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At least 127 records · Page 7Linked to original sources
PubMedDate not supplied

Control of yaws and other endemic treponematoses: implementation of vertical and/or integrated programs.

Previous mass campaigns against the endemic treponematoses have taught investigators several lessons that, along with current constraints and altered circumstances, must be considered in the formulation of a contemporary strategy for the control or eradication of yaws, endemic syphilis, or pinta. A time-limited, vertical approach is necessary in highly endemic areas initially to reduce the level of transmission. Elsewhere, control activities should be integrated into other primary health care interventions, especially health education, water and sanitation programs, maternal and child health care, and provision of essential drugs. Control of the endemic treponematoses is an ideal means of strengthening primary health care in endemic areas.

Adolescent↗
PubMedDate not supplied

Late yaws: a case report.

A case of late yaws in a young Omani man is described. The patient had bone and joint deformities and hyperkeratotic lesions of the palm and sole. The differential diagnosis of the nonvenereal treponematosis is discussed in the light of the clinical and laboratory findings and the patient's history.

Adult↗
PubMed1990

Polymerase chain reaction and synthetic DNA probes: a means of distinguishing the causative agents of syphilis and yaws?

Synthetic DNA probes specific for either the tpf-1 gene of Treponema pallidum subsp. pallidum Nichols or the tyf-1 gene of Treponema pallidum subsp. pertenue CDC 2575 were used for hybridization with in vitro-amplified chromosomal DNAs of 10 different Treponema isolates. tpf-1 and tyf-1 differ only in one nucleotide at residue 123, and three of four syphilis strains were of the Nichols type, whereas five of six yaws strains were of the CDC 2575 type, indicating that the nucleotide at position 123 of the tpf-1 or tyf-1 gene is not a definitive trait for either T. pallidum subspecies.

Base Sequence↗
PubMed1975

A study of yaws among pygmies in Cameroon and Zaire.

In a survey of 333 pygmies in the Cameroon 4.5 percent. were found to have clinical evidence of yaws. This was also found in 10 per cent. of the inhabitants of camps in Zaire. The results of VDRL and FTA-ABS tests on a sample of the population are presented. These provide evidence of a very high incidence of treponemal disease, 80 to 90 percent. of the population showing serological evidence of infection. Active transmission is taking place in both areas but more frequently in Zaire.

Adolescent↗
PubMed1989

Juxta-articular bone lesions in tertiary yaws.

A case of tertiary yaws in an immigrant from the Solomon Islands is presented. The report highlights the atypical features and diagnostic difficulties of late-stage treponemal infection.

Adult↗
PubMed1976

Treponemal depigmentation, with special reference to yaws.

Depigmentation of the skin at characteristic sites occurs in all the treponematoses, but it is seen most commonly in older persons who have had yaws in infancy or childhood, especially when treatment has been inadequate to prevent this tertiary manifestation. A total of 689 cases are recorded from the former Belgian Congo.

Adolescent↗
PubMed1985

Resurgent yaws in the Solomon Islands.

We report a resurgence of yaws in the Solomon Islands and describe the combined clinico-serological survey and mass penicillin treatment campaign to define and curb it.

Adolescent↗
PubMed1994

[Resurgence of endemic yaws in Togo. Cause and eradication approach].

In Togo, since 1940, yaws declared endemic has been controlled after the 1956 and 1961 eradication campaign. Nowadays, unfortunately, the mutilating treponematosis has reappeared in force. Hence, Togolese Health Officers are in search of ways and means to eradicate the disease so as to prevent handicaps for future generations.

Humans↗
PubMed1994

[Tertiary yaws--skeletal manifestations at the distal tibia].

We describe the case of a 16-year old male patient from African presenting tertiary yaws at the distal tibia. Clinical signs, biochemical results and the different diagnostic imaging methods are demonstrated. Differential diagnosis and therapy are described.

Adolescent↗
PubMed1975

Eye, head and body movements of the guinea pig in response to optokinetic stimulation and sinusoidal oscillation in yaw.

