Metabolic costs of upper torso exercises vs torque maneuvers under reduced-gravity conditions.
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Adult↗
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Unusual striped hyperpigmentation of the torso. A sequel of abnormalities of epitrichial exfoliation.
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Abdomen↗
[Simulation of surface potential distribution on the human torso].
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Electrocardiography↗
[Heart contusion after non-penetrating injuries of the torso].
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Adolescent↗
Experience with the Artronix Torso-Cat-Scanner in the examination of the thorax, particularly the mediastinum: comparison with mediastinoscopy and operation.
In order to ascertain the diagnostic value of computed tomography (CT) of the thorax, the reports of the CT investigations of the thorax, carried out over a 2-year period, were compared with the actual final diagnosis. This study was narrowed down to those patients on whom a mediastinoscopy and/or an operation was performed. There appears to be a good correlation between the CT findings and the mediastinoscopy if no tumor or metastases are present in the mediastinum. This means that, where the CT scan shows a patient to have a normal mediastinum, it is not necessary to perform mediastinoscopy as a preoperative diagnostic aid.
Humans↗
[Urticaria pigmentosa, multiple basilomas of the skin of the torso and ultraviolet irradiation. A case report].
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Adult↗
[The formation of cardiac-electric-field potentials on the surface of the heart and torso in vertebrate animals].
The comparative electrophysiological study of excitation process in heart with different types of organization have laid the foundation for solution of the problems of formation of cardioelectric field. It was shown, that the form of extracellular potentials on the epicardium correlated with different types of ventricle myocardial activation. Animals with the "flash" type of myocardial depolarization in most cases have the negative extracellular potentials in the greater part of the epicardial ventricular surface. Animals with the consecutive type of myocardial activation--the positive and biphase potentials. All myocardial layers (epicardial, intramural and endocardial) are electrophysiologically informative.
Animals↗
Effects of material properties and geometry on electrocardiographic forward simulations.
This paper investigates the effect on torso potentials of changes in the material properties of the torso volume conductor and changes in the relative geometry of the heart and torso. The investigations are performed using a number of forward simulations with a high-order coupled finite element/boundary element torso model. This torso model contains descriptions of the epicardium, lungs, skeletal muscle (with a continuously varying fiber field) and subcutaneous fat. The number of nodes, elements and solution degrees-of-freedom used in the computational torso model are considerably smaller than previous torso models of similar complexity. The successful forward simulations in this paper hence demonstrate the use of the high-order coupled approach with realistic problems. The results of the torso simulations show that the torso inhomogeneities do affect the torso potentials but do not affect the distribution or pattern of the torso potentials. The inhomogeneities considered are found to have a varying, but important, effect on the torso potentials. The effect of the subcutaneous fat is found to be more important and the effect of the skeletal muscle is found to be less important than previous reports in the literature. The results also show that the relative geometry of the heart and torso is very important in determining the torso potential magnitudes and distributions.
Abdomen↗
Trunk and hip muscle recruitment in response to external anterior lumbosacral shear and moment loads.
The response of select lumbar torso and pelvic muscles to loads applied at the lumbar spine and across the pelvis was investigated to help identify the sources of antagonistic lower torso muscle recruitment. Five subjects in the neutral upright posture were loaded with L(4-5) moment and anterior shear forces under constrained and free pelvic rotation conditions. The activity states of the erector spinae, latissimus dorsi, external oblique, rectus abdominis, gluteus maximus, and rectus femoris muscles were monitored using surface electromyography. Regression analysis was used to test if (1) lumbar shear loads influence the activity of the torso muscles, and (2) moments about the pelvis significantly influence the torso muscle activities. The pelvic muscles (gluteus maximus and rectus femoris) were monitored for their role in stabilizing pelvic rotation. The statistical analysis did not support the hypothesis that torso muscles are recruited in response to shear loading. Also, the data did not provide conclusive evidence that moments about the pelvis relative to the lumbar spine significantly influence torso muscle recruitment. For the subjects that exhibited elevated antagonistic muscle activity, no explanation of this recruitment strategy could be statistically related to lumbar shear or pelvic moments. RELEVANCE:--Omission of pelvic moments in biomechanical modelling of the lumbar torso does not seem to be introducing significant error in the prediction of torso muscle activity. The results of this study indicate that the source of lumbar torso muscle antagonistic activity under sagittal plane flexion loading seems to be a result of yet unidentified factors.
Journal Article↗
Conformations of the third hypervariable region in the VH domain of immunoglobulins.
