A Randomized Controlled Trial of Glucose versus Amylase Resistant Starch Hypo-Osmolar Oral Rehydration Solution for Adult Acute Dehydrating Diarrhea

Background: Reduction of gross diarrhea rate in excess of that seen over time with intravenous therapy and appropriate antibiotics is not usually achieved by oral glucose-electrolyte rehydration therapy for cholera and cholera-like diarrheas. Methodology and Principal Findings: This prospective randomized clinical trial at a tertiary referral hospital in southern India was undertaken to determine whether amylase resistant starch, substituting for glucose in hypo-osmolar oral rehydration solution, would reduce diarrhea duration and weight in adults with acute severe dehydrating diarrhea. 50 adult males with severe watery diarrhea of less than three days' duration and moderate to severe dehydration were randomized to receive hypo-osmolar ORS (HO-ORS) or HO-ORS in which amylase resistant high amylose maize starch 50g/L substituted for glucose (HAMS-ORS). All remaining therapy followed standard protocol. Duration of diarrhea (ORS commencement to first formed stool) in hours was significantly shorter with HAMS-ORS (median 19, IQR 10-28) compared to HO-ORS (median 42, IQR 24-50) (Bonferroni adjusted P, P-adj < 0.001). Survival analysis (Kaplan-Meier) showed faster recovery from diarrhea in the HAMS-ORS group (P < 0.001, log rank test). Total diarrhea fecal weight in grams (median, IQR) was not significantly lower in the HAMS-ORS group (2190, 1160-5635) compared to HO-ORS (5210, 2095-12190) (P-adj = 0.08). However, stool weight at 13-24 hours (280, 0-965 vs. 1360, 405-2985) and 25-48 hours (0, 0-360 vs. 1080, 55-3485) were significantly lower in HAMS-ORS compared to HO-ORS group (Padj = 0.048 and P = 0.012, respectively). ORS intake after first 24 hours was lower in the HAMS-ORS group. Subgroup analysis of patients with culture isolates of Vibrio cholerae indicated similar significant differences between the treatment groups. Conclusions: Compared to HO-ORS, HAMS-ORS reduced diarrhea duration by 55% and significantly reduced fecal weight after the first 12 hours of ORS therapy in adults with cholera-like diarrhea

Exploring the utility of resistance training for congenital mirror movement disorder

College of Kinesiology Research Theme: Human Performance Introduction: Congenital mirror movement (CMM) disorder is a very rare condition (<1 in a million) where voluntary limb movements trigger involuntary mirroring in the opposite limb. This study examined whether four weeks of unilateral resistance training, followed by 10 days of detraining, affects mirroring activity and cross-education effects (i.e., strength gain in the untrained opposite limb) in individuals with CMM. Methods: Two right-handed participants (both male; age 18 and 47) reporting CMM completed four weeks of maximal unilateral isometric grip training of the left hand, three times per week using a grip trainer (Digiflex), followed by 10 days of detraining. Training sessions increased from two to five sets of eight maximal repetitions per session. Participants completed testing for grip strength and muscle activation at baseline, mid-training, post-training, and after detraining. Testing included three brief 3-second maximal voluntary contractions (MVC) and a 1-minute MVC contraction of each hand. MVC force (kg) was measured using Jamar and Biopac grip dynamometers, while simultaneous EMG recordings captured muscle activity from the flexor carpi radialis, extensor carpi radialis, and flexor digitorum superficialis of both arms. Results: Due to the low sample size in this study (on account of the rare condition), only descriptive results are reported. After left-hand training, left grip strength increased in the first participant by ~12% and remained ~6% above baseline after detraining. Strength in the untrained right arm improved ~17% and increased to ~23% above baseline after detraining, indicative of cross-education. The second participant showed a modest increase of ~6% by the end of detraining and no cross-education. Both participants showed substantial mirroring force and EMG activity in the opposite limb during 1-minute MVC contractions of either hand. Mirroring force in the right hand during a 1-minute left MVC was ~20% MVC for both participants at baseline and decreased by almost half at the end of detraining. Mirroring force in the left hand during 1-minute right MVC was ~40% MVC and ~20% MVC for each participant, respectively, and decreased by almost half after detraining. EMG activation of the right hand during the left 1-minute MVC ranged from 67% to 82% MVC at baseline, with little change after training, and then increased after detraining. EMG activation of the left hand during the right 1-minute MVC was in the range of 80% MVC and tended to increase post-training, but reverted to baseline or lower after detraining. Conclusion: In two participants, unilateral grip training reduced mirroring force and improved strength, with signs of cross-education. However, muscle activation responses varied, and detraining effects were inconsistent. Further research, with larger samples and a longer intervention period, is needed to understand individual differences and long-term benefits for CMM. Acknowledgements: A special thank you to the participants with CMM who dedicated a considerable amount of time to training and testing for this study and to fellow students in Dr. Farthing’s lab

