOP) is a disabling genetic disorder of progressive heterotopic ossification (HO). Here, we report a patient with an ultra-rare point mutation [c.619C>G, p.Q207E] located in a codon adjacent to the most common FOP mutation [c.617G>A, p.R206H] of Activin A Receptor, type 1 (ACVR1) and that affects the same intracellular amino acid position in the GS activation domain as the engineered constitutively active (c.a.) variant p.Q207D. It was predicted that both mutations at residue 207 have similar functional effects by introducing a negative charge. Transgenic p.Q207D-c.a. mice have served as a model for FOP HO in several in vivo studies. However, we found that the engineered ACVR1Q207D−c.a. is significantly more active than the classic FOP mutation ACVR1R206H when overexpressed in chicken limbs and in differentiation assays of chondrogenesis, osteogenesis and myogenesis. Importantly, our studies reveal that the ACVR1Q207E resembles the classic FOP receptor in these assays, not the engineered ACVR1Q207D−c.a.. Notably, reporter gene assays revealed that both naturally occurring FOP receptors (ACVR1R206H and ACVR1Q207E) were activated by BMP7 and were sensitive to deletion of the ligand binding domain, whereas the engineered ACVR1Q207D−c.a. exhibited ligand independent activity. We performed an in silico analysis and propose a structural model for p.Q207D-c.a. that irreversibly relocates the GS domain into an activating position, where it becomes ligand independent. We conclude that the engineered p.Q207D-c.a. mutation has severe limitations as a model for FOP, whereas the naturally occurring mutations p.R206H and p.Q207E facilitate receptor activation, albeit in a reversible manner. PMID:24852373

  5. 75 FR 82036 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-29

    ... Treatment for Opioid Addiction State Profiles.'' These publications will be used by the Federal government...-7285. Dated: January 22, 2010. Elaine Parry, Director, Office of Management, Technology and Operations...

  6. The Thrust and Parry of Assessment

    ERIC Educational Resources Information Center

    Hamilton, Sharon J.; Banta, Trudy W.

    2008-01-01

    Since the publication of "A Nation at Risk: The Imperative for Educational Reform" by the U.S. Department of Education in 1983, American higher education has faced the need to develop its own effective means of learning assessment to forestall the prospect of government-imposed standardized procedures. The latter potential may have moved closed…

  7. Ankle sprain as a work-related accident: status of proprioception after 2 weeks

    PubMed Central

    González-Iñigo, Salvador; Lafuente-Sotillos, Guillermo

    2017-01-01

    Purpose This study aims at verifying whether proprioception is abnormal or not, two weeks after a grade 1 and 2 ankle sprain in the scope of work-related accident. Methods A descriptive, observation and transversal study was designed to compare speed, movement and oscilation of centre of pressure in employees of companies signed up to a mutual company. Participants’ healthy feet comprised the control group, and feet that had undergone an ankle sprain due to a work-related accident comprised the cases group. The following stability tests were undertaken to both the healthy and injuried feet using a force plate: Monopodal Romberg test with eyes open, Monopodal Romberg test with eyes open on a 30 mm thick foam rubber, Monopodal Romberg test with eyes closed, and Romberg test as monopodal support with eyes closed on a 30 mm thick foam rubber. A multiple logistic regression analysis was performed. From the results of this regression model the COR curve test was performed. Results 71.7% accuracy in the predictions was attained. The equation was as follows: Condition (injured or healthy) = 0.052⋅% RGC AP Movement − 0.81⋅MREO AP Movement. The variable MREO antero-posterior movement was used in the COR curve methodology. The area under the curve was greater than 0.65 and at a 95% confidence interval the 0.75 value was included, which in our case was the injured subject condition. Values for sensitivity, specificity, positive predictive value and negative predictive value were 0.667, 0.633, 64.5%, and 65.5%, respectively. Conclusion The participants in this study showed a diminished capacity for postural control in an ankle two weeks after an ankle sprain. PMID:29259844

  8. Myositis ossificans in children: a review.

    PubMed

    Sferopoulos, N K; Kotakidou, R; Petropoulos, A S

    2017-05-01

    The formation of lamellar bone in the soft tissues, where bone normally does not exist, is called myositis ossificans. However, it would be more accurate to describe as myositis ossificans the involvement of skeletal muscles and as ectopic or heterotopic ossification the involvement of soft tissues in general. The lesion is subdivided in genetic and non-genetic or acquired types. Myositis or fibrodysplasia ossificans progressiva is a debilitating rare genetic disorder. Clinical suspicion of the disease in the newborn on the basis of malformed great toes may lead to early clinical diagnosis, confirmatory diagnostic genetic testing and avoidance of iatrogenic harmful procedures. Acquired lesions involve the neurogenic myositis ossificans and the non-neurogenic disorder. The latter is defined either as circumscribed myositis ossificans that is post-traumatic or as idiopathic/pseudomalignant myositis ossificans that is non-traumatic and may be a form fruste of fibrodysplasia ossificans progressiva. Ossification in fibrodysplasia ossificans progressiva is irreversible, unlike other forms of heterotopic ossification. In this retrospective study, a total of 22 children with myositis ossificans treated in a 20-year period were identified and classified. Two patients were diagnosed with myositis/fibrodysplasia ossificans progressiva, one with neurogenic myositis ossificans, one with idiopathic/pseudomalignant myositis ossificans and 18 patients with circumscribed myositis ossificans. The clinical features, imaging and histological findings as well as treatment modalities and complications of myositis ossificans in our patients are presented and discussed.

  9. [Regulation of equilibrium in acute alcoholic intoxication with the craniocorpography method].

    PubMed

    Seidl, S; Müller, M; Reinhardt, G

    1994-05-01

    Twenty young male volunteers carried out a drinking experiment during which they underwent the Romberg standing test and the Unterberger treading test. These tests were carried out three times each in a sober state, 25 minutes and 2 hours after alcohol consumption. The balance tests were recorded, evaluated and documented by means of a Cranio-Corpo-Graphy. The Romberg standing test proved to be the more sensitive indicator of impaired balance, even when only slightly under the influence of alcohol. Both the degree of anterior-posterior and of lateral swaying increased according to the BAC and decreased after the end of absorption. Only lateral swaying was similarly recorded with the Unterberger test.

  10. The madness of Dionysus -- six hypotheses on the illness of Nietzsche.

    PubMed

    Tényi, Tamás

    2012-01-01

    Friedrich Nietzsche (1844-1900) is considered as one of the most influential modern thinkers of the last two centuries. The great philosopher and poet developed a mental illness at the age of 44 and died at the age of 56. Pathological examination was not undertaken. At that time Nietzsche was diagnosed as having atypical paralysis progressiva, however recently five other probable diagnoses appeared in literature. Literature search in MEDLINE and Web of Science on the illness of Nietzsche. Six hypotheses were identified: 1. Paralysis progressiva (General paralysis of the insane) 2. Bipolar affective disorder followed by vascular dementia 3. Hereditary form of frontotemporal dementia 4. Brain tumor 5. Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) 6. Mitochondrial encephalomyopathy with lactic acidosis and stroke-like episodes (MELAS) syndrome. Developments in neurology and molecular genetics give new perspectives to the secret of Nietzsche's illness and also there is a consensus on the questioning of the original paralysis progressiva concept. As there was no postmortem, the clinical speculations on the medical problems of the great philosopher remain a challenge.

  11. The measurement of surface gravity

    NASA Technical Reports Server (NTRS)

    Harrison, J. C.; Lacoste, L. J. B.

    1978-01-01

    LaCoste and Romberg G and D gravity meters are normally employed when attempting high precision measurement of gravity differences on land. The capabilities and limitations of these instruments are discussed.

  12. Dignity and death: a reply.

    PubMed

    Brooks, S A

    1985-06-01

    Some form of utilitarian approach can be discerned as underlying much current medical ethical decision-making. Criticisms of the practical effects of such an approach are not parried by asserting the fundamental strengths of utilitarianism as theory.

  13. Genetics Home Reference: fibrodysplasia ossificans progressiva

    MedlinePlus

    ... Glaser DL, LeMerrer M, Morhart R, Rogers JG, Smith R, Triffitt JT, Urtizberea JA, Zasloff M, Brown ... added]; Morhart, Rolf [added]; Rogers, John G [added]; Smith, Roger [added]; Triffitt, James T [added]; Urtizberea, J ...

  14. Clipping the wings of avian influenza.

    PubMed

    Parry, Jane

    2012-09-01

    Up to now, the threat of avian influenza has been lessened by effective animal husbandry methods. However, the public health community is trying to ensure enough measures are in place to prevent a possible pandemic. Jane Parry reports.

  15. Dignity and death: a reply.

    PubMed Central

    Brooks, S A

    1985-01-01

    Some form of utilitarian approach can be discerned as underlying much current medical ethical decision-making. Criticisms of the practical effects of such an approach are not parried by asserting the fundamental strengths of utilitarianism as theory. PMID:4009639

  16. Effects of kinesthetic haptic feedback on standing stability of young healthy subjects and stroke patients.

    PubMed

    Afzal, Muhammad Raheel; Byun, Ha-Young; Oh, Min-Kyun; Yoon, Jungwon

    2015-03-13

    Haptic control is a useful therapeutic option in rehabilitation featuring virtual reality interaction. As with visual and vibrotactile biofeedback, kinesthetic haptic feedback may assist in postural control, and can achieve balance control. Kinesthetic haptic feedback in terms of body sway can be delivered via a commercially available haptic device and can enhance the balance stability of both young healthy subjects and stroke patients. Our system features a waist-attached smartphone, software running on a computer (PC), and a dedicated Phantom Omni® device. Young healthy participants performed balance tasks after assumption of each of four distinct postures for 30 s (one foot on the ground; the Tandem Romberg stance; one foot on foam; and the Tandem Romberg stance on foam) with eyes closed. Patient eyes were not closed and assumption of the Romberg stance (only) was tested during a balance task 25 s in duration. An Android application running continuously on the smartphone sent mediolateral (ML) and anteroposterior (AP) tilt angles to a PC, which generated kinesthetic haptic feedback via Phantom Omni®. A total of 16 subjects, 8 of whom were young healthy and 8 of whom had suffered stroke, participated in the study. Post-experiment data analysis was performed using MATLAB®. Mean Velocity Displacement (MVD), Planar Deviation (PD), Mediolateral Trajectory (MLT) and Anteroposterior Trajectory (APT) parameters were analyzed to measure reduction in body sway. Our kinesthetic haptic feedback system was effective to reduce postural sway in young healthy subjects regardless of posture and the condition of the substrate (the ground) and to improve MVD and PD in stroke patients who assumed the Romberg stance. Analysis of Variance (ANOVA) revealed that kinesthetic haptic feedback significantly reduced body sway in both categories of subjects. Kinesthetic haptic feedback can be implemented using a commercial haptic device and a smartphone. Intuitive balance cues were

  17. Cell phone based balance trainer.

    PubMed

    Lee, Beom-Chan; Kim, Jeonghee; Chen, Shu; Sienko, Kathleen H

    2012-02-08

    In their current laboratory-based form, existing vibrotactile sensory augmentation technologies that provide cues of body motion are impractical for home-based rehabilitation use due to their size, weight, complexity, calibration procedures, cost, and fragility. We have designed and developed a cell phone based vibrotactile feedback system for potential use in balance rehabilitation training in clinical and home environments. It comprises an iPhone with an embedded tri-axial linear accelerometer, custom software to estimate body tilt, a "tactor bud" accessory that plugs into the headphone jack to provide vibrotactile cues of body tilt, and a battery. Five young healthy subjects (24 ± 2.8 yrs, 3 females and 2 males) and four subjects with vestibular deficits (42.25 ± 13.5 yrs, 2 females and 2 males) participated in a proof-of-concept study to evaluate the effectiveness of the system. Healthy subjects used the system with eyes closed during Romberg, semi-tandem Romberg, and tandem Romberg stances. Subjects with vestibular deficits used the system with both eyes-open and eyes-closed conditions during semi-tandem Romberg stance. Vibrotactile feedback was provided when the subject exceeded either an anterior-posterior (A/P) or a medial-lateral (M/L) body tilt threshold. Subjects were instructed to move away from the vibration. The system was capable of providing real-time vibrotactile cues that informed corrective postural responses. When feedback was available, both healthy subjects and those with vestibular deficits significantly reduced their A/P or M/L RMS sway (depending on the direction of feedback), had significantly smaller elliptical area fits to their sway trajectory, spent a significantly greater mean percentage time within the no feedback zone, and showed a significantly greater A/P or M/L mean power frequency. The results suggest that the real-time feedback provided by this system can be used to reduce body sway. Its advantages over more complex

  18. Vestibular ataxia and its measurement in man

    NASA Technical Reports Server (NTRS)

    Fregly, A. R.

    1974-01-01

    Methods involved in and results obtained with a new comprehensive ataxia test battery are described, and definitions of spontaneous and induced vestibular ataxia in man are given in terms of these findings. In addition, the topic of alcohol-induced ataxia in relation to labyrinth function is investigated. Items in the test battery comprise a sharpened Romberg test, in which the subject stands on the floor with eyes closed and arms folded against his chest, feet heel-to-toe, for 60 seconds; an eyes-open walking test; an eyes-open standing test; an eyes-closed standing test; an eyes-closed on-leg standing test; an eyes-closed walk a line test; an eyes-closed heel-to-toe walking test; and supplementary ataxia tests such as the classical Romberg test.

  19. France: Thrust and parry over nuclear risks

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Balter, M.

    1997-01-31

    Claims about the health risks posed by nuclear-power installations are always controversial, but nowhere more so than in France, where some 75% of the nation`s electricity is generated from nuclear energy. So, it was no surprise that publication of a study by two French epidemiologists earlier this month claiming to show a link between cases of childhood leukemia and the nuclear-waste reprocessing plant at La Hague on the Normandy coast sparked fireworks in the French press. Several French epidemiologists sharply criticized the study`s methodology and conclusions. Their attacks have now drawn an unusual response from the British Medical Journal (BMJ),more » in which the paper appeared.« less

  20. Thermodynamic and dynamic ice thickness contributions in the Canadian Arctic Archipelago in NEMO-LIM2 numerical simulations

    NASA Astrophysics Data System (ADS)

    Hu, Xianmin; Sun, Jingfan; Chan, Ting On; Myers, Paul G.

    2018-04-01

    Sea ice thickness evolution within the Canadian Arctic Archipelago (CAA) is of great interest to science, as well as local communities and their economy. In this study, based on the NEMO numerical framework including the LIM2 sea ice module, simulations at both 1/4 and 1/12° horizontal resolution were conducted from 2002 to 2016. The model captures well the general spatial distribution of ice thickness in the CAA region, with very thick sea ice (˜ 4 m and thicker) in the northern CAA, thick sea ice (2.5 to 3 m) in the west-central Parry Channel and M'Clintock Channel, and thin ( < 2 m) ice (in winter months) on the east side of CAA (e.g., eastern Parry Channel, Baffin Island coast) and in the channels in southern areas. Even though the configurations still have resolution limitations in resolving the exact observation sites, simulated ice thickness compares reasonably (seasonal cycle and amplitudes) with weekly Environment and Climate Change Canada (ECCC) New Ice Thickness Program data at first-year landfast ice sites except at the northern sites with high concentration of old ice. At 1/4 to 1/12° scale, model resolution does not play a significant role in the sea ice simulation except to improve local dynamics because of better coastline representation. Sea ice growth is decomposed into thermodynamic and dynamic (including all non-thermodynamic processes in the model) contributions to study the ice thickness evolution. Relatively smaller thermodynamic contribution to ice growth between December and the following April is found in the thick and very thick ice regions, with larger contributions in the thin ice-covered region. No significant trend in winter maximum ice volume is found in the northern CAA and Baffin Bay while a decline (r2 ≈ 0.6, p < 0.01) is simulated in Parry Channel region. The two main contributors (thermodynamic growth and lateral transport) have high interannual variabilities which largely balance each other, so that maximum ice volume can

  1. Screening Sitka spruce for resistance to weevil damage in British Columbia

    Treesearch

    René I. Alfaro; John N. King

    2012-01-01

    The white pine weevil, Pissodes strobi (Coleoptera, Curculionidae), has serious impacts on Sitka (Picea sitchensis (Bong.) Carrière), Engelmann (P. engelmannii Parry ex Engelm.), and white spruce (P. glauca (Moench) Voss) plantations in British Columbia (BC), Canada. This weevil attacks...

  2. Ecological adaptation of Shepherdia rotundifolia to conditions in its native range

    USDA-ARS?s Scientific Manuscript database

    Water conservation using drought tolerant species is increasingly important for many urbanized areas due to limited water supplies. The Colorado Plateau endemic shrub Shepherdia rotundifolia Parry is a potential candidate for use in sustainable urban low-water landscapes (LWL) for its aesthetic and...

  3. Field test on the treatment of source zone chloroethenes using emulsified zerovalent iron

    EPA Science Inventory

    This talk summarizes the research activities currently underway at the Solid Waste Management Unit 45 (Site 45), Marine Corps Recruit Depot, Parris Island, South Carolina. A pilot field test was initiated in 2005 at this site to evaluate the effectiveness of nanoscale emulsified...

  4. A Two and Half-Year-Performance Evaluation of a Field Test on Treatment of Source Zone Tetrachloroethene and Its Chlorinated Daughter Products Using Emulsified Zaro Valent Iron Nanoparticles

    EPA Science Inventory

    A field test of emulsified zero valent iron (EZVI) nanoparticles was conducted at Parris Island, SC, USA and was monitored for two and half years to assess the treatment of subsurface-source zone chlorinated volatile organic compounds (CVOCs) dominated by tetrachloroethene (PCE) ...

  5. Increased fall risk is associated with elevated co-contraction about the ankle during static balance challenges in older adults.

    PubMed

    Nelson-Wong, Erika; Appell, Ryan; McKay, Mike; Nawaz, Hannah; Roth, Joanna; Sigler, Robert; Third, Jacqueline; Walker, Mark

    2012-04-01

    Falls are a leading contributor to disability in older adults. Increased muscle co-contraction in the lower extremities during static and dynamic balance challenges has been associated with aging, and also with a history of falling. Co-contraction during static balance challenges has not been previously linked with performance on clinical tests designed to ascertain fall risk. The purpose of this study was to investigate the relationship between co-contraction about the ankle during static balance challenges with fall risk on a commonly used dynamic balance assessment, the Four Square Step Test (FSST). Twenty-three volunteers (mean age 73 years) performed a series of five static balance challenges (Romberg eyes open/closed, Sharpened Romberg eyes open/closed, and Single Leg Standing) with continuous electromyography (EMG) of bilateral tibialis anterior and gastrocnemius muscles. Participants then completed the FSST and were categorized as 'at-risk' or 'not-at-risk' to fall based on a cutoff time of 12 s. Co-contraction was quantified with co-contraction index (CCI). CCI during narrow base conditions was positively correlated with time to complete FSST. High CCIs during all static balance challenges with the exception of Romberg stance with eyes closed were predictive of being at-risk to fall based on FSST time, odds ratio 19.3. The authors conclude that co-contraction about the ankle during static balance challenges can be predictive of performance on a dynamic balance test.

  6. Spruce aphid in high elevation habitats in the Southwest U.S.

    Treesearch

    Ann M. Lynch

    2003-01-01

    Spruce aphid, Elatobium abietinum (Walker) (Homoptera: Aphididae), is a new invasive pest in the interior Southwestern United States. This insect is causing extensive and severe damage on dormant Engelmann spruce, Picea engelmannii Parry, and Colorado blue spruce, P. pungens Engelm., in high elevation forests in...

  7. Interspecific hybrid of xeric Shepherdia rotundifolia and riparian Shepherdia argentea: description, and traits suitable for low-water urban landscapes

    USDA-ARS?s Scientific Manuscript database

    Shepherdia rotundifolia Parry (roundleaf buffaloberry), a shrub endemic to the U.S. Colorado Plateau high desert, has aesthetic and drought tolerance qualities desirable for low-water urban landscapes. However, slow growth and too often fatal sensitivity to wet or disturbed soil stymies nursery pro...

  8. Preliminary lumber recovery for dead and live Engelmann spruce.

    Treesearch

    James M. Cahill

    1980-01-01

    Lumber recovery, lumber grade distribution, and log values are presented for logs cut from dead and live Engelmann spruce (Picea engelmannii Parry ex Engelm.) trees. The dead sample includes standing and down trees killed by the Engelmann spruce beetle (Dendroctonus ruffipennis Kirby) over 20 years ago.

  9. Project Centaur. [for earth dayside magnetic cleft investigation

    NASA Technical Reports Server (NTRS)

    Brence, W. A.; Hardin, J. W.; Crook, E. D.; Roberts, H.

    1982-01-01

    The National Aeronautics and Space Administration (NASA) and the Canada Centre for Space Science, National Research Council of Canada (NRCC), conducted a cooperative sounding rocket campaign in the Canadian Arctic during November/December 1981. The objective of the campaign was to investigate the earth's dayside magnetic cleft region. The project was named CENTAUR for Cleft Energetics Transport and Ultraviolet Radiation. Remote launch support facilities were established at Cape Parry, NWT, Canada (70 deg 10 min N latitude, 124 deg 40 min W longitude). The cleft region is accessible from this location when launched poleward during reasonably quiet magnetic activity. Five large sounding rockets were launched (3 NASA, 2 NRCC). About 30 scientific experiments were launched, and an extensive array of ground based experiments was established at Cape Parry and at Sachs Harbour, Banks Island, 130 miles poleward. This paper discusses the unique organization, planning, facilities, instrumentation, and operation required to support the campaign, and looks briefly at the results.

  10. Neurologic involvement in scleroderma: a systematic review.

    PubMed

    Amaral, Tiago Nardi; Peres, Fernando Augusto; Lapa, Aline Tamires; Marques-Neto, João Francisco; Appenzeller, Simone

    2013-12-01

    To perform a systematic review of neurologic involvement in Systemic sclerosis (SSc) and Localized Scleroderma (LS), describing clinical features, neuroimaging, and treatment. We performed a literature search in PubMed using the following MeSH terms, scleroderma, systemic sclerosis, localized scleroderma, localized scleroderma "en coup de sabre", Parry-Romberg syndrome, cognitive impairment, memory, seizures, epilepsy, headache, depression, anxiety, mood disorders, Center for Epidemiologic Studies Depression (CES-D), SF-36, Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Patient Health Questionnaire-9 (PHQ-9), neuropsychiatric, psychosis, neurologic involvement, neuropathy, peripheral nerves, cranial nerves, carpal tunnel syndrome, ulnar entrapment, tarsal tunnel syndrome, mononeuropathy, polyneuropathy, radiculopathy, myelopathy, autonomic nervous system, nervous system, electroencephalography (EEG), electromyography (EMG), magnetic resonance imaging (MRI), and magnetic resonance angiography (MRA). Patients with other connective tissue disease knowingly responsible for nervous system involvement were excluded from the analyses. A total of 182 case reports/studies addressing SSc and 50 referring to LS were identified. SSc patients totalized 9506, while data on 224 LS patients were available. In LS, seizures (41.58%) and headache (18.81%) predominated. Nonetheless, descriptions of varied cranial nerve involvement and hemiparesis were made. Central nervous system involvement in SSc was characterized by headache (23.73%), seizures (13.56%) and cognitive impairment (8.47%). Depression and anxiety were frequently observed (73.15% and 23.95%, respectively). Myopathy (51.8%), trigeminal neuropathy (16.52%), peripheral sensorimotor polyneuropathy (14.25%), and carpal tunnel syndrome (6.56%) were the most frequent peripheral nervous system involvement in SSc. Autonomic neuropathy involving cardiovascular and gastrointestinal systems was regularly described

  11. Cell phone based balance trainer

    PubMed Central

    2012-01-01

    Background In their current laboratory-based form, existing vibrotactile sensory augmentation technologies that provide cues of body motion are impractical for home-based rehabilitation use due to their size, weight, complexity, calibration procedures, cost, and fragility. Methods We have designed and developed a cell phone based vibrotactile feedback system for potential use in balance rehabilitation training in clinical and home environments. It comprises an iPhone with an embedded tri-axial linear accelerometer, custom software to estimate body tilt, a "tactor bud" accessory that plugs into the headphone jack to provide vibrotactile cues of body tilt, and a battery. Five young healthy subjects (24 ± 2.8 yrs, 3 females and 2 males) and four subjects with vestibular deficits (42.25 ± 13.5 yrs, 2 females and 2 males) participated in a proof-of-concept study to evaluate the effectiveness of the system. Healthy subjects used the system with eyes closed during Romberg, semi-tandem Romberg, and tandem Romberg stances. Subjects with vestibular deficits used the system with both eyes-open and eyes-closed conditions during semi-tandem Romberg stance. Vibrotactile feedback was provided when the subject exceeded either an anterior-posterior (A/P) or a medial-lateral (M/L) body tilt threshold. Subjects were instructed to move away from the vibration. Results The system was capable of providing real-time vibrotactile cues that informed corrective postural responses. When feedback was available, both healthy subjects and those with vestibular deficits significantly reduced their A/P or M/L RMS sway (depending on the direction of feedback), had significantly smaller elliptical area fits to their sway trajectory, spent a significantly greater mean percentage time within the no feedback zone, and showed a significantly greater A/P or M/L mean power frequency. Conclusion The results suggest that the real-time feedback provided by this system can be used to reduce body sway. Its

  12. Measurement and Research Tools.

    ERIC Educational Resources Information Center

    1997

    This document contains four papers from a symposium on measurement and research tools for human resource development (HRD). "The 'Best Fit' Training: Measure Employee Learning Style Strengths" (Daniel L. Parry) discusses a study of the physiological aspect of sensory intake known as modality, more specifically, modality as measured by…

  13. The Development and Application of the Coping with Bullying Scale for Children

    ERIC Educational Resources Information Center

    Parris, Leandra N.

    2013-01-01

    The Multidimensional Model for Coping with Bullying (MMCB; Parris, in development) was conceptualized based on a literature review of coping with bullying and by combining relevant aspects of previous models. Strategies were described based on their focus (problem-focused vs. emotion-focused) and orientation (avoidance, approach-self,…

  14. Evaluation of funnel traps for estimating tree mortality and associated population phase of spruce beetle in Utah

    Treesearch

    E. Matthew Hansen; Barbara J. Bentz; A. Steven Munson; James C. Vandygriff; David L. Turner

    2006-01-01

    Although funnel traps are routinely used to manage bark beetles, little is known regarding the relationship between trap captures of spruce beetle (Dendroctonus rufipennis Kirby) and mortality of Engelmann spruce (Picea engelmannii Parry ex Engelm.) within a 10 ha block of the trap. Using recursive partitioning tree analyses, rules...

  15. The structure of genetic diversity in Engelmann spruce and a comparison with blue spruce

    Treesearch

    F. Thomas Ledig; Paul D. Hodgskiss; David R. Johnson

    2010-01-01

    Genetic diversity and genetic structure in Engelmann spruce (Picea engelmannii Parry ex Engelm.) were interpreted with respect to the effects of glacial and interglacial displacement and compared with patterns in blue spruce (Picea pungens Engelm.), which occupies a range well south of the last glacial front. On average,...

  16. Subaltern Social Movement Learning and the Decolonization of Space in India

    ERIC Educational Resources Information Center

    Kapoor, Dip

    2007-01-01

    Prompted by the author's experience as a participant in an organized partnership with "Adivasis" in south Orissa since the early 1990s; Gayatri Spivak's intimation that the "subaltern can not speak" (Spivak, 1988) [and the "theoretical asphyxiation" of a subaltern politics ably contested in Parry's work as a…

  17. Modelling Impacts of Climate Change: Case Studies using the New Generation of Erosion Models

    USDA-ARS?s Scientific Manuscript database

    Climate change is expected to impact upon a number of soil erosion drivers and processes, which should be taken into account when designing a modelling strategy. The fourth assessment report of the Intergovernmental Panel for Climate Change (IPCC) (Parry et al., 2007; Solomon et al., 2007) reviews a...

  18. Forum: Learning Outcomes in Communication. Civic Engagement and a Communication Research Agenda

    ERIC Educational Resources Information Center

    Ball, Timothy C.; Procopio, Claire H.; Goering, Beth; Dong, Qingwen; Bodary, David L.

    2016-01-01

    Civic engagement has long been a pedagogical and societal goal for communication scholars (Arnett & Arneson, 1999; Bennett, Wells, & Freelon, 2011). Kidd and Parry-Giles (2013) point out that belief in the "inherent civic value of speech to meaningful citizenship" is the "pedagogical core of the discipline" (n.p.).…

  19. Negative First-Term Outcomes Associated with Lower Extremity Injury During Recruit Training Among Female Marine Corps Graduates

    DTIC Science & Technology

    2007-01-01

    regarding stress fractures and retention, and no sex -specific practices. Current medical practice at MCRD Parris Island is to recommend separation for...2.5 Lower Extremity Injury Stress Fracture IU Reference B Failed to completed H No promotlon# • No reenllst# | Fig. 1. AORs for first- tenn outcome

  20. Genetics Home Reference: erythrokeratodermia variabilis et progressiva

    MedlinePlus

    ... P, Campanelli C, Compton JG, Bale SJ, DiGiovanna JJ, Uitto J. Genetic heterogeneity in erythrokeratodermia variabilis: novel ... Itin P, Hohl D, Epstein EH Jr, DiGiovanna JJ, Compton JG, Bale SJ. Mutations in the human ...

  1. Use of various free flaps in progressive hemifacial atrophy.

    PubMed

    Baek, Rongmin; Heo, Chanyeong; Kim, Baek-kyu

    2011-11-01

    Romberg disease is an uncommon condition manifested by progressive hemifacial atrophy of the skin, soft tissue, and bone. Facial asymmetry with soft tissue deficiency in Romberg disease causes a significant disability affecting the social life and can bring about many psychological problems. The aim of surgical treatment is cosmetic amelioration of the defect. Several conventional reconstructive procedures have been used for correcting facial asymmetry. They include fat injections, dermal fat grafts, filler injections, cartilage and bone grafts, and pedicled and free flaps. We report our experiences with 11 patients involving 11 free flaps with a minimum 1-year follow-up. All patients were classified as having moderate to severe atrophy. The average age at disease onset was 4.5 years; the average duration of atrophy was 5.2 years. No patients were operated on with a quiescent interval of less than 1 year. The average age at operation was 20.1 years, ranging from 10 to 55 years. Reconstruction was performed using 4 groin dermofat free flaps, 4 latissimus dorsi muscle free flaps, and 3 other perforator flaps. To achieve the finest symmetrical and aesthetic results, several ancillary procedures were performed in 4 patients. These procedures included Le Fort I leveling osteotomy, sagittal split ramus osteotomy, reduction malarplasty and angle plasty, rib and calvarial bone graft, correction of alopecia, and additional fat graft. All patients were satisfied with the results. We believe that a free flap transfer is the requisite treatment modality for severe degree of facial asymmetry in Romberg disease.

  2. Doing and Seeing Things Differently: A 25-Year Retrospective of Mathematics Education Research on Learning.

    ERIC Educational Resources Information Center

    Kieran, Carolyn

    1994-01-01

    Contains two parts: (1) excerpts from interviews with Thomas Kieren and Thomas Romberg, and (2) a discussion of the evolution of views of mathematical learning and understanding, including constructivist interpretations, situated cognition, innovative perspectives on classroom research, and the inclusion of a social-interactionist Vygotskian…

  3. A Novel Strategy to Control and Prevent Norovirus Gastroenteritis

    DTIC Science & Technology

    2006-11-01

    Vibrio cholerae , Candida, etc.) have been reported to recognize the HBGAs as their receptors. NV is the first viral pathogen in the list. Human...and genogroup II: BUDS (AY660568), Grimsby (GrV; AJ004864), Hawaii (HV; U07611), Mexico (MxV; U22498), MOH (AF397156), Parris Island (PiV

  4. Characterization and Multilineage Potential of Cells Derived from Isolated Microvascular Fragments

    DTIC Science & Technology

    2014-05-24

    three in vitro human ’angiogenesis’ assays with capillaries formed in vivo. Angiogenesis 2001;4:113. [18] Gimble JM, Katz AJ , Bunnell BA. Adipose derived...Cell Cycle 2005;4:1338. [31] Rosenblatt JD, Lunt AI, Parry DJ, et al. Culturing satellite cells from living single muscle fiber explants. In Vitro Cell

  5. Spectral evidence of early-stage spruce beetle infestation in Engelmann spruce

    Treesearch

    Adrianna C. Foster; Jonathan A. Walter; Herman H. Shugart; Jason Sibold; Jose Negron

    2017-01-01

    Spruce beetle (Dendroctonus rufipennis (Kirby)) outbreaks cause widespread mortality of Engelmann spruce (Picea engelmannii (Parry ex Engelm)) within the subalpine forests of the western United States. Early detection of infestations could allow forest managers to mitigate outbreaks or anticipate a response to tree mortality and the potential effects on ecosystem...

  6. Influencing the Future of Higher Education. Proceedings of the Closing Plenary Session of NGA's Annual Meeting (93rd, Providence, Rhode Island, August 7, 2001).

    ERIC Educational Resources Information Center

    National Governors' Association, Washington, DC.

    In August 2001, the National Governors Association (NGA) convened "Influencing the Future of Higher Education," the plenary session of the 2001 NGA Annual Meeting. Governor Parris Glendening of Maryland opened the plenary with remarks about the importance of postsecondary education to the economic and civil prosperity of the states and…

  7. Spruce beetle-induced changes to Engelmann spruce foliage flammability

    Treesearch

    Wesley G. Page; Michael J. Jenkins; Justin B. Runyon

    2014-01-01

    Intermountain Engelmann spruce (Picea engelmannii Parry ex Engelm) stands affected by the spruce beetle (Dendroctonus rufipennis Kirby) represent a unique and growing fuel complex. In this study, we quantified and compared the changes in moisture content, chemistry, and flammability of foliage from trees in three crown condition classes: unattacked (green [G]),...

  8. Where Is the "E" in STEM for Young Children? Engineering Design Education in an Elementary Teacher Preparation Program

    ERIC Educational Resources Information Center

    DiFrancesca, Daniell; Lee, Carrie; McIntyre, Ellen

    2014-01-01

    Science, Technology, Engineering, and Mathematics (STEM) education initiatives in the United States have surged as the demand for high-quality STEM education has escalated (Nadelson, Callahan, Pyke, Hay, & Schrader, 2009; Parry, 2011). The goal of this article is to present a description of how one STEM-focused elementary teacher preparation…

  9. Chinese tallow (Triadica sebifera) invasion in maritime forests: the role of anthropogenic disturbance and its management implication

    Treesearch

    Lauren S. Pile; G. Geoff Wang; Benjamin O. Knapp; Joan L. Walker; Michael C. Stambaugh

    2017-01-01

    Land-use and forest management practices may facilitate the invasion success of non-native plants in forests. In this study, we tested if agricultural land abandonment and subsequent forest management contributed to the invasion success of Chinese tallow (Triadica sebifera (L.) Small) in the maritime forest of Parris Island, SC. We compared the...

  10. Kafka: A Collection of Critical Essays. Twentieth Century Views Series.

    ERIC Educational Resources Information Center

    Gray, Ronald, Ed.

    One of a series of works aimed at presenting contemporary critical opinion on major authors, this collection includes essays by Ronald Gray, Edwin Muir, Friedrich Beissner, R. O. C. Winkler, Johannes Pfeiffer, Caroline Gordon, Idris Parry, Edmund Wilson, Erich Heller, Austin Warren, Eliseo Vivas, Albert Camus, Martin Buber, and H. S. Reiss--all…

  11. 33 CFR 334.480 - Archers Creek, Ribbon Creek and Broad River, S.C.; U.S. Marine Corps Recruit Depot rifle and...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Broad River, S.C.; U.S. Marine Corps Recruit Depot rifle and pistol ranges, Parris Island. 334.480... DEFENSE DANGER ZONE AND RESTRICTED AREA REGULATIONS § 334.480 Archers Creek, Ribbon Creek and Broad River... navigation: (1) At the rifle range. Archers Creek between Broad River and Beaufort River and Ribbon Creek...

  12. 33 CFR 334.480 - Archers Creek, Ribbon Creek and Broad River, S.C.; U.S. Marine Corps Recruit Depot rifle and...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Broad River, S.C.; U.S. Marine Corps Recruit Depot rifle and pistol ranges, Parris Island. 334.480... DEFENSE DANGER ZONE AND RESTRICTED AREA REGULATIONS § 334.480 Archers Creek, Ribbon Creek and Broad River... navigation: (1) At the rifle range. Archers Creek between Broad River and Beaufort River and Ribbon Creek...

  13. Ecological adaptation of the endemic Shepherdia rotundifolia to conditions in its Colorado Plateau range

    Treesearch

    Chalita Sriladda; Roger Kjelgren; Heidi Kratsch; Thomas Monaco; Steven Larson; FenAnn Shen

    2014-01-01

    Due to limited water supplies, use of drought-tolerant species to conserve water in irrigated urban landscapes is increasingly important in the Intermountain West. The Colorado Plateau endemic shrub Shepherdia rotundifolia Parry is a potential candidate for use in sustainable urban low-water landscapes (LWLs) for its aesthetic and drought-tolerant qualities. However,...

  14. Further Insight and Additional Inference Methods for Polynomial Regression Applied to the Analysis of Congruence

    ERIC Educational Resources Information Center

    Cohen, Ayala; Nahum-Shani, Inbal; Doveh, Etti

    2010-01-01

    In their seminal paper, Edwards and Parry (1993) presented the polynomial regression as a better alternative to applying difference score in the study of congruence. Although this method is increasingly applied in congruence research, its complexity relative to other methods for assessing congruence (e.g., difference score methods) was one of the…

  15. Inssues for Consideration by Mathematics Educators: Selected Papers.

    ERIC Educational Resources Information Center

    Denmark, Tom, Ed.

    This set of papers, selected from presentations at the Fourth and Fifth Annual Conferences of the Research Council for Diagnostic and Prescriptive Mathematics, are of primary interest to mathematics educators. In the first paper, Romberg describes a model for diagnosing mathematical learning difficulties which extends the diagnostic process beyond…

  16. Evaluation of Insecticides, Clothing Repellents, and Other Approaches to the Control of Coastal Sand Flies, Culicoides spp.

    DTIC Science & Technology

    1981-11-01

    Meteorlogical data during the insecticide applica- tions were collected by a weather team from the Marine Corp. Air Station, Beufort, South Carolina...u ~ - 0 ’ >4 z 00 0~~1 Cc140 ) ( 4 u 1 -*l,(i AM𔃺 Table 7.-- Meteorlogical Data for Spray Operations Over Parris Island, South Carolina, April 7

  17. Design and Analysis of Composite Wraps for Concrete Columns

    DTIC Science & Technology

    1995-06-01

    Des Moines, Iowa, 1993. Sigley, R.H., A.S. Wronski and T.V. Parry . "Tensile Failure of Pultruded Glass-Polyester Composites Under Superimposed...HQDA PICATINNY ARSNL NJ 07806-5000 ATTN SARD TR MS K KOMINOS 1 COMMANDER WASHINGTON DC 20310-0103 ATTN SMCAR CCH V E FENNELL DIRECTOR USA ARDEC ATT7N

  18. A Systematic Review of the Literature to Support an Evidence-based Precepting Program

    DTIC Science & Technology

    2014-01-01

    turnover rate, cost, quality and professional development. J Clin Nurs 2009;18: 1217 25. [4] Baggot DM, Hensinger B, Parry J, Valdes MS, Zaim S. The new...October (7)):566 74. [46] Baltimore JJ . The hospital clinical preceptor: essential preparation for success. J Contin Educ Nurs 2004;35(3): 133 40. b u r n

  19. A Clash of Cultures: Improving the "Fit" between Evaluative Independence and the Political Requirements of a Democratic Society

    ERIC Educational Resources Information Center

    Chelimsky, Eleanor

    2008-01-01

    This article presents a plenary address wherein the author talks about cultural clashes, about what happens when evaluation meets politics. In her address, the author talks about the kinds of clashes that occur on a regular basis between evaluative independence and the political culture it challenges, along with possible ways to predict, parry, or…

  20. Progress report on the rate of deterioration of beetle-killed Engelmann spruce in Colorado

    Treesearch

    Frank G. Hawksworth; Thomas E. Hinds

    1959-01-01

    A severe windstorm in 1939 blew down extensive patches of Engelmann spruce (Picea engelmannii Parry) in western Colorado. A major epidemic of the Engelmann spruce beetle (Dendroctonus engelmanni Hopk.) developed from the windthrown trees and by 1952, when the epidemic was controlled by a combination of chemical and natural-control factors, an estimated four billion...

  1. Recommended lists of genotoxic and non-genotoxic chemicals for assessment of the performance of new or improved genotoxicity tests: a follow-up to an ECVAM workshop.

    PubMed

    Kirkland, David; Kasper, Peter; Müller, Lutz; Corvi, Raffaella; Speit, Günter

    2008-05-31

    At a recent ECVAM workshop considering ways to reduce the frequency of irrelevant positive results in mammalian cell genotoxicity tests [D. Kirkland, S. Pfuhler, D. Tweats, M. Aardema, R. Corvi, F. Darroudi, A. Elhajouji, H.-R. Glatt, P. Hastwell, M. Hayashi, P. Kasper, S. Kirchner, A. Lynch, D. Marzin, D. Maurici, J.-R. Meunier, L. Müller, G. Nohynek, J. Parry, E. Parry, V. Thybaud, R. Tice, J. van Benthem, P. Vanparys, P. White, How to reduce false positive results when undertaking in vitro genotoxicity testing and thus avoid unnecessary followup animal tests: Report of an ECVAM Workshop, Mutat. Res. 628 (2007) 31-55], recommendations for improvements/modifications to existing tests, and suggestions for new assays were made. Following on from this, it was important to identify chemicals that could be used in the evaluation of modified or new assays. An expert panel was therefore convened and recommendations made for chemicals to fit three different sets of characteristics, namely: This paper therefore contains these three recommended lists of chemicals and describes how these should be used for any test-evaluation programme.

  2. Capillary waves and the decay of density correlations at liquid surfaces

    NASA Astrophysics Data System (ADS)

    Hernández-Muñoz, Jose; Chacón, Enrique; Tarazona, Pedro

    2016-12-01

    Wertheim predicted strong density-density correlations at free liquid surfaces, produced by capillary wave fluctuations of the interface [M. S. Wertheim, J. Chem. Phys. 65, 2377 (1976), 10.1063/1.433352]. That prediction has been used to search for a link between capillary wave (CW) theory and density functional (DF) formalism for classical fluids. In particular, Parry et al. have recently analyzed the decaying tails of these CW effects moving away from the interface as a clue for the extended CW theory [A. O. Parry et al., J. Phys.: Condens. Matter 28, 244013 (2016), 10.1088/0953-8984/28/24/244013], beyond the strict long-wavelength limit studied by Wertheim. Some apparently fundamental inconsistencies between the CW and the DF theoretical views of the fluid interfaces arose from the asymptotic analysis of the CW signal. In this paper we revisit the problem of the CW asymptotic decay with a separation of local non-CW surface correlation effects from those that are a truly nonlocal propagation of the CW fluctuations from the surface towards the liquid bulk.

  3. National Center for Mathematics and Science - who we are

    Science.gov Websites

    . Carpenter, PhD University of Wisconsin-Madison Former Director (1996-1999), Thomas A. Romberg, PhD University of Wisconsin-Madison Associate Director, James Stewart, PhD University of Wisconsin-Madison University of Wisconsin-Madison Collaborating Institutions Researchers from these institutions collaborate on

  4. Research Reports from the Fourth and Fifth National Conferences on Diagnostic and Prescriptive Mathematics. 1980 Research Monograph. Revised Third Edition.

    ERIC Educational Resources Information Center

    Romberg, Thomas A., Ed.

    This document contains 15 research papers presented at the Fourth and Fifth Annual Conferences of the Research Council for Diagnostic and Prescriptive Mathematics. The papers are organized into four sections. In part I, four position papers by Romberg, Engelhardt, Ashlock, and Heddens reflect research ideas which underlie the Council. Part II…

  5. Journeys of Mike and Wayland: Reflections on a Friend and Mentor

    ERIC Educational Resources Information Center

    Gifford, Paul

    2010-01-01

    According to the author, Mike was his close friend and also his mentor. Mike helped him find his way into teaching and he drew him into traditional winter camping. His first winter camping experience was with Mike 16 years ago in Killbear Provincial Park, near Parry Sound. Mike was thinking up Community Environmental Leadership Program (CELP) way…

  6. Rite of Passage: Making Basic Training Tougher

    Science.gov Websites

    entire 54 hour exercise," said Sgt. Roger Summers, a Delta Company drill instructor in the 1st positive thing I have done in my life." Delta Company begins the Crucible at 3 a.m. with a six-mile ; photo Delta Company recruits rumble during pugil stick competitions at Parris Island Marine Recruit

  7. A western larch-engelmann spruce spacing study in eastern Oregon: results after 10 years.

    Treesearch

    K.W. Seidel

    1984-01-01

    The 10-year growth response from a spacing study in an even-aged stand of western larch (Larix occidentalis Nutt.) and Engelmann spruce (Picea engelmannii Parry ex Engelm.), thinned at age 10 to 9- and 15-foot spacings, was measured in eastern Oregon. Both basal area and total cubic volume increment per acre increased at the...

  8. Operation REDWING

    DTIC Science & Technology

    1956-07-31

    rtr| aji ^-i^-iaaa^a^W|a,&ai|-^il^;,^^T^^tfJ^i^^«Ul^ ■:. u ■-ZSt^.^^^ " il SECTION XI - MILITARY POLICE ACTIVITIES: 1» Mission« To odvisc the...AIWSiVORTH on 19 March 1 1956. I During Mr-rch and April 1956, military police detachments were activntod on PARRY, RUNIT, ENYU, ROJO /., TEITEIRIPUCCHI

  9. Decay of subalpine fir in Colorado

    Treesearch

    Thomas E. Hinds; Frank G. Hawksworth; Ross W. Davidson

    1960-01-01

    Spruce-fir is one of the major forest types in the central Rocky Mountains. Engelmann spruce, Picea engelmanni Parry, is usually the predominant species with subalpine fir, Abies lasiocarpa (Hook. ) Nutt., making up one-fourth or less of the total volume. Lodgepole pine, Pinus contorta Dougl. ex Loud., is frequently present at the lower elevations of the spruce-fir...

  10. Management implications of using tree shelters for restoration of high elevation spruce-fir forests in the Rocky Mountains

    Treesearch

    Douglass F. Jacobs

    2012-01-01

    This paper presents a summary of a research project designed to study the use of tree shelters as a means to provide initial shade for planted Engelmann spruce (Picea englemannii Parry ex Engelm.) seedlings on a reforestation site in southwestern Colorado where several past planting attempts had failed. Study results following 2, 6, and 11 growing seasons were formally...

  11. IFLA General Conference, 1987. Division of Special Libraries. Geography and Map Libraries Section. Papers.

    ERIC Educational Resources Information Center

    International Federation of Library Associations, The Hague (Netherlands).

    The four papers in this collection report on geography and map libraries: (1) "Changing Patterns of Map Availability" (C. R. Perkins and R. B. Parry, United Kingdom), which presents the results of a three year survey into the state of world mapping, a discussion of the implications of changing patterns of map availability for map library…

  12. Using Research in the Professional Life of Mathematics Teachers. International Congress on Mathematical Education (5th, Adelaide, Australia, August 24-30, 1984).

    ERIC Educational Resources Information Center

    Romberg, Thomas A., Ed.

    The papers in this monograph are grouped by the five session topics of the Using Research Group meetings. Perspectives on Using Research was first, with papers on research and the teaching job (Romberg), utility (Wheeler), review and dissemination (Dessart), preparing materials (Jurdak), and the teacher's view (Williams). The second session was on…

  13. Iran: U.S. Concerns and Policy Responses

    DTIC Science & Technology

    2011-04-18

    have relocated to New York. In September 2010, criticized Ahmadinejad for minimizing the effects of growing international sanctions against Iran...Minister Ataollah Mohajerani, and Mohsen Kadivar. Some well known dissidents who remained in Iran and were arrested in 2010 include filmmaker Jafar...rebuild his authority and to parry the effects of international sanctions. Many middle class Iranians have long criticized Ahmadinejad for favoring

  14. Interference between oculomotor and postural tasks in 7-8-year-old children and adults.

    PubMed

    Legrand, Agathe; Doré Mazars, Karine; Lemoine, Christelle; Nougier, Vincent; Olivier, Isabelle

    2016-06-01

    Several studies in adults having observed the effect of eye movements on postural control provided contradictory results. In the present study, we explored the effect of various oculomotor tasks on postural control and the effect of different postural tasks on eye movements in eleven children (7.8 ± 0.5 years) and nine adults (30.4 ± 6.3 years). To vary the difficulty of the oculomotor task, three conditions were tested: fixation, prosaccades (reactive saccades made toward the target) and antisaccades (voluntary saccades made in the direction opposite to the visual target). To vary the difficulty of postural control, two postural tasks were tested: Standard Romberg (SR) and Tandem Romberg (TR). Postural difficulty did not affect oculomotor behavior, except by lengthening adults' latencies in the prosaccade task. For both groups, postural control was altered in the antisaccade task as compared to fixation and prosaccade tasks. Moreover, a ceiling effect was found in the more complex postural task. This study highlighted a cortical interference between oculomotor and postural control systems.

  15. An investigation of a mathematical model for atmospheric absorption spectra

    NASA Technical Reports Server (NTRS)

    Niple, E. R.

    1979-01-01

    A computer program that calculates absorption spectra for slant paths through the atmosphere is described. The program uses an efficient convolution technique (Romberg integration) to simulate instrument resolution effects. A brief information analysis is performed on a set of calculated spectra to illustrate how such techniques may be used to explore the quality of the information in a spectrum.

  16. Ulerythema ophryogenes, a rarely reported cutaneous manifestation of noonan syndrome: case report and review of the literature.

    PubMed

    Li, Kayi; Ann Thomas, Mary; Haber, Richard M

    2013-01-01

    Ulerythema ophryogenes (also known as keratosis pilaris atrophicans faciei) is a rarely reported cutaneous manifestation of Noonan syndrome. Recognizing ulerythema ophryogenes as a cutaneous association in Noonan syndrome may aid in the diagnosis of this relatively common genetic condition. We present a case of a patient with Noonan syndrome and ulerythema ophryogenes associated with a SOS1 mutation and review the literature on this association. To the best of our knowledge, this is the second case of Noonan syndrome proven to be due to an SOS1 mutation in which ulerythema ophryogenes was clinically recognized and specifically diagnosed. The presence of ulerythema ophryogenes in a patient with Noonan syndrome increases the likelihood of a SOS1 mutation. Further reports by dermatologists and medical geneticists documenting ulerythema ophryogenes and not just descriptions of sparse or absent eyebrows will help support this genotype-phenotype correlation.

  17. Early ICU Standardized Rehabilitation Therapy for the Critically Injured Burn Patient

    DTIC Science & Technology

    2014-10-01

    Therapy for the Critically Injured Burn Patient PRINCIPAL INVESTIGATOR: Peter E. Morris , MD...the Critically Injured Burn Patient 5b. GRANT NUMBER 6. AUTHOR(S) Morris , James Holmes, Brad Freeman, Bruce Cairns, Michael Berry, L Doug E-Mail...and has been submitted for publication appendix). a. 6 iii. Parry SM, EI-Ansary D, Berney S, Koopman R, Cartwright MS, Morris PE, Hilton A, Sarwal A

  18. The Role of BRCA1 in Suppressing Epithelial-Mesenchymal Transition in Mammary Gland and Tumor Development

    DTIC Science & Technology

    2014-09-01

    Lakhani SR, Reis-Filho JS, Fulford L, Penault-Llorca F, van der Vijver M, Parry S, et al. Prediction of BRCA1 status in patients with breast cancer using...NT, Buckley NE, Berry FB, Kennedy RD, Gorski JJ , et al. BRCA1 and GATA3 corepress FOXC1 to inhibit the pathogenesis of basal-like breast cancers. Oncogene. 2011. 11. Appendices Nothing to report

  19. Giesbertiolus curoei, a new species of flower chafer from Panama with transitional characters (Coleoptera: Scarabaeidae: Cetoniinae: Trichiini).

    PubMed

    Ramírez-Ponce, Andrés

    2014-05-15

    Giesbertiolus curoei, new species is described from a female specimen collected in northwestern Panama. This species is compared with the three known species of Giesbertiolus Howden and with the genus Dialithus Parry. The genera Dialithus and Giesbertiolus are redefined to include this new species, and new diagnostic characters are provided for both. Illustrations of diagnostic characters and an identification key for the species of Giesbertiolus are provided.

  20. Cyber Power: Attack and Defense Lessons from Land, Sea, and Air Power

    DTIC Science & Technology

    2011-06-01

    over defense for a long time to come. The logical conclusion is that effective electronic and cyber defense are impossible. However, in...air attack with sufficient accuracy and warning time to mount an effective defense. 3 The 1...considering the suddenness of the attack, it is unlikely that the enemy would have time enough to parry the blow effectively either in the air or from the

  1. Operation GREENHOUSE-1951

    DTIC Science & Technology

    1983-06-15

    GREENHOUSE, DOG. 107 28 Runit Island radiological safety survey results following GREENHOUSE, DOG. 108 29 Estimate of maximum possible exposure at Parry...Enjebi Island radiological safety survey results following GREENHOUSE, EASY. 116 35 GREENHOUSE, EASY flight patterns. 118 36 Surface radex area and ship...positions during GREENHOUSE, GEORGE. 120 37 GREENHOUSE, GEORGE flight patterns. 122 38 Eleleron, Aomon, and Bijire island radiological safety survey

  2. Further analysis of Ames-negative rodent carcinogens that are only genotoxic in mammalian cells in vitro at concentrations exceeding 1 mM, including retesting of compounds of concern.

    PubMed

    Kirkland, David; Fowler, Paul

    2010-11-01

    In the analysis by Parry et al. [Parry, J. M., Parry, E., Phrakonkham, P. and Corvi, R. (2010) Analysis of published data for top concentration considerations in mammalian cell genotoxicity testing. Mutagenesis, 25, 531-538], 24 rodent carcinogens that were negative in the Ames test were identified that were only positive in mammalian cell tests at concentrations between 1 and 10 mM. These carcinogens can be subdivided into four groups as follows: (1) probable non-genotoxic (non-mutagenic) carcinogens, tumour promoters or negative for genotoxicity in vivo (n=10); (2) questionable carcinogens (n=4); (3) carcinogens with a probable genotoxic mode of action (n=5); (4) compounds where carcinogenicity or in vivo genotoxicity is unknown or unclear (n=5). It is not expected that in vitro mammalian cell tests should give positive results with Group 1 chemicals. Within Groups 2-4, five chemicals were considered a low priority because they could be detected using modified conditions because genotoxicity was associated with precipitate or pH shifts or because non-standard metabolism was required. The remaining nine chemicals were therefore considered most critical in terms of detection of genotoxic activity in mammalian cells. Daminozide was also included because it may have given positive responses between 1 and 10 mM. Many of the reported studies could have given positive results only at >1 mM because 'old' protocols were followed. These 10 chemicals have therefore been retested using modern protocols. Some were negative even up to 10 mM. Others were positive at concentrations <1 mM. Only methylolacrylamide was positive at a concentration >1 mM (2 mM = 202 μg/ml). Low-molecular weight substances may therefore require concentrations >1 mM, but further work is needed. Based on this analysis, it is concluded that the 10 mM upper limit in mammalian cell tests can be lowered without any loss of sensitivity in detecting genotoxic rodent carcinogens. A new limit of 1 mM or 500

  3. A 21-day-old boy with an annular eruption. Tinea faciei / Tinea capitis.

    PubMed

    Berry, Adam; Abramovici, Gil; Chamlin, Sarah L

    2014-01-01

    A healthy 21-day-old black male was referred to pediatric dermatology for evaluation of a facial and scalp eruption that had been present for less than 1 week. The child's parents had applied a topical corticosteroid cream for several days without any improvement noted. The child was otherwise well and thriving. Review of systems was negative. Family history was unremarkable for autoimmune or infectious skin diseases. On physical examination the patient was alert, active, and vigorous. He had multiple 1 to 2.5-cm erythematous annular, scaly plaques with pustules on the periphery on his upper cheeks, forehead, and anterior scalp (Figures 1-2). No alopecia was noted. Occipital and neck lymph nodes were not palpable. A potassium hydroxide skin preparation was negative for fungal elements and a fungal culture was performed. Serum laboratory testing was also performed. Copyright 2014, SLACK Incorporated.

  4. Proceedings of Conference on Variable-Resolution Modeling, Washington, DC, 5-6 May 1992

    DTIC Science & Technology

    1992-05-01

    of powerful new computer architectures for supporting object-oriented computing. Objects, as self -contained data-code packages with orderly...another entity structure. For example, (copy-entstr e:sys- tcm ’ new -system) creates an entity structure named c:new-system that has the same structure...324 Parry, S-H. (1984): A Self -contained Hierarchical Model Construct. In: Systems Analysis and Modeling in Defense (R.K. Huber, Ed.), New York

  5. Excitation energy spectrum in helium II

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Lu, P.; Chan, C.K.

    1979-11-01

    We obtain the roton part of the excitation energy spectrum in He II qualitatively. We point out that the distinct difference between this calculation and that of Parry and Ter Haar is that we do not use the Born approximation in the evaluation of t-matrix elements. We found that in addition to the contribution due to the hard-core part, the attractive potential helps to form the roton dip.

  6. Speech Understanding Research

    DTIC Science & Technology

    1976-10-01

    HS-II has used word templates of a linguistically simple form (patterned after those developed for PARRY by Cnlby ~ see Colby et al., 1974; see...interesting as an indication of whether or not the potential parallelism can be effectively utilized (see Fennell and Lesser, 1975). On the other...Symposium on Speech Recognition. Carnegie-Mellon University, Pittsburgh, Pennsylvania, 15-19 April 1974. IEEE, New York, 1974, 250-254. (b) Fennell

  7. Sulfur Mustard- and Phosgene- Increased IL-8 in Human Small Airway Cell Cultures: Implications for Medical Countermeasures Against Inhalation Toxicity

    DTIC Science & Technology

    2005-10-01

    TOXICITY Fred M. Cowan, William J . Smith, Ted S. Moran, Michelle M. Parris, Adetunji B. Williams and Alfred M. Sciuto U.S. Army Medical Research...toxicity in rodents (reviewed, 5) and some efficacy in the MEVM (personal communication, Dr. William J . Smith, USAMRICD, APG Md). Ibuprofen (62, 125...and inflammatory response in the toxicity of nerve and blister chemical warfare agents: implications for multi-threat medical countermeasures. J

  8. Alcohol and Drug Use in the Marine Corps in 1983. Volume 1. Main Text

    DTIC Science & Technology

    1984-07-01

    school graduates, 10 percent are heavy drinkers), age (17- to 25-year-olds, 11 percent are heavy drinkers), marital status (married, 5 percent; single ...to be young, single , white males, who did not graduate from high school (table 3-1). Percentages for alcohol consumption are distributed across...Chief of Naval Education and Training FT73 Naval Postgraduate School FT87 Human Resources Management School V8 Marine Corps Recruit Depot, Parris

  9. Projection of Maximum Software Maintenance Manning Levels.

    DTIC Science & Technology

    1982-06-01

    mainte- nance team development and for outyear support resource estimation, and to provide an analysis of applications of the model in areas other...by General Research Corporation of Santa Barbara, Ca., indicated that the Planning and Resource Management Information System (PARRIS) at the Air Force...determined that when the optimal input effort is applied, steps in the development would be achieved at a rate proportional to V(t). Thus the work-rate could

  10. Communicating in a Noisy World.

    DTIC Science & Technology

    1983-04-18

    human communication any source of message distortion from unwanted sound to distracting emotions b16 the receiver may be thought of analogically as...which discusses human communication in the future. The article runs to ten pages of offensive print. It is printed in eight-point type that is 15...the Practice of Management, 3rd ed., p. 129. 8. John Parry, The Psychology of Human Communication , p. 64. 9. Peter F. Drucker, Technology, Management

  11. Soviet Perspectives on French Security Policy. A Reader

    DTIC Science & Technology

    1986-04-01

    not en organ of the Eurogroup, It wea the principal forua for collaboration aaong U««: European countries on allltary «qulpasnt...aechinery for co-ordloatlng ■lltcery-lnduacrlel progreae. It li envisaged that in 𔃻* Europe des parries" araaaenta production will continue for a long... programa nay be considered to be approximately the aama, i.e. Inetead of the hegemony of one of the three atataa there exists e dominant ’triumvirate

  12. Foundations for the Development of a Simple Natural Language Interface for Task Knowledge Elicitation and Representation.

