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PubMed2004

Burden of infection among heads and non-head of rural households in Rakai, Uganda.

The objective was to determine HIV prevalence, symptomatology and mortality among adult heads and non-heads of households, in order to assess the burden of HIV on households. It was a community study of 11,536 adults aged 15-59, residing in 4,962 households in 56 villages, Rakai district, Uganda. First, 4,962 heads and 6,574 non-heads of households were identified from censuses. Interviews were then used to determine socio-demographic/behavioural characteristics. HIV seroprevalence was diagnosed by two EIAs with Western blot confirmation. The adjusted odds ratio (OR) and 95% confidence intervals (CI) of HIV infection in household heads and non-heads were estimated by multivariate logistic regression. Age-adjusted mortality was also assessed. HIV prevalence was 16.9% in the population, and 21.5% of households had at least one HIV-infected person (<0.0001). HIV prevalence was higher among heads than non-heads of households (21.5 and 13.3%, respectively, OR=1.79; CI 1.62-1.97). Most household heads were males (70.5%), and HIV prevalence was 17.8% among male heads compared with 6.6% in male non-heads of households (OR=2.31; CI 1.65-2.52). Women heading households were predominantly widowed, separated or divorced (64.4%). HIV prevalence was 30.5% among female heads, compared with 15.6% in female non-household heads (OR=1.42; CI 1.15-1.63). Age-adjusted mortality was significantly lower among male household heads than non-heads, both for the HIV-positive (RR=0.68) and HIV-negative men (RR=0.63). Among women, HIV-negative female household heads had significantly higher mortality than HIV-uninfected female non-heads (RR=1.72). HIV disproportionately affects heads of households, particularly males. Mortality due to AIDS is likely to increase the proportion of female-headed households, and adversely affect the welfare of domestic units.

Adolescent↗
PubMed2001

Heading and head injuries in soccer.

In the world of sports, soccer is unique because of the purposeful use of the unprotected head for controlling and advancing the ball. This skill obviously places the player at risk of head injury and the game does carry some risk. Head injury can be a result of contact of the head with another head (or other body parts), ground, goal post, other unknown objects or even the ball. Such impacts can lead to contusions, fractures, eye injuries, concussions or even, in rare cases, death. Coaches, players, parents and physicians are rightly concerned about the risk of head injury in soccer. Current research shows that selected soccer players have some degree of cognitive dysfunction. It is important to determine the reasons behind such deficits. Purposeful heading has been blamed, but a closer look at the studies that focus on heading has revealed methodological concerns that question the validity of blaming purposeful heading of the ball. The player's history and age (did they play when the ball was leather and could absorb significant amounts of water), alcohol intake, drug intake, learning disabilities, concussion definition and control group use/composition are all factors that cloud the ability to blame purposeful heading. What does seem clear is that a player's history of concussive episodes is a more likely explanation for cognitive deficits. While it is likely that the subconcussive impact of purposeful heading is a doubtful factor in the noted deficits, it is unknown whether multiple subconcussive impacts might have some lingering effects. In addition, it is unknown whether the noted deficits have any affect on daily life. Proper instruction in the technique is critical because if the ball contacts an unprepared head (as in accidental head-ball contacts), the potential for serious injury is possible. To further our understanding of the relationship of heading, head injury and cognitive deficits, we need to: learn more about the actual impact of a ball on the head, verify the exposure to heading at all ages and competitive levels, determine stable estimates of concussive injury rates across the soccer spectrum, conduct prospective longitudinal studies on soccer players focusing on exposure, injury and cognition, and determine the minimum safe age to begin instruction on the skill of heading. Only then will we be able to speak with some authority on the issue of heading and head injuries in soccer.

Biomechanical Phenomena↗
PubMedDate not supplied

Effects of vestibular loss on head stabilization in response to head and body perturbations.

