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PubMed2002

Precision of estimates of mean and peak spinal loads in lifting.

A bootstrap procedure was used to determine the statistical precision of estimates of mean and peak spinal loads during lifting as function of the numbers of subjects and measurements per subject included in a biomechanical study. Data were derived from an experiment in which 10 subjects performed 360 lifting trials each. The maximum values per lift of the lumbar flexion angle, L5S1 sagittal plane moment, and L5S1 compression force were determined. From the data set thus compiled, 3000 samples were randomly drawn for each combination of number of subjects and number of measurements considered. The coefficients of variation of mean and peak (defined as mean plus 2 standard deviations) spinal loads across these samples were calculated. The coefficients of variation of the means of the three parameters of spinal load decreased as a linear function of the number of subjects to a power of about -0.48 and number of measurements to a power of about -0.06, while the corresponding powers for peak loads were about -0.44 and -0.11.

Analysis of Variance↗
PubMed2000

Use of palatal lift and palatal augmentation prostheses to improve dysarthria in patients with amyotrophic lateral sclerosis: a case series.

STATEMENT OF PROBLEM: Amyotrophic Lateral Sclerosis (ALS) is a progressive, adult onset neurodegenerative disorder manifesting itself as a loss of motor capabilities and untimely death. The dysarthria seen in patients with ALS who have bulbar symptoms causes severe problems with communication. The struggle to be understood comes at a time when progressive cumulative disabilities make communication with family, friends, and healthcare workers vital. The use of palatal lift/augmentation prostheses for dysarthria in ALS is not a frequently requested procedure by neurologists. PURPOSE: The purpose of this retrospective outcomes study was to evaluate the effectiveness of this treatment on improving speech function and intelligibility in this group of patients. This study also reviews the history, incidence, pathogenesis, and speech characteristics of the patient with ALS. METHODS: A retrospective study of 25 patients treated with a prosthesis was performed using chart reviews and phone/office interviews to evaluate the efficacy of a palatal lift and/or augmentation prosthesis to improve speech in ALS patients. RESULTS: Twenty-one patients (84%) treated with a palatal lift demonstrated improvement in their dysarthria, specifically in reduction of hypernasality, with 19 (76%) benefiting at least moderately for 6 months. Of the 10 patients treated with a combination palatal lift and augmentation prosthesis, 6 (60%) demonstrated improvement in articulation. A majority of patients indicated it was easier to speak with less effort involved when wearing the prosthesis. CONCLUSION: On the basis of this preliminary retrospective study, the use of a palatal lift/augmentation prosthesis should be considered in ALS patients with dysarthria.

Adult↗
PubMed1998

A three-dimensional mathematical model for predicting spinal joint force distribution during manual liftings.

OBJECTIVE: A three-dimensional dynamic mathematical model was developed to discover what loads are imposed on the lumbar structures by performance of asymmetric manual liftings. DESIGN: An external model was used to estimate the intersegmental resultant forces and moments at the L(5)/S(1) joint in this dynamic biomechanical model. Using an optimization algorithm, an internal model then distributed the intersegmental resultants to forces of muscle, disc, facet joints, and ligaments. BACKGROUND: To study the relation between large loads and low-back disorders, many biomechanical models have been developed. Most of the models were two-dimensional models discussed with symmetric activities. Some three-dimensional biomechanical models were static models or only included limited elements of the disc and muscles in the model. METHODS: A healthy young male subject was asked to perform asymmetric lift with bent knees. Dynamic data of body motion and ground reaction forces were monitored, and the EMG of six muscles were recorded simultaneously. A Newtonian equation was used to calculate the joint intersegmental resultant forces and moments. In the internal model, three components of the disc force, eight muscle forces, two ligament forces and two facet joint forces were computed. RESULTS: The correlation between the reaction moments from the upper and lower models of the external part were generally above 0.94, and the root mean square differences were below 19 Nm. In this internal model, the maximal disc compression was close to the data showed on the literature, and the estimation of muscle forces corresponded to the EMG activities. CONCLUSIONS: A three-dimensional biomechanical model has been developed and evaluated to estimate the spinal joint force distribution during asymmetric manual lifting activities.

