•Footwear that was too small restricted hindfoot, midfoot and 1st MTPJ motion.•Footwear sizing did not impact vertical or standing broad jump performance.•Correctly fitted footwear was rated as most ...comfortable.
There is a common perception that poorly fitting footwear will negatively impact a child’s foot, however, there is limited evidence to support this.
To determine the effect of shoe size on foot motion, perceived footwear comfort and fit during walking, maximal vertical jump height and maximal standing broad jump distance in children aged 8–12 years.
Fourteen participants completed 3D walking gait analysis and jumping tasks in three different sizes of school shoes (one size bigger, fitted for size, one size smaller). In-shoe motion of the hindfoot, midfoot and 1st metatarsophalangeal joint (1st MTPJ) were calculated using a multi-segment kinematic foot model. Physical performance measures were calculated via maximal vertical jump and maximal standing broad jump. Perceived footwear comfort and fit (heel, toes and overall) was assessed using a 100 mm visual analog scale (VAS). Differences were compared between shoe sizes using repeated measures ANOVA, post-hoc tests and effect sizes (Cohen’s d).
Compared to the fitted footwear, the smaller sizing restricted hindfoot eversion (−2.5°, p = 0.021, d = 0.82), 1st MTPJ dorsiflexion (−3.9°, p = 0.012, d = 0.54), and compared to the bigger footwear, smaller sizing restricted sagittal plane midfoot range-of-motion during walking (−2.5°, p = 0.047, d = 0.59). The fitted footwear was rated as more comfortable overall with the smaller size rated as too tight in both the heel (mean difference 11.5 mm, p = 0.042, d = 0.58) and toes (mean difference 12.1 mm, p = 0.022, d = 0.59), compared to the fitted size. Vertical and standing broad jump distance were not impacted by footwear size (p = 0.218−0.836).
Footwear that is too small restricts foot motion during walking in children aged 8–12 years. Jump performance was not affected. Children were able to recognise shoes that were not correctly matched to their foot length, reinforcing that comfort is an important part of the fitting process.
Tumor necrosis factor receptors (TNFR) are differentially regulated in human rejecting renal transplants. The TNF-α converting enzyme (TACE) regulates the membrane shedding of both receptors and TNF ...itself. We analyzed the expression and regulation of TACE in human rejecting renal transplants.
Samples from normal renal tissue or renal transplant undergoing severe acute rejection were immunostained for TACE using antibodies from different species. Human kidney epithelial cells were cultured and TACE plasmid was transfected to upregulate TACE expression. Cells were fractionated and immunoblotted for TACE, and ELISA was performed to test soluble TNFR2.
We showed that TACE was upregulated mainly in tubular epithelial cells in acute rejecting kidney, where it colocalized with TNFR2. Epithelial cells with increased levels of TACE shed more soluble TNFR2 into culture media and even more after TACE activation by phorbol-12-myristate-13-acetate stimulation. The shedding could be completely blocked by the TACE inhibitor TNF-α protease inhibitor.
Upregulation of TACE in epithelial cells in acute rejecting kidney could lead to more TNFR2 shedding and, hence, antagonize the proinflammatory effect of local TNF.
This report is limited to patients with a single cerebrospinal fluid (CSF) shunt infected by a single organism, and compares two treatment protocols.
In the initial protocol (1975-1991), patients ...underwent removal of the shunt system and received intravenous and intraventricular antibiotics. Intraventricular antibiotics were administered twice daily to those with external ventricular drainage. When CSF was cultured 48 h off all antibiotics and found to be sterile at 24 h of incubation, a new shunt was inserted. Follow-up CSF cultures were obtained in all patients between 1-6 months following placement of the new shunt.
There were 25 patients (ages 1 month to 16 years; mean +/- SD: 23 +/- 4.0 months). CSF obtained from the shunt yielded the following: Staphylococcus epidermidis (19), Staphylococcus aureus (2), Streptococcus species (2), Serratia marcescens (1), and Propionebacterium species (1). The duration of intravenous antibiotics was 7-12 days (mean +/- SD: 9.7 +/- 1.3 days), and intraventricular antibiotic therapy was 6.2 +/- 1.7 days. Total hospital stay was 15.2 +/- 2.3 days. The follow-up period was 7.7 +/- 3.6 years. Following the initial protocol in another 15 patients (1992-2004), the treatment regime was modified in that intraventricular antibiotics were administered once daily in patients with external ventricular drainage, and the CSF was cultured at 24 h off antibiotics, instead of 48 h. Results were similar to the initial protocol with respect to days of antibiotic therapy and hospital stay.
Based on our retrospective nonrandomized series, we believe patients with a single shunt and noncompartmentalized hydrocephalus can be successfully treated without a prolonged antibiotic course and lengthy hospital stay.
