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PubMed1989

The effect of sugar cane chewing on the development of dental caries.

In Tanzania, the effect of sugar cane chewing on the development of caries was investigated. Two groups were selected; those who had easy access to sugar cane (sugar cane cutters) and those who did not (sisal plant workers). These groups had a similar socio-economic background, had similar levels of fluoride in drinking water, consumed similar amounts of refined sugar per day, but had a significant difference in number of pieces of sugar cane chewed per day. The caries prevalence in both groups was low compared with that in adult populations in Western countries. Sugar cane cutters had significantly higher mean DMT/S scores than sisal plant workers. Analysis of Variance revealed a weakly significant effect of sugar cane chewing on the caries scores (p = 0.02 from DMT and p = 0.05 for DMS). Results of the study suggest that sugar cane chewing in large quantities over a long period has a caries-promoting effect in populations with a low caries prevalence, and further, that sugar sales figures reported for such populations are of questionable reliability.

Adult↗
PubMed2004

Cane-assisted gait biomechanics and electromyography after total hip arthroplasty.

OBJECTIVE: To quantify the effects of cane use during walking on hip joint kinematics, kinetics, and muscle activity patterns after unilateral total hip arthroplasty (THA). DESIGN: Nonrandomized experimental design. SETTING: Urban inpatient hospital. PARTICIPANTS: Adults (n=9 men, 2 women) with no history of orthopedic or neuromuscular disease who underwent elective unilateral THA. INTERVENTION: Gait was assessed preoperatively and 4 and 8 months postoperatively. MAIN OUTCOME MEASURES: Three-dimensional hip joint motion and moments and electromyographic patterns of gluteus medius, tensor fascia latae, lateral hamstring, and vastus lateralis were measured during level walking, with and without use of a straight cane. RESULTS: When a cane was held in the contralateral hand, the abduction moment of the affected hip decreased by 26%, whereas that of the contralateral hip increased by 28%. Use of a cane in THA rehabilitation is important because it reduces the load on the operative hip so that bone and soft tissues can heal. Our results suggest that load reduction was successful on the operative side, but the loads on the contralateral side were increased. CONCLUSIONS: After unilateral arthroplasty, subjects using a cane had increased hip abduction moments on the nonoperative hip and decreased hip abduction moments on the operative hip. Clinicians should be mindful of the effects of cane use on the contralateral hip.

Arthroplasty, Replacement, Hip↗
PubMed2004

Can use of walkers or canes impede lateral compensatory stepping movements?

Although assistive devices, such as walkers and canes are often prescribed to aid in balance control, recent studies have suggested that such devices may actually increase risk of falling. In this study, we investigated one possible mechanism: the potential for walkers or canes to interfere with, or constrain, lateral movement of the feet and thereby impede execution of compensatory stepping reactions during lateral loss of balance. Lateral stepping reactions were evoked, in 10 healthy young adults (ages 22-27 years), by means of sudden unpredictable medio-lateral support surface translation. Subjects were tested while holding and loading a standard pickup walker or single-tip cane or while using no assistive device (hands free or holding an object). Results supported the hypothesis that using a walker or cane can interfere with compensatory stepping. Collisions between the swing-foot and mobility aid were remarkably frequent when using the walker (60% of stepping reactions) and also occurred in cane trials (11% of stepping reactions). Furthermore, such collisions were associated with a significant reduction (26-37%) in lateral step length. It appeared that subjects were sometimes able to avoid collision by increasing the forward or backward displacement of the swing-foot or by moving the cane; however, attempts to lift the walker out of the way occurred rarely and were usually impeded due to collision between the contralateral walker post and stance foot. The fact that compensatory stepping behavior was altered significantly in such a healthy cohort clearly demonstrates some of the safety limitations inherent to these assistive devices, as currently designed.

Accidental Falls↗
PubMed1998

Measurement of hand-transmitted vibration of tapping the long cane for visually handicapped people in Japan.

