Relationship between the strength of the ankle and toe muscles and functional stability in young, healthy adults

This study investigates the relationship between ankle and toe strength and functional stability in young adults, with a sample comprising sixteen females and fourteen males. The research employed force platform data to determine the center of foot pressure (COP) and calculated the forward functional stability index (FFSI) through foot anthropometric measurements. Strength measurements of toe and ankle muscles, during maximal isometric flexion and extension, were conducted using force transducers. Notable positive correlations were found between toe flexor strength and FFSI (left flexor: r = 0.4, right flexor: r = 0.38, p < 0.05), not influenced by foot anthropometry. Contrarily, no significant correlation was observed between ankle muscle strength and FFSI, despite a positive correlation with the COP range. The moderate correlation coefficients suggest that while toe flexor strength is a contributing factor to functional stability, it does not solely determine functional stability. These findings highlight the critical role of muscle strength in maintaining functional stability, particularly during forward movements and emphasize the utility of FFSI alongside traditional COP measures in balance assessment. It is recommended to employ a multifaceted approach is required in balance training programs.

Balance assessment in selected stages of Parkinson's disease using trend change analysis

BACKGROUND

Balance disorders in patients diagnosed with Parkinson's disease (PD) are associated with a change in balance-keeping strategy and reflex disorders which regulate the maintenance of vertical body posture. Center of foot pressure (COP) displacement signals were analyzed during quiet standing experiments to define such changes. The research aimed to apply stock exchange indices based on the trend change analyses to the assessment of a level of the Parkinson disease progression on the grounds of the analysis of the COP signals.

METHODS

30 patients in two stages of PD, 40 elderly participants, and 20 individuals at a young age were studied. Each person was subjected to 3 measurements with open and closed eyes. A technical analysis of the COP displacement signal was performed, and the following quantities were determined: indices related to the number of trend changes (TCI), indices defining a mean time (TCI_dT), and mean displacement (TCI_dS) and mean velocity (TCI_dV) between such changes.

RESULTS

The results indicate a higher TCI value for PD than for aged-matched control group (p < 0.05). In the case of PD patients, there was also an increase in the TCI_dS value by 2-5 mm, which mainly contributed to the increase in TCI_dV. Statistically significant differences for the TCI_dT values occurred between all groups in which differences in the average COP velocity were noted.

CONCLUSIONS

The TCI and TCI_dV results obtained for the healthy participants enabled the development of indices supporting PD diagnostics. The causes of the TCI_dV changes in patients were determined, i.e., whether they resulted from an increase in the TCI_dT or TCI_dS between the moments of trend changes indicated by the developed algorithm. The developed methodology provides new information on the impact of PD on the strategy of maintaining balance, which was impossible to obtain using currently used analyses. Trial registration The conducted research is an observational study and does not include a health care intervention. Participants gave their consent to participate in the research and the procedure was approved by the Institutional Bioethics Committee.

Evaluation of the applicability of selected analytical techniques for determining the characteristics of humic substances sourced from by-products of the wastewater treatment process

Although humic substances (HSs) are among the most valuable compounds in the environment, they often constitute nuisance factors for wastewater treatment plants (WWTPs). However, their recovery from by-products of WWTPs opens up opportunities for their utilization. Therefore, this study aimed to evaluate the suitability of selected analytical methods for determining the structure, properties, and possible utilization of HSs originating from WWTPs based on model humic compounds (MHCs). As a consequence, the study proposed separate approaches for the initial and in-depth characterization of HSs. The results demonstrate that UV-Vis spectroscopy may be recognized as a cost-effective approach for the preliminary characterization of the HSs. Such a method indeed gives similar information on the degree of complexity of MHCs as X-EDS and FTIR, and similarly to them allows for the differentiation of their particular fractions. In turn, X-EDS and FTIR techniques were recommended to be used for the in-deep analysis of HSs due to their ability to detect heavy metals and biogenic elements in their structure. Contrarily to other studies, the presented research indicates that only selected absorbance coefficients - A₂₅₃/A₂₃₀, Q_4/6, and ΔlogK may help to distinguish particular humic fractions and evaluate changes in their behavior, independently of their concentration (coefficient of variation < 20 %). Herein, the fluorescence capacities of MHCs were found to be equally affected as their optical properties by the changes in their concentration. Focusing on the obtained results, this study recommends that the quantitative comparison of the properties of HSs should be proceeded by the standardization of their concentration. Herein, the stability of other spectroscopic parameters characterizing solutions MHCs was achieved within a concentration from 40 to 80 mg L^-1. Among them, the analyzed MHCs were differentiated the most by the SUVA₂₅₄ coefficient, which value was almost 4 times higher for SAHSs (8.69) than for ABFASs (2.01).

How partnering changes the process of postural control?

The aim of the study was to identify changes in the mechanism of postural control among ballroom dancers between standing solo and standing with a partner during specific standard dance positions. Specifically, the study attempted to determine whether the male partner plays a stabilising role in the dance couple. A total of seven competitive dance couples participated in the study. The experimental procedure comprised four dance positions characteristic of international standard dances: standard, starting, chasse and contra check. The dance positions were staged twice - while standing solo and while standing with a partner. The assumption of the assessed position was preceded by a dance phase after which the participants were instructed to freeze on a force plate and hold the position for 30 s. To examine whether subjects standing solo or with partners had greater rambling (RM) or trembling (TR) components in their dance postural profile, the ratios of RM to the center of foot pressure (COP) and TR to COP were computed for velocity. No significant differences were observed in the velocity of COP between standing solo and standing with a partner (p > 0.05). However, during the standard and starting positions, female and male dancers standing solo were characterised by higher values of the velocity of RM/COP ratio and lower values of the velocity of TR/COP ratio than those standing with a partner (p < 0.05). According to the theory behind the RM and TR decomposition, an increase in TR components could indicate a higher reliance on spinal reflexes, which would suggest greater automaticity.