    DTIC Science & Technology

    1982-01-01

    the best known being ELIZA - a simulated Rogerian psychotherapist (Weizenbaum 1966), and PARRY - a simulated paranoid patient (Colby 1968). These...derived from the syntactic aspects of the input, that is, the word classes (noun, verb etc) rather than the word meanings. The concept of parsing is...captures the "full" meaning of a word or concept , consequently few researchers actually seek "absolute" definitions of words. The definition of a word, as

  13. Genotype Phenotype Relationships in Neurofibromatosis 2

    DTIC Science & Technology

    2001-10-01

    stop (t2187c). 200 unrelated individuals (90 with NF2, 24 controls with schwannomatosis , and 86 unaffected controls) were screened for this change and...Allelic expression of the NF2 gene in neurofibromatosis 2 and schwannomatosis . Neurogenetics 2:101-108 (1999) Andrade A under the mentorship of Mia...LB, MacCollin M, Parry D, Kluwe L, Lynch J, Jones D, Gusella J. Allelic expression of the NF2 gene in neurofibromatosis 2 and schwannomatosis

  14. Genotype Phenotype Relationships in Neurofibromatosis 2

    DTIC Science & Technology

    2000-10-01

    schwannomatosis , and 86 unaffected controls) were screened for this change and 69 were heterozygous (34.5%). 21 heterozygous specimens from control individuals...Jacoby LB, MacCollin M, Parry D, Kluwe L, Lynch J, Jones D, Gusella J. Allelic expression of the NF2 gene in neurofibromatosis 2 and schwannomatosis ...Jones D, Gusella J. Allelic expression of the NF2 gene in neurofibromatosis 2 and schwannomatosis . Neurogenetics 2:101-108 (1999) Kluwe L, Mautner V

  15. Deterministic Compressed Sensing

    DTIC Science & Technology

    2011-11-01

    of the algorithm can be derived by using the Bregman divergence based on the Kullback - Leibler function, and an additive update...regularized goodness - of - fit objective function. In contrast to many CS approaches, however, we measure the fit of an esti- mate to the data using the...sensing is information theoretically possible using any (2k, )-RIP sensing matrix . The following celebrated results of Candès, Romberg and Tao

  16. Waveform Design for Multimedia Airborne Networks: Robust Multimedia Data Transmission in Cognitive Radio Networks

    DTIC Science & Technology

    2011-03-01

    at the sensor. According to Candes, Tao and Romberg [1], a small number of random projections of a signal that is compressible is all the...Projection of Signal Transform i. DWT ii. FFT iii. DCT Solve the Minimization problem Reconstruct Signal Channel (AWGN ) De -noise Signal Original...Signal (Noisy) Random Projection of Signal Transform i. DWT ii. FFT iii. DCT Solve the Minimization problem Reconstruct Signal Channel (Noiseless) De

  17. Predictors of Stress Fracture Susceptibility in Young Female Recruits

    DTIC Science & Technology

    2004-09-02

    fracture as women who ran 4 or more times a week (OR = 2.17; 95% CI, 1.0-4.5). Among measures of reproductive history and birth control pill use, only...the analyses on menstrual function. No significant associations were found for birth control pill use. After adjusting for age and other potential...and Odds Ratios by Measures of Self-Reported Reproductive History, and Birth Control Use, Female Marine Corps Recruits, Parris Island, March 1995 to

  18. Improved Healing of Large, Osseous, Segmental Defects by Reverse Dynamization: Evaluation in a Sheep Model

    DTIC Science & Technology

    2015-10-01

    IFM ) through the separated bone cortices (fracture gap). In research funded by a CDMRP Idea Development Award, we used a rat segmental defect...491, 2011. [3] V. Glatt, M . Miller, a Ivkovic, F. Liu, N. Parry, D. Griffin, M . Vrahas, and C. Evans, “Improved healing of large segmental defects...2012. [4] M . Mehta, S . Checa, J. Lienau, D. Hutmacher, and G. N. Duda, “In vivo tracking of segmental bone defect healing reveals that callus

  19. The effect of visual-vestibulosomatosensory conflict induced by virtual reality on postural stability in humans.

    PubMed

    Nishiike, Suetaka; Okazaki, Suzuyo; Watanabe, Hiroshi; Akizuki, Hironori; Imai, Takao; Uno, Atsuhiko; Kitahara, Tadashi; Horii, Arata; Takeda, Noriaki; Inohara, Hidenori

    2013-01-01

    In this study, we examined the effects of sensory inputs of visual-vestibulosomatosensory conflict induced by virtual reality (VR) on subjective dizziness, posture stability and visual dependency on postural control in humans. Eleven healthy young volunteers were immersed in two different VR conditions. In the control condition, subjects walked voluntarily with the background images of interactive computer graphics proportionally synchronized to their walking pace. In the visual-vestibulosomatosensory conflict condition, subjects kept still, but the background images that subjects experienced in the control condition were presented. The scores of both Graybiel's and Hamilton's criteria, postural instability and Romberg ratio were measured before and after the two conditions. After immersion in the conflict condition, both subjective dizziness and objective postural instability were significantly increased, and Romberg ratio, an index of the visual dependency on postural control, was slightly decreased. These findings suggest that sensory inputs of visual-vestibulosomatosensory conflict induced by VR induced motion sickness, resulting in subjective dizziness and postural instability. They also suggest that adaptation to the conflict condition decreases the contribution of visual inputs to postural control with re-weighing of vestibulosomatosensory inputs. VR may be used as a rehabilitation tool for dizzy patients by its ability to induce sensory re-weighing of postural control.

  20. Comparative study of computerized dynamic posturography and the SwayStar system in healthy subjects.

    PubMed

    Faraldo-García, Ana; Santos-Pérez, Sofía; Crujeiras, Rosa; Labella-Caballero, Torcuato; Soto-Varela, Andrés

    2012-03-01

    For healthy subjects, posturography and SwayStar™ results are basically comparable, when they are obtained under the same sensory stimulation conditions. However, the management of the information and the mathematical analyses in the two systems are not comparable. Postural control represents man's ability to maintain the center of pressures inside the limits of stability. Posturography is a set of techniques that objectively studies and quantifies the postural control. The present study analyzed the different parameters of the dynamic computerized posturography and SwayStar systems related to balance, to determine whether the results of the two systems in the same healthy subject are equivalent. Seventy healthy individuals, with a mean age of 44.9 years, were homogeneously divided into seven age groups. Postural studies with a Neurocom(®) Smart Balance Master posturography platform (sensorial organization test), with the SwayStar(®) system (14 tests), and another sensorial organization test were recorded simultaneously with the two posturographs. The Pearson correlation test was used for the statistical study (p < 0.05). Comparison of the independent records showed correlation only in the Romberg position with eyes closed on a normal surface and in the Romberg position with open eyes on moving/foam surface. We found correlation for all conditions when simultaneously recorded.

  1. Effects of Vestibular Rehabilitation on Balance Control in Older People with Chronic Dizziness: A Randomized Clinical Trial.

    PubMed

    Ricci, Natalia Aquaroni; Aratani, Mayra Cristina; Caovilla, Heloísa Helena; Ganança, Fernando Freitas

    2016-04-01

    The aim of this study was to compare the effects of vestibular rehabilitation protocols on balance control in elderly with dizziness. This is a randomized clinical trial with 3-mo follow-up period. The sample was composed of 82 older individuals with chronic dizziness from vestibular disorders. The control group was treated according to the Conventional Cawthorne & Cooksey protocol (n = 40), and the experimental group was submitted to a Multimodal Cawthorne & Cooksey protocol (n = 42). Measures included Dynamic Gait Index, fall history, hand grip strength, Time Up-and-Go Test, sit-to-stand test, multidirectional reach, and static balance tests. With the exception of history of falls, Forward Functional Reach, Unipedal Right and Left Leg Eyes Closed, and Sensorial Romberg Eyes Open, all outcomes improved after treatments. Such results persisted at follow-up period, with the exception of the Tandem Eyes Open and the Timed Up-and-Go manual. The between-group differences for Sensorial Romberg Eyes Closed (4.27 secs) and Unipedal Left Leg Eyes Open (4.08 secs) were significant after treatment, favoring the Multimodal protocol. Both protocols resulted in improvement on elderly's balance control, which was maintained during a short-term period. The multimodal protocol presented better performance on specific static balance tests.

  2. The effect of shoe type on static and dynamic balance during treadmill walking in young healthy women.

    PubMed

    Kim, Mi-Kyoung; Kong, Byung-Sun; Yoo, Kyung-Tae

    2017-09-01

    [Purpose] The purpose of this study was to analyze the effect of various shoes on the static and dynamic balance of young women in their 20s. [Subjects and Methods] The subjects of the study were 15 healthy young women and repeated measured design. The subjects walked on the treadmill at a speed of 4 km/h for 30 minutes wearing three types of shoes: sneaker, rain boots, and combat boots. Balance was measured by a Romberg test and a limits of stability test. One-way ANOVA was used for statistical analysis. [Results] As the results of the Romberg test, the main effect of time was shown in the EO-COG area, EO-COG length, and EO-COG velocity. As the results of the limits of stability test, the main effects of time in LT, RT, FW, and total. There were significant differences in the LT in the sneaker group, the rain boots group, and the LT and RT in the combat boots group between the pre- and post-test. [Conclusion] The characteristics of shoes such as the materials, hardness, and thickness of the soles, the coefficient of friction of the outsoles, and the collar height affected the static and dynamic balance.

  3. The effect of shoe type on static and dynamic balance during treadmill walking in young healthy women

    PubMed Central

    Kim, Mi-Kyoung; Kong, Byung-Sun; Yoo, Kyung-Tae

    2017-01-01

    [Purpose] The purpose of this study was to analyze the effect of various shoes on the static and dynamic balance of young women in their 20s. [Subjects and Methods] The subjects of the study were 15 healthy young women and repeated measured design. The subjects walked on the treadmill at a speed of 4 km/h for 30 minutes wearing three types of shoes: sneaker, rain boots, and combat boots. Balance was measured by a Romberg test and a limits of stability test. One-way ANOVA was used for statistical analysis. [Results] As the results of the Romberg test, the main effect of time was shown in the EO-COG area, EO-COG length, and EO-COG velocity. As the results of the limits of stability test, the main effects of time in LT, RT, FW, and total. There were significant differences in the LT in the sneaker group, the rain boots group, and the LT and RT in the combat boots group between the pre- and post-test. [Conclusion] The characteristics of shoes such as the materials, hardness, and thickness of the soles, the coefficient of friction of the outsoles, and the collar height affected the static and dynamic balance. PMID:28932007

  4. Improvement of the Scintillation-Irregularity Model in WBMOD

    DTIC Science & Technology

    1983-02-28

    satellite over e small s.ction of its orbit . 2-4 IMPLEMENTATION AT AFGWC One of the tasks carried out was to modify the most recent version of WaMOD...influence scintillation strength OSRTN Sets up integral to calculate phase variance, for finite outer scale ROMINT Modified Romberg quadrature integration... orbit calculation, and implc-Nentation of Ln irregularity drift routine based on a recently published model of ionospheric convection st high latitudes

  5. The AFGL (Air Force Geophysics Laboratory) Absolute Gravity System’s Error Budget Revisted.

    DTIC Science & Technology

    1985-05-08

    also be induced by equipment not associated with the system. A systematic bias of 68 pgal was observed by the Istituto di Metrologia "G. Colonnetti...Laboratory Astrophysics, Univ. of Colo., Boulder, Colo. IMGC: Istituto di Metrologia "G. Colonnetti", Torino, Italy Table 1. Absolute Gravity Values...measurements were made with three Model D and three Model G La Coste-Romberg gravity meters. These instruments were operated by the following agencies

  6. Designing for Compressive Sensing: Compressive Art, Camouflage, Fonts, and Quick Response Codes

    DTIC Science & Technology

    2018-01-01

    an example where the signal is non-sparse in the standard basis, but sparse in the discrete cosine basis . The top plot shows the signal from the...previous example, now used as sparse discrete cosine transform (DCT) coefficients . The next plot shows the non-sparse signal in the standard...Romberg JK, Tao T. Stable signal recovery from incomplete and inaccurate measurements. Commun Pure Appl Math . 2006;59(8):1207–1223. 3. Donoho DL

  7. Blind Compressed Image Watermarking for Noisy Communication Channels

    DTIC Science & Technology

    2015-10-26

    Lenna test image [11] for our simulations, and gradient projection for sparse recon- struction (GPSR) [12] to solve the convex optimization prob- lem...E. Candes, J. Romberg , and T. Tao, “Robust uncertainty prin- ciples: exact signal reconstruction from highly incomplete fre- quency information,” IEEE...Images - Requirements and Guidelines,” ITU-T Recommen- dation T.81, 1992. [6] M. Gkizeli, D. Pados, and M. Medley, “Optimal signature de - sign for

  8. Temporal Assessment of Mental Disorders, Smoking, and Hazardous Drinking in United States Troops Deployed in Support of the Operations in Iraq and Afghanistan

    DTIC Science & Technology

    2012-04-26

    drinking may have occurred, since the questionnaire includes only two of ten questions of Alcohol Use Disorders Identification Test (AUDIT).44 The degree...Psychiatric disorders and stages of smoking. Biol Psychiatry. 2004;55(1):69-76. 30. Romberger DJ, Grant K. Alcohol consumption and smoking...from human genetic studies. Mol Psychiatry. 2010;15(6):574-588. 44. Saunders JB, Aasland OG, Babor TF, de la Fuente JR, Grant M. Development of the

  9. Intercomparison of garnet barometers and implications for garnet mixing models

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Anovitz, L.M.; Essene, E.J.

    1985-01-01

    Several well-calibrated barometers are available in the system Ca-Fe-Ti-Al-Si-O, including: Alm+3Ru-3Ilm+Sil+2Qtz (GRAIL), 2Alm+Grreverse arrow6Ru=6Ilm+3An+3Qtz (GRIPS); 2Alm+Gr=3Fa+3An (FAG); 3AnGr+Ky+Qtz (GASP); 2Fs-Fa+Qtz (FFQ); and Gr+Qtz=An+2Wo (WAGS). GRIPS, GRAIL and GASP form a linearly dependent set such that any two should yield the third given an a/X model for the grossular/almandine solid-solution. Application to barometry of garnet granulite assemblages from the Grenville in Ontario yields average pressures 0.1 kb lower for GRIPS and 0.4 kb higher for FAGS using our mixing model. Results from Parry Island, Ontario, yield 8.7 kb from GRAIL as opposed to 9.1 kb using Ganguly and Saxena's model. Formore » GASP, Parry Island assemblages yield 8.4 kb with the authors calibration. Ganguly and Saxena's model gives 5.4 kb using Gasparik's reversals and 8.1 kb using the position of GASP calculated from GRIPS and GRAIL. These corrections allow GRIPS, GRAIL, GASP and FAGS to yield consistent pressures to +/- 0.5 kb in regional metamorphic terranes. Application of their mixing model outside of the fitted range 700-1000 K is not encouraged as extrapolation may yield erroneous results.« less

  10. The Arctic: Glacial Refugium or Area of Secondary Contact? Inference from the Population Genetic Structure of the Thick-Billed Murre (Uria lomvia), with Implications for Management.

    PubMed

    Tigano, Anna; Damus, Martin; Birt, Tim P; Morris-Pocock, Jamie A; Artukhin, Yuri B; Friesen, Vicki L

    2015-01-01

    Quaternary glaciations affected the distribution of many species. Here, we investigate whether the Arctic represented a glacial refugium during the Last Glacial Maximum or an area of secondary contact following the ice retreat, by analyzing the genetic population structure of the thick-billed murre (Uria lomvia), a seabird that breeds throughout the North Atlantic, North Pacific and Arctic Oceans. The thick-billed murre is a species of socio-economic importance and faces numerous threats including hunting, oil pollution, gill netting, and climate change. We compared variation in the mitochondrial DNA (mtDNA) control region (n = 424), supplemented by 4 microsatellite loci (n = 445), among thick-billed murres sampled throughout their range. MtDNA data indicated that colonies comprise 4 genetically differentiated groups (Φst = 0.11-0.81): 1) Atlantic Ocean plus New Siberian Islands region, 2) Cape Parry, 3) Chukchi Sea, and 4) Pacific Ocean. Microsatellite variation differed between Atlantic and Pacific populations. Otherwise, little substructure was found within either ocean. Atlantic and Pacific populations appear to have been genetically isolated since the last interglacial period and should be considered separate evolutionary significant units for management. The Chukchi Sea and Cape Parry appear to represent areas of secondary contact, rather than arctic refugial populations. © The American Genetic Association 2015. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  11. A Field Artillery Module for the Airland Research Model.

    DTIC Science & Technology

    1986-03-01

    8217-"" ET 524 LEVEL REPRESENTED IN THE TABLE -INIAN SHOULD CORRESPOND TO THE LEVEL OF .IMNANOH RESOLUTION IN THE MODEL -I-HOWITZERS HOWITZERS AMMUNITION Al ...AD-A168 388 A FIELD ARTILLERY MODULE FOR THE AIRLAMD RESEARCH MODEL i (U) NAVAL POSTGRADURTE SCHOOL MONTEREY CA L M FINLEY 4 UNCLASSIFIED F/G 1712 NL...A FIELD ARTILLERY MODULE FOR THE AIRLAND RESEARCH MODEL by Leonard M. Finley CD - C.- March 1986 Thesis Advisor: S. H. Parry Approved for public

  12. 26. Photocopy of ca. 1890 photograph showing SECOND FLOOR SITTING ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    26. Photocopy of ca. 1890 photograph showing SECOND FLOOR SITTING ROOMS IN THE ELL. Photographed during the occupancy of Dr. and Mrs. Erwin Agnew. Note the following furnishing: 1) Gothic reed organ in right foreground; 2) 'Eastlake' overmantle in background; 3) Mantle mirror in neo-grecian style; 4) 'Anglo-Japanese' fire screen near fireplace; 5) Corner cabinet is Centennial Colonial Revival; 6) American Indian snow shoes and Japanese fan on rear wall - Parry House, 1921 Arch Street, Philadelphia, Philadelphia County, PA

  13. Retrospective Analysis of Demographic and Clinical Factors Associated with Etiology of Febrile Respiratory Illness Among US Military Basic Trainees

    DTIC Science & Technology

    2014-12-05

    86.8% men; mean age 20.8 ± 3.8 years) from Fort Jackson (18.8%), Great Lakes (17.1%), Fort Leonard Wood (16.3%), Marine Corps Recruit Depot (MCRD...Sylvester Road, San Diego, CA 92106, USA Full list of author information is available at the end of the article © 2014 Padin et al.; licensee BioMed Central...Naval Training Com- mand, Illinois; Marine Corps Recruit Depots (MCRDs) San Diego, California, and Parris Island, South Carolina; and Cape May Coast

  14. Evaluation of a Newly Developed ELISA Against Widal, TUBEX-TF and Typhidot for Typhoid Fever Surveillance

    DTIC Science & Technology

    2011-01-01

    761. 5. House D, Wain J, Ho VA, Diep TS, Chinh NT, Bay BV, Vinh H, Duc M, Parry CM, Dougan G, White NJ, Hien TT, and Farrar JJ (2001). Serology of... Tran MT, Nguyen TM, Sivapalasingam S, Gupta A, Phan TP, Nguyen TC, Nguyen VC, Phung DC, Mintz ED (2004). Evaluation of rapid diagnostic tests for...Prato C, Arroyo R (1987) Serodiagnosis of typhoid fever in pediatric patients by anti- LPS ELISA. Trans R Soc Trop Med Hyg 81:1022-1026. 23

  15. The Construction of a Vague Fuzzy Measure Through L1 Parameter Optimization

    DTIC Science & Technology

    2012-08-26

    Programming v. 1.21, http://cvxr.com/cvx, (2011) 11 [3] E.J. Candes, J. Romberg and T. Tao. Robust Uncertainty Principles: Exact Signal Reconstruction From...Annales de I’institut Fourer, 5 (1954), pp. 131-295 [9] D. Diakoulaki, C. Antunes and A. Martins. MCDA in Energy Planning, Int. Series in Operations...formance and Tests , Fuzzy Sets and Systems, Vol. 65, Issues 2-3 (1994), pp.255-271 [15] M. Grabisch. Fuzzy Integral in Multicriteria Decision Making, Fuzzy

  16. Rare case of nephrotic syndrome: Schimke syndrome.

    PubMed

    Pedrosa, Anna Kelly Krislane de Vasconcelos; Torres, Luiz Fernando Oliveira; Silva, Ana Corina Brainer Amorim da; Dantas, Adrianna Barros Leal; Zuntini, Káthia Liliane da Cunha Ribeiro; Aguiar, Lia Cordeiro Bastos

    2016-01-01

    Schimke syndrome corresponds to dysplasia of bone and immunity, associated with progressive renal disease secondary to nephrotic syndrome cortico-resistant, with possible other abnormalities such as hypothyroidism and blond marrow aplasia. It is a rare genetic disorder, with few reports in the literature. The most frequent renal involvement is nephrotic syndrome with focal segmental glomerulosclerosis and progressive renal failure. The objective of this study was to report a case of Schimke syndrome, diagnostic investigation and management of the case. Resumo A síndrome Schimke corresponde à displasia imuno-óssea, associada à doença renal progressiva secundária à síndrome nefrótica córtico-resistente, podendo haver outras anormalidades como hipotireoidismo e aplasia de medula óssea. Trata-se de uma patologia genética rara, com poucos relatos na literatura. O acometimento renal mais frequente é uma síndrome nefrótica por glomeruloesclerose segmentar e focal e falência renal progressiva. O objetivo deste estudo foi relatar um caso de síndrome de Schimke, investigação diagnóstica e condução do caso.

  17. Foundations of Isomer Physics for Energy Applications

    DTIC Science & Technology

    2008-10-16

    demon.eo.iik/ fitzpcak.htm), 2005 TV, Institute of Nuclear Physics, University of Cologne. Germany. www.ikp.uni-koeln.de/~ fitz /. 2003 Efficiency...14] Boston. D. T. Joss, E. S. Paul , A. T. Semple, N. J. O’Brien, C. M. Parry, A. V. Afanasjev, and I. Ragnarsson, Phys. Rev. C 60,024307(1999). [15...19] and M. Ishii, Z. Phys. A 347. 41 (1993). A. J. Boston. E. S. Paul , C. J. Chiara, M. Devlin. D. B. Fossan. S. J. Freeman. D. R. LaFosse

  18. USSR Report, Military Affairs, No. 1764.

    DTIC Science & Technology

    1983-04-27

    cargo in the fuse- lage can be felt in the controls—the glider is trying to raise or lower its nose and one has to parry this movement all the time...important mission to be personally involved in the defense of the country and in the accomplishment of the party’s instructions on the organization of a...are moving with our country in a single, fraternal alliance. No one can shake this great unity of like-minded people and friends for we are joined

  19. Influence of visual inputs on quasi-static standing postural steadiness in individuals with spinal cord injury.

    PubMed

    Lemay, Jean-François; Gagnon, Dany; Duclos, Cyril; Grangeon, Murielle; Gauthier, Cindy; Nadeau, Sylvie

    2013-06-01

    Postural steadiness while standing is impaired in individuals with spinal cord injury (SCI) and could be potentially associated with increased reliance on visual inputs. The purpose of this study was to compare individuals with SCI and able-bodied participants on their use of visual inputs to maintain standing postural steadiness. Another aim was to quantify the association between visual contribution to achieve postural steadiness and a clinical balance scale. Individuals with SCI (n = 15) and able-bodied controls (n = 14) performed quasi-static stance, with eyes open or closed, on force plates for two 45 s trials. Measurements of the centre of pressure (COP) included the mean value of the root mean square (RMS), mean COP velocity (MV) and COP sway area (SA). Individuals with SCI were also evaluated with the Mini-Balance Evaluation Systems Test (Mini BESTest), a clinical outcome measure of postural steadiness. Individuals with SCI were significantly less stable than able-bodied controls in both conditions. The Romberg ratios (eyes open/eyes closed) for COP MV and SA were significantly higher for individuals with SCI, indicating a higher contribution of visual inputs for postural steadiness in that population. Romberg ratios for RMS and SA were significantly associated with the Mini-BESTest. This study highlights the contribution of visual inputs in individuals with SCI when maintaining quasi-static standing posture. Copyright © 2012 Elsevier B.V. All rights reserved.

  20. Intact proprioception and control of labour pain during epidural analgesia.

    PubMed

    Abrahams, M; Higgins, P; Whyte, P; Breen, P; Muttu, S; Gardiner, J

    1999-01-01

    Accurate proprioception is critical while walking, yet an ambulatory epidural regimen that provides adequate analgesia for labour while simultaneously preserving proprioceptive input has not been described. Sixty primigravidae in established labour received bupivacaine 15 mg (15 ml of 0.1% w/v) and fentanyl 100 micrograms through a lumbar epidural catheter. Clinical assessment of dorsal column sensory function included: vibration sense, distal proprioception and the Romberg test, and were all performed before catheter insertion and 30 min after the study bolus. Sensory modalities were also tested compared to an unblocked dermatome. Pain was scored on a 0-10 cm visual analogue scale (VAS) before and 30 min after induction. Intensity of the motor block was tested using a modified Bromage score (grade 1-6). The study bolus provided reliable analgesia with 43 parturients attaining a VAS pain score of zero. Mean duration of analgesia was 67.5 min (SD 22.85). All parturients retained the ability to perform a partial knee bend while standing (grade 6). No mothers exhibited impaired distal proprioception, altered vibration sense or a positive Romberg sign. This study confirms that the addition of lumbar epidural fentanyl 100 micrograms to 15 mg of epidural bupivacaine provides good control of labour pain with no motor block and establishes that this combination preserves dorsal column sensory function.

  1. Preoperative vestibular assessment protocol of cochlear implant surgery: an analytical descriptive study.

    PubMed

    Bittar, Roseli Saraiva Moreira; Sato, Eduardo Setsuo; Ribeiro, Douglas Jósimo Silva; Tsuji, Robinson Koji

    Cochlear implants are undeniably an effective method for the recovery of hearing function in patients with hearing loss. To describe the preoperative vestibular assessment protocol in subjects who will be submitted to cochlear implants. Our institutional protocol provides the vestibular diagnosis through six simple tests: Romberg and Fukuda tests, assessment for spontaneous nystagmus, Head Impulse Test, evaluation for Head Shaking Nystagmus and caloric test. 21 patients were evaluated with a mean age of 42.75±14.38 years. Only 28% of the sample had all normal test results. The presence of asymmetric vestibular information was documented through the caloric test in 32% of the sample and spontaneous nystagmus was an important clue for the diagnosis. Bilateral vestibular areflexia was present in four subjects, unilateral arreflexia in three and bilateral hyporeflexia in two. The Head Impulse Test was a significant indicator for the diagnosis of areflexia in the tested ear (p=0.0001). The sensitized Romberg test using a foam pad was able to diagnose severe vestibular function impairment (p=0.003). The six clinical tests were able to identify the presence or absence of vestibular function and function asymmetry between the ears of the same individual. Copyright © 2016 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.

  2. Square Deal: Lower Bounds and Improved Relaxations for Tensor Recovery

    DTIC Science & Technology

    2013-08-16

    problem size n from 10 to 30 with increment 1, and the observation ratio ρ from 0.01 to 0.2 with increment 0.01. For each (ρ, n)-pair, we simulate 5 test ...Foundations of Computational Mathematics, 12(6):805–849, 2012. [CRT] Emmanuel J. Candès, Justin K. Romberg , and Terence Tao. Stable signal recov- ery...2012. [SDS10] Marco Signoretto, Lieven De Lathauwer, and Johan AK Suykens. Nuclear norms for tensors and their use for convex multilinear estimation

  3. Operation Greenhouse. Scientific Director's report of atomic-weapon tests at Eniwetok, 1951. Annex 1. 11. Timing and firing and fiducial markers

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Grier, H.E.

    1985-09-01

    An automatic remote-control system armed and fired the bomb and sent out a sequence of time signals to experimental equipment on the atoll. A central station at Parry Island sent signals via submarine cables to a timer station on a shot island. The timer station controlled signals to the zero station and to experiments on the island, and through auxiliary stations, it also controlled signal distribution on adjacent islands. Light-sensitive triggering units for apparatus and for accurate standard zero-time reference were provided in the form of Blue Boxes, or fiducial markers.

  4. 23. Photocopy of ca. 1890 photograph showing DRAWING ROOM (see ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    23. Photocopy of ca. 1890 photograph showing DRAWING ROOM (see also PA-1524-12). Photographed during the occupancy of Dr. and Mrs. Erwin Agnew. Note the following furnishings: 1) Chandeliers, possibly by Cornelius and Sons of Philadelphia; 2) Ceiling painting at top of photocopy is copy of Guido Reni's Aurora, one of the two most popular Renaissance paintings in the mid-19th century; 3) Scagliola columns; 4) 'Turkish' upholstered chairs (typical of the period); 5) Neo-renaissance mirror at extreme left - Parry House, 1921 Arch Street, Philadelphia, Philadelphia County, PA

  5. Lichen amyloidosis in an unusual location.

    PubMed

    Jhingan, A; Lee, J S S; Kumarasinghe, S P W

    2007-06-01

    We report lichen amyloidosis occurring on the upper lip and nasolabial folds of a 61-year-old woman from Singapore. She had a past history of systemic lupus erythematosus, which was in remission for three years. There had been no lesions of lupus erythematosus in this area. Clinically, the lesions were skin-coloured, firm papules and our differential diagnoses included trichoepithelioma, papular sarcoid or lupus miliaris disseminatus faciei. Skin biopsy from one of the lesions showed amyloid deposits in the dermis which were Congo red stain positive. These deposits also showed apple green birefringence. Immunohistochemical staining of the amyloid deposits stained positive for cytokeratins (CK) 5 and 6, and negative for CK 14. The kappa and lambda stains were equivocal. Further investigations, including multiple myeloma screen and rectal biopsy, ruled out systemic amyloidosis. There was no other evidence of cutaneous amyloidosis on her limbs or trunk. She refused treatment for her lesions. This case highlights the commonly-seen form of primary localised cutaneous amyloidosis in an unusual location.

  6. Failure of gamma-aminobutyrate acid-beta agonist baclofen to improve balance, gait, and postural control after vestibular schwannoma resection.

    PubMed

    De Valck, Claudia F J; Vereeck, Luc; Wuyts, Floris L; Van de Heyning, Paul H

    2009-04-01

    Incomplete postural control often occurs after vestibular schwannoma (VS) surgery. Customized vestibular rehabilitation in man improves and speeds up this process. Animal experiments have shown an improved and faster vestibular compensation after administration of the gamma-aminobutyrate acid (GABA)-beta agonist baclofen. To examine whether medical treatment with baclofen provides an improvement of the compensation process after VS surgery. A time-series study with historical control. Tertiary referral center. Thirteen patients who underwent VS resection were included and compared with a matched group of patients. In addition to an individualized vestibular rehabilitation protocol, the study group received medical treatment with 30 mg baclofen (a GABA-beta agonist) daily during the first 6 weeks after surgery. Clinical gait and balance tests (Romberg maneuver, standing on foam, tandem Romberg, single-leg stance, Timed Up & Go test, tandem gait, Dynamic Gait Index) and Dizziness Handicap Inventory. Follow-up until 24 weeks after surgery. When examining the postoperative test results, the group treated with baclofen did not perform better when compared with the matched (historical control) group. Repeated-measures analysis of variance revealed no significant group effect, but a significant time effect for almost all balance tests during the acute recovery period was found. An interaction effect between time and intervention was seen concerning single-leg stance and Dizziness Handicap Inventory scores for the acute recovery period. Medical therapy with baclofen did not seem to be beneficial in the process of central vestibular compensation.

  7. Bone fractures as indicators of intentional violence in the eastern Adriatic from the antique to the late medieval period (2nd-16th century AD).

    PubMed

    Slaus, Mario; Novak, Mario; Bedić, Zeljka; Strinović, Davor

    2012-09-01

    To test the historically documented hypothesis of a general increase in deliberate violence in the eastern Adriatic from the antique (AN; 2nd-6th c.) through the early medieval (EM; 7th-11th c.) to the late-medieval period (LM; 12th-16th c.), an analysis of the frequency and patterning of bone trauma was conducted in three skeletal series from these time periods. A total of 1,125 adult skeletons-346 from the AN, 313 from the EM, and 466 from the LM series-were analyzed. To differentiate between intentional violence and accidental injuries, data for trauma frequencies were collected for the complete skeleton, individual long bones, and the craniofacial region as well as by type of injury (perimortem vs. antemortem). The results of our analyses show a significant temporal increase in total fracture frequencies when calculated by skeleton as well as of individuals exhibiting one skeletal indicator of deliberate violence (sharp force lesions, craniofacial injuries, "parry" fractures, or perimortem trauma). No significant temporal increases were, however, noted in the frequencies of craniofacial trauma, "parry" fractures, perimortem injuries, or of individuals exhibiting multiple skeletal indicators of intentional violence. Cumulatively, these data suggest that the temporal increase in total fracture frequencies recorded in the eastern Adriatic was caused by a combination of factors that included not only an increase of intentional violence but also a significant change in lifestyle that accompanied the transition from a relatively affluent AN urban lifestyle to a more primitive rural medieval way of life. Copyright © 2012 Wiley Periodicals, Inc.

  8. Development of Return Period Inundation Maps In A Changing Climate Using a Systems of Systems Approach

    NASA Astrophysics Data System (ADS)

    Bilskie, M. V.; Hagen, S. C.; Alizad, K.; Passeri, D. L.; Irish, J. L.

    2016-12-01

    Worldwide, coastal land margins are experiencing increased vulnerability from natural and manmade disasters [Nicholls et al., 1999]. Specifically, coastal flooding is expected to increase due to the effects of climate change, and sea level rise (SLR) in particular. A systems of systems (SoS) approach has been implemented to better understand the dynamic and nonlinear effects of SLR on tropical cyclone-induced coastal flooding along a low-gradient coastal landscape (northern Gulf of Mexico [NGOM]). The backbone of the SoS framework is a high-resolution, physics-based, tide, wind-wave, and hurricane storm surge model [Bilskie et al., 2016a] that includes systems of SLR scenarios [Parris et al., 2012], shoreline morphology [Passeri et al., 2016; Plant et al., 2016], marsh evolution [Alizad et al., 2016], and population dynamics driven by carbon emission scenarios [Bilskie et al., 2016b]. Prior to considering future conditions, the storm surge model was comprehensively validated for present-day conditions [Bilskie et al., 2016a]. The present-day model was then modified to represent the potential future landscape based on four SLR scenarios prescribed by Parris et al. [2012] linked to carbon emissions scenarios for the year 2100. Numerical simulations forced by hundreds of synthetic tropical cyclones were performed and the results facilitate the development of return period inundation maps across the NGOM that reflect changes to the coastal landscape. The SoS approach allows new patterns and properties to emerge (i.e. nonlinear and dynamic effects of SLR) that would otherwise be unobserved using a static SLR model.

  9. An uncommon presentation of an VIII nerve tumor.

    PubMed

    Swensson, Rubem Cruz; Swensson, Rogério Poli; Pizzini, Fabio Eduardo Caramante; Boldorini, Pedro Robson; Jorge Júnior, José Jarjura

    2008-01-01

    Vestibular Shwannomas are responsible for 80-90% of the cerebelar-pontine angle tumors and their incidence is of 0.8 to 20.5% of all tumors. Unilateral and progressive hearing loss is the most frequent and premature symptom, and tinnitus is the second most common complaint. Only 5% of the patients have normal audiograms. In this case the patient complained of ipsilateral facial numbness and weak blink, posterior pinna hypoesthesia (Hitzelberger +), tear reduction and positive Romberg test. He also had mouth twisting but no other involvement of other cranial nerves. Hearing acuity was normal.

  10. Menzerite-(Y) a New Species {(Y REE)(Ca Fe2plus)2}[(Mg Fe2plus)(Fe3plus Al)](Si3)O12 from a Felsic Granulite Parry Sound Ontario and a New Garnet End-member (Y2Ca)Mg2(SiO4)3

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    E Grew; J Marsh; M Yates

    2011-12-31

    Menzerite-(Y), a new mineral species, forms reddish brown cores, n = 1.844 (20), up to 70 {micro}m across, rimmed successively by euhedral almandine containing up to 2.7 wt% Y{sub 2}O{sub 3} and by K-feldspar in a felsic granulite on Bonnet Island in the interior Parry Sound domain, Grenville Orogenic Province, Canada. It is named after Georg Menzer (1897-1989), the German crystallographer who solved the crystal structure of garnet. Single-crystal X-ray-diffraction results yielded space group Ia3d, a = 11.9947(6) {angstrom}. An electron-microprobe analysis of the grain richest in Y (16.93 wt% Y{sub 2}O{sub 3}) gave the following formula, normalized to eightmore » cations and 12 oxygen atoms: {l_brace}Y{sub 0.83}Gd{sub 0.01}Dy{sub 0.05}Ho{sub 0.02}Er{sub 0.07}Tm{sub 0.01}Yb{sub 0.06}Lu{sub 0.02}Ca{sub 1.37}Fe{sub 0.49}{sup 2+}Mn{sub 0.07}{r_brace} [Mg{sub 0.55}Fe{sub 0.42}{sup 2+}Fe{sub 0.58}{sup 3+}Al{sub 0.35} V{sub 0.01}Sc{sub 0.01}Ti{sub 0.08}](Si{sub 2.82}Al{sub 0.18})O{sub 12}, or {l_brace}(Y,REE)(Ca,Fe{sup 2+}){sub 2}{r_brace}[(Mg,Fe{sup 2+})(Fe{sup 3+},Al)](Si{sub 3})O{sub 12}. Synchrotron micro-XANES data gave Fe{sup 3+}/{Sigma}Fe = 0.56(10) versus 0.39(2) calculated from stoichiometry. The scattering power refined at the octahedral Y site, 17.68 epfu, indicates that a relatively light element contributes to its occupancy. Magnesium, as determined by electron-microprobe analyses, would be a proper candidate. In addition, considering the complex occupancy of this site, the average Y-O bond length of 2.0244(16) {angstrom} is in accord with a partial occupancy by Mg. The dominance of divalent cations with Mg > Fe{sup 2+} and the absence of Si at the octahedral Y site (in square brackets) are the primary criteria for distinguishing menzerite-(Y) from other silicate garnet species; the menzerite-(Y) end-member is {l_brace}Y{sub 2}Ca{r_brace}[Mg{sub 2}](Si{sub 3})O{sub 12}. The contacts of menzerite-(Y) with almandine are generally sharp and, in places, cuspate

  11. Clinical investigation of vestibular damage by antituberculous drugs.

    PubMed

    Nakayama, M; Natori, Y; Tachi, H; Yoshizawa, M; Takayama, S; Miura, H; Kanayama, M; Kamei, T

    1986-01-01

    Vestibular function testing was done regularly on the cases given streptomycin, kanamycin, or enviomycin and a method to detect the cases of vestibular dysfunction at an early stage was discussed, as well as the time these drugs should be discontinued. Subjects were 85 cases of tuberculosis treated with streptomycin, kanamycin, or enviomycin who were admitted to our hospital from December 1984 to May 1986. The method of equilibrium examination performed at regular intervals is as follows: standing test (Romberg test), stepping test, and Meyer zum Gottesberge's head-shaking test were done once a week for a month after starting antituberculous injections and they were re-examined once every 2 weeks for at least 3 months after beginning the injections. After the 3 months these tests were done once a month. Eight cases of vestibular damage due to streptomycin or enviomycin could be easily detected at an early stage by performing Meyer zum Gottesberge's head-shaking test, together with the standing test and the stepping test. Vestibular dysfunction is apt to occur after about 1 month or within a month from the start of daily injections especially with streptomycin. Therefore, the method of equilibrium examination, we suggest, is that the Meyer zum Gottesberge's head-shaking test, the standing test (Romberg test), and the stepping test should be performed once a week during the first month after the start of this drug. When the result of the Meyer zum Gottesberge's head-shaking test is less than 50% and swaying and/or rotation occur in the stepping test, the drugs being given should be discontinued.

  12. Aspirin attenuation of alcohol-induced flushing and intoxication in Oriental and Occidental subjects.

    PubMed

    Truitt, E B; Gaynor, C R; Mehl, D L

    1987-01-01

    Aspirin (ASA) was tested in a group of 8 Oriental and 3 Occidental subjects who were shown in a previous study to respond to small doses of ethanol (0.06-0.25 g/kg) with facial flushing. They were compared to a similar group of 11 non-flushing Occidental subjects following a larger ethanol dose (0.37 g/kg) to determine if similar effects could be produced in less sensitive individuals. Control tests of blood ethanol and acetaldehyde (AcH) levels (calculated from breath), facial and neck skin temperatures, body sway (Romberg test), blood pressure, heart rate and 10 Subjective High Assessment Scales (SHAS-Judd, 1977) were conducted before and at 15, 30, 60 and 90 minutes after drinking ethanol as vodka in orange juice. The tests were repeated one week later one hour after receiving 0.64 gm of ASA orally. ASA produced slight changes in the early absorption of ethanol and small decreases in AcH levels in the flushing and non-flushing groups. Facial flushing was markedly reduced in the flushing group, but was slightly increased in the non-flushing Occidentals. Body sway was reduced by ASA in both groups. An alcohol-induced increase in heart rate in the flushing group was reduced with no change in blood pressure. SHAS subjective parameters were widely variable, but indicated that ASA produced reduced sleepiness and earlier relaxation in the flushing group. It is concluded that ASA can block alcohol-induced facial flushing in sensitive subjects and also reduces body sway in the Romberg test and alters some subjective feelings of alcohol intoxication.

  13. [Postural control disorders in initial phases of whiplash].

    PubMed

    Pleguezuelos Cobo, Eulogio; García-Alsina, Joan; García Almazán, Concepción; Ortiz Fandiño, Javier; Pérez Mesquida, M Engracia; Guirao Cano, Lluis; Samitier Pastor, Beatriz; Perucho Pont, Cristina; Coll Serra, Estel; Matarrubias, Carlos; Reveron, Genoveva

    2009-05-02

    Dizziness of variable intensity is a frequent complaint in patients who suffered whiplash and largely documented balance disturbances. The objective of the study was to identify balance disorders in early stage of whiplash after road traffic accidents. Ninety nine women were included in the study. Fifty four women had suffered whiplash within two weeks and 45 were included in a healthy control group. Static posturography on a force platform was carried out in all study participants, by means of the Romberg test in four sequential phases, using the postural sway area (SA) as a dependent variable. Visual Analogic Scale (VAS) and Northwick Park Neck Pain Questionnaire (NPH) were used to evaluate pain and function. Postural sway area increased significantly in each of the consecutive phases in both groups. The differences of the means of the postural sway area were statistically significant in all Romberg phases (p=.009 to P=.000). No correlation was found between SA and VAS or NPH scores. There was a positive correlation between the postural sway area standing on a thick foam cushion placed over the plate with closed eyes and the number of days of transitory incapacity (r=0.414; P=.009). Patients with recent whiplash show a postural control disturbance revealed trough a sequential static posturography analysis. This suggests that the balance disorder is not only a consequence of late whiplash syndrome evolution. Therefore, we should promote early instauration of a specific therapeutic approach if and when the patient refers dizziness and related symptoms.

  14. Temporal changes in postural sway caused by ultrashort-acting hypnotics: triazolam and zolpidem.

    PubMed

    Nakamura, M; Ishii, M; Niwa, Y; Yamazaki, M; Ito, H

    2005-01-01

    Two ultrashort-acting hypnotics, triazolam 0.25 mg and zolpidem 10 mg, were studied for their effects on equilibrium function in humans. Eight healthy male subjects participated in a double-blind, placebo-controlled study after informed consent. They subjected to static equilibrium tests, oculomotor tests and an assay of drug concentrations in the blood. Zolpidem was statistically significant in postural sway in tandem stance test, as defined by parametric values of tracing sum length and polygonal area of foot pressure center measured by a gait analysis system. In the tandem stance test, triazolam was statistically significant in postural sway only as defined by the polygonal area. However, in the Romberg test, the only statistically significant difference in zolpidem use was observed in polygonal area values. Blood concentrations of triazolam and zolpidem were found to closely correlate with the extent of postural sway in both tandem stance and Romberg tests. In this study, zolpidem with minimal muscle-relaxant effect incurred imbalance more extensively than triazolam, which is known for its effect of muscle relaxation. In addition, gaze deviation nystagmus was observed only in zolpidem use in 5 of 8 subjects (62.5%). From these results, it is suggested that in the use of hypnotics, sway derives from the suppression of the central nervous system relevant to awakening rather than from muscle relaxation. The prior reference to blood concentrations of hypnotics should help improve safety care in minimizing loss of balance control and possible fall. Copyright 2005 S. Karger AG, Basel.

  15. Improved Airborne Gravity Results Using New Relative Gravity Sensor Technology

    NASA Astrophysics Data System (ADS)

    Brady, N.

    2013-12-01

    Airborne gravity data has contributed greatly to our knowledge of subsurface geophysics particularly in rugged and otherwise inaccessible areas such as Antarctica. Reliable high quality GPS data has renewed interest in improving the accuracy of airborne gravity systems and recent improvements in the electronic control of the sensor have increased the accuracy and ability of the classic Lacoste and Romberg zero length spring gravity meters to operate in turbulent air conditions. Lacoste and Romberg type gravity meters provide increased sensitivity over other relative gravity meters by utilizing a mass attached to a horizontal beam which is balanced by a ';zero length spring'. This type of dynamic gravity sensor is capable of measuring gravity changes on the order of 0.05 milliGals in laboratory conditions but more commonly 0.7 to 1 milliGal in survey use. The sensor may have errors induced by the electronics used to read the beam position as well as noise induced by unwanted accelerations, commonly turbulence, which moves the beam away from its ideal balance position otherwise known as the reading line. The sensor relies on a measuring screw controlled by a computer which attempts to bring the beam back to the reading line position. The beam is also heavily damped so that it does not react to most unwanted high frequency accelerations. However this heavily damped system is slow to react, particularly in turns where there are very high Eotvos effects. New sensor technology utilizes magnetic damping of the beam coupled with an active feedback system which acts to effectively keep the beam locked at the reading line position. The feedback system operates over the entire range of the system so there is now no requirement for a measuring screw. The feedback system operates at very high speed so that even large turbulent events have minimal impact on data quality and very little, if any, survey line data is lost because of large beam displacement errors. Airborne testing

  16. Genetic conservation and management of the Californian endemic, Torrey Pine (Pinus torreyana Parry)

    Treesearch

    Jill A. Hamilton; Jessica W. Wright; F. Thomas Ledig

    2017-01-01

    Torrey pine (Pinus torreyana) is one of the rarest pine species in the world. Restricted to one mainland and one island population in California, Torrey pine is a species of conservation concern under threat due to low population sizes, lack of genetic variation, and environmental stochasticity. Previous research points to a lack of within population variation that is...

  17. Ocular Changes and Approaches of Ophthalmopathy in Basedow – Graves- Parry- Flajani Disease

    PubMed Central

    SARACI, George; TRETA, Anamaria

    2011-01-01

    ABSTRACT Basedow-Graves disease is an autoimmune condition with multiple local and systemic aspects. Among these, oculopathy has a major impact on patient's life from both functional and esthetic point of view. Basedow-Graves oculopathy requires an appropriate positive and differential diagnosis using clinical and imagistic approaches. Treatment is always required in moderate or severe forms and it begins with simple general points and continues with medical and surgical therapies. Current article stresses upon the most characteristic clinical signs of thyroidian ophthalmopathy and the required current therapeutic approaches. PMID:22205899

  18. An immediate effect of custom-made ankle foot orthoses on postural stability in older adults.

    PubMed

    Yalla, Sai V; Crews, Ryan T; Fleischer, Adam E; Grewal, Gurtej; Ortiz, Jacque; Najafi, Bijan

    2014-12-01

    Foot and ankle problems are highly prevalent fall risks in the elderly. Ankle foot orthoses designed to stabilize the foot and ankles have been studied within specific patient groups, but their efficacy with a less restrictive elderly population is unknown. This study investigated if custom-made ankle foot orthoses improve postural stability in older adults. Thirty ambulatory older adults averaged 73 (standard deviation=6.5) years completed Romberg's balance (eyes-open/eyes-closed), functional reach, and Timed Up and Go tests while wearing validated kinematic sensors. Each test was completed in standardized shoes with and without bilateral orthoses. Additionally, barefoot trials were conducted for the Romberg's and functional reach tests. Compared to the barefoot and 'shoes alone' conditions, the orthoses reduced center of mass sway on average by 49.0% (P=0.087) and 40.7% (P=0.005) during eyes-open balance trials. The reduction was amplified during the eyes-closed trials with average reductions of 65.9% (P=0.000) and 47.8% (P=0.004), compared to barefoot and 'shoes alone' conditions. The orthoses did not limit functional reach distance nor timed-up and go completion times. However, the medial-lateral postural coordination while reaching was improved significantly with orthoses compared to barefoot (14.3%; P=0.030) and 'shoes alone' (13.5%; P=0.039) conditions. Ankle foot orthoses reduced postural sway and improved lower extremity coordination in the elderly participants without limiting their ability to perform a standard activity of daily living. Additional studies are required to determine if these benefits are retained and subsequently translate into fewer falls. Copyright © 2014. Published by Elsevier Ltd.

  19. Postural Ataxia in Cerebellar Downbeat Nystagmus: Its Relation to Visual, Proprioceptive and Vestibular Signals and Cerebellar Atrophy.

    PubMed

    Helmchen, Christoph; Kirchhoff, Jan-Birger; Göttlich, Martin; Sprenger, Andreas

    2017-01-01

    The cerebellum integrates proprioceptive, vestibular and visual signals for postural control. Cerebellar patients with downbeat nystagmus (DBN) complain of unsteadiness of stance and gait as well as blurred vision and oscillopsia. The aim of this study was to elucidate the differential role of visual input, gaze eccentricity, vestibular and proprioceptive input on the postural stability in a large cohort of cerebellar patients with DBN, in comparison to healthy age-matched control subjects. Oculomotor (nystagmus, smooth pursuit eye movements) and postural (postural sway speed) parameters were recorded and related to each other and volumetric changes of the cerebellum (voxel-based morphometry, SPM). Twenty-seven patients showed larger postural instability in all experimental conditions. Postural sway increased with nystagmus in the eyes closed condition but not with the eyes open. Romberg's ratio remained stable and was not different from healthy controls. Postural sway did not change with gaze position or graviceptive input. It increased with attenuated proprioceptive input and on tandem stance in both groups but Romberg's ratio also did not differ. Cerebellar atrophy (vermal lobule VI, VIII) correlated with the severity of impaired smooth pursuit eye movements of DBN patients. Postural ataxia of cerebellar patients with DBN cannot be explained by impaired visual feedback. Despite oscillopsia visual feedback control on cerebellar postural control seems to be preserved as postural sway was strongest on visual deprivation. The increase in postural ataxia is neither related to modulations of single components characterizing nystagmus nor to deprivation of single sensory (visual, proprioceptive) inputs usually stabilizing stance. Re-weighting of multisensory signals and/or inappropriate cerebellar motor commands might account for this postural ataxia.

  20. [Impact of physiotherapy on quality of life improvement in patients with central vestibular system dysfunction].

    PubMed

    Walak, Jarosław; Szczepanik, Marcin; Woszczak, Marek; Józefowicz-Korczyńska, Magdalena

    2013-01-01

    THE AIM of the study was to evaluate the impact of physiotherapy on balance stability and quality of life improvement in patients with central vestibular system dysfunction. The study was conducted on 31 patients (23 females, 8 males) with vertigo/dizziness and unsteadiness diagnosed for central vestibular system impairment based on videonystagraphy examinations, in ENT Department Medical University of Lodz between 2010-2011 years. Patients' history of diseases were collected. The physiotherapeutic programme was individually introduced during four weeks (five time a week). The intervention included balance training and habituation exercises. At baseline and after patients were evaluated therapy with WHO Quality of Life-BREF (WHOQOL-BREF) and Dizzeness Handicap Inventory (DHI) self-assessment scales. Clinical examination with Romberg and stand one leg tests (eyes opened and closed) was performed. After therapy statistically significant differences in total DHI score (p<0.005) and 3 subscales: physical, emotional, functional (p<0.05) and WHOQOL-BREF only physical subscale (p<0.05) compared baseline were found. There were no statistical differences between psychological, social relationships and environment subscales. In clinical evaluation significant reduction of unsteadiness in Romberg test (p<0.05) and in stand one leg tests eyes opened and closed tests (p<0.05) were found. In patients with central vestibular system impairment after physical therapy betterment in clinical examination and some subjective self-assessment scales were observed. Lack of significant improvement in psychological, social relationships and environment domain in WHOQOL-BREF subscale indicated that these patients may need more psychological support or extensions in physiotherapy. Copyright © 2012 Polish Otorhinolaryngology - Head and Neck Surgery Society. Published by Elsevier Urban & Partner Sp. z.o.o. All rights reserved.

  1. Improvements in balance control in individuals with PCS detected following vestibular training: A case study.

    PubMed

    Prangley, Alyssa; Aggerholm, Mathew; Cinelli, Michael

    2017-10-01

    Concussed individuals have been found to experience balance deficits in the anterior-posterior (AP) direction as indicated by greater Center of Pressure (COP) displacement and velocity. One possible reason for this change in balance control could be due to damage to the lateral vestibulospinal tract which sends signals to control posterior muscles, specifically ankle extensors leading to compensatory torques about the ankle. The purpose of the study was to quantify balance assessments in individuals experiencing persistent post-concussion symptoms (PCS) to determine balance control changes following a vestibular training intervention. Participants (N=6,>26days symptomatic), were tested during their first appointment with a registered physiotherapist (PT) and during each follow up appointment. Participants were prescribed balance, visual, and neck strengthening exercises by the PT that were to be completed daily between bi-weekly appointments. Balance assessments were quantified using a Nintendo Wii board to record ground reaction forces. Participants completed 4 balance assessments: 1) Romberg stance eyes open (REO); 2) Romberg stance eyes closed (REC); 3) single leg stance eyes open (SEO); and 4) single leg stance eyes closed (SEC). The balance assessments were conducted on both a firm and compliant surfaces. Significant improvements in balance control were noted in ML/AP displacement and velocity of COP for both SEC and Foam REC conditions, with additional improvements in AP velocity of COP for Foam REC and in ML displacement of COP during Foam SEC. Overall, findings indicate that objectively quantifying balance changes for individuals experiencing persistent PCS allows for a more sensitive measure of balance and detects changes unrecognizable to the naked eye. Copyright © 2017 Elsevier B.V. All rights reserved.

  2. Genetic disorders with heterotopic ossificans

    PubMed Central

    Sankar, Ruthiramurthy; Gowrishankar, Kalpana; Viswanathan, Saraswati

    2015-01-01

    Fibrodysplasia ossificans progressiva (FOP) and progressive ossific heteroplasia (POH) are rare genetic disorders characterized by heterotopic bone formation leading to progressive loss of mobility and function. We report three cases of these rare disorders (two cases of FOP and one case of POH), which were clinically diagnosed and underwent genetic analysis. The aim of this report is to highlight the clinical features and the differences between these two conditions. We would also like to emphasize on the morbidity that can arise from unnecessary invasive investigations for diagnostic purposes. PMID:26015640

  3. Motor functioning in autistic spectrum disorders: a preliminary analysis.

    PubMed

    Behere, Aniruddh; Shahani, Lokesh; Noggle, Chad A; Dean, Raymond

    2012-01-01

    The study sought to identify differences in motor functioning between autism and Asperger syndrome while also assessing the diagnostic contribution of such assessment. A sample of 16 individuals with autism and 10 with Asperger syndrome completed the Dean-Woodcock Sensory-Motor Battery, and outcomes were compared. Significant differences were found in measures of cerebellar functioning, favoring Asperger subjects. Deficits in coordination, ambulation, and the Romberg test were associated with both disorders. On the basis of motor outcomes alone, 100% were accurately differentiated. Findings support the idea that motor dysfunction is a core feature of these presentations and demonstrated the utility of motor assessment in diagnostic practice.

  4. Epidemiology of dermatophytoses in Crete, Greece between 2004 and 2010.

    PubMed

    Maraki, S

    2012-06-01

    The present work was undertaken in order to study the epidemiology of dermatophytoses in the island of Crete, Greece, over a 7-year period (2004-2010) and to compare the results with those reported earlier from this region and from other parts of the world. A total of 3236 clinical specimens obtained from 2674 patients with signs of dermatomycoses were examined by direct micropscopy and culture. Overall, 392 specimens (12.1%) were proved mycologically positive for dermatophytes. The age of the patients ranged from 2 to 90 years (mean age, 41 years). Onychomycosis was the predominant clinical type of infection, followed by tinea pedis, tinea corporis, tinea capitis, tinea faciei, tinea manuum and tinea cruris. Among dermatophytes, nine species were isolated: Trichophyton rubrum (51%), Microsporum canis (18.9%), Trichophyton mentagrophytes var. interdigitale (18.4%), Trichophyton mentagrophytes var. mentagrophytes (5.1%), Epidermophyton floccosum (3.6%), Microsporum gypseum (1.5%), Trichophyton violaceum (0.8%), Trichophyton verrucosum (0.5%) and Trichophyton tonsurans (0.2%). In our area, the most common dermatophyte was T. rubrum followed by M. canis. Epidemiological studies regarding the current prevalence of dermatophytes in a certain region are needed for the appropriate management of these infections and implementation of effective prevention and control measures.

  5. Dermatophytosis of children in Kuwait: a prospective survey.

    PubMed

    al-Fouzan, A S; Nanda, A; Kubec, K

    1993-11-01

    Tinea capitis in children is widely reported, whereas there have been only isolated reports on involvement of sites other than the scalp. The purpose of this study was to examine the epidemiological features and treatment responses of dermatophytosis of children in Kuwait. Epidemiological features and the treatment responses of 202 consecutive children with dermatophytosis were studied. The 202 children constituted 44% of the total dermatophytic infections seen during a period of 1 year. Tinea capitis was the most commonly encountered infection (78%), followed by tinea corporis, tinea faciei, tinea cruris and manus, respectively. Microsporum canis was the most prevalent species (96%) in this region. A history of pets at home could be elicited in 52% of the cases. A familial occurrence of similar infections was seen in 56% of the patients. In patients with tinea capitis, addition of topical clotrimazole or ketoconazole to oral griseofulvin produced better therapeutic results compared to griseofulvin alone or in combination with selenium sulfide shampoo. Tinea capitis is the most common dermatophytic infection in children. Thirty percent of the children may have dermatophytosis at sites other than the scalp. A combination of topical clotrimazole or ketoconazole with oral griseofulvin is superior to griseofulvin alone or in combination with selenium sulfide shampoo in the treatment of tinea capitis.

  6. The effect of activity history and current activity on static and dynamic postural balance in older adults.

    PubMed

    Bulbulian, R; Hargan, M L

    2000-01-01

    The purpose of this study was to investigate the effects of former athleticism and current activity status on static and dynamic postural balance in older adults. Fifty-six subjects participated in four study groups including former athletes, currently active (AA; n = 15; 69.1+/-4.4 years.; 77.8+/-9.8 kg), former athletes, currently inactive (AI; n = 12; 66.7 years.; 87.2+/-15.1 kg), controls currently active (CA; n = 14; 68.6 +/- 4.5 years.; 73.9+/-15 kg), and controls currently inactive (CI; n = 15; 72.8+/-4.8 years; 81.1+/-14.8). All subjects were tested for height, weight, flexibility, thigh circumference, and static (sharpened Romberg/unipedal stance), and dynamic (step length and width) balance tests. The sharpened Romberg (eyes open) test showed that AA (60.0+/-0 s) and CA (59.4+/- 0.5 s) balanced significantly longer than AI (41.5+/-7.2 s), and CI (41.8+/-6.1 s) (p<0.05). The unipedal (eyes open) test balance scores for AA, CA, AI, and CI were respectively 40.0+/-4.5, 55.1+/- 3.4, 33.0+/-7.1, and 27.5+/-6.1 s, with CA significantly better than CI (p<0.05). In dynamic balance AA and CA (746.1+/-28.0 and 724.6+/-24.3 mm) showed significantly longer step lengths (p<0.05) than CI (643.7+/-26.5 mm). The eyes closed test results for relative group comparisons were similar. Overall, two-way analysis of variance showed a significant activity main effect for all dependent variables measured (p<0.05). The results indicated that current activity status plays a key role on balance performance in older adults. Furthermore, former athletic activity history provides no protection for the age related onset of postural imbalance.

  7. Fall Prevention in a Primary Care Setting.

    PubMed

    Siegrist, Monika; Freiberger, Ellen; Geilhof, Barbara; Salb, Johannes; Hentschke, Christian; Landendoerfer, Peter; Linde, Klause; Halle, Martin; Blank, Wolfgang A

    2016-05-27

    Falls and fall-related injuries are common in community-dwelling elderly people. Effective multifactorial fall prevention programs in the primary care setting may be a promising approach to reduce the incidence rate of falls. In a cluster randomized trial in 33 general practices 378 people living independently and at high risk of falling (65 to 94 years old; 285 women) were allocated to either a 16 week exercise-based fall prevention program including muscle strengthening and challenging balance training exercises, combined with a 12 week home-based exercise program (222 participants), or to usual care (156 participants). The main outcome was number of falls over a period of 12 months. Secondary outcomes were the number of fall-related injuries, physical function (Timed-Up-and-Go-Test, TUG, Chair-Stand-Test, CST, modified Romberg Test), and fear of falling. In the intervention group (n=222 patients in 17 general practices) 291 falls occurred, compared to 367 falls in the usual care group (n=156 patients in 16 general practices). We observed a lower incidence rate for falls in the intervention group (incidence rate ratio/IRR: 0.54; 95% confidence interval (CI): [0.35; 0.84], p=0.007) and for fall-related injuries (IRR: 0.66; [0.42; 0.94], p=0.033). Additionally, patients in the intervention group showed significant improvements in secondary endpoints (TUG: -2.39 s, [-3.91; -0.87], p=0.014; mRomberg: 1.70 s, [0.35; 3.04], p=0.037; fear of falling: -2.28 points, [-3.87; -0.69], p=0.022) compared to usual care. A complex falls prevention program in a primary care setting was effective in reducing falls and fall-related injuries in community dwelling older adults at risk.

  8. Effects of 12-week proprioception training program on postural stability, gait, and balance in older adults: a controlled clinical trial.

    PubMed

    Martínez-Amat, Antonio; Hita-Contreras, Fidel; Lomas-Vega, Rafael; Caballero-Martínez, Isabel; Alvarez, Pablo J; Martínez-López, Emilio

    2013-08-01

    The purpose of this study was to evaluate the effect of a 12-week-specific proprioceptive training program on postural stability, gait, balance, and fall prevention in adults older than 65 years. The present study was a controlled clinical trial. Forty-four community dwelling elderly subjects (61-90 years; mean age, 78.07 ± 5.7 years) divided into experimental (n = 20) and control (n = 24) groups. The participants performed the Berg balance test before and after the training program, and we assessed participants' gait, balance, and the risk of falling, using the Tinetti scale. Medial-lateral plane and anterior-posterior plane displacements of the center of pressure, Sway area, length and speed, and the Romberg quotient about surface, speed, and distance were calculated in static posturography analysis (EPS pressure platform) under 2 conditions: eyes open and eyes closed. After a first clinical evaluation, patients were submitted to 12 weeks proprioception training program, 2 sessions of 50 minutes every week. This program includes 6 exercises with the BOSU and Swiss ball as unstable training tools that were designed to program proprioceptive training. The training program improved postural balance of older adults in mediolateral plane with eyes open (p < 0.05) and anterior-posterior plane with eyes closed (p < 0.01). Significant improvements were observed in Romberg quotient about surface (p < 0.05) and speed (p < 0.01) but not about distance (p > 0.05). After proprioception training, gait (Tinetti), and balance (Berg) test scores improved 14.66% and 11.47% respectively. These results show that 12 weeks proprioception training program in older adults is effective in postural stability, static, and dynamic balance and could lead to an improvement in gait and balance capacity, and to a decrease in the risk of falling in adults aged 65 years and older.