Control of head position during postural responses is important to facilitate both the interpretation of vestibular signals and the stabilization of gaze. In these experiments, we compared head stabilization for two different postural tasks: 1) in response to perturbations at the head, and 2) in response to perturbations induced at the support surface, which perturb both body and head position. To determine whether normal vestibular function is necessary for head stabilization in these two tasks, responses to forward and backward mechanical perturbations of the head and body were compared for 13 normal subjects and 4 patients with profound bilateral vestibular loss (two with vestibular loss in adulthood and two in infancy). Normal subjects showed little neck muscle activity for body perturbations, but large, early activations in both neck extensors and flexors for head perturbations. In contrast, vestibular patients showed excessive neck muscle activation for body perturbations and reduced or absent neck muscle activity for head perturbations. Patients with vestibular loss in adulthood also showed increased head acceleration in response to both head and body perturbations, but patients with vestibular loss in infancy showed more normal head accelerations. For body perturbations, the differences in head acceleration between patients and normals were greater for later head acceleration peaks, indicating poor head control during the execution of the postural response. Trunk angle changes were also higher in the patients for forward body perturbations, indicating that poorer control of trunk position could have contributed to their poorer head stabilization. These results indicate that the vestibular system plays an important role in head and trunk stabilization for both head and body perturbations. However, the more normal head accelerations of the patients with infant vestibular loss also indicate that other mechanisms, possibly involving neck reflexes, can at least partially substitute for the vestibular system to provide head and trunk stabilization.

Adolescent↗
PubMed2002

Radiosurgery for residual or recurrent nonfunctioning pituitary adenoma.

OBJECT: Nonfunctioning pituitary adenomas comprise approximately 30% of all pituitary tumors. The purpose of this retrospective study is to evaluate the efficacy and role of gamma knife radiosurgery (GKS) in the management of residual or recurrent nonfunctioning pituitary adenomas. METHODS: A review was conducted of the data obtained in 42 patients who underwent adjuvant GKS at the University of Pittsburgh between 1987 and 2001. Prior treatments included transsphenoidal resection, craniotomy and resection, or conventional radiotherapy. Endocrinological, ophthalmological, and radiological responses were evaluated. The duration of follow-up review varied from 6 to 102 months (mean 31.2 months). Fifteen patients were observed for more than 40 months. The mean radiation dose to the tumor margin was 16 Gy. Conformal radiosurgery planning was used to restrict the dose to the optic nerve and chiasm. Tumor control after GKS was achieved in 100% of patients with microadenomas and 97% of patients with macroadenomas. Gamma knife radiosurgery was equally effective in controlling adenomas with cavernous sinus invasion and suprasellar extension. No patient developed a new endocrinological deficiency following GKS. One patient's tumor enlarged with an associated decline in visual function. Another patient experienced a deterioration of visual fields despite a decrease in tumor size. CONCLUSIONS: Gamma knife radiosurgery can achieve tumor control in virtually all residual or recurrent nonfunctioning pituitary adenomas. Dose sparing facilitates tumor management even when the adenoma is close to the optic apparatus or invades the cavernous sinus.

Adenoma↗
PubMed1981

Motions and interactions of phospholipid head groups at the membrane surface. 2. Simple alkyl head groups.

