Step length variability (SLV) increases with age in those without overt neurologic disease, is higher in neurologic patients, is associated with falls, and predicts dementia. Whether higher SLV in older adults without neurologic disease indicates presence of neurologic abnormalities is unknown. Our objective was to identify whether SLV in older adults without overt disease is associated with findings from multimodal neuroimaging. A well-characterized cohort of 265 adults (79–90 years) was concurrently assessed by gait mat, magnetic resonance imaging with diffusion tensor, and neurological exam. Linear regression models adjusted for gait speed, demographic, health, and functional covariates assessed associations of MRI measures (grey matter volume, white matter hyperintensity volume, mean diffusivity, fractional anisotropy) with SLV. Regional distribution of associations was assessed by sparse partial least squares analyses. Higher SLV (mean: 8.4, SD: 3.3) was significantly associated with older age, slower gait speed, and poorer executive function and also with lower grey matter integrity measured by mean diffusivity (standardized beta=0.16; p=0.02). Associations between SLV and grey matter integrity were strongest for the hippocampus and anterior cingulate gyrus (both β=0.18) as compared to other regions. Associations of SLV with other neuroimaging markers were not significant. Lower integrity of normal-appearing grey matter may underlie higher SLV in older adults. Our results highlighted the hippocampus and anterior cingulate gyrus, regions involved in memory and executive function. These findings support previous research indicating a role for cognitive function in motor control. Higher SLV may indicate focal neuropathology in those without diagnosed neurologic disease.

BackgroundWhile air pollution exposures have been linked to cardiovascular outcomes, the contribution from acute gas and particle traffic-related pollutants remains unclear. Using a panel study design with repeated measures, we examined associations between personal exposures to traffic-related air pollutants in Mexico City and changes in heart rate variability (HRV) in a population of researchers aged 22 to 56 years.MethodsParticipants were monitored for approximately 9.5 hours for eight days while operating a mobile laboratory van designed to characterize traffic pollutants while driving in traffic and “chasing” diesel buses. We examined the association between HRV parameters (standard deviation of normal-to-normal intervals (SDNN), power in high frequency (HF) and low frequency (LF), and the LF/HF ratio) and the 5-minute maximum (or average in the case of PM2.5) and 30-, 60-, and 90-minute moving averages of air pollutants (PM2.5, O3, CO, CO2, NO2, NOx, and formaldehyde) using single- and two-pollutant linear mixed-effects models.ResultsShort-term exposure to traffic-related emissions was associated with statistically significant acute changes in HRV. Gaseous pollutants – particularly ozone – were associated with reductions in time and frequency domain components (α = 0.05), while significant positive associations were observed between PM2.5 and SDNN, HF, and LF. For ozone and formaldehyde, negative associations typically increased in magnitude and significance with increasing averaging periods. The associations for CO, CO2, NO2, and NOx were similar with statistically significant associations observed for SDNN, but not HF or LF. In contrast, PM2.5 increased these HRV parameters.ConclusionsResults revealed an association between traffic-related PM exposures and acute changes in HRV in a middle-aged population when PM exposures were relatively low (14 μg/m3) and demonstrate heterogeneity in the effects of different pollutants, with declines in HRV – especially HF – with ozone and formaldehyde exposures, and increases in HRV with PM2.5 exposure. Given that exposure to traffic-related emissions is associated with increased risk of cardiovascular morbidity and mortality, understanding the mechanisms by which traffic-related emissions can cause cardiovascular disease has significant public health relevance.

Disseminated Mississippi Valley-type (MVT) mineralization occurs throughout northeastern Wisconsin, USA, and is recognized as the source of regionally extensive natural groundwater contamination in the form of dissolved arsenic, nickel, and other related metals. Although considerable attention has been given to arsenic contamination of groundwater in the region, limited attention has been focused on characterizing the bedrock sources of these and other metals. A better understanding of the potential sources of groundwater contamination is needed, especially in areas where groundwater is the dominant source of drinking water. This article describes the regional, stratigraphic, and petrographic distribution of MVT mineralization in Paleozoic rocks of northeastern Wisconsin, with a focus on sulfide minerals. Whole-rock geochemical analysis performed on 310 samples of dolomite, sandstone, and shale show detectable levels of arsenic, nickel, cobalt, copper, lead, zinc, and other metals related to various sulfide mineral phases identified using scanning electron microscopy. MVT minerals include pyrite, marcasite, sphalerite, galena, chalcopyrite, fluorite, celestine, barite, and others. We describe the first nickel-and cobalt-bearing sulfide mineral phases known from Paleozoic strata in the region. Arsenic, nickel, and cobalt are sometimes present as isomorphous substitutions in pyrite and marcasite, but discrete mineral phases containing nickel and cobalt elements are also observed, including bravoite and vaesite. Locally abundant stratigraphic zones of sulfide minerals occur across the region, especially in the highly enriched Sulfide Cement Horizon at the top of the Ordovician St. Peter Sandstone. Abundant quantities of sulfides also appear near the contact between the Silurian Mayville Formation and the underlying Maquoketa and Neda formations in certain areas along and east of the Niagara escarpment. This article illustrates how a detailed geochemical and mineralogical investigation can yield a better understanding of groundwater quality problems.

Pain reduction (post-treatment-pre-treatment) was significantly greater in those patients receiving the targeted supine thoracic manipulation compared to the seated thoracic manipulation (P<0.05). Although not significant, we did observe greater improvement in flexion ROM in the targeted supine thoracic manipulation group. The results of this study indicate that a targeted supine thoracic manipulation may be more effective in reducing cervical spine pain and improving cervical flexion ROM than a seated thoracic manipulation. Future studies should include a variety of patients and physical therapists (PTs) to validate our findings.

1b.