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Qualitative models of seat discomfort including static and dynamic factors.

Judgements of overall seating comfort in dynamic conditions sometimes correlate better with the static characteristics of a seat than with measures of the dynamic environment. This study developed qualitative models of overall seat discomfort to include both static and dynamic seat characteristics. A dynamic factor that reflected how vibration discomfort increased as vibration magnitude increased was combined with a static seat factor which reflected seating comfort without vibration. The ability of the model to predict the relative and overall importance of dynamic and static seat characteristics on comfort was tested in two experiments. A paired comparison experiment, using four polyurethane foam cushions (50, 70, 100, 120 mm thick), provided different static and dynamic comfort when 12 subjects were exposed to one-third octave band random vertical vibration with centre frequencies of 2.5 and 5.5 Hz, at magnitudes of 0.00, 0.25 and 0.50 m x s(-2) rms measured beneath the foam samples. Subject judgements of the relative discomfort of the different conditions depended on both static and dynamic characteristics in a manner consistent with the model. The effect of static and dynamic seat factors on overall seat discomfort was investigated by magnitude estimation using three foam cushions (of different hardness) and a rigid wooden seat at six vibration magnitudes with 20 subjects. Static seat factors (i.e. cushion stiffness) affected the manner in which vibration influenced the overall discomfort: cushions with lower stiffness were more comfortable and more sensitive to changes in vibration magnitude than those with higher stiffness. The experiments confirm that judgements of overall seat discomfort can be affected by both the static and dynamic characteristics of a seat, with the effect depending on vibration magnitude: when vibration magnitude was low, discomfort was dominated by static seat factors; as the vibration magnitude increased, discomfort became dominated by dynamic factors.

Adult↗

Effects of asymmetric dynamic and isometric liftings on strength/force and rating of perceived exertion.

A laboratory study was undertaken to determine the postural and physical characteristics and subjective stress during dynamic lifting of a usual load (10 kg) compared with during isometric lifting. The authors also aimed to clarify the effects of asymmetric lifting on these parameters. The subjects were thirteen male college students. They were asked to lift a box weighing 10 kg. They performed sixteen different lifting tasks from the floor to a height of 71 cm, involving a combination of three independent factors: two lifting modes (isometric lifting and dynamic lifting), four lifting angles in relation to the sagittal plane (sagittal plane, right 45 degree, right 90 degree and left 90 degree planes) and two lifting postures (squat and stoop). For each lifting task, strengths or forces and ground reaction forces were measured. At the end of each task, the authors asked the subjects to rate their perceived exertion (RPE) during lifting at ten sites of the body. Angle factor had a significant effect on isometric strengths and dynamic peak forces. Isometric strengths during the maximum 3 s were highest in lifting in the right 45 degree plane, followed by that in the sagittal plane, while those in the right 90 degree and left 90 degree planes were the lowest. However, peak forces in dynamic lifting were the highest in the lifting in the sagittal plane, followed by that in the right 45 degree plane, while those in the right 90 degree and left 90 degree planes were the lowest. Postural factor had a significant effect on height at peak force, which is higher in squat lifting than in stoop lifting. RPEs for the left arm, the backs and the right whole body in isometric lifting were significantly higher than in dynamic lifting of 10 kg. There were remarkably high RPEs for the ipsilateral thigh to the box in right 90 degree and left 90 degree planes during both isometric and dynamic liftings. Locations of the resultant force consisting of three component forces on the force plate were closer to the foot on the same side as the box in asymmetric lifting. Thus, some similarities and differences were found between isometric lifting and dynamic liftings regarding the indexes of strength used in this experiment. The authors consider that the subjects used the foot nearer to the box as a fulcrum during asymmetric lifting. Dynamic measurement using the 10 kg weight is less stressful than the conventional isometric measurement. It was possible to obtain the height data at peak force and time-based changes in the force and the box location during lifting only through dynamic lifting measurement. The results provide new knowledge about the biomechanical features of dynamic lifting tasks.

Adolescent↗

Computational analysis in vitro: dynamics and plasticity of a neuro-robotic system.

