Standardized monitoring is critical for conservation because reliable survey data are used to inform the necessity, type, and effectiveness of conservation actions. Many of the avian monitoring data ...used for conservation are collected by “comprehensive” programs that survey for all species observed; however, there are some species that have low availability for detection during comprehensive surveys and are instead monitored with targeted programs. Unfortunately, those targeted programs are rarely evaluated relative to existing programs and management objectives to inform allocation of effort. We assessed the statistical performance of the comprehensive North American Breeding Bird Survey (BBS), the targeted Canadian Nightjar Survey (CNS), and the two programs combined for the Common Nighthawk (Chordeiles minor). First, we used parameters from the existing datasets to simulate population declines and determined the probability of detecting those declines. Analyses that combined both datasets resulted in higher probability of detecting a 30% population decline (BBS: 38%, CNS: 64%, combined: 69%). Next, we built probability of occurrence models and assessed the predictive performance of those models. Combined analyses had similar predictive performance to the CNS and moderated poor performance of the BBS in the north (mean Cohen's kappa; BBS: 0.40, CNS: 0.46, combined: 0.50). Our results suggest that data from targeted monitoring is important for evaluation of Common Nighthawk population trend and habitat relationships but is best combined with BBS data. Comprehensive and targeted monitoring programs may be better when considered together, and exploration of data combination should become the rule, not the exception. We suggest that the framework we present can be used as a starting point for evaluating targeted monitoring programs relative to defined objectives and existing programs, with the potential to explore hypothetical management scenarios. LAY SUMMARY Not all species are well detected during “comprehensive” bird surveys like the Breeding Bird Survey. Targeted monitoring at particular times of day or in specific locations can help detect those species and help wildlife managers conserve them. The Common Nighthawk is a crepuscular bird that is poorly detected during comprehensive dawn surveys. We showed that the targeted Canadian Nightjar Survey improves the precision of Common Nighthawk population trends and accuracy of habitat predictions. Combining information from the Breeding Bird Survey and the Canadian Nightjar Survey can further improve population trend estimates and habitat predictions. Our study suggests that targeted monitoring can be important for some species and that combining it with comprehensive monitoring is important for evaluating existing and proposed conservation programs.
Fecal microbiota transplantation (FMT) is used commonly for treatment of Clostridioides difficile infections (CDIs), although prospective safety data are limited and real-world FMT practice and ...outcomes are not well described. The FMT National Registry was designed to assess FMT methods and both safety and effectiveness outcomes from North American FMT providers.
Patients undergoing FMT in clinical practices across North America were eligible. Participating investigators enter de-identified data into an online platform, including FMT protocol, baseline patient characteristics, CDI cure and recurrence, and short and long-term safety outcomes.
Of the first 259 participants enrolled at 20 sites, 222 had completed short-term follow-up at 1 month and 123 had follow-up to 6 months; 171 (66%) were female. All FMTs were done for CDI and 249 (96%) used an unknown donor (eg, stool bank). One-month cure occurred in 200 patients (90%); of these, 197 (98%) received only 1 FMT. Among 112 patients with initial cure who were followed to 6 months, 4 (4%) had CDI recurrence. Severe symptoms reported within 1-month of FMT included diarrhea (n = 5 2%) and abdominal pain (n = 4 2%); 3 patients (1%) had hospitalizations possibly related to FMT. At 6 months, new diagnoses of irritable bowel syndrome were made in 2 patients (1%) and inflammatory bowel disease in 2 patients (1%).
This prospective real-world study demonstrated high effectiveness of FMT for CDI with a good safety profile. Assessment of new conditions at long-term follow-up is planned as this registry grows and will be important for determining the full safety profile of FMT.
To evaluate the literature regarding unilateral landing biomechanics and dynamic postural stability in individuals with and without chronic ankle instability (CAI).
Four online databases (PubMed, ...ScienceDirect, Scopus, and SportDiscus) were searched from the earliest records to 31 January 2018, as well as reference sections of related journal articles, to complete the systematic search. Studies investigating the influence of CAI on unilateral landing biomechanics and dynamic postural stability were systematically reviewed and evaluated.
Twenty articles met the criteria and were included in the systematic review. Individuals with CAI were found to have deficits in dynamic postural stability on the affected limb with medium to large effect sizes and altered lower extremity kinematics, most notably in the ankle and knee, with medium to large effect sizes. Additionally, greater loading rates and peak ground reaction forces, in addition to reductions in ankle muscle activity were also found in individuals with CAI during unilateral jump-landing tasks.
Individuals with CAI demonstrate dynamic postural stability deficits, lower extremity kinematic alterations, and reduced neuromuscular control during unilateral jump-landings. These are likely factors that contribute recurrent lateral ankle sprain injuries during dynamic activity in individuals with CAI.
•Individuals with CAI demonstrate dynamic postural stability deficts.•Altered kinematic patterns and neuromuscular control are associated with CAI.•Clinicians should aim to restore altered movement patterns during rehabilitation.•More studies are needed to understand the link between kinetics and injury.