As a reference point for comparison with more complex head groups, a set of phospholipids with simple alkyl head groups has been studied. These analogues resemble the naturally occurring phospholipids, except they have phosphomethanol, -ethanol, -1-propanol, and -1-butanol as head groups. The gel-to-liquid-crystalline phase transition temperatures were measured with differential scanning calorimetry, and the phase properties of multilamellar dispersions were examined with phosphorus-31 NMR. The effect of the head-group size was found to be rather small. These lipids were synthesized with deuterium labels incorporated into the alcohol portion at all positions in the head groups except butanol, which was labeled only in the C-1 position. Determination of the 2H residual quadrupole splittings led to an analysis of the head-group ordering properties. Specifically, these data showed that increasing the length of the head group leads to a more perpendicular orientation of the head group relative to the bilayer surface. Phosphorus-31 chemical shift anisotropy data were also compatible with this result. Measurement of surface pressure-area diagrams of monolayers of these compounds revealed that at high pressures (30 dyn/cm) all four lipids occupied similar areas (40-44 A2/molecule), yet at lower pressures, the larger the head group, the larger the occupied surface area. This result suggests that in a bilayer the fatty acyl chains occupy similar areas independent of the alkyl head-group size, and the larger head groups cannot pack properly without some conformational adjustment. The addition of phosphatidylcholine with its relatively bulky head group decreases the area available to the alkyl head groups, pushing the alkyl head groups out of the plane of the bilayer surface. Cholesterol, on the other hand, acts as a "spacer", increasing the area available to the head group, and leads to the opposite effect; i.e., the head groups can relax into a conformation more parallel to the bilayer surface. These data illustrate the types of steric effects which can be expected at the membrane surface. Dynamic properties were investigated by measurement of the 2H spin-lattice (T1) NMR relaxation times. These relaxation times could be compared with those from other parts of a phospholipid molecule, namely, the glycerol backbone and the fatty acyl chains. The rates of segmental motion in these head groups were similar to the first C-2 to C-8 segments of the fatty acyl chains, indicating considerable head-group flexibility.

Alkylation↗
PubMed2006

Bilateral comparison of corneal flap dimensions with the Moria M2 reusable head and single use head microkeratomes.

PURPOSE: To compare the Moria (Antony, France) M2 automated microkeratome with the head 130 to a new disposable single use head to evaluate complications, accuracy, and safety of the procedure. METHODS: Ninety-eight eyes of 49 consecutive patients were operated with the Moria M2 microkeratome. One eye was operated with the metallic head 130 and the other with a plastic single use head, both designed to create a 160-microm flap. Intraoperative flap dimensions were correlated to preoperative parameters and evaluated 1 month postoperatively. RESULTS: With the head 130, mean thickness was 153.3 microm (standard deviation [SD] 13.3, range: 102 to 179 microm). When using a single use head, mean thickness was 148.0 microm (SD 9.8, range: 120 to 170 microm). Occasional iron particles were observed in one eye with both head types. No true epithelial ingrowth was detected in any of the eyes, but epithelial dots at the wound edge occurred in one eye, when using the head 130, but not in the eyes operated with a single use head. CONCLUSIONS: On average, both head types created thinner flaps than attempted. Single use heads produced thinner flaps than the head 130. Accuracy in flap thickness in terms of standard deviation was significantly better in single use heads than in the head 130. Single use heads also had fewer microkeratome-related complications. In clinical practice, the single use head was easier to use because no assembly was required. Plastic single use heads also worked more smoothly than the metallic head 130.

Adolescent↗
PubMed1997

Eye-head coordination during head-unrestrained gaze shifts in rhesus monkeys.