  9. Effects of a 12-week Tai Chi Chuan program versus a balance training program on postural control and walking ability in older people.

    PubMed

    Lelard, Thierry; Doutrellot, Pierre-Louis; David, Pascal; Ahmaidi, Said

    2010-01-01

    Lelard T, Doutrellot P-L, David P, Ahmaidi S. Effects of a 12-week Tai Chi Chuan program versus a balance training program on postural control and walking ability in older people. To compare the respective effects of 2 balance training programs: a Tai Chi (TC) program and a balance training program on static postural control and walking ability. Randomized controlled trial. General community. Older subjects (N=28) participated in the study. The TC group (n=14; mean age +/- SD, 76.8+/-5.1y) and the balance training group (n=14; 77.0+/-4.5y) were both trained for 12 weeks. Static postural control was assessed via measurement of center of pressure sway under eyes open (EO) and eyes closed (EC) conditions. Walking speed over a 10-meter course was also assessed. After the 12-week training period, there were no significant differences in walking speed or postural parameters in either the EO or EC conditions for the TC and balance training groups. Performance in the EC condition was lower than in the EO condition in pretest and posttest for the balance training and TC groups. The Romberg quotient (EO/EC ratio) was significantly higher after the balance training program than the TC program (P<.05). We cannot conclude that the balance training program has better effects than the TC program on postural control or walking ability. None of the outcome measures showed significant change posttraining in either the TC or the balance training groups. However, the differences described in the Romberg quotient after the training period between the TC and the balance training groups suggest that TC should be helpful to limit the deleterious effects of eye closure on postural balance. Copyright (c) 2010 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  10. Neck pain and postural balance among workers with high postural demands - a cross-sectional study

    PubMed Central

    2011-01-01

    Background Neck pain is related to impaired postural balance among patients and is highly prevalent among workers with high postural demands, for example, cleaners. We therefore hypothesised, that cleaners with neck pain suffer from postural dysfunction. This cross-sectional study tested if cleaners with neck pain have an impaired postural balance compared with cleaners without neck pain. Methods Postural balance of 194 cleaners with (n = 85) and without (N = 109) neck pain was studied using three different tests. Success or failure to maintain the standing position for 30 s in unilateral stance was recorded. Participants were asked to stand on a force platform for 30 s in the Romberg position with eyes open and closed. The centre of pressure of the sway was calculated, and separated into a slow (rambling) and fast (trembling) component. Subsequently, the 95% confidence ellipse area (CEA) was calculated. Furthermore a perturbation test was performed. Results More cleaners with neck pain (81%) failed the unilateral stance compared with cleaners without neck pain (61%) (p < 0.01). However, the risk of failure in unilateral stance was statistically elevated in cleaners with concurrent neck/low back pain compared to cleaners without neck/low back pain (p < 0.01), whereas pain at only neck or only low back did not increase the risk. Impaired postural balance, measured as CEA (p < 0.01), rambling (p < 0.05) and trembling (p < 0.05) was observed among cleaners with neck pain in comparison with cleaners without neck pain in the Romberg position with eyes closed, but not with eyes open. Conclusions Postural balance is impaired among cleaners with neck pain and the current study suggests a particular role of the slow component of postural sway. Furthermore, the unilateral stance test is a simple test to illustrate functional impairment among cleaners with concurrent neck and low back pain. Trial registration ISRCTN96241850 PMID:21806796

  11. The lightest supersymmetric particle and the extragalactic gamma-ray background

    NASA Technical Reports Server (NTRS)

    Gao, Yi-Tian; Stecker, Floyd W.; Cline, David B.

    1991-01-01

    The possibility that cosmological photino annihilation is caused by the extragalactic gamma-ray background (EGB) is examined with particular attention given to the lightest supersymmetric particle (LSP). The LSP is considered a general type of the best-motivated candidates for cosmic dark matter (CDM). The theoretical analysis employs a corrected assumption for the annihilation cross section, and cosmological integrations are performed through the early phases of the universe. Romberg's method is used for numerical integration, and the total optical depth is developed for the gamma-ray region. The computed LSP-type annihilation fluxes are found to be negligible when compared to the total EGB observed, suggesting that the LSP candidates for CDM are not significant contributors to the EGB.

  12. Impulse position control algorithms for nonlinear systems

    NASA Astrophysics Data System (ADS)

    Sesekin, A. N.; Nepp, A. N.

    2015-11-01

    The article is devoted to the formalization and description of impulse-sliding regime in nonlinear dynamical systems that arise in the application of impulse position controls of a special kind. The concept of trajectory impulse-sliding regime formalized as some limiting network element Euler polygons generated by a discrete approximation of the impulse position control This paper differs from the previously published papers in that it uses a definition of solutions of systems with impulse controls, it based on the closure of the set of smooth solutions in the space of functions of bounded variation. The need for the study of such regimes is the fact that they often arise when parry disturbances acting on technical or economic control system.

  13. Impulse position control algorithms for nonlinear systems

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Sesekin, A. N., E-mail: sesekin@list.ru; Institute of Mathematics and Mechanics, Ural Division of Russian Academy of Sciences, 16 S. Kovalevskaya, Ekaterinburg, 620990; Nepp, A. N., E-mail: anepp@urfu.ru

    2015-11-30

    The article is devoted to the formalization and description of impulse-sliding regime in nonlinear dynamical systems that arise in the application of impulse position controls of a special kind. The concept of trajectory impulse-sliding regime formalized as some limiting network element Euler polygons generated by a discrete approximation of the impulse position control This paper differs from the previously published papers in that it uses a definition of solutions of systems with impulse controls, it based on the closure of the set of smooth solutions in the space of functions of bounded variation. The need for the study of suchmore » regimes is the fact that they often arise when parry disturbances acting on technical or economic control system.« less

  14. Direct hits to the head during amateur boxing is associated with a rise in serum biomarkers for brain injury.

    PubMed

    Graham, M R; Myers, T; Evans, P; Davies, B; Cooper, S M; Bhattacharya, K; Grace, F M; Baker, J S

    2011-01-01

    Boxing exposes participants to the physiological response to high intensity exercise and also to direct body and brain trauma. Amateur boxing is increasing and females have also been included in the Olympics. The aim of this study is to assess the stress response and possible brain injury incurred during a match by measuring serum biomarkers associated with stress and cellular brain injury before and after combat. Sixteen male amateur boxers were studied retrospectively. The study population was divided into two groups: (a) a group that received predominantly punches to the head (PTH) and (b) a group that received predominantly punches to the body (PTB). Blood samples were taken before and five minutes after each contest. They were analysed for S-100B, neuron-specific enolase (NSE), creatine kinase (CK) and cortisol. The PTH group received direct contacts to the head (not blocked, parried or avoided) and to the body (n=8, age: 17.6 ± 5.3, years; height: 1.68 ± 0.13, meters; mass: 65.4 ± 20.3, kg). The PTB group received punches to the body including blocked and parried punches, but received no direct punches to the head, (n=8, mean ± SD, age: 19.1 ± 3.2 years; height: 1.70 ± 0.75, meters; mass: 68.5 ± 15 kg). Significant increases (P<0.05) were observed between pre- and post-combat serum concentrations in serum concentrations in PTH of S-100B (0.35 ± 0.61 vs. 0.54 ± 0.73, μg.L-1) NSE (19.7 ± 14 vs.31.1 ± 26.6, ng.ml-1) and cortisol (373 ± 202 vs. 756 ± 93, nmol.L-1). Significant increases (P<0.05) of creatine kinase were recorded in both groups. This study demonstrates significant elevations in neurochemical biomarkers in boxers who received direct blows to the head. However, further work is required to quantify this volumetric brain damage and long term clinical sequelae.

  15. The Prevalence and Pattern of Superficial Fungal Infections among School Children in Ile-Ife, South-Western Nigeria

    PubMed Central

    Oke, Olaide Olutoyin; Onayemi, Olaniyi; Olasode, Olayinka Abimbola; Omisore, Akinlolu Gabriel; Oninla, Olumayowa Abimbola

    2014-01-01

    Fungal infections of the skin and nails are common global problems with attendant morbidity among affected individuals. Children are mostly affected due to predisposing factors such as overcrowding and low socioeconomic factors. The aim of this study was to determine the prevalence and the clinical patterns of superficial fungal infections among primary school children in Ile-Ife. A multistage sampling was conducted to select eight hundred pupils from ten primary schools in Ile-Ife. Data on epidemiological characteristics and clinical history was collected using a semistructured questionnaire and skin scrapings were done. The prevalence of superficial fungal infections among the 800 respondents was 35.0%. Male pupils constituted 51.0% of respondents while the females were 49.0%. The mean age for all the respondents was 9.42 ± 2.00. Tinea capitis was the commonest infection with a prevalence of 26.9% and tinea unguium, tinea corporis, and tinea faciei had a prevalence of 0.8%, 0.6%, and 0.5%, respectively. Tinea manuum had the least prevalence of 0.1%. Pityriasis versicolor had a prevalence of 4.4%. Microsporum audouinii was the leading organism isolated. The study shows that the prevalence of superficial fungal infection (SFI) among primary school children in Ile-Ife is high with tinea capitis as the commonest SFI. PMID:25574161

  16. [Superficial infections caused by Microsporum canis in humans and animals].

    PubMed

    Segundo, Carolina; Martínez, Alejandrina; Arenas, Roberto; Fernández, Ramón; Cervantes, Roberto A

    2004-03-01

    Dermatophytic infections caused by M. canis in humans and animals have a world wide distribution and they are zoonotic. The objective in this work was to know the frequency of M. canis infections in humans and pets. We studied our cases from January 1994 to December 2002. The human samples were obtained from a Dermatological Department in a General Hospital and we registered the next data: age, sex, job, and affected area. The animal samples were obtained from a mycological veterinary laboratory, and we registered the presence or absence of clinical lesions. A total of 46 clinical cases of M. canis infections were recorded, 26 female and 20 males: tinea capitis 21, tinea corporis 17, tinea pedis five, onychomycosis two, and only one case with tinea faciei. The 46 cases with positive culture yield 42 positive samples in KOH. The age range varied from 2 to 60 years. Among the animals, we studied 461 dogs and found six KOH positive (1%) samples and cultured 23 isolates (4.98%): 21 M. canis, one M. gypseum and one Trichophyton spp. From the 68 samples of cats, eight (11.76%) were positive to KOH, being 26 (38.23%) M. canis isolates. In M. canis infections in humans, the age rage was wide with predominance in women. In animals, M. canis isolates represented the most dermatophytic infection.

  17. Aneurysmal subarachnoid haemorrhage in Parry–Rhomberg syndrome

    PubMed Central

    Kuechler, Derek; Kaliaperumal, Chandrasekaran; Hassan, Alfrazdaq; Fanning, Noel; Wyse, Gerry; O’Sullivan, Michael

    2011-01-01

    Parry–Romberg syndrome (PRS) or progressive hemi facial atrophy syndrome is a rare condition of unknown aetiology that is characterised by progressive unilateral facial and cranial atrophic changes of skin, subcutaneous tissues and bone. The authors describe a 37-year-old female with a history of PRS, who presented with a subarachnoid haemorrhage secondary to rupture of a 9 mm fusiform aneurysm of the posterior cerebral artery. There was an associated external carotid arterio-venous fistula noted with this aneurysm. The aneurysm was treated by endovascular route and was successfully coiled. Follow-up angiogram revealed spontaneous resolution of the fistula with good occlusion of the aneurysm. The aetio-pathogenesis of this rare occurrence, literature review and its management is discussed. PMID:22674607

  18. [The use of computer-assisted stabilometry in the diagnosis of craniomandibular disorders].

    PubMed

    Palano, D; Molinari, G; Cappelletto, M; Guidetti, G; Vernole, B

    1994-01-01

    The aim of this study was to evaluate the influence of the cervical region and the stomatognathic system on the balance control. We examined 35 healthy subjects and 201 balance disorder patients; of the 201 patients 60 suffered also from craniomandibular disorders (CMD) and 40 from cervical rachis disease. All cases were tested by computerized stabilometry executed in Romberg position: with closed eyes, retroflexed head and two cotton roles between the dental arches. The results show that cervical rachis disease and stomatognathic dysfunction have a significative influence on the balance control; however, this influence is smaller than that of vestibular disease; moreover, the computer stabilometry allows to measure the degree of ascending or descending correlation between the posture and stomatognathic system.

  19. Circumscribed myositis ossificans of the masseter muscle: report of a case

    PubMed Central

    PIOMBINO, P.; ORABONA, G. DELL’AVERSANA; ABBATE, V.; FINI, G.; LIBERATORE, G.M.; MICI, E.; BELLI, E.

    2013-01-01

    Summary Myositis Ossificans (MO) is an unusual pathological entity still largely unknown, characterized by dystrophic calcification leading to heterotopic ossification of intramuscular connective tissue. The masticatory muscles are exceptionally involved. Four distinct types of myositis ossificans have been described: MO Progressiva, which is a genetic disorder involving several muscular groups; MO Circumscripta, limited to a single muscle and generally due to calcification of an intramuscular haematoma following severe trauma and progressive ossification; MO Pseudo-malignant limited to soft tissue and not associated to any trauma; MO associated to paraplegia. A case of circumscribed myositis ossificans of the masseter muscle in a 62 years-old woma is reportedn. PMID:24629814

  20. Stone Man: A Case Report

    PubMed Central

    Mortazavi, Hamed; Eshghpour, Majid; Niknami, Mahdi; Saeedi, Morteza

    2012-01-01

    Fibrodysplasia ossificans progressiva (FOP) is a rare hereditary connective tissue disease characterized by the progressive ectopic ossification of ligaments, tendons, and facial and skeletal muscles throughout life. Symptoms begin in childhood as localized soft tissue swellings. Immobility and articular dysfunction appear with involvement of the spine and proximal extremities. The temporomandibular joint (TMJ) is a critical component involved in the maxillofacial region, resulting in severe limitation of masticatory function, although TMJ involvement is rare. The aim of this article is to present a 28-year-old man with dental problems and slowly progressive limitation of motion in the jaw, knees, shoulders and hips as well as neck distortion. PMID:23599712

  1. Grave's disease 1835-2002.

    PubMed

    Weetman, A P

    2003-01-01

    This brief review describes the history of Graves' disease, starting with the original descriptions by Parry, Graves and von Basedow. The true aetiology of the disorder was uncovered in the 1950s and 1960s, based on the search for a novel thyroid stimulator which turned out to be an immunoglobulin G autoantibody. Assays for these thyroid stimulatory antibodies have been continually refined and their epitopes on the thyroid stimulating hormone receptor are increasingly well characterized. We also understand far more about the genetic and environmental susceptibility factors that predispose to disease, and even thyroid-associated ophthalmopathy has now been better defined as primarily a T-cell-mediated disease resulting from cytokine stimulation of orbital fibroblasts. These advances should improve treatment options for Graves' disease in the foreseeable future.

  2. Complementarity in radiochemical and infrared spectroscopic characterization of electrode adsorption

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Wieckowski, A.

    1994-03-01

    Radioactive labelling and infrared spectroscopy are frequently used as direct, in situ probes into the structure of the electrochemical solid/liquid interface. These techniques are compared, in a polemical fashion, in the context of a recent publication by Parry et al. (Langmuir 1993, 9, 1878) where the research potential of the former technique was not adequately depicted. It is shown that radiotracers can clearly differentiate between the surface and solution species, both neutrals and anions. In addition to the surface specificity, the radiotracers offer a quantitative determination of adsorbate surface concentrations, a feature not yet demonstrated with surface infrared spectroscopy inmore » electrochemistry. Therefore, these two techniques are complementary. Examples of the combined radiochemical and spectroscopic measurements of adsorption with equivalent (smooth) electrode surfaces are quoted. 11 refs., 2 figs.« less

  3. Wii Fit Balance Board Playing Improves Balance and Gait in Parkinson Disease

    PubMed Central

    Mhatre, Priya V.; Vilares, Iris; Stibb, Stacy M.; Albert, Mark V.; Pickering, Laura; Marciniak, Christina M.; Kording, Konrad; Toledo, Santiago

    2014-01-01

    Objective To assess the effect of exercise training by using the Nintendo Wii Fit video game and balance board system on balance and gait in adults with Parkinson disease (PD). Design A prospective interventional cohort study. Setting An outpatient group exercise class. Participants Ten subjects with PD, Hoehn and Yahr stages 2.5 or 3, with a mean age of 67.1 years; 4 men, 6 women. Interventions The subjects participated in supervised group exercise sessions 3 times per week for 8 weeks by practicing 3 different Wii balance board games (marble tracking, skiing, and bubble rafting) adjusted for their individualized function level. The subjects trained for 10 minutes per game, a total of 30 minutes training per session. Main Outcome Measurements Pre-and postexercise training, a physical therapist evaluated subjects’ function by using the Berg Balance Scale, Dynamic Gait Index, and Sharpened Romberg with eyes open and closed. Postural sway was assessed at rest and with tracking tasks by using the Wii balance board. The subjects rated their confidence in balance by using the Activities-specific Balance Confidence scale and depression on the Geriatric Depression Scale. Results Balance as measured by the Berg Balance Scale improved significantly, with an increase of 3.3 points (P = .016). The Dynamic Gait Index improved as well (mean increase, 2.8; P = .004), as did postural sway measured with the balance board (decreased variance in stance with eyes open by 31%; P = .049). Although the Sharpened Romberg with eyes closed increased by 6.85 points and with eyes opened by 3.3 points, improvements neared significance only for eyes closed (P = .07 versus P = .188). There were no significant changes on patient ratings for the Activities-specific Balance Confidence (mean decrease, −1%; P = .922) or the Geriatric Depression Scale (mean increase, 2.2; P = .188). Conclusions An 8-week exercise training class by using the Wii Fit balance board improved selective measures of

  4. Changes in balance and joint position sense during a 12-day high altitude trek: The British Services Dhaulagiri medical research expedition.

    PubMed

    Clarke, Sarah B; Deighton, Kevin; Newman, Caroline; Nicholson, Gareth; Gallagher, Liam; Boos, Christopher J; Mellor, Adrian; Woods, David R; O'Hara, John P

    2018-01-01

    Postural control and joint position sense are essential for safely undertaking leisure and professional activities, particularly at high altitude. We tested whether exposure to a 12-day trek with a gradual ascent to high altitude impairs postural control and joint position sense. This was a repeated measures observational study of 12 military service personnel (28±4 years). Postural control (sway velocity measured by a portable force platform) during standing balance, a Sharpened Romberg Test and knee joint position sense were measured, in England (113m elevation) and at 3 research camps (3619m, 4600m and 5140m) on a 12-day high altitude trek in the Dhaulagiri region of Nepal. Pulse oximetry, and Lake Louise scores were also recorded on the morning and evening of each trek day. Data were compared between altitudes and relationships between pulse oximetry, Lake Louise score, and sway velocity were explored. Total sway velocity during standing balance with eyes open (p = 0.003, d = 1.9) and during Sharpened Romberg test with eyes open (p = 0.007, d = 1.6) was significantly greater at altitudes of 3619m and 5140m when compared with sea level. Anterior-posterior sway velocity during standing balance with eyes open was also significantly greater at altitudes of 3619m and 5140m when compared with sea level (p = 0.001, d = 1.9). Knee joint position sense was not altered at higher altitudes. There were no significant correlations between Lake Louise scores, pulse oximetry and postural sway. Despite a gradual ascent profile, exposure to 3619 m was associated with impairments in postural control without impairment in knee joint position sense. Importantly, these impairments did not worsen at higher altitudes of 4600 m or 5140 m. The present findings should be considered during future trekking expeditions when developing training strategies targeted to manage impairments in postural control that occur with increasing altitude.

  5. Effect of hormone therapy on postural balance in postmenopausal women.

    PubMed

    Rodrigues Barral, Ana Beatriz Cesar; Nahas, Eliana Aguiar Petri; Nahas-Neto, Jorge; Cangussu, Luciana Mendes; Buttros, Davi de Araujo

    2012-07-01

    The aim of this study was to analyze the effects of hormone therapy (HT) on postural balance in postmenopausal women and its association with risk of falls. In this cross-sectional study, a total of 225 Brazilian postmenopausal women aged 45 to 75 years were included and divided into two groups: HT users (n = 102) and nonusers (n = 123). HT users were women who had continuously taken HT throughout the preceding 6 months, whereas nonusers received no such therapy during the same period. Women with amenorrhea for more than 12 months and aged 45 years or older were included. Those with neurological or musculoskeletal disorders, vestibulopathies, uncorrected visual deficit, or drug use that could affect balance were excluded. Histories of falls (previous 24 mo) as well as clinical and anthropometric characteristics were analyzed. Postural balance was assessed through stabilometry (computerized force platform), Romberg test, and crouching test. Statistical analysis included the median test, χ test, Spearman correlation coefficient, and logistic regression method (odds ratio). Women users of HT were younger (53.0 vs 57.0 y) and with a shorter time since menopause (5.5 vs 10.0 y) than nonusers (P < 0.05). No anthropometric differences were observed. The number of women who had experienced falls was significantly lower among HT users than nonusers: 51 vs 88 falls, respectively (P < 0.05), and presented an adjusted risk of falls of 0.49 (95% CI, 0.27-0.88) times lower than the nonusers group. For the stabilometric parameters, HT users showed significantly lower amplitude in body oscillation (latero-lateral and antero-posterior) and a smaller oscillation area compared with nonusers (P < 0.05). There was no significant correlation between the Romberg test and fall rate (P > 0.05). In the crouching test, 47.1% of the participants showed an adequate level of muscle strength in lower limbs without differences between the groups (P > 0.05). Postmenopausal women using HT showed

  6. Balance Training With a Dynamometric Platform Following Total Knee Replacement: A Randomized Controlled Trial.

    PubMed

    Roig-Casasús, Sergio; María Blasco, José; López-Bueno, Laura; Blasco-Igual, María Clara

    2017-03-01

    Sensorimotor training has proven to be an efficient approach for recovering balance control following total knee replacement (TKR). The purpose of this trial was to evaluate the influence of specific balance-targeted training using a dynamometric platform on the overall state of balance in older adults undergoing TKR. This was a randomized controlled clinical trial conducted at a university hospital rehabilitation unit. Patients meeting the inclusion criteria were randomly assigned to a control group or an experimental group. Both groups participated in the same 4-week postoperative rehabilitation training protocol. Participants in the experimental group performed additional balance training with a dynamometric platform consisting of tests related to stability challenges, weight-shifting, and moving to the limits of stability. The primary outcome measure was the overall state of balance rated according to the Berg Balance Scale. Secondary outcomes in terms of balance were the Timed Up and Go Test, Functional Reach Test, and Romberg open and closed-eyes tests. Data processing included between-group analysis of covariance, minimal detectable change assessment for the primary outcome measure, and effect size estimation. Confidence intervals (CIs) were set at 95%. Forty-three participants meeting the inclusion criteria and having signed the informed consent were randomly assigned to 2 groups. Thirty-seven completed the training (86.1%). Significant between-group differences in balance performance were found as measured with the Berg Balance Scale (P = .03) and Functional Reach Test (P = .04) with a CI = 95%. Significant differences were not recorded for the Timed Up and Go Test or Romberg open and closed-eyes tests (P > .05). Furthermore, Cohen's effect size resulted in a value of d = 0.97, suggesting a high practical significance of the trial. According to the Berg Balance Scale and Functional Reach Test, participants with TKR who have followed a 4-week training

  7. An improved method for calculating power density in the Fresnel region of circular parabolic reflector antennas

    NASA Astrophysics Data System (ADS)

    Mize, Johnnie E.

    1988-03-01

    A computer program is presented which calculates power density in the Fresnel region of circular parabolic reflector antennas. The aperture illumination model is the one-parameter circular distribution developed by Hansen. The program is applicable to the analysis of electrically large, center-fed (or Cassegrain) paraboloids with linearly polarized feeds. The scalar Kirchoff diffraction integral is solved numerically by Romberg integration for points both on and perpendicular to the antenna boresight. Axial results cannot be directly compared to any others obtained with this illumination model, but they are consistent with what is expected in the Fresnel region where a quadratic must be added to the linear phase term of the integral expression. Graphical results are presented for uniform illumination and for cases where the first sidelobe ratio is 20, 25, 30, and 35 dB.

  8. Accurate and efficient spin integration for particle accelerators

    DOE PAGES

    Abell, Dan T.; Meiser, Dominic; Ranjbar, Vahid H.; ...

    2015-02-01

    Accurate spin tracking is a valuable tool for understanding spin dynamics in particle accelerators and can help improve the performance of an accelerator. In this paper, we present a detailed discussion of the integrators in the spin tracking code GPUSPINTRACK. We have implemented orbital integrators based on drift-kick, bend-kick, and matrix-kick splits. On top of the orbital integrators, we have implemented various integrators for the spin motion. These integrators use quaternions and Romberg quadratures to accelerate both the computation and the convergence of spin rotations.We evaluate their performance and accuracy in quantitative detail for individual elements as well as formore » the entire RHIC lattice. We exploit the inherently data-parallel nature of spin tracking to accelerate our algorithms on graphics processing units.« less

  9. [CHARACTERIZATION OF VESTIBULAR DISORDERS IN THE INJURED PERSONS WITH THE BRAIN CONCUSSION IN ACUTE PERIOD].

    PubMed

    Skobska, O E; Kadzhaya, N V; Andreyev, O A; Potapov, E V

    2015-04-01

    There were examined 32 injured persons, ageing (34.1 ± 1.3) yrs at average, for the brain commotion (BC). The adopted protocol SCAT-3 (Standardized Concussion Assessment Tool, 3rd ed.), DHI (Dizziness Handicap Inventory questionnaire), computer stabilography (KS) were applied for the vestibular disorders diagnosis. There was established, that in acute period of BC a dyssociation between regression of objective neurological symptoms and permanence of the BC indices occurs, what confirms a latent disorder of the balance function. Changes of basic indices of statokinesiography, including increase of the vibration amplitude enhancement in general centre of pressure in a saggital square and the BC square (235.3 ± 13.7) mm2 in a modified functional test of Romberg with the closed eyes is possible to apply as objective criteria for the BC diagnosis.

  10. "She Stopped Me From Killing Myself": Bullied Bloggers' Coping Behaviors and Support Sources.

    PubMed

    Danielson, Carly M; Emmers-Sommer, Tara M

    2017-08-01

    Bullying is on the rise, and bullied targets often face consequences when they do not effectively manage their victimization. This study investigates bullied bloggers' use and evaluations of coping strategies and support sources. Informed by Lazarus and Folkman's (1984) appraisal theory, Tenenbaum, Varjas, Meyers, and Parris's (2011) model of bullied students' coping, and social support literature, bullied students' narratives (N = 100) from five bullying blogs (Pacer's, I'm Getting Bullied, ReachOut, BullyVille, No Place 4 Hate) are examined. The findings reveal similar negative outcomes with particular coping strategies and support sources for bullied male and female bloggers. These results reinforce coping strategies that many bullying organizations promote in their programs and websites (i.e., do not avoid disclosure, confront bullies, or retaliate), and promote future research about how to improve parents' and teachers' supportive communication with bullied youth.

  11. Operation REDWING 1956

    DTIC Science & Technology

    1982-08-01

    AIRCRAFT UNIT Hq TAU 2 0 1 0 Eniwetok Is. 20 Mar Hq USAF Elm 0 4 0 0 Eniwetok Is. 30 Apr Hq USAF Elm 4 3 2 0 Parry Is. 30 Apr 4g Drop & Cann Elm 15 41 0...0 Eniwrv k Is. 1 5-36 16 Mar i 4 2 5-52 mqý Effects Elm 14 7 8 53 Eniwecck Is. 1 B-52 21 Mar 1 B-47 I B-57 1 B-66 2 F-84F 1 F-101 IBDA Elm 11 35 0 0...Eniwetok Is. 3 B-47 30 Apr Ionosphere Elm 6 12 0 0 Eniwetok Is. 1 C-97 30 Apr * "Navy Effects Elm 8 31 13 0 I A3D "I P2V Early Pe.ietr Elm 16 40 0 0

  12. Gene diversity and genetic structure in a narrow endemic, torrey pine (Pinus torreyana Parry ex Carr.)

    Treesearch

    F. Thomas Ledig; M. Thompson Conkle

    1983-01-01

    Recent reviews have suggested that tree species are the most variable of organisms, as measured by proportion of polymorphic loci or average heterozygosity (Hamrick, 1979; Hamrick et al., 1979). Average heterozygosity is greater than 0.30 for several conifers. By contrast, annual herbaceous species have a mean heterozygosity of 0.13 (Hamrick et al., 1979).

  13. Trichophyton species of Arthroderma benhamiae - a new infectious agent in dermatology.

    PubMed

    Nenoff, Pietro; Uhrlaß, Silke; Krüger, Constanze; Erhard, Marcel; Hipler, Uta-Christina; Seyfarth, Florian; Herrmann, Jürgen; Wetzig, Tino; Schroedl, Wieland; Gräser, Yvonne

    2014-07-01

    In Germany, infections due to the zoophilic dermatophyte Trichophyton (T.) species of Arthroderma benhamiae are being more frequently diagnosed. The source of infection of this emerging pathogen overlaps with that of the zoophilic species T. interdigitale. The most common source are guinea pigs. T. species of Arthroderma benhamiae causes inflammatory dermatophytosis in children and adolescents. In addition to tinea capitis, it may cause both tinea corporis, tinea manus and frequently tinea faciei. In Germany, T. species of Arthroderma benhamiae is a frequent zoophilic dermatophyte, which in regions is probably more frequent than Microsporum canis. The mycological identification of the isolates with their yellow stained colonies is based on their macroscopic and microscopic features. However, some exhibit colony features consistent with those of T. interdigitale. These strains only can be identified unambiguously by means of molecular techniques. Using detection methods such as PCR-ELISA or real-time PCR, the dermatophyte can be identified directly from clinical material. Sequencing of the internal transcribed spacer region (ITS) of the ribosomal DNA has been approved as culture confirmation test for T. species of Arthroderma benhamiae. In addition, matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI TOF MS) is useful. Widespread dermatophytosis due to T. species of Arthroderma benhamiae, in particular of tinea capitis, requires oral antifungal agents. Terbinafine is most effective, alternatives are fluconazole and itraconazole. © 2014 Deutsche Dermatologische Gesellschaft (DDG). Published by John Wiley & Sons Ltd.

  14. Specific skin signs as a cutaneous marker of diabetes mellitus and the prediabetic state - a systematic review.

    PubMed

    Bustan, Rewend Salman; Wasim, Daanyaal; Yderstræde, Knud Bonnet; Bygum, Anette

    2017-01-01

    Diabetes mellitus and the prediabetic state are associated with a number of skin manifestations. This study is a systematic review of the following manifestations: acanthosis nigricans (AN), skin tags (ST), diabetic dermopathy (DD), rubeosis faciei (RF), pruritus (PR), granuloma annulare (GA), necrobiosis lipoidica (NL), scleroedema diabeticorum (SD) and bullosis diabeticorum (BD). These conditions possibly relate to underlying diabetogenic mechanisms. Our aim was to determine whether skin signs are feasible as cutaneous markers for the prediabetic or diabetic state. Data were collected from the databases PubMed, Embase and Cochrane. Articles were excluded if the populations presented with comorbidities or received treatment with drugs affecting the skin. Also, animal studies, studies with poor methodology and pilot studies were excluded. Among the 34 included original articles, an association with diabetes was shown as follows: in eight articles with AN, five articles with ST, three articles with GA, two articles with NL, PR and SD respectively and in one article with RF. Three papers indirectly showed an association of DD with diabetes. Association between bullous skin lesions and diabetes was only documented by case reports and case series. The results indicate a benefit of diabetes screening in individuals presenting with AN, ST or BD. Further studies are required to enlighten a possible association with RF, GA, SD or NL. Until such studies are available, it is advisable to screen individuals with the skin lesions presented by measuring their glycated haemoglobin.

  15. Clinico-epidemiological and mycological aspects of tinea incognito in Iran: A 16-year study.

    PubMed

    Ansar, Akram; Farshchian, Mahmoud; Nazeri, Haleh; Ghiasian, Seyed Amir

    2011-01-01

    Tinea incognito is a dermatophytic infection in which topical or systemic steroids have modified the clinical appearance of the mycosis and mimicking other skin diseases. A large retrospective study was carried out to identify the clinical aspects and type of dermatophytes involved in tinea incognito cases in Iran during 1993-2008. Out of 6325 subjects suspected to have dermatophytoses, 56 patients (29 males, 27 females, mean age 32.6 years) were affected with tinea incognito. The causative agents were identified macroscopically and microscopically after the clinical samples were subjected to potassium hydroxide examination and culture isolation. The most common type of infection was tinea corporis (32.1%), which significantly affected male patients. The prevalence of the other tineas in decreasing order was as follows: tinea faciei (26.8%), tinea cruris (14.3%), tinea manuum (12.5%), tinea pedis (8.9%), and tinea capitis (5.4%). The clinical features were to some extent diverse, ranging from eczema-like, seborrhoeic dermatitis-like, pyoderma-like and folliculitis to alopecia on scalp, trunk and limbs. Trichophyton verrucosum was the most frequently isolated species representing 33.9% of isolates, followed by T.mentagrophytes (28.6%), T. rubrum (12.5%), Epidermophyton floccosum (10.7%), Microsporum canis (8.9%), T. violaceum (3.6%), and T. schoenleinii (1.8%). To the best of our knowledge, this is the first broad investigation dealing with tinea incognito in Iran. The etiological agents of tinea incognito in Iran are consistent with those of the general population.

  16. Theory of Charge Transport in Organic Crystals: Lessons from the Past and Prospects for the Future

    NASA Astrophysics Data System (ADS)

    Kenkre, V. M.

    2002-03-01

    Interest in fundamental issues regarding charge transport in organic materials shifted in the early 80's from the field of crystals to the field of disordered systems after polaron theories[1,2] were successfully applied[2] to what was suspected to be a mobility transition in naphthalene[3]. Recent experiments on pentacene[4] have been responsible for a reversal of the shift: there is now a revival of interest in crystals particularly in basic questions regarding electron-phonon interactions, polaron formation, the nature of charge carriers, and the issue of band versus hopping transport. High magnitudes of the new mobilities appear to imply large free carrier bandwidths which have led some to conjecture that band (rather than hopping) transport is characteristic of pentacene[5]. And yet, pentacene experiments show an unmistakable rise in the mobility at higher temperature, a rise that seems to signal polaronic behavior. Added to this fascinating mélange of facts are clear velocity saturation effects[6] observed in pentacene[4] along with some cavalier interpretation attempts of those non-Ohmic effects. The purpose of the talk is to attempt to address basic issues raised by these observations. 1. R. Silbey and R. W. Munn, J. Chem. Phys. 72, 2763 (1980). 2. V. M. Kenkre, John D. Andersen, D.H. Dunlap, and C.B. Duke, Phys. Rev. Lett. 62, 1165 (1989); see also M. Pope and C. E. Swenberg, Electronic Processes in Organic Crystals and Polymers, 2nd ed. (Oxford Univ Press, New Yourk 1999), p. 968. 3. L. B. Schein, C. B. Duke, and A.R. McGhie, Phys. Rev. Lett. 40, 197 (1978); C. B. Duke and L. B. Schein, Physics Today 33, 42 (1980). 4. J. H. Schoen, C. Kloc, and B. Batlogg, Phys. Rev. Lett. 86, 3843 (2001); Phys. Rev. B63, 245201 (2001). 5. Note, however, a recent demonstration against bare band descriptions in pentacene provided by J. D. Andersen, L. Giuggioli, and V. M. Kenkre, Phys. Rev. B, submitted. 6. V. M. Kenkre and P. E. Parris, Phys. Rev. B, submitted; P. E

  17. Increase in lake trout reproduction in Lake Huron following the collapse of alewife: Relief from thiamine deficiency or larval predation?

    USGS Publications Warehouse

    Fitzsimons, J.D.; Brown, S.; Brown, L.; Honeyfield, D.; He, J.; Johnson, J.E.

    2010-01-01

    In the Great Lakes there is still uncertainty as to the population level effects of a thiamine deficiency on salmonines caused by high consumption of alewives Alosa pseudoharengus. A resurgence of lake trout Salvelinus namaycush reproduction in Lake Huron following the crash of alewife stocks between 2002 and 2004 provided an opportunity to evaluate the relative effects of this crash on reproduction through relief from either alewife mediated thiamine deficiency or alewife predation on larval lake trout relative to possible changes in the size of the lake trout spawning stock. Changes in mean lake trout egg thiamine concentration post crash at one spawning reef in Parry Sound, where mean thiamine concentration increased by almost two-fold, were consistent with diet switching from alewives to rainbow smelt Osmerus mordax, the next most abundant prey fish in Lake Huron. Although thiamine levels for lake trout collected at a second reef in Parry Sound did not change post-crash, levels both pre- and post-crash were consistent with a rainbow smelt diet. A reef specific fry emergence index was found to be positively related to reef specific egg thiamine concentration but negatively related to reef specific occurrence of EMS, a thiamine deficiency related mortality syndrome. We found little evidence for overlap between the timing of spring shoreward migration of alewives and lake trout emergence, suggesting that relief from alewife predation effects had relatively little effect on the observed increase in lake trout recruitment. Numbers of spawners in the north, north-central, and southern zones of the lake increased from 2000 onwards. Overall the abundance post-2003 was higher than from pre-2004, suggesting that spawner abundance may also have contributed to increased lake trout reproduction. However, predicted numbers of spawners and measured abundance of wild recruits in assessment gear were poorly correlated suggesting that the increase in reproduction was not totally

  18. Migraine patients consistently show abnormal vestibular bedside tests.

    PubMed

    Maranhão, Eliana Teixeira; Maranhão-Filho, Péricles; Luiz, Ronir Raggio; Vincent, Maurice Borges

    2016-01-01

    Migraine and vertigo are common disorders, with lifetime prevalences of 16% and 7% respectively, and co-morbidity around 3.2%. Vestibular syndromes and dizziness occur more frequently in migraine patients. We investigated bedside clinical signs indicative of vestibular dysfunction in migraineurs. To test the hypothesis that vestibulo-ocular reflex, vestibulo-spinal reflex and fall risk (FR) responses as measured by 14 bedside tests are abnormal in migraineurs without vertigo, as compared with controls. Cross-sectional study including sixty individuals - thirty migraineurs, 25 women, 19-60 y-o; and 30 gender/age healthy paired controls. Migraineurs showed a tendency to perform worse in almost all tests, albeit only the Romberg tandem test was statistically different from controls. A combination of four abnormal tests better discriminated the two groups (93.3% specificity). Migraine patients consistently showed abnormal vestibular bedside tests when compared with controls.

  19. Gravity measurement, processing and evaluation: Test cases de Peel and South Limburg

    NASA Astrophysics Data System (ADS)

    Nohlmans, Ron

    1990-05-01

    A general overview of the process of the measurement and the adjustment of a gravity network and the computation of some output parameters of gravimetry, gravity values, gravity anomalies and mean block anomalies, is given. An overview of developments in gravimetry, globally and in the Netherlands, until now is given. The basic theory of relative gravity measurements is studied and a description of the most commonly used instrument, the LaCoste and Romberg gravimeter is given. The surveys done in the scope of this study are descibed. A more detailed impression of the adjustment procedure and the results of the adjustment are given. A closer look is taken at the more geophysical side of gravimetry: gravity reduction, the computation of anomalies and the correlation with elevation. The interpolation of gravity and the covariance of gravity anomalies are addressed.

  20. ERDA authorization, Fiscal Year 1977. Part I. Conservation. Hearings before the Subcommittee on Energy Research, Development and Demonstration of the Committee on Science and Technology, U. S. House of Representatives, Ninety-Fourth Congress, Second Session

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Not Available

    1976-01-01

    The hearing was the first in a series of nine before the subcommittee in connection with the fiscal year 1977 ERDA authorization bill. The ERDA conservation program and its funding are reviewed and Representative Ray Thornton, presiding, announced that Congress was expected to pass significant energy conservation legislation to augment the existing ERDA program. Included here is a statement on the issue by Mr. Austin N. Heller, Asst. Administrator for Conservation, ERDA, who was accompanied by his division directors--Mr. Francis Parry, Mr. John Brogan, Dr. Maxine Savitz, Dr. John Belding, and Mr. George Murray. Another statement was presented by Rogermore » W. Sant, Asst. Administrator for Energy, FEA. Additional statements are presented in Appendix I by Mr. Lowell Endahl, National Rural Electric Cooperative Association, and Mr. Wes Uhlman, Mayor of Seattle, Wash. Additional information is presented in three other appendixes. (MCW)« less

  1. Deep Undercooling of Tissue Water and Winter Hardiness Limitations in Timberline Flora 1

    PubMed Central

    Becwar, Michael R.; Rajashekar, Channa; Bristow, Katherine J. Hansen; Burke, Michael J.

    1981-01-01

    Deep undercooled tissue water, which froze near −40 C, was found in winter collected stem and leaf tissue of the dominant timberline tree species of the Colorado Rocky Mountains, Engelmann spruce (Picea engelmannii (Parry) Engelm.) and subalpine fir (Abies lasiocarpa (Hook.) Nutt.), and in numerous other woody species in and below the subalpine vegetation zone. Previous work on numerous woody plants indicates that deep undercooling in xylem makes probable a −40 C winter hardiness limit in stem tissue. Visual injury determinations and electrolyte loss measurements on stem tissue revealed injury near −40 C associated with the freezing of the deep undercooled stem tissue water. These results suggest that the winter hardiness limit of this woody flora is near −40 C. The relevance of deep undercooling in relation to timberline, the upper elevational limit of the subalpine forest, is discussed. PMID:16661852

  2. Thrust and parry of the SIOP (single integrated operational plan) and sdi (strategic defense initiative). Research report

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Zank, G.D.

    1989-05-01

    The relationship between strategic offensive capabilities (reflected in the SIOP) and emerging strategic defensive capabilities (reflected by SDI) is not being adequately addressed. A summary of the existing nuclear war planning process is provided, and an analagous defensive process is postulated. Parallels and differences between the two processes are discussed. Potential areas for information exchange and cooperation are identified to enhance deterrence and improve war fighting potential. Operational, technical and political issues requiring resolution are raised and recommendations to resolve these issues are made.

  3. Wii Fit balance board playing improves balance and gait in Parkinson disease.

    PubMed

    Mhatre, Priya V; Vilares, Iris; Stibb, Stacy M; Albert, Mark V; Pickering, Laura; Marciniak, Christina M; Kording, Konrad; Toledo, Santiago

    2013-09-01

    To assess the effect of exercise training by using the Nintendo Wii Fit video game and balance board system on balance and gait in adults with Parkinson disease (PD). A prospective interventional cohort study. An outpatient group exercise class. Ten subjects with PD, Hoehn and Yahr stages 2.5 or 3, with a mean age of 67.1 years; 4 men, 6 women. The subjects participated in supervised group exercise sessions 3 times per week for 8 weeks by practicing 3 different Wii balance board games (marble tracking, skiing, and bubble rafting) adjusted for their individualized function level. The subjects trained for 10 minutes per game, a total of 30 minutes training per session. Pre-and postexercise training, a physical therapist evaluated subjects' function by using the Berg Balance Scale, Dynamic Gait Index, and Sharpened Romberg with eyes open and closed. Postural sway was assessed at rest and with tracking tasks by using the Wii balance board. The subjects rated their confidence in balance by using the Activities-specific Balance Confidence scale and depression on the Geriatric Depression Scale. Balance as measured by the Berg Balance Scale improved significantly, with an increase of 3.3 points (P = .016). The Dynamic Gait Index improved as well (mean increase, 2.8; P = .004), as did postural sway measured with the balance board (decreased variance in stance with eyes open by 31%; P = .049). Although the Sharpened Romberg with eyes closed increased by 6.85 points and with eyes opened by 3.3 points, improvements neared significance only for eyes closed (P = .07 versus P = .188). There were no significant changes on patient ratings for the Activities-specific Balance Confidence (mean decrease, -1%; P = .922) or the Geriatric Depression Scale (mean increase, 2.2; P = .188). An 8-week exercise training class by using the Wii Fit balance board improved selective measures of balance and gait in adults with PD. However, no significant changes were seen in mood or

  4. Effects of a Supervised versus an Unsupervised Combined Balance and Strength Training Program on Balance and Muscle Power in Healthy Older Adults: A Randomized Controlled Trial.

    PubMed

    Lacroix, André; Kressig, Reto W; Muehlbauer, Thomas; Gschwind, Yves J; Pfenninger, Barbara; Bruegger, Othmar; Granacher, Urs

    2016-01-01

    Losses in lower extremity muscle strength/power, muscle mass and deficits in static and particularly dynamic balance due to aging are associated with impaired functional performance and an increased fall risk. It has been shown that the combination of balance and strength training (BST) mitigates these age-related deficits. However, it is unresolved whether supervised versus unsupervised BST is equally effective in improving muscle power and balance in older adults. This study examined the impact of a 12-week BST program followed by 12 weeks of detraining on measures of balance and muscle power in healthy older adults enrolled in supervised (SUP) or unsupervised (UNSUP) training. Sixty-six older adults (men: 25, women: 41; age 73 ± 4 years) were randomly assigned to a SUP group (2/week supervised training, 1/week unsupervised training; n = 22), an UNSUP group (3/week unsupervised training; n = 22) or a passive control group (CON; n = 22). Static (i.e., Romberg Test) and dynamic (i.e., 10-meter walk test) steady-state, proactive (i.e., Timed Up and Go Test, Functional Reach Test), and reactive balance (e.g., Push and Release Test), as well as lower extremity muscle power (i.e., Chair Stand Test; Stair Ascent and Descent Test) were tested before and after the active training phase as well as after detraining. Adherence rates to training were 92% for SUP and 97% for UNSUP. BST resulted in significant group × time interactions. Post hoc analyses showed, among others, significant training-related improvements for the Romberg Test, stride velocity, Timed Up and Go Test, and Chair Stand Test in favor of the SUP group. Following detraining, significantly enhanced performances (compared to baseline) were still present in 13 variables for the SUP group and in 10 variables for the UNSUP group. Twelve weeks of BST proved to be safe (no training-related injuries) and feasible (high attendance rates of >90%). Deficits of balance and lower extremity muscle power can be

  5. Effects of alcohol on body-sway patterns in human subjects.

    PubMed

    Nieschalk, M; Ortmann, C; West, A; Schmäl, F; Stoll, W; Fechner, G

    1999-01-01

    The vestibulospinal aspects of vestibular function are commonly neglected in the evaluation of alcohol-induced intoxication. Thus, in the present study the effect of an acute intoxication with a low or moderate quantity of alcohol was examined with respect to the equilibrium in 30 healthy subjects. The blood alcohol concentration (BAC) was measured 30 min after the ingestion of the last alcohol, ranging between 0.22 and 1.59 per thousand. Stability of stance was quantified by static platform posturography in Romberg-test conditions with eyes open and eyes closed. Among other parameters, the average body sway path (SP) and area of body sway (SA) were assessed. Posturography revealed a significant increase in body sway. There was a positive correlation between SA (or SP) and BAC both with eyes open and eyes closed. Multiple group comparisons revealed that the large-alcohol-dose group (BAC > or = 1.0 per thousand) could be clearly differentiated from test cases with BAC lower than 0.8 per thousand. Sway area was the most sensitive parameter for detecting increased body sway after alcohol ingestion. The area increase, present not only with eyes closed but with eyes open, revealed an inadequate compensation of the ethanol-induced ataxia by visual stabilization. The Romberg's quotient, which denotes eyes closed relative to eyes open, remained constant. The increase in sway path with eyes closed showed an omnidirectional sway. A comparison of the sway pattern of subjects after acute ethanol ingestion with the data of patients with permanent cerebellar lesions suggested that the acute effect of alcohol resembles that of a lesion of the spinocerebellum. This finding contrasts with earlier studies, which postulated an acute effect of ethanol resembling that in patients with an atrophy of the anterior lobe of the cerebellum due to chronic alcohol abuse. In seven cases of the lower dose group (BAC < or = 0.8 per thousand), a reduction in body sway after alcohol ingestion was

  6. Objectively measured physical activity and balance among U.S. adults.

    PubMed

    Loprinzi, Paul D; Brosky, Joseph A

    2014-08-01

    The purpose of this study was to examine the association between objectively measured physical activity (PA) and balance in a nationally representative sample of U.S. adults 40 years of age and older. Data from the 2003-2004 National Health and Nutrition Examination Survey were used. Physical activity was measured over a 7-day period using accelerometry, and balance was assessed using the Romberg test. Participants completed a questionnaire regarding their subjective views on difficulty with falling in the past 12 months. For every 60-minute increase in light-intensity PA, participants were 10% (p = 0.04) more likely to have functional balance. Similarly, for every 1-minute increase in log-transformed moderate-to-vigorous physical activity, participants were 23% (p = 0.04) more likely to have functional balance. Regular PA, regardless of intensity, may have health benefits for older adults and is associated with functional balance.

  7. Long time management of fossil fuel resources to limit global warming and avoid ice age onsets

    NASA Astrophysics Data System (ADS)

    Shaffer, Gary

    2009-02-01

    There are about 5000 billion tons of fossil fuel carbon in accessible reserves. Combustion of all this carbon within the next few centuries would force high atmospheric CO2 content and extreme global warming. On the other hand, low atmospheric CO2 content favors the onset of an ice age when changes in the Earth's orbit lead to low summer insolation at high northern latitudes. Here I present Earth System Model projections showing that typical reduction targets for fossil fuel use in the present century could limit ongoing global warming to less than one degree Celcius above present. Furthermore, the projections show that combustion pulses of remaining fossil fuel reserves could then be tailored to raise atmospheric CO2 content high and long enough to parry forcing of ice age onsets by summer insolation minima far into the future. Our present interglacial period could be extended by about 500,000 years in this way.

  8. Monroe, Utah, Hydrothermal System: Results from Drilling of Test Wells MC1 and MC2

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Chapman, D.S.; Harrison, Roger

    1978-10-01

    Following detailed geological (Parry et al., 1976; Miller, 1976) and geophysical (Mase, Chapman, and Ward, 1978; Kilty, Mase, and Chapman, 1978) studies of the Monroe, Utah hydrothermal system, a program of drilling two intermediate depth test wells was undertaken. The objectives of the test well drilling were three-fold: (1) to obtain structural information bearing on the poorly known dip of the Sevier Fault, (2) to obtain temperature information below the shallow depths (approximately 300 ft.) sampled in the first phase of exploration, and (3) to provide cased wells which could act as monitor wells during the production phase of themore » project. The test well drilling was seen to be vital to the selection of a site for a production well. This report describes the results from the drilling of the two test wells, designated MC1 and MC2, and offers interpretation of the hydrothermal system which may be used as a basis for selecting production wells.« less

  9. [Dermatophytoses due to anthropophilic fungi in Cadiz, Spain, between 1997 and 2008].

    PubMed

    García-Martos, P; García-Agudo, L; Agudo-Pérez, E; Gil de Sola, F; Linares, M

    2010-04-01

    Cutaneous fungal infections are a major public health problem. The distribution of the dermatophytoses varies between countries and geographical areas. The aim of this study was to determine the incidence, epidemiology, etiology, and clinical course of the dermatophytoses caused by anthropophilic fungi in Cadiz, Spain, over the past 12 years. The study, conducted between 1997 and 2008, included 2,235 samples from lesions of the skin, hair, and nails of 2,220 patients with a clinical suspicion of mycosis. Samples were examined by microscopy using potassium hydroxide and were cultured on mycological media. The dermatophytes were identified by their macroscopic and microscopic characteristics. Cultures were positive in 283 cases (12.7%). Anthropophilic dermatophytes (53.3%) were more common than zoophilic (41.3%) and geophilic (5.3%) dermatophytes. Trichophyton rubrum (38.2%) was the predominant pathogen isolated, followed by Microsporum canis (22.3%) and Trichophyton mentagrophytes (15.5%). Five other species of anthropophilic fungi were identified: Trichophyton tonsurans (5.6%), Trichophyton violaceum (4.9%), Epidermophyton floccosum (2.8%), Trichophyton soudanense (1.0%), and Trichophyton schoenleinii (0.7%). Infections caused by the anthropophilic fungi included tinea unguium (29.1%), tinea corporis (25.8%), tinea pedis (19.2%), tinea cruris (11.9%), tinea capitis (5.3%), and tinea faciei (3.3%). The principal fungus responsible for dermatomycosis in Cadiz was T. rubrum, and its incidence has been rising since 2000. The prevalence of other anthropophilic fungi, such as T. tonsurans and T. violaceum, has increased, though this is not directly related to immigration. E. floccosum, T. soudanense, and T. schoenleinii are isolated occasionally.

  10. Epidemiology of Dermatophytoses in Crete, Greece.

    PubMed

    Maraki, Sofia; Mavromanolaki, Viktoria Eirini

    2016-01-01

    Dermatophytoses are among the most frequently diagnosed skin infections worldwide. However, the distribution of pathogenic species and the predominating anatomical sites of infection vary with geographical location and change over time. The aim of this study was to determine the epidemiological and aetiological factors of dermatophytoses in Crete, Greece over the last 5-year period (2011-2015) and their incidence in relation to the gender and the age of the patients. We compared our findings with those previously reported from the same area and from other parts of the world. A total of 2,910 clinical specimens (skin scrapings, nail clippings, and hair specimens) obtained from 2,751 patients with signs of dermatomycoses were examined using direct microscopy and culture. Overall, 294 specimens (10.1%) were proved mycologically positive for dermatophytes. The age of the patients ranged from 2 to 86 years (mean age, 37 years). Tinea corporis was the predominant clinical type of infection, followed by tinea unguium, tinea pedis, tinea capitis, tinea faciei, tinea cruris and tinea manuum. Among dermatophytes, eight species were isolated: Microsporum canis (35.8%), Trichophyton rubrum (35.1%), Trichophyton mentagrophytes (23.3%), Epidermophyton floccosum (2.5%), Microsporum gypseum (1.8%), Trichophyton violaceum (0.7%), Trichophyton verrucosum (0.4%), and Trichophyton tonsurans (0.4%). In our area, the most common dermatophyte was M. canis followed by T. rubrum. Increased migration, mass tourism, and climate changes will contribute to further changes in the epidemiology of dermatophytoses in our area. Continuing studies are necessary for determining the new epidemiological trends and to implement the appropriate control measures.

  11. Sensitivity of Hurricane Storm Surge to Land Cover and Topography Under Various Sea Level Rise Scenarios Along the Mississippi Coast

    NASA Astrophysics Data System (ADS)

    Bilskie, M. V.; Hagen, S. C.; Medeiros, S. C.

    2013-12-01

    Major Gulf hurricanes have a high probability of impacting the northern Gulf of Mexico, especially coastal Mississippi (Resio, 2007). Due to the wide and flat continental shelf, this area provides near-perfect geometry for high water levels under tropical cyclone conditions. Literature suggests with 'very high confidence that global sea level will rise at least 0.2 m and no more than 2.0 m by 2011' (Donoghue, 2011; Parris et al., 2012). Further, it is recognized that the Mississippi barrier islands are highly susceptible to a westward migration and retreating shoreline. With predictions for less frequent, more intense tropical storms, rising sea levels, and a changing landscape, it is important to understand how these changes may affect inundation extent and flooding due to hurricane storm surge. A state-of-the-art SWAN+ADCIRC hydrodynamic model of coastal Mississippi was utilized to simulate Hurricane Katrina with present day sea level conditions. Using present day as a base scenario, past (1960) and future (2050) sea level changes were simulated. In addition to altering the initial sea state, land use land cover (LULC) was modified for 1960 and 2050 based on historic data and future projections. LULC datasets are used to derive surface roughness characteristics, such as Manning's n, and wind reduction factors. The topography along the barrier islands and near the Pascagoula River, MS was also altered to reflect the 1960 landscape. Storm surge sensitivity to topographic change were addressed by comparing model results between two 1960 storm surge simulations; one with current topography and a second with changes to the barrier islands. In addition, model responses to changes in LULC are compared. The results will be used to gain insight into adapting present day storm surge models for future conditions. References Donoghue, J. (2011). Sea level history of the northern Gulf of Mexico coast and sea level rise scenarios for the near future. Climatic Change, 107

  12. Evolution of the polar oceans: the late Quaternary palaeoceanography of the Northwest Passage

    NASA Astrophysics Data System (ADS)

    Pienkowski, Anna; Furze, Mark; England, John; MacLean, Brian; Bennett, Robbie; Blasco, Steve; McNeely, Morgan

    2014-05-01

    The marine channels of the Canadian Arctic Archipelago, collectively known as the "Northwest Passage" (= NWP), cover some 1.1 million km2 on the North American continental shelf and constitute one of two primary pathways for water and heat exchange between the Arctic and Atlantic oceans. Modern circulation is characterized by a net southeastward flow from the Arctic Ocean through Parry Channel (the main W-E axis of the NWP) towards Baffin Bay, with Arctic Ocean Surface Water primarily occupying the NWP channels. Data from recent and ongoing marine work* highlight a dynamic oceanographic environment since the last glaciation. A suite of five sediment records (piston and trigger weight cores) taken in a transect through Parry Channel provide important information on the long-term (deglacial to postglacial) environmental and oceanographic evolution of the region. The cores were studied by a multiproxy approach encompassing sedimentology, micropalaeontology, biogeochemistry, constrained by a chronological framework of 58 AMS radiocarbon dates. Our data suggest grounded glacial ice in the channels of the Canadian Arctic Archipelago, rapid deglaciation, and a characteristic progression from ice-proximal to ice-distal conditions. Age model extrapolations place deglaciation at ~13.0-10.3 cal ka BP (location dependent). Noticeable biological activity is marked by the appearance of planktonic foraminifera (Neogloboquadrina pachyderma) at ~11.0 cal ka BP - an important signal given the absence of these organisms in the modern NWP. This likely marks the penetration of Atlantic-derived water (Arctic Intermediate Water) into the central NWP following deglaciation, likely facilitated by higher deglacial sea-levels permitting increased flow across inter-channel sills. Though the route of this Atlantic-derived water is currently being resolved, it may have penetrated from Baffin Bay in the East into the NWP, contrary to the modern circulation. Subsequent (~9.7-7.0 cal ka BP

  13. Assessing the Effects of Sea Level Rise on Plum Island Estuary Marshes Using a Hydrodynamic-marsh Modeling Tool

    NASA Astrophysics Data System (ADS)

    Demissie, H. K.; Bilskie, M. V.; Hagen, S. C.; Morris, J. T.; Alizad, K.

    2015-12-01

    Sea level rise (SLR) can significantly impact both human and ecological habitats in coastal and inland regions. Studies show that coastal estuaries and marsh systems are at the risk of losing their productivity under increasing rates of SLR (Donnelly and Bertness, 2001; Warren and Niering, 1993). The integrated hydrodynamic-marsh model (Hagen et al., 2013 & Alizad et al., 2015) uses a set of parameters and conditions to simulate tidal flow through the salt marsh of Plum Island Estuary, Massachusetts. The hydrodynamic model computes mean high water (MHW) and mean low water (MLW) and is coupled to the zero-dimensional Marsh Equilibrium Model (Morris et al. 2002) to estimate changes in biomass productivity and accretion. The coupled hydrodynamic-marsh model was used to examine the effects of different scenarios of SLR (Parris et al., 2012) on salt marsh productivity for the year 2100 in the Plum Island Estuary. In this particular study, responses of salt marsh production for different scenarios of SLR were compared. The study shows higher productivity of salt marsh under a low SLR scenario and lower productivity under the higher SLR. The study also demonstrates the migration of salt marshes under higher SLR scenarios. References: Alizad, K., S. C. Hagen, Morris, J.T., Bacopoulos, P., Bilskie, M.V., and John, F.W. 2015. A coupled, two-dimensional hydrodynamic-marsh model with biological feedback. Limnology and Oceanography, In review. Donnelly, J.P., and M.D. Bertness. 2001. Rapid shoreward encroachment of salt marsh cordgrass in response to accelerated sea-level rise. Proceedings of the National Academy of Sciences 98: 14218-14223.Hagen, S.C., J.T. Morris, P. Bacopoulos, and J. Weishampel. 2013. Sea-Level Rise Impact on a Salt Marsh System of the Lower St. Johns River. ASCE Journal of Waterway, Port, Coastal, and Ocean Engineering, Vol. 139, No. 2, March/April 2013, pp. 118-125.Morris, J.T., P.V. Sundareshwar, C.T. Nietch, B. Kjerfve, and D.R. Cahoon. 2002. Responses

  14. Development of integrated management practices for the control of Chinese tallow on Parris Island Marine Corps Recruit Depot

    Treesearch

    Lauren S. Pile; G. Geoff Wang; Patricia A. Layton

    2015-01-01

    Chinese tallow [Triadica sebifera (L.) Small] is an aggressive, fast-growing, highly adaptable invasive tree of the southeastern United States coastal region. Since its introduction in the early 1800s, Chinese tallow has become a serious threat to native grassland and forest communities from mid-coastal North Carolina to Northern Florida and West to Central Texas

  15. Can an anti-gravity treadmill improve stability of children with cerebral palsy?

    PubMed

    Birgani, P M; Ashtiyani, M; Rasooli, A; Shahrokhnia, M; Shahrokhi, A; Mirbagheri, M M

    2016-08-01

    We aimed to study the effects of an anti-gravity treadmill (AlterG) training on balance and postural stability in children with cerebral palsy (CP). AlterG training was performed 3 days/week for 8 weeks, with up to 45 minutes of training per session. The subject was evaluated before and after the 8-week training. The effects of training on the balance and postural stability was evaluated based on the Romberg test that was performed by using a posturography device. The parameters quantifying Center-of-Pressure (CoP) were calculated using different analytical approaches including power spectral density and principal components analyses. All of the key parameters including the Stabilogram, the Fast Fourier Transform (FFT) Energy, the Eigenvectors, and the Eigenvalues of CoP were modified between 14%-84%. The results indicated that the balance features were improved substantially after training. The clinical implication is that the AlterG has the potential to effectively improve postural stability in children with cerebral palsy.

