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PubMed2005

Significance of adult pedestrian torso injury.

The current paper uses data from two trauma registries to evaluate the significance of adult pedestrian torso injury relative to head and lower extremity injuries and to determine the relative importance of injuries to individual torso organs/structures. Analyses are conducted with and without adjusting for striking vehicle body type (car versus LTV). Although the incidence of torso injury is approximately 50% higher in pedestrians struck by LTVs than in those struck by cars, torso injury appears to be as an important contributor to the overall cost of pedestrian morbidity as is lower extremity injury. The most frequently injured torso organs/structures include the rib cage, lung & pleura, and liver. The results indicate a need for an increased focus on the prevention of torso injury in the design of pedestrian safety countermeasures.

Accidents, Traffic↗
PubMed2001

Thoracolumbar immobilization for trauma patients with torso gunshot wounds: is it necessary?

BACKGROUND: Previous studies have suggested that patients transported by emergency medical services (EMS) following major trauma had a longer injury-to-treatment interval and a higher mortality rate than their non-EMS-transported counterparts. HYPOTHESIS: There is little actual benefit of thoracolumbar immobilization for patients with torso gunshot wounds (GSW). DESIGN: Retrospective analysis of prospectively gathered data from the Maryland Institute for Emergency Medical Service Systems State Trauma Registry from July 1, 1995, through June 30, 1998. SETTINGS: All designated trauma centers in Maryland. PATIENTS: All patients with torso GSW. MAIN OUTCOME MEASURES: (1) A patient was considered to have benefited from immobilization if he or she had less than complete neurologic deficits in the presence of an unstable vertebral column, as shown by the need for operative stabilization of the vertebral column; (2) mortality. RESULTS: There were 1000 patients with torso GSW. Among them, 141 patients (14.1%) had vertebral column and/or spinal cord injuries. Two patients (0.2%) (95% confidence interval, -0.077% to 0.48%) required operative vertebral column stabilization, while 6 others required other spinal operations for decompression and/or foreign body removal. The presence of vertebral column injury was actually associated with lower mortality (7.1% vs 14.8%, P<.02). CONCLUSIONS: This study suggests that thoracolumbar immobilization is almost never beneficial in patients with torso GSW, and that a higher mortality rate existed among those GSW patients without vertebral column injury vs those with such injuries. The role of formal thoracolumbar immobilization for patients with torso GSW should be reexamined.

Adult↗
PubMed1993

Torso morphology and locomotion in Proconsul nyanzae.

A new partial skeleton of Proconsul nyanzae from Mfangano Island, Kenya (KNM-MW 13142) includes five lumbar vertebrae, a partial sacrum, and nearly complete hipbone. Until recently, little was known of the axial and pelvic skeletons of Proconsul, or any early Miocene hominoid. Because torso morphology directly reflects locomotor behavior, these elements provide important new information about posture and locomotion of P. nyanzae. Two basic patterns of locomotor behavior and corresponding torso morphology exist among extant anthropoids. Monkeys have long, flexible spines with powerful epaxial muscles and mediolaterally narrow thoraces. This morphology represents a response to the mechanical requirements of habitual pronograde quadrupedalism. In contrast, hominoids, particularly great apes, have shorter, stiffer spines and broader torsos than do monkeys. The hominoid pattern reflects an emphasis on forelimb abduction-adduction, and on stability and control of the lower back during forelimb-dominated arboreal locomotion. KNM-MW 13142 had craniocaudally elongate vertebral bodies, and probably six lumbar vertebrae, reflecting a long, flexible vertebral column. The narrow, laterally facing iliac blades of KNM-MW 13142 imply the presence of a mediolaterally narrow, dorsoventrally deep thorax. Its wide iliac tuberosities, ventrally located lumbar transverse processes, and distinct accessory processes suggest that Proconsul nyanzae also had strap-like epaxial muscles similar to those characterizing most monkeys. Axial and pelvic morphology of KNM-MW 13142 indicate that P. nyanzae had not undergone an ape-like rearrangement of its torso to adapt to forelimb-dominated arboreality. Instead, P. nyanzae probably retained a more primitive pattern of pronograde quadrupedalism. This morphology indicates that the extant hominoid pattern of torso anatomy arose subsequent to the establishment of the hominid clade.

