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The effect of immunosuppression with whole body and regional irradiation on the development of cerebral oedema in a rat model of intracerebral haemorrhage.

A lesion simulating intracerebral haemorrhage was produced in the right caudate nucleus of rats immunosuppressed with whole body or regional irradiation. Whole body irradiation produced significant leucopaenia and thrombocytopaenia and conferred protection against cerebral ischaemia and oedema when compared to nonirradiated control animals. Local radiation to the head or torso did not confer protection.

Animals↗

The influence of sudden perturbations on trunk muscle activity and intra-abdominal pressure while standing.

Unexpected ventral and dorsal perturbations and expected, self-induced ventral perturbations were delivered to the trunk by suddenly loading a vest strapped to the torso. Six male subjects were measured for intra-abdominal pressure (IAP) and intra-muscular electromyography of the transversus abdominis (TrA), obliquus internus abdominis (OI), obliquus externus abdominis (OE) and rectus abdominis (RA) muscles. Erector spinae (ES) activity was recorded using surface electromyography. Displacements of the trunk and head were registered using a video-based system. Unexpected ventral loading produced activity in TrA, OI, OE and RA, and an IAP increase well in advance of activity from ES. Expected ventral loading produced pre-activation of all muscles and an increased IAP prior to the perturbation. The TrA was always the first muscle active in both the unexpected and self-loading conditions. Of the two ventral loading conditions, forward displacement of the trunk was significantly reduced during the self-loading. Unexpected dorsal loading produced coincident activation of TrA, OI, OE, RA and ES. These results indicate a response of the trunk muscles to sudden expected and unexpected ventral loadings other than the anticipated immediate extensor torque production through ES activation. It is suggested that the increase in IAP is a mechanism designed to improve the stability of the trunk through a stiffening of the whole segment.

Abdominal Muscles↗

Inter- and intra-limb coordination in arm tremor.

Inter- and intra-limb coordination in arm tremor was examined in adult subjects under vision and no vision conditions using accelerometery techniques. The accelerometer data were analyzed using standard time and frequency domain analyses and the regularity of the acceleration time series was determined using an approximate entropy (Ap En) measure. The data analysis was structured to examine the hypothesis that there is a functional compensatory relation between the motion (tremor) of the limb segments in the arm coordination postural pointing task. The results showed that the level of acceleration increased in a proximal to distal direction within a single arm and was symmetrical across homologous arm segments. The frequency analysis showed the established power spectral profiles for each limb segment in postural tremor tasks, but the finger motion included (beyond the normal 8-12 Hz and 20 Hz tremor) a third slower peak at around 2-3 Hz, due possibly to the reactive forces of the other arm links. There was no effect of vision on the level or frequency patterns of accleration in the limb segments. The coordination analysis showed that there was no linkage between the arms in either the time or frequency domain in the execution of this postural task. This result would tend to suggest that the neuronal commands underlying normal tremor are not derived from a common central oscillator within the central nervous system but are organized in a parallel fashion. The strength of the coupling of intra-limb coordination varied according to the particular adjacent limb links. There were significant correlations in the time domain and coherence in the frequency domain in the acceleration signals between upper arm and forearm, and between hand and finger. The phase lag of the arm units within each of these respective segment pairs was close to in phase or 0 deg. Significant coherence in the frequency domain was also evident between upper arm and hand motion, with the phase lag between these segments being close to 180 deg out of phase. The Ap En analysis of the acceleration signals revealed that there was more regularity to the upper arm and hand accelerometer signals than the forearm and finger signals. The findings show that the intra-limb coordination of the arm links in a two-limb postural pointing task is effected by a compensatory synergy organized about the action of the wrist and shoulder joints. This compensatory synergy reduces the coordination of the 4 within-limb degrees of freedom (arm links) to, in effect, a single degree of freedom arm control task that is not coupled in organization to the motion of the other limb or the torso. It is proposed that this coordination solution reduces the degrees of freedom independently regulated for realization of the task goal but preserves independent body segment control in critical degrees of freedom for potential adaptation to postural perturbations.