When the brain interacts with the environment it constantly adapts by representing the environment in a form that is called an internal model. The neurobiological basis for internal models is provided by the connectivity and the dynamical properties of neurons. Thus, the interactions between neural tissues and external devices provide a fundamental means for investigating the connectivity and dynamical properties of neural populations. We developed this idea, suggested in the 1980s by Valentino Braitenberg, for investigating and representing the dynamical behavior of neuronal populations in the brainstem of the lamprey. The brainstem was maintained in vitro and connected in a closed loop with two types of artificial device: (a) a simulated dynamical system and (b) a small mobile robot. In both cases, the device was controlled by recorded extracellular signals and its output was translated into electrical stimuli delivered to the neural system. The goal of the first study was to estimate the dynamical dimension of neural preparation in a single-input/single-output configuration. The dynamical dimension is the number of state variables that together with the applied input determine the output of a system. The results indicate that while this neural system has significant dynamical properties, its effective complexity, as established by the dynamical dimension, is rather moderate. In the second study, we considered a more specific situation, in which the same portion of the nervous system controls a robotic device in a two-input/two-output configuration. We fitted the input-output data from the neuro-robotic preparation to neural network models having different internal dynamics and we observed the generalization error of each model. Consistent with the first study, this second experiment showed that a simple recurrent dynamical model was able to capture the behavior of the hybrid system. This experimental and computational framework provides the means for investigating neural plasticity and internal representations in the context of brain-machine interfaces.

Animals↗

Dynamic versus static respiratory mechanics in acute lung injury and acute respiratory distress syndrome.

OBJECTIVES: It is not clear whether the mechanical properties of the respiratory system assessed under the dynamic condition of mechanical ventilation are equivalent to those assessed under static conditions. We hypothesized that the analyses of dynamic and static respiratory mechanics provide different information in acute respiratory failure. DESIGN: Prospective multiple-center study. SETTING: Intensive care units of eight German university hospitals. PATIENTS: A total of 28 patients with acute lung injury and acute respiratory distress syndrome. INTERVENTIONS: None. MEASUREMENTS: Dynamic respiratory mechanics were determined during ongoing mechanical ventilation with an incremental positive end-expiratory pressure (PEEP) protocol with PEEP steps of 2 cm H2O every ten breaths. Static respiratory mechanics were determined using a low-flow inflation. MAIN RESULTS: The dynamic compliance was lower than the static compliance. The difference between dynamic and static compliance was dependent on alveolar pressure. At an alveolar pressure of 25 cm H2O, dynamic compliance was 29.8 (17.1) mL/cm H2O and static compliance was 59.6 (39.8) mL/cm H2O (median [interquartile range], p < .05). End-inspiratory volumes during the incremental PEEP trial coincided with the static pressure-volume curve, whereas end-expiratory volumes significantly exceeded the static pressure-volume curve. The differences could be attributed to PEEP-related recruitment, accounting for 40.8% (10.3%) of the total volume gain of 1964 (1449) mL during the incremental PEEP trial. Recruited volume per PEEP step increased from 6.4 (46) mL at zero end-expiratory pressure to 145 (91) mL at a PEEP of 20 cm H2O (p < .001). Dynamic compliance decreased at low alveolar pressure while recruitment simultaneously increased. Static mechanics did not allow this differentiation. The decrease in static compliance occurred at higher alveolar pressures compared with the dynamic analysis. CONCLUSIONS: Exploiting dynamic respiratory mechanics during incremental PEEP, both compliance and recruitment can be assessed simultaneously. Based on these findings, application of dynamic respiratory mechanics as a diagnostic tool in ventilated patients should be more appropriate than using static pressure-volume curves.

Acute Disease↗

Intraocular pressure measurement-comparison of dynamic contour tonometry and goldmann applanation tonometry.