The Star Excursion Balance Test (SEBT) is a common assessment used across clinical and research settings to test dynamic standing balance. The primary measure of this test is maximal reaching ...distance performed by the non-stance limb. Response time (RT) is a critical cognitive component of dynamic balance control and the faster the RT, the better the postural control and recovery from a postural perturbation. However, the measure of RT has not been done in conjunction with SEBT, especially with musculoskeletal fatigue. The purpose of this study is to examine RT during a SEBT, creating a modified SEBT (mSEBT), with a secondary goal to examine the effects of muscular fatigue on RT during SEBT. Sixteen healthy young male and female adults age: 20 ± 1 years; height: 169.48 ± 8.2 cm; weight: 67.93 ± 12.7 kg performed the mSEBT in five directions for three trials, after which the same was repeated with a response time task using Blazepod™ with a random stimulus. Participants then performed a low-intensity musculoskeletal fatigue task and completed the above measures again. A 2 × 2 × 3 repeated measures ANOVA was performed to test for differences in mean response time across trials, fatigue states, and leg reach as within-subjects factors. All statistical analyses were conducted in JASP at an alpha level of 0.05. RT was significantly faster over the course of testing regardless of reach leg or fatigue state (
= 0.023). Trial 3 demonstrated significantly lower RT compared to Trial 1 (
= 0.021). No significant differences were found between fatigue states or leg reach. These results indicate that response times during the mSEBT with RT is a learned skill that can improve over time. Future research should include an extended familiarization period to remove learning effects and a greater fatigue state to test for differences in RT during the mSEBT.
Muscle activity from the slipping leg have been previously used to analyze slip induced falls. However, the impact of casual alternative footwear on slipping leg muscle activity when exposed to ...slippery environments is still unknown. The purpose of the study was to analyze the impact of alternative footwear (crocs (CC) and flip-flops (FF)) compared to slip-resistant footwear (LT) on lower extremity muscle activity when exposed to dry gait (NG), unexpected (US), alert (AS), and expected slips (ES). Eighteen healthy males (age: 22.3 ± 2.2 years; height: 177.7 ± 6.9 cm; weight: 79.3 ± 7.6 kg) completed the study in a repeated measures design in three footwear sessions separated by 48 h. Electromyography (EMG) muscle activity from four muscles of the lead/slipping leg was measured during the stance phase of the gait-slip trials. A 3 (footwear) × 4 (gait-slip trials) repeated measures analysis of variance was used to analyze EMG dependent variables mean, peak, and percent of maximal voluntary contraction. Greater lower extremity muscle activation during the stance phase was seen in US and AS conditions compared to NG and ES. In addition, footwear differences were seen for the alternative footwear (CC and FF) during US and AS, while the low top slip resistant shoe had no differences across all gait trials, suggesting it as the most efficient footwear of choice, especially when maneuvering slippery flooring conditions, either with or without the knowledge of an impending slip.
Postural instability and the inability to regain balance during slip-induced events are the leading causes of falls on the same level in occupational environments. Virtual reality (VR) provides the ...potential to be immersed in a realistic environment, exposing themselves to fall-risk hazards without the risk of injury real-world exposure may cause. Therefore, the purpose of this study was to compare the lower extremity joint kinematics of the slipping leg during real and virtually generated slip hazards. A secondary purpose was to investigate dynamic postural stability following acute exposure to real (REAL) and virtual (VR) environmental conditions. A total of 14 healthy participants’ (7 men, 7 women; age: 23.46 ± 3.31 years; height: 173.85 ± 8.48 cm; mass: 82.19 ± 11.41 kg; shoe size (men’s): 9.03 ± 2.71) knee and ankle joint kinematics were compared during exposure to both REAL and VR environments. Participants then completed a series of Timed Up-and-Go (TUG) variations (standard, cognitive, manual) at the beginning and the end of exposure to each environment. TUG-C involved backwards counting and TUG-M involved walking with an anterior load. Environmental exposure was selected in a counterbalanced order to prevent an order effect. Knee and ankle joint kinematics were analyzed separately using a 2 × 3 repeated measure ANOVA to compare environments as well as gait types at an alpha level of 0.05. TUG variations were also analyzed separately using a 3 × 3 repeated-measures ANOVA to compare TUG variations and environment. No significant differences were observed for knee or ankle joint kinematics between environments or gait types. There were also no significant interactions between environments and gait types. However, significant differences were observed for TUG-C following VR environmental conditions (p = 0.027). Post hoc comparisons revealed significantly lower times for TUG-C following VR exposure (p = 0.029). No significance was observed for TUG-S or TUG-M. Current findings suggest the potential effectiveness of VR as a means of fall prevention training for occupational populations based on improved TUG-C and similar lower extremity joint kinematics in REAL and VR conditions.