Adaptation, Physiological↗

M.I.T./Canadian vestibular experiments on the Spacelab-1 mission: 3. Effects of prolonged weightlessness on a human otolith-spinal reflex.

Reflex responses that depend on human otolith organ sensitivity were measured before, during and after a 10 day space flight. Otolith-spinal reflexes were elicited by means of sudden, unexpected falls. In weightlessness, "falls" were achieved using elastic cords running from a torso harness to the floor. Electromyographic (EMG) activity was recorded from gastrocnemius-soleus. The EMG response occurring in the first 100-120 ms of a fall, considered to be predominantly otolith-spinal in origin, decreased in amplitude immediately upon entering weightlessness, and continued to decline throughout the flight, especially during the first two mission days. The response returned to normal before the first post-flight testing session. The results suggest that information coming from the otolith organs is gradually ignored by the nervous system during prolonged space flight, although the possibility that otolith-spinal reflexes are decreased independent of other otolith output pathways cannot be ruled out.

Adaptation, Physiological↗

Low back muscle activity and pelvic rotation during walking.

Gait variables, pelvic rotations in the frontal and sagittal plane and RA-EMG (rectified and averaged EMG) of the three columns of the intrinsic lumbar back muscles (= ILBM) were recorded simultaneously during 48 succeeding strides of 11 subjects on a treadmill. Bilateral activity is found in all parts of the ILBM during the double support phase. After right heel strike the right ILBM (and after left heel strike the left) show in most cases more activity than the contralateral ILBM. This is especially so in the intermediate and lateral columns, which consist mainly of the longissimus thoracis and the iliocostalis lumborum muscle and less so in the medial column, made up mainly by the multifidus and spinalis muscle. This difference is probably due to the difference in moment arm for the two directions. Pelvic rotations are described, but no evident relationships between pelvic rotations in the different planes and ILBM-activity could be seen, probably because the changes in the position of the torso are of more importance.

Adult↗

Significance of the hepatic mitochondrial redox state in the development of posttraumatic jaundice.

The effect of the hepatic energy status on the development of posttraumatic jaundice (PTJ) was studied to clarify the mechanism of PTJ. Fifty-four patients with severe torso injury who were expected to develop PTJ on admission with an average Injury Severity Score of 27 were selected for this study. They were retrospectively divided into three groups according to their maximum bilirubin concentration by day 10: group H, 12 patients with marked elevation of serum bilirubin (> 8 g/dl); group L, 23 with mild bilirubinemia (2-8 g/dl); and group N, 19 with no bilirubinemia (< 2 g/dl). Group H patients, in whom trauma-related shock was severe and prolonged, developed severe hyperbilirubinemia, and their arterial ketone body ratio (AKBR), which reflects the hepatic mitochondrial redox state and is closely correlated to its energy production, was significantly lower throughout the first week. In contrast, the AKBR increased to an above normal level, indicating enhanced energy production in groups N and L. The serum direct/total bilirubin was also higher in group H. The abnormal hepatic energy metabolism is considered to have reduced the excretion of conjugated bilirubin from the hepatocytes into the bile canaliculi, which is a process that has to proceed against the bilirubin concentration gradient. The subsequent diffusion of the accumulated water-soluble conjugated bilirubin in hepatocytes into the blood is thus considered to be one of the causes of PTJ.

Adult↗

Elastic strain energy in the low back muscles during human walking.

A simple model of the thorax, pelvis and three columns of the intrinsic lumbar back muscles (= ILBM) was constructed. The model was used to study the length of the ILBM during the different stages of the walking cycle. The length of the right ILBM (especially the lateral column) was largest at right toe off, exactly the stage of the walking cycle in which most force was needed to prevent the torso from falling forwards and laterally.

Back↗

Prenatal diagnosis of osteogenesis imperfecta congenita by means of fetography.