A study on determinants of COVID-19 knowledge and preventive practices among Polish schools teachers

Background

Sufficient knowledge and preventive practices are crucial to control the spread of SARS-CoV-2. To date, some data regarding these issues have been reported among different professions, whereas such information is inaccessible in teachers.

Methods

An institution-based cross-sectional study was conducted between May-June 2021 in 3 randomly selected Polish provinces, in 26 schools. An anonymous, self-administered questionnaire which included 10 questions related to COVID-19 knowledge and 13 questions about preventive practices was used. Each correct answer to the question about COVID-19 knowledge was given 1 point and question about preventive practices was given 1 to 3 point (max. 11 and 39 points respectively). Bi- and multivariable logistic regression models were fitted to identify the predictors of COVID-19 knowledge; simple/multiple linear regression analyses were done for factors associated with practices.

Results

464 teachers were included (response rate was 55%), 92% females, mean age 45.6±10.2 years. The average COVID-19 knowledge score was 6.6±3.76 points; in 77% of teachers the knowledge level was >50%. The mean of preventive practices score was 15.8±1.78 points; 204 (55.1%, 95% CI 50.0% to 60.2%) respondents scored above the mean score of preventive practices. Wearing a mask (β: 0.09 95%CI 0.00-0.03), washing hands (β: 0.09 95%CI 0.00-0.02), avoiding crowds (β: 0.12 95%CI 0.01-0.07), and avoiding visiting relatives (β: 0.10 95%CI 0.00-0.07) were significantly associated (p < 0.05) with knowledge about COVID-19. Knowledge was the strongest predictor of avoiding crowds (β coefficient = 0.12).

Conclusions

Significant number of school teachers had inadequate COVID-19 knowledge and were poorly engaged in COVID-19 preventive practices. As knowledge level strongly influences adequate preventive behavior, additional educational intervention is urgently needed for teachers to help them better manage the pandemic at the school setting.

Key messages

• This study assessed COVID-19 knowledge and preventive practices, as well as related determinants among primary school teachers.

• This study assessed the attitudes of primary school teachers towards the Covid-19 pandemic.

Influence of feet's position on maximum forward lean using a new estimate of functional balance

Functional stability is crucial to the daily activity of an independent person. Functional balance testing is widely used in laboratories and has proven to be a reliable indicator of fall risk. So far, only few studies have paid attention to the impact of foot positioning on the results of functional balance measurements. Thirty healthy adults took part in experiment. LOS test was performed for four stance positions: preferred width, wide stance (feet parallel, 28 cm apart), narrow stance (feet together) and angle stance (heels together, toes pointing outside, 90° angle between them) with eyes opened and closed. The results of the study show significant differences between angle and narrow stance according to wide and preferred width stances - angle and narrow positions didn't allow participants to lean as far as other positions. Vision had stabilizing influence on maximum forward lean in all tested positions.

Influence of feet’s position on maximum forward lean using a new estimate of functional balance

Purpose

Functional stability is crucial to the daily activity of an independent person, functional balance testing is widely used in laboratories and has proven to be a reliable indicator of fall risk. So far, only few studies have paid attention to the impact of foot positioning on the results of functional balance measurements.

Methods

Thirty healthy adults took part in experiment. LOS test was performed for four stance position: preferred width, wide stance (feet parallel, 28 cm apart), narrow stance (feet together) and angle stance (heels together, toes pointing outside, 90O angle between them) with eyes opened and closed.

Results

The results of the study show significant differences between angle and narrow stance according to wide and preferred width stances – angle and narrow positions didn’t allow participants to lean as far as other positions. Vision had stabilizing influence on maximum forward lean in all tested positions.

Conclusions

Feet position influence maximum forward lean. The width of the stance is not critical for the functional balance. Lack of visual control deteriorates functional balance. Researchers should use parallel feet placement in research.

Wearing masks in public spaces in Poland during SARS-Cov-2 epidemic: an observational study

Background

Face masks can all be effective means of controlling SARS-CoV-2 transmission. In Poland, obligatory wearing of masks in public spaces was introduced on April 10th, 2020.

Objective

To assess use of masks in public spaces in Poland during the third wave of SARS-Cov-2 epidemic.

Methods

A non-participatory covert observational study was conducted during the 3rd wave, on three dates (20.03/27.03/03.04.2021) at public spaces in 12 provinces with different SARS-Cov-2 infection risks according to the R number. Ten consecutive individuals were observed by each of 91 medical students, using a structured checklist.

Results

Among 3283 observed individuals, the female/male ratios were 1.1/1.1/0.9 on the three dates. Around three quarters were using masks: 76.2% (858/1126) on date 1, 76.3% (867/1137) on date 2; and 79.7% (813/1020) on date 3. Medical masks predominated on all dates (52.4%-50.5%-55.8%), followed by cloth (34.6%-37.6%-33.0%). Location in a closed space (OR = 3.47-2.64-2.84) was associated with higher usage. Participants in sports were about two-three times less likely to use masks (OR = 0.52-0.58-0.34) as compared to other activities. The proportion using masks correctly was as follows: 62.6% (537/858); 63.1% (547/867); 57.7% (469/813) respectively; significant between-gender difference was observed regarding date 1 (date 1: 306/458, 66.8% females vs 231/400, 57.8% males; p = 0.006, date 2: 284/459, 61.9% females vs 263/408, 64.5% males; p = 0.43, and date 3: 232/408, 56.9% females vs 237/405, 58.5% males; p = 0.63). Uncovered noses (55.5%-59.5%) and masks around the neck (18.1%-24.7%) were the most frequent incorrect practices.

Conclusions

The results show an essential difference between governmental regulations and how the general public responds to the SARS-Cov-2 pandemic in the context of mask usage. Medical masks were predominantly used in public spaces, however, almost every third individual wore masks incorrectly.

