title: Positive Effects of Blue Light on Postural Control and Motor Coordination in Older Adults: A Pilot Study

authors: Beaven, Christopher Martyn

abstract: Purpose: Falls are a risk factor for mortality in older adults. Light interventions can improve cognitive function and performance in motor tasks, but the potential impact on postural control with relevance to falling is unknown. This study aimed to examine the effect of light on postural control, motor coordination, and cognitive functioning. 
Methods: Sixteen older adults participated in an intervention study that involved four counter-balanced sessions with blue-enriched light delivered visually and/or transcranially for 12 minutes. Postural control in three conditions (60 s eyes open, dual-task, and eyes closed), lower extremity motor coordination, and cognitive function were assessed. Area of sway (AoS), coordination, and cognitive function were compared between the groups via repeated-measured ANOVA. 
Results: Relative to placebo, visual blue-enriched light exposure clearly decreased AoS (d = 0.68 ±0.73; p =0.166) and improved reaction time in the motor coordination task (d = 1.44 ±0.75; p =0.004); however, no signicant effect was seen on cognitive function. 
Conclusion Blue-enriched light demonstrates a novel clinical approach to positively impact on postural control and lower-limb motor coordination in older adults. By impacting on metrics associated with fall risk, blue-enriched light may provide a clinically meaningful countermeasure to decrease the human costs of falls.

text: Positive Effects of Blue Light on Postural Control and Motor Coordination in Older Adults: A Pilot Study Purpose: Falls are a risk factor for mortality in older adults. Light interventions can improve cognitive function and performance in motor tasks, but the potential impact on postural control with relevance to falling is unknown. This study aimed to examine the effect of light on postural control, motor coordination, and cognitive functioning. 
Methods: Sixteen older adults participated in an intervention study that involved four counter-balanced sessions with blue-enriched light delivered visually and/or transcranially for 12 minutes. Postural control in three conditions (60 s eyes open, dual-task, and eyes closed), lower extremity motor coordination, and cognitive function were assessed. Area of sway (AoS), coordination, and cognitive function were compared between the groups via repeated-measured ANOVA. 
Results: Relative to placebo, visual blue-enriched light exposure clearly decreased AoS (d = 0.68 ±0.73; p =0.166) and improved reaction time in the motor coordination task (d = 1.44 ±0.75; p =0.004); however, no signicant effect was seen on cognitive function. 
Conclusion Blue-enriched light demonstrates a novel clinical approach to positively impact on postural control and lower-limb motor coordination in older adults. By impacting on metrics associated with fall risk, blue-enriched light may provide a clinically meaningful countermeasure to decrease the human costs of falls.

year: 2021-12-06

title: Long-term hip function in slipped capital femoral epiphysis treated with in situ pinning.

authors: Bond, Elizabeth C.

subjects: hip

abstract: BACKGROUND:: In recent years, there has been a trend toward more aggressive management of slipped capital femoral epiphysis (SCFE) with acute anatomical realignment; however, the literature is unclear with regard to the indications for this. QUESTIONS/PURPOSES:: To collect long-term patient-reported outcome scores on a group of SCFE patients using modern hip scores. The second aim was to determine whether there is a threshold level of deformity beyond which patients have predictably poor outcomes following in situ pinning. PATIENTS AND METHODS:: Patients presenting with SCFE between 2000 and 2009 completed a survey consisting of three modern hip scores and were classified into poor, intermediate, and good outcome groups. The posterior slope angle (PSA) was used to measure slip deformity. We examined the relationship between patient characteristics and functional outcomes. The relationship between PSA score and overall outcome was examined using receiver operator curve (ROC) analysis. RESULTS:: The total study population was 63; 14% patients had poor, 29% had intermediate, and 57% had good functional outcomes. The mean Non-Arthritic Hip Scores (NAHSs) for those with poor outcomes was 51, 76 in the intermediate group, and 95 in the good group ( p <0.001). PSA was significantly lower in those with good functional outcomes. ROC analysis demonstrated that a higher PSA was moderately predictive of a poor clinical outcome (area under the curve of 0.668). In both the poor and intermediate outcome groups, 50% of patients had a PSA of 40° or greater, whereas only 31% of those with good clinical outcomes had PSA of 40° or greater. CONCLUSIONS:: A significant proportion of post-SCFE patients have ongoing suboptimal hip function after pinning in situ. Those with a PSA more than 40° have a higher chance of a poor outcome.

text: Long-term hip function in slipped capital femoral epiphysis treated with in situ pinning. BACKGROUND:: In recent years, there has been a trend toward more aggressive management of slipped capital femoral epiphysis (SCFE) with acute anatomical realignment; however, the literature is unclear with regard to the indications for this. QUESTIONS/PURPOSES:: To collect long-term patient-reported outcome scores on a group of SCFE patients using modern hip scores. The second aim was to determine whether there is a threshold level of deformity beyond which patients have predictably poor outcomes following in situ pinning. PATIENTS AND METHODS:: Patients presenting with SCFE between 2000 and 2009 completed a survey consisting of three modern hip scores and were classified into poor, intermediate, and good outcome groups. The posterior slope angle (PSA) was used to measure slip deformity. We examined the relationship between patient characteristics and functional outcomes. The relationship between PSA score and overall outcome was examined using receiver operator curve (ROC) analysis. RESULTS:: The total study population was 63; 14% patients had poor, 29% had intermediate, and 57% had good functional outcomes. The mean Non-Arthritic Hip Scores (NAHSs) for those with poor outcomes was 51, 76 in the intermediate group, and 95 in the good group ( p <0.001). PSA was significantly lower in those with good functional outcomes. ROC analysis demonstrated that a higher PSA was moderately predictive of a poor clinical outcome (area under the curve of 0.668). In both the poor and intermediate outcome groups, 50% of patients had a PSA of 40° or greater, whereas only 31% of those with good clinical outcomes had PSA of 40° or greater. CONCLUSIONS:: A significant proportion of post-SCFE patients have ongoing suboptimal hip function after pinning in situ. Those with a PSA more than 40° have a higher chance of a poor outcome.

year: 2019

title: Kava and Maaori: New drug fashion or re-engagement with 'kawa'? [Invited presentation]

authors: Aporosa, S. 'Apo'

abstract: It is estimated there are more than 20,000 kava users in New Zealand on an average Friday or Saturday night, with increasing interest and uptake of this indigenous drink by Māori. This presentation argues that some of that increased use of kava by Māori can be interpreted as a cultural expression of pre-migration Hawaiki, rather than simply a new interaction with a foreign drug substance.

text: Kava and Maaori: New drug fashion or re-engagement with 'kawa'? [Invited presentation] It is estimated there are more than 20,000 kava users in New Zealand on an average Friday or Saturday night, with increasing interest and uptake of this indigenous drink by Māori. This presentation argues that some of that increased use of kava by Māori can be interpreted as a cultural expression of pre-migration Hawaiki, rather than simply a new interaction with a foreign drug substance.

year: 2016