Visual behavior of racing bike cyclists in multi-tasking situations.

Distracted biking can have serious repercussions for the rider such as accidents. The purpose of the present experiment was to determine the effect of visually monitoring two parameters, the cadence, and the heart rate on a bike computer fixed on a racing bike, and simultaneously detect hazardous traffic situations. Individuals (n = 20) were instructed to ride a racing bike that was fitted onto a roller trainer.

Detecting goals of care conversations in clinical notes with active learning.

Objective: Goals of care (GOC) discussions are an increasingly used quality metric in serious illness care and research. Wide variation in documentation practices within the Electronic Health Record (EHR) presents challenges for reliable measurement of GOC discussions. Novel natural language processing approaches are needed to capture GOC discussions documented in real-world samples of seriously ill hospitalized patients' EHR notes, a corpus with a very low event prevalence.

Visual behavior and road traffic hazard situations when using a bike computer on a racing bike: An eye movement study.

Bike computers are an important equipment, especially on race bikes where athletes can monitor output parameters. The purpose of the present experiment was to determine the effect of visually monitoring the cadence of a bike computer and to perceive hazard traffic situations in a virtual environment. In a within subject-design individuals (N = 21) were instructed to perform the riding task in two single-task conditions (only watching the traffic at the video with occluded or without occluded bike computer), two dual-task conditions (monitoring the cadence of 70 RPM or 90 RPM and observing the traffic) and one control condition (no instructions).

Development and validation of a prediction model for actionable aspects of frailty in the text of clinicians' encounter notes.

Objective: Frailty is a prevalent risk factor for adverse outcomes among patients with chronic lung disease. However, identifying frail patients who may benefit from interventions is challenging using standard data sources. We therefore sought to identify phrases in clinical notes in the electronic health record (EHR) that describe actionable frailty syndromes.

Evaluation of Provider Implementation of the 2019 American College of Cardiology and American Heart Association Aspirin for Primary Prevention Guideline Recommendations for Older People.

Retrospective chart review study using electronic medical record data from Inova Health System patients. All cardiology, endocrinology, and primary care outpatient clinics operated by Inova Medical Group (IMG) in Northern Virginia. Participants included were 70 years of age or older and taking aspirin 81 mg as of April 1, 2019.

Functional Recovery of a Locomotor Network after Injury: Plasticity beyond the Central Nervous System.

Many animals depend on descending information from the brain for the initiation and proper execution of locomotion. Interestingly, after injury and the loss of such inputs, locomotor function can sometimes be regained without the regrowth of central connections. In the medicinal leech, , we have shown that crawling reemerges after removal of descending inputs.

An annotated CNS transcriptome of the medicinal leech, Hirudo verbana: De novo sequencing to characterize genes associated with nervous system activity.

The medicinal leech is one of the most venerated model systems for the study of fundamental nervous system principles, ranging from single-cell excitability to complex sensorimotor integration. Yet, molecular analyses have yet to be extensively applied to complement the rich history of electrophysiological study that this animal has received. Here, we generated the first de novo transcriptome assembly from the entire central nervous system of Hirudo verbana, with the goal of providing a molecular resource, as well as to lay the foundation for a comprehensive discovery of genes fundamentally important for neural function.

The stomatogastric nervous system of the medicinal leech: its anatomy, physiology and associated aminergic neurons.

Blood feeding is an essential and signature activity of the medicinal leech species . Despite keen interest in understanding the neuronal substrates of this behavior, a major component of the nervous system associated with feeding has remained overlooked. In this study, for the first time, we report on the presence and characteristics of five stomatogastric ganglia (STGs) comprising the visceral stomatogastric nervous system (STN) of the leech.

Motoneurons regulate the central pattern generator during drug-induced locomotor-like activity in the neonatal mouse.