Key messages

Knowledge translation with the use of adequate communication channels, would be helpful to increase compliance and correct usage. This message can be used to target specific practices when developing public health campaigns which should be then rigorously evaluated for their effectiveness.

Effect of peer-education on the willingness to vaccinate against COVID-19 among high school students

Introduction

The willingness to vaccinate against COVID-19 among adolescents remains low. Peer-education about SARS-CoV-2 may positively influence attitudes to vaccinate among this group.

Objective

To assess the influence of peer-based educational intervention on the willingness to vaccinate against COVID-19 among Polish high school students.

Methods

In the Polish Lubuskie province, a peer education campaign was introduced among final year high school students from 24 randomly selected schools. Before and after the 45-minute lecture, conducted online by 13 medical students in 51 classes with science and other programs, the willingness to vaccinate was checked using an anonymous questionnaire. The p-value was calculated with the use of chi-square and Wilcoxon signed rank tests.

Results

Out of 883 students, 638 responded (72%); 268 males (42%), mean age: 18.4±0.6 years, 69% lived in cities with <100,000 inhabitants, 32% were in the science program. The willingness to vaccinate improved from 31.8% to 35.2% after education (p < 0.001); in females from 29.7% to 33.1%; in males from 34% to 37.7% (p < 0.002; p < 0.01 respectively). Before intervention 43.5% students living in the large cities and 26.5% in small cities wanted to be vaccinated, this increased to 48.0% and 29.5% respectively (p < 0.003; p < 0.005) after intervention. There were significant between-locations and between-programs differences in the willingness to vaccinate before and after intervention (p < 0.001; p < 0.001 and p < 0.001; p < 0.001 respectively). The improvement in the science program was from 44.3% to 47.8%; in the other programs from 26.1% to 29.5% (p < 0.01; p < 0.002 respectively).

Conclusions

Adolescents' willingness to vaccinate against COVID-19 was alarmingly low, especially among females, students from small cities and attending the non-science program. Concise integrated teaching designed to address mistrust and knowledge deficiencies can be effective in improving the uptake.

Key messages

Research provide data about students’ attitudes towards COVID-19 vaccination and indicate the need for universal educational campaigns.

Online education is an effective method which may substantially increase COVID-19 vaccination rate in Poland.

Detection of postural control in early Parkinson's disease: Clinical testing vs. modulation of center of pressure

INTRODUCTION

Little is known about the early stage balance changes in PD. Many clinicians assume that there are no postural issues in early PD because of failure to identify them on bedside and clinical testing. Here, we quantify balance changes in early and moderate stage PD and compared these values to healthy controls (HC) using clinical assessments of balance and posturography.

METHODS

We compared 15 HC with 15 early PD (PD-II; Hoehn and Yahr stage II) and 15 moderate PD (PD-III; H&Y stage III). Participants performed various clinical tests of balance and a standing postural task on a force platform. We quantified the spatiotemporal parameters of the center of pressure (COP), the sample entropy and power spectral density (PSD) of the COP.

RESULTS

The PSD of the COP differentiated PD-II from HC from 0-0.5 Hz and PD-II from PD-III from 0.5-1 Hz. Specifically, PD-II and PD-III manifested greater power than HC from 0-0.5 Hz, whereas PD-III exhibited greater power than PD-II and HC from 0.5-1.0 Hz (p<0.05). However, there were no significant differences between PD-II and HC in all clinical tests and in spatiotemporal parameters of the COP (p>0.05). Although the sample entropy was significantly lower in the PD groups (p<0.05), entropy failed to differentiate PD-II from PD-III.

CONCLUSION

The low-frequency modulation of the COP in this small cohort differentiated early PD from HC and from moderate PD. Clinicians should be aware that there are early balance deficits in PD. A larger sample size is needed to confirm these findings.

Age-related changes in postural control in older women: transitional tasks in step initiation

Background

Aging, being a natural process, involves many functional and structural changes within the body. Identifying the age-related postural changes will provide insight into the role of aging on postural control during locomotion. The aim of this study was to identify age-related postural changes during a transitional task under different conditions.

Methods

Sixty healthy females divided into three age groups: A (50-60 y/o), B (60-70 y/o), and C (70-80 y/o). The transitional task was measured by two force platforms. The procedure consisted of three phases: quiet standing, transfer onto a second platform, and quiet standing on the second platform. Four different conditions were applied: unperturbed transfer, obstacle crossing, step-up, and step-down. Double-support time, transit time, and stability time before and after the step task were analyzed.

Results

The transit time was longer by 30% for subjects over 70 y/o. The double-support time was longer by 11% among adults 60-70 y/o, while in people over 70 y/o it was longer by almost 50% compared to the 50-60 y/o subjects. The stability time before the transitional task was longer by 17% among adults over 60 y/o compared to middle-age subjects. The stability times before and after the transitional task were longer for adults in the 50-60 y/o category.

Conclusion

The proposed procedure is adequate for assessing age-related changes in postural control while undergoing a transitional task. An analysis of the double-support time and stability time before and after the step task enabled the detection of early signs of balance changes in middle-age adults. Independent of age, the transitional task parameters changed with the increasing difficulty of the tasks.