PURPOSE: The dynamic contour tonometer (DCT, Pascal tonometer, Swiss Microtechnology AG, Port, Switzerland) was recently introduced as a new method of intraocular pressure measurement, supposedly independent of corneal properties. In this study we analyzed the agreement and correlation of dynamic contour tonometry and Goldmann applanation tonometry (GAT) and investigated the influence of central corneal thickness (CCT) and corneal curvature. We also considered preferential patient groups for both methods. METHODS: In a prospective study of 100 eyes without glaucoma, intraocular pressure was measured using dynamic contour tonometry and Goldmann applanation tonometry, followed by measurements of central corneal thickness and corneal curvature. RESULTS: A clear correlation between dynamic contour tonometry and Goldmann applanation tonometry was found (r = 0.693; P < 0.001). Dynamic contour tonometry generally resulted in higher intraocular pressure measurements (median difference + 1.8 mm Hg, mean difference + 2.34 mm Hg). Unlike dynamic contour tonometry, Goldmann applanation tonometry was remarkably affected by central corneal thickness, but neither method was significantly influenced by corneal curvature. Bland-Altman graphs showed remarkable disagreement between dynamic contour tonometry and Goldmann applanation tonometry, which could be partially explained by the influence of central corneal thickness on Goldmann applanation tonometry. To obtain valid readings, dynamic contour tonometry required a more extensive selection of patients than Goldmann applanation tonometry. CONCLUSIONS: Dynamic contour tonometry seems to be a reliable method for intraocular pressure measurement, which unlike Goldmann applanation tonometry is not influenced by central corneal thickness. In clinical practice, advantages from dynamic contour tonometry can be expected for cooperative patients, outpatients, and patients with sufficient bilateral ocular fixation, whereas Goldmann applanation tonometry measurements are more reliable in case of patients with inadequate cooperation, poor vision, or nystagmus.

Body Weights and Measures↗

Microstructure and velocity of field-driven Ising interfaces moving under a soft stochastic dynamic.

We present theoretical and dynamic Monte Carlo simulation results for the mobility and microscopic structure of (1+1)-dimensional Ising interfaces moving far from equilibrium in an applied field under a single-spin-flip "soft" stochastic dynamic. The soft dynamic is characterized by the property that the effects of changes in field energy and interaction energy factorize in the transition rate, in contrast to the nonfactorizing nature of the traditional Glauber and Metropolis rates "hard" dynamics). This work extends our previous studies of the Ising model with a hard dynamic and the unrestricted solid-on-solid (SOS) model with soft and hard dynamics. [P. A. Rikvold and M. Kolesik, J. Stat. Phys. 100, 377 (2000); J. Phys. A 35, L117 (2002); Phys. Rev. E 66, 066116 (2002).] The Ising model with soft dynamics is found to have closely similar properties to the SOS model with the same dynamic. In particular, the local interface width does not diverge with increasing field as it does for hard dynamics. The skewness of the interface at nonzero field is very weak and has the opposite sign of that obtained with hard dynamics.

Journal Article↗

Low-frequency dynamical heterogeneity in simulated amorphous Ni0.5Zr0.5 below its glass temperature: correlations with cage volume and local order fluctuations.

From molecular dynamics simulations results are reported concerning correlations between low-frequency (lf) heterogeneous dynamics in simulated Ni0.5Zr0.5 melts at 700, 760, and 810 K, which means around the Kauzmann temperature of the model, TK approximately 750 K. A method is presented to separate lf dynamics, reflecting the slow relaxation dynamics in the vitrifying melt, and high-frequency (hf) dynamics, characteristic of the thermal fluctuations at the considered temperatures. By means of a suitable quantitative measure of the distribution of heterogeneous lf dynamics in space and time, correlation parameters are evaluated between the spatial distribution of lf dynamics and structural inhomogeneities in the thermodynamically homogeneous melt. Relevant correlations are found between lf dynamics and some involved structure quantities such as the cage volume around Ni atoms, Omega Ni, or the Theta Ni parameter which reflects the geometry of the nearest-neighbor cage around Ni atoms. Further, at 810 K there is a weak correlation between heterogeneous dynamics and fluctuations of the mean potential energy per atom and a comparable weak anticorrelation with the particle density and Ni-atom density inhomogeneities, where these three correlations decrease with decreasing temperature. The present results indicate the existence of long-living regions of enhanced Omega Ni in the structure, which may act as regions of preferential initiation of irreversible lf dynamics and slow relaxation.

Journal Article↗

Receptive Fields of Neurons in the Owl's Auditory Brainstem Change Dynamically.