Animals↗
PubMed1997

What is the optimum phased array coil design for cardiac and torso magnetic resonance?

To determine the optimum configuration of a phased array MR coil system for human cardiac applications, the sensitivity of 10 flexible array designs operating under ideal conditions was calculated at 13 points circling the myocardium of a model torso whose geometry was determined from healthy volunteers. The array geometries that were evaluated included continuous strips of 2, 4, 6, and 10 circular coils of diameter equal to half the torso thickness wrapped laterally around the torso, 2 pairs of coils located on the left side of the chest and back, clusters of 3 coils in 2 orientations, clusters of 4 and 6 coils, and a hybrid cross of 6 coils. The 4-, 6-, and 10-coil strip arrays out-performed the other designs for a given number of coils, yielding average theoretical sensitivity improvements of 45%, 53%, and 55% relative to a single flexible coil positioned at the point closest to the anterior myocardium, compared with about 30% for 4- and 6-coil clusters and the 2-pair geometry (P < 0.02). A flexible 4-coil strip array was constructed for a clinical 1.5 T scanner with 15-cm diameter circular surface coils on flexible circuit board. The signal-to-noise ratio (SNR) of this coil at the 13 cardiac locations was measured in 15 normal volunteers and compared with the SNR measured in images acquired with standard commercial MR coils: a body coil, a flexible torso array, a general purpose flexible coil, and, in 4 subjects, a dual array coil. In the prone orientation, the average myocardial SNR improvement of the 4-coil strip array was 650% relative to the whole body coil, compared with 310-340% for the other commercial coils (P < 0.00005). The twofold advantage over the commercial coils persisted in supine studies (P < 0.00005, n = 5). Thus, flexible circumferential phased arrays of strips of surface coils of diameter comparable with the depth of the heart generally out-perform many other standard geometries for a given number of coils, and can yield dramatically improved SNR over coils available for general use in the torso.

Adult↗
PubMed1986

Activity in torso muscles during relaxed standing.

Electromyographic activity of erector spinae, external oblique, and rectus abdominis muscles was studied during relaxed standing compared to lying down. Activity in the forearm extensors and forearm flexors was also studied. Surface electrodes were used. Each of the torso muscles exhibited 0.2 microV of activity and the forearm muscles 0.1 microV while subjects were relaxed and lying down. During quiet standing the erector spinae, external oblique, and rectus abdominis muscles showed a median activity of 1.0 microV, 2.5 microV, and 0.7 microV respectively (for a minimum of ten 10-sec samples per subject). Examination of the integrated records during standing revealed no periods without increased muscle activity in the torso muscles. By contrast, activity in the forearm muscles did not increase during standing. The major superficial muscles of posture in the torso appear to act as guy wires, being continually active during standing. There is no support for hypotheses of passive support for the torso, nor do torso muscles act in either/or fashion; both anterior and posterior muscles are active at once. There is no sign of generally increased muscle tone in all muscles or in extensors; only the postural muscles are continuously active.

Adult↗
PubMed1989

Analysis of human torso motion with muscle actuators.

A biomechanical model is devised to analyze the motion of the human torso and estimate the load on the lumbar spine, the contraction forces in the trunk muscles, and the sensory signals between the muscle and the nervous system. A state space formulation of three-dimensional (3D) equations of motion of the human torso is presented with muscle forces as input to the system. At least 3 pairs of skeletal muscles are considered to be necessary for 3D motion of human torso. Functional anatomy of these major muscles of the human trunk are discussed. These muscles as well as their feedback and feedforward sensory paths are modeled by linear viscoelastic components and force generators. Stability of the torso with three pairs of muscles is studied both with muscle spindles inactive (open loop) and active (closed loop). Voluntary point-to-point motion of the torso in three-dimensional space is simulated on a digital computer, employing a dynamic controller, where feedback gains are tuned (programmed) by higher centers of nervous system.