Genome Mining and Evaluation of the Biocontrol Potential of Pseudomonas fluorescens BRZ63, a New Endophyte of Oilseed Rape (Brassica napus L.) against Fungal Pathogens

Endophytic bacteria hold tremendous potential for use as biocontrol agents. Our study aimed to investigate the biocontrol activity of Pseudomonas fluorescens BRZ63, a new endophyte of oilseed rape (Brassica napus L.) against Rhizoctonia solani W70, Colletotrichum dematium K, Sclerotinia sclerotiorum K2291, and Fusarium avenaceum. In addition, features crucial for biocontrol, plant growth promotion, and colonization were assessed and linked with the genome sequences. The in vitro tests showed that BRZ63 significantly inhibited the mycelium growth of all tested pathogens and stimulated germination and growth of oilseed rape seedlings treated with fungal pathogens. The BRZ63 strain can benefit plants by producing biosurfactants, siderophores, indole-3-acetic acid (IAA), 1-aminocyclopropane-1-carboxylate (ACC) deaminase, and ammonia as well as phosphate solubilization. The abilities of exopolysaccharide production, autoaggregation, and biofilm formation additionally underline its potential to plant colonization and hence biocontrol. The effective colonization properties of the BRZ63 strain were confirmed by microscopy observations of EGFP-expressing cells colonizing the root surface and epidermal cells of Arabidopsis thaliana Col-0. Genome mining identified many genes related to the biocontrol process, such as transporters, siderophores, and other secondary metabolites. All analyses revealed that the BRZ63 strain is an excellent endophytic candidate for biocontrol of various plant pathogens and plant growth promotion.

Fall-related measures in elderly individuals and Parkinson's disease subjects

Falls pose a serious problem in elderly and clinical populations. Most often, they lead to a loss of mobility and independence. They might also be an indirect cause of death. The aim of this study was to determine an objective predictor of the fear of falling and falls in elderly subjects (ESs) and Parkinson's disease (PD) subjects. Thirty-two ESs were examined in this study, of whom sixteen were diagnosed with PD. The testing procedures comprised force plate measurements (limit of stability test-LOS test) and clinical tests (Berg Balance Scale, Functional Reach Test, Timed Up and Go test, Tinetti test). The Falls Efficacy Scale International (FES-I) was used to evaluate the fear of falling. The range of the maximum forward lean was normalized to the length from the ankle joint to the head of the first metatarsal bone and was named the functional forward stability indicator (FFSI). The FFSI, derived from the LOS test, allowed us to demonstrate the real deficit in functional stability and individual safety margins. Moreover, the FFSI was highly correlated with the FES-I score and almost all clinical test results in elderly subjects (r>0,6; p<0.05). In PD subjects, the FFSI was poorly correlated with the fear of falling, the BBS score and the FR distance; however, a high correlation with the Tinetii test (r>0,6, p<0.05) was noted. The PD subjects presented a different balance strategy when close to their stability limits, which was also reflected in the lower values of sample entropy (t = (-2.40); p<0.05; d = 0.87). The FFSI might be a good predictor of the fear of falling in the group of elderly people. Additionally, the FFSI allows us to show real balance deficits both in PD subjects and in their healthy peers without the need for a reference group and norms. In conclusion, it is postulated that the popular clinical assessments of postural balance in PD subjects should be accompanied by reliable posturography measurements.

Transitional Locomotor Tasks in People With Mild to Moderate Parkinson's Disease

Background: People with Parkinson's disease (PD) exhibit deficits in maintaining balance both during quiet standing and during walking, turning, standing up from sitting, and step initiation. Objective: The purpose of this study was to examine balance disorders during a transitional task under different conditions in participants with PD. Methods: The research was conducted on 15 PD-II (mild) and 15 PD-III (moderate) individuals (H&Y II-III stage) and 30 healthy elderly. The transitional task was measured on two force platforms (A and B). The procedure consisted of three phases: (1) quiet standing on platform A, (2) crossing to platform B, and (3) quiet standing on platform B, each until measurements were completed. There were four conditions: crossing without an obstacle, crossing with an obstacle, and walking up and down the step. Results: There were no significant differences between mild PD individuals and healthy elderly during quiet standing before the transitional task and after completing the task. The temporal aspects describing the different transitional tasks were comparable between mild PD and healthy subjects. Moderate PD participants presented a significantly higher COP velocity after the transitional task compared to the healthy older adults (p < 0.05). Additionally, the moderate PD group showed significantly higher values for transit time relative to healthy subjects during the transitional task in all conditions (p < 0.05). Conclusions: Disease severity affects the temporal aspects of different transitional tasks in people with PD. The procedure of completing a transitional task under different conditions allowed differences between moderate and mild PD stages and healthy subjects to be observed.

The Role of Antimicrobial Neutrophil Extract in Modification of the Inflammatory Response During Osteochondral Autograft and Allograft Transplantation in Rabbits

Osteochondral autograft or allograft transplantation is one of the surgical options for the management of large cartilage defects; however, the mechanisms of cartilage healing after this procedure, especially the immunological mechanisms, are not fully understood. The present study examined whether a grafting procedure changed the in-vitro responses of neutrophils and monocyte-derived macrophages (MDMs). Additionally, antimicrobial neutrophil extract (ANE) was assessed for its ability to modulate excessive cellular responses during and after implantation. The neutrophil secretory response was tested by measuring enzyme release and free radical generation, while the MDM response was evaluated by assessing morphological and functional changes of the cells after polarization. Osteochondral implantation evoked a transient secretory response by circulating neutrophils, but MDMs were not activated postoperatively. ANE from rabbit blood may be considered as a modulator of the inflammatory response because of its influence on neutrophils and MDMs. Inhibition of the neutrophil secretory response prevents complications that may arise following excessive activity of these cells. Stimulation of MDMs with ANE induces formation of a partial anti-inflammatory phenotype with enhanced regenerative properties.

Assessment of dynamic balance during step initiation in Parkinson's disease patients and elderly - a validity study

PURPOSE

The aim of this study was to evaluate the reliability of the novel posturographic procedure and to investigate the relationships between parameters of this procedure and clinical tests. We hypothesised the proposed step initiation procedure to be reliable method of balance and motor disability assessment, especially in patients with neurological deficits. Also, we assumed high significant correlation between parameters of step initiation procedures and clinical tests.