Binaural neurons in the barn owl's auditory brainstem have spatial receptive fields. It is shown here that both the frequency tuning of these neurons and their tuning to interaural time difference (ITD), the prime cue for azimuthal sound localization, improves with time after stimulus onset, a process I shall term 'dynamic sharpening'. Thus, the receptive fields of these neurons also have a temporal dimension. Data were collected in four hierachically ordered nuclei concerned with the computation of ITD: the nucleus ventralis lemnisci lateralis, pars anterior (VLVa), and three subnuclei in the inferior colliculus. Dynamic sharpening in the frequency tuning curves is evident from a dynamic reduction of tuning width. When stimulated with a tone, the response of all neurons varies in a cyclic manner with ITD. The ITDs at the response peaks differ by one period of the stimulus tone. The responses with noise stimulation are similar to the responses with tonal stimulation in all but the hierarchically highest nucleus, the external nucleus of the inferior colliculus. In this nucleus are found neurons that, if stimulated with noise, respond maximally only to one ITD while the responses at the other peaks are suppressed. This sidepeak suppression is a dynamic process. Dynamic sharpening of ITD tuning is also evident from a dynamic reduction of the tuning width around each of the response peaks. The proportion of neurons showing dynamic sharpening of ITD tuning is the same in all collicular subnuclei, but is lower in VLVa. Therefore, a major component of dynamic sharpening of ITD tuning occurs at the first station of the inferior colliculus. Lateral inhibition is one of the mechanisms underlying dynamic sharpening. Part of the inhibition may be mediated by GABA (Fujita and Konishi, 1988). The function of dynamic sharpening of ITD tuning may be to increase the fine representation of auditory space in single neurons.

Journal Article↗

A method for measuring the dynamic behavior of medical compression hosiery during walking.

BACKGROUND: . Compression therapy is effective in patients suffering from venous disease. This therapy has proven to be especially effective in the ambulant patient. Therefore, the dynamic behavior of the medical compression hosiery (MCH) is more important than the static one in the treatment of patients. OBJECTIVE: . The objective of this study was to develop a method for investigating the dynamic behavior of MCH during walking. METHODS: . The changes in the circumference of the lower leg equipped with a MCH are registered on a treadmill. The dynamic movement is then exactly simulated using an artificial leg-segment model equipped with the same MCH. The dynamic behavior of the MCH can thus be investigated using this artificial leg-segment model. The dynamic stiffness index can be calculated from the dynamic pressure and circumference signals. RESULTS: The expansion of the MCH was only limited to the area underlying the expanding muscles and did not spread circularly. This resulted in relatively high pressure exerted by the MCH on the underlying tissues during walking. Insertion of nonelastic material into the MCH overlying the expanding muscles increased the dynamic pressure. CONCLUSIONS: The active behavior of the MCH during normal walking differed considerably from its passive behavior. We defined a new characteristic of the MCH: the dynamic stiffness index based on the dynamic pressure profile. Insertion of nonelastic materials into the MCH covering overlying the expanding muscles increased the dynamic stiffness index.

Adult↗

On the subdivision of static and dynamic fusimotor actions on the primary ending of the cat muscle spindle.

1. Using large ramp and triangular stretches a survey has been made of the effect of stimulating single gamma fusimotor fibres on primary endings of muscle spindles in the peroneus brevis to see whether 'intermediate' types of fusimotor action could be recognized, falling between the well known static and dynamic types. 2. Responses were classified into six groups, as detailed on pp. 844-846, ranging from apparently 'pure' dynamic action (category I) to apparently 'pure' static action (category IV). Models for a putative mixed action were produced by combining the stimulation of a static and of a dynamic fibre to the same spindle. The clearest sign of static action was firing on the releasing phase of the stretch. The essential sign of dynamic action, which survived combination with the more dominant static action, was the low adaptive decay of firing with a time constant of about 0-5 sec that occurs on the plateau of the ramp stretch. 3. Out of 153 responses, each elicited from a primary ending on stimulation of a single fusimotor fibre, 67% were apparently 'pure' examples of dynamic and static action. The remaining 33% of responses were to some degree suggestive of an admixture, in various proportions, of static and dynamic actions. For only 18% of them was there firm indication of such admixture. 4. When a given fibre was tested on more than one ending then, with one exception out of thirty-six instances, its action always proved to be either predominantly static or predominantly dynamic. There was no special tendency for an axon with a mixed action on one spindle to have a similarly mixed action on other endings so that individual fusimotor fibres were best classified as static or dynamic without intermediate grades. 5. Simultaneous stimulation of two fusimotor fibres eliciting apparently 'pure static and dynamic actions, could mimic all the intermediate types of action. 6. The results are discussed in relation to recent studies, especially those based on glycogen depletion. It was concluded that dynamic action arises from activation of the bag1 intrafusal muscle fibre, and that static action arises from the bag2 and chain fibres, whether acting individually or collaboratively. The intermediate actions are suggested to arise from an overlap of motor innervation to contrasting types of intrafusal muscle fibre. 7. On the basis of effects on the regularity of the afferent discharge the findings support the view that a given static action axon can innervate bag2 and chain fibres in various proportions in different spindles, so that they do not provide separable effector pathways. 8. Responses to large amplitude sinusoidal stretching were also studied in relation to our classification.

