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Weight gain and body fat redistribution are common side effects of many widely used drugs. We summarize recent literature on prevalence data and mechanisms associated with drug-induced body fat changes and mechanisms to prevent or treat metabolic side effects.
The highest prevalence of metabolic complications is seen with antipsychotics and antiretroviral drugs used in the treatment of HIV and may, at least partly, be responsible for the increased risk for co-morbid diseases such as diabetes, steatosis of the liver, and cardiovascular disease. The pathogenetic mechanisms leading to weight gain from antipsychotics are increasingly known and help to unravel the complex interaction that exists between psychopathology and metabolic complications. Although the classic lipodystrophy mainly occurred with older HIV drugs, also with the newer HIV treatment, weight gain seems to be a major side effect. Early detection of the metabolic consequences of drugs can lead to an early diagnosis of the complications and thetabolic consequences of drugs can lead to an early diagnosis of the complications and their treatment. Different medications, including the newer antidiabetics, are being studied in the therapy of drug-induced obesity. Future research should focus on identifying individuals at risk for metabolic side effects and on early markers to identify individuals with side effects so that timely treatment of metabolic complications can be initiated.Subjects viewed a brief flash of 8-24 dots of either two or three colors randomly arrayed. Their task was to move a mouse cursor to the centroid (center-of-gravity) of each color in a pre-designated order. Conventional and idea-detector analyses show that subjects accurately judged all three centroids utilizing an astounding 13/24 stimulus dots, with only a modest loss of accuracy compared to judging a single-predesignated color centroid. The ability to concurrently compute three centroids is important because it is believed that centroid judgments are made on salience maps that record only salience and are ignorant of the features that produced the salience. Our explanation, instantiated in a computational model of salience processing, is that subjects have three salience maps. Dots are initially segregated into three groups according to color, then each color-group is recorded on a different salience map to compute a centroid. In Part 2, the data are analyzed in terms of Attention Operating Characteristics at in a brief flash of dots of three different colors, randomly interleaved, subjects can compute all three centroids. As a single salience map cannot discriminate dots of different colors, accurately reporting three centroids demonstrates that subjects have not just one, as is commonly believed, but at least three salience maps.Illusions can induce striking differences between perception and retinal input. For instance, a static Gabor with a moving internal texture appears to be shifted in the direction of its internal motion, a shift that increases dramatically when the Gabor itself is also in motion. Here, we ask whether attention operates on the perceptual or physical location of this stimulus. Dubermatinib To do so, we generated an attentional tracking task where participants (N = 15) had to keep track of a single target among three Gabors that rotated around a common center in the periphery. During tracking, the illusion was used to make three Gabors appear either shifted away from or toward one another while maintaining the same physical separation. Because tracking performance depends in part on target to distractor spacing, if attention selects targets from perceived positions, performance should be better when the Gabors appear further apart and worse when they appear closer together. We find that tracking performance is superior with greater perceived separation, implying that attentional tracking operates over perceived rather than physical positions.
Recent literature has identified that the vestibular system is often involved following a sport-related concussion. Furthermore, the consequences of vestibular and ocular/oculomotor involvement have been explored and identified as potential predictors for prolonged recovery. Although vestibular and ocular/oculomotor involvement is common following head injury, the clinical assessment strategies for vestibular function are less commonly practiced in the sports medicine setting and have limited research. Therefore, despite the suspected link between vestibular consequences of concussion and prolonged recovery time, there is limited understanding on how these consequences affect outcomes following concussion and how to properly assess these functions.
The objectives of this scoping review were to (1) outline the current clinical assessment strategies for vestibular and ocular/oculomotor function in sports medicine to identify the best strategies for assessment, and (2) investigate the evidence regarding the influence of vestibular and ocular/oculomotor function on outcomes for patients with a sport-related concussion.
Two separate and independent reviews of the current literature were conducted to provide evidence for each specified objective. Studies for potential inclusion were identified through electronic database searches. Inclusion criteria for each objective were used to identify the most effective studies and inquiries to address the outlined objectives.
The identified and included studies provided evidence-based information regarding the current assessment strategies as well as outcomes following concussion.
Despite agreement among studies, there was limited evidence to support each aim, identifying a need for further exploration into these objectives.
Despite agreement among studies, there was limited evidence to support each aim, identifying a need for further exploration into these objectives.
Differences in the excitability of motor generating neural pathways are reported following anterior cruciate ligament reconstruction (ACLR) that is associated with quadriceps dysfunction and theorized to prevent the full recovery of muscle function.
The aims of this systematic review and meta-analysis were to compare quadriceps neural excitability between the involved ACLR limb, the uninvolved limb, and uninjured controls, and to determine at what time intervals these differences are present after surgery.
We conducted a search of PubMed, SPORTDiscus, Embase, and Web of Science, and extracted measures assessing difference of quadriceps spinal-reflexive, corticospinal, and intracortical excitability from studies that compared (1) involved limb to the uninvolved limb, (2) involved limb to a control limb, or (3) uninvolved limb to a control limb. We stratified time at 24months, since this represents a period of heightened risk for reinjury. A modified Downs and Black checklist and Egger's test were used to determine the methodological quality of individual studies and risk of bias between studies.
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