The long cane can be used as a mobility aid for visually handicapped people. According to a questionnaire completed by Japanese cane users, it seems they are not always satisfied with using long canes for a variety of reasons. In this study, hand-transmitted vibration from the long cane due to tapping the ground was measured because an exposure to repeated shock-type tapping vibration may affect the hand-arm system. A sighted female wearing a blindfold participated. The measurement was carried out in different conditions with three different ground materials both indoor and outdoors. The vibration at three axes of the cane grip and one axis at the wrist were measured. The pinch forces between an index finger and the grip were also measured using a strain gauge in order to observe how the vibration characteristics depend on the changing forces. Measurement, evaluation and assessment were based on the International Standard (ISO 5349). The estimated daily exposure time and the transmissibility were obtained in order to investigate the severity of the hand-transmitted vibration caused by the long cane. It was found that the characteristics of tapping vibration depend on different measurement conditions and the vibration might be associated with a health risk over a long life span.

Adult↗
PubMed1998

Gait and long cane kinematics: a comparison of sighted and visually impaired subjects.

Although visually impaired individuals have used the long cane to increase mobility for many years, few empirical studies have examined the effectiveness of this tool. The purposes of this research were to determine if these cane procedures provide adequate protection for visually impaired individuals and to compare sighted and visually impaired gait mechanics. Seven sighted (four females, three males) and five visually impaired subjects (two females, three males) were videotaped at 60 Hz by two cameras situated at opposite 45 degrees angles to the subjects' frontal plane so that three-dimensional coordinates could be calculated via direct linear transformation. One-way analyses of variance were calculated on 17 variables to determine if there was a significant biomechanical difference between sighted and visually impaired gait at an adjusted alpha = .003. The results showed that for both groups the cane tip touched outside where the foot landed and that the only variable significantly different between the two groups was resultant cane velocity. The major conclusion of this research was that present cane techniques may not provide adequate protection for visually impaired individuals since the purpose of mobility training is to have the person touch the ground with the cane tip at the foot contact positions.

Analysis of Variance↗
PubMed1999

An electromyographic study of the hip abductor muscles as subjects with a hip prosthesis walked with different methods of using a cane and carrying a load.

BACKGROUND AND PURPOSE: Certain methods of carrying handheld loads or using a cane can reduce the demands placed on the hip abductor (HA) muscles and the loads on the underlying prosthetic hip. In certain conditions, unusually large forces from the HA muscles may contribute to premature loosening of a prosthetic hip. The purpose of this study was to examine HA use by measuring the amplitude of the electromyographic (EMG) signal from the HA muscles as subjects carried a load and simultaneously used a cane. SUBJECTS: Twenty-four active subjects (mean age = 63.3 years, SD = 10.7, range = 40-86) with a unilateral prosthetic hip were tested. METHODS: The HA muscle surface EMG activity was analyzed as subjects carried loads weighing 5%, 10%, or 15% of body weight held by either their contralateral or ipsilateral arm relative to their prosthetic hip. They simultaneously used a cane with their free hand. RESULTS: The contralateral cane and ipsilateral load conditions produced HA muscle EMG activity that was approximately 40% less than the EMG activity produced while walking without carrying a load or using a cane. CONCLUSION AND DISCUSSION: People who are in danger of premature loosening of their prosthetic hip should, if possible, avoid carrying loads. If a load must be carried, however, then the contralateral cane and ipsilateral load condition appears to minimize the loads placed on the prosthetic hip due to HA muscle activity.

Adult↗
PubMed1977

Slipping cane and crutch tips. Part I--static performance of current devices.