Antigen-combining sites of antibodies are constructed from six loops from VL and VH domains. The third hypervariable region of the heavy chain is far more variable than the others in length, sequence and structure, and was not included in the canonical-structure description of the conformational repertoire of the three hypervariable regions of V kappa chains and the first two of VH chains. Here we present an analysis of the conformations of the third hypervariable region of VH domains (the H3 regions) in antibodies of known structure. We define the H3 region as comprising the residues between 92Cys and 104Gly. We divide it into a torso comprising residues proximal to the framework, four residues from the N terminus and six residues from the C terminus, and a head. There are two major classes of H3 structures that have more than ten residues between 92Cys and 104Gly: (1) the conformation of the torso has a beta-bulge at residue 101, and (2) the torso does not contain a bulge, but continues the regular hydrogen-bonding pattern of the beta-sheet hairpin. The choice of bulged versus non-bulged torso conformation is dictated primarily by the sequence, through the formation of a salt bridge between the side-chains of an Arg or Lys at position 94 and an Asp at position 101. Thus the torso region appears to have a limited repertoire of conformations, as in the canonical structure model of other antigen-binding loops. The heads or apices of the loops have a very wide variety of conformations. In shorter H3 regions, and in those containing the non-bulged torso conformation, the heads follow the rules relating sequence to structure in short hairpins. We surveyed the heads of longer H3 regions, finding that those with bulged torsos present many very different conformations of the head. We recognize that H3, unlike the other five antigen-binding loops, has a conformation that depends strongly on the environment, and we have analysed the interactions of H3 with residues elsewhere in the VH domain, in the VL domain, and with ligands, and their effects on the conformation of H3. We tested these results by attempts to predict the conformations of H3 regions in antibody structures solved after the results were derived. The general conclusion of this work is that the conformation of H3 shows some regularities, from which rules relating sequence to conformation can be stated, but to a less complete degree than for the other five antigen-binding loops. Accurate prediction of the torso conformation is possible in most cases; predictions of the conformation of the head is possible in some cases. However, our understanding of the sequence-structure relationships has reduced the uncertainty to no more than a few residues at the apex of the H3 region.
Amino Acid Sequence↗
Value of epicardial potential maps in localizing pre-excitation sites for radiofrequency ablation. A simulation study.
Using computer simulations, we systematically investigated the limitations of an inverse solution that employs the potential distribution on the epicardial surface as an equivalent source model in localizing pre-excitation sites in Wolff-Parkinson-White syndrome. A model of the human ventricular myocardium that features an anatomically accurate geometry, an intramural rotating anisotropy and a computational implementation of the excitation process based on electrotonic interactions among cells, was used to simulate body surface potential maps (BSPMs) for 35 pre-excitation sites positioned along the atrioventricular ring. Two individualized torso models were used to account for variations in torso boundaries. Epicardial potential maps (EPMs) were computed using the L-curve inverse solution. The measure for accuracy of the localization was the distance between a position of the minimum in the inverse EPMs and the actual site of pre-excitation in the ventricular model. When the volume conductor properties and lead positions of the torso were precisely known and the measurement noise was added to the simulated BSPMs, the minimum in the inverse EPMs was at 12 ms after the onset on average within 0.65 +/- 0.26 cm of the pre-excitation site. When the standard torso model was used to localize the sites of onset of the pre-excitation sequence initiated in individualized male and female torso models, the mean distance between the minimum and the pre-excitation site was 0.67 +/- 0.31 cm for the male torso and 0.82 +/- 0.53 cm for the female torso. The findings of our study indicate that a location of the minimum in EPMs computed using the inverse solution can offer non-invasive means for pre-interventional planning of the ablative treatment.
Biophysical Phenomena↗
Estimation of breast burn size.
It is the authors' opinion that the size of chest burns on large-breasted women can be significantly underestimated, especially if the methods of calculation rely on burn charts, such as the Lund and Browder burns chart. This latter chart is based on data derived from only three women and eight men. The surface area of the torsos of 60 volunteers (20 men, 20 small-breasted women, and 20 large-breasted women) was measured using two well-established techniques. The torso surface area was divided into two parts: the anterior trunk and the posterior trunk (i.e., torso surface area = posterior trunk + anterior trunk). The anterior trunk was subdivided and the area above the costal margins defined as the pectoral region. These areas were measured separately for each individual. The volunteers' total body surface area was calculated using normograms, based on their weight and height. The area of each torso section was recorded as a percentage of the total body surface area and torso surface area. Whereas the torso surface area/total body surface area ratio did not vary significantly between the groups, the proportion of anterior to posterior trunk size did depend on the sex and on breast size. There was a direct correlation between the woman's bra cup size and the ratio of anterior-to-posterior trunk surface area. A simple chart was therefore derived that estimates the relative size of a woman's torso surface area once her bra cup size is known. Such a chart can be used to improve accuracy in adult female chest burn estimation, when used in conjunction with a burns chart. Breast burns in larger breasted women are underestimated when calculated using current burn charts. We recommend that a correction be made when estimating chest burns in women to account for the increased surface area of the breasts. A chart, such as the one we have developed, could be used in conjunction with a burn chart (e.g., Lund and Browder) to make this correction.
