Diminished control of standing balance, traditionally indicated by greater postural sway magnitude and speed, is associated with falls in older adults. Tai Chi (TC) is a multisystem intervention that ...reduces fall risk, yet its impact on sway measures vary considerably. We hypothesized that TC improves the integrated function of multiple control systems influencing balance, quantifiable by the multi-scale "complexity" of postural sway fluctuations.
To evaluate both traditional and complexity-based measures of sway to characterize the short- and potential long-term effects of TC training on postural control and the relationships between sway measures and physical function in healthy older adults.
A cross-sectional comparison of standing postural sway in healthy TC-naïve and TC-expert (24.5±12 yrs experience) adults. TC-naïve participants then completed a 6-month, two-arm, wait-list randomized clinical trial of TC training. Postural sway was assessed before and after the training during standing on a force-plate with eyes-open (EO) and eyes-closed (EC). Anterior-posterior (AP) and medio-lateral (ML) sway speed, magnitude, and complexity (quantified by multiscale entropy) were calculated. Single-legged standing time and Timed-Up-and-Go tests characterized physical function.
At baseline, compared to TC-naïve adults (n = 60, age 64.5±7.5 yrs), TC-experts (n = 27, age 62.8±7.5 yrs) exhibited greater complexity of sway in the AP EC (P = 0.023), ML EO (P<0.001), and ML EC (P<0.001) conditions. Traditional measures of sway speed and magnitude were not significantly lower among TC-experts. Intention-to-treat analyses indicated no significant effects of short-term TC training; however, increases in AP EC and ML EC complexity amongst those randomized to TC were positively correlated with practice hours (P = 0.044, P = 0.018). Long- and short-term TC training were positively associated with physical function.
Multiscale entropy offers a complementary approach to traditional COP measures for characterizing sway during quiet standing, and may be more sensitive to the effects of TC in healthy adults.
ClinicalTrials.gov NCT01340365.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
There has been considerable interest in quantifying the complexity of physiologic time series, such as heart rate. However, traditional algorithms indicate higher complexity for certain pathologic ...processes associated with random outputs than for healthy dynamics exhibiting long-range correlations. This paradox may be due to the fact that conventional algorithms fail to account for the multiple time scales inherent in healthy physiologic dynamics. We introduce a method to calculate multiscale entropy (MSE) for complex time series. We find that MSE robustly separates healthy and pathologic groups and consistently yields higher values for simulated long-range correlated noise compared to uncorrelated noise.
Abstract
Background
A novel coronavirus of zoonotic origin (2019-nCoV) has recently been identified in patients with acute respiratory disease. This virus is genetically similar to SARS coronavirus ...and bat SARS-like coronaviruses. The outbreak was initially detected in Wuhan, a major city of China, but has subsequently been detected in other provinces of China. Travel-associated cases have also been reported in a few other countries. Outbreaks in health care workers indicate human-to-human transmission. Molecular tests for rapid detection of this virus are urgently needed for early identification of infected patients.
Methods
We developed two 1-step quantitative real-time reverse-transcription PCR assays to detect two different regions (ORF1b and N) of the viral genome. The primer and probe sets were designed to react with this novel coronavirus and its closely related viruses, such as SARS coronavirus. These assays were evaluated using a panel of positive and negative controls. In addition, respiratory specimens from two 2019-nCoV-infected patients were tested.
Results
Using RNA extracted from cells infected by SARS coronavirus as a positive control, these assays were shown to have a dynamic range of at least seven orders of magnitude (2x10−4-2000 TCID50/reaction). Using DNA plasmids as positive standards, the detection limits of these assays were found to be below 10 copies per reaction. All negative control samples were negative in the assays. Samples from two 2019-nCoV-infected patients were positive in the tests.
Conclusions
The established assays can achieve a rapid detection of 2019n-CoV in human samples, thereby allowing early identification of patients.
Objectives
To discern the diagnostic accuracy between the updated diagnostic consensus of the Asian Working Group for Sarcopenia (AWGS) in 2019 (AWGS 2019) and the previous AWGS 2014 guidelines.
...Design
A prospective population-based cohort study.
Setting and Participants
The study included 731 older community-dwelling adults aged ≥ 65 years who participated in face-to-face interviews and were followed up for 11-year mortality until 31 Mar 2022.
Measurements
We utilized a handgrip strength dynamometer to measure participants’ muscle strength, while their walking speed was determined by a timed 6-meter walk test at their usual pace. Additionally, muscle mass was measured using dual-energy X-ray absorptiometry scanning. Sarcopenia was defined as the presence of low muscle mass in combination with weakness and/or slowness both by AWGS 2014 and 2019 criteria.
