In activities of daily living, people walk at different speeds with or without carrying additional loads. In this study, we sought to examine how human adults manage these commonly encountered additional demands during walking. We measured electromyography (EMG), triceps surae H-reflexes, joint motion and ground reaction forces (GRF) while participants walked at 1.0 m/s and 1.5 m/s with or without an additional 20.4 kg of weight (the equivalent of 23-36% bodyweight). Faster walking was accompanied by a universal increase in burst EMG amplitude across flexors and extensors of upper and lower leg muscles (with most notable increases found in the plantarflexors) while burst patterns of activity were maintained. In addition, the range of motion increased at the ankle, knee and hip joints, while the step cycle duration was shortened. In bearing additional weight, upper and lower leg extensor activity, especially early stance quadriceps activity, was increased while joint motion was minimally affected at the ankle and knee (but not hip). When walking faster and carrying additional weight, changes in locomotor EMG (except for plantarflexors) and knee and hip joint motion displayed combined features of those two additional demands; changes in plantarflexor activity and ankle joint motion were more complex. Locomotor H-reflexes were larger at 1.5 m/s than at 1.0 m/s only when carrying additional weight. In generating plantarflexor activity and controlling ankle joint motion for propulsive force generation when walking faster and carrying additional weight, multiple mechanisms of both spinal and supraspinal origin may be involved.
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http://dx.doi.org/10.1113/EP092063 | DOI Listing |
Dent Med Probl
March 2025
Department of Periodontal Diseases and Oral Mucosa Diseases, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland.
Background: Chlorhexidine digluconate (CHG) is considered the most effective and safe antimicrobial agent in dentistry. Recently, it has often been produced in the form of preparations with additional substances that may modify its effect.
Objectives: The aim of the present study was to compare the efficacy of various simple and combined CHG rinses against selected bacterial and yeast strains.
Lab Med
March 2025
Department of Clinical Laboratory, People's Hospital of Dayi County, Chengdu Sichuan, China.
Introduction: Carbapenem-resistant hypervirulent Klebsiella pneumoniae (CR-hvKP) is a highly pathogenic, drug-resistant, and transmissible "superbug" that causes infections in hospitals and communities. Because of the lack of effective antimicrobial treatment options, morbidity and mortality from CR-hvKP infections have increased dramatically, and outbreaks and the rapid spread of CR-hvKP in hospitals have become a major global public health challenge.
Methods: The mechanisms of molecular evolution in CR-hvKP include the acquisition of a hypervirulent plasmid encoding a virulence gene by carbapenemase-producing K pneumoniae, the horizontal transfer of plasmids carrying carbapenem resistance genes to hvKP, and the acquisition of fusion plasmids carrying both carbapenem resistance genes and hypervirulent genes by classic K pneumoniae.
Mol Oncol
March 2025
Department of Clinical Science, K.G. Jebsen Center for Genome-Directed Cancer Therapy, University of Bergen, Bergen, Norway.
Germline pathogenic variants in CDKN2A are well established as an underlying cause of familial malignant melanoma. While pathogenic variants in other genes have also been linked to melanoma, most familial cases remain unexplained. We assessed pathogenic germline variants in 360 cancer-related genes in 56 Norwegian melanoma-prone families.
View Article and Find Full Text PDFDent Med Probl
March 2025
Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties, University of Campania "Luigi Vanvitelli", Naples, Italy.
Background: The accurate determination of the working length (WL) is imperative for endodontic success.
Objectives: Our objective was to systematically analyze the available evidence on the impact of voxel size variation on the estimation of WL using cone-beam computed tomography (CBCT).
Material And Methods: An electronic search of the PubMed, Scopus, Embase, and Web of Science databases was conducted according to specific inclusion and exclusion criteria in March 2022.
Ther Adv Respir Dis
March 2025
Late Respiratory & Immunology, BioPharmaceuticals R&D, AstraZeneca, Gaithersburg, MD, USA.
Summary● This is a plain language summary of two articles originally published in and . These articles presented the results of GALATHEA and TERRANOVA, two clinical studies that took place across 41 countries. ○ GALATHEA and TERRANOVA measured how patients' COPD changed from before their first (10, 30, or 100 mg) injection, to after 56 weeks of treatment.
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