Adult↗
Persistence of Hunchback in the terminal region of the Drosophila blastoderm embryo impairs anterior development.
Anterior terminal development is controlled by several zygotic genes that are positively regulated at the anterior pole of Drosophila blastoderm embryos by the anterior (bicoid) and the terminal (torso) maternal determinants. Most Bicoid target genes, however, are first expressed at syncitial blastoderm as anterior caps, which retract from the anterior pole upon activation of Torso. To better understand the interaction between Bicoid and Torso, a derivative of the Gal4/UAS system was used to selectively express the best characterised Bicoid target gene, hunchback, at the anterior pole when its expression should be repressed by Torso. Persistence of hunchback at the pole mimics most of the torso phenotype and leads to repression at early stages of a labral (cap'n'collar) and two foregut (wingless and hedgehog) determinants that are positively controlled by bicoid and torso. These results uncovered an antagonism between hunchback and bicoid at the anterior pole, whereas the two genes are known to act in concert for most anterior segmented development. They suggest that the repression of hunchback by torso is required to prevent this antagonism and to promote anterior terminal development, depending mostly on bicoid activity.
Animals↗
Spherical-harmonic approximation to the forward problem of electrocardiology.
Forward-problem solutions were approximated using spherical-harmonic series on an adult male torso model with heart and lungs. These approximations were found using only a knowledge of torso-model geometry and were not based on a prior solution for surface potentials. Because these series depend only on polar and azimuthal angles, they allow continuous estimation of the forward-problem solution over the torso without further knowledge of the torso geometry. Compared to the conventional method, potentials estimated from fifth-degree series for eight distributed double-layer sources had an average relative error of 0.036. Relative errors were similar with and without torso inhomogeneities. The fifth-degree series solution (36 terms) was found four times faster than the conventional method and provided a data reduction factor of about 20 in the 715-node torso model studied. Spherical-harmonic series transform surface potentials into an orthogonal basis set whose spatial-frequency content increases with increasing degree. Consequently, these series may provide a structure for the systematic study of the effect on forward-problem solutions of both changes in torso shape and inclusion of inhomogeneities.
Adult↗
Individual custom-designed modelling for the finite element method to be used in the forward calculation of a body surface isopotential map.
Body surface potential maps differ considerably in their pattern even among normals, depending upon torso configuration. Thus individualized modelling of the heart-torso model is certainly desirable for a forward problem if it can be achieved without much effort. In this paper such a heart-torso model which is flexible enough to adapt to different body shapes with ease will be reported. As its basic structure, the innermost sphere represents the electromotive force of the heart, the outermost ellipsoid surface representing the torso surface and nine similar ellipsoid surfaces intervening between the two with step-wise increasing diameters were considered. We made 98 radiating penetration points for the innermost sphere as well as the 10 intervening ellipsoid surfaces. By making use of neighboring points of penetration as corners, the heart-torso model was divided into 4992 tetrahedral elements for a finite element method calculation. Once this basic structure was established, it was found to be very easy to be modified in a computer in order to make it fit to individual torso configurations quite faithfully by deforming the outermost ellipsoid. Individualized torso-heart models were built and their maps were simulated using data obtained from several healthy subjects. This paper discusses the results of two individuals, one muscular and the other slender, who exhibited considerably different body surface potential maps.
Adult↗
Computing and visualizing electric potentials and current pathways in the thorax.
The long-term goal of electrocardiography is to relate electric potentials on the body surface with activities in the heart. Many previously reported studies have focused on direct links between heart and body surface potentials. The goals of this study were first to validate computational methods of determining volume potentials and currents with high-resolution experimental measurements and then to use interactive visualization of thoracic currents to understand features of the electrocardiographic fields from measured cardiac sources. We developed both simulation and experimental studies based on a realistic shaped torso phantom containing an isolated, perfused dog heart. Interventions included atrial pacing, single pacing and simultaneously pacing at multiple locations on the ventricles. Simulated torso volume potentials closely matched measured potentials in the torso-tank preparation (mean correlation coefficients of 0.95). Simulation further provided a means of estimating the current field in the torso from the computed torso volume potentials and the local geometric and conductive properties of the medium. Applying these techniques to the torso electric fields under a variety of pacing conditions, we have further demonstrated that thoracic current can provide many insights into the relationship between heart surface potential and body surface potentials. Specifically, we have shown that geometric factors including cardiac source configuration and location play an important role in determining to what extent electric activity in the heart is directly visible on the body surface electrocardiogram. The computation and visualization toolkit we developed in this study to explore current fields associated with cardiac events may provide new insights into electrocardiology.