The Influence of Mirror-Visual Feedback on Training-Induced Motor Performance Gains in the Untrained Hand

The well-documented observation of bilateral performance gains following unilateral motor training, a phenomenon known as cross-limb transfer, has important implications for rehabilitation. It has recently been shown that provision of a mirror image of the active hand during unilateral motor training has the capacity to enhance the efficacy of this phenomenon when compared to training without augmented visual feedback (i.e., watching the passive hand), possibly via action observation effects [1]. The current experiment was designed to confirm whether mirror-visual feedback (MVF) during motor training can indeed elicit greater performance gains in the untrained hand compared to more standard visual feedback (i.e., watching the active hand). Furthermore, discussing the mechanisms underlying any such MVF-induced behavioural effects, we suggest that action observation and the cross-activation hypothesis may both play important roles in eliciting cross-limb transfer. Eighty participants practiced a fast-as-possible two-ball rotation task with their dominant hand. During training, three different groups were provided with concurrent visual feedback of the active hand, inactive hand or a mirror image of the active hand with a fourth control group receiving no training. Pre- and post-training performance was measured in both hands. MVF did not increase the extent of training-induced performance changes in the untrained hand following unilateral training above and beyond those observed for other types of feedback. The data are consistent with the notion that cross-limb transfer, when combined with MVF, is mediated by cross-activation with action observation playing a less unique role than previously suggested. Further research is needed to replicate the current and previous studies to determine the clinical relevance and potential benefits of MVF for cases that, due to the severity of impairment, rely on unilateral training programmes of the unaffected limb to drive changes in the contralateral affected limb

Differential spacecraft charging on the geostationary operational environmental satellites

Subsystems aboard the Geostationary Operational Environmental Satellites 4 and 5 showed instances of anomalous changes in state corresponding to false commands. Evidence linking the anomalous changes to geomagnetic activity, and presumably static discharges generated by spacecraft differential charging induced by substorm particle injection events is presented. The anomalies are shown to be correlated with individual substorms as monitored by stations of the North American Magnetometer Chain. The relative frequency of the anomalies is shown to be a function of geomagnetic activity. Finally a least squares fit to the time delay between substorm initiation and spacecraft anomaly as a function of spacecraft local time is shown to be consistent with injected electron populations with energy in the range 10 keV to 15 keV, in agreement with present understanding of the spacecraft charging mechanism. The spacecraft elements responsible for the differential charging were not satisfactorily identified. That question is currently under investigation

Preliminary Investigation of Novel Bone Graft Substitutes based on Strontium-Calcium-Zinc-Silicate Glasses

Bone graft procedures typically require surgeons to harvest bone from a second site on a given patient (Autograft) before repairing a bone defect. However, this results in increased surgical time, excessive blood loss and a significant increase in pain. In this context a synthetic bone graft with excellent histocompatibility, built in antibacterial efficacy and the ability to regenerate healthy tissue in place of diseased tissue would be a significant step forward relative to current state of the art philosophies. We developed a range of calcium-strontium-zinc-silicate glass-based bone grafts and characterized their structure and physical properties, then evaluated their in vitro cytotoxicity and in vivo biocompatibility using standardized models from the literature. A graft (designated BT109) of composition 0.28SrO/0.32ZnO/0.40 SiO2 (mol fraction) was the best performing formulation in vitro shown to induce extremely mild cytopathic effects (cell viability up to 95%) in comparison with the commercially available bone graft Novabone® (cell viability of up to 72%). Supplementary to this, the grafts were examined using the standard rat femur healing model on healthy Wister rats. All grafts were shown to be equally well tolerated in bone tissue and new bone was seen in close apposition to implanted particles with no evidence of an inflammatory response within bone. Complimentary to this BT109 was implanted into the femurs of ovariectomized rats to monitor the response of osteoporotic tissue to the bone grafts. The results from this experiment indicate that the novel grafts perform equally well in osteoporotic tissue as in healthy tissue, which is encouraging given that bone response to implants is usually diminished in ovariectomized rats. In conclusion these materials exhibit significant potential as synthetic bone grafts to warrant further investigation and optimisation. © 2008 Springer Science+Business Media, LLC