Balance performance have been shown to be influenced by footwear design characteristics and physiological workloads. This study was conducted to assess the impact of two military footwear, standard ...(STD) and minimalist (MIN) boots, on human balance before (PRE) and after (POST) a simulated military type, load carriage exercise. Twenty two male participants age: 22.14 ± 2.68 years; height: 176.69 ± 6.82 cm; weight: 79.81 ± 9.70 kg were tested for balance in bilateral and unilateral stances with and without challenging sensory information and using a star excursion balance test (SEBT). Center of pressure postural sway variables from different balance testing conditions and reach distances from SEBT, were analyzed using a 2(STD-MIN) x 2(PRE-POST) repeated measures analysis of variance. Results revealed significantly greater postural sway in the STD boot and in POST workload conditions. Decrements in balance can be attributed to boot design characteristics and muscular exertion due to the workload.
•On average, superior static-balance was exhibited when wearing the minimalist boot.•Significantly worse static-balance was demonstrated after the physiological workload.•Specific footwear characteristics should be implemented for increased performance.
Purpose of Review
Posterior shoulder instability is an uncommon but important cause of shoulder dysfunction and pain which may occur as the result of seizure, high energy trauma, or repetitive stress ...related to occupational or sport-specific activities. This current review details the imaging approach to the patient with posterior shoulder instability and describes commonly associated soft tissue and bony pathologies identified by radiographs, CT, and MR imaging.
Recent Findings
Advances in MR imaging technology and techniques allow for more accurate evaluation of bone and soft tissue pathology associated with posterior shoulder instability while sparing patients exposure to radiation.
Summary
Imaging can contribute significantly to the clinical management of patients with posterior shoulder instability by demonstrating the extent of associated injuries and identifying predisposing anatomic conditions. Radiologic evaluation should be guided by clinical history and physical examination, beginning with radiographs followed by CT and/or MRI for assessment of osseous and soft tissue pathology. Synthesis of a patient’s clinical history, physical exam findings, and radiologic examinations should guide clinical management.
Occupational workers at altitudes are more prone to falls, leading to catastrophic outcomes. Acrophobia, height-related anxiety, and affected executive functions lead to postural instabilities, ...causing falls. This study investigated the effects of repeated virtual height exposure and training on cognitive processing and height-related anxiety.
Twenty-eight healthy volunteers (age 20.48 ± 1.26 years; mass 69.52 ± 13.78 kg) were recruited and tested in seven virtual environments (VE) ground (G), 2-story altitude (A1), 2-story edge (E1), 4-story altitude (A2), 4-story edge (E2), 6-story altitude (A3), and 6-story edge (E3) over three days. At each VE, participants identified occupational hazards present in the VE and completed an Attitude Towards Heights Questionnaire (ATHQ) and a modified State-Trait Anxiety Inventory Questionnaire (mSTAIQ). The number of hazards identified and the ATHQ and mSTAIQ scores were analyzed using a 7 (VE; G, A1, A2, A3, E1, E2, E3) x 3 (DAY; DAY 1, DAY 2, DAY 3) factorial repeated measures analysis of variance.
The participants identified the lowest number of hazards at A3 and E3 VEs and on DAY 1 compared to other VEs and DAYs. ATHQ scores were lowest at G, A1, and E1 VEs.
Cognitive processing is negatively affected by virtual altitudes, while it improves with short-term training. The features of virtual reality, such as higher involvement, engagement, and reliability, make it a better training tool to be considered in ergonomic settings. The findings of this study will provide insights into cognitive dual-tasking at altitude and its challenges, which will aid in minimizing occupational falls.
Latency is a reliable temporal metric used to evaluate sensorimotor integration of the fibularis longus (FL) and fibularis brevis (FB) during lateral ankle sprain perturbations. Currently, no ...clinical recommendations exist to select appropriate thresholds to evaluate the closed-loop reflex response of the lateral ankle musculature. The purpose of this study was to assess threshold value on latency of the FL and FB during an unanticipated inversion perturbation that simulates the mechanism of a lateral ankle sprain.
Descriptive laboratory study.
Twenty healthy adults with no history of lateral ankle sprain injury completed an unanticipated single-leg drop landing onto a 25° laterally inclined force platform from a height of 30 cm. Surface electromyography recorded muscle activity data from the FL and FB during the inversion perturbation. Latency was identified at points where muscle activity exceeded 2, 5, and 10 SD above the average muscle activity 200 milliseconds prior to foot contact, and compared across threshold value using a 1-way analysis of variance (P < .05).
The 2 SD threshold was significantly shorter than both 5 SD and 10 SD thresholds for the FL (P < .01) and FB (P < .01). Likewise, the 5 SD threshold was significantly shorter than the 10 SD thresholds for FL (P = .004) and FB (P = .003).
More sensitive thresholds results in a shorter closed-loop reflexive response compared to the more rigorous thresholds. We recommend that selection of the appropriate threshold to identify latency of the lateral ankle musculature should be based on the device used to simulate a lateral ankle sprain and the ankle inversion velocity produced during the ankle inversion perturbation.
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