Results
The present study followed 731 participants (mean age 73.4 ± 5.4 years, men predominant 52.8%) over a period of 11 years, yielding 5927 person-years and 159 deaths. Prevalence of sarcopenia defined by AWGS 2019 and 2014 criteria were 8.5% and 6.8%, respectively. Sarcopenia defined by AWGS 2019 (HR 1.62, 95% CI 1.04–2.54, p=0.034) but not AWGS 2014 was significantly associated with mortality in community-living older adults after adjusting for potential confounders such as age, sex, education, drinking, disease burden and serum level of testosterone. The study also found that the AWGS 2019 criteria had a better model fitness than AWGS 2014 criteria in predicting mortality.
Conclusion
AWGS 2019 criteria outperformed AWGS 2014 in identifying sarcopenia risk and predicting mortality. Screening for sarcopenia in older adults may improve health outcomes by identifying those at increased mortality risk.
We develop a hierarchical entropy (HE) method to quantify the complexity of a time series based on hierarchical decomposition and entropy analysis. The proposed method is applied to the Gaussian ...white noise and the
1
/
f
noise. We prove that the difference frequency components of the Gaussian white noise with the same scale factor have the same value of entropies, and the values decline as the scale factor increases. We also apply the HE method to the
1
/
f
noise, and prove mathematically that a lower frequency component of a
1
/
f
noise is also a
1
/
f
noise and verify numerically that a higher frequency component of a
1
/
f
random vector is approximately equal to a Gaussian random vector. The theoretical results are confirmed by numerical results. Moreover, we show that the HE method is an efficient method to analyze heartbeat signals by applying it to the cardiac interbeat interval time series of healthy young and elderly subjects, congestive heart failure (CHF) subjects and atrial fibrillation (AF) subjects.
Archean cratons have map patterns and rock associations that are diagnostic of the Wilson Cycle. The North China Craton (NCC) consists of several distinctly different tectonic units, but the ...delineation and understanding of the significance of individual sutures and the rocks between them has been controversial. We present an actualistic tectonic division and evolution of the North China Craton based on Wilson Cycle and comparative tectonic analysis that uses a multi-disciplinary approach in order to define sutures, their ages, and the nature of the rocks between them, to determine their mode of formation and means of accretion or exhumation, and propose appropriate modern analogues. The eastern unit of the craton consists of several different small blocks assembled between 2.6 and 2.7Ga ago, that resemble fragments of accreted arcs from an assembled archipelago similar to those in the extant SW Pacific. A thick Atlantic-type passive margin developed on the western side of the newly assembled Eastern Block by 2.6–2.5Ga. A >1300km-long arc and accretionary prism collided with the margin of the Eastern Block at 2.5Ga, obducting ophiolites and ophiolitic mélanges onto the block, and depositing a thick clastic wedge in a foreland basin farther into the Eastern Block. This was followed by an arc-polarity reversal, which led to a short-lived injection of mantle wedge-derived melts to the base of the crust that led to the intrusion of mafic dikes and arc-type granitoid (TTG) plutons with associated metamorphism. By 2.43Ga, the remaining open ocean west of the accreted arc closed with the collision of an oceanic plateau now preserved as the Western Block with the collision-modified margin of the Eastern Block, causing further deformation in the Central Orogenic Belt. 2.4–2.35Ga rifting of the newly amalgamated continental block formed a rift along its center, and new oceans within the other two rift arms, which removed a still-unknown continental fragment from its northern margin. By 2.3Ga an arc collided with a new Atlantic-type margin developed over the rift sequence along the northern margin of the craton, and thus was converted to an Andean margin through arc-polarity reversal.
Andean margin tectonics affected much of the continental block from 2.3 to 1.9Ga, giving rise to a broad E-W swath of continental margin magmas, and retro-arc sedimentary basins including a foreland basin superimposed on the passive northern margin. The horizontal extent of these tectonic components is similar to that across the present-day Andes in South America. From 1.88 to 1.79Ga a granulite facies metamorphic event was superimposed across the entire continental block with high-pressure granulites and eclogites in the north, and medium-pressure granulites across the whole craton to the south. The scale and duration of this post-collisional event is similar to that in Central Asia that resulted from the Cenozoic India-Asia collision. The deep crustal granulites and volcanic rocks on the surface today, interpreted to be anatectic melts from deep crustal granulites, are similar to high-grade metamorphic rocks and partial melts presently forming at mid-crustal levels beneath Tibet. Structural fabrics in lower-crustal migmatites related to this event reveal that they flowed laterally parallel to the collision boundary, in a way comparable to what is speculated to be happening in the deep crust of the Himalayan/Tibetan foreland. We relate this continent-continent collision to the collision of the North China Craton with the postulated Columbia (Nuna) Continent. The NCC broke out of the Columbia Continent between 1753–1673Ma, as shown by the formation of a suite of anorthosite, mangerite, charnockite, and alkali-feldspar granites in an ENE-striking belt along the northern margin of the craton, whose intrusion was followed by the development of rifts and graben, mafic dike swarms, and eventually an Atlantic-type passive margin that signaled the beginning of a long period of tectonic quiescence and carbonate deposition for the NCC during Sinian times, which persisted into the Paleozoic. The style of tectonic accretion in the NCC changed at circa 2.5Ga, from an earlier phase of accretion of arcs that are presently preserved in horizontal lengths of several hundred kilometers, to the accretion and preservation of linear arcs several thousand kilometers long with associated oceanic plateaus, microcontinents, and accretionary prisms. The style of progressively younger and westward outward accretion of different tectonic components is reminiscent of the style of accretion in the Superior Craton, and may signal the formation of progressively larger landmasses at the end of the Archean (perhaps like the Kenorland Continent), then into the Paleoproterozoic, culminating in the assembly of the Columbia (Nuna) Continent at 1.9–1.8Ga.