A variety of commercially available cane and crutch tips were tested on surfaces of ice and soapy tile under varying axial (thrust) loads. The output measurement consisted of the angle between the vertical and the cane axis at which slip occurred. It was learned that: 1. From the viewpoint of a user, a minimal slip angle of roughly 25 deg is desirable. 2. On ice-rink ice, a number of cane tips approach the desired slip angle under conditions of low temperature; fewer appear safe at elevated air temperatures. Only one of the tested devices appears truly safe under any ice condition. 3. On rough tile flooded with soapy water, some cane tips offer adequate performance. However, no tested cane tip offers acceptable performance on slick tile flooded with soapy water. 4. There appears to be no simple relationship between the slip performance of a cane tip on ice-rink ice and that developed on soapy wet tiles. 5. No simple relationship between thrust load and slip angle emerged. Similarly, no simple relationship between contact area and slip appeared in the data.

Age Factors↗
PubMed2004

Induction of apoptosis in human leukemia cells by naturally fermented sugar cane vinegar (kibizu) of Amami Ohshima Island.

Naturally fermented vinegar such as Kibizu (sugar cane vinegar in Amami Ohshima, Japan), Kurozu (black rice vinegar in Kagoshima, Japan), Kouzu (black rice vinegar in China) and red wine vinegar in Italy had potent radical-scavenging activity analyzed by DPPH method. For the elucidation of food factor for cancer prevention contained in naturally fermented vinegar, the induction of apoptosis in human leukemia cell HL-60 was investigated with sugar cane vinegar Kibizu. Fraction eluted by 40% methanol from Amberlite XAD 2 chromatography of sugar cane vinegar showed potent radical scavenging activity. The fraction also showed the activity repressing growth of typical human leukemia cells such as HL-60, THP-1, Molt-4, U-937, Jurkat, Raji and K-562. On the other hand, the fraction did not have any growth inhibition activity against human fetal lung cell TIG-1. The most potent radical-scavenging activity and the growth repression activity of the leukemia cell were observed in the same chromatographic fraction of methanol 40%. From cell sorting FACS analyses, electron microscopic observations and cytochemical staining of chromatin and nuclear segments in human leukemia cell HL-60 treated with the active fraction, it was concluded that apoptosis was induced in the leukemia cell by the fraction of sugar cane vinegar and resulted in the repression of growth of the human leukemia cells. Chromatographic fraction of sugar cane juice eluted by 20% methanol showed potent activities of radical-scavenging and growth repression of HL-60. These results led us the consideration that active components in sugar cane juice could be converted to more lipophilic compounds with activity to induce apoptosis in HL-60 by microbial fermentation with yeast and acetic acid bacteria.

Acetic Acid↗
PubMed2004

Exposure to elevated carbon dioxide concentration in the dark lowers the respiration quotient of Vitis cane wood.

Cane cuttings of the grapevine rootstock Vitis rupestris Scheele x V. riparia Michx. cv. 3309 Couderc were brought out of endodormancy by warming at 30 degrees C. Cane pieces (12 to 13 cm long) with nodes containing a primary bud were placed in a gas exchange system and monitored for net respiratory fluxes of CO2 and O2. Grapevine respiration rates expressed on a wood volume basis were 1.4 to 3.4 mmol CO2 or O2 m-3s-1, which is higher than stem respiration rates reported for many other woody taxa but similar to rates measured for ecodormant buds of other Vitis species. Passive water loss from canes was 0.7 to 1.2 mmol H2O m-3s-1. During a 7-day period, nonstructural carbohydrate concentrations in cane wood declined only slightly, whereas sucrose was nearly completely consumed. When ambient CO2 concentration ([CO2]) was raised from 300 to 750 micro molmol-1 and then 2000 micromol mol-1, net CO2 exchange rates declined by 5.9 +/- 0.6 and then 11.0 +/- 0.6%, whereas net O2 consumption rates remained about constant. The mean respiration quotient (net CO2/O2 flux) for canes with intact ecodormant buds was 0.99 +/- 0.03 when the [CO2] was 300 micromol mol-1, and decreased to 0.87 +/- 0.03 and 0.088 +/- 0.02 when the [CO2] was increased to 750 and 2000 micromol mol-1, respectively. The results support the hypothesis that, in Vitis canes, inhibition of respiratory CO2 efflux in response to high [CO2] is an indirect consequence of non-photosynthetic carboxylation reactions, and not a result of inhibition of respiratory metabolism.