Motoneurons are traditionally viewed as the output of the spinal cord that do not influence locomotor rhythmogenesis. We assessed the role of motoneuron firing during ongoing locomotor-like activity in neonatal mice expressing archaerhopsin-3 (Arch), halorhodopsin (eNpHR), or channelrhodopsin-2 (ChR2) in Choline acetyltransferase neurons (ChAT) or Arch in LIM-homeodomain transcription factor neurons. Illumination of the lumbar cord in mice expressing eNpHR or Arch in ChAT or neurons, depressed motoneuron discharge, transiently decreased the frequency, and perturbed the phasing of the locomotor-like rhythm.

Compensatory plasticity restores locomotion after chronic removal of descending projections.

Homeostatic plasticity is an important attribute of neurons and their networks, enabling functional recovery after perturbation. Furthermore, the directed nature of this plasticity may hold a key to the restoration of locomotion after spinal cord injury. Here we studied the recovery of crawling in the leech Hirudo verbana after descending cephalic fibers were surgically separated from crawl central pattern generators shown previously to be regulated by dopamine.

Necessary, sufficient and permissive: a single locomotor command neuron important for intersegmental coordination.

In this report we posed the overarching question: What multiple contributions can a single neuron have on controlling the behavior of an animal, especially within a given context? To address this timely question, we studied the neuron R3b-1 in the medicinal leech. This bilaterally paired neuron descends from the cephalic ganglion and projects uninterrupted through the segmental ganglia comprising the nerve cord; its terminal arbors invade each hemi-ganglion. We discovered that a single R3b-1 neuron functions as a command neuron in the strictest sense, as it was both necessary and sufficient for fictive crawling behavior.

Nanowires precisely grown on the ends of microwire electrodes permit the recording of intracellular action potentials within deeper neural structures.

Aims: Nanoelectrodes are an emerging biomedical technology that can be used to record intracellular membrane potentials from neurons while causing minimal damage during membrane penetration. Current nanoelectrode designs, however, have low aspect ratios or large substrates and thus are not suitable for recording from neurons deep within complex natural structures, such as brain slices.

Materials & Methods: We describe a novel nanoelectrode design that uses nanowires grown on the ends of microwire recording electrodes similar to those frequently used in vivo.

A Comparison of Harwell & FWT Alanine Temperature Coefficients from 25 °C to 80 °C.

The dosimeters used to monitor industrial irradiation processing commonly experience significant temperature rises that must be considered in the dose analysis stage. The irradiation-temperature coefficient for a dosimetry system is derived from the dosimeter's radiation response to the absorbed dose and the irradiation temperature. This temperature coefficient is typically expressed in percent change per degree.

Keeping it together: mechanisms of intersegmental coordination for a flexible locomotor behavior.

The coordination of multiple neural oscillators is key for the generation of productive locomotor movements. In the medicinal leech, we determined that activation and coordination of the segmental crawl oscillators, or unit burst generators, are dependent on signals descending from the cephalic ganglion. In nearly intact animals, removing descending input (reversibly with a sucrose block) prevented overt crawling, but not swimming.

Dopamine activates the motor pattern for crawling in the medicinal leech.

Locomotion in segmented animals is thought to be based on the coupling of "unit burst generators," but the biological nature of the unit burst generator has been revealed in only a few animal systems. We determined that dopamine (DA), a universal modulator of motor activity, is sufficient to activate fictive crawling in the medicinal leech, and can exert its actions within the smallest division of the animal's CNS, the segmental ganglion. In the entire isolated nerve cord or in the single ganglion, DA induced slow antiphasic bursting (approximately 15 s period) of motoneurons known to participate in the two-step elongation-contraction cycle underlying crawling behavior.

An Absorbed-Dose/Dose-Rate Dependence for the Alanine-EPR Dosimetry System and Its Implications in High-Dose Ionizing Radiation Metrology.