Mutations in the PKD1 and PKD2 genes account for 85 and 15% of cases of autosomal dominant polycystic kidney disease, respectively. Polycystin-2, the product of the PKD2 gene, is predicted to be an ...integral membrane protein with homology to a family of voltage-activated Ca(2+) channels. In vitro studies suggest that it may interact with polycystin-1, the PKD1 gene product, via coiled-coil domains present in their C-terminal domains. In this study, the cellular and subcellular distribution of polycystin-2 is defined and compared with polycystin-1. A panel of rabbit polyclonal antisera was raised against polycystin-2 and shown to recognize a single band consistent with polycystin-2 in multiple tissues and cell lines by immunoprecipitation and Western blotting. Immunostaining of human and murine renal tissues demonstrated widespread and developmentally regulated expression of polycytin-2, with highest levels in the kidney in the thick ascending limbs of the loop of Henle and the distal convoluted tubule. In contrast, polycystin-1 expression, while localizing to the same tubular segments, was highest in the collecting ducts. Immunohistochemical staining and immunofluorescence microscopy localized polycystin-2 to the basolateral plasma membrane of kidney tubular epithelial cells compared with the junctional localization of polycystin-1. Differences in the developmental, cellular, and subcellular expression of polycystin-1 and polycystin-2 suggest that they may be able to function independently of each other in addition to a potential in vivo interaction via their C-termini.
Physiological aspects of pig-to-primate renal xenotransplantation.
Few data exist on the physiological aspects of pig-to-primate renal xenotransplantation.
Use of organs transgenic for human decay ...accelerating factor has allowed assessment of the metabolic and hormonal functions of these xenografts.
Porcine renal xenografts largely maintain plasma electrolyte homeostasis. An increase in proteinuria was detected that may result from graft injury. In contrast to allotransplantation a severe anaemia developed requiring recipient treatment with exogenous human erythropoietin.
Our experience provides qualified encouragement for the likely physiological compatibility of pig and primate species, but identifies areas where a xenograft may not match the performance of an allograft.
The Antimicrobial Availability Task Force (AATF) of the Infectious Diseases Society of America (IDSA) has viewed with concern the decreasing investment by major pharmaceutical companies in ...antimicrobial research and development. Although smaller companies are stepping forward to address this gap, their success is uncertain. The IDSA proposed legislative and other federal solutions to this emerging public health problem in its July 2004 policy report "Bad Bugs, No Drugs: As Antibiotic R&D Stagnates, a Public Health Crisis Brews." At this time, the legislative response cannot be predicted. To emphasize further the urgency of the problem for the benefit of legislators and policy makers and to capture the ongoing frustration our clinician colleagues experience in their frequent return to an inadequate medicine cabinet, the AATF has prepared this review to highlight pathogens that are frequently resistant to licensed antimicrobials and for which few, if any, potentially effective drugs are identifiable in the late-stage development pipeline.
Olivine is commonly used as a ‘crystal clock’ to extract timescales relevant to pre-eruptive perturbations within mafic magmatic systems. Diffusion chronometry applications require accurate ...calibrations for the rates at which Fe-Mg or other commonly measured elements like Ni, Mn, and Ca diffuse through the crystal lattice. In the past, these rates have been mainly characterized using solid-solid diffusion couple experiments involving olivine single crystals, thin films, or powder sources. Despite the presence of melt surrounding olivine in natural magmatic systems, very few experiments involving magma have been performed, largely because controlling interface reactions is difficult. For this study, we carried out olivine-melt diffusion experiments as a test of the diffusion chronometry method, and to determine whether the presence of melt influences the calculated timescales. To approximate a natural system, we incorporated small natural Kīlauea and San Carlos olivine seeds within a natural Kīlauea basalt and tracked diffusive re-equilibration through time. To better control interface reactions, after some equilibration period at an initial superliquidus temperature of 1290°C, the runs were rapidly cooled to form a rim and left to dwell at various final temperatures (1200, 1220, 1240, 1255°C) for 6–84 h. Concentration gradients for Fe-Mg, Mn, Ni, Ca were measured, and the step-wise nature of the core-rim transition was ascertained using slow diffusing elements like P or Al. When these gradients are modeled using published diffusivities, the timescales retrieved are typically 10 times longer than the actual experiment durations. Thus, measured diffusivities are an order of magnitude faster than those previously obtained in olivine-solid source experiments, but they are in excellent agreement with the only two other melt-olivine datasets. We explore reasons for why melt-bearing olivine diffusion experiments tend to yield faster rates. The possible effects of (1) growth during diffusion, (2) diffusion during any initial dissolution step, and (3) extended tube or planar defects at the interface on calculated diffusivities are all considered but found to be inconsequential. Instead, we argue that additional point defects (vacancies) are likely created at the interface by higher concentrations in elements like Al or H in the basalt melt compared to other solid couple diffusant sources. Future applications of diffusion chronometry in olivine may require a complete re-evaluation of published diffusivities using melt-bearing experimental configurations.
•Cation diffusivities are needed to extract igneous timescales from chemical zoning.•Quantification of diffusivities conducted using olivine coupled with basalt melt.•The presence of melt appears to enhance diffusion compared to solid-solid couples.•Petrologists possibly face 10-fold decreases in previously calculated timescales.
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