METHODS

The 35 subjects with idiopathic PD and 35 agedmatched healthy controls participated in this study. The gait initiation was measured using two force platforms. The procedure consisted of three phases: (1) quiet standing on a first platform (2) crossing on the second platform, (3) quiet standing on a second platform. Testing was carried out in four conditions: unperturbed trial, obstacle crossing, step-up and step-down.

RESULTS

In the proposed gait initiation procedure, the vCOP, raCOP and rmsCOP showed an excellent reliability (ICC > 0.80). For transit phase, reliability of all variables in all conditions also was excellent (ICC = 0.8-0.9). There were only a few associations between Tinetti scores and posturographic variables in controls, but in PD patients the significant correlations were found between the proposed measures and the UPDRS, Tinetti, FRT, TUG and with the BBS.

CONCLUSIONS

The proposed gait initiation procedure is reliable and very suitable for the assessment of patients with Parkinson's disease. It can be used as an objective assessment of the clinical condition and dynamic balance, and help in the designing and programming of the appropriate rehabilitation and treatment.

Forward functional stability indicator (FFSI) as a reliable measure of limits of stability

Functional stability has been studied in diverse populations, yet the possibility to compare the results across them and the knowledge about actual performance referenced to the maximum capacity is limited. Our aim was to improve the functional limits of stability testing and introduced Forward Functional Stability Indicator (FFSI) as a reliable measure of functional stability. The study participants were not able to cross the projected forward anatomical stability limit (FASL). It is located at the level of first metatarsophalangeal joints and should be considered a mechanical limit of the maximal voluntary centre of foot pressure (COP) excursion (MVE). It was only true when the whole feet were in contact with the ground. There were statistically significant differences in limits of stability (LOS) test results in the conditions when the heels were raised and the toes muscles were contracted isometrically. The proposed forward functional stability indicator (FFSI) is a highly reliable measure of functional stability, which provides information about the actual performance with reference to maximum capacity and is easy to compare across normal and clinical populations.

•

The proposed forward functional stability indicator (FFSI) is a highly reliable measure of functional stability.

•

FFSI provides information about the actual performance with reference to maximum capacity and is easy to compare across normal and clinical populations.

•

The forward anatomical stability limit (FASL) is located at the level of first metatarsophalangeal joints and should be considered a mechanical limit of the maximal voluntary centre of pressure (COP) excursion when certain measurement criteria are met.

A posturographic procedure assessing balance disorders in Parkinson's disease: a systematic review

Postural instability is common in Parkinson's disease (PD), often contributing to falls, injuries, and reduced mobility. In the clinical setting, balance disorder is commonly diagnosed using clinical tests and balance scales, but it is suggested that the most sensitive measurement is the force platform. The aim of this systematic review was to summarize the methods and various posturographic procedures used to assess the body balance and gait in PD. A systematic review was conducted of papers published from 2000 to 2017. Databases searched were PubMed and EBSCO. Studies must have involved patients with PD, used force platform or motion analysis system as a measurement tool, and described posturographic procedure. The Physiotherapy Evidence Database (PEDro) scale was used to assess the methodological quality of the included studies. A total of 32 studies met the inclusion criteria. The PEDro scores ranged from 5 to 7 points. The analysis of the objective methods assessing balance disorders revealed a large discrepancy in the duration and procedures of measurements. The number of repetitions of each trial fluctuated between 1 and 8, and the duration of a single trial ranged from 10 to 60 seconds. Overall, there are many scales and tests used to assess the balance disorders and disabilities of people with PD. Although in many included studies the authors have used posturography as a method to evaluate the postural instability of PD patients, the results are contradictory. To solve this issue, it is indicated to establish a "gold standard" of procedures of measures of balance.

Standards of Virtual Reality Application in Balance Training Programs in Clinical Practice: A Systematic Review

OBJECTIVE

To determine the effect of virtual reality (VR) games on improving balance in different groups of neurological patients with a particular focus on the study quality and to determine the gold standard in VR training in these groups.

MATERIALS AND METHODS

A systematic review of controlled trials published between January 2009 and December 2017 was conducted. The PubMed, SCOPUS, SPORTDiscus, and Medline databases were searched. Studies involved patients with stroke or Parkinson's disease or children with cerebral palsy. The Physiotherapy Evidence Database (PEDro) scale was used to assess the methodological quality of the included studies.

RESULTS

A total of 20 studies met the inclusion criteria. The PEDro scores ranged from 4 to 8 points. Analysis of the rehabilitation programs revealed a very large discrepancy in the planned volume of exercises in different subgroups of patients.

CONCLUSIONS

Overall, the comparison of VR interventions between conventional rehabilitation and no intervention exhibited significantly better results. However, these results should be interpreted with great caution due to the large diversity of the systems, games, and training volume used in the VR therapy. In all included studies, only several articles included objective methods to assess the effect of VR. In addition, most of the articles showed a high risk of bias, such as a lack of randomization and blinding or a small sample size. That is why further well-designed randomized control trials are required to evaluate the influence of VR on balance in different groups of neurological patients.

Effect of expertise in ballet dance on static and functional balance

RESEARCH QUESTION

The purpose of this study was to examine the postural sway characteristics of the ballet dance experts in quiet standing and at their limits of stability with an approach not used before in dancers.

METHODS

The study was conducted on thirteen female ballet dancers and thirteen non-training females. The data were collected with a use of a force plate. To gain a better insight into the postural control processes, we used the rambling-trembling and sample entropy analyses in the COP data processing.

RESULTS

The main findings of the study showed professional dancers to have higher values of postural sway characteristics in comparison to the non-trainees while performing simple motor tasks. Also, higher values of the trembling component in the group of dancers during quiet standing and the inclined positions were observed. This might be a sign of higher capacity of the postural system to deal with postural instability in dancers.

IMPORTANCE

Our results confirmed that the visual information is important in the process of postural control of dancers', which is proven by increased dislocations of the COP without visual feedback. The sample entropy results indicated more irregular characteristics of postural sway in ballet dancers representing more automated postural control. The data analysis methods showed high sensitivity to the subtle changes in postural control due to the dance training.