  16. Gravimetric effects of petroleum accumulations--A preliminary summary

    USGS Publications Warehouse

    McCulloh, Thane Hubert

    1966-01-01

    Negative gravity anomalies of very local extent and with amplitudes of 1.2 milligals or less have been observed over some known petroleum and natural gas fields in southern California and South Dagestan, U.S.S.R. Field evidence, laboratory measurements, and theory indicate that these anomalies are mainly the result of hydrocarbon pore fluids of densities significantly lower than that of water. Gravity meters already available have the precision necessary to detect some of these anomalies from surface measurements. In addition, a high-precision borehole gravity meter has been developed, by the industrial firm of LaCoste and Romberg, Inc., that can be used in wells with a casing 7 inches or more in diameter and at temperatures below 100?C. Field tests indicate that the prototype attains a precision in wells of ? 0.015 milligal for a single measurement. These observations and the new gravimeter should aid in the search for new petroleum fields and for new reservoirs in known fields that are incompletely explored.

  17. Evaluation of global satellite gravity models using terrestrial gravity observations over the Kingdom of Saudi Arabia A. Alothman and B. Elsaka

    NASA Astrophysics Data System (ADS)

    Alothman, Abdulaziz; Elsaka, Basem

    The gravity field models from the GRACE and GOCE missions have increased the knowledge of the earth’s global gravity field. The latter GOCE mission has provided accuracies of about 1-2 cm and 1milli-Gal level in the global geoid and gravity anomaly, respectively. However, determining all wavelength ranges of the gravity field spectrum cannot be only achieved from satellite gravimetry but from the allowed terrestrial gravity data. In this contribution, we use a gravity network of 42 first-order absolute gravity stations, observed by LaCosta Romberg gravimeter during the period 1967-1969 by Ministry of Petroleum and Mineral Resources, to validate the GOCE gravity models in order to gain more detailed regional gravity information. The network stations are randomly distributed all over the country with a spacing of about 200 km apart. The results show that the geoid height and gravity anomaly determined from terrestrial gravity data agree with the GOCE based models and give additional information to the satellite gravity solutions.

  18. Epidemiologic surveillance of cutaneous fungal infection in the United States from 1999 to 2002.

    PubMed

    Foster, K Wade; Ghannoum, Mahmoud A; Elewski, Boni E

    2004-05-01

    Cutaneous fungal infections are common in the United States, and causative organisms include dermatophytes, yeasts, and nondermatophyte molds. These organisms are in constant competition for their particular environmental niche, often resulting in the emergence of one or more predominant pathogens and displacement of other less competitive species. Changes in the incidence of fungal pathogens can be followed from laboratory culture results of infected cutaneous tissues over time. These data can be used to ascertain past and present trends in incidence, predict increases in antifungal resistance and the adequacy of our current pharmacologic repertoire, and provide insight into future developments. This study identifies epidemiologic trends and the predominant organisms causing superficial fungal infections in the United States. A total of 15,381 specimens were collected from clinically suspected tinea corporis, tinea cruris, tinea capitis, tinea faciei, tinea pedis, tinea manuum, and finger and toe onychomycosis from 1999 through 2002. Specimens were submitted to the Center for Medical Mycology in Cleveland, Ohio, for fungal culture and identification, and the incidence of each species was calculated. Dermatophytes remain the most commonly isolated fungal organisms except from clinically suspected finger onychomycosis, in which case Candida species comprise >70% of isolates. Trichophyton rubrum remains the most prevalent fungal pathogen, and increased incidence of this species was observed in finger and toe onychomycosis, tinea corporis and tinea cruris, tinea manuum, and tinea pedis. As the causal agent of tinea capitis, T tonsurans continues to increase in incidence, achieving near exclusionary proportions in the United States. Consideration of the current epidemiologic trends in the incidence of cutaneous fungal pathogens is of key importance to investigational efforts, diagnosis, and treatment.

  19. Demonstration of AC and DC charge control for the LISA test masses

    NASA Astrophysics Data System (ADS)

    Olatunde, Taiwo Janet

    2018-01-01

    Taiwo Olatunde, Stephen Apple, Andrew Chilton, Samantha Parry, Peter Wass, Guido Mueller, John W. Conklin The residual test mass acceleration in LISA must be below 3 fm/s2/√Hz at all frequencies between 0.1 and 3 mHz. Test mass charge coupled with stray electrical potentials and external electromagnetic fields is a well-known source of acceleration noise. LISA Pathfinder uses Hg lamps emitting mostly around 254 nm to discharge the test masses via photoemission, but a future LISA mission launched around 2030 will likely replace the lamps with newer UV LEDs with lower mass, better power efficiency, smaller size and higher bandwidth. This presentation will discuss charge control demonstrated on the torsion pendulum in AC and DC modes at the University of Florida using latest generation UV LEDs producing light at 240 nm with energy above the work function of pure Au. Initial results of Au quantum efficiency measurements (number of emitted electrons per incident photons) which is critical for bi-polar charge control will also be presented.

  20. Mineral Analysis of Pine Nuts (Pinus spp.) Grown in New Zealand

    PubMed Central

    Vanhanen, Leo P.; Savage, Geoffrey P.

    2013-01-01

    Mineral analysis of seven Pinus species grown in different regions of New Zealand; Armand pine (Pinus armandii Franch), Swiss stone pine (Pinus cembra L.), Mexican pinyon (Pinus cembroides Zucc. var. bicolor Little), Coulter pine (Pinus coulteri D. Don), Johann’s pine (Pinus johannis M.F. Robert), Italian stone pine (Pinus pinea L.) and Torrey pine (Pinus torreyana Parry ex Carrière), was carried out using an inductively coupled plasma optical emission spectrophotometer (ICP-OES) analysis. Fourteen different minerals (Al, B, Ca, Cr, Cu, Fe, K, Mg, Mn, Na, Ni, P, S and Zn) were identified in all seven varieties, except that no Al or Na was found in Pinus coulteri D. Don. New Zealand grown pine nuts are a good source of Cu, Mg, Mn, P and Zn, meeting or exceeding the recommended RDI for these minerals (based on an intake of 50 g nuts/day) while they supplied between 39%–89% of the New Zealand RDI for Fe. Compared to other commonly eaten tree-nuts New Zealand grown pine nuts are an excellent source of essential minerals. PMID:28239104

  1. Ionosonde observations of the northern magnetospheric cleft during December 1974 and January 1975

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Stiles, G.S.; Hones Jr., E.W.; Lepping, R.P.

    1977-01-01

    During December 1974 and January 1975 the northern magnetospheric cleft was monitored by ionosondes at Cape Parry and Sachs Harbor, Northwest Territories, Canada, in support of rocket shots into the cleft. Ionograms were taken nominally at 15-min intervals but as rapidly as two per minute during times of particular interest. Analysis of 5 days of data shows the ionosphere at cleft latitudes to be very complex and dynamic. The ionograms often show considerable structure and can change appearance significantly in a minute or two. The cleft at times appears to move equatorward in response either to a southward turning ofmore » the interplanetary magnetic field or to the occurrence of geomagnetic disturbances. This response is in agreement with the conclusions of previous satellite studies. Behavior contrary to this generalization is not uncommon, however, and therefore it may not always hold on time scales considerably shorter than the satellite orbital period of approximately-greater-than 1 hour. The rate of the cleft's motion may vary from approx.0.05 to approx.0.5 deg/min. (AIP)« less

  2. Capillary wave Hamiltonian for the Landau-Ginzburg-Wilson density functional

    NASA Astrophysics Data System (ADS)

    Chacón, Enrique; Tarazona, Pedro

    2016-06-01

    We study the link between the density functional (DF) formalism and the capillary wave theory (CWT) for liquid surfaces, focused on the Landau-Ginzburg-Wilson (LGW) model, or square gradient DF expansion, with a symmetric double parabola free energy, which has been extensively used in theoretical studies of this problem. We show the equivalence between the non-local DF results of Parry and coworkers and the direct evaluation of the mean square fluctuations of the intrinsic surface, as is done in the intrinsic sampling method for computer simulations. The definition of effective wave-vector dependent surface tensions is reviewed and we obtain new proposals for the LGW model. The surface weight proposed by Blokhuis and the surface mode analysis proposed by Stecki provide consistent and optimal effective definitions for the extended CWT Hamiltonian associated to the DF model. A non-local, or coarse-grained, definition of the intrinsic surface provides the missing element to get the mesoscopic surface Hamiltonian from the molecular DF description, as had been proposed a long time ago by Dietrich and coworkers.

  3. Mineral Analysis of Pine Nuts (Pinus spp.) Grown in New Zealand.

    PubMed

    Vanhanen, Leo P; Savage, Geoffrey P

    2013-04-03

    Mineral analysis of seven Pinus species grown in different regions of New Zealand; Armand pine ( Pinus armandii Franch), Swiss stone pine ( Pinus cembra L.), Mexican pinyon ( Pinus cembroides Zucc. var. bicolor Little), Coulter pine ( Pinus coulteri D. Don), Johann's pine ( Pinus johannis M.F. Robert), Italian stone pine ( Pinus pinea L.) and Torrey pine ( Pinus torreyana Parry ex Carrière), was carried out using an inductively coupled plasma optical emission spectrophotometer (ICP-OES) analysis. Fourteen different minerals (Al, B, Ca, Cr, Cu, Fe, K, Mg, Mn, Na, Ni, P, S and Zn) were identified in all seven varieties, except that no Al or Na was found in Pinus coulteri D. Don. New Zealand grown pine nuts are a good source of Cu, Mg, Mn, P and Zn, meeting or exceeding the recommended RDI for these minerals (based on an intake of 50 g nuts/day) while they supplied between 39%-89% of the New Zealand RDI for Fe. Compared to other commonly eaten tree-nuts New Zealand grown pine nuts are an excellent source of essential minerals.

  4. Capillary wave Hamiltonian for the Landau-Ginzburg-Wilson density functional.

    PubMed

    Chacón, Enrique; Tarazona, Pedro

    2016-06-22

    We study the link between the density functional (DF) formalism and the capillary wave theory (CWT) for liquid surfaces, focused on the Landau-Ginzburg-Wilson (LGW) model, or square gradient DF expansion, with a symmetric double parabola free energy, which has been extensively used in theoretical studies of this problem. We show the equivalence between the non-local DF results of Parry and coworkers and the direct evaluation of the mean square fluctuations of the intrinsic surface, as is done in the intrinsic sampling method for computer simulations. The definition of effective wave-vector dependent surface tensions is reviewed and we obtain new proposals for the LGW model. The surface weight proposed by Blokhuis and the surface mode analysis proposed by Stecki provide consistent and optimal effective definitions for the extended CWT Hamiltonian associated to the DF model. A non-local, or coarse-grained, definition of the intrinsic surface provides the missing element to get the mesoscopic surface Hamiltonian from the molecular DF description, as had been proposed a long time ago by Dietrich and coworkers.

  5. 76 FR 62631 - Archers Creek, Ribbon Creek, and Broad River; U.S. Marine Corps Recruit Depot, Parris Island, SC...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-11

    ... incorporate modern methods of measuring ballistic footprints and design criteria for range construction. Since... affected by this regulation. List of Subjects in 33 CFR Part 334 Danger zones, Navigation (water...]21'34'' N, longitude 80[deg]42'48'' W, thence follow the mean high water line southwesterly around...

  6. Auditory cues for orientation and postural control in sighted and congenitally blind people

    NASA Technical Reports Server (NTRS)

    Easton, R. D.; Greene, A. J.; DiZio, P.; Lackner, J. R.

    1998-01-01

    This study assessed whether stationary auditory information could affect body and head sway (as does visual and haptic information) in sighted and congenitally blind people. Two speakers, one placed adjacent to each ear, significantly stabilized center-of-foot-pressure sway in a tandem Romberg stance, while neither a single speaker in front of subjects nor a head-mounted sonar device reduced center-of-pressure sway. Center-of-pressure sway was reduced to the same level in the two-speaker condition for sighted and blind subjects. Both groups also evidenced reduced head sway in the two-speaker condition, although blind subjects' head sway was significantly larger than that of sighted subjects. The advantage of the two-speaker condition was probably attributable to the nature of distance compared with directional auditory information. The results rule out a deficit model of spatial hearing in blind people and are consistent with one version of a compensation model. Analysis of maximum cross-correlations between center-of-pressure and head sway, and associated time lags suggest that blind and sighted people may use different sensorimotor strategies to achieve stability.

  7. M.I.T./Canadian vestibular experiments on the Spacelab-1 mission. V - Postural responses following exposure to weightlessness

    NASA Technical Reports Server (NTRS)

    Kenyon, R. V.; Young, L. R.

    1986-01-01

    The four science crewmembers of Spacelab-1 were tested for postural control before and after a 10 day mission in weightlessness. Previous reports have shown changes in astronaut postural behavior following a return to earth's 1-g field. This study was designed to identify changes in EMG latency and amplitudes that might explain the instabilities observed post-flight. Erect posture was tested having the subject stand on a pneumatically driven posture platform which pitched rapidly and unexpectedly about the ankles causing dorsi- and plantarflexion. Electromyographic (EMG) activity from the tibialis anterior and the gastrocnemius-soleus muscles was measured during eyes open and eyes closed trials. The early (pre 500 ms) EMG response characteristics (latency, amplitude) in response to a disturbance in the posture of the subject were apparently unchanged by the 10 days of weightlessness. However, the late (post 500 ms) response showed higher amplitudes than was found pre-flight. General postural control was quantitatively measured pre- and post-flight by a 'sharpened Romberg Rails test'. This test showed decrements in standing stability with eyes closed for several days post-flight.

  8. [Gluten Ataxia: Anti-Transglutaminase-6 Antibody as a New Biomarker].

    PubMed

    Sato, Kenji; Nanri, Kazunori

    2017-08-01

    Gluten-related disorders (GRDs) are conditions that develop in response to the common trigger of gluten ingestion and manifest as a variety of clinical symptoms. GRDs have been considered rare in Asian countries, including Japan, because of lower consumption of wheat products than in Europe and the U.S.A. and differences in genetic background. Recently, however, GRDs, such as celiac disease and gluten ataxia, have been reported in Japan, albeit sporadically and their presence is now recognized in this country. Gluten ataxia is defined as an anti-gliadin antibody positive sporadic ataxia. Recently, it was reported that the presence of anti-transglutaminase-6 (TG6) antibody can be used to diagnose gluten ataxia. Herein, we will review evidence relating to gluten ataxia and report two cases of anti-TG6 antibody positive gluten ataxia. In patients with gluten ataxia, sensory disturbance is generally considered to be so mild that it contributes minimally to ataxia. However, our patients showed a positive Romberg sign. Deep sensory disturbance, in addition to cerebellar disturbance, may have been involved in the clinical symptoms of our cases.

  9. [Diagnosis and treatment options in vertigo syndromes].

    PubMed

    Strupp, M; Dieterich, M; Zwergal, A; Brandt, T

    2015-10-01

    The key to diagnosing vertigo and balance disorders is systematic analysis of case history with clinical examination of the vestibular, oculomotor, and cerebral systems in particular. Important criteria for differentiating between the various vertigo syndromes are 1) the time course of symptoms, 2) the type of symptoms, 3) modulating factors, and 4) associated symptoms. For clinical examination of the vestibular system, six important tests are available: assessment of spontaneous nystagmus, head impulse test, dynamic visual acuity, subjective visual verticality, positioning manoeuvre, and the Romberg test/gait analysis with eyes open and closed. On the basis of five clinical signs (vertical divergence, central fixation nystagmus, gaze-evoked nystagmus, saccades, normal head impulse test), the clinical examination is able to differentiate between acute central and peripheral vestibular syndromes with a sensitivity and specificity of over 90%. The most relevant laboratory examinations are caloric irrigation and the video head-impulse test for canal function and the vestibular evoked myogenic potentials for otolith function. Finally, treatment is based upon four therapeutic principles: physiotherapy, pharmacotherapy, psychotherapy, and in rare cases, surgery.

  10. Neurologic soft signs in schizophrenic patients treated with conventional and atypical antipsychotics.

    PubMed

    Bersani, Giuseppe; Gherardelli, Simona; Clemente, Roberta; Di Giannantonio, Massimo; Grilli, Alfredo; Conti, Chiara M V; Exton, Michael S; Conti, Pio; Doyle, Robert; Pancheri, Paolo

    2005-08-01

    Neurologic soft signs (NSS) are considered a somatic feature associated with schizophrenia (DSM-IV) that are present in neuroleptic-treated, as well as untreated or first-episode patients. The aim of this study was to determine the incidence and severity of NSS in groups of schizophrenic patients treated with either a conventional neuroleptic medication, haloperidol (n = 37), or atypical antipsychotic medications, risperidone (n = 19), clozapine (n = 34), and olanzapine (n = 18). NSS were assessed with the Neurological Evaluation Scale (NES), whereas extrapyramidal symptoms (EPS), which occur more commonly with conventional neuroleptic treatment, were evaluated using the Simpson-Angus Scale. NES scores were not significantly different between groups. Slight differences were found for 2 items only. The haloperidol group showed higher scores for the "Romberg test," whereas the clozapine group showed higher scores for "short-term memory." There were significant correlations between EPS and NES total score in the haloperidol and risperidone groups. These results demonstrate an overall overlapping of NSS among the groups, confirming their substantial independence from neurologic implications of neuroleptic treatment.

  11. [Posture and aging. Current fundamental studies and management concepts].

    PubMed

    Mourey, F; Camus, A; Pfitzenmeyer, P

    2000-02-19

    FUNDAMENTAL IMPORTANCE OF POSTURE: In the elderly subject, preservation of posture is fundamental to maintaining functional independence. In recent years, there has been much progress in our understanding of the mechanisms underlying strategies used to control equilibrium in the upright position. Physiological aging, associated with diverse disease states, dangerously alters the postural function, particularly anticipated adjustments which allow an adaptation of posture to movement. CLINICAL ASSESSMENT OF POSTURE: Several tests have been developed to assess posture in the elderly subject, particularly the time it takes to start walking. We selected certain tests which can be used in everyday practice to predict falls: the stance test, the improved Romberg test, the "timed get up and go test", measurement of walking cadence, assessment of balance reactions, sitting-standing and standing-sitting movements and capacity to get up off the floor. PATIENT CARE: Elderly patients with equilibrium disorders can benefit from specific personalized rehabilitation protocols. Different techniques have been developed for multiple afferential stimulation, reprogramming postural strategies, and correcting for deficient motor automatisms.

  12. [Effects of a physical training program on quantitative neurological indices in mild stage type 2 spinocerebelar ataxia patients].

    PubMed

    Pérez-Avila, I; Fernández-Vieitez, J A; Martínez-Góngora, E; Ochoa-Mastrapa, R; Velázquez-Manresa, M G

    Type 2 spinocerebelar ataxia (SCA2) is a neurodegenerative disease with higher prevalence and incidence in Holguín province, Cuba. At present, there is not any drug to counteract the loss of coordinative motor capacities of these patients. Thus physical training seems to be the only way to attenuate the course of disease. To evaluate the effectiveness of a physical training program on quantitative neurological indices in SCA2 patients. A samples of 87 SCA2 patients were studied. All subjects underwent a six month physical exercise program based on coordination, balance and muscular conditioning exercises. Quantitative tests were applied to all patients both before and after the application of the exercise program. Comparisons between pretest versus posttest values were made to evaluate the improvement in neurological indices. All neurological indices both with open eyes and closed eyes significantly improved from pretest to posttest. Static balance, evaluated by Romberg test, also enhanced with training. The exercise training program significantly improved the neurological indices in SCA2 patient with mild stage of disease.

  13. A Molecular Epidemiological Survey of Clinically Important Dermatophytes in Iran Based on Specific RFLP Profiles of Beta-tubulin Gene

    PubMed Central

    ABASTABAR, Mahdi; REZAEI-MATEHKOLAEI, Ali; SHIDFAR, Mohammad Reza; KORDBACHEH, Parivash; MOHAMMADI, Rasoul; SHOKOOHI, Tahereh; HEDAYATI, Mohammad Taghi; JALALIZAND, Nilufar; MIRHENDI, Hossein

    2013-01-01

    Abstract Background Surveillance of dermatophytosis is essential to determine the likely changes in etiological trends and distribution profile of this infection. In this study beta tubulin gene (BT2), was used as the first time in a PCR-RFLP format to clarify the distribution of dermatophytosis agents in some parts of Iran. Methods A total of 603 clinical isolates was obtained from 500 patients in Tehran, Isfahan, Mazandaran and Guilan provinces. The isolates were identified using macro/micro-morphological criteria and electrophoretic patterns of PCR amplicons of BT2after digestion with each of the restriction enzymes FatI, HpyCH4V, MwoI and Alw21I. Results Among the patients, 59.2% were male and 40.8% female. The most prevalent clinical form was tinea pedis (42.4%), followed by tinea cruris (24.2%), tinea unguium (12.3%), tinea corporis (10.8%), tinea faciei (4%), tinea manuum (3.14%), tinea capitis (3%) and tinea barbae (0.16%), respectively. Trichophyton interdigitale ranked the first, followed by T. rubrum, Epidermophyton floccosum, Microsporum canis, T. tonsurans, T. erinacei and T. violaceum (each 0.49%) and the less frequent species were T. schoenleinii, M. gypseum and T.anamorph of Arthroderma benhamiae (each 0.16%). A case of scalp infection by E. floccosum was an exceptional event in the study. No case of T. verrucosum was found. Conclusion Trichophyton species and E. floccosum are yet the predominant agents of infection in Iran, while Microsporum species are decreasing. T. interdigitale and Tinea pedis remain as the most causal agent and clinical form of dermatophytosis, respectively. It seems that BT2 can be a useful genetic marker for epidemiological survey of common pathogenic dermatophytes. PMID:26060667

  14. Epidemiological status of dermatophytosis in Guilan, north of Iran

    PubMed Central

    Fallahi, AA; Rezaei-Matehkolaei, A; Rezaei, S

    2017-01-01

    Background and Purpose: The epidemiological features of dermatophytoses have been characterized in many geographical locations of Iran, but not in Guilan, North of Iran. This study was carried out to determine the distribution pattern of dermatophytoses and their relevant agents in Guilan, North of Iran, over a period of one year, from April 2010 to April 2011. Materials and Methods: The clinical samples of skin, hair, and nail from 889 outpatients (317 men vs. 572 women) were used for direct microscopy and culture. All the culture-positive samples were then subjected to amplification of the internal transcribed spacer (ITS) of the nuclear rDNA followed by a restriction fragment length polymorphism (RFLP) assay to verify the causative agents. Results: The infection was confirmed in 90 (44.3%) males and 113 (55.7%) females. The most common type of dermatophytoses was tinea cruris (42.9%), followed by tinea pedis (20.2%), tinea corporis (11.3%), tinea unguium (7.4%), tinea faciei (6.9%), tinea manuum (6.4%), and tinea capitis (4.9%). ITS-RFLP based of the identification of isolates, showed that the infections were significantly associated with anthropophilic species, of Trichophyton rubrum (41.9%), Epidermophyton floccosum (19.7%), T. tonsurans (5.4%), and T. violaceum (2%). Other causative agents were T. interdigitale (22.6%), Microsporum canis (4.9%), T. verrucosum (2.5%), and M. gypseum (1%). Conclusion: The higher prevalence of T. rubrum, as the agent of dermatophytoses, than other species has never been reported from Iran and is of public health concern because of the chronic nature of infections with anthropophilic species. To thoroughly investigate the epidemiological trend of dermatophytoses in Iran, further periodical and molecular-based studies are necessary. PMID:29302626

  15. Tordo 1 polar cusp barium plasma injection experiment

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Wescott, E.M.; Stenbaek-Nielsen, H.C.; Davis, T.N.

    1978-04-01

    In January 1975, two barium plasma injection experiments were carried out with rockets launched from Cape Parry, Northwest Territories, Canada, into the upper atmosphere where field lines from the dayside cusp region intersect the ionosphere. One experiment, Tordo 1, took place near the beginning of a worldwide magnetic storm. It became a polar cap experiment almost immediately as convection perpendicular to B moved the fluorescent plasma jet away from the cusp across the polar cap in an antisunward direction. Convection across the polar cap with an average velocity of more than 1 km/s was observed for nearly 40 min untilmore » the barium flux tubes encountered large E fields associated with a poleward bulge of the auroral oval near Greenland. Prior to the encounter with the aurora near Greenland there is evidence of upward acceleration of the barium ions while they were in the polar cap. The three-dimensional observations of the plasma orientation and motion give an insight into convection from the cusp region across the polar cap, the orientation of the polar cap magnetic field lines out to several earth radii, the causes of polar cap magnetic perturbations, and parallel acceleration processes.« less

  16. Measuring Melatonin in Humans

    PubMed Central

    Benloucif, Susan; Burgess, Helen J.; Klerman, Elizabeth B.; Lewy, Alfred J.; Middleton, Benita; Murphy, Patricia J.; Parry, Barbara L.; Revell, Victoria L.

    2008-01-01

    Study Objectives: To provide guidelines for collecting and analyzing urinary, salivary, and plasma melatonin, thereby assisting clinicians and researchers in determining which method of measuring melatonin is most appropriate for their particular needs and facilitating the comparison of data between laboratories. Methods: A modified RAND process was utilized to derive recommendations for methods of measuring melatonin in humans. Results: Consensus-based guidelines are presented for collecting and analyzing melatonin for studies that are conducted in the natural living environment, the clinical setting, and in-patient research facilities under controlled conditions. Conclusions: The benefits and disadvantages of current methods of collecting and analyzing melatonin are summarized. Although a single method of analysis would be the most effective way to compare studies, limitations of current methods preclude this possibility. Given that the best analysis method for use under multiple conditions is not established, it is recommended to include, in any published report, one of the established low threshold measures of dim light melatonin onset to facilitate comparison between studies. Citation: Benloucif S; Burgess HJ; Klerman EB; Lewy AJ; Middleton B; Murphy PJ; Parry BL; Revell VL. Measuring melatonin in humans. J Clin Sleep Med 2008;4(1):66-69. PMID:18350967

  17. Clark T. Sawin historical vignette: what do criminology, Harry Houdini, and King George V have in common with postpartum thyroid dysfunction?

    PubMed

    Smallridge, Robert C

    2014-12-01

    The history of postpartum thyroid dysfunction (PPTD) dates back almost two millennia, when Soranus of Ephesus, who practiced obstetrics and neonatology, observed swelling in the necks (presumably goiters) of women after pregnancy. The next reference to PPTD appeared in artwork more than 1000 years later, with many portraits illustrating women with goiter while holding infants. In the early to mid-19th century, Caleb Hillier Parry and Armand Trousseau described postpartum hyperthyroidism, while in the late 1800s, Sir Horatio Bryan Donkin reported the first patient with postpartum hypothyroidism. The modern era of PPTD began with the description in the late 1940s by H.E.W. Roberton of women after delivery reporting hypothyroid symptoms and responding to thyroid extract. The immunologic influence on PPTD was recognized initially by Parker and Beierwaltes in the early 1960s, and the clinical variability and natural history were carefully documented by numerous investigators in the 1970s-1980s. The past two decades have seen further refinements in understanding the prevalence, etiology, and treatment of PPTD. Yet to be determined is the role of screening as a cost-effective measure.

  18. Navigable windows of the Northwest Passage

    NASA Astrophysics Data System (ADS)

    Liu, Xing-he; Ma, Long; Wang, Jia-yue; Wang, Ye; Wang, Li-na

    2017-09-01

    Artic sea ice loss trends support a greater potential for Arctic shipping. The information of sea ice conditions is important for utilizing Arctic passages. Based on the shipping routes given by ;Arctic Marine Shipping Assessment 2009 Report;, the navigable windows of these routes and the constituent legs were calculated by using sea ice concentration product data from 2006 to 2015, by which a comprehensive knowledge of the sea ice condition of the Northwest Passage was achieved. The results showed that Route 4 (Lancaster Sound - Barrow Strait - Prince Regent Inlet and Bellot Strait - Franklin Strait - Larsen Sound - Victoria Strait - Queen Maud Gulf - Dease Strait - Coronation Gulf - Dolphin and Union Strait - Amundsen Gulf) had the best navigable expectation, Route 2 (Parry Channel - M'Clure Strait) had the worst, and the critical legs affecting the navigation of Northwest Passage were Viscount Melville Sound, Franklin Strait, Victoria Strait, Bellot Strait, M'Clure Strait and Prince of Wales Strait. The shortest navigable period of the routes of Northwest Passage was up to 69 days. The methods used and the results of the study can help the selection and evaluation of Arctic commercial routes.

  19. Molecular adaptation within the coat protein-encoding gene of Tunisian almond isolates of Prunus necrotic ringspot virus.

    PubMed

    Boulila, Moncef; Ben Tiba, Sawssen; Jilani, Saoussen

    2013-04-01

    The sequence alignments of five Tunisian isolates of Prunus necrotic ringspot virus (PNRSV) were searched for evidence of recombination and diversifying selection. Since failing to account for recombination can elevate the false positive error rate in positive selection inference, a genetic algorithm (GARD) was used first and led to the detection of potential recombination events in the coat protein-encoding gene of that virus. The Recco algorithm confirmed these results by identifying, additionally, the potential recombinants. For neutrality testing and evaluation of nucleotide polymorphism in PNRSV CP gene, Tajima's D, and Fu and Li's D and F statistical tests were used. About selection inference, eight algorithms (SLAC, FEL, IFEL, REL, FUBAR, MEME, PARRIS, and GA branch) incorporated in HyPhy package were utilized to assess the selection pressure exerted on the expression of PNRSV capsid. Inferred phylogenies pointed out, in addition to the three classical groups (PE-5, PV-32, and PV-96), the delineation of a fourth cluster having the new proposed designation SW6, and a fifth clade comprising four Tunisian PNRSV isolates which underwent recombination and selective pressure and to which the name Tunisian outgroup was allocated.

  20. Lower Cambrian polychaete from China sheds light on early annelid evolution

    NASA Astrophysics Data System (ADS)

    Liu, Jianni; Ou, Qiang; Han, Jian; Li, Jinshu; Wu, Yichen; Jiao, Guoxiang; He, Tongjiang

    2015-06-01

    We herein report a fossilized polychaete annelid, Guanshanchaeta felicia gen. et sp. nov., from the Lower Cambrian Guanshan Biota (Cambrian Series 2, stage 4). The new taxon has a generalized polychaete morphology, with biramous parapodia (most of which preserve the evidence of chaetae), an inferred prostomium bearing a pair of appendages, and a bifid pygidium. G. felicia is the first unequivocal annelid reported from the Lower Cambrian of China. It represents one of the oldest annelids among those from other early Paleozoic Lagerstätten including Sirius Passet from Greenland (Vinther et al., Nature 451: 185-188, 2008) and Emu Bay from Kangaroo island (Parry et al., Palaeontology 57: 1091-1103, 2014), and adds to our increasing roll of present-day animal phyla recognized in the early Cambrian Guanshan Biota. This finding expands the panorama of the Cambrian `explosion' exemplified by the Guanshan Biota, suggesting the presence of many more fossil annelids in the Chengjiang Lagerstätte and the Kaili Biota. In addition, this new taxon increases our knowledge of early polychaete morphology, which suggests that polychaete annelids considerably diversified in the Cambrian.

  1. Fingertip contact influences human postural control

    NASA Technical Reports Server (NTRS)

    Jeka, J. J.; Lackner, J. R.

    1994-01-01

    Touch and pressure stimulation of the body surface can strongly influence apparent body orientation, as well as the maintenance of upright posture during quiet stance. In the present study, we investigated the relationship between postural sway and contact forces at the fingertip while subjects touched a rigid metal bar. Subjects were tested in the tandem Romberg stance with eyes open or closed under three conditions of fingertip contact: no contact, touch contact (< 0.98 N of force), and force contact (as much force as desired). Touch contact was as effective as force contact or sight of the surroundings in reducing postural sway when compared to the no contact, eyes closed condition. Body sway and fingertip forces were essentially in phase with force contact, suggesting that fingertip contact forces are physically counteracting body sway. Time delays between body sway and fingertip forces were much larger with light touch contact, suggesting that the fingertip is providing information that allows anticipatory innervation of musculature to reduce body sway. The results are related to observations on precision grip as well as the somatosensory, proprioceptive, and motor mechanisms involved in the reduction of body sway.

  2. Volcanic signatures in time gravity variations during the volcanic unrest on El Hierro (Canary Islands)

    NASA Astrophysics Data System (ADS)

    Sainz-Maza Aparicio, S.; Arnoso Sampedro, J.; Gonzalez Montesinos, F.; Martí Molist, J.

    2014-06-01

    Gravity changes occurring during the initial stage of the 2011-2012 El Hierro submarine eruption are interpreted in terms of the preeruptive signatures during the episode of unrest. Continuous gravity measurements were made at two sites on the island using the relative spring gravimeter LaCoste and Romberg gPhone-054. On 15 September 2011, an observed gravity decrease of 45 μGal, associated with the southward migration of seismic epicenters, is consistent with a lateral magma migration that occurred beneath the volcanic edifice, an apparently clear precursor of the eruption that took place 25 days later on 10 October 2011. High-frequency gravity signals also appeared on 6-11 October 2011, pointing to an occurring interaction between a magmatic intrusion and the ocean floor. These important gravity changes, with amplitudes varying from 10 to -90 μGal, during the first 3 days following the onset of the eruption are consistent with the northward migration of the eruptive focus along an active eruptive fissure. An apparent correlation of gravity variations with body tide vertical strain was also noted, which could indicate that concurrent tidal triggering occurred during the initial stage of the eruption.

  3. The effect of vision on postural strategies in Prader-Willi patients.

    PubMed

    Cimolin, Veronica; Galli, Manuela; Vismara, Luca; Grugni, Graziano; Priano, Lorenzo; Capodaglio, Paolo

    2011-01-01

    The aim of this study was to quantify the role of visual contribution in patients with Prader-Willi syndrome (PWS) on balance maintenance using a force platform. We enrolled 14 individuals with PWS free from conditions associated with impaired balance, 44 obese (OG) and 20 healthy controls (CG). Postural sway was measured for 60s while standing on a force platform (Kistler, CH; acquisition frequency: 500 Hz) integrated with a video system. Patients maintained an upright standing position with Open Eyes (OE) and then with Closed Eyes (CE). The ratio between the value of the parameter under OE and CE conditions was measured. Under OE condition PWS and OG were characterized by higher postural instability than CG, with the PWS group showing poorer balance capacity than OG. The Romberg ratio showed that while OG and CG had lower balance without vision, PWS maintained the same performance changing from OE to CE. The integration of different sensory inputs appears similar in OG and CG with higher postural stability under OE than CE. Balance in PWS is not influenced by the elimination of visual input. Copyright © 2011 Elsevier Ltd. All rights reserved.

  4. Static posturography with dynamic tests. Usefulness of biomechanical parameters in assessing vestibular patients.

    PubMed

    Balaguer García, Ramón; Pitarch Corresa, Salvador; Baydal Bertomeu, José María; Morales Suárez-Varela, María M

    2012-01-01

    Posturography allows evaluating postural control. This study showed the posturographic parameters that were useful for assessing the functional ability to maintain balance in our sample of vestibular patients. Of a total of 89 patients, 59 were healthy subjects and 30 had a peripheral vestibular disorder. The subjects were studied using the posturographic NedSVE/IBV system, combining static (Romberg) and dynamic (stability limits and rhythmic weight shifts) tests. We then compared the measurements found in the groups. Normal subjects showed significantly lower oscillations than our patients in all of the posturographic parameters studied (except the displacement angle). In testing the limits of stability, although normal subjects achieved maximum displacements greater than the subjects with the disorder, the differences found were not significant. In rhythmic weight shift tests, normal subjects showed more favourable results than did the vestibular patients, with significant differences in 3 of the 4 parameters studied: 1) anteroposterior ability, 2) mediolateral ability, and 3) anteroposterior control and efficiency. Rhythmic weight shift tests and the static posturography test parameters used were useful in discriminating among the normal and pathological subjects in this study. Copyright © 2011 Elsevier España, S.L. All rights reserved.

  5. Pitfalls in the diagnostic evaluation of subacute combined degeneration.

    PubMed

    Ulrich, A; Müller, D; Linnebank, M; Tarnutzer, A A

    2015-05-14

    We report a case of a 43-year-old man presenting with a 2-week history of painless ascending sensory disturbances, suspected to be suffering from acute inflammatory polyneuropathy. On clinical examination, deep tendon reflexes were preserved and muscle strength was 5/5 everywhere. Gait was ataxic with positive Romberg test. Lumbar puncture was normal and electroneurography demonstrated demyelination. With spinal cord involvement centred on the posterior tracts on MRI, differential diagnosis focused on cobalamin deficiency. Initial laboratory work up showed nearly normal holotranscobalamin (43 pmol/L, normal>50) suggesting no vitamin B12 deficiency. Surprisingly, further testing including methylmalonic acid (3732 nmol/L, normal<271) and homocysteine (48.5 µmol/L, normal<10) showed an impairment of vitamin B12-dependent metabolism leading to the diagnosis of subacute combined degeneration. Only after repeated history taking did the patient remember having taken tablets containing cobalamin for 3 days before hospitalisation. In case of B12 deficiency, holotranscobalamin can rapidly normalise during supplementation, whereas methylmalonic acid and homocysteine might help to detect B12 deficiency in patients who recently started supplementation. 2015 BMJ Publishing Group Ltd.

  6. ECSIT links TLR and BMP signaling in FOP connective tissue progenitor cells.

    PubMed

    Wang, Haitao; Behrens, Edward M; Pignolo, Robert J; Kaplan, Frederick S

    2018-04-01

    Clinical and laboratory observations strongly suggest that the innate immune system induces flare-ups in the setting of dysregulated bone morphogenetic protein (BMP) signaling in fibrodysplasia ossificans progressiva (FOP). In order to investigate the signaling substrates of this hypothesis, we examined toll-like receptor (TLR) activation and bone morphogenetic protein (BMP) signaling in connective tissue progenitor cells (CTPCs) from FOP patients and unaffected individuals. We found that inflammatory stimuli broadly activate TLR expression in FOP CTPCs and that TLR3/TLR4 signaling amplifies BMP pathway signaling through both ligand dependent and independent mechanisms. Importantly, Evolutionarily Conserved Signaling Intermediate in the Toll Pathway (ECSIT) integrates TLR injury signaling with dysregulated BMP pathway signaling in FOP CTPCs. These findings provide novel insight into the cell autonomous integration of injury signals from the innate immune system with dysregulated response signals from the BMP signaling pathway and provide new exploratory targets for therapeutic approaches to blocking the induction and amplification of FOP lesions. Copyright © 2018 Elsevier Inc. All rights reserved.

  7. A new method to quantitatively compare focal ratio degradation due to different end termination techniques

    NASA Astrophysics Data System (ADS)

    Poppett, Claire; Allington-Smith, Jeremy

    2010-07-01

    We investigate the FRD performance of a 150 μm core fibre for its suitability to the SIDE project.1 This work builds on our previous work2 (Paper 1) where we examined the dependence of FRD on length in fibres with a core size of 100 μm and proposed a new multi-component model to explain the results. In order to predict the FRD characteristics of a fibre, the most commonly used model is an adaptation of the Gloge8model by Carrasco and Parry3 which quantifies the the number of scattering defects within an optical bre using a single parameter, d0. The model predicts many trends which are seen experimentally, for example, a decrease in FRD as core diameter increases, and also as wavelength increases. However the model also predicts a strong dependence on FRD with length that is not seen experimentally. By adapting the single fibre model to include a second fibre, we can quantify the amount of FRD due to stress caused by the method of termination. By fitting the model to experimental data we find that polishing the fibre causes a small increase in stress to be induced in the end of the fibre compared to a simple cleave technique.

  8. Growth, structural, spectroscopic, thermal, dielectric and optical study of cobalt sulphide-doped ADP crystals

    NASA Astrophysics Data System (ADS)

    Kochuparampil, A. P.; Joshi, J. H.; Joshi, M. J.

    2017-09-01

    As ammonium dihydrogen phosphate (ADP) is a popular nonlinear optical crystal, to engineer its linear and nonlinear optical properties, the chalcogenide compound cobalt sulphide (CoS) was doped and the crystals were grown by the slow solvent evaporation method. To increase the solubility of CoS in water, its nanoparticles were synthesized by wet chemical technique using ethylene diamine as the capping agent followed by microwave irradiation. The nanoparticle sample exhibited finite solubility in water and was used to dope in ADP crystals. The powder XRD patterns showed the single phase nature of the doped crystals. The FTIR spectra confirmed the presence of various functional groups and EDAX gave the estimation of Co and S elements. The EPR spectroscopy also confirmed the presence of cobalt in the doped samples. TGA indicated slightly less thermal stability of the doped crystals compared to the pure ADP. The dielectric study was carried out at room temperature in the frequency range from 100Hz to 1MHz. Also, various linear optical parameters were evaluated for pure and doped crystals using UV-Vis spectroscopy. The second harmonic generation (SHG) efficiency of Nd:YAG laser was evaluated by the Kurtz and Parry method for the doped samples, it was found to be slightly lesser than that of the pure ADP crystals.

  9. Biology of Scolytus piceae (Coleoptera: Curculionidae: Scolytinae) in Northern Idaho and Notes on Comparative Anatomical Features of the Larva.

    PubMed

    Furniss, Malcolm M; Kegley, Sandra J

    2017-06-01

    The forests of the northern Rocky Mountains are hosts of nine species of Nearctic conifer-infesting bark beetles of the genus Scolytus Geoffroy. One of these, Scolytus piceae Swaine (Coleoptera: Curculionidae), infests spruces across the continent including Picea engelmannii Parry (Pinaceae) in Idaho. Mature larvae overwintered before transforming to adults, which infested new hosts in early June. Scolytus piceae most commonly infested shaded out lower branches of mature live spruce. In sporadic wind-felled spruce, the beetle infested the terminal portion of branches throughout the crown, whereas another Scolytinae, Polygraphus rufipennis (Kirby), infested the thicker bark basal portion of the same branches. This niche separation resulted from difference in time of their dispersal flight and ability of S. piceae to colonize thin bark by engraving the underlying sapwood. Population recruitment of S. piceae was low in shaded out lower branches, in balance with this limited host resource. Features of the head of S. piceae larvae differed from that reported in literature, including the mandible dentition, antennal field, and pattern of setae on the postlabium. © The Authors 2017. Published by Oxford University Press on behalf of Entomological Society of America. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  10. Influence of Shoot Structure on Light Interception and Photosynthesis in Conifers

    PubMed Central

    Carter, Gregory A.; Smith, William K.

    1985-01-01

    The influence of shoot structure on net photosynthesis was evaluated under field conditions for the central Rocky Mountain (United States) conifers Picea engelmannii (Parry ex Engelm.), Abies lasiocarpa ([Hook] Nutt.), and Pinus contorta (Engelm.). In all species, the greater number of needles per unit stem length on sun shoots correlated with a smaller silhouette leaf area to total leaf area ratio (STAR). Decreased STAR was due primarily to greater needle inclination toward the vertical, plus some needle mutual shading. However, photosynthesis expressed on a total leaf area basis did not decrease in sun shoots (lower STAR) but remained nearly constant at approximately 3 micromoles per square meter per second over a wide range of STAR (0.1 to 0.3). Relatively low light saturation levels of 200 to 1400 microeinsteins per square meter per second and diffuse light to 350 microeinsteins per meter per second maintained photosynthetic flux densities in inclined and/or shaded needles at levels comparable to those in unshaded needles oriented perpendicular to the solar beam. As a result, net CO2 uptake per unit stem length increased as much as 2-fold in sun shoots (low STAR) in direct proportion to increasing needle density. PMID:16664525

  11. Genetic conservation and management of the California endemic, Torrey pine ( Pinus torreyana Parry): Implications of genetic rescue in a genetically depauperate species

    Treesearch

    Jill A. Hamilton; Raphaël Royauté; Jessica W. Wright; Paul Hodgskiss; F. Thomas Ledig

    2017-01-01

    Rare species present a challenge under changing environmental conditions as the genetic consequences of rarity may limit species ability to adapt to environmental change. To evaluate the evolutionary potential of a rare species, we assessed variation in traits important to plant fitness using multigenerational common garden experiments. Torrey pine, ...

  12. [Microsporum canis: Current data on the prevalence of the zoophilic dermatophyte in central Germany].

    PubMed

    Uhrlaß, S; Krüger, C; Nenoff, P

    2015-11-01

    Microsporum (M.) canis, whose source of infection is mostly cats, is still considered as the most frequently occurring zoophilic dermatophyte in Germany and Europe. In distinct areas of Germany, the zoophilic dermatophyte Trichophyton (T.) anamorph of Arthroderma (A.) benhamiae also presents a frequent and emerging causative agent of dermatophytoses. Over a period of 3 years, from March 2010 to March 2013, skin samples from scalp, face, trunk, and limbs were investigated using mycological cultivation and by polymerase chain reaction (PCR) for dermatophytes. Materials originated in particular from the German Free States Saxony and Thuringia, and from the Federal State Saxony-Anhalt, but also included samples submitted from around Germany. The cultural detection of dermatophytes was performed on Sabouraud's 4% glucose agar with and without cycloheximide. For dermatophyte DNA detection, a uniplex PCR-ELISA was used. In all, 8464 samples from a total of 7680 patients were investigated. In 114 (1.5%) of 7680 patients, M. canis could be detected both by culture and/or PCR. M. canis was detected culturally in 100 samples, in 107 samples by PCR, in 91 samples both culturally and by PCR. For 12 patients, only cultural detection was done (without PCR). Also detected was tinea corporis due to M. canis in 59 patients, tinea capitis 8, tinea faciei 5, and tinea manus 2 patients. Of the patients, 45% were younger than 20 years, 42% were 20-49 years old, and 13% were 50 years or older. In comparison, T. anamorph of A. benhamiae was detectable by culture and/or PCR in 231 of 7680 patients (2.9%). M. canis was the second most common zoophilic dermatophyte. M. canis is still a frequent zoophilic dermatophyte in Germany. Since a few years ago, a rise of infections due to T. anamorph of A. benhamiae has been observed in Germany and other European countries. At least in distinct regions of Germany, this zoophilic dermatophyte, which is transferred from guinea pigs to human beings

  13. Clinical history and biologic age predicted falls better than objective functional tests.

    PubMed

    Gerdhem, Paul; Ringsberg, Karin A M; Akesson, Kristina; Obrant, Karl J

    2005-03-01

    Fall risk assessment is important because the consequences, such as a fracture, may be devastating. The objective of this study was to find the test or tests that best predicted falls in a population-based sample of elderly women. The fall-predictive ability of a questionnaire, a subjective estimate of biologic age and objective functional tests (gait, balance [Romberg and sway test], thigh muscle strength, and visual acuity) were compared in 984 randomly selected women, all 75 years of age. A recalled fall was the most important predictor for future falls. Only recalled falls and intake of psycho-active drugs independently predicted future falls. Women with at least five of the most important fall predictors (previous falls, conditions affecting the balance, tendency to fall, intake of psychoactive medication, inability to stand on one leg, high biologic age) had an odds ratio of 11.27 (95% confidence interval 4.61-27.60) for a fall (sensitivity 70%, specificity 79%). The more time-consuming objective functional tests were of limited importance for fall prediction. A simple clinical history, the inability to stand on one leg, and a subjective estimate of biologic age were more important as part of the fall risk assessment.

  14. Sparring and neurological function in professional boxers.

    PubMed

    Stiller, John W; Yu, Steven S; Brenner, Lisa A; Langenberg, Patricia; Scrofani, Phillip; Pannella, Patrick; Hsu, Edbert B; Roberts, Darryl W; Monsell, Ray M T; Binks, Sidney W; Guzman, Alvaro; Postolache, Teodor T

    2014-01-01

    Despite increased interest regarding the potentially long-term negative impact of chronic traumatic brain injury, limited research has been conducted regarding such injuries and neurological outcomes in real world settings. To increase understanding regarding the relationship between sparring (e.g., training under the tutelage of an experienced boxing coach for the purpose of improving skills and/or fitness) and neurological functioning, professional boxers (n = 237) who competed in Maryland between 2003 and 2008 completed measures regarding sparring exposure (Cumulative Sparring Index, CSI) and performance on tests of cognition (Symbol Digit Modalities Test, SDMT) and balance (Sharpened Romberg Test, SRT). Measures were completed prior to boxing matches. Higher scores on the CSI (increased sparring exposure) were associated with poorer performance on both tests of cognition (SDMT) and balance (SRT). A threshold effect was noted regarding performance on the SDMT, with those reporting CSI values greater than about 150 experiencing a decline in cognition. A history of frequent and/or intense sparring may pose a significant risk for developing boxing associated neurological sequelae. Implementing administration of clinically meaningful tests before bouts, such as the CSI, SDMT, and/or the SRT, as well as documentation of results into the boxer's physicals or medical profiles may be an important step for improving boxing safety.

  15. Sparring and Neurological Function in Professional Boxers

    PubMed Central

    Stiller, John W.; Yu, Steven S.; Brenner, Lisa A.; Langenberg, Patricia; Scrofani, Phillip; Pannella, Patrick; Hsu, Edbert B.; Roberts, Darryl W.; Monsell, Ray M. T.; Binks, Sidney W.; Guzman, Alvaro; Postolache, Teodor T.

    2014-01-01

    Despite increased interest regarding the potentially long-term negative impact of chronic traumatic brain injury, limited research has been conducted regarding such injuries and neurological outcomes in real world settings. To increase understanding regarding the relationship between sparring (e.g., training under the tutelage of an experienced boxing coach for the purpose of improving skills and/or fitness) and neurological functioning, professional boxers (n = 237) who competed in Maryland between 2003 and 2008 completed measures regarding sparring exposure (Cumulative Sparring Index, CSI) and performance on tests of cognition (Symbol Digit Modalities Test, SDMT) and balance (Sharpened Romberg Test, SRT). Measures were completed prior to boxing matches. Higher scores on the CSI (increased sparring exposure) were associated with poorer performance on both tests of cognition (SDMT) and balance (SRT). A threshold effect was noted regarding performance on the SDMT, with those reporting CSI values greater than about 150 experiencing a decline in cognition. A history of frequent and/or intense sparring may pose a significant risk for developing boxing associated neurological sequelae. Implementing administration of clinically meaningful tests before bouts, such as the CSI, SDMT, and/or the SRT, as well as documentation of results into the boxer’s physicals or medical profiles may be an important step for improving boxing safety. PMID:25101253

  16. Soft-tissue coverage of the neural elements after myelomeningocele repair.

    PubMed

    Seidel, S B; Gardner, P M; Howard, P S

    1996-09-01

    We retrospectively reviewed all newborns with a diagnosis of myelomeningocele (MMC) admitted to our hospital between January 1990 and September 1994 to determine methods of soft tissue coverage, complication rates, and results. Sixty-five patients underwent repair of thoracic, lumbar, or sacral MMCs. The average size of defect repaired measured 21.3 cm2 (range, 2-80 cm2). Methods of repair included direct approximation of soft tissues with or without undermining (N = 48), Romberg Limberg flaps (N = 8), gluteus maximus or latissimus dorsi musculocutaneous flaps (N = 5), fascioutaneous flaps (N = 3), and V-gamma advancement (N = 1). A total of 18 complications were recorded (27.7%). There were 5 major complications (7.7%) and 13 minor ones (20.0%). Major complications were defined as midline wound dehiscence overlying the neural elements or wound infection leading to meningitis or ventriculitis. All 5 major and 9 minor complications arose in patients undergoing direct soft-tissue approximation. Additionally, all major complications were recorded in defects > 18 cm2. Based on this series, it appears that MMC defects < 18 cm2 can be closed by direct approximation of soft tissues without significant risk or major wound complication. Larger wounds may be successfully closed in this manner, but the risk of major complication is substantial.

  17. The solution of the point kinetics equations via converged accelerated Taylor series (CATS)

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Ganapol, B.; Picca, P.; Previti, A.

    This paper deals with finding accurate solutions of the point kinetics equations including non-linear feedback, in a fast, efficient and straightforward way. A truncated Taylor series is coupled to continuous analytical continuation to provide the recurrence relations to solve the ordinary differential equations of point kinetics. Non-linear (Wynn-epsilon) and linear (Romberg) convergence accelerations are employed to provide highly accurate results for the evaluation of Taylor series expansions and extrapolated values of neutron and precursor densities at desired edits. The proposed Converged Accelerated Taylor Series, or CATS, algorithm automatically performs successive mesh refinements until the desired accuracy is obtained, making usemore » of the intermediate results for converged initial values at each interval. Numerical performance is evaluated using case studies available from the literature. Nearly perfect agreement is found with the literature results generally considered most accurate. Benchmark quality results are reported for several cases of interest including step, ramp, zigzag and sinusoidal prescribed insertions and insertions with adiabatic Doppler feedback. A larger than usual (9) number of digits is included to encourage honest benchmarking. The benchmark is then applied to the enhanced piecewise constant algorithm (EPCA) currently being developed by the second author. (authors)« less

  18. How does practise of internal Chinese martial arts influence postural reaction control?

    PubMed

    Gorgy, Olivier; Vercher, Jean-Louis; Coyle, Thelma

    2008-04-01

    The aim of this study was to determine the effects of Chinese martial arts practice on postural reaction control after perturbation. Participants standing in Romberg tandem posture were subjected to an unexpected lateral platform translation with the eyes open or closed at two translation amplitudes. The peak displacement of the centre of pressure and of the centre of mass, and the onset latency of muscular activity (tibialis anterior, gastrocnemius, lumbodorsal muscular group, and rectus abdominis), were evaluated for martial arts practitioners and for sport and non-sport participants. Compared with the sport and non-sport participants, the martial arts group showed lower maximal centre of pressure and centre of mass peak displacements in both the lateral and anterior - posterior directions, but no difference was found in the onset of muscular responses. We conclude that martial arts practice influences postural reaction control during a fixed-support strategy in a tandem task. The martial arts group used the ankle joint more frequently than the sport and non-sport participants, especially in the eyes-closed conditions. Our results suggest that the better balance recovery in the martial arts group is a consequence of better control of biomechanical properties of the lower limbs (e.g. through muscular response by co-contraction), not a change in the neuromuscular temporal pattern.

  19. Vitamin B12 deficiency-induced neuropathy secondary to prolonged recreational use of nitrous oxide.

    PubMed

    Egan, William; Steinberg, Eric; Rose, Jeremy

    2018-05-24

    A 24-year-old female, otherwise healthy, presented to the Emergency Department (ED) with difficulty walking and bilateral leg pain. The patient was a recreational nitrous oxide (NO 2 ) user, also known as "whippets" or simply nitrous. Neurologic examination demonstrated an unsteady gait and positive Romberg sign along with normal deep tendon reflexes and normal muscle strength in upper and lower extremities. Laboratory results demonstrated macrocytic erythropoiesis, reduced B 12 , elevated homocysteine, and elevated methylmalonic acid. Outpatient MRI later demonstrated degeneration of the posterior spinal column. The patient was empirically treated in the ED with intramuscular B 12 and admitted to the evaluation unit for pain control and Physical Therapy (PT) evaluation. Emergency Medicine (EM) physicians should be aware of this condition because NO 2 is used both recreationally and in medicine. With the popularity of recreational nitrous oxide, many emergency patients have experience with this drug. As in our case report, the toxic effects can be profound and mimic other emergent conditions like stroke. Emergency physicians should have a higher index of suspicion for the toxic effects of this common drug. Elderly, vegetarians and patients with Irritable Bowel Disease are at higher risk and may even experience toxicity from nitrous oxide used therapeutically during routine anesthesia. Copyright © 2018 Elsevier Inc. All rights reserved.

  20. Precision gravity studies at Cerro Prieto: a progress report

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Grannell, R.B.; Kroll, R.C.; Wyman, R.M.

    A third and fourth year of precision gravity data collection and reduction have now been completed at the Cerro Prieto geothermal field. In summary, 66 permanently monumented stations were occupied between December and April of 1979 to 1980 and 1980 to 1981 by a LaCoste and Romberg gravity meter (G300) at least twice, with a minimum of four replicate values obtained each time. Station 20 alternate, a stable base located on Cerro Prieto volcano, was used as the reference base for the third year and all the stations were tied to this base, using four to five hour loops. Themore » field data were reduced to observed gravity values by (1) multiplication with the appropriate calibration factor; (2) removal of calculated tidal effects; (3) calculation of average values at each station, and (4) linear removal of accumulated instrumental drift which remained after carrying out the first three reductions. Following the reduction of values and calculation of gravity differences between individual stations and the base stations, standard deviations were calculated for the averaged occupation values (two to three per station). In addition, pooled variance calculations were carried out to estimate precision for the surveys as a whole.« less

  1. Static posturography and intravenous alcohol.

    PubMed

    Uimonen, S; Laitakari, K; Bloigu, R; Reinilä, M; Sorri, M

    1994-01-01

    Twelve health subjects were assessed using static posturography before and after intravenous alcohol infusion in a double-blind experiment. The dose was 0.5 g ethanol per kg body weight in 15 minutes, which raised the blood alcohol concentration to a level of approximately 1 mg/mL. Among other parameters, the average body sway velocity (BSV) and area of body sway (BSA) were measured. BSV was the most sensitive parameter for detecting increased body sway after alcohol infusion, and a significant effect of alcohol on its values was seen at 0.46 to 1.0 mg/mL alcohol concentrations. The second best indicator was the BSA. There was a positive correlation between the BSV and the BSA. The other parameters were not affected. The Romberg quotient remained constant during the alcohol test. The test battery used was relevant to distinguish the effect of alcohol on balance. In this study, acute blood alcohol concentrations of around 0.5 to 1.0 mg/mL affected BSV more significantly than BSA. The authors do not, however, recommend the test for forensic purposes in examining drivers with alcohol in their blood, as there is too much interindividual dispersion in the results.

  2. [Studies of time-course changes in human body balance after ingestion of long-acting hypnotics].

    PubMed

    Nakamura, Masahiro; Ishii, Masanori; Niwa, Yoji; Yamazaki, Momoko; Ito, Hiroshi

    2004-02-01

    Falling accidents are a serious nocosomial problem, with balance disorders after the ingestion of hypnotics said to be a cause. Based on the results of animal studies, it was postulated that this problem involves the muscle relaxation that is a pharmacological effect of benzodiazepines (BZP). No reports have, to our knowledge, been made of time-course changes in human body balance after ingestion of hypnotics. Accordingly, we used quazepam (Doral), a long-acting hypnotic considered to show comparatively weak muscle relaxation, to study static balance after drug ingestion in human volunteers. Briefly, informed consent was obtained from 8 healthy adults, then a gait analytic system (Gangas) was used to test static balance after drug ingestion (Mann and Romberg tests). We also measured circulating drug concentration over time. Our results showed that balance disorders occurred after quazepam ingestion with an unstable posture particularly striking. Given the function of quazepam receptors, it is difficult to surmise that balance disorders after drug ingestion were due to the drug's muscle relaxation. We surmised that inhibition from the central nervous system in connection with nerves awakening was involved. We found a strong correlation between the manifestation of balance disorders after drug ingestion and circulating drug concentration.

  3. Effects of vitamin D supplementation and exercise training on physical performance in Chilean vitamin D deficient elderly subjects.

    PubMed

    Bunout, Daniel; Barrera, Gladys; Leiva, Laura; Gattas, Vivien; de la Maza, María Pía; Avendaño, Marcelo; Hirsch, Sandra

    2006-08-01

    The aim was to assess the effects of resistance training and vitamin D supplementation on physical performance of healthy elderly subjects. Ninety-six subjects, aged 70 years or more with 25 OH vitamin D levels of 16 ng/ml or less, were randomized to a resistance training or control group. Trained and control groups were further randomized to receive in a double blind fashion, vitamin D 400 IU plus 800 mg of calcium per day or calcium alone. Subjects were followed for nine months. Serum 25 OH vitamin D increased from 12.4+/-2.2 to 25.8+/-6.5 ng/ml among subjects supplemented with vitamin D. Trained subjects had significant improvements in quadriceps muscle strength, the short physical performance test and timed up and go. The latter improved more in trained subjects supplemented with vitamin D. At the end of the follow up, gait speed was higher among subjects supplemented with vitamin (whether trained or not) than in non-supplemented subjects (838+/-147 and 768+/-127 m/12 min, respectively, p=0.02). Romberg ratio was lower among supplemented controls than non-supplemented trained subjects (128+/-40% and 144+/-37%, respectively, p=0.05). In conclusion, vitamin D supplementation improved gait speed and body sway, and training improved muscle strength.

  4. Effects of m-xylene on human equilibrium measured with a quantitative method.

    PubMed

    Savolainen, K; Linnavuo, M

    1979-04-01

    Swaying during normal upright posture in 17 young males and the effects of m-xylene exposure on the body sway of six of the 17 has been studied by a quantitative Romberg test, conducted with an equipment consisting of a strain gauge transducer platform and of an electronic unit. The exposures were conducted in a dynamic exposure chamber. The sway of the 17 subjects was larger when their eyes were closed than when they were open (P less than 0.001) indicating the importance of vision in the control of body balance. Exposure to a time-weighted average (TWA) concentration of 100 p.p.m. (4.1 mumol/l) of xylene with 200 p.p.m. (8.2 mumol/l) peaks had no observable effect on the body balance of the six subjects. Exposure to a TWA concentration of 200 p.p.m. of xylene with 400 p.p.m. (16.4 mumol/l) peaks--the corresponding mean concentration of xylene in venous blood being 29.1 +/- 3.2 mumol/l--clearly impaired the body balance of the six subjects. The impairment was most pronounced with the eyes closed (P = 0.016). The results suggest that human equilibrium is rather sensitive to effects of exposure to xylene.

  5. [Benefit of rotational exercises for patients with Meniere's syndrome, method used by the ENT department of St-Luc university clinic].