By means of fetography, prenatal diagnosis of osteogenesis imperfecta congenita was performed on two pregnant women in the 34th week of gestation with familial histories of the disease. In 1 of the 2 cases, the fetogram revealed abnormal twisting of the torso, shortening, and severe angulation deformities of the extremities with callus formation and parchmentlike skull despite clear-cut outline of the scalp. On the basis of these findings, the fetus was diagnosed as osteogenesis imperfecta congenita and subsequently confirmed. Thus, the excellent fetal resolving power of fetography permitted successful prenatal diagnosis of the disease far more easily and precisely than plain roentgenography.

Adult↗

Variations in skinfold thickness during de-acclimatisation and re-acclimatisation to high altitude. Relation to body fat content.

Skinfold thickness, body weight, body water, anthropometric measurements and segment volumes were determined in 28 young and healthy Indian soldiers on return to Delhi (200 m) after staying for more than 24 months at high altitude (3500 m). The measurements were made on the 2nd day and after 3 weeks. Ten subjects were then randomly selected from this group and returned by air to the high-altitude station, and the measurements were repeated on the 3rd and 12th day of their reinduction. Though body weight and total body water increased marginally on transfer to the lower altitude, body density remained more or less unchanged. There were significant increases in the thickness of skinfolds, even when body density had increased. During this period hand and foot volumes decreased significantly. Despite significant increases in thoracic skinfold thickness, the torso volume decreased slightly. On returning to high altitude, the soldiers lost body weight, were hypohydrated and showed reduced skinfold thickness. Fat losses calculated on the basis of reduction in skinfold thickness were far in excess of those calculated from losses in body weight and in total body water. As the reduced skinfold thickness was unrelated to changes in body water content at high altitude, it seems that such reductions are due to redistribution of blood in the skin. From the results of these investigations it is concluded that variations in skinfold thickness during acclimatisation to high altitude do not accurately represent the changes in body fat content.

Acclimatization↗

Effects of external loading on short term power output in children and young male adults.

The effects of external loading, in the form of small weights distributed evenly over the limbs and torso, on physical performance and power output have been studied during vertical jumping in 10 children and four young adults and the results compared with maximal cycling. The results show under control (unloaded) conditions the absolute peak power output (W) achieved by children and adults was 572 W (45%) and 765 W (25%) respectively higher in cycling than jumping. The addition of weights during jumping served only to increase this difference. External loading produced a linear decrease of W in both groups of subjects. The reduction in W was entirely due to a decrease of take-off velocity (VT). The relationship between VT and added weights (delta wt) could be described by the equations: VT (ms-1) = 1.91 - 0.042 delta wt (kg); r = -0.96 (children); VT (ms-1) = 2.49 - 0.021 delta wt (kg); r = -0.99 (adults). Thus, contrary to the recent work of Caiozzo and Kyle (1980) which involved stair-climbing, body size and speed of movement in children and young adults would appear to be optimally matched for the production of lifting work during vertical jumping. External loading reduces the generation of power output immediately prior to take-off of a maximal jump from a force platform.

Adult↗

Transforming growth factor-alpha (TGF alpha)-producing gastric carcinoma with acanthosis nigricans: an endocrine effect of TGF alpha in the pathogenesis of cutaneous paraneoplastic syndrome and epithelial hyperplasia of the esophagus.

