951 resultados para Textured insole, Standing balance, Aging, Somatosensory, Postural sway


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Walkers fall frequently, especially during infancy. Children (15-, 21-, 27-, 33-, and 39-month-olds) and adults were tested in a novel foam pit paradigm to examine age-related changes in the relationship between falling and prospective control of locomotion. In trial 1, participants walked and fell into a deformable foam pit marked with distinct visual cues. Although children in all 5 age groups required multiple trials to learn to avoid falling, the number of children who showed adult-like, 1-trial learning increased with age. Exploration and alternative locomotor strategies increased dramatically on learning criterion trials and displays of negative affect were limited. Learning from falling is discussed in terms of the immediate and long-term effects of falling on prospective control of locomotion.

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PURPOSE/BACKGROUND: Dynamic balance is an important component of motor skill development. Poor dynamic balance has previously been associated with sport related injury. However, the vast majority of dynamic balance studies as they relate to sport injury have occurred in developed North American or European countries. Thus, the purpose of this study was to compare dynamic balance in adolescent male soccer players from Rwanda to a matched group from the United States. METHODS: Twenty-six adolescent male soccer players from Rwanda and 26 age- and gender-matched control subjects from the United States were screened using the Lower Quarter Y Balance Test during their pre-participation physical. Reach asymmetry (cm) between limbs was examined for all reach directions. In addition, reach distance in each direction (normalized to limb length, %LL) and the composite reach score (also normalized to %LL) were examined. Dependent samples t-tests were performed with significant differences identified at p<0.05. RESULTS: Twenty-six male soccer players from Rwanda (R) were matched to twenty-six male soccer players from the United States (US). The Rwandan soccer players performed better in the anterior (R: 83.9 ± 3.2 %LL; US: 76.5 ± 6.6 %LL, p<0.01), posterolateral (R: 114.4 ± 8.3 %LL ; US: 106.5 ± 8.2 %LL, p<0.01) and composite (R: 105.6 ± 1.3 %LL; US: 97.8 ± 6.2 %LL, p<0.01) reach scores. No significant differences between groups were observed for reach asymmetry. CONCLUSIONS: Adolescent soccer players from Rwanda exhibit superior performance on a standardized dynamic balance test as comparison to similar athletes from the United States. The examination of movement abilities of athletes from countries of various origins may allow for a greater understanding of the range of true normative values for dynamic balance. LEVELS OF EVIDENCE: 3b.

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Changes in cognition with aging have been claimed to be due in large part to a decline in frontal lobe function. However, at our present state of knowledge, the emphasis on the frontal lobes to the exclusion of the rest of the frontal-striatal circuits of which they are a part is unwarranted. To argue this point, I consider another anatomical candidate within these circuits, the caudate. Evidence is presented that the caudate decreases in size with age as much as the frontal lobes and that damage to either the frontal lobes or the caudate is accompanied by declines in inhibitory processes, executive control, and cognitive speed similar to those seen in normal aging. Separating the unique contributions of the frontal lobes and the caudate to these circuits is difficult but should be the focus of future studies of the biological basis of cognitive aging.

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Antiaging therapies show promise in model organism research. Translation to humans is needed to address the challenges of an aging global population. Interventions to slow human aging will need to be applied to still-young individuals. However, most human aging research examines older adults, many with chronic disease. As a result, little is known about aging in young humans. We studied aging in 954 young humans, the Dunedin Study birth cohort, tracking multiple biomarkers across three time points spanning their third and fourth decades of life. We developed and validated two methods by which aging can be measured in young adults, one cross-sectional and one longitudinal. Our longitudinal measure allows quantification of the pace of coordinated physiological deterioration across multiple organ systems (e.g., pulmonary, periodontal, cardiovascular, renal, hepatic, and immune function). We applied these methods to assess biological aging in young humans who had not yet developed age-related diseases. Young individuals of the same chronological age varied in their "biological aging" (declining integrity of multiple organ systems). Already, before midlife, individuals who were aging more rapidly were less physically able, showed cognitive decline and brain aging, self-reported worse health, and looked older. Measured biological aging in young adults can be used to identify causes of aging and evaluate rejuvenation therapies.

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Scheduling a set of jobs over a collection of machines to optimize a certain quality-of-service measure is one of the most important research topics in both computer science theory and practice. In this thesis, we design algorithms that optimize {\em flow-time} (or delay) of jobs for scheduling problems that arise in a wide range of applications. We consider the classical model of unrelated machine scheduling and resolve several long standing open problems; we introduce new models that capture the novel algorithmic challenges in scheduling jobs in data centers or large clusters; we study the effect of selfish behavior in distributed and decentralized environments; we design algorithms that strive to balance the energy consumption and performance.

The technically interesting aspect of our work is the surprising connections we establish between approximation and online algorithms, economics, game theory, and queuing theory. It is the interplay of ideas from these different areas that lies at the heart of most of the algorithms presented in this thesis.