We analyzed gaze shifts made by trained rhesus monkeys with completely unrestrained heads during performance of a delayed gaze shift task. Subjects made horizontal, vertical, and oblique gaze shifts to visual targets. We found that coordinated eye-head movements are characterized by a set of lawful relationships, and that the initial position of the eyes in the orbits and the direction of the gaze shift are two factors that influence these relationships. Head movements did not contribute to the change in gaze position during small gaze shifts (<20 degrees) directed along the horizontal meridian, when the eyes were initially centered in the orbits. For larger gaze shifts (25-90 degrees), the head contribution to the gaze shift increased linearly with increasing gaze shift amplitude, and eye movement amplitude saturated at an asymptotic amplitude of approximately 35 degrees. When the eyes began deviated in the orbits contralateral to the direction of the ensuing gaze shift, the head contributed less and the eyes more to amplitude-matched gaze shifts. The relative timing of eye and head movements was altered by initial eye position; head latency relative to gaze onset increased as the eyes began in more contralateral initial positions. The direction of the gaze shift also affected the relative amplitudes of eye and head movements; as gaze shifts were made in progressively more vertical directions, eye amplitude increased and head contribution declined systematically. Eye velocity was a saturating function of gaze amplitude for movements without a head contribution (gaze amplitude <20 degrees). As head contribution increased with increasing gaze amplitude (20-60 degrees), peak eye velocity declined by >200 degrees/s and head velocity increased by 100 degrees/s. For constant-amplitude eye movements (approximately 30 degrees), eye velocity declined as the velocity of the concurrent head movement increased. On the basis of these relationships, it is possible to accurately predict gaze amplitude, the amplitudes of the eye and head components of the gaze shift, and gaze, eye, and head velocities, durations and latencies if the two-dimensional displacement of the target and the initial position of the eyes in the orbits are known. These data indicate that signals related to the initial positions of the eyes in the orbits and the direction of the gaze shift influence separate eye and head movement commands. The hypothesis that this divergence of eye and head commands occurs downstream from the superior colliculus is supported by recent electrical stimulation and single-unit recording data.

Animals↗
PubMed1997

Analysis of primate IBN spike trains using system identification techniques. II. Relationship to gaze, eye, and head movement dynamics during head-free gaze shifts.

We have investigated the relationships among the firing frequency B(t) of inhibitory burst neurons (IBNs) and the metrics and dynamics of the eye, head, and gaze (eye + head) movements generated during voluntary combined eye-head gaze shifts in monkey. The same IBNs were characterized during head-fixed saccades in our first of three companion papers. In head-free gaze shifts, the number of spikes (NOS) in a burst was, for 82% of the neurons, better correlated with gaze amplitude than with the amplitude of either the eye or head components of the gaze shift. A multiple regression analysis confirmed that NOS was well correlated to the sum of head and eye amplitudes during head-free gaze shifts. Furthermore, the mean slope of the relationship between NOS and gaze amplitude was significantly less for head-free gaze shifts than for head-fixed saccades. NOS is a global parameter. To refine we used system identification techniques to evaluate a series of dynamic models in which IBN spike trains were related to gaze or eye movements. We found that gaze- and eye-based models predicted the discharges of IBNs equally well. However, the bias values required by gaze-based models were comparable to those required in our head-fixed models whereas those required by eye-based models were significantly larger. The difference in biases between gaze- and eye-based models was very strongly correlated to the mean head velocity () during gaze shifts [R = -0.93 +/- 0.15 (SD)]. This result suggested that the increased bias required by the eye-based models reflected an unmodeled input onto these cells. To pursue this argument further we investigated a series of dynamic models that included both eye velocity () and terms and this confirmed the importance of these two terms. As in our head-fixed analysis of companion paper I, the most valuable model formulation also included an eye saccade amplitude term (DeltaE) and was given by B(t) = r0 + r1DeltaE + b1 + g1 where r0, r1, b1, and g1 are constants. The amplitude of the head velocity coefficient was significantly less than that of the eye velocity coefficient. Furthermore, in our population long-lead IBNs tended to have a smaller head velocity coefficients than short-lead IBNs. We conclude that during head-free gaze shifts, the head velocity signal carried to the abducens nucleus by primate excitatory burst neurons (EBNs; if EBNs and IBNs carry similar signals) must be offset by other premotor cells.

Action Potentials↗
PubMed1981

Motions and interactions of phospholipid head groups at the membrane surface. 2. Head groups with hydroxyl groups.

