Comparison of gait between walking up and down an incline with a walking device in older adults.

To identify the gait differences between cane and rolling walker (RW) use on incline and how these walking devices were received and used, 26 qualified older adults walked randomly on downward and upward with a cane and a RW respectively. With the RW use, downward walking show a faster velocity, higher cadence, less stance time, bigger steps and strides than upward walking (p≤.05); but no differences were seen with cane use. When comparing walking between a RW and a cane, those using a cane had faster velocity, larger step and stride lengths (P≤.01) but only during the upward condition. Incline surface plays a critical role in gait differences when walking with walking device. Geriatric professionals need to know the changes in gait that result from the type of device being used and need to incorporate this knowledge in the education provided to older adults for proper use of a walking device.

Energetic Glaucoma Segmentation and Classification Strategies Using Depth Optimized Machine Learning Strategies.

Glaucoma is a major threatening cause, in which it affects the optical nerve to lead to a permanent blindness to individuals. The major causes of Glaucoma are high pressure to eyes, family history, irregular sleeping habits, and so on. These kinds of causes lead to Glaucoma easily, and the effect of such disease leads to heavy damage to the internal optic nervous system and the affected person will get permanent blindness within few months. The major problem with this disease is that it is incurable; however, the affection stages can be reduced and the same level of effect as that for the long period can be maintained but this is possible only in the earlier stages of identification. This Glaucoma causes structural effect to the eye ball and it is complex to estimate the cause during regular diagnosis. In medical terms, the Cup to Disc Ratio (CDR) is minimized to the Glaucoma patients suddenly and leads to harmful damage to one's eye in severe manner. The general way to identify the Glaucoma is to take Optical Coherence Tomography (OCT) test, in which it captures the uncovered portion of eye ball (backside) and it is an efficient way to visualize diverse portions of eyes with optical nerve visibility shown clearly. The OCT images are mainly used to identify the diseases like Glaucoma with proper and robust accuracy levels. In this work, a new methodology is introduced to identify the Glaucoma in earlier stages, called Depth Optimized Machine Learning Strategy (DOMLS), in which it adapts the new optimization logic called Modified K-Means Optimization Logic (MkMOL) to provide best accuracy in results, and the proposed approach assures the accuracy level of more than 96.2% with least error rate of 0.002%. This paper focuses on the identification of early stage of Glaucoma and provides an efficient solution to people in case of effect by such disease using OCT images. The exact position pointed out is handled by using Region of Interest- (ROI-) based optical region selection, in which it is easy to point the optical cup (OC) and optical disc (OD). The proposed algorithm of DOMLS proves the accuracy levels in estimation of Glaucoma and the practical proofs are shown in the Result and Discussions section in a clear manner.