Concurrent validity of the Microsoft Kinect for assessment of spatiotemporal gait variables

Spatiotemporal characteristics of gait such as step time and length are often associated with overall physical function in clinical populations, but can be difficult, time consuming and obtrusive to measure. This study assessed the concurrent validity of overground walking spatiotemporal data recorded using a criterion reference – a marker-based three-dimensional motion analysis (3DMA) system – and a low-cost, markerless alternative, the automated skeleton tracking output from the Microsoft Kinect™ (Kinect). Twenty-one healthy adults performed normal walking trials while being monitored using both systems. The outcome measures of gait speed, step length and time, stride length and time and peak foot swing velocity were derived using supervised automated analysis. To assess the agreement between the Kinect and 3DMA devices, Bland–Altman 95% bias and limits of agreement, percentage error, relative agreement (Pearson's correlation coefficients: r) overall agreement (concordance correlation coefficients: r_c) and landmark location linearity as a function of distance from the sensor were determined. Gait speed, step length and stride length from the two devices possessed excellent agreement (r and r_c values >0.90). Foot swing velocity possessed excellent relative (r=0.93) but only modest overall (r_c=0.54) agreement. Step time (r=0.82 and r_c=0.23) and stride time (r=0.69 and r_c=0.14) possessed excellent and modest relative agreement respectively but poor overall agreement. Landmark location linearity was excellent (R²=0.991). This widely available, low-cost and portable system could provide clinicians with significant advantages for assessing some spatiotemporal gait parameters. However, caution must be taken when choosing outcome variables as some commonly reported variables cannot be accurately measured.     

Proton Pump Inhibitors and the Risk of Adverse Cardiac Events

Background

Recent evidence suggests that proton pump inhibitors (PPIs) might be linked with adverse cardiac events, but a causal relationship is unproven.

Methods

We applied the self-matched case series method to two studies using population-based health care data from Ontario, Canada between 1996 and 2008. The first included subjects aged 66 years or older hospitalized for acute myocardial infarction within 12 weeks following initiation of PPI, while the second included subjects hospitalized for heart failure. In both studies we designated the primary risk interval as the initial 4 weeks of therapy and the control interval as the final 4 weeks. To test the specificity of our findings we examined use of histamine H2 receptor antagonists and benzodiazepines, drugs with no plausible causal link to adverse cardiac events.

Results

During the 13-year study period, we identified 5550 hospital admissions for acute myocardial infarction and 6003 admissions for heart failure within 12 weeks of commencing PPI therapy. In the main analyses, we found that initiation of a PPI was associated with a higher risk of acute myocardial infarction (odds ratio 1.8; 95% confidence interval 1.7 to 1.9) and heart failure (odds ratio 1.8; 95% confidence interval 1.7 to 1.9). However, secondary analyses revealed similar risk estimates histamine H2 receptor antagonists and benzodiazepines, drugs with no known or suspected association with adverse cardiac events.

Conclusion

PPIs are associated with a short-term risk of adverse cardiac events, but similar associations are seen with other drugs exhibiting no known cardiac toxicity. Collectively these observations suggest that the association between PPIs and adverse cardiac events does not represent reflect cause-and-effect.     

INFLUENCE OF FRESHWATER FLOW REGIME ON FISH ASSEMBLAGES IN THE GREAT FISH RIVER AND ESTUARY

Summary

Two and a half years of data were collected from the lower Great Fish River, head region and estuary to determine the fish species composition within these areas. Gilchristella aestuaria, Liza dumerilii, Rhabdosargus holubi and Pomadasys commersonnii were the four most abundant species captured, with riverine flow rate having an important effect on both species composition and numbers of fishes in the different regions. Most marine species displayed a strong inverse relationship between catch per unit effort and elevated freshwater inputs. Euryhaline marine species dominated the catches at all sampling sites during low flows but were less common during high flow periods when catadromous species were most abundant. Based on the available evidence it is suggested that for most marine species in the river this decline in abundance is related to low conductivity levels following floods rather than avoidance of elevated flows. The impact of elevated suspensoid concentrations and lowered dissolved oxygen concentrations on freshwater and estuarine fish populations during major river flooding is also discussed.     

