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K T Thomas

Publications and source records attributed to K T Thomas.

11 recordsLinked to original sources

Developmental features of rapid aiming arm movements across the lifespan.

Using a lifespan approach, the authors investigated developmental features of the control of ballistic aiming arm movements by manipulating movement complexity, response uncertainty, and the use of precues. Four different age groups of participants (6- and 9-year-old boys and girls and 24- and 73-year-old men and women, 20 participants in each age group) performed 7 types of rapid aiming arm movements on the surface of a digitizer. Their movement characteristics such as movement velocity, normalized jerk, relative timing, movement linearity, and intersegment intervals were profiled. Analyses of variance with repeated measures were conducted on age and task effects in varying movement complexity (Study 1), response uncertainty (Study 2), and precue use (Study 3) conditions. Young children and senior adults had slower, more variant, less smooth, and less linear arm movements than older children and young adults. Increasing the number of movement segments resulted in slower and more variant responses. Movement accuracy demands or response uncertainty interacted with age so that the 6- and 74-year-old participants had poorer performances but responded similarly to the varying treatments. Even though older children and young adults had better performances than young children and senior adults, their arm movement performance declined when response uncertainty increased. The analyses suggested that young children's and senior adults' performances are poorer because less of their movement is under central control, and they therefore use on-line adjustments. In addition, older children and young adults use a valid precue more effectively to prepare for subsequent movements than do young children and senior adults, suggesting that older children and young adults are more capable of organizing motor responses than are young children and senior adults.

Adolescent↗

Periodic fever syndrome in children.

OBJECTIVES: To describe the presentation, clinical course, therapeutic response, and long-term follow-up of patients with a syndrome of periodic fever, aphthous stomatitis, pharyngitis, and cervical adenitis (PFAPA). STUDY DESIGN: Patients with PFAPA (n = 94) referred over a 10-year period completed a registry form and provided medical records. Follow-up telephone calls were made in late 1997 to determine the persistence of episodes and sequelae. RESULTS: PFAPA episodes lasted 4.8 days (95% confidence interval 4.5 to 5.1) and recurred every 28 days (confidence interval 26 to 30), with a maximal temperature of 40.5 degrees C (confidence interval 40. 4 degrees to 40.6 degrees ). Of the 83 children available for follow-up, 34 no longer had episodes. In the remainder the episodes did not differ in character but recurred less frequently over time. The affected children had no long-term sequelae. Glucocorticoids were highly effective in controlling symptoms. Tonsillectomy and cimetidine treatment were associated with remission in a small number of patients. CONCLUSIONS: PFAPA is a not uncommon cause of periodic fever in children. In some children the syndrome resolves, whereas symptoms in others persist. Long-term sequelae do not develop. The syndrome is easily diagnosed when regularly recurring episodes of fever are associated with aphthous stomatitis, pharyngitis, or cervical adenitis.

Age of Onset↗

A generalized rank-order method for nonparametric analysis of data from exercise science: a tutorial.

Frequent violations of the assumption that data are normally distributed occur in exercise science and other life and behavioral sciences. When this assumption is violated, parametric statistical analyses may be inappropriate for data analysis. We provide a rationale for using a generalized form of nonparametric analyses based on the Puri and Sen (1985) L treated as a chi 2 approximation. If data do not meet the assumption of normality, this nonparametric approach has substantial power and is easy to use. An advantage of this generalized technique is that ranked data may be used in standard parametric statistical programs widely available on desktop and mainframe computers, for example, regression, analysis of variance (ANOVA), multivariate analysis of variance (MANOVA) within BioMed, SAS, SPSS. Once the data are ranked and analyzed with these programs, the only adjustment required is to use a standard formula to calculate the nonparametric test statistic, L, instead of the parametric test statistic (e.g., F). Thus, rank-order nonparametric models become parallel with their parametric counterparts allowing the researcher to select between them based on characteristics of the data distribution. Examples of this approach are provided using data from exercise science for regression, ANOVA (including repeated measures) and MANOVA techniques from SPSSPC. Using these procedures, researchers can easily examine data distributions and make an appropriate decision about parametric or nonparametric analyses while continuing to use their regular statistical packages.