NIST developed the alanine dosimetry system in the early 1990s to replace radiochromic dye film dosimeters. Later in the decade the alanine system was firmly established as a transfer service for high-dose radiation dosimetry and an integral part of the internal calibration scheme supporting these services. Over the course of the last decade, routine monitoring of the system revealed a small but significant observation that, after examination, led to the characterization of a previously unknown absorbed-dose-dependent, dose-rate effect for the alanine system.

Growth hormone administration and exercise effects on muscle fiber type and diameter in moderately frail older people.

Objective: Reduced muscle mass and strength are characteristic findings of growth hormone deficiency (GHD) and aging. We evaluated measures of muscle strength, muscle fiber type, and cross sectional area in response to treatment with recombinant human growth hormone (rhGH) with or without a structured resistance exercise program in frail older subjects.

Design: Placebo-controlled, randomized, double blind trial.

Lack of an association between insulin-like growth factor-I and body composition, muscle strength, physical performance or self-reported mobility among older persons with functional limitations.

Objective: The hypothesis that decreased growth hormone (GH) secretion contributes to the functional decline that occurs with aging is far from substantiated. There have been few studies addressing the distribution and correlates of IGF-I, an indicator of GH activity, in nonclinical populations. As part of a growth hormone intervention trial, we examined the cross-sectional relations between IGF-I levels and multiple measures of physical function, body composition, and strength in a group of older men and women exhibiting mild to moderate reductions in measured physical performance.

Investigation of applicability of alanine and radiochromic detectors to dosimetry of proton clinical beams.

Cancer therapy studies using proton accelerators are underway in several major medical centers in the U.S., Russia, Japan and elsewhere.

Energy balance in female distance runners.

Metabolic efficiency was assessed in ovulatory eumenorrheic female distance runners and untrained control subjects of similar age, body weight, and fat-free mass (FFM). Energy intake (EI) was estimated from 3-d dietary records. Energy expenditure (EE) was determined during the same 3-d period from individual heart rate oxygen uptake (HR/VO2) curves during rest and exercise, 24-h HR records, and the thermic effect of meals.

Evaluation of the Children's Activity Rating Scale (CARS) in young children.

We describe the daily activity patterns and the between-day and -year reliabilities of the Children's Activity Rating Scale (CARS) measured in 180 Anglo-, African-, and Mexican-American children aged 3 or 4 yr. Reliabilities were assessed at up to 11 measurement periods over 3 yr. CARS scores were measured by two trained observers (alternating 2-h shifts) up to 12 working hours.

Association among serum lipid and lipoprotein concentrations and physical activity, physical fitness, and body composition in young children.

Objective: To examine the relationships among indicators of physical activity, physical fitness, and body composition with serum lipid and lipoprotein levels in young children.

Design: Cross-sectional and 1-year prospective cohort.

Setting: Studies of Child Activity and Nutrition (SCAN) program, Galveston, Tex.

A radiation accident at an industrial accelerator facility.

On 11 December 1991, a radiation overexposure occurred at an industrial radiation facility in Maryland. The radiation source was a 3-MV potential drop accelerator designed to produce high electron beam currents for materials-processing applications. This accelerator is capable of producing a 25 milliampere swept electron beam that is scanned over a width of 112.

Observations on physical activity in physical locations: age, gender, ethnicity, and month effects.

The level of physical activity of 3- and 4-year-old children was assessed in alternative physical locations by month and time of day and by age, gender, and ethnicity. Physical activity was assessed by observation with the Children's Activity Rating Scale (CARS) for up to 12 hours from 7:00 am to 7:00 pm. A sample of 191 three- and four-year-old children was observed for up to four times in the course of a year.

Reliability and variability of indicators of heart-rate monitoring in children.

We describe the daily heart-rate patterns and the between-day and within-day reliabilities of several heart rate indicators measured in 131 Anglo-, African-, and Mexican-American children aged 5-7 yr. Heart rates were measured over 12 waking hours with a Quantum XL Telemetry heart rate monitor. The percent of heart rates 25% above resting heart rate, an index of physical activity heart rate (PAHR-25 index), was found to have the highest within-day (0.