Action Potentials↗

Optimized dynamic rotation with wedges.

Dynamic rotation is a computer-controlled therapy technique utilizing an automated multileaf collimator in which the radiation beam shape changes dynamically as the treatment machine rotates about the patient so that at each instant the beam shape matches the projected shape of the target volume. In simple dynamic rotation, the dose rate remains constant during rotation. For optimized dynamic rotation, the dose rate is varied as a function of gantry angle. Optimum dose rate at each gantry angle is computed by linear programming. Wedges can be included in the optimized dynamic rotation therapy by using additional rotations. Simple and optimized dynamic rotation treatment plans, with and without wedges, for a pancreatic tumor have been compared using optimization cost function values, normal tissue complication probabilities, and positive difference statistic values. For planning purposes, a continuous rotation is approximated by static beams at a number of gantry angles equally spaced about the patient. In theory, the quality of optimized treatment planning solutions should improve as the number of static beams increases. The addition of wedges should further improve dose distributions. For the case studied, no significant improvements were seen for more than 36 beam angles. Open and wedged optimized dynamic rotations were better than simple dynamic rotation, but wedged optimized dynamic rotation showed no definitive improvement over open beam optimized dynamic rotation.

Humans↗

A microcosm of musical expression: II. Quantitative analysis of pianists' dynamics in the initial measures of Chopin's Etude in E major.

Patterns of expressive dynamics were measured in bars 1-5 of 115 commercially recorded performances of Chopin's Etude in E major, op. 10, No. 3. The grand average pattern (or dynamic profile) was representative of many performances and highly similar to the average dynamic profile of a group of advanced student performances, which suggests a widely shared central norm of expressive dynamics. The individual dynamic profiles were subjected to principal components analysis, which yielded Varimax-rotated components, each representing a different, nonstandard dynamic profile associated with a small subset of performances. Most performances had dynamic patterns resembling a mixture of several components, and no clustering of of performances into distinct groups was apparent. Some weak relationships of dynamic profiles with sociocultural variables were found, most notably a tendency of female pianists to exhibit a greater dynamic range in the melody. Within the melody, there were no significant relationships between expressive timing [Repp, J. Acoust. Soc. Am. 104, 1085-1100 (1998)] and expressive dynamics. These two important dimensions seemed to be controlled independently at this local level and thus offer the artist many degrees of freedom in giving a melody expressive shape.

Female↗

Similarities between dynamic elastance of left ventricular chamber and papillary muscle of rabbit heart.

