Knee Osteoarthritis and the Efficacy of Kinesthesia, Balance & Agility Exercise Training: A Pilot Study

Kinesthesia, balance and agility (KBA) neuromuscular exercises are commonly used for rehabilitation of lower extremity injuries. KBA combined with strength training (ST) reportedly improves function among persons with knee osteoarthritis (OA), but independent effects of KBA are unknown. The purpose of this study was to determine the efficacy of KBA exercises, independent of ST, to improve function among persons with knee OA. Twenty participants (69.3, SD 11.4 y) were randomized to 8 weeks, 3-days per week, instructor-lead KBA or ST groups. Self-reported physical function (difficulty with daily living activities such as walking, bending, stair climbing, etc.) was measured at baseline and every two weeks. Community physical activity level, negative and positive outcome expectancies for exercise, self-reported knee stability, and timed 10-stair climb, 10-stair descent, and ‘get up and go’ 15 m walk were measured at baseline and follow-up. Physical function improved 59% (p = 0.02) with KBA and 40% (p = 0.02) with ST at 8 weeks. Community physical activity level improved only in KBA (p = 0.04); knee stability improved in both KBA (p = 0.04) and ST (p = 0.01). There were no significant between-group differences (p \u3e 0.05). In conclusion, both interventions appear to improve function and knee stability among persons with symptomatic knee OA. As KBA has never been studied as an independent treatment program, our results indicate it is a promising stand-alone intervention worthy of further study

Consistent use of paradoxes in deriving constraints on the dynamics of physical systems and of no-go-theorems

The classical methods used by recursion theory and formal logic to block paradoxes do not work in quantum information theory. Since quantum information can exist as a coherent superposition of the classical ``yes'' and ``no'' states, certain tasks which are not conceivable in the classical setting can be performed in the quantum setting. Classical logical inconsistencies do not arise, since there exist fixed point states of the diagonalization operator. In particular, closed timelike curves need not be eliminated in the quantum setting, since they would not lead to any paradoxical outcome controllability. Quantum information theory can also be subjected to the treatment of inconsistent information in databases and expert systems. It is suggested that any two pieces of contradicting information are stored and processed as coherent superposition. In order to be tractable, this strategy requires quantum computation.Comment: 10 pages, latex, no figure

Implementing complex innovations in fluid multi-stakeholder environments: Experiences of 'telecare'

Accepted versio

Pre-registration of CT pulmonary volumetric image data

Bakalárska práca sa zaoberá predregistráciou pľúcnych objemových CT obrazových dát. Predregistrácia je riešená metódou fázovej korelácie pri rozklade 3D obrazu na 2D rezy usporiadané za sebou. Práca ďalej popisuje geometrické transformácie, interpolácie, výpočet podobnostných kritérií, optimalizáciu registrácie obrazu a proces samotnej registrácie obrazu. Predregistračný softvér je navrhnutý v programovom prostredí MATLAB^®, kde prebieha predregistrácia 3D reálnych CT obrazových dát s dôrazom na rýchlosť procesu.This bachelor thesis is dealing with pre-registration of CT pulmonary volumetric image data. Pre-registration is solved by phase correlation method, which decomposes 3D images into 2D slices arranged in a row. It further describes the geometric transformations, interpolation, calculations of similarity criteria, optimization of registration of images and the image registration process itself. The pre-registration software runs in MATLAB^®, which works with 3D images of real CT image data with an emphasis on process speed.