Balance Training Programs in Athletes - a Systematic Review

It has become almost routine practice to incorporate balance exercises into training programs for athletes from different sports. However, the type of training that is most efficient remains unclear, as well as the frequency, intensity and duration of the exercise that would be most beneficial have not yet been determined. The following review is based on papers that were found through computerized searches of PubMed and SportDiscus from 2000 to 2016. Articles related to balance training, testing, and injury prevention in young healthy athletes were considered. Based on a Boolean search strategy the independent researchers performed a literature review. A total of 2395 articles were evaluated, yet only 50 studies met the inclusion criteria. In most of the reviewed articles, balance training has proven to be an effective tool for the improvement of postural control. It is difficult to establish one model of training that would be appropriate for each sport discipline, including its characteristics and demands. The main aim of this review was to identify a training protocol based on most commonly used interventions that led to improvements in balance. Our choice was specifically established on the assessment of the effects of balance training on postural control and injury prevention as well as balance training methods. The analyses including papers in which training protocols demonstrated positive effects on balance performance suggest that an efficient training protocol should last for 8 weeks, with a frequency of two training sessions per week, and a single training session of 45 min. This standard was established based on 36 reviewed studies.

Bovine meat proteins as potential precursors of biologically active peptides--a computational study based on the BIOPEP database

The aim of the present study was to perform an in silico evaluation of bovine meat proteins as potential precursors of biologically active peptides, as well as to determine whether such peptides can be released by selected proteolytic enzymes. The sequences of 19 bovine meat proteins were processed using the BIOPEP database and program. The profiles of potential biological activity of protein fragments were determined and the following parameters were calculated: the frequency of occurrence of fragments with given activity (A), the frequency of release of fragments with given activity by selected enzymes (A(E)), and the relative frequency of release of fragments with given activity by selected enzymes (W). Among the examined proteins, collagen and elastin appear to be the richest potential source of bioactive peptides, in particular of angiotensin-converting enzyme inhibitors, antithrombotic fragments, inhibitors of dipeptidyl peptidase IV and peptides regulating gastric mucosal activity. The high number of bioactive fragments in collagen and elastin is associated with a high content of glycine and proline, amino acids that are most abundant in biologically active fragments. Of the two investigated proteolytic enzymes, Proteinase K - an enzyme with broad specificity (e.g., against peptide bonds formed by the carboxyl groups of proline) can release considerably more biologically active fragments than Proteinase P1 - an enzyme with narrow specificity, not including proline residues.

Malate plays a crucial role in starch metabolism, ripening, and soluble solid content of tomato fruit and affects postharvest softening

Despite the fact that the organic acid content of a fruit is regarded as one of its most commercially important quality traits when assessed by the consumer, relatively little is known concerning the physiological importance of organic acid metabolism for the fruit itself. Here, we evaluate the effect of modifying malate metabolism in a fruit-specific manner, by reduction of the activities of either mitochondrial malate dehydrogenase or fumarase, via targeted antisense approaches in tomato (Solanum lycopersicum). While these genetic perturbations had relatively little effect on the total fruit yield, they had dramatic consequences for fruit metabolism, as well as unanticipated changes in postharvest shelf life and susceptibility to bacterial infection. Detailed characterization suggested that the rate of ripening was essentially unaltered but that lines containing higher malate were characterized by lower levels of transitory starch and a lower soluble sugars content at harvest, whereas those with lower malate contained higher levels of these carbohydrates. Analysis of the activation state of ADP-glucose pyrophosphorylase revealed that it correlated with the accumulation of transitory starch. Taken together with the altered activation state of the plastidial malate dehydrogenase and the modified pigment biosynthesis of the transgenic lines, these results suggest that the phenotypes are due to an altered cellular redox status. The combined data reveal the importance of malate metabolism in tomato fruit metabolism and development and confirm the importance of transitory starch in the determination of agronomic yield in this species.

Sucrose transporter StSUT4 from potato affects flowering, tuberization, and shade avoidance response

Sucrose (Suc) transporters belong to a large gene family. The physiological role of SUT1 proteins has been intensively investigated in higher plants, whereas that of SUT4 proteins is so far unknown. All three known Suc transporters from potato (Solanum tuberosum), SUT1, SUT2, and SUT4, are colocalized and their RNA levels not only follow a diurnal rhythm, but also oscillate in constant light. Here, we examined the physiological effects of transgenic potato plants on RNA interference (RNAi)-inactivated StSUT4 expression. The phenotype of StSUT4-RNAi plants includes early flowering, higher tuber production, and reduced sensitivity toward light enriched in far-red wavelength (i.e. in canopy shade). Inhibition of StSUT4 led to tuber production of the strict photoperiodic potato subsp. andigena even under noninductive long-day conditions. Accumulation of soluble sugars and Suc efflux from leaves of transgenic plants are modified in StSUT4-RNAi plants, leading to modified Suc levels in sink organs. StSUT4 expression of wild-type plants is induced by gibberellins and ethephon, and external supply of gibberellic acid leads to even more pronounced differences between wild-type and StSUT4-RNAi plants regarding tuber yield and internode elongation, indicating a reciprocal regulation of StSUT4 and gibberellins.

Immunoperoxidase detection of polycyclic aromatic hydrocarbon-DNA adducts in breast tissue sections

Although the etiology of the majority of human breast cancers is unknown, environmental carcinogens are suspected to play a role. In this study, we investigated polycyclic aromatic hydrocarbon-DNA adducts in 78 breast cancer patients and benign breast disease patients with lifetime environmental exposure to polycyclic aromatic hydrocarbon (PAH) compounds. Adducts were detected in paraffin sections by immunoperoxidase method using polyclonal antiserum and were quantitated by the image-analyzing system. A significantly higher level of adducts was found in benign breast disease as compared to cancer patients (P < .001; Mann-Whitney U test). Neither smoking nor genetic polymorphisms in glutathione S-transferase and cytochrome P450 influenced the level of adducts. This exploratory study demonstrates the usefulness of the immunoperoxidase method to detect PAH-DNA adducts in stored breast tissue and suggests further research on a larger population, including patients from both high- and low-pollution environments.