Action Potentials↗
Effects of initial seated position in low speed rear-end impacts: a comparison with the TNO rear impact dummy (TRID) model.
Injury-producing mechanisms associated with rear-end impact collision has remained a mystery not withstanding numerous investigations devoted to its scrutiny. Several criteria have been proposed to predict the injury-causing mechanism, but none have been universally accepted. The challenge lies in determining a set of testing procedures representative of real-world collisions, wherein the results obtained are not only the same as human testing, but remain consistent with various subjects and impact conditions. It is hypothesized that one of the most important considerations in the testing methodology is the effect of initial seated position (ISP) on occupant kinematics during a rear impact collision. This study involves two parts that evaluates the effects of ISP during rear-end impact. In the first part, head acceleration results of computer simulation using Hybrid III TNO rear impact dummy (TRID) are compared to physical impact testing (PIT) of humans. The second part focuses on the computer simulation using TRID to obtain different neck parameters such as NIC (Neck Injury Criterion), NIJ (Neck Injury Predictor), neck forces and moments to predict the level of neck injury such as whiplash associated disorder (WAD) during low speed rear-end impact. In PIT, a total of 17 rear-impact tests were conducted with a nominal 8-km/hour change in velocity to 5 subjects in four different seated positions comprising of a normal position (NP) and three out of positions (OOP). The first position was a NP, defined as torso against the seat back, looking straight ahead, hands on the steering wheel, and feet on the floor. The second position was a head flex position (HFP), defined as the normal position with head flexed forward approximately 20 degrees. The third position was a torso lean position (TLP), defined as the normal position with torso leaned forward approximately 10 degrees away from the seat back. Lastly, a torso lean head flex position (TLHFP), defined as the normal position with the head flexed forward approximately 20 degrees and torso leaned forward approximately 10 degrees. The head acceleration plots from PIT reveal that for the third and fourth positions (TLP and TLHFP) when the subject torso leaned forward, the peak head acceleration for the subject decreased and there was also a delay in reaching the peak. The Hybrid III-TRID anthropomorphic test dummy (ATD) was used in the same four different seated positions using computer simulation software MAthematical DYnamic MOdel (MADYMO 6.0) and the head acceleration results were compared to PIT. The comparison demonstrates that the Hybrid III-TRID ATD with MADYMO can be a reliable testing procedure during low-speed, rear-end impact for the four ISPs considered since the head acceleration plots deviated within the range of PIT head acceleration plots for different human subjects. This ensures that the second part of the study with neck injury using computer simulation results is a reliable testing procedure. It can be observed that MADYMO results have a greater error when compared to PIT when more than one OOP condition is employed as in TLHFP. All these observations would help in providing a tool to better understand the injury mechanisms and provide an accurate testing procedure for rear-end impact.
Acceleration↗
What defines a distracting injury in cervical spine assessment?
BACKGROUND: The National Emergency X-Radiography Utilization Study defined five criteria for obtaining cervical spine radiographic investigations in blunt trauma patients. Distracting injury was given as the indication for more than 30% of all x-ray studies ordered. The hypothesis of this study was that upper and lower torso injuries would have different effects on clinical cervical spine assessment. METHODS: This is a single-center, prospective, observational study of admitted, alert, adult blunt-trauma patients. All patients underwent cervical spine plain-film radiography. Data were collected on all injuries, physical examination findings, narcotic administration, and radiograph results. Patients with upper and lower torso injuries were compared in their ability complain of pain or midline tenderness relative to a cervical spine fracture. RESULTS: In all, 406 patients participated. All patients received narcotic analgesics before examination. Forty patients (9.9%) had cervical spine fractures, of whom seven had a nontender neck examination. All seven patients with a nontender cervical spine and a neck fracture had at least one upper torso injury. None of the 99 patients with injuries isolated to the lower torso and a nontender neck had a cervical spine fracture (p < 0.05). The frequency of cervical spine fracture among patients with cervical spine tenderness was 19.8% (n = 33). CONCLUSIONS: The National Emergency X-Radiography Utilization Study definition of a distracting injury may be narrowed. Upper torso injuries may be sufficiently painful to distract from a reliable cervical spine examination. Patients may detect spine tenderness in the presence of isolated painful lower torso injuries. Patients with spine tenderness warrant imaging.
Adolescent↗