Analysis of Variance↗

Ethnic and age trends for body composition in women residing in the U.S. Southwest: I. Regional fat.

The study described regional fat distribution and anthropometric variables in an ethnically diverse sample of women (N = 143) who were between 20 and 30 (premenopausal) or 40 and 50 (perimenopausal) yr of age and of normal weight for height. Measurements included 11 skinfolds (abdomen, biceps, calf, forearm, midaxillary, pectoral, subscapular, suprailiac, suprapatellar, thigh, and triceps), waist and hip circumferences, height and mass. Regional fat distribution for African American, Mexican American, and Caucasian women was described as gluteal femoral. African American women had the smallest waist-to-hip ratio, with larger absolute measures for both the waist and gluteal C than the Caucasians or Mexican Americans. Native American women had an abdominal fat distribution pattern which was explained by more fat on the abdomen rather than less fat on the gluteal-femoral area. Native Americans had a different fat distribution from the other ethnic groups. Caucasians are not a good comparison group for African Americans or Native Americans because there are large differences as indicated by effect sizes in regional fat distribution. Variation within the ethnic groups was larger than differences between the groups for most variables. The distribution within ethnic groups was biased by extreme scores; thus 50-70% of the subjects were similar regardless of ethnic group.

Adipose Tissue↗

Ethnic and age trends for body composition in women residing in the U.S. Southwest: II. Total fat.

This study assessed body density (BD) in an ethnically diverse sample of women (African American, Caucasian, Mexican American and Native American) (N = 139) who were between 20 and 30 or 40 and 50 yr of age and of normal weight for their height. BD was assessed using three methods: hydrostatically determined density (UWW), total body potassium (TBK) and the Jackson et al. (1980) sum of seven SF with gluteal circumference (SF). Ethnic differences in BD were detected by TBK and UWW. BD from SF did not detect ethnic differences, and the SEE was unacceptable. Based on multiple regression, the prediction equation was: BD = 1.1197794 - 0.000224382 (X3) + 0.006999 (e2) - 0.000320177 (X2) - 0.001892 (e1) + 0.001750 (e3) - 0.000537005 (x1) (where x1 = gluteal C, x2 = age in years, x3 = sum of 7 SF and e1, e2, and e3 describe ethnicity). This formula had a reduced SEE, a higher correlation with hydrostatically determined BD, and was sensitive to ethnic differences detected with other measures of BD. A 24-mmol decrease in potassium was found when comparing the older Caucasian women with the younger Caucasian women, while the difference for the African, Mexican, and Native American groups was 200-300 mmol.

Adipose Tissue↗

Assessment of overweight and obese patients.

The increasing prevalence of overweight and obesity in the United States has significant impact on the assessment, diagnosis, and treatment skill requirements of clinicians. There are a number of parameters that are used in the appropriate assessment of overweight and obesity. These include knowledge of basic body composition, measurement techniques for the assessment of total and regional body fat, and awareness of cultural influences on overweight and obesity. The focus of this article is to define overweight and obesity and delineate appropriate assessment parameters for those conditions.

Anthropometry↗

Variables related to obesity and body fat: avenues to change.

Obesity and overweight constitute major health concerns in this country today. This article provides a description of the terms overweight and obese, variables contributing to diet and exercise adherence, and practice implications for nurse practitioners.

Diet, Reducing↗

Measurement of body fat and fat distribution.

Overweight and obesity are increasing in prevalent and thus an important area for intervention and investigation. Researchers and clinicians have a variety of measurement techniques to assess body fatness and regional fat. These techniques are chosen for their accuracy and precision in light of their cost, convenience, and safety. This article introduces techniques for the measurement of body fatness and regional fat, their advantages and disadvantages and accuracy. Recommended measurement techniques for investigators and clinicians are provided.

Absorptiometry, Photon↗