The main contributions of the thesis can be placed in one of the following categories.

1. Classical Unrelated Machine Scheduling: We give the first polygorithmic approximation algorithms for minimizing the average flow-time and minimizing the maximum flow-time in the offline setting. In the online and non-clairvoyant setting, we design the first non-clairvoyant algorithm for minimizing the weighted flow-time in the resource augmentation model. Our work introduces iterated rounding technique for the offline flow-time optimization, and gives the first framework to analyze non-clairvoyant algorithms for unrelated machines.

2. Polytope Scheduling Problem: To capture the multidimensional nature of the scheduling problems that arise in practice, we introduce Polytope Scheduling Problem (\psp). The \psp problem generalizes almost all classical scheduling models, and also captures hitherto unstudied scheduling problems such as routing multi-commodity flows, routing multicast (video-on-demand) trees, and multi-dimensional resource allocation. We design several competitive algorithms for the \psp problem and its variants for the objectives of minimizing the flow-time and completion time. Our work establishes many interesting connections between scheduling and market equilibrium concepts, fairness and non-clairvoyant scheduling, and queuing theoretic notion of stability and resource augmentation analysis.

3. Energy Efficient Scheduling: We give the first non-clairvoyant algorithm for minimizing the total flow-time + energy in the online and resource augmentation model for the most general setting of unrelated machines.

4. Selfish Scheduling: We study the effect of selfish behavior in scheduling and routing problems. We define a fairness index for scheduling policies called {\em bounded stretch}, and show that for the objective of minimizing the average (weighted) completion time, policies with small stretch lead to equilibrium outcomes with small price of anarchy. Our work gives the first linear/ convex programming duality based framework to bound the price of anarchy for general equilibrium concepts such as coarse correlated equilibrium.

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BACKGROUND: Singapore's population, as that of many other countries, is aging; this is likely to lead to an increase in eye diseases and the demand for eye care. Since ophthalmologist training is long and expensive, early planning is essential. This paper forecasts workforce and training requirements for Singapore up to the year 2040 under several plausible future scenarios. METHODS: The Singapore Eye Care Workforce Model was created as a continuous time compartment model with explicit workforce stocks using system dynamics. The model has three modules: prevalence of eye disease, demand, and workforce requirements. The model is used to simulate the prevalence of eye diseases, patient visits, and workforce requirements for the public sector under different scenarios in order to determine training requirements. RESULTS: Four scenarios were constructed. Under the baseline business-as-usual scenario, the required number of ophthalmologists is projected to increase by 117% from 2015 to 2040. Under the current policy scenario (assuming an increase of service uptake due to increased awareness, availability, and accessibility of eye care services), the increase will be 175%, while under the new model of care scenario (considering the additional effect of providing some services by non-ophthalmologists) the increase will only be 150%. The moderated workload scenario (assuming in addition a reduction of the clinical workload) projects an increase in the required number of ophthalmologists of 192% by 2040. Considering the uncertainties in the projected demand for eye care services, under the business-as-usual scenario, a residency intake of 8-22 residents per year is required, 17-21 under the current policy scenario, 14-18 under the new model of care scenario, and, under the moderated workload scenario, an intake of 18-23 residents per year is required. CONCLUSIONS: The results show that under all scenarios considered, Singapore's aging and growing population will result in an almost doubling of the number of Singaporeans with eye conditions, a significant increase in public sector eye care demand and, consequently, a greater requirement for ophthalmologists.

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info:eu-repo/semantics/nonPublished

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Tuberculosis-associated immune reconstitution inflammatory syndrome (TB-IRIS) remains a poorly understood complication in HIV-TB patients receiving antiretroviral therapy (ART). TB-IRIS could be associated with an exaggerated immune response to TB-antigens. We compared the recovery of IFNγ responses to recall and TB-antigens and explored in vitro innate cytokine production in TB-IRIS patients.