Reflex head and eye movements were observed in the guinea pig subjected to optokinetic stimulation and whole body oscillation in the yaw axis. Optokinetic stimuli induced low velocity head movements in the direction of the stimulus with stepwise movements in the opposite direction. With motion stimuli, the head was well stabilized in space and moved to new positions in stepwise manner; in the absence of vision the head was not able to maintain a stable position. The onset of a stepwise head movement was always synchronized with a saccadic eye movement in the same direction, the coordination being similar to voluntary movement. During good head stabilization, vestibular-ocular nystagmus did not occur. The guinea pig appears to avoid nystagmus by stabilizing its head preferentially. It is likely that the vestibular ocular reflex compensates for head displacement with unity gain in the frequency range of voluntary and stepwise reflex head movement and that a close relationship exists between the control of saccadic eye movements and that of voluntary or reflex head movement.

Animals↗
PubMed2002

Eye position signals modify vestibulo- and cervico-ocular fast phases during passive yaw rotations in humans.

We studied the amplitude, latency, and probability of occurrence of fast phases (FP) in darkness to unpredictable vestibular and/or cervical yaw stimulation in normal human subjects. The rotational stimuli were smoothed trapezoidal motion transients of 14 degrees amplitude and 1.25 s duration. Eye position before stimulus application (initial eye position, IEP) was introduced as a variable by asking the subjects to fixate a spot appearing either straight ahead or at 7 degrees eccentric positions. The recordings demonstrated that the generation of FP during vestibular stimulation was facilitated when the whole-body rotation was directed opposite the eccentric IEP. Conversely, FP were attenuated if the whole-body rotation was directed toward the eccentric IEP; i.e., the FP attenuated if they were made to further eccentric positions. Cervical stimulation-induced FP were small and variable in direction when IEP was directed straight ahead before stimulus onset. Eccentric IEPs resulted in large FP, the direction of which was essentially independent of the neck-proprioceptive stimulus. They tended to move the eye toward the primary position, both when the trunk motion under the stationary head was directed toward or away from the IEP. FP dependence on IEP was evident also during head-on-trunk rotations. No consistent interaction between vestibularly and cervically induced FP was found. We conclude that extraretinal eye position signals are able to modify vestibularly evoked reflexive FP in darkness, aiming at minimizing excursions of the eyes away from the primary position. However, neck-induced FP do not relate to specific tasks of stabilization or visual search. By keeping the eyes near the primary position, FP may permit flexibility of orienting responses to incoming stimuli. This recentering bias for both vestibularly and cervically generated FP may represent a visuomotor optimizing strategy.

Adult↗
PubMed2004

Expected and unexpected head yaw movements result in different modifications of gait and whole body coordination strategies.

During locomotion we routinely make voluntary head movements, similar to those made during steering tasks, in order to scan our environment and obtain information about objects in the environment and our proximity to these objects. Given the importance that head segment orientation during locomotion has received in the recent literature, two studies were designed to investigate responses following a voluntarily generated and an unexpected, externally applied head turn. During a voluntary head turn, an efferent copy of the head movement could cancel the sensory effects of the head turn, effectively isolating the movement response to that segment. Alternatively, if the steering synergy is a part of our motor repertoire, as has been suggested, movement of the head could automatically release a steering "synergy" of segmental control and coordination. A unique head mounted air-jet apparatus, designed and developed at the University of Waterloo, was used for both studies to ensure that auditory stimuli and the physical presence of the apparatus on the head were similar for participants of the two experiments. During certain points in the gait cycle, this device was triggered and a short burst of compressed air (350 ms) was released to cue participants to make a voluntary head turn (Experiment 1). The same device was triggered in Experiment 2; however, in this experiment compressed air was released for a longer duration (1,500 ms) which resulted in an unexpected and quick turn of the participants' head to either the left or right. In these experiments, vision was also manipulated in certain trials with liquid crystal display glasses that occluded vision for the duration of the head turn. Data from the first experiment indicates that a subset of the steering synergy previously observed is released following the voluntary head movement; however, the travel trajectory path is preserved, suggesting that sensory input resulting from the head movement is partially nullified by the central nervous system. Overall safety is ensured by maintaining the same travel path. In the second experiment, an unexpected perturbation was applied to the head during locomotion to determine how the absence of an efferent copy of the movement pattern influences the level of control over body segments during locomotion. Whole body responses similar to those observed during steering tasks were observed following application of this unexpected head perturbation. It is proposed that the CNS interprets an unexpected yaw movement of the head as a change in the frame of reference, and global modifications of the walking trajectory, similar to that observed during steering tasks, are made in the perceived new direction of travel. Collectively this work extends our understanding of how the CNS establishes a head based orientation frame for locomotion. The CNS interprets and integrates anticipated and unexpected changes in sensory information from the head segment and subsequently modifies locomotion patterns according to the perceived whole body orientation in space. The sequence of control following these head movements appears to be part of a movement repertoire that is not immutable; maintaining whole body stability during locomotion is paramount.