    PubMed

    Nyabenda, A; Briart, C; Deggouj, N; Gersdorff, M

    2003-12-01

    To date, the effectiveness of balanced rehabilitation for patients with Meniere's syndrome has not been unanimously acknowledged by all physicians and physiotherapists. The purpose of this study is to assess the therapeutic efficacy of rotational exercises in the treatment of disequilibrium for patients with unilateral Meniere's syndrome. Rotational stimuli were used to symmetrize and reduce postrotatory nystagmic response. Three reference sources were used to assess the efficacy of this management: vestibulospinal function tests: pre- and post-treatment results at the Romberg test, the Unterberger-Fukuda stepping test, the Babinski-Weil test, and gait testing with eyes closed; rotational tests: pre- and post-treatment results; and the self-perceived impact of vertigo: assessed by the Dizziness Handicap Inventory (DHI) and a scale based on the guidelines of the Japanese Society of Equilibrium Research (JSER, 1993). The JSER scale provides quantitative vertigo evaluation; the DHI reflects the patient's perceptual evaluation of handicap. Patients required 11 sessions (mean value) to attain subjective improvement. Of the 23 patients, only seven required optokinetic stimulation (mean requirement: three sessions). Rotational tests and dynamic tests of the vestibulospinal function improved. The DHI and JSER results show that patients' post-rehabilitation perceptual evaluation significantly improved. The objective and subjective measures of disequilibrium in patients with unilateral Meniere's syndrome were significantly improved.

  6. Injury Reduction Effectiveness of Prescribing Running Shoes Based on Plantar Shape in Marine Corps Basic Training San Diego, CA and Parris Island, SC

    DTIC Science & Technology

    2009-05-01

    studies frequently hypothesize that specific changes in body mechanics induced by running shoes can influence injury rates. However, the data...2.7 12.1 33.5 42.4 9.3 1.9 13.1 30.6 42.7 11.8 0.79 Q14. Frequency of Exercise or Sports Last 2 Months Men C=425 Men E=408 Women...10.8 3.4 5.9 0.11 3.9 14.4 17.9 10.9 18.7 12.1 22.2 5.1 17.8 14.3 13.4 19.7 8.6 21.0 0.52 Q17. Frequency of Exercise with Weights

  7. Injury-Reduction Effectiveness of Prescribing Running Shoes Based on Plantar Shape in Marine Corps Basic Training, San Diego, CA, and Parris Island, SC

    DTIC Science & Technology

    2007-10-01

    studies frequently hypothesize that specific changes in body mechanics induced by running shoes can influence injury rates. However, the data...2.7 12.1 33.5 42.4 9.3 1.9 13.1 30.6 42.7 11.8 0.79 Q14. Frequency of Exercise or Sports Last 2 Months Men C=425 Men E=408 Women...10.8 3.4 5.9 0.11 3.9 14.4 17.9 10.9 18.7 12.1 22.2 5.1 17.8 14.3 13.4 19.7 8.6 21.0 0.52 Q17. Frequency of Exercise with Weights

  8. Mathematical Modelling of the Behavior of the Lacoste and Romberg ’G’ Gravity Meter for Use in Gravity Network Adjustments and Data Analyses,

    DTIC Science & Technology

    1981-11-01

    Geodetic Science and Surveying 62101F The Ohio State University 760003AL Columbus, Ohio 43210 11. CONTROLLING OFFICE NAME AND ADDRESS 12. REPORT DATE Air ... Air Force Contract No. F19628-79-C-9975, The Ohio State University Research Foundation, Project No. 711715, Project Supervisor, Urho A. Uotila...Professor, Department of Geodetic Science and Surveying. The contract covering this research is administered by the Air Force Geophysics Laboratory (AFGL

  9. The dependence of the properties of optical fibres on length

    NASA Astrophysics Data System (ADS)

    Poppett, C. L.; Allington-Smith, J. R.

    2010-05-01

    We investigate the dependence on length of optical fibres used in astronomy, especially the focal ratio degradation (FRD) which places constraints on the performance of fibre-fed spectrographs used for multiplexed spectroscopy. To this end, we present a modified version of the FRD model proposed by Carrasco & Parry to quantify the number of scattering defects within an optical fibre using a single parameter. The model predicts many trends which are seen experimentally, for example, a decrease in FRD as core diameter increases, and also as wavelength increases. However, the model also predicts a strong dependence on FRD with length that is not seen experimentally. By adapting the single fibre model to include a second fibre, we can quantify the amount of FRD due to stress caused by the method of termination. By fitting the model to experimental data, we find that polishing the fibre causes more stress to be induced in the end of the fibre compared to a simple cleave technique. We estimate that the number of scattering defects caused by polishing is approximately double that produced by cleaving. By placing limits on the end effect, the model can be used to estimate the residual-length dependence in very long fibres, such as those required for Extremely Large Telescopes, without having to carry out costly experiments. We also use our data to compare different methods of fibre termination.

  10. HPLC determination of caffeine in coffee beverage

    NASA Astrophysics Data System (ADS)

    Fajara, B. E. P.; Susanti, H.

    2017-11-01

    Coffee is the second largest beverage which is consumed by people in the world, besides the water. One of the compounds which contained in coffee is caffeine. Caffeine has the pharmacological effect such as stimulating the central nervous system. The purpose of this study is to determine the level of caffeine in coffee beverages with HPLC method. Three branded coffee beverages which include in 3 of Top Brand Index 2016 Phase 2 were used as samples. Qualitative analysis was performed by Parry method, Dragendorff reagent, and comparing the retention time between sample and caffeine standard. Quantitative analysis was done by HPLC method with methanol-water (95:5v/v) as mobile phase and ODS as stationary phasewith flow rate 1 mL/min and UV 272 nm as the detector. The level of caffeine data was statistically analyzed using Anova at 95% confidence level. The Qualitative analysis showed that the three samples contained caffeine. The average of caffeine level in coffee bottles of X, Y, and Z were 138.048 mg/bottle, 109.699 mg/bottle, and 147.669 mg/bottle, respectively. The caffeine content of the three coffee beverage samples are statistically different (p<0.05). The levels of caffeine contained in X, Y, and Z coffee beverage samples were not meet the requirements set by the Indonesian Standard Agency of 50 mg/serving.

  11. Space-time modelling of lightning-caused ignitions in the Blue Mountains, Oregon

    USGS Publications Warehouse

    Diaz-Avalos, Carlos; Peterson, D.L.; Alvarado, Ernesto; Ferguson, Sue A.; Besag, Julian E.

    2001-01-01

    Generalized linear mixed models (GLMM) were used to study the effect of vegetation cover, elevation, slope, and precipitation on the probability of ignition in the Blue Mountains, Oregon, and to estimate the probability of ignition occurrence at different locations in space and in time. Data on starting location of lightning-caused ignitions in the Blue Mountains between April 1986 and September 1993 constituted the base for the analysis. The study area was divided into a pixela??time array. For each pixela??time location we associated a value of 1 if at least one ignition occurred and 0 otherwise. Covariate information for each pixel was obtained using a geographic information system. The GLMMs were fitted in a Bayesian framework. Higher ignition probabilities were associated with the following cover types: subalpine herbaceous, alpine tundra, lodgepole pine (Pinus contorta Dougl. ex Loud.), whitebark pine (Pinus albicaulis Engelm.), Engelmann spruce (Picea engelmannii Parry ex Engelm.), subalpine fir (Abies lasiocarpa (Hook.) Nutt.), and grand fir (Abies grandis (Dougl.) Lindl.). Within each vegetation type, higher ignition probabilities occurred at lower elevations. Additionally, ignition probabilities are lower in the northern and southern extremes of the Blue Mountains. The GLMM procedure used here is suitable for analysing ignition occurrence in other forested regions where probabilities of ignition are highly variable because of a spatially complex biophysical environment.

  12. Tectonics and kinematics of a foreland folded belt influenced by salt, arctic Canada

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Harrison, J.C.

    1996-12-31

    The Ordovician (upper Arenig-Llanvirn) Bay Fiord Formation is one of three widespread evaporite units known to have profoundly influenced the style of contractional tectonics within the Innuitian orogen of Arctic Canada. In the western Arctic Islands, the salt-bearing Bay Fiord Formation has accommodated buckling and mostly subsurface thrusting in the west-trending Parry Islands foldbelt. A characteristic feature of this belt is a stratigraphic succession more than 10 km thick featuring three rigid and widespread sedimentary layers and two intervening ductile layers (lower salt and upper shale). The ductile strata have migrated to anticlinal welts during buckling. Other features of themore » foldbelt include (1) an extreme length of individual upright folds (up to 330 km), (2) extreme foldbelt width (up to 11%), (5) a shallow dipping salt decollement system (0.1{degrees}-0.6{degrees}) that has also been folded in the hinterland and later extended, and (6) a complete absence of halokinetic piercing diapirs. The progression from simple thrust-fold structure on the foldbelt periphery to complex in the interior provides a viable kinematic model for this and other contractional salt provinces. One feature of this model is a single massive triangle zone structure (passive roof duplex) that may envelop the entire 200-km width of the foldbelt and underlie an area exceeding 52,000 km{sup 2}.« less

  13. USGS integrated drought science

    USGS Publications Warehouse

    Ostroff, Andrea C.; Muhlfeld, Clint C.; Lambert, Patrick M.; Booth, Nathaniel L.; Carter, Shawn L.; Stoker, Jason M.; Focazio, Michael J.

    2017-06-05

    Project Need and OverviewDrought poses a serious threat to the resilience of human communities and ecosystems in the United States (Easterling and others, 2000). Over the past several years, many regions have experienced extreme drought conditions, fueled by prolonged periods of reduced precipitation and exceptionally warm temperatures. Extreme drought has far-reaching impacts on water supplies, ecosystems, agricultural production, critical infrastructure, energy costs, human health, and local economies (Milly and others, 2005; Wihlite, 2005; Vörösmarty and others, 2010; Choat and others, 2012; Ledger and others, 2013). As global temperatures continue to increase, the frequency, severity, extent, and duration of droughts are expected to increase across North America, affecting both humans and natural ecosystems (Parry and others, 2007).The U.S. Geological Survey (USGS) has a long, proven history of delivering science and tools to help decision-makers manage and mitigate effects of drought. That said, there is substantial capacity for improved integration and coordination in the ways that the USGS provides drought science. A USGS Drought Team was formed in August 2016 to work across USGS Mission Areas to identify current USGS drought-related research and core capabilities. This information has been used to initiate the development of an integrated science effort that will bring the full USGS capacity to bear on this national crisis.

  14. Pilot-Scale Demonstration of In-Situ Chemical Oxidation ...

    EPA Pesticide Factsheets

    A pilot-scale in situ chemical oxidation (ISCO) demonstration, involving subsurface injections of sodium permanganate (NaMnO4), was performed at the US Marine Corp Recruit Depot (MCRD), site 45 (Parris Island (PI), SC). The ground water was originally contaminated with perchloroethylene (PCE) (also known as tetrachloroethylene), a chlorinated solvent used in dry cleaner operations. High resolution site characterization involved multiple iterations of soil core sampling and analysis. Nested micro-wells and conventional wells were also used to sample and analyze ground water for PCE and decomposition products (i.e., trichloroethyelene (TCE), dichloroethylene (c-DCE, t-DCE), and vinyl chloride (VC)), collectively referred to as chlorinated volatile organic compounds (CVOC). This characterization methodology was used to develop and refine the conceptual site model and the ISCO design, not only by identifying CVOC contamination but also by eliminating uncontaminated portions of the aquifer from further ISCO consideration. Direct-push injection was selected as the main method of NaMnO4 delivery due to its flexibility and low initial capital cost. Site impediments to ISCO activities in the source area involved subsurface utilities, including a high pressure water main, a high voltage power line, a communication line, and sanitary and stormwater sewer lines. Utility markings were used in conjunction with careful planning and judicious selection of injection locations. A

  15. On the significance of incorporating shoreline changes for evaluating coastal hydrodynamics under sea level rise scenarios

    NASA Astrophysics Data System (ADS)

    Passeri, D.; Hagen, S. C.; Medeiros, S. C.

    2013-12-01

    Sea level rise (SLR) threatens coastal environments with loss of land, inundation of coastal wetlands, and increased flooding during extreme storm events. Research has shown that SLR is a major factor in the long-term, gradual retreat of shorelines (Fitzgerald et al., 2008). Along sandy shorelines, retreat has a more dynamic effect than just inundation due to rising water levels, including the physical process of erosion in which sand is removed from the shoreface and deposited offshore. This has the potential to affect ecological habitats as well as coastal communities. Although SLR induces seaward retreat of shorelines, many shorelines especially within the vicinity of inlets may experience accretion due to sediment trapping or beach replenishment (Aubrey and Giese, 1993, Browder and R.G., 1999). This study examines the influence of including projected shoreline changes under future sea states into hydrodynamic modeling within the Northern Gulf of Mexico (NGOM). The NGOM coastline is an economically and ecologically significant area, comprised of various bays, barrier islands and mainland beaches. Projected shorelines and nearshore morphology for the year 2050 are derived from the Coastal Vulnerability Index (CVI) shoreline change rates (Thieler and Hammer-Klose, 1999) and used in conjunction with the 'Bruun Rule effect'(Bruun, 1962). A large scale hydrodynamic model forced by astronomic tides and hurricane winds and pressures is used to simulate present conditions, a high projection of the 2050 sea state (18 in of SLR in accordance with Parris et al. (2012)) and the 2050 high sea state with 2050 shorelines to test the sensitivity of the system to the projected shoreline changes. Results show that shoreline changes coupled with sea level rise increases tidal inundation along shorelines, amplifies overtopping of barrier islands during storm surge events, and heightens inland storm surge inundation. It is critical to include estimates of shoreline and barrier

  16. Can spruce beetle (Dendroctonus rufipennis Kirky) pheromone trap catches or stand conditions predict Engelmann spruce (Picea engelmannii Parry ex Engelm.) tree mortality in Colorado?

    Treesearch

    Jose F. Negron; John B. Popp

    2017-01-01

    1) Bark beetles (Coleoptera: Curculionidae: Scolytinae) can cause extensive tree mortality in forests dominated by their hosts. Among these, the spruce beetle (Dendroctonus rufipennis) is one of the most important beetles in western North America causing Engelmann spruce (Picea engelmannii) tree mortality. 2) Although pheromone traps with attractants are commonly used...

  17. Haptic cues for orientation and postural control in sighted and blind individuals

    NASA Technical Reports Server (NTRS)

    Jeka, J. J.; Easton, R. D.; Bentzen, B. L.; Lackner, J. R.

    1996-01-01

    Haptic cues from fingertip contact with a stable surface attenuate body sway in subjects even when the contact forces are too small to provide physical support of the body. We investigated how haptic cues derived from contact of a cane with a stationary surface at low force levels aids postural control in sighted and congenitally blind individuals. Five sighted (eyes closed) and five congenitally blind subjects maintained a tandem Romberg stance in five conditions: (1) no cane; (2,3) touch contact (< 2 N of applied force) while holding the cane in a vertical or slanted orientation; and (4,5) force contact (as much force as desired) in the vertical and slanted orientations. Touch contact of a cane at force levels below those necessary to provide significant physical stabilization was as effective as force contact in reducing postural sway in all subjects, compared to the no-cane condition. A slanted cane was far more effective in reducing postural sway than was a perpendicular cane. Cane use also decreased head displacement of sighted subjects far more than that of blind subjects. These results suggest that head movement control is linked to postural control through gaze stabilization reflexes in sighted subjects; such reflexes are absent in congenitally blind individuals and may account for their higher levels of head displacement.

  18. Cycloserine Induced Late Onset Psychosis and Ethambutol Induced Peripheral Neuropathy Associated with MDR-TB Treatment in an Indian Patient- A Rare Case Report.

    PubMed

    Holla, Sadhana; Amberkar, Mohan Babu; Bhandarypanambur, Rajeshkrishna; Kamalkishore, Meenakumari; Janardhanan, Manju

    2015-02-01

    Adverse reactions and toxicity inevitably accompany all treatment courses for drug-resistant TB. Our case underscores the importance of awareness regarding neuropsychiatric adverse reactions due to MDR-TB therapy and reversible nature of it. Cycloserine induced psychosis is most life threatening complication and sometimes could be fatal. A 42-year-old male on MDR-TB therapy got admitted for his persistent psychotic complaints like hallucinations, delusions and suicidal ideations, despite being treated with quetiapine/olanzapine. Eventually patient was rehabilitated, cycloserine was stopped and psychotic events regressed slowly. Other culprit drugs like ethambutol and levofloxacin causing psychosis was ruled out because there was no relapse of psychotic events despite being continued with these drugs. He also complained of tingling, numbness, swaying, pain and weakness. On examination, he had distal motor weakness in lower limbs, tandem gait positive, altered position sense, and tenderness over toes and positive Romberg's sign with ataxia. He was diagnosed to have drug induced sensorimotor peripheral neuropathy. All these symptoms persisted after stopping cycloserine and patient continued to have neuropathy with ethambutol and ethionamide. Considering the nature of neuropathy which was mild, mixed sensorimotor and resolved completely after 2-3 weeks of stopping, it was more in favour of ethambutol. However, we could not rule out the possibility of ethionamide or (ethionamide + ethambutol) causing neuropathy or both could have accelerated the neurotoxic effects of cycloserine which remained elusive.

  19. [Polyneuropathy caused by vitamin B12 deficiency secondary to chronic atrophic gastritis and giardiasis].

    PubMed

    Brieva, L; Ara, J R; Bertol, V; Canellas, A; del Agua, C

    1998-06-01

    In chronic atrophic gastritis atrophy of the stomach glands leads to intrinsic factor deficit, with consequent failure to absorb vitamin B12 and gastric achylia, which predisposes to Giardia infection which in itself leads to depletion of vitamin B12. We describe the case of a patient with peripheral and central nervous system pathology due to lack of vitamin B12 secondary to the combined effect of these two disorders. A 54 year old woman consulted us for paraesthesia and weakness of the legs which had been progressive for the previous two years. She presented with tactile hypoaesthesia, hypoparaesthesia, distal hyperreflexia and dysymmetry of the legs, ataxic-spastic gait and a positive Romberg sign. The investigations carried out showed the serum vitamin B12 level to be 3 pg/ml (N: 180-900), hemoglobin 13 g/dl and MCV 111 fl with MCHC 348/dl; neurophysiological studies: compatible with demyelinating motor polyneuropathy. Schilling test: deficit of absorption of vitamin B12 which was corrected on administration of intrinsic factor; gastroscopy; atrophic gastritis which confirmed the morbid anatomy findings. There was also flora containing Helicobacter and massive Giardia infection. Replacement and antibiotic therapy was followed by complete remission of the clinical picture. We emphasize the excellent clinical response to treatment in spite of the time elapsed since onset of symptoms.

  20. Aged Tg2576 mice are impaired on social memory and open field habituation tests.

    PubMed

    Deacon, R M J; Koros, E; Bornemann, K D; Rawlins, J N P

    2009-02-11

    In a previous publication [Deacon RMJ, Cholerton LL, Talbot K, Nair-Roberts RG, Sanderson DJ, Romberg C, et al. Age-dependent and -independent behavioral deficits in Tg2576 mice. Behav Brain Res 2008;189:126-38] we found that very few cognitive tests were suitable for demonstrating deficits in Tg2576 mice, an amyloid over-expression model of Alzheimer's disease, even at 23 months of age. However, in a retrospective analysis of a separate project on these mice, tests of social memory and open field habituation revealed large cognitive impairments. Controls showed good open field habituation, but Tg2576 mice were hyperactive and failed to habituate. In the test of social memory for a juvenile mouse, controls showed considerably less social investigation on the second meeting, indicating memory of the juvenile, whereas Tg2576 mice did not show this decrement.As a control for olfactory sensitivity, on which social memory relies, the ability to find a food pellet hidden under wood chip bedding was assessed. Tg2576 mice found the pellet as quickly as controls. As this test requires digging ability, this was independently assessed in tests of burrowing and directly observed digging. In line with previous results and the hippocampal dysfunction characteristic of aged Tg2576 mice, they both burrowed and dug less than controls.

  1. Split Bregman's optimization method for image construction in compressive sensing

    NASA Astrophysics Data System (ADS)

    Skinner, D.; Foo, S.; Meyer-Bäse, A.

    2014-05-01

    The theory of compressive sampling (CS) was reintroduced by Candes, Romberg and Tao, and D. Donoho in 2006. Using a priori knowledge that a signal is sparse, it has been mathematically proven that CS can defY Nyquist sampling theorem. Theoretically, reconstruction of a CS image relies on the minimization and optimization techniques to solve this complex almost NP-complete problem. There are many paths to consider when compressing and reconstructing an image but these methods have remained untested and unclear on natural images, such as underwater sonar images. The goal of this research is to perfectly reconstruct the original sonar image from a sparse signal while maintaining pertinent information, such as mine-like object, in Side-scan sonar (SSS) images. Goldstein and Osher have shown how to use an iterative method to reconstruct the original image through a method called Split Bregman's iteration. This method "decouples" the energies using portions of the energy from both the !1 and !2 norm. Once the energies are split, Bregman iteration is used to solve the unconstrained optimization problem by recursively solving the problems simultaneously. The faster these two steps or energies can be solved then the faster the overall method becomes. While the majority of CS research is still focused on the medical field, this paper will demonstrate the effectiveness of the Split Bregman's methods on sonar images.

  2. Standing balance tests for screening people with vestibular impairments.

    PubMed

    Cohen, Helen S; Mulavara, Ajitkumar P; Peters, Brian T; Sangi-Haghpeykar, Haleh; Bloomberg, Jacob J

    2014-02-01

    To improve the test standards for a version of the Romberg test and to determine whether measuring kinematic variables improved its utility for screening. Healthy controls and patients with benign paroxysmal positional vertigo, postoperative acoustic neuroma resection, and chronic peripheral unilateral weakness were compared. Subjects wore Bluetooth-enabled inertial motion units while standing on the floor or medium-density, compliant foam, with eyes open or closed, with head still or moving in pitch or yaw. Dependent measures were time to perform each test condition, number of head movements made, and kinematic variables. Patients and controls did not differ significantly with eyes open or with eyes closed while on the floor. With eyes closed, on foam, some significant differences were found between patients and controls, especially for subjects older than 59 years. Head movement conditions were more challenging than with the head still. Significantly fewer patients than controls could make enough head movements to obtain kinematic measures. Kinematics indicated that lateral balance control is significantly reduced in these patients compared to controls. Receiver operator characteristics and sensitivity/specificity analyses showed moderately good differences with older subjects. Tests on foam with eyes closed, with head still or moving, may be useful as part of a screening battery for vestibular impairments, especially for older people. 3b. Copyright © 2013 The American Laryngological, Rhinological and Otological Society, Inc.

  3. Compressed Sensing for Metrics Development

    NASA Astrophysics Data System (ADS)

    McGraw, R. L.; Giangrande, S. E.; Liu, Y.

    2012-12-01

    Models by their very nature tend to be sparse in the sense that they are designed, with a few optimally selected key parameters, to provide simple yet faithful representations of a complex observational dataset or computer simulation output. This paper seeks to apply methods from compressed sensing (CS), a new area of applied mathematics currently undergoing a very rapid development (see for example Candes et al., 2006), to FASTER needs for new approaches to model evaluation and metrics development. The CS approach will be illustrated for a time series generated using a few-parameter (i.e. sparse) model. A seemingly incomplete set of measurements, taken at a just few random sampling times, is then used to recover the hidden model parameters. Remarkably there is a sharp transition in the number of required measurements, beyond which both the model parameters and time series are recovered exactly. Applications to data compression, data sampling/collection strategies, and to the development of metrics for model evaluation by comparison with observation (e.g. evaluation of model predictions of cloud fraction using cloud radar observations) are presented and discussed in context of the CS approach. Cited reference: Candes, E. J., Romberg, J., and Tao, T. (2006), Robust uncertainty principles: Exact signal reconstruction from highly incomplete frequency information, IEEE Transactions on Information Theory, 52, 489-509.

  4. Impact of tetrabenazine on gait and functional mobility in individuals with Huntington's disease.

    PubMed

    Kegelmeyer, Deb A; Kloos, Anne D; Fritz, Nora E; Fiumedora, Marianne M; White, Susan E; Kostyk, Sandra K

    2014-12-15

    Chorea may contribute to balance problems and walking difficulties that lead to higher fall rates in individuals with Huntington's disease (HD). Few studies have examined the effects of tetrabenazine (TBZ), an anti-choreic drug, on function and mobility in HD. The purpose of this study was to compare: 1) gait measures in forward walking, 2) balance and mobility measures, and 3) hand and forearm function measures on and off TBZ. We hypothesized that use of TBZ would improve gait, transfers and hand and forearm function. Eleven individuals with HD on stable doses of TBZ were evaluated while off medication and again following resumption of medication. Significant improvements were found on the Unified Huntington's Disease Rating Scale (UHDRS) motor scores, Tinetti Mobility Test (TMT) total (t=4.20, p=0.002) and balance subscale (t=-4.61, p=0.001) scores, and the Five Times Sit-to-Stand test (5TSST, t=3.20, p=.009) when on-TBZ compared to off-TBZ. Spatiotemporal gait measures, the Six Condition Romberg test, and UHDRS hand and forearm function items were not changed by TBZ use. Improved TMT and 5TSST performance when on drug indicates that TBZ use may improve balance and functional mobility in individuals with HD. Copyright © 2014 The Authors. Published by Elsevier B.V. All rights reserved.

  5. [Low-dose hypobaric spinal anesthesia for anorectal surgery in jackknife position: levobupivacaine-fentanyl compared to lidocaine-fentanyl].

    PubMed

    de Santiago, J; Santos-Yglesias, J; Girón, J; Jiménez, A; Errando, C L

    2010-11-01

    To compare the percentage of patients who were able to bypass the postoperative intensive care recovery unit after selective spinal anesthesia with lidocaine-fentanyl versus levobupivacaine-fentanyl for anorectal surgery in jackknife position. Randomized double-blind clinical trial comparing 2 groups of 30 patients classified ASA 1-2. One group received 18 mg of 0.6% lidocaine plus 10 microg of fentanyl while the other group received 3 mg of 0.1% levobupivacaine plus 10 microg of fentanyl. Intraoperative variables were time of start of surgery, maximum extension of sensory blockade, requirement for rescue analgesics, and hemodynamic events. The level of sensory blockade was recorded at 5, 10, and 15 minutes after the start of surgery and at the end of the procedure. The degrees of postoperative motor blockade and proprioception were recorded, as were the results of the Romberg test and whether or not the patient was able to bypass the postoperative recovery unit. Also noted were times of start of ambulation and discharge, complications, and postoperative satisfaction. Intraoperative variables did not differ significantly between groups, and all patients in both groups bypassed the postoperative recovery unit. Times until walking and discharge home, complications, and overall satisfaction after surgery were similar in the 2 groups. Both spinal anesthetic solutions provide effective, selective anesthesia and are associated with similar rates of recovery care unit bypass after anorectal surgery in jackknife position.

  6. Vestibular function in patients with Niemann-Pick type C disease.

    PubMed

    Bremova, Tatiana; Krafczyk, Siegbert; Bardins, Stanislavs; Reinke, Jörg; Strupp, Michael

    2016-11-01

    We investigated whether vestibular dysfunction may cause or contribute to postural imbalance and falls in patients with Niemann-Pick type C disease (NP-C). Eight patients with NP-C disease and 20 healthy controls were examined using the video-based head impulse test (vHIT) and caloric irrigation to investigate horizontal canal function as well as ocular- and cervical vestibular evoked myogenic potentials (o- and cVEMP), and binocular subjective visual vertical estimation (SVV) for otolith function, and static posturography. There were no significant differences in vestibulo-ocular gain, caloric excitability, o-/cVEMP measures or SVV between the two groups. Posturographic total sway path (tSP) and root mean square (RMS) were significantly higher in NP-C than in controls in 3 out of 4 conditions. The Romberg quotient (RQ) to assess the amount of visual stabilization was significantly lower in the NP-C than in the HC group. In contrast to other inherited metabolic disorders, such as Morbus Gaucher type 3, we did not find any evidence for an impairment of canal or otolith function in patients with NP-C as their cause of postural imbalance. Since RQ was low in NP-C patients, indicating proper sensory input, the observed increased postural sway is most likely due to a cerebellar dysfunction in NP-C, which may therefore, explain postural imbalance.

  7. Molecular, Phenotypic Aspects and Therapeutic Horizons of Rare Genetic Bone Disorders

    PubMed Central

    Dhawan, Naveen; Vohra, Shivani; Tu, Khin; Abdelmagid, Samir M.

    2014-01-01

    A rare disease afflicts less than 200,000 individuals, according to the National Organization for Rare Diseases (NORD) of the United States. Over 6,000 rare disorders affect approximately 1 in 10 Americans. Rare genetic bone disorders remain the major causes of disability in US patients. These rare bone disorders also represent a therapeutic challenge for clinicians, due to lack of understanding of underlying mechanisms. This systematic review explored current literature on therapeutic directions for the following rare genetic bone disorders: fibrous dysplasia, Gorham-Stout syndrome, fibrodysplasia ossificans progressiva, melorheostosis, multiple hereditary exostosis, osteogenesis imperfecta, craniometaphyseal dysplasia, achondroplasia, and hypophosphatasia. The disease mechanisms of Gorham-Stout disease, melorheostosis, and multiple hereditary exostosis are not fully elucidated. Inhibitors of the ACVR1/ALK2 pathway may serve as possible therapeutic intervention for FOP. The use of bisphosphonates and IL-6 inhibitors has been explored to be useful in the treatment of fibrous dysplasia, but more research is warranted. Cell therapy, bisphosphonate polytherapy, and human growth hormone may avert the pathology in osteogenesis imperfecta, but further studies are needed. There are still no current effective treatments for these bone disorders; however, significant promising advances in therapeutic modalities were developed that will limit patient suffering and treat their skeletal disabilities. PMID:25530967

  8. Latest Advancement In Airborne Relative Gravity Instrumentation.

    NASA Astrophysics Data System (ADS)

    Brady, N.

    2011-12-01

    Airborne gravity surveying has been performed with widely varying degrees of success since early experimentation with the Lacoste and Romberg dynamic meter in the 1950s. There are a number of different survey systems currently in operation including relative gravity meters and gradiometers. Airborne gravity is ideally suited to rapid, wide coverage surveying and is not significantly more expensive in more remote and inhospitable terrain which makes airborne measurements one of the few viable options available for cost effective exploration. As improved instrumentation has become available, scientific applications have also been able to take advantage for use in determining sub surface geologic structures, for example under ice sheets in Antarctica, and more recently direct measurement of the geoid to improve the vertical datum in the United States. In 2004, Lacoste and Romberg (now Micro-g Lacoste) decided to build on their success with the newly developed AirSea II dynamic meter and use that system as the basis for a dedicated airborne gravity instrument. Advances in electronics, timing and positioning technology created the opportunity to refine both the hardware and software, and to develop a truly turnkey system that would work well for users with little or no airborne gravity experience as well as those with more extensive experience. The resulting Turnkey Airborne Gravity System (TAGS) was successfully introduced in 2007 and has since been flown in applications from oil, gas and mineral exploration surveys to regional gravity mapping and geoid mapping. The system has been mounted in a variety of airborne platforms including depending on the application of interest. The development experience with the TAGS enabled Micro-g Lacoste to embark on a new project in 2010 to completely redesign the mechanical and electronic components of the system rather than continuing incremental upgrades. Building on the capabilities of the original TAGS, the objectives for the

  9. Oil and gas fields in East Coast and Arctic basins of Canada

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Meneley, R.A.

    1984-09-01

    The East Coast and Arctic basins of Canada have been under serious hydrocarbon exploration for over 20 years. Although the density of drilling is low, extensive seismic control has outlined a high proportion of the structures in these basins and the stratigraphic framework of the basins is known. From west to east, the basins include the Beaufort basin, the Sverdrup basin of the high Arctic and the adjacent Parry Island foldbelt, the rift basins of Baffin Bay, and the continental-margin basins offshore Labrador, the Grand Banks and the Scotian Shelf. Each of these basins contains oil and gas fields thatmore » typify, to some degree, the pools that may be anticipated in undrilled structures. Surprises, both good and bad, await the explorer. The physical environment of these Canadian basins ranges from severe to almost impossible. As exploration has proceeded, great strides have been made in coping with the physical environment; however, the costs are becoming increasingly onerous, and the appreciation is growing regarding the cost, risk and time that will be involved in developing production from those resources. Even from a national sense of supply security, the vast reserves of oil in the tar sands and in-situ recovery deposits of heavy oil in western Canada will provide a competitive ceiling that will limit future development of frontier basins to those where production costs are not significantly higher than those of the tar sands.« less

  10. Reactor Testing and Qualification: Prioritized High-level Criticality Testing Needs

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    S. Bragg-Sitton; J. Bess; J. Werner

    2011-09-01

    Researchers at the Idaho National Laboratory (INL) were tasked with reviewing possible criticality testing needs to support development of the fission surface power system reactor design. Reactor physics testing can provide significant information to aid in development of technologies associated with small, fast spectrum reactors that could be applied for non-terrestrial power systems, leading to eventual system qualification. Several studies have been conducted in recent years to assess the data and analyses required to design and build a space fission power system with high confidence that the system will perform as designed [Marcille, 2004a, 2004b; Weaver, 2007; Parry et al.,more » 2008]. This report will provide a summary of previous critical tests and physics measurements that are potentially applicable to the current reactor design (both those that have been benchmarked and those not yet benchmarked), summarize recent studies of potential nuclear testing needs for space reactor development and their applicability to the current baseline fission surface power (FSP) system design, and provide an overview of a suite of tests (separate effects, sub-critical or critical) that could fill in the information database to improve the accuracy of physics modeling efforts as the FSP design is refined. Some recommendations for tasks that could be completed in the near term are also included. Specific recommendations on critical test configurations will be reserved until after the sensitivity analyses being conducted by Los Alamos National Laboratory (LANL) are completed (due August 2011).« less

  11. Sounding rocket study of auroral electron precipitation

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    McFadden, J.P.

    1985-01-01

    Measurement of energetic electrons in the auroral zone have proved to be one of the most useful tools in investigating the phenomena of auroral arc formation. This dissertation presents a detailed analysis of the electron data from two sounding rocket campaigns and interprets the measurements in terms of existing auroral models. The Polar Cusp campaign consisted of a single rocket launched from Cape Parry, Canada into the afternoon auroral zone at 1:31:13 UT on January 21, 1982. The results include the measurement of a narrow, magnetic field aligned electron flux at the edge of an arc. This electron precipitation wasmore » found to have a remarkably constant 1.2 eV temperature perpendicular to the magnetic field over a 200 to 900 eV energy range. The payload also made simultaneous measurements of both energetic electrons and 3-MHz plasma waves in an auroral arc. Analysis has shown that the waves are propagating in the upper hybrid band and should be generated by a positive slope in the parallel electron distribution. A correlation was found between the 3-MHz waves and small positive slopes in the parallel electron distribution but experimental uncertainties in the electron measurement were large enough to influence the analysis. The BIDARCA campaign consisted of two sounding rockets launched from Poker Flat and Fort Yukon, Alaska at 9:09:00 UT and 9:10:40 UT on February 7, 1984.« less

  12. Introduction: priority setting, equitable access and public involvement in health care.

    PubMed

    Weale, Albert; Kieslich, Katharina; Littlejohns, Peter; Tugendhaft, Aviva; Tumilty, Emma; Weerasuriya, Krisantha; Whitty, Jennifer A

    2016-08-15

    Purpose - The purpose of this paper is to introduce the special issue on improving equitable access to health care through increased public and patient involvement (PPI) in prioritization decisions by discussing the conceptualization, scope and rationales of PPI in priority setting that inform the special issue. Design/methodology/approach - The paper employs a mixed-methods approach in that it provides a literature review and a conceptual discussion of the common themes emerging in the field of PPI and health priority setting. Findings - The special issue focuses on public participation that is collective in character, in the sense that the participation relates to a social, not personal, decision and is relevant to whole groups of people and not single individuals. It is aimed at influencing a decision on public policy or legal rules. The rationales for public participation can be found in democratic theory, especially as they relate to the social and political values of legitimacy and representation. Originality/value - The paper builds on previous definitions of public participation by underlining its collective character. In doing so, it develops the work by Parry, Moyser and Day by arguing that, in light of the empirical evidence presented in this issue, public participatory activities such as protests and demonstrations should no longer be labelled unconventional, but should instead be labelled as "contestatory participation". This is to better reflect a situation in which these modes of participation have become more conventional in many parts of the world.

  13. Controls of growth phenology vary in seedlings of three, co-occurring ecologically distinct northern conifers.

    PubMed

    Green, D Scott

    2007-08-01

    The objective of this study was to investigate the effects of temperature and seed-source elevation on height-growth phenology of three co-occurring and ecologically distinct northern conifers (Pinus contorta Dougl. ex Loud. var. latifolia (lodgepole pine), Picea glauca (Moench) Voss x Picea engelmannii Parry ex Engelm. (interior spruce) and Abies lasiocarpa (Hook.) Nutt. (subalpine fir)). Seed from populations of the three indigenous and co-occurring species was collected across an elevational transect on the southwestern slope of McBride Peak, near Prince George, BC. Collection sites were at elevations of 750 to 1850 m, the latter being close to the tree line. In 2003, seeds were germinated and seedlings raised under favorable growing conditions in a temperature-controlled glasshouse. In 2004, seedlings of each population were grown in natural daylengths at a location within 50 km of the seed collection site both in a temperature-controlled glasshouse and at a nearby field site, and height growth was recorded twice a week throughout the growing season. Species differed in both the date and the accumulated heat sum above 5 degrees C for the initiation and cessation of shoot extension. Growth durations (which integrate growth initiation and growth cessation) were more similar among species in the field than in the glasshouse. This suggests that different mechanisms of phenological control among co-occurring species can result in adaptive "equivalence" under a particular set of climatic conditions.

  14. Take me to your leader: does early successional nonhost vegetation spatially inhibit Pissodes strobi (Coleoptera: Curculionidae)?

    PubMed

    Koopmans, Jordan M; De La Giroday, Honey-Marie C; Lindgren, B Staffan; Aukema, Brian H

    2009-08-01

    The spatial influences of host and nonhost trees and shrubs on the colonization patterns of white pine weevil Pissodes strobi (Peck) were studied within a stand of planted interior hybrid spruce [Picea glauca (Moench) Voss x Picea engelmannii (Parry) ex Engelm.]. Planted spruce accounted for one third of all trees within the stand, whereas the remaining two thirds were comprised of early-successional nonhost vegetation, such as alder (Alnus spp.), paper birch (Betula papyrifera Marsh.), black cottonwood [Populus balsamifera ssp. trichocarpa (T. Ng.) Brayshaw], lodgepole pine [Pinus contorta (Dougl.) ex Loud.], trembling aspen (Populus tremuloides Michx), willow (Salix spp.), and Canadian buffaloberry [Shepherdia canadensis (L.) Nutt.]. Unlike the spruce trees, nonhost vegetation in the stand was not uniformly distributed. Spatial point process models showed that Canadian buffaloberry, paper birch, black cottonwoood, and trembling aspen had negative associations with damage caused by the weevil, even though the density of the insects' hosts in these areas did not change. Moreover, knowing the locations of these nonhost trees provided as much, or more, inference about the locations of weevil-attacked trees as knowing the locations of suitable or preferred host trees (i.e., those larger in size). Nonhost volatiles, the alteration of soil composition, and overstory shade are discussed as potential explanatory factors for the patterns observed. New research avenues are suggested to determine whether nonhost vegetation in early successional stands might be an additional tool in the management of these insects in commercially important forests.

  15. The Rhynie hot-spring system: implications for the Devonian timescale, development of Devonian biota, gold mineralization, evolution of the atmosphere and Earth outgassing

    NASA Astrophysics Data System (ADS)

    Mark, D.; Rice, C.; Stuart, F.; Trewin, N.

    2011-12-01

    The Rhynie cherts are hot spring sinters that contain world-renowned plant and animal remains and anomalously high quantities of heavy metals, including gold. The biota in several beds is preserved undeformed with plants in life positions thus establishing that they and the indurating hydrothermal fluids were coeval. Despite the international importance of the Rhynie cherts their age has been poorly constrained for three reasons: (1) lack of a precise radio-isotopic age, (2) low resolution of spore biostratigraphic schemes for Devonian terrestrial deposits, with only one to a few zones per stage, and (3) poor resolution of the early Devonian timescale. Wellman (2004) assigned a Pragian-?earliest Emsian age to the Rhynie cherts on the basis of the spore assemblage. An 40Ar/39Ar dating study targeting Rhynie chert yielded an age of 395 ± 12 Ma (1σ) (Rice et al., 1995). This contribution discusses a new high-precision 40Ar/39Ar age (407.1 ± 2.2 Ma, 2σ) for the Devonian hot-spring system at Rhynie (Mark et al., 2011) and demonstrates that a proposed U-Pb age (411.5 ± 1.1 Ma, 2σ) for the Rhynie cherts (Parry et al., 2011) is inconsistent with both field evidence and our interpretation of the U-Pb data. The 40Ar/39Ar age provides a robust marker for the polygonalis-emsiensis Spore Assemblage Biozone within the Pragian-?earliest Emsian. It also constrains the age of a wealth of flora and fauna preserved in life positions as well as dating gold mineralization. Furthermore, we have now determined the Ar isotope composition of pristine samples of the Rhynie chert using an ARGUS multi-collector mass spectrometer and a low blank laser extraction technique. 40Ar/36Ar are systematically lower than the modern air value (Lee et al., 2006), and are not accompanied by non-atmospheric 38Ar/36Ar ratios. We conclude that the Rhynie chert captured and has preserved Devonian atmosphere-derived Ar. The data indicate that the 40Ar/36Ar of Devonian atmosphere was at least 3 % lower

  16. Factors associated with falls in older patients with diffuse polyneuropathy.

    PubMed

    Richardson, James K

    2002-11-01

    To identify clinical factors associated with falls by older persons with polyneuropathy (PN). A cross-sectional study of 82 subjects aged 50 to 85 with clinical and electrodiagnostic evidence of PN. Electrodiagnostic and biomechanical research laboratories. Patients referred to the electrodiagnostic laboratory. History and physical examination, including semiquantitative methods of peripheral nerve function, and clinical balance testing. Falls were defined by retrospective self-report over a 2-year period. Forty (48.8%), 28 (34.1%), and 18 (22.0%) subjects reported a history of at least one fall, multiple falls, and injurious falls, respectively. Factors associated with single and multiple falls were similar, so only results for multiple and injurious falls are reported. Bivariate analysis showed that an increased body mass index (BMI) and more severe PN (as determined by the Michigan Diabetes Neuropathy Score) were associated with both fall categories. Men reporting falls also demonstrated a decreased unipedal stance time. Age, sex, nerve conduction study parameters, Romberg testing, medications, and comorbidities were not consistently associated with either fall category. Logistic regression demonstrated that multiple and injurious falls were associated with an increased BMI and more severe PN, controlling for age, sex, medications, and comorbidities (pseudo R2 = 0.458 and 0.484, respectively). Although previous work has demonstrated that all older persons with PN are at increased risk for falls, patients with increased BMI and more severe PN are at particularly high risk and should be targeted for intervention.

  17. A Rare Case of Cerebellar Ataxia Due to Voltage-Gated Calcium Channel and Glutamic Acid Decarboxylase Autoantibodies.

    PubMed

    Annunziata, Giuseppe; Lobo, Pamela; Carbuccia, Cristian

    2017-11-27

    BACKGROUND Autoimmune cerebellar ataxia can be paraneoplastic in nature or can occasionally present without evidence of an ongoing malignancy. The detection of specific autoantibodies has been statistically linked to different etiologies. CASE REPORT A 55-year-old African-American woman with hypertension and a past history of morbid obesity and uncontrolled diabetes status post gastric bypass four years prior to the visit (with significantly improved body mass index and hemoglobin A1c controlled at the time of the clinical encounter) presented to the office complaining of gradual onset of unsteadiness and recurrent falls for the past three years, as well as difficulties coordinating routine daily activities. The neurologic exam showed moderate dysarthria and ataxic gait with bilateral dysmetria and positive Romberg test. Routine laboratory test results were only remarkable for a mild elevation of erythrocyte sedimentation rate, and most laboratory and imaging tests for common causes of ataxia failed to demonstrate an etiology. Upon further workup, evidence of anti-voltage-gated calcium channel and anti-glutamic acid decarboxylase antibody was demonstrated. She was then treated with intravenous immunoglobulins with remarkable clinical improvement. CONCLUSIONS We present a case of antibody-mediated ataxia not associated with malignancy. While ataxia is rarely related to autoantibodies, in such cases it is critical to understand the etiology of this disabling condition in order to treat it correctly. Clinicians should be aware of the possible association with specific autoantibodies and the necessity to rule out an occult malignancy in such cases.

  18. Non-visual spatial tasks reveal increased interactions with stance postural control.

    PubMed

    Woollacott, Marjorie; Vander Velde, Timothy

    2008-05-07

    The current investigation aimed to contrast the level and quality of dual-task interactions resulting from the combined performance of a challenging primary postural task and three specific, yet categorically dissociated, secondary central executive tasks. Experiments determined the extent to which modality (visual vs. auditory) and code (non-spatial vs. spatial) specific cognitive resources contributed to postural interference in young adults (n=9) in a dual-task setting. We hypothesized that the different forms of executive n-back task processing employed (visual-object, auditory-object and auditory-spatial) would display contrasting levels of interactions with tandem Romberg stance postural control, and that interactions within the spatial domain would be revealed as most vulnerable to dual-task interactions. Across all cognitive tasks employed, including auditory-object (aOBJ), auditory-spatial (aSPA), and visual-object (vOBJ) tasks, increasing n-back task complexity produced correlated increases in verbal reaction time measures. Increasing cognitive task complexity also resulted in consistent decreases in judgment accuracy. Postural performance was significantly influenced by the type of cognitive loading delivered. At comparable levels of cognitive task difficulty (n-back demands and accuracy judgments) the performance of challenging auditory-spatial tasks produced significantly greater levels of postural sway than either the auditory-object or visual-object based tasks. These results suggest that it is the employment of limited non-visual spatially based coding resources that may underlie previously observed visual dual-task interference effects with stance postural control in healthy young adults.

  19. Diabetes, vestibular dysfunction, and falls: analyses from the National Health and Nutrition Examination Survey.

    PubMed

    Agrawal, Yuri; Carey, John P; Della Santina, Charles C; Schubert, Michael C; Minor, Lloyd B

    2010-12-01

    Patients with diabetes are at increased risk both for falls and for vestibular dysfunction, a known risk factor for falls. Our aims were 1) to further characterize the vestibular dysfunction present in patients with diabetes and 2) to evaluate for an independent effect of vestibular dysfunction on fall risk among patients with diabetes. National cross-sectional survey. Ambulatory examination centers. Adults from the United States aged 40 years and older who participated in the 2001-2004 National Health and Nutrition Examination Survey (n = 5,86). Diagnosis of diabetes, peripheral neuropathy, and retinopathy. Vestibular function measured by the modified Romberg Test of Standing Balance on Firm and Compliant Support Surfaces and history of falling in the previous 12 months. We observed a higher prevalence of vestibular dysfunction in patients with diabetes with longer duration of disease, greater serum hemoglobin A1c levels and other diabetes-related complications, suggestive of a dose-response relationship between diabetes mellitus severity and vestibular dysfunction. We also noted that vestibular dysfunction independently increased the odds of falling more than 2-fold among patients with diabetes (odds ratio, 2.3; 95% confidence interval, 1.1-5.1), even after adjusting for peripheral neuropathy and retinopathy. Moreover, we found that including vestibular dysfunction, peripheral neuropathy, and retinopathy in multivariate models eliminated the significant association between diabetes and fall risk. Vestibular dysfunction may represent a newly recognized diabetes-related complication, which acts as a mediator of the effect of diabetes mellitus on fall risk.

  20. Influence of both cutaneous input from the foot soles and visual information on the control of postural stability in dyslexic children.

    PubMed

    Goulème, Nathalie; Villeneuve, Philippe; Gérard, Christophe-Loïc; Bucci, Maria Pia

    2017-07-01

    Dyslexic children show impaired in postural stability. The aim of our study was to test the influence of foot soles and visual information on the postural control of dyslexic children, compared to non-dyslexic children. Postural stability was evaluated with TechnoConcept ® platform in twenty-four dyslexic children (mean age: 9.3±0.29years) and in twenty-four non-dyslexic children, gender- and age-matched, in two postural conditions (with and without foam: a 4-mm foam was put under their feet or not) and in two visual conditions (eyes open and eyes closed). We measured the surface area, the length and the mean velocity of the center of pressure (CoP). Moreover, we calculated the Romberg Quotient (RQ). Our results showed that the surface area, length and mean velocity of the CoP were significantly greater in the dyslexic children compared to the non-dyslexic children, particularly with foam and eyes closed. Furthermore, the RQ was significantly smaller in the dyslexic children and significantly greater without foam than with foam. All these findings suggest that dyslexic children are not able to compensate with other available inputs when sensorial inputs are less informative (with foam, or eyes closed), which results in poor postural stability. We suggest that the impairment of the cerebellar integration of all the sensorial inputs is responsible for the postural deficits observed in dyslexic children. Copyright © 2017 Elsevier B.V. All rights reserved.

  1. First Impressions of a Scintrex CG-6 Portable Gravimeter in an Extensive Field Campaign

    NASA Astrophysics Data System (ADS)

    van Westrum, D.; Kanney, J.

    2017-12-01

    First Impressions of a Scintrex CG-6 Portable Gravimeter in an Extensive Field Campaign AGU Fall Meeting 2017 Derek van Westrum and Jeff Kanney NOAA's National Geodetic Survey conducted its third and final Geoid Slope Validation Survey (GSVS) this past summer in the rugged mountains of southern Colorado. In addition to leveling, long period GPS, and defelction of vertical observations, absolute gravity and vertical gravity gradients were measured at 235 bench marks (approximately 1.5 km spacing) along US-160 between Durango and Walsenburg, Colorado. In previous surveys (Texas-2011 and Iowa-2014), an A10 absolute gravimeter was used to measure graivty at approximately 10-15% of the bench marks. The remaining marks were determined by using LaCoste & Romberg relative gravimeters. The same relative instruments were also used to measure two-tier (linear) vertical gravity gradients at the A10 sites. In the current work - becuase of the rapidly changing terrain in the Rocky Mountains - it was decided to employ the A10 at all 235 bench marks, and acquire three-tier (quadratic) gradients at every bench mark using the new Scintrex CG-6 Autograv relative gravimeter. Using these results, we will provide a real worldsummary of the CG-6's behavior by examining noise levels, repeatability, and acquisition rates. In addition, the coincident A10 absolute data set allows us to evaluate the CG-6's accuracy, and allows us to simulate and discuss various relative gravity survey designs.

  2. Limaprost alfadex improves myelopathy symptoms in patients with cervical spinal canal stenosis.

    PubMed

    Sugawara, Taku; Hirano, Yoshitaka; Higashiyama, Naoki; Mizoi, Kazuo

    2009-03-15

    Myelopathy symptoms were prospectively studied in patients with cervical spinal canal stenosis (CSCS), using objective grading systems and stabilometry, to examine the effect of administration of prostaglandin E1 derivative limaprost alfadex (limaprost). Myelopathy scores/grades and stabilometry parameters were evaluated before, and 1 and 3 months after starting the limaprost treatment. Limaprost is a potent vasodilator and antiplatelet agent and has been used to treat the symptoms of lumbar spinal canal stenosis. The action presumably involves increased blood flow in the compressed cauda equina. Limaprost can also increase blood flow in the compressed spinal cord, but effects on myelopathy symptoms in patients with CSCS have not been established. This study examined 21 patients with mild spondylotic CSCS based on neurologic findings and compression of the cervical spinal cord on magnetic resonance imaging. Japanese Orthopedic Association score, grip and release test, and finger escape sign were measured, and stabilometry was performed by independent examiners, before, and 1 and 3 months after starting the oral limaprost treatment. Most patients experienced amelioration of the symptoms at 1 month after starting the treatment. Mean Japanese Orthopedic Association score and grip and release count were significantly improved and finger escape sign grade was higher in some patients. Stabilometry area with eyes closed and Romberg rate were also significantly improved. These improvements were maintained at 3 months. The efficacy of oral limaprost administration for patients with CSCS was confirmed by objective scoring and quantitative data.

  3. The small but clear gravity signal above the natural cave 'Grotta Gigante' (Trieste, Italy)

    NASA Astrophysics Data System (ADS)

    Braitenberg, Carla; Sampietro, Daniele; Zuliani, David; Barbagallo, Alfio; Fabris, Paolo; Fabbri, Julius; Rossi, Lorenzo; Handi Mansi, Ahmed

    2014-05-01

    Gravity observations are a powerful means for detecting underground mass changes. The Italian and Slovenian Karst has a number of explored caves, several are also touristic due to their size (e.g. Grotta Gigante in Italy; Skocjianske Jame and Postojnska Jama in Slovenia). Just a few years ago another big cave was discovered by chance close to Trieste when drilling a tunnel for a motor-highway, which shows that more caves are expected to be discovered in coming years. We have acquired the gravity field above the Grotta Gigante cave, a cave roughly 100 m high and 200 m long with a traditional spring-gravity meter (Lacoste&Romberg) and height measurements made with GPS and total station. The GPS was made with two different teams and processing algorithms, to cross-check accuracy and error estimate. Some stations had to be surveyed with a classical instrument due to the vegetation which concealed the satellite positioning signal. Here we present the results of the positioning acquisitions and the gravity field. The cave produces a signal of 1.5 mGal, with a clear elongated concentric symmetry. The survey shows that a systematic coverage of the Karst would have the benefit to recover the position of all of the greater existing caves. This will have a large impact on civil and environmental purposes, since it will for example allow to plan the urban development at a safety distance from subsurface caves.

  4. A small molecule targeting ALK1 prevents Notch cooperativity and inhibits functional angiogenesis.

    PubMed

    Kerr, Georgina; Sheldon, Helen; Chaikuad, Apirat; Alfano, Ivan; von Delft, Frank; Bullock, Alex N; Harris, Adrian L

    2015-04-01

    Activin receptor-like kinase 1 (ALK1, encoded by the gene ACVRL1) is a type I BMP/TGF-β receptor that mediates signalling in endothelial cells via phosphorylation of SMAD1/5/8. During angiogenesis, sprouting endothelial cells specialise into tip cells and stalk cells. ALK1 synergises with Notch in stalk cells to induce expression of the Notch targets HEY1 and HEY2 and thereby represses tip cell formation and angiogenic sprouting. The ALK1-Fc soluble protein fusion has entered clinic trials as a therapeutic strategy to sequester the high-affinity extracellular ligand BMP9. Here, we determined the crystal structure of the ALK1 intracellular kinase domain and explored the effects of a small molecule kinase inhibitor K02288 on angiogenesis. K02288 inhibited BMP9-induced phosphorylation of SMAD1/5/8 in human umbilical vein endothelial cells to reduce both the SMAD and the Notch-dependent transcriptional responses. In endothelial sprouting assays, K02288 treatment induced a hypersprouting phenotype reminiscent of Notch inhibition. Furthermore, K02288 caused dysfunctional vessel formation in a chick chorioallantoic membrane assay of angiogenesis. Such activity may be advantageous for small molecule inhibitors currently in preclinical development for specific BMP gain of function conditions, including diffuse intrinsic pontine glioma and fibrodysplasia ossificans progressiva, as well as more generally for other applications in tumour biology.

  5. War’s long shadow: masculinity, medicine, and the gendered politics of trauma, 1914-1939.

    PubMed

    Humphries, Mark

    2010-01-01

    War is an inherently traumatizing experience, and during the First World War more than 15,000 Canadian soldiers were diagnosed with some form of war-related psychological wounds. Many more went unrecognized. Yet the very act of seeking an escape from the battlefield or applying for a postwar pension for psychological traumas transgressed masculine norms that required men to be aggressive, self-reliant, and un-emotional. Using newly available archival records, contemporary medical periodicals, doctors' notes, and patient interview transcripts, this paper examines two crises that arose from this conflict between idealized masculinity and the emotional reality of war trauma. The first came on the battlefield in 1916 when, in some cases, almost half the soldiers evacuated from the front were said to be suffering from emotional breakdowns. The second came later, during the Great Depression, when a significant number of veterans began to seek compensation for their psychological injuries. In both crises, doctors working in the service of the state constructed trauma as evidence of deviance, in order to parry a larger challenge to masculine ideals. In creating this link between war trauma and deviance, they reinforced a residual conception of welfare that used tests of morals and means to determine who was deserving or undeserving of state assistance. At a time when the Canadian welfare state was being transformed in response to the needs of veterans and their families, doctors' denial that "real men" could legitimately exhibit psychosomatic symptoms in combat meant that thousands of legitimately traumatized veterans were left uncompensated by the state and were constructed as inferior, feminized men.

  6. Rocketborne observations of ion convection and electric fields in dayside and nightside visual auroral arcs

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Yau, A.W.; Whalen, B.A.; Creutzberg, F.

    1981-08-01

    We present ionospheric ion convection measurements in a series of four rocket payloads in and near dayside and nightside auroral arcs: one at Cape Parry (75.4/sup 0/N invariant latitude) near 1300 MLT and three at Churchill (70.0/sup 0/N invariant latitude) between 1900 and 2200 MLT. Direct measurements were made of the ionospheric ion velocity distribution function, and the observed ion convection velocities and equivalent convective electric fields were correlated with the energetic particle precipitation, the optical morphology of the aurora, and the topology of the geomagnetic field. Both in the postnoon and premidnight sectors it was observed that (1) equatorwardmore » of the region(s) of precipitation the ion flow was predominantly westward, with velocity of about 1 km/s; (2) poleward of the region(s) the flow was predominantly westward, with velocity of about 1 km/s; (2) poleward of the region(s) the flow was predominantly eastward: (3) the change in the flow direction, where observed, occurred near though not exactly at the edges of the precipitation region; (4) the flow inside the precipitation region was lower; (5) the reversal of the ion flow, where observed, occurred on closed magnetic field lines; and (6) the convective electric field typically dropped from 40 to 80 mV/m outside the precipitation region to 10 to 30 mV/m within. In the dayside Cape Perry flight, where quantitative photometric measurements were available, detailed anticorrelation between the ion convection speed and the green line emission intensity was also observed.« less

  7. Accurate where it counts: Empathic accuracy on conflict and no-conflict days.

    PubMed

    Lazarus, Gal; Bar-Kalifa, Eran; Rafaeli, Eshkol

    2018-03-01

    When we are accurate regarding our partners' negative moods, are we seen as more responsive (and do we see them as such) as a function of the presence/absence of conflict? In 2 daily diary studies, empathic accuracy (EA) was assessed by comparing targets' daily negative moods with perceivers' inferences of these moods. We hypothesized that conflict will be associated with reductions in perceived partner responsiveness (PPR) for both parties; that on no-conflict days, EA will be positively associated with both parties' PPR; that on conflict days, this positive association will be stronger for targets but will become negative for perceivers; and that regardless of conflict, overestimation (vs. underestimation) of negative moods will be tied with higher PPR for targets but with lower PPR for perceivers. Thirty-six (Sample 1) and 77 (Sample 2) committed couples completed daily diaries (for 21 or 35 days, respectively). We utilized multilevel polynomial regression with response surface analyses, a sophisticated approach for studying multisource data of this sort (Edwards & Parry, 1993). Results partially supported our hypotheses: conflict was tied to reduced PPR; on no-conflict days, EA was not consistently predictive of target or perceiver PPR; on conflict days, EA predicted increased target PPR but decreased perceiver PPR; finally, overestimation predicted increased target PPR on no-conflict days and decreased perceiver PPR regardless of conflict. These results highlight the double-edged effects of EA on conflict days, and the importance of investigating dyadic EA in a context-sensitive approach. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  8. Emotional congruence between clients and therapists and its effect on treatment outcome.

    PubMed

    Atzil-Slonim, Dana; Bar-Kalifa, Eran; Fisher, Hadar; Peri, Tuvia; Lutz, Wolfgang; Rubel, Julian; Rafaeli, Eshkol

    2018-01-01

    The present study aimed to (a) explore 2 indices of emotional congruence-temporal similarity and directional discrepancy-between clients' and therapists' ratings of their emotions as they cofluctuate session-by-session; and (b) examine whether client/therapist emotional congruence predicts clients' symptom relief and improved functioning. The sample comprised 109 clients treated by 62 therapists in a university setting. Clients and therapists self-reported their negative (NE) and positive emotions (PE) after each session. Symptom severity and functioning level were assessed at the beginning of each session using the clients' self-reports. To assess emotional congruence, an adaptation of West and Kenny's (2011) Truth and Bias model was applied. To examine the consequences of emotional congruence, polynomial regression, and response surface analyses were conducted (Edwards & Parry, 1993). Clients and therapists were temporally similar in both PE and NE. Therapists experienced less intense PE on average, but did not experience more or less intense NE than their clients. Those therapists who experienced more intense NE than their clients were more temporally similar in their emotions to their clients. Therapist/client incongruence in both PE and NE predicted poorer next-session symptomatology; incongruence in PE was also associated with lower client next-session functioning. Session-level symptoms were better when therapists experienced more intense emotions (both PE and NE) than their clients. The findings highlight the importance of recognizing the dynamic nature of emotions in client-therapist interactions and the contribution of session-by-session emotional dynamics to outcomes. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  9. DOE Office of Scientific and Technical Information (OSTI.GOV)

    Bowman, J.R.; Rohrs, D.T.