Carbon Dioxide↗
PubMed1999

Case-control study of lung cancer among sugar cane farmers in India.

OBJECTIVES: To investigate the risk of lung cancer among sugar cane farmers and sugar mill workers. METHODS: A case-control study was conducted based in six hospitals in the predominantly sugar cane farming districts of the province of Maharashtra in India. Newly diagnosed, histologically confirmed cases were identified from these hospitals between May 1996 and April 1998. Other cancers were chosen as controls and matched to cases by age, sex, district of residence, and timing of diagnosis. RESULTS: Adjusting for confounders, an increased risk of lung cancer was found for workers ever employed on a sugar cane farm (odds ratio (OR) 1.92, 95% confidence interval (95% CI) 1.08 to 3.40). Increased risks were found for work involving preparation of the farm (OR 1.81, 95% CI 0.99 to 3.27) and burning of the farm after harvesting (OR 1.82, 95% CI 0.99 to 3.34). Non-significant increases in risks were found for harvesting the crop (OR 1.41, 95% CI 0.70 to 2.90) and processing the cane in the mills (OR 1.70, 95% CI 0.20 to 12.60). CONCLUSIONS: Exposure to fibres of biogenic amorphous silica (BAS) formed from silica absorbed from the soil and deposited in the leaves of the sugar cane crop or crystalline silica formed as a result of conversion of BAS to cristobalite at high temperatures may account for the increased risks of lung cancer among sugar cane farmers.

Adult↗
PubMed2000

MS-CANE: a computer-aided instrument for neurological evaluation of patients with multiple sclerosis: enhanced reliability of expanded disability status scale (EDSS) assessment.

Kurtzke's EDSS remains the most widely-used measure for clinical evaluation of MS patients. However, several studies have demonstrated the limited reliability of this tool. We introduce a computerized instrument, MS-CANE (Multiple Sclerosis Computer-Aided Neurological Examination), for clinical evaluation and follow up of patients with multiple sclerosis (MS) and to compare its reliability to that of conventional Expanded Disability Status Scale (EDSS) assessment. We developed a computerized interactive instrument, based on the following principles: structured gathering of neurological findings, reduction of compound notions to their basic components, use of precise definitions, priority setting and automated calculations of EDSS and functional systems scores. An expert panel examined the consistency of MS-CANE with Kurtzke's specifications. To determine the effect of MS-CANE on the reliability of EDSS assessment, 56 MS patients underwent paired conventional EDSS and MS-CANE-based evaluations. The inter-observer agreement in both methods was determined and compared using the kappa statistic. The expert panel judged the tool to be compatible with the basic concepts of Kurtzke's EDSS. The use of MS-CANE increased the reliability of EDSS assessment: Kappa statistic was found to be 0.42 (i.e. moderate agreement) for conventional EDSS assessment versus 0.69 (i.e. substantial agreement) for MS-CANE (P=0.002). We conclude that the use of this tool may contribute towards a standardized and reliable assessment of EDSS. Within clinical trials, this could increase the power to detect effects, thus reducing trial duration and the cohort size required. Multiple Sclerosis (2000) 6 355 - 361

Algorithms↗
PubMed2000

Grape cane gallmaker (Coleoptera: Curculionidae) and its impact on cultivated grapes.