Acoustic Stimulation↗
PubMed2005

Eye-position dependence of torsional velocity during step-ramp pursuit and transient yaw rotation in humans.

The time course of eye-position-dependent torsion during transient horizontal pursuit and yaw rotation was examined in seven normal human subjects. The stimuli consisted of step-ramp target motion (25, 40 degrees /s) and brief chair rotation (approximately 200 degrees /s(2) accelerated to 40 degrees /s) at three different vertical positions (center 0 degrees , up or down 15 degrees ). Three-dimensional eye movements were recorded with dual search coils. The kinematics of pursuit and the rotational vestibulo-ocular reflex (rVOR) were assessed by determining the tilt-angle slope, a measure of the variation of the axis of eye-velocity with vertical eye position. We found that the tilt-angle slope during pursuit was initially 0.4+/-0.07 (mean+/-95% confidence interval) and then gradually rose to 0.64+/-0.04, at about the time that the steady-state eye-velocity was reached. The rVOR began with a nearly head-fixed axis (0.08+/-0.04), appropriate for full retinal image stabilization, followed by a gradual increase of the tilt-angle slope to 0.31+/-0.02. Thus, differences between pursuit and the rVOR with respect to Listing's law can be seen from the onset of transient responses, although in both cases eye-position-dependent torsion increases with time. This temporal evolution of the axis of eye-velocity may involve the velocity-storage mechanism.

Adult↗
PubMed2001

Dynamic visual acuity during transient and sinusoidal yaw rotation in normal and unilaterally vestibulopathic humans.

The vestibulo-ocular reflex (VOR) stabilizes gaze to permit clear vision during head movements. It has been supposed that VOR function might be inferred from dynamic visual acuity (DVA), the acuity during imposed head motion. We sought to determine effectiveness of DVA for detection and lateralization of unilateral vestibulopathy, using rigorous psychophysical methods. Seventeen normal and 11 unilaterally vestibulopathic subjects underwent measurement of optically best corrected DVA during head motion. A variable size letter "E" 6 m distant was displayed in oblique random orientations to determine binocular DVA by a computer controlled, forced choice method. Three types of whole-body yaw rotation were delivered by a servo-controlled chair synchronized with optotype presentation. Two types of motion were predictable: (1) steady-state 2.0-Hz rotation at 10-130 degrees/s peak velocity with repetitive optotype presentation only during head velocity exceeding 80% of peak; and (2) directionally predictable transients at peak accelerations of 1000, 1600 and 2800 degrees/s2 with optotype presentation for 300 ms. For neither of these predictable motions did DVA in vestibulopathic subjects significantly differ from normal, with suggestions from search coil recordings that this was due to predictive slow and saccadic eye movements. Unilaterally vestibulopathic subjects experienced a significant decrease in DVA from the static condition during ipsilesional rotation for all three peak head accelerations. Only during directionally unpredictable transients with 75 ms or 300 ms optotype presentation was the sensitivity of DVA in unilaterally vestibulopathic subjects significantly abnormal during ipsilesional rotation. The ipsilesional decrease in DVA with head motion was greater for 75 ms than 300 ms optotype presentation. Search coil recordings confirmed hypometric compensatory eye movements during DVA testing with unpredictable, ipsilesional rotation. Receiver-operator characteristic analysis indicated ideal detection and lateralization of unilateral vestibulopathy by DVA tested with a 75-ms optotype exposure for unpredictable transient rotations to a peak acceleration of 2800 degrees/s. DVA can reliably detect unilateral deafferentation only if precautions are taken to prevent compensation by predictive slow eye movements and saccades.