Biomechanical Phenomena↗
PubMed1995

The mechanics of torso flexion: situps and standing dynamic flexion manoeuvres.

The mechanics of torso flexion has not been thoroughly investigated due to the lack of knowledge of tissue force-time histories during the performance of torso flexion exercises. An anatomically detailed, three-dimensional model that was sensitive to lumbar curvature and muscle activation patterns was used to assess tissue load distribution during the performance of both isometric and dynamic situps and standing flexion manoeuvres in 12 young men. Situps were performed starting with a flexed torso which was lowered to horizontal and then raised again (instrumentation restrictions did not allow subjects to rest their torsos when in the lowered position). Specific variables measured were air flow during inhalation-exhalation, intra-abdominal pressure, myoelectric activity of the torso muscles, intercostals, and rectus femoris, three-dimensional dynamic curvature of the lumbar spine and body segment displacements. Lumbar compressive loads greater than 3000 N were predicted for both straight leg and bent knee situps. No biologically significant differences were found between bent knee and straight leg situp techniques. RELEVANCE: The safety of situps as both a therapeutic modality and training exercise has been questioned for years but evaluation has suffered from a lack of knowledge of tissue loading. The load predictions in this study suggest that performing situps (both dynamic and quasi-static) imposes high levels of compressive loading (> 3000 N) on the low back. The issue of using straight legs or bent knees is probably not as important as the issue of whether or not to prescribe situps at all.

Journal Article↗
PubMed1998

Torso loading via a harness method activates trunk muscles less than a hand loading method.

There is a need for data comparing muscle activity under equivalent moments at the torso using different loading methods. In torso biomechanics, it is often necessary to apply moments to people and then measure or predict the muscle activity in response to the external load. Alternative methods exist to generate moments including applying forces by a chest harness and loads held in the hands. The limitation of previous research has been to use only one of the loading methods, generally harness loading, assuming it produces muscle activity equal to when loads are held in the hands. The objective of the this study was to test if equivalent moments at L3/L4 applied to subjects through two loading methods resulted in the same muscle activity. Subjects maintained a static posture while attempting a combination of flexion/extension, lateral bending, and torsion to counter the external loads applied via hand and harness loading methods. Hand and harness loading did not result in equal muscle activity as measured by electromyographic techniques. The left and right latissimus dorsi had increases in activity (16-25%) when loads were held with the hands instead of applied via the harness. Increased activity for hand loading was also found for the left and right rectus abdominis (13-17%) and left external oblique (24%). The left and right erector spinae and right external oblique exhibited the same activity for both loading methods. The current findings indicate that studies of torso loading using a shoulder harness to create torso moments may be lowering activity of some torso muscles.

Adult↗
PubMed1989

The Drosophila gene torso encodes a putative receptor tyrosine kinase.

The maternal gene torso, required for determination of anterior and posterior terminal structures in the Drosophila embryo, was cloned using P-element tagging. Genetic evidence suggests that the action of the gene product is spatially restricted to the terminal regions; the torso messenger RNA, however, is evenly distributed. Structural similarities of the predicted torso protein with growth-factor receptor tyrosine kinases suggest that the spatial restriction of torso activity results from a localized activation of the torso protein at the anterior and posterior egg pole.

Animals↗
PubMed1987

The effect of torso geometry on magnetocardiographic isofield maps.

Using a computer model of a realistically shaped human torso with lungs and intraventricular blood masses, we have assessed how torso geometry and composition affect the extracorporal magnetic field produced by a current dipole in the centre of the ventricular mass. The magnetic induction vector B arising from the dipole has been calculated at points of a precordial measuring grid and the influence of boundaries has been assessed qualitatively, by comparing contour maps of the B component normal to the torso's frontal plane. We found that the maps reflected relatively faithfully the underlying dipolar source for the homogeneous torso and even for the torso with lungs. However, the intraventricular blood masses caused a noticeable rotation of the maps' extrema. Both lungs and blood masses tended to swing the distribution towards the distribution that would have been caused by a dipole oriented along the anatomical axis of the heart.