Journal Article↗
PubMed1996

Modified brow lift: an adjunct to blepharoplasty.

PURPOSE: This report evaluates the efficacy of the modified supratrichial brow lift technique. The indications for the procedure, as well as the advantages, effectiveness, and complications are reviewed. PATIENTS AND METHODS: Thirty-six modified supratrichial brow lift procedures were performed bilaterally on 34 female and two male patients. The procedure was used in conjunction with a blepharoplasty in 32 patients and alone in four patients. RESULTS: The procedure improved the cosmetic result in the 32 patients with lateral brow ptosis who had a concomitant upper eyelid blepharoplasty. No complications were encountered. CONCLUSION: The modified supratrichial brow lift can improve the cosmetic result in patients with lateral brow ptosis undergoing an upper eyelid blepharoplasty.

Adult↗
PubMed1997

Maxillary sinus function after sinus lifts for the insertion of dental implants.

PURPOSE: The influence of bone augmentation of the floor of the maxillary sinus for the insertion of dental implants on sinus function has not been well investigated. In this study, the influence of the sinus lift on the development of maxillary sinus pathology was evaluated using generally accepted diagnostic criteria. MATERIAL AND METHODS: A group of 45 patients in whom a sinus lift procedure had been performed were evaluated for sinus pathology 12 to 60 months after bone transplantation and implant insertion, using a questionnaire, conventional radiographic examination, and nasoendoscopy. RESULTS: Postoperative maxillary sinusitis was detected in two of five patients with a predisposition for sinusitis, but in none of the other 40 patients. The occurrence of iatrogenic sinus membrane perforations during surgery was not related to the development of postoperative sinusitis in patients with healthy sinuses. CONCLUSION: The occurrence of postoperative chronic sinusitis appears to be limited to patients with a predisposition for this condition. These predisposing factors need to be considered when evaluating patients for sinus lift procedures.

Adult↗
PubMed1998

Laser-assisted endoscopic forehead lift.

The periorbital area is one of the most expressive areas of the face, and there are many techniques available that can be used to alter the position of the eyebrows. Traditional surgical browlift techniques use coronal, midforehead, and direct approaches. This article discusses one of the most recent innovations in forehead lifting, the laser-assisted endoscopic forehead lift. A review of the literature describes the numerous available surgical techniques used to change the position of the eyebrow. The surgical technique for the laser-assisted endoscopic forehead lift is then presented in detail and illustrated with the results of two cases.

Female↗
PubMed2003

CANON and Anammox in a gas-lift reactor.

Anoxic ammonium oxidation (Anammox) and Completely Autotrophic Nitrogen removal Over Nitrite (CANON) are new and promising microbial processes to remove ammonia from wastewaters characterized by a low content of organic materials. These two processes were investigated on their feasibility and performance in a gas-lift reactor. The Anammox as well as the CANON process could be maintained easily in a gas-lift reactor, and very high N-conversion rates were achieved. An N-removal rate of 8.9 kg N (m(3) reactor)(-1) day(-1) was achieved for the Anammox process in a gas-lift reactor. N-removal rates of up to 1.5 kg N (m(3) reactor)(-1) day(-1) were achieved when the CANON process was operated. This removal rate was 20 times higher compared to the removal rates achieved in the laboratory previously. Fluorescence in situ hybridization showed that the biomass consisted of bacteria reacting to NEU, a 16S rRNA targeted probe specific for halotolerant and halophilic Nitrosomonads, and of bacteria reacting to Amx820, specific for planctomycetes capable of Anammox.

Bacteria, Anaerobic↗
PubMed1997

The development of an EMG-assisted model to assess spine loading during whole-body free-dynamic lifting.