    The isotopic compositions of hydrogen and oxygen have been determined for spring waters and thermal fluids from the Roosevelt Hot Springs and Cove Fort-Sulphurdale thermal areas, for clay mineral separates from shallow alteration of the acid-sulfate type in the Roosevelt Hot Springs area, and for spring and well waters from the Goshen Valley area of central Utah. The water analyses in the Roosevelt Hot Springs thermal area confirm the origin of the thermal fluids from meteoric water in the Mineral Range. The water analyses in the Cove Fort-Sulphurdale thermal area restrict recharge areas for this system to the upper elevationsmore » of the Pavant and/or Tushar Ranges. The low /sup 18/O shift observed in these thermal fluids (+0.7 permil) implies either high water/rock ratios or incomplete isotope exchange or both, and further suggests minimal interaction between the thermal fluid and marble country rock in the system. Hydrogen and oxygen-isotope data for clay mineral separates from shallow alteration zones in the Roosevelt Hot Springs thermal system suggest that the fluids responsible for the shallow acid-sulfate alteration were in part derived from condensed steam produced by boiling of the deep reservoir fluid. The isotope evidence supports the chemical model proposed by Parry et al. (1980) for origin of the acid-sulfate alteration at Roosevelt Hot Springs. The isotope analyses of spring and well waters from the Goshen Valley area indicate only a general correlation of isotope composition, salinity and chemical temperatures.« less

  10. Understanding balance differences in individuals with multiple sclerosis with mild disability: An investigation of differences in sensory feedback on postural and dynamic balance control

    NASA Astrophysics Data System (ADS)

    Denomme, Luke T.

    Multiple sclerosis (MS) is an autoimmune disease that affects the central nervous system (CNS) and causes a broad range of neurological symptoms. One of the most common symptoms experienced by individuals with MS is poor balance control during standing and walking. The main mechanism underlying impaired balance control in MS appears to result from slowed somatosensory conduction and impaired central integration. The current thesis assessed postural and dynamic control of balance of 'individuals with MS with mild disability' (IwMS). IwMS were compared to 'healthy age-matched individuals' (HAMI) and community-dwelling 'older adults' (OA). The purpose of this thesis was to quantify differences in postural and dynamic control of balance in IwMS to the two populations who display balance control differences across the lifespan and represent two extreme ends of the balance control continuum due to natural aging. IwMS (n = 12, x¯age: 44 +/- 9.4 years), HAMI (n = 12, x¯age: 45 +/- 9.9 years) and community-dwelling OA (n = 12, x¯ age: 68.1 +/- 4.5 years) postural and dynamic balance control were evaluated during a Romberg task as well as a dynamic steering task. The Romberg task required participants to stand with their feet together and hands by their sides for 45 seconds with either their eyes open or closed. The dynamic steering task required participants to walk and change direction along the M-L plane towards a visual goal. Results from these two tasks reveal that IwMS display differences in postural control when compared to HAMI when vision was removed as well as differences in dynamic stability margin during steering situations. During the postural control task IwMS displayed faster A-P and M-L COP velocities when vision was removed and their COP position was closer to their self-selected maximum stability limits compared to HAMI. Assessment of dynamic stability during the steering task revealed that IwMS displayed reduced walking speed and cadence during the

  11. Improved algorithm for calculating the Chandrasekhar function

    NASA Astrophysics Data System (ADS)

    Jablonski, A.

    2013-02-01

    algorithms by selecting ranges of the argument omega in which the performance is the fastest. Reasons for the new version: Some of the theoretical models describing electron transport in condensed matter need a source of the Chandrasekhar H function values with an accuracy of at least 10 decimal places. Additionally, calculations of this function should be as fast as possible since frequent calls to a subroutine providing this function are made (e.g., numerical evaluation of a double integral with a complicated integrand containing the H function). Both conditions were satisfied in the algorithm previously published [1]. However, it has been found that a proper selection of the quadrature in an integral representation of the Chandrasekhar function may considerably decrease the running time. By suitable selection of the number of abscissas in Gauss-Legendre quadrature, the execution time was decreased by a factor of more than 20. Simultaneously, the accuracy of results has not been affected. Summary of revisions: (1) As in previous work [1], two integral representations of the Chandrasekhar function, H(x,omega), were considered: the expression published by Dudarev and Whelan [2] and the expression published by Davidović et al. [3]. The algorithms implementing these representations were designated A and B, respectively. All integrals in these implementations were previously calculated using Romberg quadrature. It has been found, however, that the use of Gauss-Legendre quadrature considerably improved the performance of both algorithms. Two conditions have to be satisfied. (i) The number of abscissas, N, has to be rather large, and (ii) the abscissas and corresponding weights should be determined with accuracy as high as possible. The abscissas and weights are available for N=16, 20, 24, 32, 40, 48, 64, 80, and 96 with accuracy of 20 decimal places [4], and all these values were introduced into a new procedure GAUSS replacing procedure ROMBERG. Due to the fact that the

  12. The role of haptic cues from rough and slippery surfaces in human postural control

    NASA Technical Reports Server (NTRS)

    Jeka, J. J.; Lackner, J. R.

    1995-01-01

    Haptic information is critically important in complex sensory-motor tasks such as manipulating objects. Its comparable importance in spatial orientation is only beginning to be recognized. We have shown that postural sway in humans is significantly reduced by lightly touching a stable surface with a fingertip at contact force levels far below those physically necessary to stabilize the body. To investigate further the functional relationship between contact forces at the hand and postural equilibrium, we had subjects stand in the tandem Romberg stance while being allowed physically supportive (force contact) and non-physically supportive (touch contact) amounts of index fingertip force on surfaces with different frictional characteristics. Mean sway amplitude (MSA) was reduced by over 50% with both touch and force contact of the fingertip, compared to standing without fingertip contact. No differences in MSA were observed when touching rough or slippery surfaces. The amplitude of EMG activity in the peroneal muscles and the timing relationships between fingertip forces, body sway and EMG activity suggested that with touch contact of the finger or with force contact on a slippery surface long-loop "reflexes" involving postural muscles were stabilizing sway. With force contact of the fingertip on a rough surface, MSA reduction was achieved primarily through physical support of the body. This pattern of results indicates that light touch contact cues from the fingertip in conjunction with proprioceptive signals about arm configuration are providing information about body sway that can be used to reduce MSA through postural muscle activation.

  13. Motion sickness prevalence in school children.

    PubMed

    Henriques, Isadora Ferreira; Douglas de Oliveira, Dhelfeson Willya; Oliveira-Ferreira, Fernanda; Andrade, Peterson M O

    2014-11-01

    This study aimed to determine the prevalence of motion sickness in schoolchildren and related the finding to the postural balance and quality of life. A population-based cross-sectional study was carried out with 831 children aged 7 to 12 years. The frequency of motion sickness was evaluated based on the Motion Sickness Susceptibility Questionnaire-Short (MSSQ-short). Postural balance was assessed using the Romberg test under different sensory conditions. The Dizziness Handicap Inventory was used in order to assess the quality of life. The statistical analyses were performed using the chi-square, Kruskal-Wallis, Mann-Whitney, and Spearman correlation tests. The prevalence of motion sickness was 43.4 % in car, 43.2 % on bus, 11.7 % on park swing, and 11.6 % on Ferris wheel. Mean unadjusted scores on the MSSQ-short ranged from 5.0 (SE = 0.5) for 10-year-olds to 6.8 (SE = 0.5) for 9-year-olds. The most prevalent symptoms following the balance tests were dizziness (89.2 %), vertigo (54.9 %), headache (10.6 %), and nausea (8.2 %). Significant correlations were found between the MSSQ-short score and all postural balance tests. Significant correlations were found between the MSSQ and modified DHI (Dizziness Handicap Inventory) at all ages. The prevalence of motion sickness in schoolchildren is greater when in a car or on a bus. An association was found between motion sickness and postural balance tests and motion sickness and quality of life.

  14. Assessing Sensorimotor Function Following ISS with Computerized Dynamic Posturography.

    PubMed

    Wood, Scott J; Paloski, William H; Clark, Jonathan B

    2015-12-01

    Postflight postural ataxia reflects both the control strategies adopted for movement in microgravity and the direct effects of deconditioning. Computerized dynamic posturography (CDP) has been used during the first decade of the International Space Station (ISS) expeditions to quantify the initial postflight decrements and recovery of postural stability. The CDP data were obtained on 37 crewmembers as part of their pre- and postflight medical examinations. Sensory organization tests evaluated the ability to make effective use of (or suppress inappropriate) visual, vestibular, and somatosensory information for balance control. This report focuses on eyes closed conditions with either a fixed or sway-referenced base of support, with the head erect or during pitch-head tilts (± 20° at 0.33 Hz). Equilibrium scores were derived from peak-to-peak anterior-posterior sway. Motor-control tests were also used to evaluate a crewmember's ability to automatically recover from unexpected support-surface perturbations. The standard Romberg condition was the least sensitive. Dynamic head tilts led to increased incidence of falls and revealed significantly longer recovery than head-erect conditions. Improvements in postflight postural performance during the later expeditions may be attributable to higher preflight baselines and/or advanced exercise capabilities aboard the ISS. The diagnostic assessment of postural instability is more pronounced during unstable-support conditions requiring active head movements. In addition to supporting return-to-duty decisions by flight surgeons, the CDP provides a standardized sensorimotor measure that can be used to evaluate the effectiveness of countermeasures designed to either minimize deconditioning on orbit or promote reconditioning upon return to Earth.

  15. Imbalance in multiple sclerosis and neuromyelitis optica: association with deep sensation disturbance.

    PubMed

    Demura, Yutaka; Kinoshita, Masako; Fukuda, Osamu; Nose, Shouzou; Nakano, Hitoshi; Juzu, Akira; Murase, Nagako; Yamamoto, Kenji

    2016-12-01

    Abnormality in balance is one of the most important causes of gait disturbance which has a direct impact to disability and medical cost in multiple sclerosis (MS) and neuromyelitis optica (NMO). However, characteristics of imbalance in these two diseases have not been fully elucidated. The aim of this study was to evaluate the degree and features of imbalance using stabilography, the degree of deep sensation disturbance using tibial nerve somatosensory evoked potentials (SEP), and their association with clinical impairment, in patients with MS and NMO. Seven NMO patients and seven MS patients with balance disturbance were examined. The relationship among stabilography measurements representing the degree and features of imbalance, height-adjusted P38 peak latency of SEP, and neurological functional disability, were analyzed. Stabilography evaluation showed a significantly severer degree of imbalance in NMO than in MS. Romberg quotient of the patients with brainstem lesions was significantly larger than those without them. In all patients, length of excursion per second significantly correlated positively with anterio-posterior-axis power spectra at intermediate frequency band. In all patients and in NMO, P38 peak latency adjusted by height significantly correlated positively with anterio-posterior-axis power spectra at intermediate frequency band. These findings suggest that the degree of imbalance of MS and NMO possibly correlate with deep sensation disturbance, which could be evaluated by anterio-posterior-axis power spectra at intermediate frequency band by stabilography. Severer imbalance in NMO than MS may be associated with the severe longitudinally extensive spinal cord lesions.

  16. Therapeutic effects of an anti-gravity locomotor training (AlterG) on postural balance and cerebellum structure in children with Cerebral Palsy.

    PubMed

    Rasooli, A H; Birgani, P M; Azizi, Sh; Shahrokhi, A; Mirbagheri, M M

    2017-07-01

    We evaluated the therapeutic effects of anti-gravity locomotor treadmill (AlterG) training on postural stability in children with Cerebral Palsy (CP) and spasticity, particularly in the lower extremity. AlterG can facilitate walking by reducing the weight of CP children by up to 80%; it can also help subjects maintain an appropriate posture during the locomotor AlterG training. Thus, we hypothesized that AlterG training, for a sufficient period of time, has a potential to produce cerebellum neuroplasticity, and consequently result in an effective permanent postural stability. AlterG training was given for 45 minutes, three times a week for two months. Postural balance was evaluated using posturography. The parameters of the Romberg based posturography were extracted to quantify the Center of Balance (CoP). The neuroplasticity of Cerebellum was evaluated using a Diffusion Tensor Imaging (DTI). The evaluations were done pre- and post-training. The Fractional Anisotropy (FA) feature was used for quantifying structural changes in the cerebellum. The results showed that AlterG training resulted in an increase in average FA value of the cerebellum white matter following the training. The results of the posturography evaluations showed a consistent improvement in postural stability. These results were consistent in all subjects. Our findings indicated that the improvement in the posture was accompanied with the enhancement of the cerebellum white matter structure. The clinical implication is that AlterG training can be considered a therapeutic tool for an effective and permanent improvement of postural stability in CP children.

  17. Emergency department management of falls in the elderly: A clinical audit and suggestions for improvement.

    PubMed

    Hatamabadi, Hamid Reza; Sum, Shima; Tabatabaey, Ali; Sabbaghi, Mohammad

    2016-01-01

    Falls are a major source of injury in the elderly and their incomplete management is a cause for concern by health systems. The present study looks at the current state of managing fall victims in Iran and offers suggestions for improvement. This was a clinical care audit comparing the state of current care with an institutionally approved optimum. Patients aged 60 years and over presenting with a fall were evaluated and deficiencies in their care were recorded and categorized. These were presented to an expert panel, where the Delphi method was used to come up with a list of actions to address the deficiencies. Furthermore an educational program was implemented based on these suggestions. Chi-squared and t-test were used to evaluate the efficacy of this program in improving treatment. Linear regression analysis was used to find factors affecting care. Overall 431 cases were reviewed. The most common errors during clinical examination were: not performing Romberg test (92.75%) and lack of physiotherapy consultation (82.75%). The educational program had a modest effect on improving the clinical audit processes (β = 3.79; P < 0.001) and medical interventions (β = 2.004; P = 0.002); however, performing the correct diagnostic tests was worse after the program (β = -1.21; P = 0.008). There is a wide gap between the care services delivered in the management of falls and international standards. Therefore, measures should be adopted to close this gap. Education may have a modest positive effect in this regard. Copyright © 2015 Elsevier Ltd. All rights reserved.

  18. Precision contact of the fingertip reduces postural sway of individuals with bilateral vestibular loss

    NASA Technical Reports Server (NTRS)

    Lackner, J. R.; DiZio, P.; Jeka, J.; Horak, F.; Krebs, D.; Rabin, E.

    1999-01-01

    Contact of the hand with a stationary surface attenuates postural sway in normal individuals even when the level of force applied is mechanically inadequate to dampen body motion. We studied whether subjects without vestibular function would be able to substitute contact cues from the hand for their lost labyrinthine function and be able to balance as well as normal subjects in the dark without finger contact. We also studied the relative contribution of sight of the test chamber to the two groups. Subjects attempted to maintain a tandem Romberg stance for 25 s under three levels of fingertip contact: no contact; light-touch contact, up to 1 N (approximately 100 g) force; and unrestricted contact force. Both eyes open and eyes closed conditions were evaluated. Without contact, none of the vestibular loss subjects could stand for more than a few seconds in the dark without falling; all the normals could. The vestibular loss subjects were significantly more stable in the dark with light touch of the index finger than the normal subjects in the dark without touch. They also swayed less in the dark with light touch than when permitted sight of the test chamber without touch, and less with sight and touch than just sight. The normal subjects swayed less in the dark with touch than without, and less with sight and touch than sight alone. These findings show that during quiet stance light touch of the index finger with a stationary surface can be as effective or even more so than vestibular function for minimizing postural sway.

  19. Parkinson's disease (PD) with dementia and falls is improved by AChEI? A preliminary study report.

    PubMed

    Lauretani, Fulvio; Galuppo, Laura; Costantino, Cosimo; Ticinesi, Andrea; Ceda, Gianpaolo; Ruffini, Livio; Nardelli, Anna; Maggio, Marcello

    2016-06-01

    Advanced PD is often associated with cognitive impairment and frequent falls. We describe a suggestive case report of PD associated with mild cognitive impairment (MCI) and falls. The aim of our study was to test alteration in balance potentially related to use of acetylcholinesterase inhibitor (AchEI). We address this hypothesis after keeping the patient in stable dosage of dopamine agonist. We describe an initial pharmacological management in a 78-year-old man affected by Parkinson disease (PD) associated with mild cognitive impairment (MCI) and history of falls. The diagnosis of PD was also confirmed by SPECT with DATSCAN, after CT-brain exclusion of potential other causes of the symptoms. Cognitive and motor performances of the patient were initially evaluated by Mini Mental Examination State Examination (MMSE), Short Physical Performance Battery (SPPB) and Romberg test. We also recorded gait parameters using an accelerometer, while balance and stability were assessed by stabilometric platform with open and closed eyes. We repeated cognitive and motor tests and gait and balance evaluation after stable dosage of dopamine agonist before and after introduction of AchEI. After starting dopamine agonist therapy, there was a significant improvement in gait parameters (speed, stride/min, stride length, swing duration, and decrease in gait cycle duration and rolling duration). When stable dosage of dopamine agonist was reached, AchEI was introduced obtaining not only a significant improvement of cognitive performance, but also a significant positive change in balance. We hypothesize that AchEI could improve stability, balance and postural instability in addition to cognitive performance in PD with MCI and balance deficits.

  20. Characteristics of hand tremor and postural sway in patients with fetal-type Minamata disease.

    PubMed

    Iwata, Toyoto; Takaoka, Shigeru; Sakamoto, Mineshi; Maeda, Eri; Nakamura, Masaaki; Liu, Xiao-Jie; Murata, Katsuyuki

    2016-01-01

    About forty certified patients aged around 50 years old existed as living witnesses to fetal-type Minamata disease (methylmercury poisoning due to in utero exposure) in Minamata, Japan in 2006. Computerized hand tremor and postural sway tests with spectral analysis were conducted for 24 of them and in matched control subjects to examine the pathophysiological feature of neuromotor function. The tremor intensities of the patients with fetal-type Minamata disease were significantly larger than those of the 67 controls at every frequency band for both hands. In the patients, proportions for intensity at 1-6 Hz of both hands were larger, but those of the intensity at 6-10 Hz were smaller compared with the controls. The center frequency of a tremor was significantly lower in the patients than in the controls. Only eight males of the 24 patients were examined to evaluate postural sway because of extremely low scores in activities of daily living in the remaining. Most of the postural sway parameters obtained with eyes open and closed were significantly larger in the patients than in the male controls. Likewise, Romberg quotients of postural sway in anterior-posterior direction were significantly higher in the patients. In conclusion, the patients with fetal-type Minamata disease of our study showed a larger tremor of low frequency at less than 6 Hz and postural instability. Spectral analyses of computerized hand tremor and postural sway are suggested to be useful for assessing the pathophysiological change, related to a lesion of the cerebellum, resulting from prenatal methylmercury exposure.

  1. Marine gravimetry using the strapdown gravimeter SGA-WZ

    NASA Astrophysics Data System (ADS)

    Cai, Shaokun; Tie, Junbo; Zhang, Kaidong; Cao, Juliang; Wu, Meiping

    2017-12-01

    Gravity can be measured in many ways, from static-point observations to dynamic measurement using land vehicles, ships, aircrafts and satellites. China has developed a gravimetry system based on SINS (Strapdown Inertial Navigation System) named SGA-WZ. This system is the first strapdown gravimetry system in China. Some airborne gravimetry campaigns have been implemented using SGA-WZ. The flight tests indicate that the accuracy of SGA-WZ is 1.5 mGal at a 4.8 km resolution. To test the performance of SGA-WZ when installed on a ship, a marine gravimetry campaign was conducted in the South China Sea in August 2013. In the test, a state-of-the-art commercial sea gravimeter, the LaCoste & Romberg (L&R), was mounted side by side with SGA-WZ. The test contained 30 survey lines in the west-east direction and four groups of repeat lines in four directions; the evaluation of the repeatability was based on repeat lines. The measurement and in-movement alignment algorithm for strapdown gravimeters in the sea are discussed, and the results and analysis of this test are presented. The results from the repeated lines and the comparison with L&R showed that the accuracy of SGA-WZ is at the level of 1 mGal with a resolution between 0.4 and 0.8 km for shipborne gravimetry. These results indicate that the strapdown gravimetry system SGA-WZ can be used in marine gravimetry and the moving base alignment method can improve the computation efficiency greatly when using the strapdown gravimetry system.

  2. Vestibulo-ocular response and balance control in children and young adults with mild-to-moderate intellectual and developmental disability: a pilot study.

    PubMed

    Zur, Oz; Ronen, Ayelet; Melzer, Itshak; Carmeli, Eli

    2013-06-01

    The vestibulo-ocular response (VOR) may not be fully developed in children with an intellectual and developmental disability (IDD). This study aimed to identify the presence of VOR deficit in children and young adults with unspecified mild-to-moderate intellectual and developmental disability and its effect on balance control. Twenty-one children and young adults with IDD ranging in age from 8 to 22 years (mean 17.5 ± 3.9 years) were included in the study. The VOR was evaluated with the Head Impulse Test and the Static and Dynamic Visual Acuity Test (S&D-VAT). Postural stability was measured in an upright standing position by the Clinical Test for Sensory Interaction in Balance (CTSIB), single leg stance (SLS) during eyes open and eyes closed, and Romberg stance under eyes open and eyes closed conditions using a force platform. Reduced vestibulo-ocular responses were found in 13 of 21 (62%) participants who were able to complete testing. In the fifth condition of the CTSIB (standing on foam with eyes closed), those without VOR deficit were able to maintain balance longer than those with VOR deficit (29 s [median 30] vs. 12s [median 7.3], respectively; p=0.03). The study demonstrates potential effects of VOR deficit in children and young adults with IDD and some significant differences in balance control between those with and without a VOR deficit. VOR function in children and young adults with IDD should be routinely tested to enable early detection of deficits. Copyright © 2013 Elsevier Ltd. All rights reserved.

  3. Epilepsy in the process of artistic creation of Dostoevsky.

    PubMed

    Iniesta, I

    2014-01-01

    Fyodor M. Dostoevsky (Moscow, 1821-Saint Petersburg, 1881) suffered epilepsy throughout his full literary career. The aim here is to understand his condition in light of his novels, correspondence and his contemporaries' accounts as well as by later generations of neurologists. From Murin and Ordynov (The landlady, 1847) to Smerdyakov (The brothers Karamazov, 1879-1880), Dostoevsky portrayed up to six characters with epilepsy in his literature. Apart from making an intelligent use of the disease by incorporating it into his novels, his seminal idea -that a moment of happiness is worth a lifetime- was probably inspired by his epileptic aura. Through epilepsy, Dostoevsky also found a way to freedom from perpetual military servitude. The first symptoms of the epilepsy presented in early adulthood (late 1830s to early 1840s), but he was only diagnosed a decade later. In 1863 he went abroad seeking expert advice from Romberg and Trousseau. In the first retrospective study of Dostoevsky's literary epilepsy, Stephenson and Isotoff noticed the influence of Carus' Psyche (1848) in the preparation of his characters, whilst his epilepsy has inspired later generations of epileptologists. Dostoevsky offers an insight into the natural history of an epilepsy, which in contemporary scientific terms would be classified as cryptogenic localization-related of probable temporal lobe origin. Above all, Dostoevsky's case illustrates the good use of a common neurological disorder by a remarkable writer who transformed suffering into art and a disadvantage into an advantage. Copyright © 2011 Sociedad Española de Neurología. Published by Elsevier Espana. All rights reserved.

  4. Response of Gravity, Magnetic, and Geoelectrical Resistivity Methods on Ngeni Southern Blitar Mineralization Zone

    NASA Astrophysics Data System (ADS)

    Sunaryo

    2018-03-01

    The research with entitle response of gravity, magnetic, and geoelectrical resistivity methods on Ngeni Southern Blitar mineralization zone has been done. This study aims to find the response of several geophysical methods of gravity, magnetic, and geoelectrical resistivity in an integrated manner. Gravity data acquisition was acquired 224 data which covers the whole region of Blitar district by using Gravity Meter La Coste & Romberg Model “G”, and magnetic data acquisition were acquired 195 data which covers the southern Blitar district only by using Proton Precession Magnetometer G-856. Meanwhile geoelectrical resistivity data only done in Ngeni village which is the location of phyropilite mining with the composition content of Fe, Si, Ca, S, Cu, and Mn by using ABEM Terrameter SAS 300C. Gravity data processing was performed to obtain the Bouguer anomaly value, which included unit conversion, tidal correction, drift correction, correction of tie point, base station correction, free air correction, and Bouguer correction. Magnetic data processing has been done by some corrections i.e daily, drift, and IGRF(International Geomagnetic Refference Field) to obtain the total magnetic anomaly. From gravity data processing has been obtained the simple Bouguer anomaly value in range from -10mGal until 115mGal. From this data processing has been obtained the total magnetic anomaly value in range from -650nT until 800nT. Meanwhile from geoelectrical resistivity 3.03Ωm until 11249.91 Ωm. There is a correlation between gravity anomaly, magnetic anomaly, and geoelectrical resistivity anomaly that are associated with deep anomaly, middle anomaly, and shallow anomaly.

  5. Presumed Arterial Gas Embolism After Breath-Hold Diving in Shallow Water.

    PubMed

    Harmsen, Stefani; Schramm, Dirk; Karenfort, Michael; Christaras, Andreas; Euler, Michael; Mayatepek, Ertan; Tibussek, Daniel

    2015-09-01

    Dive-related injuries are relatively common, but almost exclusively occur in recreational or scuba diving. We report 2 children with acute central nervous system complications after breath-hold diving. A 12-year-old boy presented with unilateral leg weakness and paresthesia after diving beneath the water surface for a distance of ∼25 m. After ascent, he suddenly felt extreme thoracic pain that resolved spontaneously. Neurologic examination revealed right leg weakness and sensory deficits with a sensory level at T5. Spinal MRI revealed a nonenhancing T2-hyperintense lesion in the central cord at the level of T1/T2 suggesting a spinal cord edema. A few weeks later, a 13-year-old girl was admitted with acute dizziness, personality changes, confusion, and headache. Thirty minutes before, she had practiced diving beneath the water surface for a distance of ∼25 m. After stepping out, she felt sudden severe thoracic pain and lost consciousness. Shortly later she reported headache and vertigo, and numbness of the complete left side of her body. Neurologic examination revealed reduced sensibility to all modalities, a positive Romberg test, and vertigo. Cerebral MRI revealed no pathologic findings. Both children experienced a strikingly similar clinical course. The chronology of events strongly suggests that both patients were suffering from arterial gas embolism. This condition has been reported for the first time to occur in children after breath-hold diving beneath the water surface without glossopharyngeal insufflation. Copyright © 2015 by the American Academy of Pediatrics.

  6. Postural control system influences intrinsic alerting state.

    PubMed

    Barra, Julien; Auclair, Laurent; Charvillat, Agnès; Vidal, Manuel; Pérennou, Dominic

    2015-03-01

    Numerous studies using dual-task paradigms (postural and cognitive) have shown that postural control requires cognitive resources. However, the influence of postural control on attention components has never been directly addressed. Using the attention network test (ANT), which assesses specifically each of the 3 components of attention-alertness, orientation, and executive control-within a single paradigm, we investigated the effect of postural balance demand on these 3 components. Forty-two participants completed the ANT in 3 postural conditions: (a) supine, a very stable position; (b) sitting on a chair, an intermediate position; and (c) standing with feet lined up heel to toe, a very instable position known as the Romberg position. Our results revealed that the difficulty of postural control does modulate alerting in such a way that it improves with the level of instability of the position. Regarding the orienting and executive control components of attention, performance was not different when participants were standing upright or seated, whereas in the supine position, performance dropped. The strong and specific interaction between postural control and the alerting system suggests that these mechanisms may share parts of the underlying neural circuits. We discuss the possible implication of the locus coeruleus, known to be involved in both postural balance and alerting. Also, our findings concerning orienting and executive control systems suggest that supine posture could have a specific effect on cognitive activities. These effects are discussed in terms of particularities resulting from the supine position. PsycINFO Database Record (c) 2015 APA, all rights reserved.

  7. Contribution of Jules Froment to the study of parkinsonian rigidity.

    PubMed

    Broussolle, Emmanuel; Krack, Paul; Thobois, Stéphane; Xie-Brustolin, Jing; Pollak, Pierre; Goetz, Christopher G

    2007-05-15

    Rigidity is commonly defined as a resistance to passive movement. In Parkinson's disease (PD), two types of rigidity are classically recognized which may coexist, "leadpipe " and "cogwheel". Charcot was the first to investigate parkinsonian rigidity during the second half of the nineteenth century, whereas Negro and Moyer described cogwheel rigidity at the beginning of the twentieth century. Jules Froment, a French neurologist from Lyon, contributed to the study of parkinsonian rigidity during the 1920s. He investigated rigidity of the wrist at rest in a sitting position as well as in stable and unstable standing postures, both clinically and with physiological recordings using a myograph. With Gardère, Froment described enhanced resistance to passive movements of a limb about a joint that can be detected specifically when there is a voluntary action of another contralateral body part. This has been designated in the literature as the "Froment's maneuver " and the activation or facilitation test. In addition, Froment showed that parkinsonian rigidity diminishes, vanishes, or enhances depending on the static posture of the body. He proposed that in PD "maintenance stabilization " of the body is impaired and that "reactive stabilization " becomes the operative mode of muscular tone control. He considered "rigidification " as compensatory against the forces of gravity. Froment also demonstrated that parkinsonian rigidity increases during the Romberg test, gaze deviation, and oriented attention. In their number, breadth, and originality, Froment's contributions to the study of parkinsonian rigidity remain currently relevant to clinical and neurophysiological issues of PD. (c) 2007 Movement Disorder Society.

  8. Effects of desloratadine and alcohol coadministration on psychomotor performance.

    PubMed

    Scharf, Martin; Berkowitz, David

    2007-02-01

    This study was set up to evaluate the effects of desloratadine 7.5 mg daily, with and without alcohol, on sedation and psychomotor performance. In a double-blind, placebo-controlled, four-way crossover trial, 25 adult patients were randomized to desloratadine 7.5 mg, desloratadine 7.5 mg plus alcohol, placebo, or placebo plus alcohol. Alcohol was weight adjusted to an average blood alcohol concentration of 0.1%. Assessments included the modified Romberg test, Stanford Sleepiness Scale, Digit Symbol Substitution Test, Serial Add Subtract Reaction Time Test, and the Psychomotor Vigilance Test. The primary variable was the mean score of each of the five tests averaged over the treatment period, expressed as the mean percent change from baseline. Across these assessments, differences between desloratadine alone or with alcohol versus placebo alone or without alcohol, were not significant, whereas most differences between desloratadine and placebo alone versus desloratadine and placebo with alcohol were significant (p < 0.01). Thus, with or without alcohol, desloratadine 7.5 mg does not increase sedation or impair psychomotor performance. Most adverse events (AEs) were mild-to-moderate in severity, with the most frequently reported individual AEs being headache, fatigue, nausea, vomiting, and dry mouth. The study does have potential limitations. The measures used are restricted to a particular profile of the known effects of alcohol only, and the relatively high doses of alcohol used alone demonstrate effects on psychomotor function and attention. A single dose of desloratadine does not potentiate alcohol-mediated CNS impairment. Desloratadine alone or in combination with alcohol was safe and well tolerated.

  9. [Occupational acute mercury intoxication--a case report].

    PubMed

    Złotkowska, Renata; Zajac-Nedza, Maria

    2002-01-01

    The aim of this paper is to present a case of acute occupational mercury poisoning treated at the Clinical Department of Occupational Diseases. A welder, forty years old was employed at a large chemical plant in the dissembling department involved in the production of acetaldehyde. The patient was referred to the hospital by an occupational physician. During his shift; dissembling mercury-covered tubes a nausea, abdominal pain and elevated temperature occurred. He was also complaining of headache and symptoms of gingivitis, which lasted two weeks before hospitalization. Before admission to the Clinical Department, mercury concentrations in urine were measured twice. The urine mercury levels were very high, impossible to determine precisely. During hospitalization, the patient was complaining of head and gingiva pains. Since the symptoms persisted and high urine mercury levels (830 micrograms/l) were determined--DMPS--Heyl was administered. After treatment symptoms subsided and the concentration of mercury in urine was gradually returning to normal. The results of laboratory tests did not reveal any impairment of internal organs. Consultant in neurology found the presence of nystagmus and positive Romberg test in the patient. Neurological signs disappeared after a month. The measurements performed by the Department of Work Safety revealed high exceeded hygiene permissible limits of mercury vapors in the air. The information provided by the employer's technical services also showed that the patient was working with the face mask, but its absorber was not readjusted to mercury vapors. A control ambulatory examination (one and a half year later) did not reveal health effects of acute exposure to mercury vapors.

  10. Effects of orthopedic insoles on static balance of older adults wearing thick socks.

    PubMed

    Ma, Christina Zong-Hao; Wong, Duo Wai-Chi; Wan, Anson Hong-Ping; Lee, Winson Chiu-Chun

    2018-06-01

    The wearing of socks and insoles may affect the ability of the foot to detect tactile input influencing postural balance. The aim of this study was to investigate whether (1) thick socks adversely affected the elderly postural balance and (2) orthopedic insoles could improve the elderly postural balance while wearing thick socks. Repeated-measures study design. In total, 14 healthy older adults were recruited. A monofilament test was conducted to evaluate foot plantar sensation with and without thick socks. Subjects then performed the Romberg tests under three conditions: (1) barefoot, (2) with socks only, and (3) with both socks and insoles. Postural balance was assessed by measuring the center of pressure movement during standing in each experimental condition. Thick socks significantly decreased the monofilament score ( p < 0.001), suggesting reduction in ability to detect external forces. All center of pressure parameters increased significantly while wearing thick socks ( p < 0.017), implying reduction of postural stability. They then decreased significantly with the additional use of insoles ( p < 0.017). Previous studies have documented the changes in plantar pressure distribution with the use of orthopedic insoles. This study further suggests that such changes in contact mechanics could produce some balance-improving effects, which appears not to have been reported earlier. Clinical relevance Wearing thick socks reduces plantar pressure sensitivity and increases postural sway which may increase risk of falls. Orthopedic insoles and footwear with similar design could potentially be a cost-effective method in maintaining postural balance when wearing thick socks.

  11. Obturator hernia: A diagnostic challenge.

    PubMed

    Kulkarni, Sanjeev R; Punamiya, Aditya R; Naniwadekar, Ramchandra G; Janugade, Hemant B; Chotai, Tejas D; Vimal Singh, T; Natchair, Arafath

    2013-01-01

    Obturator hernia is an extremely rare type of hernia with relatively high mortality and morbidity. Its early diagnosis is challenging since the signs and symptoms are non specific. Here in we present a case of 70 years old women who presented with complaints of intermittent colicky abdominal pain and vomiting. Plain radiograph of abdomen showed acute dilatation of stomach. Ultrasonography showed small bowel obstruction at the mid ileal level with evidence of coiled loops of ileum in pelvis. On exploration, Right Obstructed Obturator hernia was found. The obstructed Intestine was reduced and resected and the obturator foramen was closed with simple sutures. Postoperative period was uneventful. Obturator hernia is a rare pelvic hernia and poses a diagnostic challenge. Obturator hernia occurs when there is protrusion of intra-abdominal contents through the obturator foramen in the pelvis. The signs and symptoms are non specific and generally the diagnosis is made during exploration for the intestinal obstruction, one of the four cardinal features. Others are pain on the medial aspect of thigh called as Howship Rombergs sign, repeated attacks of Intestinal Obstruction and palpable mass on the medial aspect of thigh. Obturator hernia is a rare but significant cause of intestinal obstruction especially in emaciated elderly woman and a diagnostic challenge for the Doctors. CT scan is valuable to establish preoperative diagnosis. Surgery either open or laproscopic, is the only treatment. The need for the awareness is stressed and CT scan can be helpful. Copyright © 2013 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

  12. Spray deposition from ground-based applications of carbaryl to protect individual trees from bark beetle attack.

    PubMed

    Fettig, Christopher J; Munson, A Steven; McKelvey, Stephen R; Bush, Parshall B; Borys, Robert R

    2008-01-01

    Bark beetles (Coleoptera: Curculionidae, Scolytinae) are recognized as the most important tree mortality agent in western coniferous forests. A common method of protecting trees from bark beetle attack is to saturate the tree bole with carbaryl (1-naphthyl methylcarbamate) using a hydraulic sprayer. In this study, we evaluate the amount of carbaryl drift (ground deposition) occurring at four distances from the tree bole (7.6, 15.2, 22.9, and 38.1 m) during conventional spray applications for protecting individual lodgepole pine (Pinus contorta Dougl. ex Loud.) from mountain pine beetle (Dendroctonus ponderosae Hopkins) attack and Engelmann spruce (Picea engelmannii Parry ex Engelm.) from spruce beetle (D. rufipennis [Kirby]) attack. Mean deposition (carbaryl + alpha-naphthol) did not differ significantly among treatments (nozzle orifices) at any distance from the tree bole. Values ranged from 0.04 +/- 0.02 mg carbaryl m(-2) at 38.1 m to 13.30 +/- 2.54 mg carbaryl m(-2) at 7.6 m. Overall, distance from the tree bole significantly affected the amount of deposition. Deposition was greatest 7.6 m from the tree bole and quickly declined as distance from the tree bole increased. Approximately 97% of total spray deposition occurred within 15.2 m of the tree bole. Application efficiency (i.e., percentage of insecticide applied that is retained on trees) ranged from 80.9 to 87.2%. Based on review of the literature, this amount of drift poses little threat to adjacent aquatic environments. No-spray buffers of 7.6 m should be sufficient to protect freshwater fish, amphibians, crustaceans, bivalves, and most aquatic insects. Buffers >22.9 m appear sufficient to protect the most sensitive aquatic insects (Plecoptera).

  13. Prevention of lower extremity stress fractures: a controlled trial of a shock absorbent insole.

    PubMed Central

    Gardner, L I; Dziados, J E; Jones, B H; Brundage, J F; Harris, J M; Sullivan, R; Gill, P

    1988-01-01

    A prospective controlled trial was carried out to determine the usefulness of a viscoelastic polymer insole in prevention of stress fractures and stress reactions of the lower extremities. The subjects were 3,025 US Marine recruits who were followed for 12 weeks of training at Parris Island, South Carolina. Polymer and standard mesh insoles were systematically distributed in boots that were issued to members of odd and even numbered platoons. The most important finding was that an elastic polymer insole with good shock absorbency properties did not prevent stress reactions of bone during a 12-week period of vigorous physical training. To control for the confounding effects of running in running shoes, which occurred for about one and one-half hours per week for the first five weeks, we also examined the association of age of shoes and cost of shoes with injury incidence. A slight trend of increasing stress injuries by increasing age of shoes was observed. However, this trend did not account for the similarity of rates in the two insole groups. In addition, we observed a strong trend of decreasing stress injury rate by history of increasing physical activity, as well as a higher stress injury rate in White compared to Black recruits. The results of the trial were not altered after controlling for these factors. This prospective study confirms previous clinical reports of the association of stress fractures with physical activity history. The clinical application of a shock absorbing insole as a preventive for lower extremity stress reactions is not supported in these uniformly trained recruits. The findings are relevant to civilian populations. PMID:3056045

  14. Engelmann Spruce Site Index Models: A Comparison of Model Functions and Parameterizations

    PubMed Central

    Nigh, Gordon

    2015-01-01

    Engelmann spruce (Picea engelmannii Parry ex Engelm.) is a high-elevation species found in western Canada and western USA. As this species becomes increasingly targeted for harvesting, better height growth information is required for good management of this species. This project was initiated to fill this need. The objective of the project was threefold: develop a site index model for Engelmann spruce; compare the fits and modelling and application issues between three model formulations and four parameterizations; and more closely examine the grounded-Generalized Algebraic Difference Approach (g-GADA) model parameterization. The model fitting data consisted of 84 stem analyzed Engelmann spruce site trees sampled across the Engelmann Spruce – Subalpine Fir biogeoclimatic zone. The fitted models were based on the Chapman-Richards function, a modified Hossfeld IV function, and the Schumacher function. The model parameterizations that were tested are indicator variables, mixed-effects, GADA, and g-GADA. Model evaluation was based on the finite-sample corrected version of Akaike’s Information Criteria and the estimated variance. Model parameterization had more of an influence on the fit than did model formulation, with the indicator variable method providing the best fit, followed by the mixed-effects modelling (9% increase in the variance for the Chapman-Richards and Schumacher formulations over the indicator variable parameterization), g-GADA (optimal approach) (335% increase in the variance), and the GADA/g-GADA (with the GADA parameterization) (346% increase in the variance). Factors related to the application of the model must be considered when selecting the model for use as the best fitting methods have the most barriers in their application in terms of data and software requirements. PMID:25853472

  15. Age-Related Variation in Male Youth Athletes' Countermovement Jump After Plyometric Training: A Meta-Analysis of Controlled Trials.

    PubMed

    Moran, Jason J; Sandercock, Gavin R H; Ramírez-Campillo, Rodrigo; Meylan, César M P; Collison, Jay A; Parry, Dave A

    2017-02-01

    Moran, J, Sandercock, GRH, Ramírez-Campillo, R, Meylan, CMP, Collison, J, and Parry, DA. Age-related variation in male youth athletes' countermovement jump after plyometric training: A meta-analysis of controlled trials. J Strength Cond Res 31(2): 552-565, 2017-Recent debate on the trainability of youths has focused on the existence of periods of accelerated adaptation to training. Accordingly, the purpose of this meta-analysis was to identify the age- and maturation-related pattern of adaptive responses to plyometric training in youth athletes. Thirty effect sizes were calculated from the data of 21 sources with studies qualifying based on the following criteria: (a) healthy male athletes who were engaged in organized sport; (b) groups of participants with a mean age between 10 and 18 years; and (c) plyometric-training intervention duration between 4 and 16 weeks. Standardized mean differences showed plyometric training to be moderately effective in increasing countermovement jump (CMJ) height (Effect size = 0.73 95% confidence interval: 0.47-0.99) across PRE-, MID-, and POST-peak height velocity groups. Adaptive responses were of greater magnitude between the mean ages of 10 and 12.99 years (PRE) (ES = 0.91 95% confidence interval: 0.47-1.36) and 16 and 18 years (POST) (ES = 1.02 [0.52-1.53]). The magnitude of adaptation to plyometric training between the mean ages of 13 and 15.99 years (MID) was lower (ES = 0.47 [0.16-0.77]), despite greater training exposure. Power performance as measured by CMJ may be mediated by biological maturation. Coaches could manipulate training volume and modality during periods of lowered response to maximize performance.

  16. An assessment of the genotoxic impact of the Sea Empress oil spill by the measurement of DNA adduct levels in selected invertebrate and vertebrate species.

    PubMed

    Harvey, J S; Lyons, B P; Page, T S; Stewart, C; Parry, J M

    1999-04-26

    The grounding of the Sea Empress oil tanker resulted in the release of 72,000 tonnes of crude oil into Milford Haven, Wales, UK. Our initial studies indicated that this contamination resulted in elevated levels of DNA adducts in one of the area's native marine species Lipophrys pholis [B.P. Lyons, J.S. Harvey, J.M. Parry, An initial assessment of the genotoxic impact of the Sea Empress oil spill by the measurement of DNA adduct levels in the intertidal teleost Lipophrys pholis, Mutat. Res. 390 (1997) 263-268]. These original studies were extended and the genotoxic impact of the oil contamination was investigated in the invertebrates Halichondria panicea and Mytilus edulis, along with the vertebrate fish species L. pholis, Pleuronectes platessa and Limanda limanda. DNA adduct levels were assessed in these species over a period of 2-17 months after the incident. The studies indicate differences in the impact of acute oil contamination upon vertebrate and invertebrate species. The oil contamination did not induce any detectable elevations in adduct levels in the invertebrate species H. panicea and M. edulis. In contrast, the oil contamination did appear to induce adducts in the vertebrate teleost species L. pholis, P. platessa and Lim. limanda. Despite some difficulties in sampling, the data obtained 12-17 months after the spill suggested that the affected species recovered from the oil contamination. While the studies indicate that the genetic impact of the oil contamination was less severe than might have been expected, it remains possible that the DNA adducts detected in the teleosts could lead to genetic changes in these species in the future. Copyright 1999 Elsevier Science B.V.

  17. Comparison of Postural Recovery Following Short and Long Duration Spaceflights

    NASA Technical Reports Server (NTRS)

    Wood, S. J.; Fiedler, J.; Taylor, L. C.; Kozlovskaya, I.; Black, F. O.; Paloski, W. H.

    2010-01-01

    INTRODUCTION: Post-flight postural ataxia reflects adaptive changes to vestibulo-spinal reflexes and control strategies adopted for movement in weightlessness. Quantitative measures obtained during computerized dynamic posturography (CDP) from US and Russian programs provide insight into the effect of spaceflight duration in terms of both the initial decrements and recovery of postural stability. METHODS: CDP was obtained on 117 crewmembers following Shuttle flights lasting 4-17 days, and on 64 crewmembers following long-duration missions lasting 48-380 days. Although the number and timing of sessions varied, the goal was to characterize postural recovery pooling similar measures from different research and flight medicine programs. This report focuses on eyes closed, head erect conditions with either a fixed or sway-referenced base of support. A smaller subset of subjects repeated the sway-referenced condition while making pitch head movements (+/- 20deg at 0.33Hz). Equilibrium scores were derived from peak-to-peak anterior-posterior sway. Fall probability was modeled using Bayesian statistical methods to estimate parameters of a logit function. RESULTS: The standard Romberg condition was the least sensitive. Longer duration flights led to larger decrements in stability with sway-reference support during the first 1-2 days, although the timecourse of recovery was similar across flight duration with head erect. Head movements led to increased incidence of falls during the first week, with a significantly longer recovery following long duration flights. CONCLUSIONS: The diagnostic assessment of postural instability, and differences in the timecourse of postural recovery between short and long flight durations, are more pronounced during unstable support conditions requiring active head movements.

  18. Disorders of balance and vestibular function in US adults: data from the National Health and Nutrition Examination Survey, 2001-2004.

    PubMed

    Agrawal, Yuri; Carey, John P; Della Santina, Charles C; Schubert, Michael C; Minor, Lloyd B

    2009-05-25

    Balance dysfunction can be debilitating and can lead to catastrophic outcomes such as falls. The inner ear vestibular system is an important contributor to balance control. However, to our knowledge, the prevalence of vestibular dysfunction in the United States and the magnitude of the increased risk of falling associated with vestibular dysfunction have never been estimated. The objective of this study was to determine the prevalence of vestibular dysfunction among US adults, evaluate differences by sociodemographic characteristics, and estimate the association between vestibular dysfunction and risk of falls. We included data from the 2001-2004 National Health and Nutrition Examination Surveys, which were cross-sectional surveys of US adults aged 40 years and older (n = 5086). The main outcome measure was vestibular function as measured by the modified Romberg Test of Standing Balance on Firm and Compliant Support Surfaces. From 2001 through 2004, 35.4% of US adults aged 40 years and older (69 million Americans) had vestibular dysfunction. Odds of vestibular dysfunction increased significantly with age, were 40.3% lower in individuals with more than a high school education, and were 70.0% higher among people with diabetes mellitus. Participants with vestibular dysfunction who were clinically symptomatic (ie, reported dizziness) had a 12-fold increase in the odds of falling. Vestibular dysfunction, as measured by a simple postural metric, is common among US adults. Vestibular dysfunction significantly increases the likelihood of falls, which are among the most morbid and costly health conditions affecting older individuals. These data suggest the importance of diagnosing, treating, and potentially screening for vestibular deficits to reduce the burden of fall-related injuries and deaths in the United States.

  19. The influence of multiple sensory impairments on functional balance and difficulty with falls among U.S. adults.

    PubMed

    Wilson, Samuel J; Garner, John C; Loprinzi, Paul D

    2016-06-01

    Studies have looked at the individual associations of sensory impairment on balance, but no population-based studies have examined their combined association on balance and difficulty with falls. Thus, the purpose of this study was to examine both the independent associations and combined associations of visual impairment, peripheral neuropathy, and self-reported hearing loss with the odds of reporting difficulty with falls and functional balance. Data from the 2003-2004 National Health and Nutrition Examination Survey were used. Vision and peripheral neuropathy were objectively measured, and hearing was self-reported. Balance testing consisted of a modified Romberg test. After exclusions, 1662 (40-85years of age) participants provided complete data on the study variables. Sensory impairment was associated with perceived difficulty of falls and functional balance. Participants who presented a single sensory impairment had 29% reduced odds of having functional balance (95% CI=0.54-0.93, p=0.01) and increased odds of reporting difficulty with falls by 61% (95% CI=0.99-2.60, p=0.05). Moreover, our multisensory models showed some evidence of a dose-response relationship, in that sensory impairment of multiple sensory systems was associated with worse balance (OR =0.59, CI=0.35-1.00, p=0.05) and perceived difficulty of falls (OR =5.02, 95% CI=1.99-12.66, p=0.002) when compared to those with less sensory impairment. Multiple sensory impairment is associated with significantly higher odds of both reporting difficulty with falls and balance dysfunction, which may lead to a subsequent fall, ultimately compromising the individual's health. Copyright © 2016 Elsevier Inc. All rights reserved.

  20. Mass intrusion beneath Kilauea Volcano, Hawaii, constraints from gravity and geodetic measurements (1975-2008)

    NASA Astrophysics Data System (ADS)

    Bagnardi, M.; Eggers, A.; Battaglia, M.; Poland, M.; Johnson, D.

    2008-12-01

    Since January 3 1983, Kilauea Volcano, Hawaii, has erupted almost continuously from vents on the volcano's east rift zone. On March 19, 2008, an explosion at Halema'uma'u Crater, within the summit caldera of Kilauea, marked the opening of a second eruptive vent on the volcano. The east rift vent at Pu'u'O'o and the summit vent at Halema'uma'u continue to be active as of August 2008, marking the longest interval in Kilauea's recorded history of eruptive activity on the volcano. Four gravity surveys with a network covering Kilauea's summit area have been performed during 1975-2003. We reoccupied this 45-station network in January and July 2008 with three portable LaCoste-Romberg gravimeters (G209, G615 and EG026) using a double-looping procedure. These two most recent gravity surveys span the onset of summit eruptive activity. The micro-gravity data set, combined with existing geodetic data from leveling, GPS, EDM, and InSAR, allow us to investigate and model the shallow magma system under the summit caldera to roughly constrain its shape, position, volume change and density, and better understand its long and short term evolution. We corrected for the effect of vertical deformation on gravity data (the so-called free-air effect) using uplift measurements from annual surveys performed by the USGS Hawaiian Volcano Observatory. Preliminary analysis of this record, which covers more than 30 years, indicates a persistent positive residual gravity anomaly located at the southeast margin of Halema'uma'u Crater, very close to the location of the new summit eruptive vent. This anomaly suggests a long term mass accumulation beneath the summit caldera.

  1. Gentamicin ototoxicity: a 23-year selected case series of 103 patients.

    PubMed

    Ahmed, Rebekah M; Hannigan, Imelda P; MacDougall, Hamish G; Chan, Raymond C; Halmagyi, G Michael

    2012-06-18

    To review patients with severe bilateral vestibular loss associated with gentamicin treatment in hospital. A retrospective case series of presentations to a balance disorders clinic between 1988 and 2010. Relationship between vestibulotoxicity and gentamicin dose or dosing profile; indications for prescribing gentamicin. 103 patients (age, 18-84 years; mean, 64 years) presented with imbalance, oscillopsia or both, but none had vertigo. Only three noted some hearing impairment after having gentamicin, but audiometric thresholds for all patients were consistent with their age. In all patients, the following tests gave positive results: a bilateral clinical head-impulse test, a vertical head-shaking test for vertical oscillopsia, and a foam Romberg test. In 21 patients, imbalance occurred during gentamicin treatment (ignored or dismissed by prescribers in 20) and in 66 after treatment; the remaining 16 could not recall when symptoms were first noticed, except that it was after gentamicin treatment in hospital. Total gentamicin dose range was 2-318 mg/kg (mean, 52 mg/kg), daily dose range was 1.5-5.6 mg/kg (mean, 3.5mg/kg), and duration was 1-80 days (mean, 17 days). Six patients had only a single dose; 26 had five or fewer doses. Serum gentamicin levels, measured in 82 patients, were in the recommended range in 59. Time to diagnosis ranged from 4 days to 15 years. Nephrotoxicity developed in 43 patients. Gentamicin dosage complied with contemporary or current Australian antibiotic guidelines in under half the patients. Gentamicin ototoxicity is vestibular, not cochlear, producing permanent loss of balance, but not of hearing. Gentamicin can be vestibulotoxic in any dose, in any regimen, at any serum level.

  2. Vestibular system paresis due to emergency endovascular catheterization

    PubMed Central

    Simoceli, Lucinda; Sguillar, Danilo Anunciatto; Santos, Henrique Mendes Paiva; Caputti, Camilla

    2012-01-01

    Summary Objective: The objective of this story of case is to describe an uncommon cause of associated peripheral Vestibulopathy to the unilateral auditory loss in aged patient after catheterization of urgency. Story of case: Patient of the masculine sort, 82 years, submitted to the correction of abdominal ragged aneurism of aorta, in the intra-operative suffered heart attack acute from the myocardium needing primary angioplasty. High after hospital it relates to complaint of accented hearing loss to the right and crippling vertigo, without focal neurological signals. To the otorhinolaryngological clinical examination it presented: Test of Weber lateralized for the left, spontaneous nystagmus for the left, marches rocking, has taken normal disbasia and ataxia, index-nose and diadochokinesia, Test of Romberg with oscillation without fall and Fukuda with lateral shunting line for the right. The audiometric examination evidenced deafness to the right and sensorineural loss to the left in sharps, areflexia initial to the right in caloric test e, the computerized tomography of the secular bones and brainstem, presence of metallic connecting rod crossing the right secular bone, from the vein internal jugular vein and bulb jugular vein, crossing the posterior, superior and vestibule semicircular canals, projecting itself in temporal lobe. The radiological diagnoses was traumatic injury for guide to endovascular metallic during catheterization of urgency and the behavior, considering that the patient had not compensated the balance, it was vestibular rehabilitation. Conclusion: Complaints of giddiness in the aged patient must be closely evaluated of its pathological clinical description because the antecedents of illnesses and previous treatments, in general, direct the diagnostic hypotheses however they can bring unexpected alterations. PMID:25991947

  3. Vestibular system paresis due to emergency endovascular catheterization.

    PubMed

    Simoceli, Lucinda; Sguillar, Danilo Anunciatto; Santos, Henrique Mendes Paiva; Caputti, Camilla

    2012-04-01

     The objective of this story of case is to describe an uncommon cause of associated peripheral Vestibulopathy to the unilateral auditory loss in aged patient after catheterization of urgency. Story of case: Patient of the masculine sort, 82 years, submitted to the correction of abdominal ragged aneurism of aorta, in the intra-operative suffered heart attack acute from the myocardium needing primary angioplasty. High after hospital it relates to complaint of accented hearing loss to the right and crippling vertigo, without focal neurological signals. To the otorhinolaryngological clinical examination it presented: Test of Weber lateralized for the left, spontaneous nystagmus for the left, marches rocking, has taken normal disbasia and ataxia, index-nose and diadochokinesia, Test of Romberg with oscillation without fall and Fukuda with lateral shunting line for the right. The audiometric examination evidenced deafness to the right and sensorineural loss to the left in sharps, areflexia initial to the right in caloric test e, the computerized tomography of the secular bones and brainstem, presence of metallic connecting rod crossing the right secular bone, from the vein internal jugular vein and bulb jugular vein, crossing the posterior, superior and vestibule semicircular canals, projecting itself in temporal lobe. The radiological diagnoses was traumatic injury for guide to endovascular metallic during catheterization of urgency and the behavior, considering that the patient had not compensated the balance, it was vestibular rehabilitation.  Complaints of giddiness in the aged patient must be closely evaluated of its pathological clinical description because the antecedents of illnesses and previous treatments, in general, direct the diagnostic hypotheses however they can bring unexpected alterations.

  4. Structure, production and resource use in some old-growth spruce/fir forests in the front range of the Rocky Mountains, USA

    USGS Publications Warehouse

    Binkley, Dan; Olsson, U.; Rochelle, R.; Stohlgren, T.; Nikolov, N.

    2003-01-01

    Old-growth forests of Engelmann spruce (Picea engelmannii Parry ex. Engelm.) and subalpine fir (Abies lasiocarpa (Hook.) Nutt.) dominate much of the landscape of the Rocky Mountains. We characterized the structure, biomass and production of 18 old-growth (200-450-year-old) spruce/fir forests in Rocky Mountain National Park, Colorado, as well as the stand-level supply and use of light and nitrogen. Stands were chosen to span a broad range of elevation, aspect, and topography. Aboveground tree biomass in these old-growth forests averaged 253 Mg/ha (range 130-488 Mg/ha), with aboveground net primary production of 3700 kg ha-1 yr-1 (range from 2700 to 5200 kg ha-1 yr-1). Within stands, trees >35 cm in diameter accounted for 70% of aboveground biomass, but trees <35 cm contributed 70% of the production of woody biomass. Differences in slope and aspect among sites resulted in a range of incoming light from 58 to 74 TJ ha-1 yr-1, and tree canopies intercepted an average of 71% of incoming light (range 50-90%). Aboveground net primary production (ANPP) of trees did not relate to the supply of light or N, but ANPP correlated strongly with the amount of light and N used (r2 = 0.45-0.54, P < 0.01). Uptake of 1 kg of N was associated with about 260 kg of ANPP, and one TJ of intercepted shortwave radiation produced about 78 kg of ANPP. Across these old-growth stands, stands with greater biomass showed higher rates of both ANPP and resource use; variation in aboveground biomass was associated with 24% of the variation in N use (P = 0.04), 44% of the light use (P = 0.003), and 45% of the ANPP (P = 0.002). ?? 2002 Elsevier Science B.V. All rights reserved.

  5. Along-Strike Electrical Conductivity Variations in the Incoming Plate and Shallow Forearc of the Cascadia Subduction Zone

    NASA Astrophysics Data System (ADS)

    Key, K.; Bedrosian, P.; Egbert, G. D.; Livelybrooks, D.; Parris, B. A.; Schultz, A.

    2015-12-01

    The Magnetotelluric Observations of Cascadia using a Huge Array (MOCHA) experiment was carried out to study the nature of the seismogenic locked zone and the down-dip transition zone where episodic tremor and slip (ETS) originates. This amphibious magnetotelluric (MT) data set consists of 8 offshore and 15 onshore profiles crossing from just seaward of the trench to the western front of the Cascades, with a north-south extent spanning from central Oregon to central Washington. The 71 offshore stations and the 75 onshore stations (red triangles in the image below) fit into the broader context of the more sparsely sampled EarthScope MT transportable array (black triangles) and other previous and pending MT surveys (other symbols). These data allows us to image variations in electrical conductivity along distinct segments of the Cascadia subduction zone defined by ETS recurrence intervals. Since bulk conductivity in this setting depends primarily on porosity, fluid content and temperature, the conductivity images created from the MOCHA data offer unique insights on fluid processes in the crust and mantle, and how the distribution of fluid along the plate interface relates to observed variations in ETS behavior. This abstract explores the across- and along-strike variations in the incoming plate and the shallow offshore forearc. In particular we examine how conductivity variations, and the inferred fluid content and porosity variations, are related to tectonic segmentation, seismicity and deformation patterns, and arc magma variations along-strike. Porosity inferred in the forearc crust can be interpreted in conjunction with active and passive seismic imaging results and may provide new insights on the origin of recently observed extremely high heat flow values. A companion abstract (Parris et al.) examines the deeper conductivity structure of the locked and ETS zones along the plate interface in order to identify correlations between ETS occurrence rates and inferred

  6. Sea Ice in McClure Strait

    NASA Image and Video Library

    2017-12-08

    NASA image acquired August 17, 2010 In mid-August 2010, the Northwest Passage was almost—but not quite—free of ice. The ice content in the northern route through the passage (through the Western Parry Channel) was very light, but ice remained in McClure (or M’Clure) Strait. The Moderate Resolution Imaging Spectroradiometer (MODIS) on NASA’s Terra satellite captured this natural-color image on August 17, 2010. Although most of McClure Strait looks perfectly ice-free, immediately west of Prince Patrick Island, a band of sea ice stretches southward across the strait (left edge of the image). The National Snow and Ice Data Center Sea Ice News and Analysis blog reported that even more ice remained in the southern route (through Amundsen’s Passage) of the Northwest Passage in mid-August 2010. Nevertheless, the ice content in the northern route was not only well below the 1968–2000 average, but also nearly a month ahead of the clearing observed in 2007, when Arctic sea ice set a record low. As of mid-August 2010, however, overall sea ice extent was higher than it had been at the same time of year in 2007. Credit: NASA/GSFC/Jeff Schmaltz/MODIS Land Rapid Response Team Caption by Michon Scott. To learn more go to: earthobservatory.nasa.gov/NaturalHazards/view.php?id=45333 Instrument: Terra - MODIS NASA Goddard Space Flight Center is home to the nation's largest organization of combined scientists, engineers and technologists that build spacecraft, instruments and new technology to study the Earth, the sun, our solar system, and the universe. Follow us on Twitter Join us on Facebook Click here to see more images from NASA Goddard’s Earth Observatory

  7. Support for alcohol policies from drinkers in the City of Tshwane, South Africa: Data from the International Alcohol Control study.

    PubMed

    Parry, Charles D H; Trangenstein, Pamela; Lombard, Carl; Jernigan, David H; Morojele, Neo K

    2018-04-01

    South Africa is considering a range of alcohol policy reforms. This study aims to determine the magnitude of public support for 13 alcohol policies in the Tshwane Metropolitan Municipality and whether this varies by demographic factors and heavy drinking status. Data are from the South African arm of the International Alcohol Control study, a household survey of adult drinkers using a multistage stratified cluster random sampling design. The sample included 1920 drinkers aged 18-65 years (62% men), with complete drinking data for 16 drinking locations on 955 persons (510 heavy and 445 not heavy drinkers). Over half (53%) of the sample were found to be heavy drinkers. Support varied by alcohol policy, ranging from 31% to 77%, with support above 50% for 11 of the 13 policies. Policy support was higher for policies increasing the purchase age to 21 years (77%), addressing drink driving (58-76%) and restricting physical availability (60-66%). There was slightly less support for policies restricting alcohol marketing (59%) or for policies increasing the price of alcohol (34-58%), especially if no justification was given or the funds were not earmarked. Policy support differed by age, gender, heavy drinking status and income. Public support from adult drinkers for a range of alcohol policies is extensive and, as found elsewhere, was strongest for raising the minimum drinking age and lowest for increasing prices. The support from drinkers to increasing controls on alcohol could be one lever to getting control measures implemented. [Parry CDH, Trangenstein P, Lombard C, Jernigan DH, Morojele NK. Support for alcohol policies from drinkers in the City of Tshwane, South Africa: Data from the International Alcohol Control study. Drug Alcohol Rev 2017;00:000-000]. © 2017 The Authors Drug and Alcohol Review published by John Wiley & Sons Australia, Ltd on behalf of Australasian Professional Society on Alcohol and other Drugs.