A set of phospholipids with zero, one, or two hydroxyl groups at various positions in the head group were synthesized to approach the question of hydrogen bonding at the surface of phospholipid membranes. These lipids had as head groups the alcohols propanol, ethanediol, 1,3-propanediol, and glycerol esterified to the phosphate. The four different properties of these lipids that were studied were the following: phase transition temperatures, packing properties in monolayers, the relative rates of head-group motions, and the "ordering" of the head group. The gel-to-liquid-crystalline phase transition temperatures of these derivatives were measured by differential scanning calorimetry, and the effect of hydroxyl group addition was found to be small. The phase properties were examined with phosphorus-31 NMR, and all lipids formed normal bilayer phases in aqueous mixtures. Measurement of the surface pressure-area diagrams for monolayers of these lipids showed that incorporation of a hydroxyl group into the head group had a "condensing" effect. This effect was dramatic and was attributed to the formation of hydrogen bonds within the plane of the lipid surface. These lipids were synthesized with deuterium labels on essentially every carbon segment in the head group. Measuring the 2H NMR spin-lattice (T1) relaxation time allowed a determination of the relative rates of head-group segmental motions. The addition of hydroxyl groups to the propyl head-group "skeleton" substantially reduced the rates of motion in both the liquid-crystalline and gel states. The head groups could be ordered in terms of increasing rigidity as propanol (0 -OH) less than 1,3-propanediol (1 -OH) less than ethanediol (1 -(OH) less than glycerol (2 -OH). This trend was observed for labels attached to all of the head-group carbon segments of the lipids in this set. The rates of motion of the different segments within the ethanediol or glycerol head groups were almost identical, whereas those of the propyl head group increased as one progressed toward the free end of the head group. The average activation energy for the motions involved in T1 relaxation increased upon introduction of a hydroxyl group. Measurement of the deuterium residual quadrupole splittings showed that the initial PO2--O--CD2-- segments of the hydroxyl-containing head groups have very similar ordering properties which differed distinctly from those of the propyl head group. Thus, the introduction of one hydroxyl group appears to alter the head-group conformation to a specific conformation which is shared by all of these hydroxyl group containing head groups.

Alcohols↗
PubMed1997

Anticipatory time intervals of head-direction cells in the anterior thalamus of the rat: implications for path integration in the head-direction circuit.

Head-direction cells are neurons that signal a rat's directional heading in the horizontal plane. Head-direction cells in the anterior thalamus are anticipatory, so that their firing rate is better correlated with the rat's future head direction than with the present or past head direction. We recorded single-unit activity from head-direction cells in the anterior thalamus of freely moving rats. We measured the time interval by which each individual cell anticipated the rat's future head direction, which we refer to as the cell's anticipatory time interval (ATI). Head-direction cells in the anterior thalamus anticipated the rat's future head direction by an average ATI of approximately 17 ms. However, different anterior thalamic cells consistently anticipated the future head direction by different ATIs ranging between 0 and 50 ms. We found that the ATI of an anterior thalamic head-direction cell was correlated with several parameters of the cell's directional tuning function. First, cells with long ATIs sometimes appeared to have two peaks in their directional tuning function, whereas cells with short ATIs always had only one peak. Second, the ATI of a cell was negatively correlated with the cell's peak firing rate, so that cells with longer ATIs fired at a slower rate than cells with shorter ATIs. Third, a cell's ATI was correlated with the width of its directional tuning function, so that cells with longer ATIs had broader tuning widths than cells with shorter ATIs. These relationships between a cell's ATI and its directional tuning parameters could not be accounted for by artifactual broadening of the tuning function, which occurs for cells that fire in correlation with the future (rather than present) head direction. We found that when the rat's head is turning, the shape of an anterior thalamic head-direction cell's tuning function changes in a systematic way, becoming taller, narrower, and skewed. This systematic change in the shape of the tuning function may be what causes anterior thalamic cells to effectively anticipate the rat's future head direction. We propose a neural circuit mechanism to account for the firing behavior we have observed in our experiments, and we discuss how this circuit might serve as a functional component of a neural system for path integration of the rat's directional heading.

Analysis of Variance↗
PubMed2006

Systematic analysis of head-to-head gene organization: evolutionary conservation and potential biological relevance.