Computer Simulation↗
PubMed1994

Passive stiffness of the lumbar torso in flexion, extension, lateral bending, and axial rotation. Effect of belt wearing and breath holding.

This work investigated the passive bending properties of the intact human torso about its three principal axes of flexion: extension, lateral bending, and axial rotation. Additionally, the effects of wearing an abdominal belt and holding the breath (full inhalation) on trunk stiffness was investigated. The torsos of 22 males and 15 females were subjected to bending moments while "floating" in a frictionless jig with isolated torso bending measured with a magnetic device. Belts and breath holding appear to stiffen the torso about the lateral bending and axial rotation axes but not in flexion or extension. Torsos are stiffer in lateral bending and capable of storing greater elastic energy. Regression equations were formulated to define stiffness and energy stored for input to biomechanical models that examine low back function and for bioengineers designing hardware for stabilization and bracing or investigation of traumatic events such as automobile collision.

Abdomen↗
PubMed1996

Neither the homeodomain nor the activation domain of Bicoid is specifically required for its down-regulation by the Torso receptor tyrosine kinase cascade.

Bicoid (Bcd) is a maternal morphogen responsible for patterning the head and thorax of the Drosophila embryo. Correct specification of head structure, however, requires the activity of the Torso receptor tyrosine kinase cascade, which also represses expression of Bcd targets at the most anterior tip of the embryo. Here, we investigate the role of both the homeodomain (HD) and the activation domain of Bcd in the anterior repression of its targets. When a Bcd mutant protein whose HD has been replaced by the Gal4 DNA-binding domain is expressed in early embryos, a reporter gene driven by Gal4 DNA-binding sites is first activated in an anterior domain and then repressed from the anterior pole. The down-regulation of Bcd-Gal4 activity requires torso function but does not depend on endogenous bcd activity, indicating that the Bcd protein alone and none of its targets is required to mediate the effect of torso. Functional analysis of a chimeric protein, whose activation domain has been replaced by a generic activation domain, indicates that the activation domain of Bcd is also not specifically required for its down-regulation by Torso. We propose that Torso does not affect the ability of Bcd to bind DNA, but instead directs modification of Bcd or of a potential Bcd co-factor, which renders the Bcd protein unable to activate transcription.

Animals↗
PubMed2005

Functions and mechanisms of receptor tyrosine kinase Torso signaling: lessons from Drosophila embryonic terminal development.

The Torso receptor tyrosine kinase (RTK) is required for cell fate specification in the terminal regions (head and tail) of the early Drosophila embryo. Torso contains a split tyrosine kinase domain and belongs to the type III subgroup of the RTK superfamily that also includes the platelet-derived growth factor receptors, stem cell or steel factor receptor c-Kit proto-oncoprotein, colony-stimulating factor-1 receptor, and vascular endothelial growth factor receptor. The Torso pathway has been a model system for studying RTK signal transduction. Genetic and biochemical studies of Torso signaling have provided valuable insights into the biological functions and mechanisms of RTK signaling during early Drosophila embryogenesis.

Animals↗
PubMed1982

Finite element solution of steady state temperature distribution in the human torso.

A finite element model of the steady state temperature distribution in the human torso is developed. The torso is approximated by a circular cylinder of core surrounded by a layer of muscle and insulating layers of fat and skin. The model is simplified by neglecting longitudinal heat flow. The region occupied by a circular cross-section of the torso is discretized into a mesh of triangles and the boundary of the torso, that is, the skin surface, is consequently approximated by a polygon. The elliptic partial differential equation governing the steady state temperature distribution, together with the associated boundary conditions, are expressed in equivalent variational form. Linear basis functions are used and the resulting integral is minimized over the region bounded by the approximating polygon. Results for two numerical experiments are determined by solving systems of linear equations.