  8. Analytical and numerical studies of photo-injected charge transport in molecularly-doped polymers

    NASA Astrophysics Data System (ADS)

    Roy Chowdhury, Amrita

    The mobility of photo-injected charge carriers in molecularly-doped polymers (MDPs) exhibits a commonly observed, and nearly universal Poole-Frenkel field dependence, mu exp√(beta0E), that has been shown to arise from the correlated Gaussian energy distribution of transport sites encountered by charges undergoing hopping transport through the material. Analytical and numerical studies of photo-injected charge transport in these materials are presented here with an attempt to understand how specific features of the various models developed to describe these systems depend on the microscopic parameters that define them. Specifically, previously published time-of-flight mobility data for the molecularly doped polymer 30% DEH:PC (polycarbonate doped with 30 wt.% aromatic hydrazone DEH) is compared with direct analytical and numerical predictions of five disorder-based models, the Gaussian disorder model (GDM) of Bassler, and four correlated disorder models introduced by Novikov, et al., and by Parris, et al. In these numerical studies, disorder parameters describing each model were varied from reasonable starting conditions, in order to give the best overall fit. The uncorrelated GDM describes the Poole-Frenkel field dependence of the mobility only at very high fields, but fails for fields lower than about 64 V/mum. The correlated disorder models with small amounts of geometrical disorder do a good over-all job of reproducing a robust Poole-Frenkel field dependence, with correlated disorder theories that employ polaron transition rates showing qualitatively better agreement with experiment than those that employ Miller-Abrahams rates. In a separate study, the heuristic treatment of spatial or geometric disorder incorporated in existing theories is critiqued, and a randomly-diluted lattice gas model is developed to describe the spatial disorder of the transport sites in a more realistic way.

  9. Trends and variability in summer sea ice cover in the Canadian Arctic based on the Canadian Ice Service Digital Archive, 1960-2008 and 1968-2008

    NASA Astrophysics Data System (ADS)

    Tivy, Adrienne; Howell, Stephen E. L.; Alt, Bea; McCourt, Steve; Chagnon, Richard; Crocker, Greg; Carrieres, Tom; Yackel, John J.

    2011-03-01

    The Canadian Ice Service Digital Archive (CISDA) is a compilation of weekly ice charts covering Canadian waters from the early 1960s to present. The main sources of uncertainty in the database are reviewed and the data are validated for use in climate studies before trends and variability in summer averaged sea ice cover are investigated. These data revealed that between 1968 and 2008, summer sea ice cover has decreased by 11.3% ± 2.6% decade-1 in Hudson Bay, 2.9% ± 1.2% decade-1 in the Canadian Arctic Archipelago (CAA), 8.9% ± 3.1% decade-1 in Baffin Bay, and 5.2% ± 2.4% decade-1 in the Beaufort Sea with no significant reductions in multiyear ice. Reductions in sea ice cover are linked to increases in early summer surface air temperature (SAT); significant increases in SAT were observed in every season and they are consistently greater than the pan-Arctic change by up to ˜0.2°C decade-1. Within the CAA and Baffin Bay, the El Niño-Southern Oscillation index correlates well with multiyear ice coverage (positive) and first-year ice coverage (negative) suggesting that El Niño episodes precede summers with more multiyear ice and less first-year ice. Extending the trend calculations back to 1960 along the major shipping routes revealed significant decreases in summer sea ice coverage ranging between 11% and 15% decade-1 along the route through Hudson Bay and 6% and 10% decade-1 along the southern route of the Northwest Passage, the latter is linked to increases in SAT. Between 1960 and 2008, no significant trends were found along the northern western Parry Channel route of the Northwest Passage.

  10. Our Preferences: Why We Like What We Like

    NASA Astrophysics Data System (ADS)

    Grammer, Karl; Oberzaucher, Elisabeth

    Humans tend to judge and sort their social and non-social environment permanently into a few basic categories: 'likes' and 'don't likes'. Indeed we have developed general preferences for our social and non-social environment. These preferences can be subsumed under the term 'evolutionary aesthetics' (Voland & Grammer 2003). Indeed humans and animals have evolved preferences for mates, food, habitats, odors, and objects. Those stimuli that promoted reproductive success are bound to evoke positive emotional responses, and humans develop an obsession-like attitude towards aesthetics and beauty. Although we are 'all legally equal', people are often treated differently according to their physical appearance. This differential treatment by others starts early in life. Three-month-old children gaze longer at attractive faces than at unattractive faces. From these results, Langlois et al. (1990) conclude that beauty standards are not learned, but that there is an innate beauty detector. Attractive children receive less punishment than unattractive children for the same types of misbehavior. Differential treatment goes on at school, college, and even university (Baugh & Parry 1991). In this part of our lives attractiveness is coupled to academic achievements - attractive students receive better grades. Even when we apply for jobs, appearance may dominate qualification (Collins & Zebrowitz 1995). This differential treatment reaches its peak perhaps in jurisdiction, where attractiveness can lead to better treatment and lighter sentences. However, this is only the case if attractiveness did not play a role in the crime (Hateld & Sprecher 1986). We even believe that attractive people are better - 'what is beautiful is good' is a common standard in our thinking, according to Dion et al. (1972). The question then arises: Where does this obsessive preoccupation with beauty and attractiveness come from?We will outline here the thesis that human mate selection criteria, which have

  11. Assessment of coastal flood risk in a changing climate along the northern Gulf of Mexico

    NASA Astrophysics Data System (ADS)

    Bilskie, M. V.; Hagen, S. C.; Passeri, D. L.; Alizad, K.

    2014-12-01

    Coastal regions around the world are susceptible to a variety of natural disasters causing extreme inundation. It is anticipated that the vulnerability of coastal cities will increase due to the effects of climate change, and in particular sea level rise (SLR). We have developed a novel framework to construct a physics-based storm surge model that includes projections of coastal floodplain dynamics under climate change scenarios. Numerous experiments were conducted and it was concluded that a number of influencing factors, other than SLR, should be included in future assessments of coastal flooding under climate change; e.g., shoreline changes, barrier island morphology, salt marsh migration, and population dynamics. These factors can significantly affect the path, pattern, and magnitude of flooding depths and inundation along the coastline (Bilskie et al., 2014; Passeri et al., 2014). Using these factors, a storm surge model of the northern Gulf of Mexico (NGOM) representing present day conditions is modified to characterize the future outlook of the landscape. This adapted model is then used to assess flood risk in terms of the 100-year floodplain surface under SLR scenarios. A suite of hundreds of synthetic storms, derived by JPM-OS (Joint Probability Method - Optimum Sampling), are filtered to obtain the storms necessary to represent the statistically determined 100-year floodplain. The NGOM storm surge model is applied to simulate the synthetic storms and determine, for each storm, the flooding surface and depth, for four SLR scenarios for the year 2100 as prescribed by Parris et al. (2012). The collection of results facilitate the estimation of water surface elevation vs. frequency curves across the floodplain and the statistically defined 100-year floodplain is extracted. This novel method to assess coastal flooding under climate change can be performed across any coastal region worldwide, and results provide awareness of regions vulnerable to extreme

  12. Early clinical observations on the use of imatinib mesylate in FOP: A report of seven cases.

    PubMed

    Kaplan, Frederick S; Andolina, Jeffrey R; Adamson, Peter C; Teachey, David T; Finklestein, Jerry Z; Ebb, David H; Whitehead, Benjamin; Jacobs, Benjamin; Siegel, David M; Keen, Richard; Hsiao, Edward; Pignolo, Robert J

    2018-04-01

    Fibrodysplasia ossificans progressiva (FOP) is an ultrarare genetic disorder of progressive, disabling heterotopic ossification (HO) for which there is presently no definitive treatment. Research studies have identified multiple potential targets for therapy in FOP, and novel drug candidates are being developed for testing in clinical trials. A complementary approach seeks to identify approved drugs that could be re-purposed for off-label use against defined targets in FOP. One such drug is imatinib mesylate, a tyrosine kinase inhibitor originally developed for use in patients with chronic myeloid leukemia (CML). Imatinib has the desirable effect of attacking multiple targets involved in the early hypoxic and inflammatory stages of FOP flare-ups, including HIF1-α, PDGFRα, c-KIT, and multiple MAP kinases. Based on compelling biologic rationale, strong preclinical data, and a favorable safety profile, imatinib has been prescribed on an off-label basis in a non-trial setting in seven children with continuous FOP flare-ups, predominantly in the axial regions, and which were not responsive to standard-of-care regimens. Anecdotal reports in these seven isolated cases document that the medication was well-tolerated with a ubiquitous reported decrease in the intensity of flare-ups in the six children who took the medication. These early clinical observations support the implementation of clinical trials in children with uncontrolled FOP flare-ups to determine if imatinib may ameliorate symptoms or alter the natural history of this debilitating and life-threatening disease. Copyright © 2017 Elsevier Inc. All rights reserved.

  13. Heterotopic ossification revisited.

    PubMed

    Mavrogenis, Andreas F; Soucacos, Panayotis N; Papagelopoulos, Panayiotis J

    2011-03-11

    Heterotopic ossification is the abnormal formation of mature lamellar bone within extraskeletal soft tissues where bone does not exist. Heterotopic ossification has been classified into posttraumatic, nontraumatic or neurogenic, and myositis ossificans progressiva or fibrodysplasia ossificans progressive. The pathophysiology is unknown. Anatomically, heterotopic ossification occurs outside the joint capsule without disrupting it. The new bone can be contiguous with the skeleton but generally does not involve the periosteum. Three-phase technetium-99m (99mTc) methylene diphosphonate bone scan is the most sensitive imaging modality for early detection and assessing the maturity of heterotopic ossification. Nonsurgical treatment with indomethacin and radiation therapy is appropriate for prophylaxis or early treatment of heterotopic ossification. Although bisphosphonates are effective prophylaxis if initiated shortly after the trauma, mineralization of the bone matrix resumes after drug discontinuation. During the acute inflammatory stage, the patient should rest the involved joint in a functional position; once acute inflammatory signs subside, passive range of motion exercises and continued mobilization are indicated. Surgical indications for excision of heterotopic ossification include improvement of function, standing posture, sitting or ambulation, independent dressing, feeding and hygiene, and repeated pressure sores from underlying bone mass. The optimal timing of surgery has been suggested to be a delay of 12 to 18 months until radiographic evidence of heterotopic ossification maturation and maximal recovery after neurological injury. The ideal candidate for surgical treatment before 18 months should have no joint pain or swelling, a normal alkaline phosphatase level, and 3-phase bone scan indicating mature heterotopic ossification. Copyright 2011, SLACK Incorporated.

  14. Nepal and Papua Airborne Gravity Surveys

    NASA Astrophysics Data System (ADS)

    Olesen, A. V.; Forsberg, R.; Kasenda, F.; Einarsson, I.; Manandhar, N.

    2011-12-01

    Airborne gravimetry offers a fast and economic way to cover vast areas and it allows access to otherwise difficult accessible areas like mountains, jungles and the near coastal zone. It has the potential to deliver high resolution and bias free data that may bridge the spectral gap between global satellite gravity models and the high resolution gravity information embedded in digital terrain models. DTU Space has for more than a decade done airborne gravity surveys in many parts of the world. Most surveys were done with a LaCoste & Romberg S-meter updated for airborne use. This instrument has proven to deliver near bias free data when properly processed. A Chekan AM gravimeter was recently added to the airborne gravity mapping system and will potentially enhance the spatial resolution and the robustness of the system. This paper will focus on results from two recent surveys over Nepal, flown in December 2010, and over Papua (eastern Indonesia), flown in May and June 2011. Both surveys were flown with the new double gravimeter setup and initial assessment of system performance indicates improved spatial resolution compared to the single gravimeter system. Comparison to EGM08 and to the most recent GOCE models highlights the impact of the new airborne gravity data in both cases. A newly computed geoid model for Nepal based on the airborne data allows for a more precise definition of the height of Mt. Everest in a global height system. This geoid model suggests that the height of Mt. Everest should be increased by approximately 1 meter. The paper will also briefly discuss system setup and will highlight a few essential processing steps that ensure that bias problems are minimized and spatial resolution enhanced.

  15. Benefit of bi-ocular visual stimulation for postural control in children with strabismus.

    PubMed

    Gaertner, Chrystal; Creux, Charlotte; Espinasse-Berrod, Marie-Andrée; Orssaud, Christophe; Dufier, Jean-Louis; Kapoula, Zoï

    2013-01-01

    Vision is important for postural control as is shown by the Romberg quotient (RQ): with eyes closed, postural instability increases relative to eyes open (RQ = 2). Yet while fixating at far distance, postural stability is similar with eyes open and eyes closed (RQ = 1). Postural stability can be better with both eyes viewing than one eye, but such effect is not consistent among healthy subjects. The first goal of the study is to test the RQ as a function of distance for children with convergent versus divergent strabismus. The second goal is to test whether vision from two eyes relative to vision from one eye provides better postural stability. Thirteen children with divergent strabismus and eleven with convergent strabismus participated in this study. Posturtography was done with the Techno concept device. Experiment 1, four conditions: fixation at 40 cm and at 200 cm both with eyes open and eyes covered (evaluation of RQ). Experiment 2, six conditions: fixation at 40 cm and at 200 cm, with both eyes viewing or under monocular vision (dominant and non-dominant eye). For convergent strabismus, the groups mean value of RQ was 1.3 at near and 0.94 at far distance; for divergent, it was 1.06 at near and 1.68 at far. For all children, the surface of body sway was significantly smaller under both eyes viewing than monocular viewing (either eye). Increased RQ value at near for convergent and at far for divergent strabismus is attributed to the influence of the default strabismus angle and to better use of ocular motor signals. Vision with the two eyes improves postural control for both viewing distances and for both types of strabismus. Such benefit can be due to complementary mechanisms: larger visual field, better quality of fixation and vergence angle due to the use of visual inputs from both eyes.

  16. Whole-body vibration versus proprioceptive training on postural control in post-menopausal osteopenic women.

    PubMed

    Stolzenberg, Nils; Belavý, Daniel L; Rawer, Rainer; Felsenberg, Dieter

    2013-07-01

    To prevent falls in the elderly, especially those with low bone density, is it necessary to maintain muscle coordination and balance. The aim of this study was to examine the effect of classical balance training (BAL) and whole-body vibration training (VIB) on postural control in post-menopausal women with low bone density. Sixty-eight subjects began the study and 57 completed the nine-month intervention program. All subjects performed resistive exercise and were randomized to either the BAL- (N=31) or VIB-group (N=26). The BAL-group performed progressive balance and coordination training and the VIB-group underwent, in total, four minutes of vibration (depending on exercise; 24-26Hz and 4-8mm range) on the Galileo Fitness. Every month, the performance of a single leg stance task on a standard unstable surface (Posturomed) was tested. At baseline and end of the study only, single leg stance, Romberg-stance, semi-tandem-stance and tandem-stance were tested on a ground reaction force platform (Leonardo). The velocity of movement on the Posturomed improved by 28.3 (36.1%) (p<0.001) in the VIB-group and 18.5 (31.5%) (p<0.001) in the BAL-group by the end of the nine-month intervention period, but no differences were seen between the two groups (p=0.45). Balance tests performed on the Leonardo device did not show any significantly different responses between the two groups after nine months (p≥0.09). Strength training combined with either proprioceptive training or whole-body vibration was associated with improvements in some, but not all, measures of postural control in post-menopausal women with low bone density. The current study could not provide evidence for a significantly different impact of whole-body vibration or balance training on postural control. Copyright © 2013 Elsevier B.V. All rights reserved.

  17. The clinical identification of peripheral neuropathy among older persons.

    PubMed

    Richardson, James K

    2002-11-01

    To identify simple clinical rules for the detection of a diffuse peripheral neuropathy among older outpatients. Observational, blinded, controlled study. A tertiary-care electrodiagnostic laboratory and biomechanics laboratory. One hundred research subjects, 68 with electrodiagnostic evidence of peripheral neuropathy, between the ages of 50 and 80 years. Not applicable. One examiner, unaware of the results of electrodiagnostic testing, evaluated Achilles' and patellar reflexes, Romberg testing, semiquantified vibration, and position sense at the toe and ankle in all subjects, and unipedal stance time and the Michigan Diabetes Neuropathy Score in a subset of subjects. Significant group differences were present in all clinical measures tested. Three signs, Achilles' reflex (absent despite facilitation), vibration (128Hz tuning fork perceived for <10s), and position sense (<8/10 1-cm trials) at the toe, were the best predictors of peripheral neuropathy on both univariate and logistic regression (pseudo R(2)=.744) analyses. The presence of 2 or 3 signs versus 0 or 1 sign identified peripheral neuropathy with sensitivity, specificity, and positive and negative predictive values of 94.1%, 84.4%, 92.8%, and 87.1%, respectively. Values were similar among subgroups of subjects with and without diabetes mellitus. When other clinicians applied the technique to 12 more subjects, excellent interrater reliability regarding the presence of peripheral neuropathy (kappa=.833) and good to excellent interrater reliability for each sign (kappa range,.667-1.00) were shown. Among older persons, the presence of 2 or 3 of the 3 clinical signs strongly suggested electrodiagnostic evidence of a peripheral neuropathy, regardless of etiology. Age-related decline in peripheral nerve function need not be a barrier to the clinical recognition of a diffuse peripheral neuropathy among older persons. Copyright 2002 by the American Congress of Rehabilitation Medicine and the American Academy of

  18. Moderate peripheral neuropathy impairs weight transfer and unipedal balance in the elderly.

    PubMed

    Richardson, J K; Ashton-Miller, J A; Lee, S G; Jacobs, K

    1996-11-01

    To quantitatively assess the performance of elderly with and without moderate, electrodiagnostically confirmed peripheral neuropathy (PN) on tasks of weight shifting and maintenance of unipedal balance. A case control study with PN subjects selected from a computerized data bank of all patients who had undergone electrodiagnostic studies at a university-based referral center. Control subjects of similar age and same gender were selected from the same source. Clinical examination included neurological and gross motor components. Quantitative evaluation included testing while the subjects stood with a force plate under each foot. Center of reaction (CR) excursions and ground reaction forces were quantified in: (1) six trials as subjects transferred their weight from bipedal stance to unipedal stance, on command, and attempted to maintain it for at least 3 seconds; and (2) in two additional trials in which subjects held unipedal stance for as long as possible. No subjects in either group had difficulty with level gait, a 180-degree turn, or required examiner assistance during an eyes-closed Romberg test. Biomechanical testing revealed that although the PN group used the same time to transfer their weight onto one foot as the C group, they achieved a significantly (1) lower rate of success in reliably maintaining 3 seconds of unipedal stance (.12 vs .58, p = .021), and (2) shorter mean maximum unipedal stance time (3.8 vs 32.3sec, p < .001). Furthermore, the PN group experienced greater difficulty in maintaining unipedal stance, as evidenced by significantly greater fluctuations in their ground reaction forces. The demonstrated impairment in reliability of unipedal stance in elderly with PN likely contributes to their known high rate of falls. Furthermore, unipedal stance testing serves to sharpen the physical examination by verifying the functional significance of impaired distal sensation-a common finding in the elderly.

  19. Joint-inversion of gravity data and cosmic ray muon flux to detect shallow subsurface density structure beneath volcanoes: Testing the method at a well-characterized site

    NASA Astrophysics Data System (ADS)

    Roy, M.; Lewis, M.; George, N. K.; Johnson, A.; Dichter, M.; Rowe, C. A.; Guardincerri, E.

    2016-12-01

    The joint-inversion of gravity data and cosmic ray muon flux measurements has been utilized by a number of groups to image subsurface density structure in a variety of settings, including volcanic edifices. Cosmic ray muons are variably-attenuated depending upon the density structure of the material they traverse, so measuring muon flux through a region of interest provides an independent constraint on the density structure. Previous theoretical studies have argued that the primary advantage of combining gravity and muon data is enhanced resolution in regions not sampled by crossing muon trajectories, e.g. in sensing deeper structure or structure adjacent to the region sampled by muons. We test these ideas by investigating the ability of gravity data alone and the joint-inversion of gravity and muon flux to image subsurface density structure, including voids, in a well-characterized field location. Our study area is a tunnel vault located at the Los Alamos National Laboratory within Quaternary ash-flow tuffs on the Pajarito Plateau, flanking the Jemez Volcano in New Mexico. The regional geology of the area is well-characterized (with density measurements in nearby wells) and the geometry of the tunnel and the surrounding terrain is known. Gravity measurements were made using a Lacoste and Romberg D meter and the muon detector has a conical acceptance region of 45 degrees from the vertical and track resolution of several milliradians. We obtain individual and joint resolution kernels for gravity and muon flux specific to our experimental design and plan to combine measurements of gravity and muon flux both within and above the tunnel to infer density structure. We plan to compare our inferred density structure against the expected densities from the known regional hydro-geologic framework.

  20. Balance Screening of Vestibular Function in Subjects Aged 4 Years and Older: A Living Laboratory Experience

    PubMed Central

    Bermúdez Rey, María Carolina; Clark, Torin K.; Merfeld, Daniel M.

    2017-01-01

    To better understand the various individual factors that contribute to balance and the relation to fall risk, we performed the modified Romberg Test of Standing Balance on Firm and Compliant Support, with 1,174 participants between 4 and 83 years of age. This research was conducted in the Living Laboratory® at the Museum of Science, Boston. We specifically focus on balance test condition 4, in which individuals stand on memory foam with eyes closed, and must rely on their vestibular system; therefore, performance in this balance test condition provides a proxy for vestibular function. We looked for balance variations associated with sex, race/ethnicity, health factors, and age. We found that balance test performance was stable between 10 and 39 years of age, with a slight increase in the failure rate for participants 4–9 years of age, suggesting a period of balance development in younger children. For participants 40 years and older, the balance test failure rate increased progressively with age. Diabetes and obesity are the two main health factors we found associated with poor balance, with test condition 4 failure rates of 57 and 19%, respectively. An increase in the odds of having fallen in the last year was associated with a decrease in the time to failure; once individuals dropped below a time to failure of 10 s, there was a significant 5.5-fold increase in the odds of having fallen in the last 12 months. These data alert us to screen for poor vestibular function in individuals 40 years and older or suffering from diabetes, in order to undertake the necessary diagnostic and rehabilitation measures, with a focus on reducing the morbidity and mortality of falls. PMID:29234301

  1. OPTOTRAK Measurement of the Quadriceps Angle Using Standardized Foot Positions

    PubMed Central

    Livingston, Lori A.; Spaulding, Sandi J.

    2002-01-01

    Objective: While there is evidence to suggest that the magnitude of the quadriceps (Q) angle changes with alterations in foot position, a detailed quantitative description of this relationship has not been reported. Our purpose was to determine the effect of varying foot placement on the magnitude of the Q angle. Design and Setting: A mixed between-within, repeated-measures design was used to compare Q angles derived under static weight-bearing conditions with the feet positioned in self-selected versus standardized stance positions. Subjects: Twenty healthy young-adult men and women with no history of acute injury to or chronic dysfunction of the lower limbs. Measurements: We placed light-emitting diodes bilaterally on the left and right anterior superior iliac spines, the tibial tuberosities, and the midpoints of the patellae to bilaterally define the Q angles. An OPTOTRAK motion-measurement system was used to capture x,y coordinate data at a sampling rate of 60 Hz. These data were subsequently filtered and used to calculate the magnitude of the left and right Q angles. Results: A repeated-measures analysis of variance revealed that when measured statically, Q angles differed significantly between stance positions (P < .001) and limbs (P < .05). Depending on the stance adopted, mean Q angles varied from 7.2° to 12.7° and 11.0° to 16.1° in the left and right lower limbs, respectively. Q-angle measurements taken in conjunction with the Romberg foot position most closely resembled those gathered with the feet in a self-selected stance (Pearson r = 0.86 to 0.92). Conclusions: Q-angle magnitude varies with changes in foot position, increasing or decreasing as the foot rotates internally or externally, respectively. These data demonstrate the need for a standardized foot position for Q-angle measurements. PMID:12937581

  2. OPTOTRAK Measurement of the Quadriceps Angle Using Standardized Foot Positions.

    PubMed

    Livingston, Lori A; Spaulding, Sandi J

    2002-09-01

    OBJECTIVE: While there is evidence to suggest that the magnitude of the quadriceps (Q) angle changes with alterations in foot position, a detailed quantitative description of this relationship has not been reported. Our purpose was to determine the effect of varying foot placement on the magnitude of the Q angle. DESIGN AND SETTING: A mixed between-within, repeated-measures design was used to compare Q angles derived under static weight-bearing conditions with the feet positioned in self-selected versus standardized stance positions. SUBJECTS: Twenty healthy young-adult men and women with no history of acute injury to or chronic dysfunction of the lower limbs. MEASUREMENTS: We placed light-emitting diodes bilaterally on the left and right anterior superior iliac spines, the tibial tuberosities, and the midpoints of the patellae to bilaterally define the Q angles. An OPTOTRAK motion-measurement system was used to capture x,y coordinate data at a sampling rate of 60 Hz. These data were subsequently filtered and used to calculate the magnitude of the left and right Q angles. RESULTS: A repeated-measures analysis of variance revealed that when measured statically, Q angles differed significantly between stance positions (P <.001) and limbs (P <.05). Depending on the stance adopted, mean Q angles varied from 7.2 degrees to 12.7 degrees and 11.0 degrees to 16.1 degrees in the left and right lower limbs, respectively. Q-angle measurements taken in conjunction with the Romberg foot position most closely resembled those gathered with the feet in a self-selected stance (Pearson r = 0.86 to 0.92). CONCLUSIONS: Q-angle magnitude varies with changes in foot position, increasing or decreasing as the foot rotates internally or externally, respectively. These data demonstrate the need for a standardized foot position for Q-angle measurements.

  3. Systematic review of postural control and lateral ankle instability, part I: can deficits be detected with instrumented testing.

    PubMed

    McKeon, Patrick O; Hertel, Jay

    2008-01-01

    To answer the following clinical questions: (1) Is poor postural control associated with increased risk of a lateral ankle sprain? (2) Is postural control adversely affected after acute lateral ankle sprain? (3) Is postural control adversely affected in those with chronic ankle instability? PubMed and CINAHL entries from 1966 through October 2006 were searched using the terms ankle sprain, ankle instability, balance, chronic ankle instability, functional ankle instability, postural control, and postural sway. Only studies assessing postural control measures in participants on a stable force plate performing the modified Romberg test were included. To be included, a study had to address at least 1 of the 3 clinical questions stated above and provide adequate results for calculation of effect sizes or odds ratios where applicable. We calculated odds ratios with 95% confidence intervals for studies assessing postural control as a risk factor for lateral ankle sprains. Effect sizes were estimated with the Cohen d and associated 95% confidence intervals for comparisons of postural control performance between healthy and injured groups, or healthy and injured limbs, respectively. Poor postural control is most likely associated with an increased risk of sustaining an acute ankle sprain. Postural control is impaired after acute lateral ankle sprain, with deficits identified in both the injured and uninjured sides compared with controls. Although chronic ankle instability has been purported to be associated with altered postural control, these impairments have not been detected consistently with the use of traditional instrumented measures. Instrumented postural control testing on stable force plates is better at identifying deficits that are associated with an increased risk of ankle sprain and that occur after acute ankle sprains than at detecting deficits related to chronic ankle instability.

  4. Drug Recognition Expert (DRE) examination characteristics of cannabis impairment.

    PubMed

    Hartman, Rebecca L; Richman, Jack E; Hayes, Charles E; Huestis, Marilyn A

    2016-07-01

    The Drug Evaluation and Classification Program (DECP) is commonly utilized in driving under the influence (DUI) cases to help determine category(ies) of impairing drug(s) present in drivers. Cannabis, one of the categories, is associated with approximately doubled crash risk. Our objective was to determine the most reliable DECP metrics for identifying cannabis-driving impairment. We evaluated 302 toxicologically-confirmed (blood Δ(9)-tetrahydrocannabinol [THC] ≥1μg/L) cannabis-only DECP cases, wherein examiners successfully identified cannabis, compared to normative data (302 non-impaired individuals). Physiological measures, pupil size/light reaction, and performance on psychophysical tests (one leg stand [OLS], walk and turn [WAT], finger to nose [FTN], Modified Romberg Balance [MRB]) were included. Cases significantly differed from controls (p<0.05) in pulse (increased), systolic blood pressure (elevated), and pupil size (dilated). Blood collection time after arrest significantly decreased THC concentrations; no significant differences were detected between cases with blood THC <5μg/L versus ≥5μg/L. The FTN best predicted cannabis impairment (sensitivity, specificity, positive/negative predictive value, and efficiency ≥87.1%) utilizing ≥3 misses as the deciding criterion; MRB eyelid tremors produced ≥86.1% for all diagnostic characteristics. Other strong indicators included OLS sway, ≥2 WAT clues, and pupil rebound dilation. Requiring ≥2/4 of: ≥3 FTN misses, MRB eyelid tremors, ≥2 OLS clues, and/or ≥2 WAT clues produced the best results (all characteristics ≥96.7%). Blood specimens should be collected as early as possible. The frequently-debated 5μg/L blood THC per se cutoff showed limited relevance. Combined observations on psychophysical and eye exams produced the best cannabis-impairment indicators. Published by Elsevier Ltd.

  5. Theory of compressive modeling and simulation

    NASA Astrophysics Data System (ADS)

    Szu, Harold; Cha, Jae; Espinola, Richard L.; Krapels, Keith

    2013-05-01

    Modeling and Simulation (M&S) has been evolving along two general directions: (i) data-rich approach suffering the curse of dimensionality and (ii) equation-rich approach suffering computing power and turnaround time. We suggest a third approach. We call it (iii) compressive M&S (CM&S); because the basic Minimum Free-Helmholtz Energy (MFE) facilitating CM&S can reproduce and generalize Candes, Romberg, Tao & Donoho (CRT&D) Compressive Sensing (CS) paradigm as a linear Lagrange Constraint Neural network (LCNN) algorithm. CM&S based MFE can generalize LCNN to 2nd order as Nonlinear augmented LCNN. For example, during the sunset, we can avoid a reddish bias of sunlight illumination due to a long-range Rayleigh scattering over the horizon. With CM&S we can take instead of day camera, a night vision camera. We decomposed long wave infrared (LWIR) band with filter into 2 vector components (8~10μm and 10~12μm) and used LCNN to find pixel by pixel the map of Emissive-Equivalent Planck Radiation Sources (EPRS). Then, we up-shifted consistently, according to de-mixed sources map, to the sub-micron RGB color image. Moreover, the night vision imaging can also be down-shifted at Passive Millimeter Wave (PMMW) imaging, suffering less blur owing to dusty smokes scattering and enjoying apparent smoothness of surface reflectivity of man-made objects under the Rayleigh resolution. One loses three orders of magnitudes in the spatial Rayleigh resolution; but gains two orders of magnitude in the reflectivity, and gains another two orders in the propagation without obscuring smog . Since CM&S can generate missing data and hard to get dynamic transients, CM&S can reduce unnecessary measurements and their associated cost and computing in the sense of super-saving CS: measuring one & getting one's neighborhood free .

  6. Investigating Gravity Anomalies Associated with Underground Nuclear Explosions

    NASA Astrophysics Data System (ADS)

    Rowe, C. A.; Miller, E.; Musa, D.; Schultz-Fellenz, E. S.; Sussman, A. J.; Swanson, E.

    2016-12-01

    Detection of subsurface effects from underground nuclear explosions (UNEs) is an important aspect of the overall characterization of a site and UNE signatures, which is central to the mission of the National Nuclear Security Admistration's Office of Proliferation Detection, Defense Nuclear Non-Prolifeation Research and Development, Underground Nuclear Explosion Signatures Experiment (UNESE). We are conducting an experiment at the Nevada National Security Site (NNSS) that includes the acquisition of ground-based gravity data to contribute to a multi-disciplinary characterization of two UNEs located on Pahute Mesa. For one of the UNEs, the working point for the detonation was in zeolitic ash-flow tuff 600 m below the surface. For the other UNE, the detonation working point was also at a depth 600m below the surface and was located in flow breccias and lavas. No evidence of chimney collapse has been manifested for either of these UNEs, hence a cavity may still in place and may produce a detectable gravity anomaly. Each of the gravity surveys consist of 150 sites which were precisely located using a Trimble 5700 GPS receiver for lateral precision of 2 cm and vertical control of 3 cm. The readings were arranged in radial lines from Surface Ground Zero (SGZ), with spacing 10-20 m near the center, and increasing intervals for the distal portions of the lines, which extended to as much as 200 m from SGZ. Gravity were collected using a LaCoste-Romberg model G gravity meter at one location and a Scintrex G-5 at the other. We present a preliminary look at the gravity data in conjunction with forward modeling of the anticipated anomaly given a suite of possible post-explosion cavity and chimney features.

  7. Results from the hydrodynamic element of the 1994 entrapment zone study in Suisun Bay

    USGS Publications Warehouse

    Burau, J.R.; Gartner, J.W.; Stacey, M.

    1998-01-01

    The entrapment zo as long been considered an important region of the San Francisco estuary. It has been the subject of several previous studies, and its location has been suggested as an index of condition of the estuarine ecosystem.A close correlate of this location, X2 1, is now used as a management objective on the basis that X2 is correlated with the abundance or survival of several estuarine-dependent species. X2 is a crude tool to use for this purpose, but it can be refined only through improved understanding of the various mechanisms underlying these correlations. These mechanisms probably differ among species, but for species resident in and near the entrapment zone, the correlation with X2 may be due to variations in intenSity oftrapping mechanisms with pOSition of the entrapment zone. Therefore, it is worthwhile to investigate these trapping mechanisms, the nature of the entrapment zone as habitat, and the responses of the entrapment zone to changes in X2 or outflow from the Sacramento-San Joaquin Delta. Studies ofthe entrapment zone ofthe San Francisco estuary have been conducted in springs of 1994, 1995, and 1996. These studies have been funded by the Interagency Ecological Program and conducted by scientists from IEP member agencies, the Romberg Tiburon Center for Environmental Studies, Bodega Marine Laboratory, and the University of California at Santa Cruz. This report presents results from 1994, a low-flow year. Subsequent reports will describe results from 1995 and 1996 and highlight differences among years. This report is organized in chapters that comprise more-or-Iess independent papers, with an introductory chapter for the entire study. This Executive Summary presents highlights of the overall study plan and summarizes the major findings.

  8. Dizziness and vertigo syndromes viewed with a historical eye.

    PubMed

    Huppert, Doreen; Brandt, Thomas

    2018-03-12

    Seasickness, fear of heights, and adverse effects of alcohol were the major areas where descriptions of vertigo and dizziness were found in Roman, Greek, and Chinese texts from about 730 BC-600 AD. A few detailed accounts were suggestive of specific vestibular disorders such as Menière's attacks (Huangdi Neijing, the Yellow Thearch's Classic of Internal Medicine) or vestibular migraine (Aretaeus of Cappadocia). Further, the etymological and metaphorical meanings of the terms and their symptoms provide fascinating historical insights, e.g. Vespasian's feelings of dizzy exultations when becoming Emperor (69 AD) after Nero's suicide or the figurative meaning of German "Schwindel" (vertigo) derived from English "swindle" to express "financial fraud" in the Eighteenth century. The growth of knowledge of the vestibular system and its functions began primarily in the Nineteenth century. Erasmus Darwin, however, was ahead of his times. His work Zoonomia, or The Laws of Organic Life in 1794 described new dizziness syndromes and concepts of sensorimotor control including the mechanism of fear of heights as well as made early observations on positional alcohol vertigo. The latter is beautifully illustrated by the German poet and cartoonist Wilhelm Busch (1832-1908) who also documented the alleviating effect of the "morning after drink". The mechanism underlying positional alcohol vertigo, i.e., the differential gravities of alcohol and endolymph, was discovered later in the Nineteenth century. The first textbook on neurology (Lehrbuch der Nervenkrankheiten des Menschen, 1840) by Moritz Romberg contained general descriptions of signs and symptoms of various conditions having the key symptom of vertigo, but no definition of vestibular disorders. Our current knowledge of vestibular function and disorders dates back to the seminal work of a group of Nineteenth century scientists, e.g., Jan Evangelista Purkinje, Ernst Mach, Josef Breuer, Hermann Helmholtz, and Alexander Crum-Brown.

  9. Altered Functional Performance in Patients with Fibromyalgia.

    PubMed

    Costa, Isis da Silva; Gamundí, Antoni; Miranda, José G Vivas; França, Lucas G Souza; De Santana, Charles Novaes; Montoya, Pedro

    2017-01-01

    Fibromyalgia is a common chronic pain condition that exerts a considerable impact on patients' daily activities and quality of life. Objectives: The main objective of the present study was to evaluate kinematic parameters of gait, functional performance, and balance in women with fibromyalgia syndrome. Methods: The study included 26 female patients with fibromyalgia (49.2 ± 8.0 years) according to the criteria of the American College of Rheumatology, as well as 16 pain-free women (43.5 ± 8.5 years). Gait and balance parameters were extracted from video recordings of participants performing several motor tasks. Non-linear dynamic of body sway time series was also analyzed by computing the Hurst exponent. In addition, functional performance and clinical pain were obtained by using standardized motor tests (Berg's balance scale, 6-min walking test, timed up and go task, Romberg's balance test) and self-report questionnaires (Fibromyalgia Impact Questionnaire). Results: Walking speed was significantly diminished ( p < 0.001) in FM patients as compared to pain-free controls, probably due to significant reductions in stride length ( p < 0.001) and cycle frequency ( p < 0.001). Analyses of balance also revealed significant differences between fibromyalgia and pain-free controls on body sway in the medial-lateral and anterior-posterior axes (all ps < 0.01). Several parameters of gait and balance were significantly associated with high levels of pain, depression, stiffness, anxiety, and fatigue in fibromyalgia. Conclusion: Our data revealed that both gait and balance were severely impaired in FM, and that subjective complaints associated with FM could contribute to functional disability in these patients. These findings suggest that optimal rehabilitation and fall prevention in fibromyalgia require a comprehensive assessment of both psychological responses to pain and physical impairments during postural control and gait.

  10. Systematic Review of Postural Control and Lateral Ankle Instability, Part I: Can Deficits Be Detected With Instrumented Testing

    PubMed Central

    McKeon, Patrick O; Hertel, Jay

    2008-01-01

    Objective: To answer the following clinical questions: (1) Is poor postural control associated with increased risk of a lateral ankle sprain? (2) Is postural control adversely affected after acute lateral ankle sprain? (3) Is postural control adversely affected in those with chronic ankle instability? Data Sources: PubMed and CINAHL entries from 1966 through October 2006 were searched using the terms ankle sprain, ankle instability, balance, chronic ankle instability, functional ankle instability, postural control, and postural sway. Study Selection: Only studies assessing postural control measures in participants on a stable force plate performing the modified Romberg test were included. To be included, a study had to address at least 1 of the 3 clinical questions stated above and provide adequate results for calculation of effect sizes or odds ratios where applicable. Data Extraction: We calculated odds ratios with 95% confidence intervals for studies assessing postural control as a risk factor for lateral ankle sprains. Effect sizes were estimated with the Cohen d and associated 95% confidence intervals for comparisons of postural control performance between healthy and injured groups, or healthy and injured limbs, respectively. Data Synthesis: Poor postural control is most likely associated with an increased risk of sustaining an acute ankle sprain. Postural control is impaired after acute lateral ankle sprain, with deficits identified in both the injured and uninjured sides compared with controls. Although chronic ankle instability has been purported to be associated with altered postural control, these impairments have not been detected consistently with the use of traditional instrumented measures. Conclusions: Instrumented postural control testing on stable force plates is better at identifying deficits that are associated with an increased risk of ankle sprain and that occur after acute ankle sprains than at detecting deficits related to chronic ankle

  11. Haptic stabilization of posture: changes in arm proprioception and cutaneous feedback for different arm orientations

    NASA Technical Reports Server (NTRS)

    Rabin, E.; Bortolami, S. B.; DiZio, P.; Lackner, J. R.

    1999-01-01

    Postural sway during quiet stance is attenuated by actively maintained contact of the index finger with a stationary surface, even if the level of applied force (<1 N) cannot provide mechanical stabilization. In this situation, changes in force level at the fingertip lead changes in center of foot pressure by approximately 250 ms. These and related findings indicate that stimulation of the fingertip combined with proprioceptive information about the hand and arm can serve as an active sensor of body position relative to the point of contact. A geometric analysis of the relationship between hand and torso displacement during body sway led to the prediction that arm and hand proprioceptive and finger somatosensory information about body sway would be maximized with finger contact in the plane of body sway. Therefore, the most postural stabilization should be possible with such contact. To test this analysis, subjects touched a laterally versus anteriorly placed surface while in each of two stances: the heel-to-toe tandem Romberg stance that reduces medial-lateral stability and the heel-to-heel, toes-outward, knees-bent, "duck stance" that reduces fore-aft stability. Postural sway was always least with finger contact in the unstable plane: for the tandem stance, lateral fingertip contact was significantly more effective than frontal contact, and, for the duck stance, frontal contact was more effective than lateral fingertip contact. Force changes at the fingertip led changes in center of pressure of the feet by approximately 250 ms for both fingertip contact locations for both test stances. These results support the geometric analysis, which showed that 1) arm joint angles change by the largest amount when fingertip contact is maintained in the plane of greatest sway, and 2) the somatosensory cues at the fingertip provide both direction and amplitude information about sway when the finger is contacting a surface in the unstable plane.

  12. Haptic stabilization of posture: changes in arm proprioception and cutaneous feedback for different arm orientations.

    PubMed

    Rabin, E; Bortolami, S B; DiZio, P; Lackner, J R

    1999-12-01

    Postural sway during quiet stance is attenuated by actively maintained contact of the index finger with a stationary surface, even if the level of applied force (<1 N) cannot provide mechanical stabilization. In this situation, changes in force level at the fingertip lead changes in center of foot pressure by approximately 250 ms. These and related findings indicate that stimulation of the fingertip combined with proprioceptive information about the hand and arm can serve as an active sensor of body position relative to the point of contact. A geometric analysis of the relationship between hand and torso displacement during body sway led to the prediction that arm and hand proprioceptive and finger somatosensory information about body sway would be maximized with finger contact in the plane of body sway. Therefore, the most postural stabilization should be possible with such contact. To test this analysis, subjects touched a laterally versus anteriorly placed surface while in each of two stances: the heel-to-toe tandem Romberg stance that reduces medial-lateral stability and the heel-to-heel, toes-outward, knees-bent, "duck stance" that reduces fore-aft stability. Postural sway was always least with finger contact in the unstable plane: for the tandem stance, lateral fingertip contact was significantly more effective than frontal contact, and, for the duck stance, frontal contact was more effective than lateral fingertip contact. Force changes at the fingertip led changes in center of pressure of the feet by approximately 250 ms for both fingertip contact locations for both test stances. These results support the geometric analysis, which showed that 1) arm joint angles change by the largest amount when fingertip contact is maintained in the plane of greatest sway, and 2) the somatosensory cues at the fingertip provide both direction and amplitude information about sway when the finger is contacting a surface in the unstable plane.

  13. Mobility assessment: Sensitivity and specificity of measurement sets in older adults

    PubMed Central

    Panzer, Victoria P.; Wakefield, Dorothy B.; Hall, Charles B.; Wolfson, Leslie I.

    2011-01-01

    Objective To identify quantitative measurement variables that characterize mobility in older adults, meet reliability and validity criteria, distinguish fall-risk and predict future falls. Design Observational study with 1-year weekly falls follow-up Setting Mobility laboratory Participants Community-dwelling volunteers (n=74; 65–94 years old) categorized at entry as 27 ‘Non-fallers’ or 47 ‘Fallers’ by Medicare criteria (1 injury fall or >1 non-injury falls in the previous year). Interventions None Outcome Measures Test-retest and within-subject reliability, criterion and concurrent validity; predictive ability indicated by observed sensitivity and specificity to entry fall-risk group (Falls-status), Tinetti Performance Oriented Mobility Assessment (POMA), Computerized Dynamic Posturography Sensory Organization Test (SOT) and subsequent falls reported weekly. Results Measurement variables were selected that met reliability (ICC > 0.6) and/or discrimination (p<.01) criteria (Clinical variables- Turn- steps, time, Gait- velocity, Step-in-tub-time, and Downstairs- time; Force plate variables- Quiet standing Romberg ratio sway-area, Maximal lean- anterior-posterior excursion, Sit-to-stand medial-lateral excursion and sway-area). Sets were created (3 clinical, 2 force plate) utilizing combinations of variables appropriate for older adults with different functional activity levels and composite scores were calculated. Scores identified entry Falls-status and concurred with POMA and SOT. The Full clinical set (5 measurement variables) produced sensitivity/specificity (.80/.74) to Falls-status. Composite scores were sensitive and specific in predicting subsequent injury falls and multiple falls compared to Falls-status, POMA or SOT. Conclusions Sets of quantitative measurement variables obtained with this mobility battery provided sensitive prediction of future injury falls and screening for multiple subsequent falls using tasks that should be appropriate to

  14. Relationship between balance performance in the elderly and some anthropometric variables.

    PubMed

    Fabunmi, A A; Gbiri, C A

    2008-12-01

    Ability to maintain either static or dynamic balance has been found to be influenced by many factors such as height and weight in the elderly. The relationship between other anthropometric variables and balance performance among elderly Nigerians has not been widely studied. The aim of this study was to investigate the relationship between these other anthropometric variables and balance performance among old individuals aged >60 years in Ibadan, Nigeria. The study used the ex-post facto design and involved two hundred and three apparently healthy (103 males and 100 females) elderly participants with ages between 60 years and 74 years, selected using multiple step-wise sampling techniques from churches, mosques and market place within Ibadan. They were without history of neurological problem, postural hypotension, orthopeadic conditions or injury to the back and/or upper and lower extremities within the past one year. Selected anthropometric variables were measured, Sharpened Romberg Test (SRT) and Functional Reach Test (FRT) was used to assess static balance and dynamic balance respectively. All data were summarized using range, mean and standard deviation. Pearson's product moment correlation coefficient was used to determine the relationship between the physical characteristics, anthropometric variables and performance on each of the two balance tests. The results showed that there were low but significant positive correlations between performance on FRT and each of height, weight, trunk length, foot length, shoulder girth and hip girth. (p<0.05). There was low significant and positive correlation between SRT with eyes closed and arm length, foot length and shoulder girth. (p<0.05) and there was low but significant positive correlation between SRT with eyes opened and shoulder girth and foot length (P<0.05). Anthropometric variables affect balance performances in apparently healthy elderly.

  15. Balance Screening of Vestibular Function in Subjects Aged 4 Years and Older: A Living Laboratory Experience.

    PubMed

    Bermúdez Rey, María Carolina; Clark, Torin K; Merfeld, Daniel M

    2017-01-01

    To better understand the various individual factors that contribute to balance and the relation to fall risk, we performed the modified Romberg Test of Standing Balance on Firm and Compliant Support, with 1,174 participants between 4 and 83 years of age. This research was conducted in the Living Laboratory ® at the Museum of Science, Boston. We specifically focus on balance test condition 4, in which individuals stand on memory foam with eyes closed, and must rely on their vestibular system; therefore, performance in this balance test condition provides a proxy for vestibular function. We looked for balance variations associated with sex, race/ethnicity, health factors, and age. We found that balance test performance was stable between 10 and 39 years of age, with a slight increase in the failure rate for participants 4-9 years of age, suggesting a period of balance development in younger children. For participants 40 years and older, the balance test failure rate increased progressively with age. Diabetes and obesity are the two main health factors we found associated with poor balance, with test condition 4 failure rates of 57 and 19%, respectively. An increase in the odds of having fallen in the last year was associated with a decrease in the time to failure; once individuals dropped below a time to failure of 10 s, there was a significant 5.5-fold increase in the odds of having fallen in the last 12 months. These data alert us to screen for poor vestibular function in individuals 40 years and older or suffering from diabetes, in order to undertake the necessary diagnostic and rehabilitation measures, with a focus on reducing the morbidity and mortality of falls.

  16. Postural Stability in Cigarette Smokers and During Abstinence from Alcohol

    PubMed Central

    Schmidt, Thomas Paul; Pennington, David Louis; Durazzo, Timothy Craig; Meyerhoff, Dieter Johannes

    2014-01-01

    Background Static postural instability is common in alcohol dependent individuals (ALC). Chronic alcohol consumption has deleterious effects on the neural and perceptual systems subserving postural stability. However, little is known about the effects of chronic cigarette smoking on postural stability and its changes during abstinence from alcohol. Methods A modified Fregly ataxia battery was administered to a total of 115 smoking (sALC) and non-smoking ALC (nsALC) and to 74 smoking (sCON) and non-smoking light/non-drinking controls (nsCON). Subgroups of abstinent ALC were assessed at 3 time points (approximately 1 week, 5 weeks, 34 weeks of abstinence from alcohol); a subset of nsCON was re-tested at 40 weeks. We tested if cigarette smoking affects postural stability in CON and in ALC during extended abstinence from alcohol, and we used linear mixed effects modeling to measure change across time points within ALC. Results Chronic smoking was associated with reduced performance on the Sharpened Romberg eyes-closed task in abstinent ALC at all three time points and in CON. The test performance of nsALC increased significantly between 1 and 32 weeks of abstinence, whereas the corresponding increases for sALC between 1 and 35 weeks was non-significant. With long-term abstinence from alcohol, nsALC recovered into the range of nsCON and sALC recovered into the range of sCON. Static postural stability decreased with age and correlated with smoking variables but not with drinking measures. Conclusions Chronic smoking was associated with reduced static postural stability with eyes closed and with lower increases of postural stability during abstinence from alcohol. Smoking cessation in alcohol dependence treatment may facilitate recovery from static postural instability during abstinence. PMID:24721012

  17. Clinical balance tests, proprioceptive system and adolescent idiopathic scoliosis.

    PubMed

    Le Berre, Morgane; Guyot, Marc-Alexandre; Agnani, Olivier; Bourdeauducq, Isabelle; Versyp, Marie-Christine; Donze, Cécile; Thévenon, André; Catanzariti, Jean-Francois

    2017-06-01

    Adolescent idiopathic scoliosis (AIS) is a three-dimensional deformity of the spinal column of unknown etiology. Multiple factors could be involved, including neurosensory pathways and, potentially, an elective disorder of dynamic proprioception. The purpose of this study was to determine whether routine balance tests could be used to demonstrate an elective alteration of dynamic proprioception in AIS. This was a multicentre case-control study based on prospectively collected clinical data, in three hospitals pediatric, with spine consultation, from January 2013 through April 2015. From an original population of 547 adolescents, inclusion and non-inclusion criteria indentified 114 adolescents with right thoracic AIS (mean age 14.5 ± 1.9 years, Cobb angle 35.7 ± 15.3°) and 81 matched adolescents without scoliosis (mean age 14.1 ± 1.9 years). Participants performed three routine clinical balance tests to assess the static and dynamic proprioception: the Fukuda-Utenberger stepping test (angle of rotation in degrees and distance of displacement in cm) to assess dynamic balance; the sharpened Romberg test and the unipedal stance test (eyes closed) to assess static balance. There was no significant difference between AIS subjects and controls for the static tests, but there was a significant difference for the dynamic test for both measures: distance of displacement (p < 0.01) and angle of rotation (p < 0.0001). This result confirms our initial these: the dynamic proprioception is altered electively in AIS. These findings confirm recent AIS studies. Our results might be related to immature central integration of dynamic proprioceptive input leading to a poorly adapted motor response, particularly for postural control of the, in AIS. These balance tests can be performed in routine practice. Their validity as a biomarker for screening and monitoring purposes should be assessed.

  18. Postural stability in cigarette smokers and during abstinence from alcohol.

    PubMed

    Schmidt, Thomas P; Pennington, David L; Durazzo, Timothy C; Meyerhoff, Dieter J

    2014-06-01

    Static postural instability is common in alcohol-dependent individuals (ALC). Chronic alcohol consumption has deleterious effects on the neural and perceptual systems subserving postural stability. However, little is known about the effects of chronic cigarette smoking on postural stability and its changes during abstinence from alcohol. A modified Fregly ataxia battery was administered to a total of 115 smoking (sALC) and nonsmoking ALC (nsALC) and to 71 smoking (sCON) and nonsmoking light/nondrinking controls (nsCON). Subgroups of abstinent ALC were assessed at 3 time points (TPs; approximately 1, 5, 34 weeks of abstinence from alcohol); a subset of nsCON was retested at 40 weeks. We tested whether cigarette smoking affects postural stability in CON and in ALC during extended abstinence from alcohol, and we used linear mixed effects modeling to measure change across TPs within ALC. Chronic smoking was associated with reduced performance on the Sharpened Romberg eyes-closed task in abstinent ALC at all 3 TPs and in CON. The test performance of nsALC increased significantly between 1 and 32 weeks of abstinence, whereas the corresponding increases for sALC between 1 and 35 weeks were nonsignificant. With long-term abstinence from alcohol, nsALC recovered into the range of nsCON and sALC recovered into the range of sCON. Static postural stability decreased with age and correlated with smoking variables but not with drinking measures. Chronic smoking was associated with reduced static postural stability with eyes closed and with lower increases of postural stability during abstinence from alcohol. Smoking cessation in alcohol dependence treatment may facilitate recovery from static postural instability during abstinence. Copyright © 2014 by the Research Society on Alcoholism.

  19. Altered Functional Performance in Patients with Fibromyalgia

    PubMed Central

    Costa, Isis da Silva; Gamundí, Antoni; Miranda, José G. Vivas; França, Lucas G. Souza; De Santana, Charles Novaes; Montoya, Pedro

    2017-01-01

    Fibromyalgia is a common chronic pain condition that exerts a considerable impact on patients' daily activities and quality of life. Objectives: The main objective of the present study was to evaluate kinematic parameters of gait, functional performance, and balance in women with fibromyalgia syndrome. Methods: The study included 26 female patients with fibromyalgia (49.2 ± 8.0 years) according to the criteria of the American College of Rheumatology, as well as 16 pain-free women (43.5 ± 8.5 years). Gait and balance parameters were extracted from video recordings of participants performing several motor tasks. Non-linear dynamic of body sway time series was also analyzed by computing the Hurst exponent. In addition, functional performance and clinical pain were obtained by using standardized motor tests (Berg's balance scale, 6-min walking test, timed up and go task, Romberg's balance test) and self-report questionnaires (Fibromyalgia Impact Questionnaire). Results: Walking speed was significantly diminished (p < 0.001) in FM patients as compared to pain-free controls, probably due to significant reductions in stride length (p < 0.001) and cycle frequency (p < 0.001). Analyses of balance also revealed significant differences between fibromyalgia and pain-free controls on body sway in the medial-lateral and anterior-posterior axes (all ps < 0.01). Several parameters of gait and balance were significantly associated with high levels of pain, depression, stiffness, anxiety, and fatigue in fibromyalgia. Conclusion: Our data revealed that both gait and balance were severely impaired in FM, and that subjective complaints associated with FM could contribute to functional disability in these patients. These findings suggest that optimal rehabilitation and fall prevention in fibromyalgia require a comprehensive assessment of both psychological responses to pain and physical impairments during postural control and gait. PMID:28184193

  20. Translation, cross-cultural adaptation and validation of the Bulgarian version of the Dizziness Handicap Inventory.

    PubMed

    Georgieva-Zhostova, Spaska; Kolev, Ognyan I; Stambolieva, Katerina

    2014-09-01

    The aim of the present study was the translation, cross-cultural adaptation and validation of the Dizziness Handicap Inventory in Bulgarian language (DHI-BG). Ninety-seven vestibular patients (19 men and 78 women, mean age 45.08 ± 13.85 years) took part in the investigation. All participants were asked to fill in the DHI-BG. Internal consistency was estimated using Cronbach's alpha and item-total correlation, reproducibility by calculating Bland-Altman's limits of agreement and intraclass correlation coefficients (ICCs). Associations were estimated by Spearman's correlation coefficients. The Cronbach's alpha for the total score, functional, physical and emotional subscales of DHI-BG were 0.88, 0.75, 0.72 and 0.81. The floor and ceiling effects of the DHI-BG total scale were evaluated with respect to the limits of agreement which were ±9.4-14.53 points. Intraclass correlation coefficients (ICCs) for all scale and subscales were higher than the recommended value of 0.75 and determined good test-retest reliability. The range of items correlation for DHI-BG was from 0.27 (item 12) to 0.72 (item 3). No significant differences were observed in the Cronbach's alpha coefficients between the DHI-BG and the original version, the German and Italian versions of the questionnaire. The most significant difference was observed in comparison with the German version of DHI. Construct validity presented a moderate correlation between Romberg coefficients and DHI-BG scores and strong correlation between all scores of DHI and the self-perceived disability. The results suggest that DHI-BG scores show a good discriminative validity between groups with different levels of self-assessed disability. The Bulgarian version of the DHI is a reliable and valid tool in assessing the impact of dizziness on the quality of life in Bulgarian vestibular patients.

  1. Recurrent purpura due to alcohol-related Schamberg's disease and its association with serum immunoglobulins: a longitudinal observation of a heavy drinker.

    PubMed

    Bonnet, Udo; Selle, Claudia; Isbruch, Katrin; Isbruch, Katrin

    2016-10-31

    It is unusual for purpura to emerge as a result of drinking alcohol. Such a peculiarity was observed in a 55-year-old man with a 30-year history of heavy alcohol use. The Caucasian patient was studied for 11 years during several detoxification treatments. During the last 2 years of that period, purpuric rashes were newly observed. The asymptomatic purpura was limited to both lower limbs, self-limiting with abstinence, and reoccurring swiftly with alcohol relapse. This sequence was observed six times, suggesting a causative role of alcohol or its metabolites. A skin biopsy revealed histological features of purpura pigmentosa progressiva (termed Schamberg's disease). Additionally, alcoholic fatty liver disease markedly elevated serum immunoglobulins (immunoglobulin A and immunoglobulin E), activated T-lymphocytes, and increased C-reactive protein. In addition, moderate combined (cellular and humoral) immunodeficiency was found. Unlike the patient's immunoglobulin A level, his serum immunoglobulin E level fell in the first days of abstinence, which corresponded to the time of purpura decline. Systemic vasculitis and clotting disorders were excluded. The benign character of the purpura was supported by missing circulating immune complexes or complement activation. An alcohol provocation test with vinegar was followed by the development of fresh "cayenne pepper" spots characteristic of Schamberg's disease. This case report demonstrates that Schamberg's disease can be strongly related to alcohol intake, in our patient most likely as a late complication of severe alcoholism with alcoholic liver disease. Immunologic disturbances thereby acquired could have constituted a basis for a hypersensitivity-like reaction after ingestion of alcohol. Schamberg's disease induction by vinegar may point to an involvement of acetate, a metabolite of ethanol.

  2. High water-stressed population estimated by world water resources assessment including human activities under SRES scenarios

    NASA Astrophysics Data System (ADS)

    Kiguchi, M.; Shen, Y.; Kanae, S.; Oki, T.

    2009-04-01

    In an argument of the reduction and the adaptation for the climate change, the evaluation of the influence by the climate change is important. When we argue in adaptation plan from a damage scale and balance with the cost, it is particularly important. Parry et al (2001) evaluated the risks in shortage of water, malaria, food, the risk of the coast flood by temperature function and clarified the level of critical climate change. According to their evaluation, the population to be affected by the shortage of water suddenly increases in the range where temperature increases from 1.5 to 2.0 degree in 2080s. They showed how much we need to reduce emissions in order to draw-down significantly the number at risk. This evaluation of critical climate change threats and targets of water shortage did not include the water withdrawal divided by water availability. Shen et al (2008a) estimated the water withdrawal of projection of future world water resources according to socio-economic driving factors predicted for scenarios A1b, A2, B1, and B2 of the Special Report on Emission Scenarios (SRES). However, these results were in function of not temperature but time. The assessment of the highly water-stressed population considered the socioeconomic development is necessary for a function of the temperature. Because of it is easy to understand to need to reduce emission. We present a multi-GCM analysis of the global and regional populations lived in highly water-stressed basin for a function of the temperature using the socioeconomic data and the outputs of GCMs. In scenario A2, the population increases gradually with warming. On the other hand, the future projection population in scenario A1b and B1 increase gradually until the temperature anomaly exceeds around from +1 to +1.5 degree. After that the population is almost constant. From Shen et al (2008b), we evaluated the HWSP and its ratio in the world with temperature function for scenarios A1B, A2, and B1 by the index of W

  3. Log In to Experiential Learning Theory: Supporting Web-Based Faculty Development.

    PubMed

    Omer, Selma; Choi, Sunhea; Brien, Sarah; Parry, Marcus

    2017-09-27

    . Grounding Web-based training in learning theory offers an effective and flexible approach for faculty development. ©Selma Omer, Sunhea Choi, Sarah Brien, Marcus Parry. Originally published in JMIR Medical Education (http://mededu.jmir.org), 27.09.2017.

  4. Impacts of Sea Level Rise and Morphological Changes on Tidal Hydrodynamics in the Northern Gulf of Mexico

    NASA Astrophysics Data System (ADS)

    Passeri, D. L.; Hagen, S. C.; Plant, N. G.; Bilskie, M. V.

    2014-12-01

    Sea level rise (SLR) threatens coastal environments with increased erosion, inundation of wetlands, and changes in hydrodynamic patterns. Planning for the effects of SLR requires understanding the coupled response of SLR, geomorphic and hydrodynamic processes; this will provide crucial information for managers to make informed decisions for human and natural communities. Evaluating changes in tidal hydrodynamics under future scenarios is a key aspect for understanding the effects of SLR on coastal systems; tidal hydrodynamics influence inundation, circulation patterns, sediment transport processes, shoreline erosion, and productivity of marshes and other species. This study evaluates the dynamic effects of SLR and morphologic change on tidal hydrodynamics along the Northern Gulf of Mexico (NGOM) coast from Mississippi to the Florida panhandle. A large-scale hydrodynamic model is used to simulate astronomic tides under present (circa 2005), and future conditions (circa 2050 and 2100). The model is modified with specific SLR scenarios, morphology, and shorelines that represent the conditions at each of the time periods. Future sea levels for the years 2050 and 2100 are determined using the Parris et al. (2012) projections. To make projections of future morphology, a Bayesian Network (BN) is implemented. The BN is used to define relationships between forcing mechanisms and coastal responses based on long-term relative SLR, mean wave height, long-term shoreline change rates, mean tidal range, geomorphic setting and coastal slope. Probabilistic predictions of future shoreline positions and dune heights are developed for each SLR scenario for the years 2050 and 2100. The Digital Elevation Model (DEM) is then updated to reflect the future morphologic changes. Comparison of present and future conditions illustrates the hydrodynamic response of the system to the changing landscape. Changes in variables such as harmonic tidal constituents, tidal range, tidal prism, tidal

  5. Future directions of ecosystem science

    USGS Publications Warehouse

    Baron, Jill S.; Galvin, Kathleen A.