Several "head-to-head" (or "bidirectional") gene pairs have been studied in individual experiments, but genome-wide analysis of this gene organization, especially in terms of transcriptional correlation and functional association, is still insufficient. We conducted a systematic investigation of head-to-head gene organization focusing on structural features, evolutionary conservation, expression correlation and functional association. Of the present 1,262, 1,071, and 491 head-to-head pairs identified in human, mouse, and rat genomes, respectively, pairs with 1- to 400-base pair distance between transcription start sites form the majority (62.36%, 64.15%, and 55.19% for human, mouse, and rat,respectively) of each dataset, and the largest group is always the one with a transcription start site distance of 101 to 200 base pairs. The phylogenetic analysis among Fugu, chicken, and human indicates a negative selection on the separation of head-to-head genes across vertebrate evolution, and thus the ancestral existence of this gene organization. The expression analysis shows that most of the human head-to-head genes are significantly correlated,and the correlation could be positive, negative, or alternative depending on the experimental conditions. Finally, head to-head genes statistically tend to perform similar functions, and gene pairs associated with the significant cofunctions seem to have stronger expression correlations. The findings indicate that the head-to-head gene organization is ancient and conserved, which subjects functionally related genes to correlated transcriptional regulation and thus provides an exquisite mechanism of transcriptional regulation based on gene organization. These results have significantly expanded the knowledge about head-to-head gene organization. Supplementary materials for this study are available at http://www.scbit.org/h2h.

Animals↗
PubMed2002

Practical asymmetric synthetic route to 4,4,4-trifluoro-3-hydroxybutyrate: head-to-tail and head-to-head crystallizations through double and single hydrogen bonds of hetero- and homochiral 4,4,4-trifluoro-3-hydroxybutyrophenones.

A practical asymmetric synthetic route to 4,4,4-trifluoro-3-hydroxybutyrophenone and the butyric acid phenyl ester is described using heterochiral crystallization through double hydrogen bonding assembly in head-to-tail fashion and sequential Baeyer-Villiger oxidation reaction by trifluoroperacetic acid.

Journal Article↗
PubMed2006

Axis of eye rotation changes with head-pitch orientation during head impulses about earth-vertical.

The goal of this study was to assess how the axis of head rotation, Listing's law, and eye position influence the axis of eye rotation during brief, rapid head rotations. We specifically asked how the axis of eye rotation during the initial angular vestibuloocular reflex (VOR) changed when the pitch orientation of the head relative to Earth-vertical was varied, but the initial position of the eye in the orbit and the orientation of Listing's plane with respect to the head were fixed. We measured three-dimensional eye and head rotation axes in eight normal humans using the search coil technique during head-and-trunk (whole-body) and head-on-trunk (head-only) "impulses" about an Earth-vertical axis. The head was initially oriented at one of five pitch angles (30 degrees nose down, 15 degrees nose down, 0 degrees, 15 degrees nose up, 30 degrees nose up). The fixation target was always aligned with the nasooccipital axis. Whole-body impulses were passive, unpredictable, manual, rotations with peak-amplitude of approximately 20 degrees , peak-velocity of approximately 80 degrees /s, and peak-acceleration of approximately 1000 degrees /s2. Head-only impulses were also passive, unpredictable, manual, rotations with peak-amplitude of approximately 20 degrees , peak-velocity of approximately 150 degrees /s, and peak-acceleration of approximately 3000 degrees /s2. During whole-body impulses, the axis of eye rotation tilted in the same direction, and by an amount proportional (0.51 +/- 0.09), to the starting pitch head orientation (P < 0.05). This proportionality constant decreased slightly to 0.39 +/- 0.08 (P < 0.05) during head-only impulses. Using the head-only impulse data, with the head pitched up, we showed that only 50% of the tilt in the axis of eye rotation could be predicted from vectorial summation of the gains (eye velocity/head velocity) obtained for rotations about the pure yaw and roll head axes. Thus, even when the orientation of Listing's plane and eye position in the orbit are fixed, the axis of eye rotation during the VOR reflects a compromise between the requirements of Listing's law and a perfectly compensatory VOR.