The frequency-dependent dynamic elastance of the left ventricle (LV) of isolated rabbit heart was determined and compared with dynamic stiffness of excised rabbit papillary muscle. Comparison was made in three states: 1) relaxed, 2) BaCl2 contracture, and 3) rigor. Dynamic chamber elastance was determined by pressure-to-volume ratio at 12 frequencies of sinusoidal volume variation between 0.1 and 30 Hz. Dynamic elastance during BaCl2 contracture was distinctly different from that during either relaxed or rigor states. Characteristics of BaCl2 contracture were 1) as frequency increased, polar plot of real and imaginary elastance showed a progressively opening clockwise spiral that tended eventually to become tangent to the apogee of a semi-circle by 30 Hz; 2) modulus spectrum exhibited asymptotes at low and high frequencies with an intervening dip to a minimum at 1.25 Hz; and 3) phase showed a sharp transition at dip frequency from small negative values at lower frequencies to large positive values at intermediate frequencies and then declined at highest frequencies. There was little dependence of dynamic elastance on frequency in both relaxed and rigor states. Dynamic muscle stiffness exhibited all features of dynamic chamber elastance in all three states. We concluded that dynamic elements responsible for myofiber stiffness were also responsible for LV chamber elastance. Furthermore, it was possible to describe and interpret dynamic chamber elastance and muscle stiffness with a common model based on muscle cross-bridge theory. This model did a reasonable job of reproducing all important features of experimentally observed LV chamber elastance and muscle stiffness. Thus dynamic homologies between chamber and muscle were established in experimental data and in the fact that a single interpretive model served equally well for both chamber elastance and muscle stiffness.

Animals↗

Effects of fusimotor stimulation on dynamic and position sensitivities of spindle afferents in the primate.

The effects of stimulation of single static and dynamic fusimotor fibers on the dynamic sensitivity and position sensitivity of primary and secondary spindle afferents have been studied in the soleus muscle of the baboon. Static fusimotor fibers decreased the mean dynamic sensitivity of primary afferents at all rates of stretch and stimulation. The magnitude of the decrease in dynamic sensitivity increased as the rate of fusimotor stimulation was increased. Qualitatively similar effects were observed in secondary afferents. Static fusimotor stimulation had a strong excitatory effect on spindle afferent resting discharge and greatly increased the mean position sensitivity of both primary and secondary afferents. Dynamic fusimotor fibers increased the mean dynamic index of primary afferents at all rates of stretch and stimulation. The effect of dynamic fusimotor fibers on the mean dynamic sensitivity, however, was dependent on the rate of muscle stretch; at rates below 15 mm/s the dynamic sensitivity was substantially increased, whereas at rates greater than 15 mm/s it was either unchanged or decreased. Dynamic fusimotor fibers slightly decreased the mean position sensitivity of primary afferents.

Action Potentials↗

Short-term predictive changes in the dynamics of disparity vergence eye movements.

Repetitive stimulation of the disparity vergence system to large convergent step stimuli has been shown to increase the dynamics of subsequent responses to smaller step stimuli. Here we show that decreases in the dynamics of both disparity convergence and divergence eye movements can be induced using a frequently occurring small amplitude conditioning stimulus to modify responses to a larger, occasionally presented test stimulus. In one experiment, a simple conditioning stimulus consisting of repetitive 1 degrees step stimuli was used to modify the dynamic vergence response to an occasional 4 degrees step test stimulus. An experimental trial consisted of three phases: baseline, conditioning, and recovery. The baseline and recovery phases used only the 4 degrees test stimuli. The dynamic characteristics of the responses to test stimuli were quantified by measuring the magnitude of the peak velocity. A statistically significant change was observed between the dynamics of conditioned responses compared to baseline and recovery responses indicting modification by the conditioning stimuli. During recovery, the response dynamics returned to levels near baseline levels showing that the decrease in response dynamics was caused by the conditioning stimulus, not fatigue. Another experiment showed that the response dynamics to large stimuli could be decreased whereas the dynamics of small stimuli could be increased by the same intermediate conditioning stimulus. Other experiments suggest that the modifications are due to a predictive mechanism. The results indicate that the dynamics of disparity vergence eye movements are malleable and depend to some extent on the amplitude of preceding stimuli.

Adult↗

Modeling genetic networks and their evolution: a complex dynamical systems perspective.

After finishing the sequence of the human genome, a functional understanding of genome dynamics is the next major step on the agenda of the biosciences. New approaches, such as microarray techniques, and new methods of bioinformatics provide powerful tools aiming in this direction. In the last few years, important parts of genome organization and dynamics in a number of model organisms have been determined. However, an integrated view of gene regulation on a genomic scale is still lacking. Here, genome function is discussed from a complex dynamical systems perspective: which dynamical properties can a large genomic system exhibit in principle, given the local mechanisms governing the small subsystems that we know today? Models of artificial genetic networks are used to explore dynamical principles and possible emergent dynamical phenomena in networks of genetic switches. One observes evolution of robustness and dynamical self-organization in large networks of artificial regulators that are based on the dynamic mechanism of transcriptional regulators as observed in biological gene regulation. Possible biological observables and ways of experimental testing of global phenomena in genome function and dynamics are discussed. Models of artificial genetic networks provide a tool to address questions in genome dynamics and their evolution and allow simulation studies in evolutionary genomics.