Low back disorders (LBDs) are the most common and costly occupationally-related compensable conditions facing employers today. Over the years several biomechanical assessment models have been developed that intended to assess the load profile imposed upon the spine during lifting and, thus, intended to facilitate the control of LBD risk in the workplace. Many of these biomechanical models have evolved based upon assumptions about how the trunk musculature respond to loads imposed upon the body during lifting. However, few of these models have been able to accurately predict the co-contraction of the trunk musculature which has been shown to have a major influence on the development of spinal loads. Thus, our understanding of how the spine is loaded under realistic dynamic lifting conditions has been deficient. A biologically-assisted or EMG-assisted model has been developed in our laboratory over the past 15 years which endeavours to overcome these traditional problems. The model has been assessed in the sagittal, coronal, and torsional planes of the body. The model development and performance will be reviewed as well as the benefits for controlling occupationally-related LBDs.

Journal Article↗
PubMed2003

The endoscopic brow and midface lift.

Improvements in technology have increased the level of patient care in all aspects of medicine and surgery. This is no less true in the area of cosmetic surgery. The use of endoscopy has led to improved aesthetics with respect to postoperative scarring, decreased healing time for patients, and an increase in overall patient satisfaction. Because the endoscopic brow and midface lift accomplishes the three primary goals of facial cosmetic surgery (restoration, rejuvenation, and enhancement) while adhering to the concepts of working from inside out and repositioning rather than excising, it could be concluded that there is no longer any indication for either the coronal or trichophillic brow lifts. An argument could be made that a direct brow lift may be indicated in cases of extreme brow ptosis with deep frontal rhytids to allow concealment of the scar; however, even moderate-to-severe brow ptosis can be corrected endoscopically when deep forehead rhytids are not present.

Bone Screws↗
PubMed2006

Quercetin content in field-cured onions (Allium cepa L.): effects of cultivar, lifting time, and nitrogen fertilizer level.

Variation in quercetin content was investigated in field-cured onions (Allium cepa L.) that had been supplied with different nitrogen fertilizer levels and lifted at different developmental stages. Quercetin content varied significantly between years and was well correlated to global radiation in August. Field curing generally resulted in significant increases in quercetin content compared to levels at lifting. Nitrogen fertilizer level did not affect quercetin content, suggesting that nitrogen leakage from soil may be minimized without effects on flavonol content. Lifting time had minor effects on quercetin content in field-cured onions. Cultivar differences in quercetin content were significant but not consistent in all years. Quercetin content increased significantly less in dark environments compared to field curing, but some quercetin synthesis occurred regardless of light. Field curing with or without foliage still attached did not affect quercetin content, suggesting that no transportation from the foliage to the scales occurred.

Agriculture↗
PubMed1997

Implant therapy involving maxillary sinus lift in periodontally compromised patients.

This study reports the results of implant therapy involving a sinus membrane lift as well as conventional implant therapy in 24 periodontally compromised patients who were treated during the period between June 1990 and May 1995. Patients were included on the basis of being in need of at least 2 implants, 1 of which was to be placed in the maxillary sinus region, and at least 3 mm bone height was required in the sinus region. Following fenestration of the lateral sinus wall and lifting of the sinus membrane sinus implants were inserted as described for conventional implants. Annual follow-up visits included recording of plaque, probing pocket depth and bleeding on probing, and recording of the radiographic distance from the implant shoulder to the alveolar crest in mm. The Astra, Astra sinus, ITI, and ITI sinus were observed for an average of 30.8, 29.9, 29.4 and 25.3 months, respectively. Of the 80 implants inserted 1 Astra and 2 ITI had failed at 11-12 months and 1 ITI had failed at 42 months. The Kaplan-Meier estimate of the proportion of non-failed implants at 36 months were 100%, 95%, 91%, and 86% for the Astra, Astra sinus, ITI, and ITI sinus implants, respectively. Of the Astra, Astra sinus, and ITI implants, 71-82% remained free from bone-loss > or = 1.5 mm at 36 months, whereas this was the case for only 29% of the ITI sinus implants. About 80-90% of the implants remained free from plaque; 65-86% remained free from bleeding; and 44-80% remained free from pockets > or = 4 mm. These results indicate that the sinus lift technique can be used successfully in periodontally compromised patients.