The migration of the great snipe Gallinago media: intriguing variations on a grand theme

The migration of the great snipe Gallinago media was previously poorly known. Three tracks in 2010 suggested a remarkable migratory behaviour including long and fast overland non-stop flights (Klaassen et al. 2011). Here we present the migration pattern of Swedish male great snipes, based on 19 individuals tracked by light-level geolocators in four different years. About half of the birds made stopover(s) in northern Europe in early autumn. They left the breeding area 15 days earlier than those which flew directly to sub-Sahara, suggesting two distinct autumn migration strategies. The autumn trans-Sahara flights were on average 5500 km long, lasted 64 h, and were flown at ground speeds of 25 m s-1 (90 km h-1). The arrival in the Sahel zone of West Africa coincided with the wet season there, and the birds stayed for on average three weeks. The birds arrived at their wintering grounds around the lower stretches of the Congo River in late September and stayed for seven months. In spring the great snipes made trans-Sahara flights of similar length and speed as in autumn, but the remaining migration through eastern Europe was notably slow. All birds returned to the breeding grounds within one week around mid-May. The annual cycle was characterized by relaxed temporal synchronization between individuals during the autumn-winter period, with maximum variation at the arrival in the wintering area. Synchronization increased in spring, with minimum time variation at arrival in the breeding area. This suggests that arrival date in the breeding area is under strong stabilizing selection, while there is room for more flexibility in autumn and arrival to the wintering area. The details of the fast non-stop flights remain to be elucidated, but the identification of the main stopover and wintering areas is important for future conservation work on this red-listed bird species

Toward optimal implementation of cancer prevention and control programs in public health: A study protocol on mis-implementation

Abstract Background Much of the cancer burden in the USA is preventable, through application of existing knowledge. State-level funders and public health practitioners are in ideal positions to affect programs and policies related to cancer control. Mis-implementation refers to ending effective programs and policies prematurely or continuing ineffective ones. Greater attention to mis-implementation should lead to use of effective interventions and more efficient expenditure of resources, which in the long term, will lead to more positive cancer outcomes. Methods This is a three-phase study that takes a comprehensive approach, leading to the elucidation of tactics for addressing mis-implementation. Phase 1: We assess the extent to which mis-implementation is occurring among state cancer control programs in public health. This initial phase will involve a survey of 800 practitioners representing all states. The programs represented will span the full continuum of cancer control, from primary prevention to survivorship. Phase 2: Using data from phase 1 to identify organizations in which mis-implementation is particularly high or low, the team will conduct eight comparative case studies to get a richer understanding of mis-implementation and to understand contextual differences. These case studies will highlight lessons learned about mis-implementation and identify hypothesized drivers. Phase 3: Agent-based modeling will be used to identify dynamic interactions between individual capacity, organizational capacity, use of evidence, funding, and external factors driving mis-implementation. The team will then translate and disseminate findings from phases 1 to 3 to practitioners and practice-related stakeholders to support the reduction of mis-implementation. Discussion This study is innovative and significant because it will (1) be the first to refine and further develop reliable and valid measures of mis-implementation of public health programs; (2) bring together a strong, transdisciplinary team with significant expertise in practice-based research; (3) use agent-based modeling to address cancer control implementation; and (4) use a participatory, evidence-based, stakeholder-driven approach that will identify key leverage points for addressing mis-implementation among state public health programs. This research is expected to provide replicable computational simulation models that can identify leverage points and public health system dynamics to reduce mis-implementation in cancer control and may be of interest to other health areas

North Atlantic Climate Variability: Phenomena, Impacts and Mechanisms

Variability of the North Atlantic Oscillation and the Tropical Atlantic dominate the climate of the North Atlantic sector, the underlying ocean and surrounding continents on interannual to decadal time scales. Here we review these phenomena, their climatic impacts and our present state of understanding of their underlying caus

Imagined people, behaviour and future mobility: Insights from visions of electric vehicles and car clubs in the United Kingdom

This study focuses on imagined futures of personal mobility in the United Kingdom in the context of the need to reduce greenhouse gas emissions from transport. Focusing on two innovations, electric vehicles and car clubs, the study investigates how people, behaviour and mobility are imagined in a range of visioning documents about the future up to 2050, a timeline that is critically important for emission reduction targets. We find that people are imagined primarily as consumers in line with the rational actor paradigm, with many visions focusing on low-carbon vehicles as a sustainability solution. This simple technological substitution vision does not play to the strengths of electric vehicles, and diminishes their transformative potential. There are fewer car club visions; these show less car ownership, but retain high mobility and an economic growth perspective. Our findings support the idea that much future mobility visioning is used to support the status quo, rather than to explore a variety of futures with diverse portrayal of people, behaviour and mobility