The grape cane gallmaker, Ampeloglypter sesostris (Leconte), is a native weevil that infests new shoots of wild and cultivated grapes (Vitis spp.). Females oviposit on the tender portions of new shoots, producing a reddish gall that can expand the shoot to twice its normal diameter. These galls can be quite numerous in eastern vineyards, and their effects are unknown. We studied the spatial distribution of grape cane gallmaker and its impact on berry size, sugar content, and nutrient and mineral uptake. We observed spatial trends in grape cane gallmaker distribution in vineyards adjacent to woodland margins, with the trend emanating from the woodline. In vineyards without woodland margins, there was little spatial dependency in grape cane gallmaker distribution in individual years. However, grape cane gallmaker density on a single vine was spatially cross-correlated between 2 yr. The presence of galls did not significantly affect berry quality, or the uptake of nutrients and minerals, and we conclude that grape cane gallmaker does not negatively impact berry quality or mature vine vigor.

Animals↗
PubMed1981

Effects of Okinawan sugar cane rind on serum and liver cholesterol and triglyceride levels in the rat.

Okinawan sugar cane rind was fed to Wistar strain rats to examine its effects on the serum and liver cholesterol (Chol) and triglyceride (TG). At the same time, the effects of sugar cane rind on the fecal excretion of neutral sterols of the rats were examined. There were no significant differences found in the food intakes and the liver weight between the rats fed with sugar cane rind and other groups. The addition of 1% Chol to the diet caused a significant increase in body weight gain but the supplementation of sugar cane rind (2%) showed an effect on weight control of rats. The serum Chol and TG levels of the rats given sugar cane rind were lowered significantly. However, the lipid levels in the liver were almost the same when compared with the control groups. The amount of feces excreted by the rats fed with sugar cane rind was about 37% more than that of the control group, and the fecal excretion of neutral sterols was significantly higher.

Animals↗
PubMed1976

Physiological performance and work capacity of Sudanese cane cutters with Schistosoma mansoni infection.

Physiological tests of work performance and measurement of field productivity were made in 194 Sudanese cane cutters in order to study the effect of Schistosoma mansoni infection. The cane cutters were selected from two age ranges (16-24 and 25-45 years) and subdivided into three clinical groups: not infected, infected with, and infected without clinical signs of hepatosplenomegaly. Men infected with Schistosoma haemotobium, malaria (blood film), or with hemoglobin levels less than 10 g/100 ml were excluded. There was a statistically significant (P less than 0.002) higher mean hemoglobin concentration in those not infected but the mean difference was less than 1 g/100 ml. Submaximal responses to exercise on a stationary bicycle ergometer, oxygen intake, ventilation, tidal volume, cardiac frequency and estimated maximal aerobic power output calculated both in absolute terms and relative to lean body mass and leg volume were similar in the six groups of cane cutters. No significant differences were found in physique, body composition or in thermoregulatory function tests. The cane cutters were found to have little natural acclimatization to heat in terms of sweating capacity when compared with a group of fully acclimatized Sudanese soldiers. The mean productivity (mean daily weight of cane cut per man) was significantly correlated with the individual's estimated maximum aerobic capacity determined in the laboratory, but not with the degree of S. mansoni infection. The noninfected group was less "efficient" (mean productivity:oxygen intake) during cutting than the infected groups but a larger proportion of the noninfected were in their first season of cutting. There was a positive correlation between the number of seasons' cutting experience and the individual's age, degree of infection and mean productivity. Cane cutters studied in this investigation were a relatively fit, active population from whom the more seriously ill were excluded. These results do not, therefore necessarily reflect the effects of S. mansoni on physiological work capacity and productivity of more static populations in areas of high endemicity.

Adolescent↗
PubMedDate not supplied

Detection of added beet or cane sugar in maple syrup by the site-specific deuterium nuclear magnetic resonance (SNIF-NMR) method: collaborative study.