Adaptation, Physiological↗
PubMed1995

The human ocular torsion position response during yaw angular acceleration.

Recent results by Wearne [(1993) Ph.D. thesis] using the scleral search-coil method of measuring eye position indicate that changes in ocular torsion position (OTP) occur during yaw angular acceleration about an earth vertical axis. The present set of experiments, using an image processing method of eye movement measurement free from the possible confound of search coil slippage, demonstrates the generality and repeatability of this phenomenon and examines its possible causes. The change in torsion position is not a linear vestibulo-ocular reflex (LVOR) response to interaural linear acceleration stimulation of the otoliths, but rather the effect is dependent on the characteristics of the angular acceleration stimulus, commencing at the onset and decaying at the offset of the angular acceleration. In the experiments reported here, the magnitude of the angular acceleration stimulus was varied and the torsion position response showed corresponding variations. We consider that the change in torsion position observed during angular acceleration is most likely to be due to activity of the semicircular canals.

Acceleration↗
PubMed2001

Influences of visual pitch and visual yaw on visually perceived eye level (VPEL) and straight ahead (VPSA) for erect and rolled-to-horizontal observers.

Localization within the space in front of an observer can be specified along two orthogonal physical dimensions: elevation ('up', 'down') and horizontal ('left','right'). For the erect observer, these correspond to egocentric dimensions along the long and short axes of the body, respectively. However, when subjects are rolled-to-horizontal (lying on their sides), the correspondence between the physical and egocentric dimensions is reversed. Employing egocentric coordinates, localization can be referred to a central perceptual point-visually perceived eye level (VPEL) along the long axis of the body, and visually perceived straight ahead (VPSA) along the short axis of the body. In the present experiment, measurements of VPEL and of VPSA were made on each of eight subjects who were either erect or rolled-to-horizontal while monocularly viewing a long 2-line stimulus (two parallel, 64 degrees -long lines separated by 50 degrees ) in otherwise complete darkness that was centered on the eye of the observer and was tilted out of the frontoparallel plane by a variable amount and direction (from -30 degrees to +30 degrees in 10 degrees steps). The stimulus tilt was either around an axis through the center of the two eyes (pitch; VPEL was measured) or around the long axis of the body that passed through the center of the viewing eye (yaw; VPSA was measured). Large variations in the localization settings were measured that were systematic with stimulus tilt. The slopes of the functions plouing the deviations from veridicality against the orientation of the 2-line stimulus ('induction functions') were larger for the rolled-to-horizontal observer than for the erect observer for both VPEL and VPSA, and for a given body orientation were larger for the VPEL discrimination than for the VPSA discrimination; the influences of body orientation in physical space and the direction of the discrimination relative to the body were lineraly additive. Both the y-intercepts of the induction functions and the central perceptual point measured in complete darkness were lower when the norm setting by the subject was along the vertical than when it was along the horizontal; this held for both the VPEL and VPSA discriminations. The systematic effects of body orientation on the slopes and of line orientation on the y-intercepts and dark values result from an effect of gravity on the settings and fit well to a general principle: any departure from erect posture increases the induction effects of the visual stimulus. The effect of gravity is consistent with the effect of gravity in previous work in high-g environments with the VPEL discrimination.

Analysis of Variance↗
PubMed2001

Respiratory responses of normal and vestibular defective human subjects to rotation in the yaw and pitch planes.

We evaluated the contribution of the semicircular canals to autonomic responses to rotation in 12 normal subjects and three labyrinthine defective patients. Respiration, heart rate, arterial blood pressure and blood flow in the finger were recorded during 60 degrees /s steps of constant velocity rotation. Rotation was performed in the dark about a vertical axis: (I) with head upright for yaw stimulation of horizontal canals; (II) head tilted chin down and rotated laterally to stimulate the vertical canals in both face-forwards and backwards directions. In normal subjects, rotation in the pitch plane elicited an increase in respiratory frequency due to a shortening of the time for expiration, whilst patients had inconsistent responses. We conclude that vertical semicircular canal activity exerts a regulatory drive on respiration in human subjects.

Adult↗