Nanocrystalline cellulose (NCC) is an emerging renewable nanomaterial that holds promise in many different applications, such as in personal care, chemicals, foods, pharmaceuticals, etc. By ...appropriate modification of NCC, various functional nanomaterials with outstanding properties, or significantly improved physical, chemical, biological, as well as electronic properties can be developed. The nanoparticles are stabilised in aqueous suspension by negative charges on the surface, which are produced during the acid hydrolysis process. NCC suspensions can form a chiral nematic ordered phase beyond a critical concentration, i.e. NCC suspensions transform from an isotropic to an anisotropic chiral nematic liquid crystalline phase. Due to its nanoscale dimension and intrinsic physicochemical properties, NCC is a promising renewable biomaterial that can be used as a reinforcing component in high performance nanocomposites. Many new nanocomposite materials with attractive properties were obtained by the physical incorporation of NCC into a natural or synthetic polymeric matrix. Simple chemical modification on NCC surface can improve its dispersability in different solvents and expand its utilisation in nano‐related applications, such as drug delivery, protein immobilisation, and inorganic reaction template. This review paper provides an overview on this emerging nanomaterial, focusing on the surface modification, properties and applications of NCC.
Circulating tumor-derived DNA testing for cancer screening has recently been demonstrated in a prospective study on identification of nasopharyngeal carcinoma (NPC) among 20,174 asymptomatic ...individuals. Plasma EBV DNA, a marker for NPC, was detected using real-time PCR. While plasma EBV DNA was persistently detectable in 97.1% of the NPCs identified, ∼5% of the general population had transiently detectable plasma EBV DNA. We hypothesized that EBV DNA in plasma of subjects with or without NPC may have different molecular characteristics. We performed target-capture sequencing of plasma EBV DNA and identified differences in the abundance and size profiles of EBV DNA molecules within plasma of NPC and non-NPC subjects. NPC patients had significantly higher amounts of plasma EBV DNA, which showed longer fragment lengths. Cutoff values were established from an exploratory dataset and tested in a validation sample set. Adopting an algorithm that required a sample to concurrently pass cutoffs for EBV DNA counting and size measurements, NPCs were detected at a positive predictive value (PPV) of 19.6%. This represented superior performance compared with the PPV of 11.0% in the prospective screening study, which required participants with an initially detectable plasma EBV DNA result to be retested within 4 weeks. The observed differences in the molecular nature of EBV DNA molecules in plasma of subjects with or without NPC were successfully translated into a sequencing-based test that had a high PPV for NPC screening and achievable through single time-point testing.
Klebsiella pneumoniae-caused liver abscess (KLA) is an emerging infectious disease. However, factors other than K1-specific loci that contribute to the pathogenesis of this disease have not been ...identified. pLVPK is a 219,385-bp plasmid of K. pneumoniae CG43, an invasive K2 strain associated with KLA. We aimed in this study to evaluate the involvement of pLVPK in K. pneumoniae virulence and its clinical significance in abscess formation. A pLVPK-cured CG43 was isolated and its virulence was examined in a mouse model. The prevalence of pLVPK-derived loci terW, iutA, rmpA, silS, and repA was investigated in 207 clinical isolates by screening with specific primers. Loss of pLVPK abolished the ability of K. pneumoniae to disseminate into extraintestinal sites and, consequently, attenuated abscess formation in mice. Primary K. pneumoniae abscess isolates (n = 94) were more likely to be terW ⁺-iutA ⁺-rmpA ⁺-silS ⁺ than those related to non-abscess infections (n = 113) (62% vs. 27%; p < 0.0001). Logistic regression analysis indicated that the presence of the terW-rmpA-iutA-silS loci was a significant risk factor (odds ratio, 4.12; 95% confidence interval, 2.02-8.4; p < 0.0001) for abscess formation. pLVPK is a determinant for K. pneumoniae virulence and infection with strains carrying the pLVPK-derived terW-rmpA-iutA-silS loci may predispose patients to abscess formation.
PDF