A basal lithostrotian titanosaur (Dinosauria: Sauropoda) with a complete skull: Implications for the evolution and paleobiology of titanosauria

We describe Sarmientosaurus musacchioi gen. et sp. nov., a titanosaurian sauropod dinosaur from the Upper Cretaceous (Cenomanian - Turonian) Lower Member of the Bajo Barreal Formation of southern Chubut Province in central Patagonia, Argentina. The holotypic and only known specimen consists of an articulated, virtually complete skull and part of the cranial and middle cervical series. Sarmientosaurus exhibits the following distinctive features that we interpret as autapomorphies: (1) maximum diameter of orbit nearly 40% rostrocaudal length of cranium; (2) complex maxilla - lacrimal articulation, in which the lacrimal clasps the ascending ramus of the maxilla; (3) medial edge of caudal sector of maxillary ascending ramus bordering bony nasal aperture with low but distinct ridge; (4) ´tongue-like´ ventral process of quadratojugal that overlaps quadrate caudally; (5) separate foramina for all three branches of the trigeminal nerve; (6) absence of median venous canal connecting infundibular region to ventral part of brainstem; (7) subvertical premaxillary, procumbent maxillary, and recumbent dentary teeth; (8) cervical vertebrae with ´strut-like´ centroprezygapophyseal laminae; (9) extremely elongate and slender ossified tendon positioned ventrolateral to cervical vertebrae and ribs. The cranial endocast of Sarmientosaurus preserves some of the most complete information obtained to date regarding the brain and sensory systems of sauropods. Phylogenetic analysis recovers the new taxon as a basal member of Lithostrotia, as the most plesiomorphic titanosaurian to be preserved with a complete skull. Sarmientosaurus provides a wealth of new cranial evidence that reaffirms the close relationship of titanosaurs to Brachiosauridae. Moreover, the presence of the relatively derived lithostrotian Tapuiasaurus in Aptian deposits indicates that the new Patagonian genus represents a ´ghost lineage´ with a comparatively plesiomorphic craniodental form, the evolutionary history of which is missing for at least 13 million years of the Cretaceous. The skull anatomy of Sarmientosaurus suggests that multiple titanosaurian species with dissimilar cranial structures coexisted in the early Late Cretaceous of southern South America. Furthermore, the new taxon possesses a number of distinctive morphologies - such as the ossified cervical tendon, extremely pneumatized cervical vertebrae, and a habitually downward- facing snout - that have rarely, if ever, been documented in other titanosaurs, thus broadening our understanding of the anatomical diversity of this remarkable sauropod clade. The latter two features were convergently acquired by at least one penecontemporaneous diplodocoid, and may represent mutual specializations for consuming low-growing vegetation.Fil: Martínez, Rubén Darío. Universidad Nacional de la Patagonia; ArgentinaFil: Lamanna, Matthew C.. Carnegie Museum Of Natural History; Estados UnidosFil: Novas, Fernando Emilio. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Museo Argentino de Ciencias Naturales "bernardino Rivadavia"; ArgentinaFil: Ridgely, Ryan C.. Ohio University College Of Osteopathic Medicine; Estados UnidosFil: Casal, Gabriel. Universidad Nacional de la Patagonia; ArgentinaFil: Martínez, Javier E.. Hospital Regional de Comodoro Rivadavia; ArgentinaFil: Vita, Javier R.. Resonancia Magnética Borelli; ArgentinaFil: Witmer, Lawrence M.. Ohio University College Of Osteopathic Medicine; Estados Unido