Body Temperature↗
PubMed1992

corkscrew encodes a putative protein tyrosine phosphatase that functions to transduce the terminal signal from the receptor tyrosine kinase torso.

We describe the characterization of the Drosophila gene, corkscrew (csw), which is maternally required for normal determination of cell fates at the termini of the embryo. Determination of terminal cell fates is mediated by a signal transduction pathway that involves a receptor tyrosine kinase, torso, a serine/threonine kinase, D-raf, and the transcription factors, tailless and huckebein. Double mutant and cellular analyses between csw, torso, D-raf, and tailless indicate that csw acts downstream of torso and in concert with D-raf to positively transduce the torso signal via tailless, to downstream terminal genes. The csw gene encodes a putative nonreceptor protein tyrosine phosphatase covalently linked to two N-terminal SH2 domains, which is similar to the mammalian PTP1C protein.

Amino Acid Sequence↗
PubMed2002

The effect of delayed postoperative irradiation on local control of soft tissue sarcomas of the extremity and torso.

PURPOSE: The impact of delayed adjuvant radiotherapy in patients treated by surgical resection for peripheral or torso soft tissue sarcoma has not been well characterized. We retrospectively examined this issue in an institutional patient cohort. METHODS AND MATERIALS: One hundred two adult patients were treated at the University of Washington Medical Center between 1981 and 1998 with postoperative radiotherapy for cure of a newly diagnosed soft tissue sarcoma. Of this group, 58 patients had primary intermediate- or high-grade disease of the extremity or torso (50 extremity/8 torso). Tumor histology was predominantly malignant fibrohistiocytoma, synovial cell sarcoma, and leiomyosarcoma. The group was dichotomized according to time interval from definitive resection to the start of adjuvant radiation. Twenty-six patients had a short delay, defined as <4 months, and 32 patients had a long delay of >or=4 months. Both groups were balanced with regard to site, size, margin status, and tumor depth; however, the long-delay group had a larger proportion of high histologic grade lesions and was treated more frequently with chemotherapy (31/32 [97%] for long-delay patients vs. 14/26 [54%] for short-delay patients). Median follow-up was 49.5 months (range: 7-113 months). Median follow-up for patients still alive was 54 months (range: 9-113 months). Survival outcomes were estimated by the Kaplan-Meier method. RESULTS: Overall local relapse-free survival at 5 years from the time of definitive resection was 74%. On univariate analysis, estimated 5-year local relapse-free survival was significantly improved in the short-delay group (88% vs. 62% for the long-delay group, p = 0.048 by log rank). Overall distant relapse-free survival, disease-free survival, and overall survival at 5 years were 77%, 68%, and 86%, respectively. These survival outcomes were statistically equivalent in both radiation delay groups. There was no evidence to suggest that delaying adjuvant systemic therapy for postoperative radiation negatively impacted distant relapse-free survival, disease-free survival, or overall survival. Patterns of failure analysis revealed that 11/12 disease failures in the long-delay group had a local component, with five patients presenting with solitary local recurrences. Severe chronic radiation-related soft tissue or peripheral nerve morbidity was infrequent (5/58 or 8.6%) and similar in both groups. CONCLUSIONS: Postoperative radiation delays of 4 months or greater were associated with inferior local disease control for intermediate- and high-grade soft tissue sarcomas of the extremity and torso. Our results suggest that timing postoperative radiation before postoperative chemotherapy may optimize local therapy for such patients without adversely affecting distant disease control, long-term morbidity, or overall survival. Prospective testing of this hypothesis is warranted.

Adolescent↗
PubMed1998

Effects of split torso positioning and laparoscopic surgery for donor nephrectomy on respiratory mechanics.