Adult↗
PubMed2006

Head movements evoked by electrical stimulation in the frontal eye field of the monkey: evidence for independent eye and head control.

When the head is free to move, electrical stimulation in the frontal eye field (FEF) evokes eye and head movements. However, it is unclear whether FEF stimulation-evoked head movements contribute to shifting the line of sight, like visually guided coordinated eye-head gaze shifts. Here we investigated this issue by systematically varying initial eye (IEP) and head (IHP) positions at stimulation onset. Despite the large variability of IEP and IHP and the extent of stimulation-evoked gaze amplitudes, gaze displacement was entirely accounted for by eye (re head) displacement. Overall, the majority (3/4) of stimulation-evoked gaze shifts consisted of eye-alone movements, in which head movements were below the detection threshold. When head movements did occur, they often started late (re gaze shift onset) and coincided with rapid eye deceleration, resulting in little change in the ensuing gaze amplitudes. These head movements often reached their peak velocities over 100 ms after the end of gaze shifts, indicating that the head velocity profile was temporally dissociated from the gaze drive. Interestingly, head movements were sometimes evoked by FEF stimulation in the absence of gaze shifts, particularly when IEP was deviated contralaterally (re the stimulated side) at stimulation onset. Furthermore, head movements evoked by FEF stimulation resembled a subset of head movements occurring during visually guided gaze shifts. These unique head movements minimized the eye deviation from the center of the orbit and contributed little to gaze shifts. The results suggest that head motor control may be independent from eye control in the FEF.

Animals↗
PubMed2002

Ocular fixation during eye and head tracking with and without a visual cue to head position.

PURPOSE: This experiment had two purposes. The first purpose was to compare ocular fixation during eye tracking, head tracking, and head tracking with a visual cue to head position. The second purpose was to compare head tracking with and without a visual cue to head position. METHODS: Eleven subjects tracked a pseudo-random laser target in three conditions. In one condition (Condition 1), subjects tracked the target primarily with the eyes. In a second condition (Condition HT), subjects tracked the target with the head but no visual cue to head position was provided. In the final condition, subjects tracked the target with the head and were given a visual cue to head position (Condition HR). RESULTS: On average, ocular fixation was worst in Condition HR and similar in Condition 1 and Condition HT. Mismatches in target and head velocity greater than 60 degrees x sec(-1) occurred more frequently in Condition HR than in Condition HT. CONCLUSIONS: Ocular tracking of a pseudo-random target is adversely affected in a minor way by head movement, but tracking declines significantly when head tracking is performed with a visual cue to head position. In terms of velocity matching, head tracking is also adversely affected by a head position cue.

Adult↗
PubMed2005

Gender differences in head-neck segment dynamic stabilization during head acceleration.

PURPOSE: Recent epidemiological research has revealed that gender differences exist in concussion incidence but no study has investigated why females may be at greater risk of concussion. Our purpose was to determine whether gender differences existed in head-neck segment kinematic and neuromuscular control variables responses to an external force application with and without neck muscle preactivation. METHODS: Forty (20 females and 20 males) physically active volunteers participated in the study. The independent variables were gender, force application (known vs unknown), and force direction (forced flexion vs forced extension). The dependent variables were kinematic and EMG variables, head-neck segment stiffness, and head-neck segment flexor and extensor isometric strength. Statistical analyses consisted of multiple multivariate and univariate analyses of variance, follow-up univariate analyses of variance, and t-tests (P < or = 0.05). RESULTS: Gender differences existed in head-neck segment dynamic stabilization during head angular acceleration. Females exhibited significantly greater head-neck segment peak angular acceleration (50%) and displacement (39%) than males despite initiating muscle activity significantly earlier (SCM only) and using a greater percentage of their maximum head-neck segment muscle activity (79% peak activity and 117% muscle activity area). The head-neck segment angular acceleration differences may be because females exhibited significantly less isometric strength (49%), neck girth (30%), and head mass (43%), resulting in lower levels of head-neck segment stiffness (29%). CONCLUSION: For our subject demographic, the results revealed gender differences in head-neck segment dynamic stabilization during head acceleration in response to an external force application. Females exhibited significantly greater head-neck segment peak angular acceleration and displacement than males despite initiating muscle activity earlier (SCM only) and using a greater percentage of their maximum head-neck segment muscle activity.