Measurement of cytogenetic endpoints in women environmentally exposed to air pollution

The levels of sister chromatid exchanges (SCE), high-frequency cells (HFC) and chromosomal aberrations (CA) were studied in lymphocytes of Silesian women environmentally exposed to ambient air pollutants. Inhabitants of a less polluted but similarly urbanized area, in a rural region of Poland, served as controls. The study population was selected to minimize the major confounding factors influencing SCE and CA. These factors include age, gender, smoking status, and occupation. All donors were 35-46 years old non-smoking City Hall clerks. The levels of all three biomarkers were significantly higher in the exposed group than in controls as analyzed by the Mann-Whitney U-test. No correlation was found between levels of CA and SCE. Additional possible confounders, such as passive smoking, ex-smoking and X-ray chest examination did not influence the levels of biomarkers. This study builds upon our previous research in a male population but better controls for confounders. Thus, the results reveal genetic damage resulting from low-dose but chronic environmental exposure.

[Hypothyroidism coexisting with pregnancy]

DESIGN

The aim of the study was to describe pregnancies, deliveries, and puerperal times, and to compare them with the reached scientific communications.

MATERIAL AND METHODS

Four pregnancies in women with the hypothyroidism were described. All cases were taken from the group of twenty pregnancies (18 women) who were treated because of thyroid gland diseases in our clinic.

RESULTS

We found that every infant was born in good condition, deliveries and childbeds were uncomplicated.

CONCLUSIONS

Our notices are similar to new scientific communications, that hypothyroidism coexists with pregnancy much often then everybody, till now, suspected and infants have not so often congenital defects.

[Hyperthyroidism and pregnancy]

DESIGN

The aim of our study was to describe a course of pregnancy, delivery and puerperal time in women hospitalized in our Clinic during their pregnancies because of hyperthyroidism.

MATERIALS AND METHODS

Sixteen case reports (thirteen pregnant women) were retrospectively analysed. Our study embrace data from the recent ten years.

RESULTS

In all cases pregnancies, deliveries and puerperal time proceeded without any serious complications. Infants were delivered in good condition and no congenital defects were reported.

CONCLUSIONS

1. A proper treatment of hyperthyroidism in a pregnant woman determines the correct course of pregnancy, delivery and puerperal time. 2. We have not found any congenital defects, hypotrophy cases and infants' death reports in our material. 3. Hyperthyroidism in pregnancy does not determine cesarean section as a way of delivery.

Bleomycin sensitivity test in the exposed and reference human populations

Sensitivity to bleomycin was investigated in lymphocytes collected from three groups of males: 30 occupationally exposed cokery workers, 38 environmentally exposed Silesian citizen and 35 rural inhabitants. The data were analyzed at both the individual and group levels. The first analysis has revealed a substantial interindividual variability in the level of generated breaks (breaks per cell, b/c). This variability was independent of the age of the donor, smoking habit and X-ray exposure as tested in the multiple regression model. The means per group for the occupationally and environmentally exposed persons were almost the same with the values of 0.674 and 0.639, respectively. These two groups differed significantly from the rural population (b/c=0.448, p<0.001 by MANOVA). The reproducibility of the assay was satisfying (p>0.49 by the Wilcoxon matched paired test) after omitting 7 out of 49 repeatedly sampled donors. Those persons exhibited extremely high b/c rates in the first sampling.

A molecular epidemiology study in women from Upper Silesia, Poland

The present report is a follow-up to our previous molecular epidemiology studies on DNA damage in residents of the industrial region of Upper Silesia. The study was designed to focus on environmental exposure to airborne pollutants; other exposures or confounding factors (e.g. smoking status and age) were eliminated. A Silesian population consisting of 67 donors was compared to 72 inhabitants of a less polluted but similarly urbanized area, surrounded by a rural part of Poland. In both regions the donors were non-smoking females with similar age range, and occupation. Eight biomarkers including urinary mutagenicity and 1-hydroxypyrene, polycylic aromatic hydrocarbon PAH-DNA adducts in oral mucosa, sister chromatid exchanges (SCE), high frequency cells (HFC), chromosomal aberrations (CA), and sensitivity to bleomycin in lymphocytes as well as glutathione s-transferase (GSTM1)/cytochrome P4501A1 (CYP1A1) genotypes were evaluated in samples collected in summer and winter seasons. All the biomarkers of internal and biological doses of mutagens and their early biologic effects indicated statistically significant increases in the Silesian group when compared to the controls. Immunohistochemical quantitation of PAH-DNA adducts additionally revealed significant seasonal changes in the levels of adducts. No influence of susceptibility genotypes (GSTM1 and CYP1A1) on biomarker levels was observed.

Sister chromatid exchanges and high-frequency cells in men environmentally and occupationally exposed to ambient air pollutants: an intergroup comparison with respect to seasonal changes and smoking habit

Sister chromatid exchanges (SCE) and high-frequency cells (HFC) were measured in peripheral blood lymphocytes from men environmentally and occupationally exposed to a mixture of ambient air pollutants. The environmentally exposed individuals were inhabitants of the industrial region of Upper Silesia; those occupationally exposed were Silesian cokery or steel plant workers, while the control group consisted of rural region residents. A total of 147 males were enrolled in the study. Blood samples were collected in winter (February) and summer (September) seasons. Three major areas were investigated during the study: exposure-based dose dependency, seasonal changes, and influence of smoking habits on the SCE frequencies. The latter is frequently reported as a confounding factor in SCE analyses. In both winter and summer samples, statistically significant increases of SCE were observed in the environmentally and occupationally exposed groups compared to the controls (p < 0.001). The difference between both exposed groups was also significant (p < 0.001). An intergroup comparison was based on ANOVA after adjustment for smoking status. In all three groups of interest, a seasonal variation was found with higher levels in winter. However, in a part of the study in which each donor served as his own control, statistical differences were only found within the exposed groups. Control region inhabitants did not have significantly higher frequencies of SCE in winter, compared to summer samples. The impact of two major confounders, age of the donor and smoking habit, was investigated by multiple regression analysis. Smoking was a major factor influencing the level of SCE. Nevertheless, the effect was seen in winter samples only, which suggests an additive response and adds new information to this known effect.