STUDY OBJECTIVE: To test whether split torso positioning, abdominal insufflation, and other procedures performed during laparoscopic nephrectomy would affect mechanical impedances to inflation [i.e., elastance (E) and resistance (R) of the total respiratory system (Ers, and Rrs), lungs (EL and RL), and chest wall (Ecw and Rcw)] differently from previously studied laparoscopic procedures. DESIGN: Unblinded study, each patient serving as own control. SETTING: University hospital. PATIENTS: 12 ASA physical status I and II patients scheduled for laparoscopic donor nephrectomy, all without cardiopulmonary disease. INTERVENTIONS: Patients were anesthetized and paralyzed, tracheally intubated and mechanically ventilated at 10, 20, and 30 breaths/minute and at tidal volumes of 250, 500, and 800 ml. Measurements were made in the following positions: supine, split torso, abdominal insufflation (Pab = 15 mmHg), and supine after deflation. MEASUREMENTS AND MAIN RESULTS: Airway flow and pressure and esophageal pressure were measured. Discrete Fourier transformation was used to calculate E and R. These were analyzed with repeated measures, linear multiple regression with accepted level of significance at p < 0.05. Ers, Ecw, and Rcw increased (p < 0.05) while EL decreased (p < 0.05) when patients changed from supine to split torso. During Pab = 15 mmHg, Ers, Ecw, and Rcw increased further and Rrs and RL increased (p < 0.05). Following abdominal deflation, Ecw and Ers remained elevated (p < 0.05). The changes in Ecw caused by laparoscopy and surgery were greater than we have previously measured in other laparoscopic procedures, while the changes in EL were less. CONCLUSIONS: Laparoscopic nephrectomy affects lung and chest wall mechanical properties differently from other laparoscopic procedures. This finding could be due to the split torso positioning, and the effects of abdominal swelling on the chest wall caused by administration of more perioperative fluids with laparoscopic nephrectomy.

Adult↗
PubMed2001

The influence of whole-body vs. torso pre-cooling on physiological strain and performance of high-intensity exercise in the heat.

Little research has been reported examining the effects of pre-cooling on high-intensity exercise performance, particularly when combined with strategies to keep the working muscle warm. This study used nine active males to determine the effects of pre-cooling the torso and thighs (LC), pre-cooling the torso (ice-vest in 3 degrees C air) while keeping the thighs warm (LW), or no cooling (CON: 31 degrees C air), on physiological strain and high-intensity (45-s) exercise performance (33 degrees C, 60% rh). Furthermore, we sought to determine whether performance after pre-cooling was influenced by a short exercise warm-up. The 45-s test was performed at different (P<0.05) mean core temperature [(rectal+oesophageal)/2] [CON: 37.3+/-0.3 (S.D.), LW: 37.1+/-0.3, LC: 36.8+/-0.4 degrees C] and mean skin temperature (CON: 34.6+/-0.6, LW: 29.0+/-1.0, LC: 27.2+/-1.2 degrees C) between all conditions. Forearm blood flow prior to exercise was also lower in LC (3.1+/-2.0 ml 100 ml tissue(-1) x min(-1)) than CON (8.2+/-2.5, P=0.01) but not LW (4.3+/-2.6, P=0.46). After an exercise warm-up, muscle temperature (Tm) was not significantly different between conditions (CON: 37.3+/-1.5, LW: 37.3+/-1.2, LC: 36.6+/-0.7 degrees C, P=0.16) but when warm-up was excluded, T(m) was lower in LC (34.5+/-1.9 degrees C, P=0.02) than in CON (37.3+/-1.0) and LW (37.1+/-0.9). Even when a warm-up was performed, torso+thigh pre-cooling decreased both peak (-3.4+/-3.8%, P=0.04) and mean power output (-4.1+/-3.8%, P=0.01) relative to the control, but this effect was markedly larger when warm-up was excluded (peak power -7.7+/-2.5%, P=0.01; mean power -7.6+/-1.2%, P=0.01). Torso-only pre-cooling did not reduce peak or mean power, either with or without warm-up. These data indicate that pre-cooling does not improve 45-s high-intensity exercise performance, and can impair performance if the working muscles are cooled. A short exercise warm-up largely removes any detrimental effects of a cold muscle on performance by increasing Tm.

Adult↗