Soil‐specific response functions of organic matter mineralization to the availability of labile carbon

Soil organic matter (SOM) mineralization processes are central to the functioning of soils in relation to feedbacks with atmospheric CO₂ concentration, to sustainable nutrient supply, to structural stability and in supporting biodiversity. Recognition that labile C‐inputs to soil (e.g. plant‐derived) can significantly affect mineralization of SOM (‘priming effects’) complicates prediction of environmental and land‐use change effects on SOM dynamics and soil C‐balance. The aim of this study is to construct response functions for SOM priming to labile C (glucose) addition rates, for four contrasting soils. Six rates of glucose (3 atm% ¹³C) addition (in the range 0–1 mg glucose g^?1 soil day^?1) were applied for 8 days. Soil CO₂ efflux was partitioned into SOM‐ and glucose‐derived components by isotopic mass balance, allowing quantification of SOM priming over time for each soil type. Priming effects resulting from pool substitution effects in the microbial biomass (‘apparent priming’) were accounted for by determining treatment effects on microbial biomass size and isotopic composition. In general, SOM priming increased with glucose addition rate, approaching maximum rates specific for each soil (up to 200%). Where glucose additions saturated microbial utilization capacity (>0.5 mg glucose g^?1 soil), priming was a soil‐specific function of glucose mineralization rate. At low to intermediate glucose addition rates, the magnitude (and direction) of priming effects was more variable. These results are consistent with the view that SOM priming is supported by the availability of labile C, that priming is not a ubiquitous function of all components of microbial communities and that soils differ in the extent to which labile C stimulates priming. That priming effects can be represented as response functions to labile C addition rates may be a means of their explicit representation in soil C‐models. However, these response functions are soil‐specific and may be affected by several interacting factors at lower addition rates.     

Aquatic Ecosystem Responses to Rapid Recovery from Extreme Acidification and Metal Contamination in Lakes Near Wawa, Ontario

In the region northeast of Wawa, Ontario (Canada), many circumneutral lakes downwind of a nearby iron-sintering plant were strongly acidified (pH 3–4) in response to the emissions of large amounts of sulfur dioxide from 1939–1998. Following closure of the plant in 1998, lakewater pH has returned to circumneutral conditions due to the high buffering capacity of the local geological substrate. Prior paleolimnological analyses of dated sediment cores have detected some biological recovery among algal communities (diatoms and chrysophytes), although they have not returned to their pre-impact assemblages. Here we take a broader ecosystem approach, and build upon the algal analyses by examining cladoceran sedimentary assemblages, and spectrally-inferred chlorophyll a and dissolved organic carbon (DOC) from the same dated sediment cores. Similar to the algal communities, recent cladoceran sedimentary assemblages from three impacted lakes remain in an altered state relative to the pre-impact period (for example, increased relative abundances of Chydorus brevilabris and reduced cladoceran density in sediments). However, trends in the spectrally-inferred chlorophyll a and DOC were mixed, with long-term decreases in the study lake closest to the plant and long-term increases within the other lakes. Collectively, the multi-proxy paleolimnological analyses of these markedly acidified lakes demonstrate the delayed biological recovery from acidification (and differences in timing) across multiple trophic levels, despite the near-elimination of acid deposition almost a decade previously, which led to a striking recovery in lakewater pH and increased food availability.     

Affinity of Ionic Species of Nucleoside Transport Protein Inhibitors

Abstract

A class of very potent nucleoside transport inhibitors is present in two molecular forms around physiological pH. We investigated whether the monoprotonated or the unionized species of these molecules binds to this camer protein with higher affinity.     

Introduction of Mysis relicta (Mysida) reduces niche segregation between deep-water Arctic charr morphs

Hydrobiologia - Understanding the concordance between aquatic assemblages in ecological assessments and their responses to human-induced disturbances are fundamental steps toward achieving...