Case Report: Design of a University of the District of Columbia (UDC) intrepid dynamic exoskeletal orthosis.

Intrepid Dynamic Exoskeletal Orthosis (IDEO), developed in Walter Reed National Military Medical Center (WRNMMC), is a custom, energy-storing orthosis made of carbon fiber. It is designed to improve mobility of individuals who have ankle dorsi and plantar flexor weakness. The development of IDEO follows a traditional workflow which is time consuming and costly.

Evaluating New Graduate Nurse Readiness for Practice: Implications for Nursing Education.

Background: New graduate nurses (NGNs) often feel unprepared to enter the nursing workforce. Nurse educators can collaborate with clinical partners to identify gaps in practice readiness to meet the current needs of novice nurses and improve their preparation for practice.

Purpose: To evaluate perceived practice readiness among NGNs on hire and to identify areas for potential improvement in the nursing curriculum.

Investigating the Effects of Virtual Reality-Based Training on Balance Ability and Balance Confidence in Older Individuals.

Each year, over 25% of adults aged sixty-five years old or older suffer a fall, and three million are treated for fall-related injuries due to lack of balance. Here, we aimed to investigate how virtual reality (VR)-based training affects balance performance and confidence in older adults. To accomplish this goal, we studied 21 healthy, older individuals between 60 and 85 years old, both pre- and post-training (6 weeks of training, twice per week (or 12 sessions)).

Exploring Virtual Reality-Based Training's Effects on Balance Ability and Balance Confidence in Older Adults.

The purpose of our study was to investigate virtual reality (VR)-based and traditional balance training methods' effects on balance confidence and balance ability. Falls and imbalance are a major concern for the rapidly growing population of older adults. Thus, there is a need to seek out alternatives to traditional balance programs, particularly ones that can be translated to one's home environment.

Verbal Deescalation Training: An Initiative to Increase Confidence in the Newly Graduated Nurse.

Verbal deescalation training is lacking in nurse residency programs. This results in inability to mediate violent events, increased staff injury, and decreased job satisfaction. Training in verbal deescalation promotes confidence, satisfaction, and safety.

Investigating Biomechanical Postural Control Strategies in Healthy Aging Adults and Survivors of Stroke.

As the aging populations, both nationwide and worldwide, rapidly increase, falls leading to unintentional injury and death subsequently increase. Thus, developing an understanding of biomechanical postural control strategies used to maintain balance in aging healthy adults, and those that have suffered stroke, are critical. Here, we were interested in how one's body segments stabilize relative to one another, and in space, in order to maintain balance.

Motion Analysis of Balance Pre and Post Sensorimotor Exercises to Enhance Elderly Mobility: A Case Study.

Quantitative assessment of movement using motion capture provides insights on mobility which are not evident from clinical evaluation. Here, in older individuals that were healthy or had suffered a stroke, we aimed to investigate their balance in terms of changes in body kinematics and muscle activity. Our research question involved determining the effects on post- compared to pre-sensorimotor training exercises on maintaining or improving balance.

Multidirectional Overground Robotic Training Leads to Improvements in Balance in Older Adults.

For the rapidly growing aging demographic worldwide, robotic training methods could be impactful towards improving balance critical for everyday life. Here, we investigated the hypothesis that non-bodyweight supportive (nBWS) overground robotic balance training would lead to improvements in balance performance and balance confidence in older adults. Sixteen healthy older participants (69.

Investigating Relationships between Balance Confidence and Balance Ability in Older Adults.

Increasing balance confidence in older individuals is important towards improving their quality of life and reducing activity avoidance. Here, we investigated if balance confidence (perceived ability) and balance performance (ability) in older adults were related to one another and would improve after balance training. The relationship of balance confidence in conjunction with balance performance for varied conditions (such as limiting vision, modifying somatosensory cues, and also base of support) was explored.

A Robust Context-Based Deep Learning Approach for Highly Imbalanced Hyperspectral Classification.

Hyperspectral imaging is an area of active research with many applications in remote sensing, mineral exploration, and environmental monitoring. Deep learning and, in particular, convolution-based approaches are the current state-of-the-art classification models. However, in the presence of noisy hyperspectral datasets, these deep convolutional neural networks underperform.

Young Women Exposed Actively to the Value of Biomedical Engineering.

To bridge the gap between the biological sciences (typically female-dominated) and engineering (typically male-dominated), biomedical engineering (BME) activities could potentially be used as a vehicle to alter female students' perception of engineering as a whole. Female's pursuit of STEM (Science, Technology, Engineering and Math) degrees is typically confined to the biological sciences and females earn a high proportion of degrees in nursing, psychology and the social sciences, yet male presence persists in physical sciences and engineering. Female's participation in engineering remains much lower than men at all degree levels.

Sensory integration training improves balance in older individuals.

With the massive growth of the aging population worldwide, of utmost importance is reducing falls. Critical to reducing fall risk is one's ability to weight incoming sensory information towards maintaining balance. The purpose of this research was to investigate if simple, targeted sensory training on aging individuals (50 - 80 years old), including twelve healthy and eight individuals with chronic stroke, could improve their balance.

A machine learning approach to epileptic seizure prediction using Electroencephalogram (EEG) Signal.

This study investigates the properties of the brain electrical activity from different recording regions and physiological states for seizure detection. Neurophysiologists will find the work useful in the timely and accurate detection of epileptic seizures of their patients. We explored the best way to detect meaningful patterns from an epileptic Electroencephalogram (EEG).