    1990-01-01

    Scientific knowledge about ecosystem structure and function has expanded greatly during the past few decades. Terrestrial and aquatic nutrient cycling, ecosystem energetics, population dynamics, belowground processes, and food webs have been studied at the plot, stand, watershed, and landscape levels at many locations around the globe. Ideas about terrestrial-atmospheric interactions and human interference in these processes have changed dramatically. There is new appreciation of the need to incorporate into ecosystem studies the interactions between human populations and the ecosystem, not only because humans affect ecosystem processes, but because these systems support human populations (Glantz 1988, Holden 1988, Parry et al. 1988, WCED 1987). Recent advances in ecosystem science are due, in part, to technological improvements in computing power, new laboratory and field physical and chemical analytical techniques, and satellite imagery for remote sensing of Earth's structure and dynamics. Modeling and geographic information systems have provided the capability for integrating multiple data sets with process simulations to generate hypotheses about regional ecosystem function. Concurrent with these scientific developments has been a growing concern about the links between the health of the environment and world-wide industrial, land, and resource-management practices. Environmental damage at the local level was widely recognized in the 1960s, prompting the environmental movement of that decade. Regional environmental problems with multiple effects and politically difficult solutions have been perceived more recently; the issue of acidic deposition provides an example of such a second-generation concern (Clark and Holling 1985). Today there is a growing awareness of global-scale environmental degradation brought about by the combined actions of all peoples on Earth (Clark 1989, Woodmansee et al. 1988). The three levels of environmental concern--local, regional

  6. Decreased Serologic Response in Vaccinated Military Recruits during 2011 Correspond to Genetic Drift in Concurrent Circulating Pandemic A/H1N1 Viruses

    PubMed Central

    Faix, Dennis J.; Hawksworth, Anthony W.; Myers, Christopher A.; Hansen, Christian J.; Ortiguerra, Ryan G.; Halpin, Rebecca; Wentworth, David; Pacha, Laura A.; Schwartz, Erica G.; Garcia, Shawn M. S.; Eick-Cost, Angelia A.; Clagett, Christopher D.; Khurana, Surender; Golding, Hana; Blair, Patrick J.

    2012-01-01

    Background Population-based febrile respiratory illness surveillance conducted by the Department of Defense contributes to an estimate of vaccine effectiveness. Between January and March 2011, 64 cases of 2009 A/H1N1 (pH1N1), including one fatality, were confirmed in immunized recruits at Fort Jackson, South Carolina, suggesting insufficient efficacy for the pH1N1 component of the live attenuated influenza vaccine (LAIV). Methodology/Principal Findings To test serologic protection, serum samples were collected at least 30 days post-vaccination from recruits at Fort Jackson (LAIV), Parris Island (LAIV and trivalent inactivated vaccine [TIV]) at Cape May, New Jersey (TIV) and responses measured against pre-vaccination sera. A subset of 78 LAIV and 64 TIV sera pairs from recruits who reported neither influenza vaccination in the prior year nor fever during training were tested by microneutralization (MN) and hemagglutination inhibition (HI) assays. MN results demonstrated that seroconversion in paired sera was greater in those who received TIV versus LAIV (74% and 37%). Additionally, the fold change associated with TIV vaccination was significantly different between circulating (2011) versus the vaccine strain (2009) of pH1N1 viruses (ANOVA p value = 0.0006). HI analyses revealed similar trends. Surface plasmon resonance (SPR) analysis revealed that the quantity, IgG/IgM ratios, and affinity of anti-HA antibodies were significantly greater in TIV vaccinees. Finally, sequence analysis of the HA1 gene in concurrent circulating 2011 pH1N1 isolates from Fort Jackson exhibited modest amino acid divergence from the vaccine strain. Conclusions/Significance Among military recruits in 2011, serum antibody response differed by vaccine type (LAIV vs. TIV) and pH1N1 virus year (2009 vs. 2011). We hypothesize that antigen drift in circulating pH1N1 viruses contributed to reduce vaccine effectiveness at Fort Jackson. Our findings have wider implications regarding vaccine

  7. Boundary integral solutions for faults in flowing rock

    NASA Astrophysics Data System (ADS)

    Wei, Wei

    We develop new boundary-integral solutions for faulting in viscous rock and implement solutions numerically with a boundary-element computer program, called Faux_Pas. In the solutions, large permanent rock deformations near faults are treated with velocity discontinuities within linear, incompressible, creeping, viscous flows. The faults may have zero strength or a finite strength that can be a constant or varying with deformation. Large deformations are achieved by integrating step by step with the fourth-order Runge-Kutta method. With this method, the boundaries and passive markers are updated dynamically. Faux_Pas has been applied to straight and curved elementary faults, and to listric and dish compound faults, composed of two or more elementary faults, such as listric faults and dish faults, all subjected to simple shear, shortening and lengthening. It reproduces the essential geometric elements seen in seismic profiles of fault-related folds associated with listric thrust faults in the Bighorn Basin of Wyoming, with dish faults in the Appalachians in Pennsylvania, Parry Islands of Canada and San Fernando Valley, California, and with listric normal faults in the Gulf of Mexico. Faux_Pas also predicts that some of these fault-related structures will include fascinating minor folds, especially in the footwall of the fault, that have been recognized earlier but have not been known to be related to the faulting. Some of these minor folds are potential structural traps. Faux_Pas is superior in several respects to current geometric techniques of balancing profiles, such as the "fault-bend fold" construction. With Faux_Pas, both the hanging wall and footwall are deformable, the faults are mechanical features, the cross sections are automatically balanced and, most important, the solutions are based on the first principles of mechanics. With the geometric techniques, folds are drawn only in the hanging wall, the faults are simply lines, the cross sections are

  8. Use of Children's Popular Culture in Literacy Curricula: An Analysis of the Papers by Parry (2002) and Dickie and Shuker (2014) through the Lenses of "No Research Can Be Value-Laden

    ERIC Educational Resources Information Center

    Altintug, Fatma Aslanturk; Debrelu, Emre

    2018-01-01

    This paper focuses on the importance of children's out-of-school experiences as their popular culture and discusses how such experiences contribute to their creativity and critical thinking. In addition to this, the paper also discusses the critical role of researchers' values in terms of how values affect the design and process of research. From…

  9. Chiropractic and rehabilitation management of a patient with extraforaminal entrapment of L4 nerve with balance problem.

    PubMed

    Alagha, Babak

    2015-01-01

    Disc herniation is one of the most common causes of low back pain with radicular pain. Among various types of disc herniation, the extraforaminal disc herniation is a rare cause of lumbar radiculopathy. The aim of presenting this case study is to demonstrate the benefits of Chiropractic care including spine and extremity manipulation and rehabilitation in the treatment of a rare case of extraforaminal L4 nerve entrapment causing severe L4 radiculopathy and chronic mild low back pain (LBP). The aim of presenting this case study is to demonstrate the benefits of Chiropractic care including spine and extremity manipulation and rehabilitation in treatment of rare case of extraforaminal L4 nerve entrapment which caused severe L4 radiculopathy and chronic mild low back pain (LBP). A 45-year old female patient arrived at the clinic with chronic mild low back pain and right buttock pain, all of which had presented for two years' duration. During the preceding month, the radicular pain initiated in medium to high intensity, radiating to her right leg following the L4 dermatomal pattern with a periodic tingling sensation in her right foot. A neuro exam demonstrated a proprioception deficit in her right leg. A Romberg test was positive. The patient was treated by low amplitude high velocity spinal and extremity manipulation for 10 consecutive sessions (2 weeks), followed by rehabilitation and exercise therapy including advanced myofascial release therapy for an additional 12 sessions (4 weeks). After treatment, the patient reported a significant improvement in her low back pain and radiculopathy. In addition, she achieved some improvement in balance. It seems that Chiropractic care and rehabilitation therapy may be a safe and effective modality in treatment of an L4 radiculopathy in a patient with an extraforaminal L4 nerve entrapment. Although it is rare, an L4 extraforaminal disc herniation should be considered as a possible cause of symptoms in patients with chronic mild

  10. A geophysical investigation of the northeastern rim of the St. Martin impact structure, Manitoba, Canada

    NASA Astrophysics Data System (ADS)

    Zivkovic, Vladimir B.

    The St. Martin impact structure is a 40 Km diameter structure located in Manitoba, Canada lies in featureless, glaciated terrain lacking any surface expression of an impact structure. The age of the structure has been re-determined to range between 224.3 Ma to 241.4 Ma which nullified a previous hypothesis suggesting this impact was part of a multiple impact event. Within the proposed structural boundary two outcrops of Archean granite are present. The first outcrop is located in what has been identified as the central peak of the impact structure. The second outcrop lies along the northeastern boundary and is known locally as Big Rock. The purpose of this investigation was to determine the relationship of Big Rock, if any, to the impact event and to constrain a more accurate diameter of the structure. To accomplish this I conducted two geophysical surveys and used selected data from a previous survey. The two methods I conducted were: a magnetic survey and seismic reflection profiling. Selected data from a previous gravity survey was used to supplement survey results. The magnetic survey was conducted using the total field G-856 Memory-Mag proton precession magnetometer which measures local or regional field strength. The seismic reflection survey was conducted using three Geometrics Geode exploration seismographs. Due to the complexity of seismic data processing I retained an outside seismic data processing company. Previous gravity anomaly data were acquired using a LaCoste and Romberg Model G gravimeter. The results of this geophysical investigation reveal a shallowing of granitic basement rock with exposure near Big Rock. However, a suggested listric fault near Big Rock was not identified via seismic reflection profiling, but was suggested by both the gravity and magnetic surveys. Listric faults that are genetically related to impact structures are also indicative of the structure's outer boundary and therefore can confirm that the St. Martin impact structure

  11. GTOOLS: an Interactive Computer Program to Process Gravity Data for High-Resolution Applications

    NASA Astrophysics Data System (ADS)

    Battaglia, M.; Poland, M. P.; Kauahikaua, J. P.

    2012-12-01

    An interactive computer program, GTOOLS, has been developed to process gravity data acquired by the Scintrex CG-5 and LaCoste & Romberg EG, G and D gravity meters. The aim of GTOOLS is to provide a validated methodology for computing relative gravity values in a consistent way accounting for as many environmental factors as possible (e.g., tides, ocean loading, solar constraints, etc.), as well as instrument drift. The program has a modular architecture. Each processing step is implemented in a tool (function) that can be either run independently or within an automated task. The tools allow the user to (a) read the gravity data acquired during field surveys completed using different types of gravity meters; (b) compute Earth tides using an improved version of Longman's (1959) model; (c) compute ocean loading using the HARDISP code by Petit and Luzum (2010) and ocean loading harmonics from the TPXO7.2 ocean tide model; (d) estimate the instrument drift using linear functions as appropriate; and (e) compute the weighted least-square-adjusted gravity values and their errors. The corrections are performed up to microGal ( μGal) precision, in accordance with the specifications of high-resolution surveys. The program has the ability to incorporate calibration factors that allow for surveys done using different gravimeters to be compared. Two additional tools (functions) allow the user to (1) estimate the instrument calibration factor by processing data collected by a gravimeter on a calibration range; (2) plot gravity time-series at a chosen benchmark. The interactive procedures and the program output (jpeg plots and text files) have been designed to ease data handling and archiving, to provide useful information for future data interpretation or modeling, and facilitate comparison of gravity surveys conducted at different times. All formulas have been checked for typographical errors in the original reference. GTOOLS, developed using Matlab, is open source and machine

  12. Systematic review of postural control and lateral ankle instability, part II: is balance training clinically effective?

    PubMed

    McKeon, Patrick O; Hertel, Jay

    2008-01-01

    To answer the following clinical questions: (1) Can prophylactic balance and coordination training reduce the risk of sustaining a lateral ankle sprain? (2) Can balance and coordination training improve treatment outcomes associated with acute ankle sprains? (3) Can balance and coordination training improve treatment outcomes in patients with chronic ankle instability? PubMed and CINAHL entries from 1966 through October 2006 were searched using the terms ankle sprain, ankle instability, balance, chronic ankle instability, functional ankle instability, postural control, and postural sway. Only studies assessing the influence of balance training on the primary outcomes of risk of ankle sprain or instrumented postural control measures derived from testing on a stable force plate using the modified Romberg test were included. Studies had to provide results for calculation of relative risk reduction and numbers needed to treat for the injury prevention outcomes or effect sizes for the postural control measures. We calculated the relative risk reduction and numbers needed to treat to assess the effect of balance training on the risk of incurring an ankle sprain. Effect sizes were estimated with the Cohen d for comparisons of postural control performance between trained and untrained groups. Prophylactic balance training substantially reduced the risk of sustaining ankle sprains, with a greater effect seen in those with a history of a previous sprain. Completing at least 6 weeks of balance training after an acute ankle sprain substantially reduced the risk of recurrent ankle sprains; however, consistent improvements in instrumented measures of postural control were not associated with training. Evidence is lacking to assess the reduction in the risk of recurrent sprains and inconclusive to demonstrate improved instrumented postural control measures in those with chronic ankle instability who complete balance training. Balance training can be used prophylactically or after

  13. Evaluation of divided attention psychophysical task performance and effects on pupil sizes following smoked, vaporized and oral cannabis administration.

    PubMed

    Newmeyer, Matthew N; Swortwood, Madeleine J; Taylor, Megan E; Abulseoud, Osama A; Woodward, Thomas H; Huestis, Marilyn A

    2017-08-01

    Establishing science-based driving per se blood Δ 9 -tetrahydrocannabinol (THC) limits is challenging, in part because of prolonged THC detection in chronic, frequent users. Therefore, documenting observable signs of impairment is important for driving under the influence of drugs. We evaluated frequent and occasional cannabis smokers' performance on the modified Romberg balance, one leg stand (OLS), and walk and turn (WAT) tasks, and pupil size effects following controlled placebo (0.001% THC), smoked, vaporized and oral (6.9% [~50.4 mg] THC) cannabis administration. Significant effects following inhaled doses were not observed due to delayed tasks administration 1.5 and 3.5 h post-dose, but significant impairment was observed after oral dosing (blood THC concentrations peaked 1.5-3.5 h post-dose). Occasional smokers' odds of exhibiting ≥2 clues on the OLS or WAT following oral dosing were 6.4 (95% CI 2.3-18.4) times higher than after placebo, with THC and 11-hydroxy-THC blood concentrations individually producing odds ratios of 1.3 (1.1-1.5) and 1.5 (1.3-1.8) for impairment in these tasks, respectively. Pupil sizes after oral dosing under the direct lighting condition were significantly larger than after placebo by mean (SE, 95% CI) 0.4 (0.1, 0.2-0.6) mm at 1.5 h and 0.5 (0.2, 0.2-0.8) mm at 3.5 h among all participants. Oral cannabis administration impaired occasional cannabis users' performance on the OLS and WAT tasks compared to placebo, supporting other reports showing these tasks are sensitive to cannabis-related impairment. Occasional smokers' impairment was related to blood THC and 11-hydroxy-THC concentrations. These are important public health policy findings as consumption of edible cannabis products increases. Published 2017. This article is a U.S. Government work and is in the public domain in the USA. Published 2017. This article is a U.S. Government work and is in the public domain in the USA.

  14. Testing joint inversion techniques of gravity data and cosmic ray muon flux at a well-characterized site for use in the detection of subsurface density structures beneath volcanoes.

    NASA Astrophysics Data System (ADS)

    Cosburn, K.; Roy, M.; Rowe, C. A.; Guardincerri, E.

    2017-12-01

    Obtaining accurate static and time-dependent shallow subsurface density structure beneath volcanic, hydrogeologic, and tectonic targets can help illuminate active processes of fluid flow and magma transport. A limitation of using surface gravity measurements for such imaging is that these observations are vastly underdetermined and non-unique. In order to hone in on a more accurate solution, other data sets are needed to provide constraints, typically seismic or borehole observations. The spatial resolution of these techniques, however, is relatively poor, and a novel solution to this problem in recent years has been to use attenuation of the cosmic ray muon flux, which provides an independent constraint on density. In this study we present a joint inversion of gravity and cosmic ray muon flux observations to infer the density structure of a target rock volume at a well-characterized site near Los Alamos, New Mexico, USA. We investigate the shallow structure of a mesa formed by the Quaternary ash-flow tuffs on the Pajarito Plateau, flanking the Jemez volcano in New Mexico. Gravity measurements were made using a Lacoste and Romberg D meter on the surface of the mesa and inside a tunnel beneath the mesa. Muon flux measurements were also made at the mesa surface and at various points within the same tunnel using a muon detector having an acceptance region of 45 degrees from the vertical and a track resolution of several milliradians. We expect the combination of muon and gravity data to provide us with enhanced resolution as well as the ability to sense deeper structures in our region of interest. We use Bayesian joint inversion techniques on the gravity-muon dataset to test these ideas, building upon previous work using gravity inversion alone to resolve density structure in our study area. Both the regional geology and geometry of our study area is well-known and we assess the inferred density structure from our gravity-muon joint inversion within this known

  15. A Study of the Prevalence of Serum Vitamin B12 and Folic Acid Deficiency in Western Maharashtra

    PubMed Central

    Mahajan, Sanket K.; Aundhakar, Swati C.

    2015-01-01

    Context: This study summarizes the prevalence of vitamin B12 and folic acid deficiency in the population coming to tertiary care center in Western Maharashtra along with the main presenting symptom routinely misinterpreted in daily practice. Aims and Objectives: 1. To study the prevalence of vitamin B12 and folic acid deficiency in the population of western Maharashtra. 2. To correlate the symptoms with serum vitamin B12 and folic acid levels. Materials and Methods: The present study is a cross-sectional observation study carried out on patients from western Maharashtra seeking medical attention on outpatient and inpatient basis in the medicine department of a teaching institute in Karad. One-hundred patients were selected on basis of below mentioned symptoms viz. tingling and numbness in extremities, dizziness, unsteady gait, early tiredness, forgetfulness, proximal weakness, distal weakness, chronic headache, less interest in work, chronic loose stools, strict vegetarians, alcoholics, intake of medications like anti-tubercular treatment, surgery involving terminal ileum. Serum vitamin B12 and folic acid levels of these patients were observed. Deficiency of vitamin B12 and folic acid was studied in 4 groups: (a) Absolute vitamin B12 deficiency; (b) Absolute folic acid deficiency; (c) Borderline vitamin B12 deficiency; (d) Combined vitamin B12 and folic acid deficiency. Results: Of the 100 cases, 33% patients were vegetarian. Folic acid deficiency formed the major chunk of deficiency group. Six percent patients had neuropsychiatric manifestations. Depressive illness in 1% patients, dementia in 0% patients, forgetfulness in 1% patients, mania/hallucination in 0% patients each, and chronic headache in 1% patients. Neuropathy in form of loss of reflexes, decreased touch sensation was present in 9% patients. Posterior column involvement viz. Loss of joint position, vibration, positive Romberg's sign were present in 34% patients of vitamin B12 and folic acid deficiency

  16. The Role of Aircraft Motion in Airborne Gravity Data Quality

    NASA Astrophysics Data System (ADS)

    Childers, V. A.; Damiani, T.; Weil, C.; Preaux, S. A.

    2015-12-01

    Many factors contribute to the quality of airborne gravity data measured with LaCoste and Romberg-type sensors, such as the Micro-g LaCoste Turnkey Airborne Gravity System used by the National Geodetic Survey's GRAV-D (Gravity for the Redefinition of the American Vertical Datum) Project. For example, it is well documented that turbulence is a big factor in the overall noise level of the measurement. Turbulence is best controlled by avoidance; thus flights in the GRAV-D Project are only undertaken when the predicted wind speeds at flight level are ≤ 40 kts. Tail winds are known to be particularly problematic. The GRAV-D survey operates on a number of aircraft in a variety of wind conditions and geographic locations, and an obvious conclusion from our work to date is that the aircraft itself plays an enormous role in the quality of the airborne gravity measurement. We have identified a number of features of the various aircraft which can be determined to play a role: the autopilot, the size and speed of the aircraft, inherent motion characteristics of the airframe, tip tanks and other modifications to the airframe to reduce motion, to name the most important. This study evaluates the motion of a number of the GRAV-D aircraft and looks at the correlation between this motion and the noise characteristics of the gravity data. The GRAV-D Project spans 7 years and 42 surveys, so we have a significant body of data for this evaluation. Throughout the project, the sensor suite has included an inertial measurement unit (IMU), first the Applanix POSAv, and then later the Honeywell MicroIRS IMU as a part of a NovAtel SPAN GPS/IMU system. We compare the noise characteristics of the data with measures of aircraft motion (via pitch, roll, and yaw captured by the IMU) using a variety of statistical tools. It is expected that this comparison will support the conclusion that certain aircraft tend to work well with this type of gravity sensor while others tend to be problematic in

  17. Coupled-cluster sum-frequency generation nonlinear susceptibilities of methyl (CH3) and methylene (CH2) groups.

    PubMed

    Tetsassi Feugmo, Conrard Giresse; Liégeois, Vincent; Champagne, Benoît

    2017-11-15

    The first vibrational sum frequency generation (SFG) spectra based on molecular properties calculated at the coupled cluster singles and doubles (CCSD) level of approximation have been simulated for interfacial model alkyl chains, providing benchmark data for comparisons with approximate methods, including density functional theory (DFT). The approach proceeds in three steps. In the first two steps, the molecular spectral properties are determined: the vibrational normal modes and frequencies and then the derivatives of the dipole moment and of the polarizability with respect to the normal coordinates. These derivatives are evaluated with a numerical differentiation approach, of which the accuracy was monitored using Romberg's procedure. Then, in the last step, a three-layer model is employed to evaluate the macroscopic second-order nonlinear optical responses and thereby the simulated SFG spectra of the alkyl interface. Results emphasize the following facts: (i) the dipole and polarizability derivatives calculated at the DFT level with the B3LYP exchange-correlation functional can differ, with respect to CCSD, by as much as ±10 to 20% and ±20 to 50% for the CH 3 and CH 2 vibrations, respectively; (ii) these differences are enhanced when considering the SFG intensities as well as their variations as a function of the experimental configuration (ppp versus ssp) and as a function of the tilt and rotation angles, defining the orientation of the alkyl chain at the interface; (iii) these differences originate from both the vibrational normal coordinates and the Cartesian derivatives of the dipole moment and polarizability; (iv) freezing the successive fragments of the alkyl chain strongly modifies the SFG spectrum and enables highlighting the delocalization effects between the terminal CH 3 group and its neighboring CH 2 units; and finally (v) going from the free chain to the free methyl model, and further to C 3v constraints on leads to large variations of two ratios

  18. Concussion-assessment and -management techniques used by athletic trainers.

    PubMed

    Lynall, Robert C; Laudner, Kevin G; Mihalik, Jason P; Stanek, Justin M

    2013-01-01

    Understanding concussion-assessmment and -management practices that athletic trainers (ATs) currently use will allow clinicians to identify potential strategies for enhancing the quality of care provided to patients. To assess current clinical concussion diagnostic and return-to-participation practices among ATs. Cross-sectional study. Web-based survey. A link to the survey was sent randomly to a convenience sample of 3222 members of the National Athletic Trainers' Association. A total of 1053 (32.7%) certified ATs (experience as an AT = 11.2 ± 9.1 years) responded to the survey. Prospective participants received electronic correspondence informing them of the purpose of the study and providing a link to the Web-based survey instrument. A reminder e-mail was sent approximately 6 weeks later, and the survey remained online for a total of 8 weeks. We collected information on the annual number of concussions assessed and tools employed to diagnose, manage, and safely return an athlete to participation. Descriptive statistics were computed for each variable. Participants reported observing 10.7 ± 11.0 concussions per year. Clinical examination (n = 743, 70.6%) was the most commonly reported means for evaluating and diagnosing concussion. Less than half of our respondents employed the Standardized Assessment of Concussion (n = 467, 44.3%), any variation of the Romberg test (n = 461, 43.8%), and computerized neuropsychological testing (n = 459, 43.6%). Clinical examination (n = 773, 73.4%), return-to-participation guidelines (n = 713, 67.7%), physician recommendation (n = 660, 62.7%), or player self-report (n = 447, 42.5%) contributed to the return-to-participation decisions of ATs. Only 20.8% (n = 219) of ATs reported using all 3 recommended domains of the concussion battery. Our study demonstrated a growth in the number of ATs incorporating objective clinical measures of concussion as a part of their concussion management. Conversely, fewer ATs reported using a

  19. Systematic Review of Postural Control and Lateral Ankle Instability, Part II: Is Balance Training Clinically Effective

    PubMed Central

    McKeon, Patrick O; Hertel, Jay

    2008-01-01

    Objective: To answer the following clinical questions: (1) Can prophylactic balance and coordination training reduce the risk of sustaining a lateral ankle sprain? (2) Can balance and coordination training improve treatment outcomes associated with acute ankle sprains? (3) Can balance and coordination training improve treatment outcomes in patients with chronic ankle instability? Data Sources: PubMed and CINAHL entries from 1966 through October 2006 were searched using the terms ankle sprain, ankle instability, balance, chronic ankle instability, functional ankle instability, postural control, and postural sway. Study Selection: Only studies assessing the influence of balance training on the primary outcomes of risk of ankle sprain or instrumented postural control measures derived from testing on a stable force plate using the modified Romberg test were included. Studies had to provide results for calculation of relative risk reduction and numbers needed to treat for the injury prevention outcomes or effect sizes for the postural control measures. Data Extraction: We calculated the relative risk reduction and numbers needed to treat to assess the effect of balance training on the risk of incurring an ankle sprain. Effect sizes were estimated with the Cohen d for comparisons of postural control performance between trained and untrained groups. Data Synthesis: Prophylactic balance training substantially reduced the risk of sustaining ankle sprains, with a greater effect seen in those with a history of a previous sprain. Completing at least 6 weeks of balance training after an acute ankle sprain substantially reduced the risk of recurrent ankle sprains; however, consistent improvements in instrumented measures of postural control were not associated with training. Evidence is lacking to assess the reduction in the risk of recurrent sprains and inconclusive to demonstrate improved instrumented postural control measures in those with chronic ankle instability who

  20. Elderly fall risk prediction using static posturography

    PubMed Central

    2017-01-01

    Maintaining and controlling postural balance is important for activities of daily living, with poor postural balance being predictive of future falls. This study investigated eyes open and eyes closed standing posturography with elderly adults to identify differences and determine appropriate outcome measure cut-off scores for prospective faller, single-faller, multi-faller, and non-faller classifications. 100 older adults (75.5 ± 6.7 years) stood quietly with eyes open and then eyes closed while Wii Balance Board data were collected. Range in anterior-posterior (AP) and medial-lateral (ML) center of pressure (CoP) motion; AP and ML CoP root mean square distance from mean (RMS); and AP, ML, and vector sum magnitude (VSM) CoP velocity were calculated. Romberg Quotients (RQ) were calculated for all parameters. Participants reported six-month fall history and six-month post-assessment fall occurrence. Groups were retrospective fallers (24), prospective all fallers (42), prospective fallers (22 single, 6 multiple), and prospective non-fallers (47). Non-faller RQ AP range and RQ AP RMS differed from prospective all fallers, fallers, and single fallers. Non-faller eyes closed AP velocity, eyes closed VSM velocity, RQ AP velocity, and RQ VSM velocity differed from multi-fallers. RQ calculations were particularly relevant for elderly fall risk assessments. Cut-off scores from Clinical Cut-off Score, ROC curves, and discriminant functions were clinically viable for multi-faller classification and provided better accuracy than single-faller classification. RQ AP range with cut-off score 1.64 could be used to screen for older people who may fall once. Prospective multi-faller classification with a discriminant function (-1.481 + 0.146 x Eyes Closed AP Velocity—0.114 x Eyes Closed Vector Sum Magnitude Velocity—2.027 x RQ AP Velocity + 2.877 x RQ Vector Sum Magnitude Velocity) and cut-off score 0.541 achieved an accuracy of 84.9% and is viable as a screening tool for older

  1. Elderly fall risk prediction using static posturography.

    PubMed

    Howcroft, Jennifer; Lemaire, Edward D; Kofman, Jonathan; McIlroy, William E

    2017-01-01

    Maintaining and controlling postural balance is important for activities of daily living, with poor postural balance being predictive of future falls. This study investigated eyes open and eyes closed standing posturography with elderly adults to identify differences and determine appropriate outcome measure cut-off scores for prospective faller, single-faller, multi-faller, and non-faller classifications. 100 older adults (75.5 ± 6.7 years) stood quietly with eyes open and then eyes closed while Wii Balance Board data were collected. Range in anterior-posterior (AP) and medial-lateral (ML) center of pressure (CoP) motion; AP and ML CoP root mean square distance from mean (RMS); and AP, ML, and vector sum magnitude (VSM) CoP velocity were calculated. Romberg Quotients (RQ) were calculated for all parameters. Participants reported six-month fall history and six-month post-assessment fall occurrence. Groups were retrospective fallers (24), prospective all fallers (42), prospective fallers (22 single, 6 multiple), and prospective non-fallers (47). Non-faller RQ AP range and RQ AP RMS differed from prospective all fallers, fallers, and single fallers. Non-faller eyes closed AP velocity, eyes closed VSM velocity, RQ AP velocity, and RQ VSM velocity differed from multi-fallers. RQ calculations were particularly relevant for elderly fall risk assessments. Cut-off scores from Clinical Cut-off Score, ROC curves, and discriminant functions were clinically viable for multi-faller classification and provided better accuracy than single-faller classification. RQ AP range with cut-off score 1.64 could be used to screen for older people who may fall once. Prospective multi-faller classification with a discriminant function (-1.481 + 0.146 x Eyes Closed AP Velocity-0.114 x Eyes Closed Vector Sum Magnitude Velocity-2.027 x RQ AP Velocity + 2.877 x RQ Vector Sum Magnitude Velocity) and cut-off score 0.541 achieved an accuracy of 84.9% and is viable as a screening tool for older

  2. Gait and posture analysis in patients with maxillary transverse discrepancy, before and after RPE.

    PubMed

    Mason, Martina; Spolaor, Fabiola; Guiotto, Annamaria; De Stefani, Alberto; Gracco, Antonio; Sawacha, Zimi

    2018-03-01

    The purpose of this study was to evaluate the effects of the rapid palatal expansion (RPE) on posture and gait analysis in subjects with maxillary transverse discrepancies. Forty-one patients between 6 and 12 years were divided into 3 groups: 10 control subjects (Cs), 16 patients with unilateral posterior crossbite (CbMono), 15 patients with maxillary transverse discrepancy and no crossbite (Nocb). Every subject underwent gait analysis and posturographic examination in order to evaluate the presence of balance alterations before (T0) and after (T4) RPE application. The examinations were performed through a six-cameras stereophotogrammetric system (60-120Hz, BTS S.p.A.) synchronized with two force plates (FP4060, Bertec Corp.). Romberg test was performed on a force plate, and the statokinesiogram and joint kinematics were evaluated. One-way Anova was performed among the variables after evidence of normal distribution (Levene's test for equality of variances) and Kruskal-Wallis test (P<0.05), in order to compare the three groups of subjects. While paired t-test was performed, or Kruskal-Wallis test, instead when comparing pre- and post-RPE application within the same group of subjects (P<0.05). Tamane T2 or Bonferroni correction was applied where needed. The posturographic analysis reveal significant differences across the 3 population: 95% power frequency in medio-lateral and antero-posterior direction in T0, median frequency in medio-lateral direction in T0, mean power frequency in medio-lateral direction in T0. Significant differences were also registered in the three-dimensional joints kinematics variables, mainly between Cs and Cbmono in T0 and T4 and between Cbmono and Nocb in T4. A detectable correlation between dental occlusion and body posture is shown in this study that confirms another benefit of the RPE. This was mainly revealed in the dynamic posture where modifications at the mandibular level affect the whole body. Copyright © 2018. Published by

  3. Obituary: R(oyal) Glenn Hall, 1921-2004

    NASA Astrophysics Data System (ADS)

    McCarthy, Dennis Dean

    2004-12-01

    R. Glenn Hall died on 25 June 2004 following a battle with prostate cancer. His contributions to the determination of the frequency corresponding to an energy level transition in the Cesium atom led to the definition of the length of the second and formed the basis for precise modern timekeeping. Glenn was born on 23 June 1921 in Koloa, Hawaii, and together with a brother and three sisters, grew up in Albion, Michigan. His father was a professor of political science at Albion College. He graduated from Park College in Parkville, Missouri with a degree in mathematics in 1941. He served as a corpsman in the U. S. Navy during World War II, and went on to earn a PhD at the University of Chicago in 1949. Glenn joined the faculty at the University of Chicago as an instructor from 1949 through 1952 and became a research associate there in 1953. While at the U. of Chicago he worked extensively on mass ratios of binary stars, binary star orbits and the determination of stellar parallaxes. In 1953 Glenn came to the U. S. Naval Observatory (USNO) where he became the Assistant Director of the Time Service Division. His early work at the Naval Observatory was related to the determination of Ephemeris Time (ET) from photographic observations of the Moon with respect to background stars. This work provided a time scale more uniform than that based on the Earth's rotation, which was the internationally accepted time scale at the time. As a result, the International Astronomical Union in 1955 redefined the second to be the second as determined from Ephemeris Time. In June 1955, L. Essen and J.V.L. Parry placed in operation a Cesium beam atomic standard at the National Physical Laboratory in Teddington, England. William Markowitz (1907-1998), the director of the Time Service, and Hall together with Essen and Parry then began the work leading to the determination of the frequency of the Cesium atom in terms of the second of the seasonally corrected time scale determined from the

  4. The cell clone ecology hypothesis and the cell fusion model of cancer progression and metastasis (II): three pathways for spontaneous cell-cell fusion and escape from the intercellular matrix.

    PubMed

    Parris, George

    2006-01-01

    The two-stage initiation-progression model of cancer is widely accepted. Initiation appears to result most often from accumulation of damage to the DNA expressed as multiple mutations in the phenotype. Unsymmetrical chromosome segregation during mitosis of normal or mutated cells produces aneuploid cells and also contributes to the evolution of neoplasia. However, it has been pointed out (Parris GE. Med Hypotheses 2005;65:993-4 and 2006;66:76-83) that DNA damage and loss of chromosomes are much more likely to lead the mutant clones of cells to extinction than to successful expansion (e.g., an example of Muller's Ratchet). It was argued that aneuploid neoplasia represent new parasite species that successfully evolve to devour their hosts by incorporating sex-like redistribution of chromosomes through spontaneous or virus-catalyzed cell-cell fusion into their life-cycle. Spontaneous cell-cell fusion is generally blocked by the intercellular matrix to which the cells are bound via surface adhesion molecules (frequently glycoproteins, e.g., CD44). In order for progression of matrix-contained neoplasia toward clinically significant cancer to occur, the parasite cells must escape from the matrix and fuse. Release from the matrix also allows the parasite cells to invade adjacent tissues and metastasize to remote locations. Both invasion and metastasis likely involve fusion of the migrating parasite cells with fusion-prone blast cells. There are at least three pathways through which parasite cells can be liberated from the confining matrix: (i) Their adhesion molecules may be modified (e.g., by hyper-glycosylation) so that they can no longer grip the matrix. (ii) Their adhesion molecules or matrix may be saturated with other ligands (e.g., polyamines). (iii) Their adhesion molecules may be cleaved from the cell surface or the matrix itself may be cleaved (e.g., by MMPs or ADAMs). It is hypothesized that mobilization of parasite cells and cell-cell fusion go hand-in-hand in

  5. Future Exploration of the South Pole as Enabled by the Lunar Reconnaissance Orbiter

    NASA Astrophysics Data System (ADS)

    Speyerer, E. J.; Lawrence, S. J.; Stopar, J.

    2016-12-01

    The Lunar Reconnaissance Orbiter (LRO) launched in 2009 to collect the dataset required for future surface missions and to answer key questions about the lunar surface environment. In the first seven years of operations, the Lunar Reconnaissance Orbiter Camera (LROC) acquired over a million images of the lunar surface and collected key stereo observations for the production of meter-scale digital terrain models. Due to the configuration of the LRO orbit, LROC and the other onboard instruments have the opportunity to acquire observations at or near the poles every two hours. The lunar south polar region is an area of interest for future surface missions due to the benign thermal environment and areas of near-continuous illumination. These persistently illuminated regions are also adjacent to permanently shadowed areas (e.g. floors of craters and local depressions) that are of interest to both scientists and engineers prospecting for cold-trapped volatiles on or near the surface for future in situ resource utilization. Using a terramechanics model based on surface properties derived during the Apollo and Luna missions, we evaluated the accessibility of different science targets and the optimal traverse paths for a given set of waypoints. Assuming a rover that relies primarily on solar power, we identified a traverse that would keep the rover illuminated for 94.43% of the year between 1 January 2021 and 31 December 2021. Throughout this year-long period, the longest eclipse endured by the rover would last only 101 hours and the rover would move a total of 22.11 km with an average speed of 2.5 m/hr (max speed=30 m/hr). During this time the rover would be able to explore a variety of targets along the connecting ridge between Shackleton and de Gerlache craters. In addition to the southern polar regions, we are also examining traverses around other key exploration sites such as Marius Hills, Ina-D, Rima Parry, and the Mairan Domes in efforts to aid future mission

  6. Realities of weather extremes on daily life in urban India - How quantified impacts infer sensible adaptation options

    NASA Astrophysics Data System (ADS)

    Reckien, D.

    2012-12-01

    when resources are scarce. 1 Parry ML, Canziani OF, Palutikof JP, van der Linden PJ, Hanson CE (eds) (2007) Contribution of Working Group II to the Fourth Assessment Report of the Intergovernmental Panel on Climate Change. Cambridge University Press, Cambridge New York. 2 TERI (2007) Adaptation to Climate Change in the context of Sustainable Development. Background Paper to the conference ''Climate Change and Sustainable Development: An international workshop to strengthen research and understanding'', 7-8 April 2006, The Energy and Resources Institute, New Delhi.

  7. Application of Advanced Materials Protecting from Influence of Free Space Environment

    NASA Astrophysics Data System (ADS)

    Dotsenko, Oleg; Shovkoplyas, Yuriy

    2016-07-01

    High cost and low availability of the components certified for use in the space environment forces satellite designers to using industrial and even commercial items. Risks associated with insufficient knowledge about behavior of these components in radiation environment are parried, mainly, by careful radiating designing of a satellite where application of special protective materials with improved space radiation shielding characteristics is one of the most widely used practices. Another advantage of protective materials application appears when a satellite designer needs using equipment in more severe space environment conditions then it has been provided at the equipment development. In such cases only expensive repeated qualification of the equipment hardness can be alternative to protective materials application. But mostly this way is unacceptable for satellite developers, being within strong financial and temporal restrictions. To apply protective materials effectively, the developer should have possibility to answer the question: "Where inside a satellite shall I place these materials and what shall be their shape to meet the requirements on space radiation hardness with minimal mass and volume expenses?" At that, the minimum set of requirements on space radiation hardness include: ionizing dose, nonionizing dose, single events, and internal charging. The standard calculative models and experimental techniques, now in use for space radiation hardness assurance of a satellite are unsuitable for the problem solving in such formulation. The sector analysis methodology, widely used in satellite radiating designing, is applicable only for aluminium shielding and doesn't allow taking into account advantages of protective materials. The programs simulating transport of space radiations through a substance with the use of Monte-Carlo technique, such as GEANT4, FLUKA, HZETRN and others, are fully applicable in view of their capabilities; but time required for

  8. Future Exploration of the South Pole as Enabled by the Lunar Reconnaissance Orbiter

    NASA Technical Reports Server (NTRS)

    Speyerer, Emerson J.; Lawrence, Samuel J.; Stopar, Julie

    2016-01-01

    The Lunar Reconnaissance Orbiter (LRO) launched in 2009 to collect the dataset required for future surface missions and to answer key questions about the lunar surface environment. In the first seven years of operations, the Lunar Reconnaissance Orbiter Camera (LROC) acquired over a million images of the lunar surface and collected key stereo observations for the production of meter-scale digital terrain models. Due to the configuration of the LRO orbit, LROC and the other onboard instruments have the opportunity to acquire observations at or near the poles every two hours. The lunar south polar region is an area of interest for future surface missions due to the benign thermal environment and areas of near-continuous illumination. These persistently illuminated regions are also adjacent to permanently shadowed areas (e.g. floors of craters and local depressions) that are of interest to both scientists and engineers prospecting for cold-trapped volatiles on or near the surface for future in situ resource utilization. Using a terramechanics model based on surface properties derived during the Apollo and Luna missions, we evaluated the accessibility of different science targets and the optimal traverse paths for a given set of waypoints. Assuming a rover that relies primarily on solar power, we identified a traverse that would keep the rover illuminated for 94.43% of the year between 1 January 2021 and 31 December 2021. Throughout this year-long period, the longest eclipse endured by the rover would last only 101 hours and the rover would move a total of 22.11 km with an average speed of 2.5 m/hr (max speed=30 m/hr). During this time the rover would be able to explore a variety of targets along the connecting ridge between Shackleton and de Gerlache craters. In addition to the southern polar regions, we are also examining traverses around other key exploration sites such as Marius Hills, Ina-D, Rima Parry, and the Mairan Domes in efforts to aid future mission

  9. Application of botulinum toxin to treat sialorrhea in amyotrophic lateral sclerosis patients: a literature review.

    PubMed

    Oliveira, Ademar Francisco de; Silva, Gêssyca Adryene de Menezes; Almeida, Débora Milenna Xavier

    2016-01-01

    Amyotrophic lateral sclerosis is a progressive and fatal neurodegenerative disease characterized by the degeneration of motor neurons, which are the central nervous system cells that control voluntary muscle movements. The excessive salivation (sialorrhea) is present in approximately 50% of amyotrophic lateral sclerosis cases. Thus, some alternative therapeutic methods are sought, such as anticholinergic drugs and surgery. Recently the use of botulinum toxin applied at a midpoint of the salivary glands, often guided by ultrasound, have demonstrated positive results. The objective was to review the literature to demonstrate an alternative method to treatments of sialorrhea in patients with amyotrophic lateral sclerosis. In recent studies, the efficacy of botulinum toxin is confirmed, although new applications are required. Since the side effects are negligible, this is an alternative to treat amyotrophic lateral sclerosis, and other patients with diseases that present sialorrhea. RESUMO Esclerose lateral amiotrófica é uma doença neurodegenerativa progressiva e fatal, caracterizada pela degeneração dos neurônios motores, as células do sistema nervoso central que controlam os movimentos voluntários dos músculos. A salivação excessiva (sialorreia) está presente em cerca de 50% dos casos de esclerose lateral amiotrófica. Dessa forma, surgem medidas terapêuticas alternativas como drogas anticolinérgicas e cirurgia, e recentemente, o uso da toxina botulínica, aplicada em um ponto central das glândulas salivares, muitas vezes guiado por ultrassonografia, demostrou resultados positivos. Objetivou-se revisar a literatura no intuito de demonstrar um método alternativo aos tratamentos de sialorreia em pacientes com esclerose lateral amiotrófica. Em estudos recentes, a eficácia do tratamento com toxina botulínica foi confirmada e, mesmo requerendo novas aplicações, os efeitos colaterais são ínfimos. Ela surge então como alternativa não só ao

  10. Drosophila Nociceptive Sensitization Requires BMP Signaling via the Canonical SMAD Pathway

    PubMed Central

    Follansbee, Taylor L.; Gjelsvik, Kayla J.; Brann, Courtney L.; McParland, Aidan L.

    2017-01-01

    sensitized state. These findings are consistent with the observation that BMP receptor hyperactivation correlates with bone abnormalities and pain sensitization in fibrodysplasia ossificans progressiva (Kitterman et al., 2012). Because nociceptive sensitization is associated with chronic pain, these findings indicate that human BMP pathway components may represent targets for novel pain-relieving drugs. PMID:28855331

  11. The influence of diabetic peripheral neuropathy on local postural muscle and central sensory feedback balance control.

    PubMed

    Toosizadeh, Nima; Mohler, Jane; Armstrong, David G; Talal, Talal K; Najafi, Bijan

    2015-01-01

    Poor balance control and increased fall risk have been reported in people with diabetic peripheral neuropathy (DPN). Traditional body sway measures are unable to describe underlying postural control mechanism. In the current study, we used stabilogram diffusion analysis to examine the mechanism under which balance is altered in DPN patients under local-control (postural muscle control) and central-control (postural control using sensory cueing). DPN patients and healthy age-matched adults over 55 years performed two 15-second Romberg balance trials. Center of gravity sway was measured using a motion tracker system based on wearable inertial sensors, and used to derive body sway and local/central control balance parameters. Eighteen DPN patients (age = 65.4±7.6 years; BMI = 29.3±5.3 kg/m2) and 18 age-matched healthy controls (age = 69.8±2.9; BMI = 27.0±4.1 kg/m2) with no major mobility disorder were recruited. The rate of sway within local-control was significantly higher in the DPN group by 49% (healthy local-controlslope = 1.23±1.06×10-2 cm2/sec, P<0.01), which suggests a compromised local-control balance behavior in DPN patients. Unlike local-control, the rate of sway within central-control was 60% smaller in the DPN group (healthy central-controlslope-Log = 0.39±0.23, P<0.02), which suggests an adaptation mechanism to reduce the overall body sway in DPN patients. Interestingly, significant negative correlations were observed between central-control rate of sway with neuropathy severity (rPearson = 0.65-085, P<0.05) and the history of diabetes (rPearson = 0.58-071, P<0.05). Results suggest that in the lack of sensory feedback cueing, DPN participants were highly unstable compared to controls. However, as soon as they perceived the magnitude of sway using sensory feedback, they chose a high rigid postural control strategy, probably due to high concerns for fall, which may increase the energy cost during extended period of standing; the adaptation mechanism

  12. Balance and gait of adults with very mild Alzheimer’s disease

    PubMed Central

    Gras, LZ; Kanaan, SF; McDowd, JM; Colgrove, YM; Burns, J; Pohl, PS

    2015-01-01

    Background and Purpose Studies have shown that adults with Alzheimer’s disease (AD) have gait and balance deficits, however the focus has been on those with mild to severe disease. The purpose of this study was to determine if balance and gait deficits are present in those with very mild AD. Methods Thirteen adults (72.9 ± 4.7 years old) with very mild AD and thirteen age (72.6 ± 4.6 years old) and gender-matched (10 males, 3 females) participants in a control group without AD performed balance and gait tests. All participants were living in the community and independent in community ambulation. Results Participants with very mild AD had shorter times in the sharpened Romberg tests with eyes open (p<0.001) and with eyes closed (p=0.007) compared to participants in the control group. Those with AD also took longer to complete the Timed “Up & Go” Test (TUG), (p< 0.001). Gait deficits were found for those with AD as demonstrated by slower velocities in the 10-meter walk at a comfortable pace (p=0.029) and on an instrumented walkway (p<0.001). Stance times were longer for those with AD (p<0.001) and step length was shorter (p=0.001). There were no group differences in the 10-meter walk at a fast pace. The gait velocity of participants in the control group was faster on the instrumented walkway than in the 10-meter walk at a comfortable pace (p=0.031). In contrast, the gait velocity of those with AD was significantly slower on the instrumented walkway than in the 10-meter walk at a comfortable pace, (p=0.024). Discussion Balance and gait deficits may be present in those in the very early stages of AD. Novel surfaces may affect gait speed in those with very mild AD. Identifying mobility deficits early in the progression of AD may provide an opportunity for early physical therapy intervention, thus promoting continued functional independence. Conclusions Adults in the very early stages of AD may show signs of balance and gait deficits. Recognition of these

  13. Age-Related Imbalance Is Associated With Slower Walking Speed: An Analysis From the National Health and Nutrition Examination Survey.

    PubMed

    Xie, Yanjun J; Liu, Elizabeth Y; Anson, Eric R; Agrawal, Yuri

    Walking speed is an important dimension of gait function and is known to decline with age. Gait function is a process of dynamic balance and motor control that relies on multiple sensory inputs (eg, visual, proprioceptive, and vestibular) and motor outputs. These sensory and motor physiologic systems also play a role in static postural control, which has been shown to decline with age. In this study, we evaluated whether imbalance that occurs as part of healthy aging is associated with slower walking speed in a nationally representative sample of older adults. We performed a cross-sectional analysis of the previously collected 1999 to 2002 National Health and Nutrition Examination Survey (NHANES) data to evaluate whether age-related imbalance is associated with slower walking speed in older adults aged 50 to 85 years (n = 2116). Balance was assessed on a pass/fail basis during a challenging postural task-condition 4 of the modified Romberg Test-and walking speed was determined using a 20-ft (6.10 m) timed walk. Multivariable linear regression was used to evaluate the association between imbalance and walking speed, adjusting for demographic and health-related covariates. A structural equation model was developed to estimate the extent to which imbalance mediates the association between age and slower walking speed. In the unadjusted regression model, inability to perform the NHANES balance task was significantly associated with 0.10 m/s slower walking speed (95% confidence interval: -0.13 to -0.07; P < .01). In the multivariable regression analysis, inability to perform the balance task was significantly associated with 0.06 m/s slower walking speed (95% confidence interval: -0.09 to -0.03; P < .01), an effect size equivalent to 12 years of age. The structural equation model estimated that age-related imbalance mediates 12.2% of the association between age and slower walking speed in older adults. In a nationally representative sample, age-related balance

  14. The influence of moving auditory stimuli on standing balance in healthy young adults and the elderly.

    PubMed

    Tanaka, T; Kojima, S; Takeda, H; Ino, S; Ifukube, T

    2001-12-15

    The maintenance of postural balance depends on effective and efficient feedback from various sensory inputs. The importance of auditory inputs in this respect is not, as yet, fully understood. The purpose of this study was to analyse how the moving auditory stimuli could affect the standing balance in healthy adults of different ages. The participants of the study were 12 healthy volunteers, who were divided into two age categories: the young group (mean = 21.9 years) and the elderly group (mean = 68.9 years). The instrument used for evaluation of standing balance was a force plate for measuring body sway parameters. The toe pressure was measured using the F-scan Tactile Sensor System. The moving auditory stimulus produced a white-noise sound and binaural cue using the Beachtron Affordable 3D Audio system. The moving auditory stimulus conditions were employed by having the sound come from the right to left or vice versa at the height of the participant's ears. Participants were asked to stand on the force plate in the Romberg position for 20 s with either eyes opened or eyes closed for analysing the effect of visual input. Simultaneously, all participants tried to remain in the standing position with and without auditory stimulation that the participants heard from the headphone. In addition, the variables of body sway were measured under four conditions for analysing the effect of decreased tactile sensation of toes and feet soles: standing on the normal surface (NS) or soft surface (SS) with and without auditory stimulation. The participants were asked to stand in a total of eight conditions. The results showed that the lateral body sway of the elderly group was more influenced than that of the young group by the lateral moving auditory stimulation. The analysis of toe pressure indicated that all participants used their left feet more than their right feet to maintain balance. Moreover, the elderly had the tendency to be stabilized mainly by use of their heels

  15. [The sabbatical year of a young French gynecologist-obstetrician in 1880].

    PubMed

    Dumont, M

    1989-01-01

    Bavarian "Student Prince" as in the famous Sigmund Romberg musical comedy. After all, an operating room is, as you like it or not, a real stage with merely players... the best one being the patient. Perhaps Shakespeare would have thought so!

  16. The alpine Swiss-French airborne gravity survey

    NASA Astrophysics Data System (ADS)

    Verdun, Jérôme; Klingelé, Emile E.; Bayer, Roger; Cocard, Marc; Geiger, Alain; Kahle, Hans-Gert

    2003-01-01

    In February 1998, a regional-scale, airborne gravity survey was carried out over the French Occidental Alps within the framework of the GéoFrance 3-D research program.The survey consisted of 18 NS and 16 EW oriented lines with a spacing of 10 and 20 km respectively, covering the whole of the Western French Alps (total area: 50 000 km2; total distance of lines flown: 10 000 km). The equipment was mounted in a medium-size aircraft (DeHavilland Twin Otter) flowing at a constant altitude of 5100 m a.s.l, and at a mean ground speed of about 280 km h-1. Gravity was measured using a LaCoste & Romberg relative, air/sea gravimeter (type SA) mounted on a laser gyro stabilized platform. Data from 5 GPS antennae located on fuselage and wings and 7 ground-based GPS reference stations were used to determine position and aircraft induced accelerations.The gravimeter passband was derived by comparing the vertical accelerations provided by the gravimeter with those estimated from the GPS positions. This comparison showed that the gravimeter is not sensitive to very short wavelength aircraft accelerations, and therefore a simplified formulation for computing airborne gravity measurements was developed. The intermediate and short wavelength, non-gravitational accelerations were eliminated by means of digital, exponential low-pass filters (cut-off wavelength: 16 km). An important issue in airborne gravimetry is the reliability of the airborne gravity surveys when compared to ground surveys. In our studied area, the differences between the airborne-acquired Bouguer anomaly and the ground upward-continued Bouguer anomaly of the Alps shows a good agreement: the rms of these differences is equal to 7.68 mGal for a spatial resolution of 8 km. However, in some areas with rugged topography, the amplitudes of those differences have a striking correlation with the topography. We then argue that the choice of an appropriate density (reduction by a factor of 10 per cent) for computing the

  17. Clinical evidence for cervical myelopathy due to Chiari malformation and spinal stenosis in a non-randomized group of patients with the diagnosis of fibromyalgia.

    PubMed

    Heffez, Dan S; Ross, Ruth E; Shade-Zeldow, Yvonne; Kostas, Konstantinos; Shah, Sagar; Gottschalk, Robert; Elias, Dean A; Shepard, Alan; Leurgans, Sue E; Moore, Charity G

    2004-10-01

    While patients with fibromyalgia report symptoms consistent with cervical myelopathy, a detailed neurological evaluation is not routine. We sought to determine if patients with fibromyalgia manifest objective neurological signs of cervical myelopathy. Two hundred and seventy patients, 18 years and older, who carried the diagnosis of fibromyalgia but who had no previously recognized neurological disease underwent detailed clinical neurological and neuroradiological evaluation for the prevalence of objective evidence of cervical myelopathy and radiological evidence of cerebellar tonsillar herniation (Chiari 1 malformation) or cervical spinal canal stenosis. Patients were primarily women (87%), of mean age 44 years, who had been symptomatic for 8 years (standard deviation, 6.3 years). The predominant complaints were neck/back pain (95%), fatigue (95%), exertional fatigue (96%), cognitive impairment (92%), instability of gait (85%), grip weakness (83%), paresthesiae (80%), dizziness (71%) and numbness (69%). Eighty-eight percent of patients reported worsening symptoms with neck extension. The neurological examination was consistent with cervical myelopathy: upper thoracic spinothalamic sensory level (83%), hyperreflexia (64%), inversion of the radial periosteal reflex (57%), positive Romberg sign (28%), ankle clonus (25%), positive Hoffman sign (26%), impaired tandem walk (23%), dysmetria (15%) and dysdiadochokinesia (13%). MRI and contrast-enhanced CT imaging of the cervical spine revealed stenosis. The mean antero-posterior (AP) spinal canal diameter at C2/3, C3/4, C4/5, C5/6, C6/7 and C7/T1 was 13.5 mm, 11.8 mm, 11.5 mm, 10.4 mm, 11.3 mm and 14.5 mm respectively, (CT images). In 46% of patients, the AP spinal diameter at C5/6 measured 10 mm, or less, with the neck positioned in mild extension, i.e., clinically significant spinal canal stenosis. MRI of the brain revealed tonsillar ectopia >5 mm in 20% of patients (mean=7.1+/-1.8 mm), i.e., Chiari 1 malformation

  18. Geophysical Characterization of Groundwater-Fault Dynamics at San Andreas Oasis

    NASA Astrophysics Data System (ADS)

    Faherty, D.; Polet, J.; Osborn, S. G.

    2017-12-01

    The San Andreas Oasis has historically provided a reliable source of fresh water near the northeast margin of the Salton Sea, although since the recent completion of the Coachella Canal Lining Project and persistent drought in California, surface water at the site has begun to disappear. This may be an effect of the canal lining, however, the controls on groundwater are complicated by the presence of the Hidden Springs Fault (HSF), a northeast dipping normal fault that trends near the San Andreas Oasis. Its surface expression is apparent as a lineation against which all plant growth terminates, suggesting that it may form a partial barrier to subsurface groundwater flow. Numerous environmental studies have detailed the chemical evolution of waters resources at San Andreas Spring, although there remains a knowledge gap on the HSF and its relation to groundwater at the site. To better constrain flow paths and characterize groundwater-fault interactions, we have employed resistivity surveys near the surface trace of the HSF to generate profiles of lateral and depth-dependent variations in resistivity. The survey design is comprised of lines installed in Wenner Arrays, using an IRIS Syscal Kid, with 24 electrodes, at a maximum electrode spacing of 5 meters. In addition, we have gathered constraints on the geometry of the HSF using a combination of ground-based magnetic and gravity profiles, conducted with a GEM walking Proton Precession magnetometer and a Lacoste & Romberg gravimeter. Seventeen gravity measurements were acquired across the surface trace of the fault. Preliminary resistivity results depict a shallow conductor localized at the oasis and discontinuous across the HSF. Magnetic data reveal a large contrast in subsurface magnetic susceptibility that appears coincident with the surface trace and trend of the HSF, while gravity data suggests a shallow, relatively high density anomaly centered near the oasis. These data also hint at a second, previously

  19. Postural stabilizing effect of alfacalcidol and active absorbable algal calcium (AAA Ca) compared with calcium carbonate assessed by computerized posturography.

    PubMed

    Fujita, Takuo; Nakamura, Shoji; Ohue, Mutsumi; Fujii, Yoshio; Miyauchi, Akimitsu; Takagi, Yasuyuki; Tsugeno, Hirofumi

    2007-01-01

    Sway and postural instability have drawn attention as a risk factor for osteoporotic fracture, in addition to low bone mineral density (BMD) and poor bone quality. In view of the fracture-reducing effect of alfacalcidol and active absorbable algal calcium (AAA Ca) not readily explained by rather mild increases of BMD, attempts were made to evaluate postural stabilizing effect of alfacalcidol, AAA Ca, and calcium carbonate (CaCO(3)) by computerized posturography. Track of the gravity center was analyzed to calculate parameters related to tract length, track range, and track density to express the degree of sway before and after supplementation in 126 subjects ranging in age between 20 and 81 years randomly divided into four groups. Supplementation with AAA Ca containing 900 mg elemental Ca (group A), no calcium (group B), CaCO(3) also containing 900 mg elemental Ca (group C), or alfacalcidol (group D) continued daily for 12 months. For each parameter, the ratio closed eye value/open eye value (Romberg ratio) was calculated to detect aggravation of sway by eye closure. Age, parameters of Ca and P, and proportions of subjects with fracture and those with low BMD showed no marked deviation among the groups. With eyes open, significant decreases of a track range parameter (REC) from group B was noted in groups A (P = 0.0397) and D (P = 0.0296), but not in group C according to multiple comparison by Scheffe, indicating superior postural stabilizing effect of A and D over C. In the first 2 months, a significant fall was already evident in REC from group B in group D (P = 0.0120) with eyes open. Paired comparison of sway parameters before and after supplementation revealed a significant increase of track density parameter (LNGA), indicating sway control efficiency and a significant decrease of REC in groups A and D compared to group B with eyes open. With eyes closed, only group A showed a significant improvement from group B (P = 0.0456; Fig. 1), with a significant

  20. The Mt. Diwata study on the Philippines 2000-treatment of mercury intoxicated inhabitants of a gold mining area with DMPS (2,3-dimercapto-1-propane-sulfonic acid, Dimaval).

    PubMed

    Böse-O'Reilly, S; Drasch, G; Beinhoff, C; Maydl, S; Vosko, M R; Roider, G; Dzaja, D

    2003-05-20

    Ninty-five inhabitants of the gold mining area of Mt. Diwata (on Mindanao, Philippines), who were diagnosed to be mercury (Hg) intoxicated, were orally treated with 2 x 200 mg of the chelating agent DMPS (Dimaval, Co. Heyl, Germany) for 14 days in the course of a UNIDO project focusing on mercury pollution abatement. Blood and urine samples before and after treatment, urine after the first application of DMPS and a hair sample were collected and analyzed for Hg. Before and after treatment extensive anamnestic data were collected, medical and neurological investigations and some neuro-psychological tests were performed. In spite of the short time of treatment most of the patients reported a marked improvement of the complaints which were stated by them before the therapy and which are characteristic for a chronic Hg intoxication, for example tremor, loss of memory, sleeplessness, metallic taste, etc. But even in some of the objective neurological parameters like hypo-mimia, Romberg test and tests for tremor/ataxia a statistical significant improvement could be found. Significant improvements could also be found in two neuro-psychological tests (pencil tapping and Frostig). In some cases an extreme high urinary Hg excretion was found under the chelating therapy with DMPS, and by this a distinct reduction of the Hg body burden. Nevertheless, in most cases Hg in blood and urine was not markedly decreased by the treatment. This shows that the duration of the treatment (14 days) was not sufficient for a permanent decrease in Hg. As DMPS excretes Hg mainly through the kidney, it can be concluded that in most cases even after 14 days of treatment there was an ongoing redistribution of Hg from other tissues to the kidney. In conclusion, this study proves that a chelating therapy with DMPS is highly effective even in the case of a mixed chronic and acute intoxication with an unknown combination of Hg vapor, inorganic Hg and organic Hg=methylmercury (MeHg), as characteristic