A case of well-differentiated adenocarcinoma (Borrmann type 3) of the stomach in a 76-year-old man associated with the typical skin manifestations of acanthosis nigricans and with multiple protruding lesions showing epithelial hyperplasia of the esophagus is reported. The advanced tumor was located in the cardiac region of the stomach, and measured approximately 8 cm in diameter, with partial invasion to the esophagus. The associated cutaneous lesions were characterized by hyperpigmentation and by protruding verrucous papules on the torso, head, face, neck, upper extremities, perineum, and inguinal region. Histologically, the protruding skin lesions showed keratinocytes proliferation throughout the epidermis, resulting in diffuse hyperkeratosis, papillomatosis, and acanthosis of the skin. Immunohistological analysis showed coexpression of transforming growth factor alpha (TGF-alpha) and epidermal growth factor (EGF) receptors in the tumor from the stomach. It is reasonable to conclude from this evidence that gastric carcinoma cells secrete TGF alpha in an autocrine for auto-stimulation. EGF receptor expression was also noted on the papillomatous hyperplasia of the cutaneous lesion. Serum level of TGF alpha, determined by an enzyme-linked immunosorbent assay, was high (144 pg/ml; normal, 22.0 +/- 16 pg/ml (Mean +/- SD)). Serum TGF alpha abruptly decreased to 49 pg/ml on day 7 after the total gastrectomy, and then gradually increased to 77 pg/ml within 28 days. Amelioration of the cutaneous lesions and the protruding lesions in the esophagus was observed after surgical resection of the gastric carcinoma. This suggests that the TGF alpha stimulates the proliferation of keratinocytes involved with EGF receptor. Large amounts of circulating TGF alpha in the blood over a long period released by the primary tumor seem to act as an endocrine-like mechanism causing epidermal and esophageal epithelial cells to proliferate. There is a possible link in the pathogenesis of the acanthosis nigricans as a cutaneous paraneoplastic syndrome, and epithelial hyperplasia of the esophagus.

Acanthosis Nigricans↗

Physical attractiveness of boys with gender identity disorder.

University students blind to group status rated boys with gender identity disorder and clinical control boys regarding their physical attractiveness. Ratings were made of the face and upper torso from photographs taken at the time of clinical assessment (mean age, 8.1 years). On all five adjectives (attractive, beautiful, cute, handsome, and pretty), boys with gender identity disorder were judged to be more attractive than were the clinical control boys. Attractiveness correlated with extent of behavioral femininity in the clinical control group, but not in the group of boys with gender identity disorder. The extent to which the group differences in attractiveness were due to objective, structural differences in facial attractiveness vs. socially created, or subjective, processes is discussed.

Beauty↗

Early experience of aspirative lipoplasty of the abdomen.

The author evaluates his early 2 1/2-year experience with closed aspirative lipoplasty, first introduced in the United States by Illouz. Although his experience with the technique during this period has resulted in good to excellent overall results, the abdomen, however, seems to have inherent problems unique to this area of the torso. He provides the reader with an understanding of these problems and methods to correct them.

Abdomen↗

Combined anterior and posterior convex epiphysiodesis for progressive congenital scoliosis in children aged < or = 5 years.

Six patients aged < or = 5 years with congenital scoliosis due to vertebral malformation were treated by anterior and posterior epiphysiodesis of the convexity. In all cases the pattern of deformity was a kyphoscoliosis. The average age at operation was 3 years 6 months, average follow-up was 4 years 6 months, and average preoperative angles were 42 degrees in the frontal and 36 degrees in the sagittal plane. The fusion included the malformative zone and the superior and inferior adjacent vertebrae. Two patients had a fusion effect, three patients had a true epiphysiodesis effect, and one patient had a postoperative progression of the deformity. Epiphysiodesis of the convexity is a treatment proper for the growing period, allowing the child either to reach skeletal maturity without needing further treatment or to achieve an adequate torso height to finish the treatment with a classical vertebral arthrodesis.

Child, Preschool↗

The production of nymphs of Hyalomma anatolicum anatolicum for experimental infection with Theileria annulata.

Methods are described for the production of nymphs of Hyalomma anatolicum anatolicum for later use in transmission experiments with Theileria annulata where the timing of the application of nymphs to infected cattle needs to be accurately controlled. Larvae are fed on the torsos of rabbits where approximately 98% undergo a two-host feeding cycle. This cycle is interrupted 2 days after the first larvae moult into nymphs by killing the rabbits and the nymphs are then collected with a suction pump. Nymphs produced by the interrupted larval feeding method feed well on cattle, in regard to timing of detachment and weight, compared with nymphs produced by interrupted feeding on rabbits.