Adult↗
PubMed2003

Delta-wing function of webbed feet gives hydrodynamic lift for swimming propulsion in birds.

Most foot-propelled swimming birds sweep their webbed feet backwards in a curved path that lies in a plane aligned with the swimming direction. When the foot passes the most outward position, near the beginning of the power stroke, a tangent to the foot trajectory is parallel with the line of swimming and the foot web is perpendicular to it. But later in the stroke the foot takes an increasingly transverse direction, swinging towards the longitudinal axis of the body. Here we show that, early in the power stroke, propulsion is achieved mostly by hydrodynamic drag on the foot, whereas there is a gradual transition into lift-based propulsion later in the stroke. At the shift to lift mode, the attached vortices of the drag-based phase turn into a starting vortex, shed at the trailing edge, and into spiralling leading-edge vortices along the sides of the foot. Because of their delta shape, webbed feet can generate propulsive forces continuously through two successive modes, from drag at the beginning of the stroke, all the way through the transition to predominantly lift later in the stroke.

Animals↗
PubMed2001

A simple device for incision retraction and protection in endoscopic-assisted brow and forehead lifting.

BACKGROUND: Endoscopic-assisted cosmetic surgery has revolutionized various procedures. Forehead and brow lifting performed with endoscopic technique has been shown to be predictable and has fewer complications than open techniques. Providing surgical access and protecting the hair follicles is paramount in endoscopically assisted brow and forehead lifting. OBJECTIVE: To describe a simple retraction device to assist in incision retraction and protect hair follicles. METHODS: A simple, inexpensive retraction device is described that has been used in 60 endoscopic brow incisions to effectively protect the hair follicles and retract incisions for operative techniques. In addition, other methods of follicular protection are discussed. RESULTS: Decreased incisional alopecia and improved surgical access are provided by the use of a simple retraction device and attention to follicular preservation. CONCLUSION: Endoscopic-assisted brow and forehead lifting is becoming the preferred method of upper facial rejuvenation. There is a steep learning curve and often the lack of attention to hair follicle protection results in localized incisional alopecia. In addition, improper surgical access complicates the procedure. A simple device is described to assist in retraction and follicular preservation.

Endoscopy↗
PubMed1999

Assessment of the sinus lift operation by magnetic resonance imaging.

Sinus lift operations are done to increase bone thickness before placement of osseointegrated implants in areas of the maxilla where there is insufficient bone between the lower border of the maxillary sinus mucosa and the oral mucoperiosteum. Full sectional information should be available to the surgeon before the sinus lift operation so that the outcome can be predicted, and to allow for assessment of the volume of bone graft required. It is also useful to assess the success of the procedure before placement of the implant, and to choose the implant length and orientation required for maximum stability. We describe the use of a 0.2 tesla magnetic resonance imaging (MRI) scanner to image a patient before and after sinus lift. MRI gave full sectional information of the bone on both occasions without using ionizing radiation. The quality of the images was good, and should be considered as an alternative to the accepted gold standard of computed tomography (CT), which exposes the patient to a high dose of radiation.

Bone Transplantation↗
PubMed1988

Cardiovascular response during upright isometric dead lift in young, older, and elderly healthy men.