Molecular and genetic damage in humans from environmental pollution in Poland

Extreme environmental pollution such as that found in the highly industrialized Silesian region of Poland has been associated with increased risk of cancer and adverse reproductive outcomes. Among the most prevalent carcinogenic and mutagenic air pollutants in Silesia are the polycyclic aromatic hydrocarbons (PAH) which are largely produced by industrial and residential combustion of coal. Molecular epidemiology aims to prevent disease by using biological markers to identify risks well before clinical onset to allow effective intervention. Here, we use a battery of biological markers to measure molecular and genetic damage in peripheral blood samples from residents of Silesia and from persons living in a rural, less polluted area of Poland. The results show that their exposure to environmental pollution is associated with significant increases in carcinogen-DNA adducts (PAH-DNA and aromatic adducts), in sister chromatid exchange including high-frequency cells, and in chromosomal aberrations as well as a doubling in the frequency of ras oncogene overexpression. We found that aromatic adducts on DNA were significantly correlated with chromosomal mutation, providing us with a molecular link between environmental exposure and a genetic alteration relevant to cancer and reproductive risk.

A cytogenetic study of men environmentally and occupationally exposed to airborne pollutants

The level of sister-chromatid exchanges (SCE), high-frequency cells (HFC), chromosomal aberrations (CA) as well as the proliferation rate index (PRI) were measured in peripheral blood lymphocytes from three groups of volunteers. The environmentally exposed donors were residents from the vicinity of a coke factory; the occupationally exposed persons were cokery workers, while rural region inhabitants served as a control group. Compared with the control group, statistically significant increases of SCE and HFC, as well as decreased cell kinetics (PRI) were observed for both occupationally and environmentally exposed groups. The effect was especially pronounced when only smokers were taken into account. A statistically significant increase of CA was observed in the environmentally exposed group when CA including gaps (CA + G) were evaluated. The proportion of HFC was found to be the most sensitive method to detect genetic effects on the tested human population. This study demonstrates the usefulness of all 4 biomarkers (SCE, HFC, CA and PRI) in monitoring populations exposed to ambient pollution and clearly indicates effects from residential as well as occupational exposure to industrial air pollutants.

Lack of genotoxic activity of metronidazole and P1 derivative in two eukaryotic tests

Metronidazole [1-(2-hydroxyethyl)-2-methyl-5-nitroimidazole] and P1 derivative [1-(2-hydroxy-3-methoxypropyl)-2-methyl-4-nitroimidazole] were investigated for their genotoxic activity in two eukaryotic tests: mitotic recombination in yeast and micronucleus test in mice. Both compounds showed no genotoxicity in these eukaryotic assays contrary to their well-documented mutagenic activity in microbial short-term tests.

Mutagenic and clastogenic activity of direct-acting components from air pollutants of the Silesian industrial region

Sequential elution solvent chromatography (SESC) developed by Farcasiu for characterization of coal liquids was used for the fractionation of benzene extracts of airborne particulate pollutants. Mutagenic and clastogenic activity of SESC fractions was determined by the Salmonella/microsome test and the assay for V79 cell chromosomal aberrations (CAs), respectively. Five out of 8 obtained fractions showed differentiated, direct and indirect mutagenic activity. Selected 'direct' fractions, examined by the rodent cell chromosome aberration test, also gave a clastogenic response that increased with prolonged treatment time. The SESC system combined with 2 biological assays, the Ames test and the CAs test, seems to be a useful method for examination of genotoxic components of environmental pollutants.

Chromosome aberrations induced by 9-aminoacridine derivatives

The induction of chromosomal aberrations by 5 derivatives of nitro-9-aminoacridine in V79 Chinese hamster cells was observed. The clastogenic activity of the compounds tested depended on the position of the NO2 group in the acridine ring. The strongest clastogens were derivatives with NO2 in position 1. The remaining derivatives placed in decreasing order of clastogenic activity were: 3-nitro, 4-nitro and 2-nitro. In addition, 2-nitro and 3-nitro derivatives produced hyperdiploid/polyploid metaphases.

Interspersion and transcription of repeated sequences of rat DNA

Repetitive rat DNA reassociated to Cot=0.1 and deprived of "foldback" sequences showed close interspersion with unique sequences. As measured by electron microscopy, the average length of repetitive segments was about 600 +/- 400, and of unique segments 1800-3600 base pairs. Pyrimidine tracts over 80 nucleotides in length were found mainly in foldback and repetitive fractions. Oligo(dT) tracts, 20-30 bases in length prevailed in the DNA fraction reassociated to Cot=0.1. Repetitive and unique DNA fractions were annealed to Millipore filters and hybridized with hnRNA. Up to 1.6% of repetitive DNA reassociated to Cot=0.05 showed base complementarity with hnRNA, whereas the comparative figures for DNA reassociated to Cot=10 and for the unique fraction were 0.8% and 0.3% respectively. When hybridization of hnRNA was carried out in solution in vast DNA excess, no hybrid formation with repetitive sequences reassociated to Cot=0.1 was observed, although hybridization with DNA reassociated to Cot=10 was noticeable.