Animals↗

Value and limitations of an inverse solution for two equivalent dipoles in localising dual accessory pathways.

Investigations were carried out into whether an equivalent generator consisting of two dipoles could be used to detect dual sites of ventricular activity. A computer model of the human ventricular myocardium was used to simulate activation sequences initiated at eight different pairs of sites positioned on the epicardial surface of the atrio-ventricular ring. From these sequences, 117-lead body surface potentials (covering the anterior and posterior torso), 64-lead magnetic field maps (above the anterior chest) and 128-lead magnetic field maps (above the anterior and posterior chest) were simulated and were then used to localise dual accessory pathways employing pairs of equivalent dipoles. Average localisation errors were 12 mm, 12 mm and 9 mm, respectively, when body surface potentials, 64-lead and 128-lead magnetic fields were used. The results of the study suggest that solving the inverse problem for two dipoles could provide additional information on dual accessory pathways prior to electrophysiological study.

Computer Simulation↗

Applicability of the single equivalent point dipole model to represent a spatially distributed bio-electrical source.

Although the single equivalent point dipole model has been used to represent well-localised bio-electrical sources, in realistic situations the source is distributed. Consequently, position estimates of point dipoles determined by inverse algorithms suffer from systematic error due to the non-exact applicability of the inverse model. In realistic situations, this systematic error cannot be avoided, a limitation that is independent of the complexity of the torso model used. This study quantitatively investigates the intrinsic limitations in the assignment of a location to the equivalent dipole due to distributed electrical source. To simulate arrhythmic activity in the heart, a model of a wave of depolarisation spreading from a focal source over the surface of a spherical shell is used. The activity is represented by a sequence of concentric belt sources (obtained by slicing the shell with a sequence of parallel plane pairs), with constant dipole moment per unit length (circumferentially) directed parallel to the propagation direction. The distributed source is represented by N dipoles at equal arc lengths along the belt. The sum of the dipole potentials is calculated at predefined electrode locations. The inverse problem involves finding a single equivalent point dipole that best reproduces the electrode potentials due to the distributed source. The inverse problem is implemented by minimising the chi2 per degree of freedom. It is found that the trajectory traced by the equivalent dipole is sensitive to the location of the spherical shell relative to the fixed electrodes. It is shown that this trajectory does not coincide with the sequence of geometrical centres of the consecutive belt sources. For distributed sources within a bounded spherical medium, displaced from the sphere's centre by 40% of the sphere's radius, it is found that the error in the equivalent dipole location varies from 3 to 20% for sources with size between 5 and 50% of the sphere's radius. Finally, a method is devised to obtain the size of the distributed source during the cardiac cycle.

Computer Simulation↗

Noninvasive characterisation of multiple ventricular events using electrocardiographic imaging.

Distributions of epicardial potentials, calculated from body surface electrocardiograms (ECGs), were investigated to determine if they could enable detection of multiple sites of ventricular activity. An anatomical model of the human ventricular myocardium was used to simulate activation sequences initiated at nine different ventricular pairs of sites. From these sequences, body surface ECGs were simulated at 352 sites on the torso surface and then used to reconstruct epicardial potentials at 202 sites. The criterion for detection of dual ventricular events was the presence of two distinct primary potential minima in the reconstructed epicardial potentials. The shortest distance between the two events in the right ventricle that resulted in the reconstruction of epicardial potential patterns, featuring two minima, was 27 mm; the distance between the two events in the left ventricle was 23 mm. When Gaussian white noise in the simulated body surface potentials was increased from 3 microV to 15 microV and 50 microV, dual events became more difficult to distinguish. Findings indicate that calculated epicardial potentials provide useful visual information about the presence of multiple ventricular events that is not apparent in features of body surface ECGs, and could be particularly helpful in optimising mapping procedures during difficult or unsuccessful radiofrequency ablations of accessory pathways.

Action Potentials↗