Isometric exercises raise the mean arterial blood pressure and impose serious stress on left ventricular function. It may be more dangerous for older than for younger people. The effect of aging on blood pressure response was studied in 75 subjects, 25 normal young men aged 25 +/- 4 years, 25 older men aged 51 +/- 3.2 years, and 25 elderly men aged 68 +/- 4 years, during upright isometric dead lift at 30% maximal voluntary effort for 3 min. The heart rate, systolic blood pressure, and diastolic blood pressure were measured during the 3rd min of dead lift contraction. Tension exerted was significantly lower in the older group (33 +/- 4 kg) and lowest in the elderly group (26.9 +/- 6 kg) compared with the young group (43 +/- 8 kg). All groups showed similar and significant increases in heart rate, systolic and diastolic blood pressure during dead lift (p less than 0.01). These data indicate a similar pattern of blood pressure response to acute pressure overload in young, older, and elderly normal men.

Adult↗
PubMed1985

The measurement of differential thresholds for lifted weights by microcomputer-controlled apparatus.

The measurement of differential thresholds (DLs) for lifted weights normally involves lengthy test sessions. This is due partly to the statistical techniques for measuring the threshold and partly to the methods adopted to present the stimuli. Attempts to speed up test procedures tend to produce unreliable DL estimates, or to measure the sense of force or effort rather than weight perception. To facilitate the measurement of DLs for lifted weights, an Apple microcomputer was programmed to generate Wetherill tracking procedures and was interfaced with two stimulus bearing turntables. Various lifting methods are easily implemented, and DLs are reliably and quickly measured. The adaptation of the apparatus for general use in investigating the haptic sense modality is discussed.

Computers↗
PubMed1989

Biomechanical analysis and assessment of lumbar stress during load lifting using a dynamic 19-segment human model.

A dynamic biomechanical human model is presented which allows the quantification of mechanical parameters such as torque, compressive and shear forces, and pressure at the lumbar intervertebral discs. The human model comprises a total of 19 body segments. Various trunk flexions can be analysed due to the provision of 5 joints at the level of the 5 lumbar intervertebral discs. The influence of intraabdominal pressure on spinal load is considered. The inclusion of the influences of gravity and inertia permits the analysis of both static body postures and dynamic body movements. Since the model is 3-dimensional, the lumbar stress can be calculated during both symmetrical tasks in the median sagittal plane as well as during non-symmetrical ones. The influences on spinal stress of trunk inclination and the position of an external load relative to the body are quantified for various load weights up to 50 kg. The torque at the lumbo-sacral joint L5-S1 lies, dependent on posture and load lever-arm, within the range between 0 and 500 Nm; the compressive force on L5-S1 lies within the range between 0.4 and 10 kN, and the shear force at L5-S1 between 0.2 and 0.9 kN. The influences of lift velocity and jerky movement on lumbar stress are quantified. Simulated humpback and hollow-back postures are studied. The compressive forces at the 5 lumbar intervertebral discs are compared. The validity of the model is examined by comparing the model calculations with the intradiscal pressure measurements taken from the literature. Strength tests on lumbar intervertebral discs and vertebrae are collated from the literature in order to assess the lumbar stress during load lifting. The lumbar ultimate compression strength varies within a wide range. The mean value for a total of 307 lumbar segments amounts to 4.4 kN, the standard deviation to 1.9 kN. In conclusion, lumbar compressive force values during lifting fall within the same range as the strength values for the human lumbar spine.

Biomechanical Phenomena↗
PubMed1991

Endurance time and physiological responses to prolonged arm lifting.

The main objective of this study was to examine the effects of prolonged arm lifting tasks on endurance time and physiological responses. Ten male college students participated in the study. The independent variables were the frequency of handling and weight of load. The dependent variables were endurance time, oxygen consumption, minute ventilation, heart rate, and ratings of perceived exertion of the shoulder, arm, back, leg and overall body. The results indicated that: (1) endurance time decreased with an increase in frequency or load; (2) oxygen consumption and heart rate limits were dependent on the interaction of frequency and load; (3) oxygen consumption and heart rate limits for arm lifting were generally lower than limits for leg lifting tasks; and (4) for arm work, average physiological responses recorded over short durations were not significantly different from those based on long durations.

Adult↗