Results of a collaborative study are reported for the detection of added beet or cane sugar in maple syrup by the site-specific natural isotope fractionation-nuclear magnetic resonance (SNIF-NMR) method. The method is based on the fact that the deuterium content at specific positions of the sugar molecules is different in maple syrup from that in beet or cane sugar. The syrup is diluted with pure water and fermented; the alcohol is distilled with a quantitative yield and analyzed with a high-field NMR spectrometer fitted with a deuterium probe and fluorine lock. The proportion of ethanol molecules monodeuterated at the methyl site is recorded. This parameter (D/H)I is decreased when beet sugar is added and increased when cane sugar is added to the maple syrup. The precision of the method for measuring (D/H)I was found to be in good agreement with the values already published for the application of this method to fruit juice concentrates (AOAC Official Method 995.17). An excellent correlation was found between the percentage of added beet sugar and the (D/H)I isotopic ratio measured in this collaborative study. Consequently, all samples in which exogenous sugars were added were found to have a (D/H)I isotopic ratio significantly different from the normal value for an authentic maple syrup. By extension of what is known about plants having the C4 cycle, the method can be applied to corn sweeteners as well as to cane sugar. One limitation of the method is its reduced sensitivity when applied to specific blends of beet and cane sugars or corn sweeteners. In such case, the C13 ratio measurement (see AOAC Official Method 984.23, Corn Syrup and Cane Sugar in Maple Syrup) may be used in conjunction.

Algorithms↗
PubMed2001

Postural sway during cane use by patients with stroke.

OBJECTIVE: To quantitatively evaluate the effects of body support with a cane on postural sway by measuring gravity-center sway of patients with stroke who reside at home. DESIGN: The subjects were 41 patients with stroke and 36 healthy independent elderly people. Each subject stood in the standard Romberg position on a gravicorder under two conditions: without support and with a cane. RESULTS: In both groups, the largest area of gravity-center sway occurred when the subjects stood without support. The area of gravity-center sway of the patients with stroke was significantly greater than that of the healthy independent elderly. In the patients with stroke group, the percentage decrease in the standing position with the cane was 58.0% in the men and 53.9% in the women, as opposed to 67.7% in the men and 67.8% in the women in the group of healthy independent elderly. CONCLUSION: The authors quantitatively evaluated the effects of body support with a cane on postural sway of patients with stroke. The effect of body support with cane on postural sway of patients with stroke was more effective than that of healthy independent elderly.

Aged↗
PubMedDate not supplied

Development and evaluation of the cane use cognitive mediator instrument.

BACKGROUND: Canes are among the most underutilized assistive devices for older persons. A significant obstacle to understanding cane use behaviors of older adults is the lack of instruments measuring factors that may influence seniors' decisions to accept or reject these devices. OBJECTIVES: Guided by the Theory of Planned Behavior, this study involved the development and evaluation of an instrument to measure cognitive determinants of cane use among community-living older adults. METHOD: The two-phase design involved: a) instrument formation including item generation from four focus group interviews with seniors (n = 30), expert panel evaluation (n = 10), and pilot testing (n = 10); and b) instrument validation in a cross sectional survey (n = 106). RESULTS: Psychometric analyses of survey data provided empirical evidence of the construct validity and reliability of the instrument. Principal components analysis verified the hypothesized four-factor solution, explaining 63.2% of variance. Independent t-tests yielded statistically significant differences (p < 0.001) in mean scores between the two contrasting groups of cane users (n = 51) and nonusers (n = 55) with respect to each of the four factors identified. Alpha coefficients of 0.81 to 0.96 indicated high internal consistency of the instrument. CONCLUSIONS: The instrument can be used by clinicians and researchers to assess seniors' salient beliefs about the consequences of cane use, guide tailored intervention strategies to promote acceptance and effective use, and evaluate the effectiveness of interventions.

Aged↗
PubMedDate not supplied

When a cane was the necessary complement of a physician.

Although Dr John Radcliffe's gold-headed cane, presented to the Royal College of Physicians in 1825, became well-known following the publication two years later of Dr William Macmichael's book, The gold-headed cane, little consideration has previously been given either to medical canes, or to the custom of cane-carrying by doctors in the 18th century. This article makes a brief assessment of medical canes within the social and historical framework of the period, and views Macmichael's book in its literary context, with mention of other relevant examples of books in this genre.

Canes↗