Acceleration↗
PubMed2000

Head elevation reduces head-rotation associated increased ICP in patients with intracranial tumours.

PURPOSE: To quantify the effects of graded head rotation and elevation on intracranial pressure (ICP) in neurosurgical patients, before and after induction of general anesthesia. METHODS: Patients with supratentorial tumours (n=12), scheduled for craniotomy with planned ICP monitoring, underwent baseline ICP measurements awake and supine (0 degrees rotation and elevation). Incremental degrees of head rotation (15 degrees) and of head elevation (10 degrees) were performed independently and in combination. Paired measurements of ICP at all levels of head rotation and elevation were also performed before and after induction of general anesthesia (n=6). RESULTS: The baseline ICP was 12.3 +/- 6.4 mmHg (n=12). Changes of ICP were proportional to the degree of head rotation or elevation. Head rotation of 60 degrees maximally increased ICP to 24.8 +/- 14.3 mmHg (P < 0.05). Head elevation above 20 degrees reduced ICP with a maximal reduction to -0.2 +/- 5.5 mmHg at 40 degrees elevation (P < 0.01). Head elevation to 30 degrees reduced the intracranial hypertension associated with head rotation. No differences were observed between ICP measurements made before or after induction of general anesthesia (n=6). Three patients experienced headache with extreme head rotation (<60 degrees) and intracranial hypertension (ICP > 20 mmHg). CONCLUSION: Head rotation of 60 degrees caused an increase in ICP. Concomitant head elevation to 30 degrees reduced the intracranial hypertension associated with head rotation. Headache with head rotation may provide a useful clinical warning of elevated ICP.

Adult↗
PubMed2001

Adaptive changes of saccadic eye-head coordination resulting from altered head posture in torticollis spasmodicus.

We asked whether and how the abnormal head posture in torticollis patients affects saccadic gaze shifts and impairs the associated head movements. We wanted to learn to what extent observed changes directly result from the disease or reflect compensatory mechanisms, secondary to the altered head posture. We compared the results of patients with those of normal subjects. When patients viewed a centric target, their heads were a priori deviated in the direction of the torticollis, with orbital eye position showing a compensatory offset in the opposite direction. These abnormal eye and head positions were re-established when patients returned from an eccentric gaze position by means of a centripetal gaze shift, independently of its direction and magnitude, unlike in normal subjects who always recentred eyes and head. In normal subjects the share of the head in the total gaze shift amounted to about 70%, whereas in patients it contributed only 30%, necessitating correspondingly larger orbital eye displacements and eccentricities. Moreover, patients' head movements were asymmetric; they were larger when gaze was shifted into, or returned from the hemifield contralateral to the torticollis direction compared with gaze shifts in the ipsilateral hemifield. The eyes displayed a reversed asymmetry. Patients showed a significant increase in gaze latency and head versus eye delay as well as in the number of corrective saccades. However, head velocity was normal in four out of seven patients. Moreover, all patients made normal eye saccades (peak velocity, duration, gaze error), except for the increase in latency, which also occurred when gaze was shifted without head movements. Thus, patients' saccadic eye-head coordination showed abnormalities which mainly concerned the involved head movements. We suggest that the observed changes do not reflect a direct involvement of the disease upon the gaze shift mechanism, but can be interpreted as adaptive changes that compensate for the altered head posture. We formalized this view in the form of a dynamic model.

Adaptation, Physiological↗