DATA-DRIVEN REDUCED ORDER MODELING OF ENVIRONMENTAL HYDRODYNAMICS USING DEEP AUTOENCODERS AND NEURAL ODES

Model reduction for fluid flow simulation continues to be of great interest across a number of scientific and engineering fields. In a previous work [1], we explored the use of Neural Ordinary Differential Equations (NODE) as a non-intrusive method for propagating the latent-space dynamics in reduced order models. Here, we investigate employing deep autoencoders for discovering the reduced basis representation, the dynamics of which are then approximated by NODE. The ability of deep autoencoders to represent the latent-space is compared to the traditional proper orthogonal decomposition (POD) approach, again in conjunction with NODE for capturing the dynamics. Additionally, we compare their behavior with two classical non-intrusive methods based on POD and radial basis function interpolation as well as dynamic mode decomposition. The test problems we consider include incompressible flow around a cylinder as well as a real-world application of shallow water hydrodynamics in an estuarine system. Our findings indicate that deep autoencoders can leverage nonlinear manifold learning to achieve a highly efficient compression of spatial information and define a latentspace that appears to be more suitable for capturing the temporal dynamics through the NODE framework

Assessing young people's political engagement: a critical and systematic literature review of the instruments used to measure political engagement

Over the past few decades, there has been an increasing interest in understanding youth political engagement. However, it has been argued that the instruments used to assess the concept often lack adequate validation, and this is important as this practice may result in biased statistical conclusions. Consequently, the main aim of the present study was to systematically review, summarize, and critique the extant research evidence on the development of psychometric instruments that assess young people’s political engagement. Following a systematic review of the literature, seven instruments were identified that were both valid and reliable, but none explicitly assessed young people’s political engagement. Instead, they considered broad concepts and/or dimensions related to political engagement. Emphasising the lack of statistically robust standardised measurement tools that empirically assess young people’s political engagement, the available evidence confirms the pressing need to adopt a robust psychometric approach to assess political engagement in youth

On the mechanisms governing gas penetration into a tokamak plasma during a massive gas injection

A new 1D radial fluid code, IMAGINE, is used to simulate the penetration of gas into a tokamak plasma during a massive gas injection (MGI). The main result is that the gas is in general strongly braked as it reaches the plasma, due to mechanisms related to charge exchange and (to a smaller extent) recombination. As a result, only a fraction of the gas penetrates into the plasma. Also, a shock wave is created in the gas which propagates away from the plasma, braking and compressing the incoming gas. Simulation results are quantitatively consistent, at least in terms of orders of magnitude, with experimental data for a D 2 MGI into a JET Ohmic plasma. Simulations of MGI into the background plasma surrounding a runaway electron beam show that if the background electron density is too high, the gas may not penetrate, suggesting a possible explanation for the recent results of Reux et al in JET (2015 Nucl. Fusion 55 093013)

Velocity-space sensitivity of the time-of-flight neutron spectrometer at JET

The velocity-space sensitivities of fast-ion diagnostics are often described by so-called weight functions. Recently, we formulated weight functions showing the velocity-space sensitivity of the often dominant beam-target part of neutron energy spectra. These weight functions for neutron emission spectrometry (NES) are independent of the particular NES diagnostic. Here we apply these NES weight functions to the time-of-flight spectrometer TOFOR at JET. By taking the instrumental response function of TOFOR into account, we calculate time-of-flight NES weight functions that enable us to directly determine the velocity-space sensitivity of a given part of a measured time-of-flight spectrum from TOFOR