Biological Evolution↗

Trigger and screen: shame dynamics and the problem of instigation in Freud's dreams.

This paper concerns the problem of instigation, that is to say, the dynamic triggering, of the dream in Freud's "The Interpretation of Dreams" (1900)/1953). The problem of instigation came to the author's attention in the course of studying treatment difficulties and failures outside of the psychoanalytic situation, specifically the dynamics of impulsive actions and of posttraumatic nightmares, which the author then used in the consideration of problems associated with conceptualizing instigation in "The Interpretation of Dreams." Instigatory dynamics other than Freud's metaphor of "capitalist and entrepreneur" have attracted scant attention; and that metaphor as Freud applied it is an incomplete example of the instigatory process since its theoretical formulation are discrepant with Freud's clinical sensitivity to the instigation of his own dreams. Four of Freud's major dreams reveal an instigatory experience consisting of a contemporaneous ego-ideal conflict due to an anticipation of professional status as denied or lost. This contemporaneous ego-ideal conflict resonates with early and unconscious shame dynamics and shame fantasies involving tension from the ego-ideal that result from Freud's seeing himself as relegated to inferior or asexual status. The wish to possess an object of desire was not primary in any of these dreams. The complex nexus of shame dynamics, in turn, instigates more visible competitive wishes; these strive to alter the circumstances that threaten to give rise to shame or turn the tables on the shamer. The instigating shame dynamics are thus screened by the more visible dynamics of hostile competition. This formulation offers an expanded view of the dynamics of instigation which leads to a more balanced understanding of the nature and components of instigatory shame dynamics and their relationship to the dynamics of conflicts involving hostility, competition, and guilt.

Austria↗

Dynamic glenohumeral stability provided by the rotator cuff muscles in the mid-range and end-range of motion. A study in cadavera.

BACKGROUND: Both static and dynamic factors are responsible for glenohumeral joint stability. We hypothesized that dynamic factors could potentially operate throughout the entire range of glenohumeral motion, although capsuloligamentous restraints (a static factor) have been thought to be primarily responsible for stability in the end-range of motion. The purpose of this study was to quantitatively compare the dynamic glenohumeral joint stability in the end-range of motion (the position of anterior instability) with that in the mid-range by investigating the force components generated by the rotator cuff muscles. METHODS: Ten fresh-frozen shoulders from human cadavera were obtained, and all soft tissues except the rotator cuff were removed. The glenohumeral capsule was resected after the rotator cuff muscles had been released from the scapula. A specially designed frame positioned the humerus in 60 degrees of abduction and 45 degrees of extension with respect to the scapula. The compressive and shear components on the glenoid were measured before and after a constant force was applied individually to each muscle with the humerus in five different positions (from neutral to 90 degrees of external rotation). The dynamic stability index, a new biomechanical parameter reflecting these force components and the concavity-compression mechanism, was calculated. The higher the dynamic stability index, the greater the dynamic glenohumeral stability. RESULTS: In the mid-range of motion, the supraspinatus and subscapularis provided higher dynamic stability indices than did the other muscles (p < 0.05). On the other hand, when the position of anterior instability was simulated in the end-range of motion, the subscapularis, infraspinatus, and teres minor provided significantly higher dynamic stability indices than did the supraspinatus (p < 0.005). CONCLUSIONS: The rotator cuff provided substantial anterior dynamic stability to the glenohumeral joint in the end-range of motion as well as in the mid-range. CLINICAL RELEVANCE: A glenohumeral joint with a lax capsule and ligaments might be stabilized dynamically in the end-range of motion if the glenoid concavity is maintained and the function of the external and internal rotators, which are efficient stabilizers in this position, is enhanced.

Aged↗