Balance Performance as Observed by Center-of-Pressure Parameter Characteristics in Male Soccer Athletes and Non-Athletes.

Static balance has a relevant influence on athletic performance as well as on reducing the risk of injury. The main goal of this study was to assess soccer athlete versus non-athlete balance performance via displacement and velocity parameters extracted from the center-of-pressure (COP) position time series. In order to accomplish our goal, we investigated standing balance in two male groups with unimpaired balance: non-athletes ( = 12) and collegiate varsity soccer athletes ( = 12).

An Engineering Model to Test for Sensory Reweighting: Nonhuman Primates Serve as a Model for Human Postural Control and Vestibular Dysfunction.

Quantitative animal models are critically needed to provide proof of concept for the investigation of rehabilitative balance therapies (e.g., invasive vestibular prostheses) and treatment response prior to, or in conjunction with, human clinical trials.

A Patient-Centered Emergency Department Management Strategy for Sickle-Cell Disease Super-Utilizers.

Introduction: A subpopulation of sickle-cell disease patients, termed super-utilizers, presents frequently to emergency departments (EDs) for vaso-occlusive events and may consume disproportionate resources without broader health benefit. To address the healthcare needs of this vulnerable patient population, we piloted a multidisciplinary intervention seeking to create and use individualized patient care plans that alter utilization through coordinated care. Our goals were to assess feasibility primarily, and to assess resource use secondarily.

Postural compensation strategy depends on the severity of vestibular damage.

The purpose of this study was to investigate the effects of various levels of vestibular function on balance in two, free-standing rhesus monkeys. We hypothesized that postural control strategy depended on the severity of vestibular damage. More specifically, that increased muscle stiffness (via short-latency mechanisms) was adequate to compensate for mild damage, but long-latency mechanisms must be utilized for more severe vestibular damage.

Vestibular ablation and a semicircular canal prosthesis affect postural stability during head turns.

In our study, we examined postural stability during head turns for two rhesus monkeys: one animal study contrasted normal and mild bilateral vestibular ablation and a second animal study contrasted severe bilateral vestibular ablation with and without prosthetic stimulation. The monkeys freely stood, unrestrained on a balance platform and made voluntary head turns between visual targets. To quantify each animals' posture, motions of the head and trunk, as well as torque about the body's center of mass, were measured.

The Declining Incidence of Legg-Calve-Perthes' Disease in Northern Ireland: An Epidemiological Study.

Background: Legg-Calve-Perthes' disease (LCPD) is an idiopathic disease of the femoral head affecting the pediatric population. The causative factors remains poorly understood and it is associated with significant hip pathology in adult life. Research has demonstrated wide geographical variation in the incidence rates of LCPD with a relatively high incidence occurring in Northern Ireland (NI) shown in a previous study of incidence from the same unit.

Building a more diverse biomedical engineering workforce: Biomedical engineering at the university of the district of Columbia, a historically black college & university.

Biomedical Engineering (BME) is a new, multidisciplinary, and rapidly growing field, however, the BME Workforce suffers from limited ethnic and gender diversity. Despite the demand and growth of this new field due to its public health importance, only 4 out of the 107 Historically Black Colleges and Universities (HBCUs) nationwide offers a Bachelor's of Science (B.S.

The Promise of Intravaginal Rings for Prevention: User Perceptions of Biomechanical Properties and Implications for Prevention Product Development.

Intravaginal rings (IVRs) are currently under investigation as devices for the delivery of agents to protect against the sexual transmission of HIV and STIs, as well as pregnancy. To assist product developers in creating highly acceptable rings, we sought to identify characteristics that intravaginal ring users consider when making decisions about ring use or non-use. We conducted four semi-structured focus groups with 21 women (aged 18-45) who reported using an IVR in the past 12 months.

"Set it and forget it": women's perceptions and opinions of long-acting topical vaginal gels.

Women's initial understandings and anticipated acceptability of long-acting vaginal gels as potential anti-HIV microbicides was investigated by exploring the perceptibility variables associated with prototype formulations. Four focus groups with 29 women, aged 18-45, were conducted to consider gel prototypes with varied physicochemical and rheological properties. Participants responded favorably to the concept of long-acting vaginal gels as microbicides.

Responses evoked by a vestibular implant providing chronic stimulation.

Patients with bilateral vestibular loss experience dehabilitating visual, perceptual, and postural difficulties, and an implantable vestibular prosthesis that could improve these symptoms would be of great benefit to these patients. In previous work, we have shown that a one-dimensional, unilateral canal prosthesis can improve the vestibulooccular reflex (VOR) in canal-plugged squirrel monkeys. In addition to the VOR, the potential effects of a vestibular prosthesis on more complex, highly integrative behaviors, such as the perception of head orientation and posture have remained unclear.

Vestibular prosthesis tested in rhesus monkeys.

We are studying the effectiveness of a semicircular canal prosthesis to improve postural control, perception of spatial orientation, and the VOR in rhesus monkeys with bilateral vestibular hypofunction. Balance is examined by measuring spontaneous sway of the body during quiet stance and postural responses evoked by head turns and rotation of the support surface; perception is measured with a task derived from the subjective visual vertical (SVV) test during static and dynamic rotation in the roll plane; and the angular VOR is measured during rotation about the roll, pitch, and yaw axes. After the normal responses are characterized, bilateral vestibular loss is induced with intratympanic gentamicin, and then multisite stimulating electrodes are chronically implanted into the ampullae of all three canals in one ear.