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El trabajo tiene por objetivo calibrar el modelo CropSyst para simular la producción de materia seca y el balance hídrico de los cultivos de trigo (Triticum aestivum L.) ciclo largo y ciclo corto, colza (Brassica napus), lino (Linum usitatissimum) y arveja proteica (Pisum sativum) en el centro oeste de Entre Ríos. Adicionalmente, se incluyó un análisis de sensibilidad de parámetros que podrían tener, a priori, un mayor impacto sobre el crecimiento y desarrollo y en especial sobre el balance hídrico. La optimización de Cropsyst se realizó utilizando datos obtenidos de un experimento a campo, realizado con un diseño en bloques completos al azar, con cuatro repeticiones. Los parámetros medidos fueron: fenología, humedad del suelo, radiación interceptada por el cultivo, biomasa, índice de área foliar, área foliar específica y rendimiento. Durante el proceso de calibración se utilizó un procedimiento iterativo para optimizar las salidas de crecimiento y desarrollo de los cultivos. Una vez optimizado el modelo agronómico se procedió a evaluar las predicciones relacionadas con el contenido de agua (cm-3 cm-3) por capas y la lámina de agua total (mm) hasta una profundidad de 50 cm. En relación con el contenido de agua se tomaron dos fechas aproximadas de observación y registro, seleccionadas en base al período crítico de cada especie y la lámina de agua total se evaluó durante todo el ciclo de los cultivos. A los efectos de simular la infiltración de agua en el suelo se usaron dos métodos incluidos en modelo: el método en cascada y el método de las diferencias finitas. En general, Cropsyst brindó estimaciones razonables en cuanto a la biomasa, intercepción de radiación y rendimiento. Las predicciones del contenido de agua en el suelo para cada profundidad resultaron poco satisfactorias. Sin embargo, cuando se consideró la lámina de agua a 50 cm. las predicciones fueron más aceptables. Con relación al análisis de sensibilidad, los parámetros evaluados no mostraron cambios significativos en la simulación del agua en el suelo ni en el resto de los indicadores analizados, sugiriendo que mejores ajustes en la predicción del contenido de agua deberían lograrse seleccionando otro tipo de parámetros. La revisión y adaptación de las funciones de pedo-transferencia para estimar los límites máximos y mínimos de almacenaje de agua en el suelo probablemente mejore los resultados obtenidos en este trabajo.

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La evolución estructural de los suelos y su relación con la dinámica del agua son aspectos clave en la sustentabilidad de los agro-ecosistemas. La siembra directa (SD) combinada con la simplificación de secuencias de cultivos, generan la necesidad de estudiar nuevos aspectos de la degradación física de suelos cultivados. El objetivo de esta tesis fue identificar factores condicionantes de la evolución estructural de suelos limosos bajo SD y analizar las consecuencias de la presencia de estructura laminar y otras estructuras asociadas sobre el balance de agua. Se aplicó el método del perfil cultural en distintos sitios de la pampa húmeda norte y se realizaron ensayos de campo (tránsito, cobertura, secuencias) y laboratorio (humedecimiento-secado, intervalo hídrico óptimo) para modelar la evolución de la estructura laminar, identificar sus factores formadores y cuantificar su efecto sobre el funcionamiento hídrico. El desarrollo de estructura laminar está generalizado en la pampa húmeda norte. Su proporción en el perfil está asociada con el número de años bajo SD. El tránsito agrícola y la cobertura superficial no afectaron su evolución. La estructura laminar se forma por fisuración por humedecimiento-secado de una estructura masiva subyacente. La distribución de macroporos de esta estructura y su estabilidad, afectan la microfisuración y la formación de agregados elongados. Las raíces contribuyen con el crecimiento lateral y la exploración de la capa superficial del suelo por impedimento en su profundización cuando la densidad aparente es crítica (mayor a1,44 Mg m-3). La estructura laminar altera el patrón de drenaje y aumenta el escurrimiento superficial en función de su proporción en el perfil del horizonte A. La secuencia de cultivos implementada bajo SD condiciona su formación y en consecuencia el funcionamiento hídrico del suelo. Las ecuaciones generadas permitirán identificar secuencias de cultivos que mejoren la captación de agua para aumentar rendimientos y minimizar riesgos ambientales.

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La deforestación a gran escala de los bosques secos de Argentina es un ejemplo de la intensificación del uso de la tierra que está sufriendo el planeta. Aprovechando la aplicación de una técnica de manejo que elimina grandes extensiones de vegetación arbustiva (rolado), este trabajo evaluó cómo los cambios en la estructura de la vegetación afectaron el balance hídrico y la productividad de un bosque seco del centro de la provincia de San Luis, Argentina. Mediante experimentos a campo (escala de parcela) y usando imágenes satelitales (escala de paisaje) se realizaron comparaciones de la dinámica del agua y de la dinámica de la vegetación en sitios pareados de bosque/desmonte. A escala de parcela, la eliminación de los arbustos produjo un aumento en la cobertura de los pastos y en la biomasa radical fina del primer metro de suelo. A lo largo del tiempo, los sitios deforestados presentaron cada vez menores cantidades de sal en los primeros metros del perfil pero también menores cantidades de agua, sugiriendo un lixiviado de sales, que elevó el potencial osmótico y permitió una reducción del potencial mátrico de magnitud similar. A escala de paisaje, el desmonte produjo una caída en la productividad total, acortando la estación de crecimiento hasta 3 meses. El cambio en la proporción leñosas/herbáceas incrementó el albedo (de 0.8 a 0.12) y la temperatura superficial (entre 1.5- 4°C dependiendo de la fecha) y redujo la evapotranspiración en un 30 por ciento. La sabanización de este ecosistema ilustra cómo, al simplificarse las comunidades vegetales, los flujos de agua se pueden modificar al punto de alterar la dinámica de las sales, las que a su vez pueden producir a mediano plazo efectos suficientes sobre la vegetación como para alterar el balance hídrico y llevar el sistema hacia un funcionamiento hidrológico diferente.

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