Frontal Aspect Research Articles

Forensic Analysis of Sexual Dimorphism from Facial Photographs

Abstract Background: Techniques for identifying facial features and proving the individuality of a person’s facial features are used in forensic anthropology. Aims and Objectives: A common method in this area is cranial anthropometry, which has uses in facial reconstruction, locating unidentified remains, and identifying criminal suspects. Materials and Methods: A study analyzed 200 standard full-face photographs of 50 males and 50 females to compare frontal and lateral facial images and identify male and female facial traits. We located landmarks and measured the distances between them. The data were analyzed using statistical tests like t-tests and analysis of variance (ANOVA) tests. Result: The results showed that in 100% of the suggested measurements for both males and females, there were no statistically significant differences (P > 0.05) between frontal and lateral views. The ANOVA test, however, showed that all suggested measurements showed differences in the lateral aspect, while only 76.92% of them showed differences between the male and female groups in the frontal aspect. Conclusion: In conclusion, statistically significant differences were found, rejecting the null hypothesis of equal means, when the level of significance (α) was lower than the P value (0.05). On the other hand, the null hypothesis was accepted when statistically insignificant differences were found and the level of significance was higher than the P value. Although there were differences between males and females in different views, the distances between landmarks in frontal and lateral views of the same person were generally similar. Measurements taken in the lateral aspect were more accurate and displayed greater sexual dimorphism variation compared to those taken in the frontal aspect.

A novel approach to craniofacial analysis using automated 3D landmarking of the skull

Automatic dense 3D surface registration is a powerful technique for comprehensive 3D shape analysis that has found a successful application in human craniofacial morphology research, particularly within the mandibular and cranial vault regions. However, a notable gap exists when exploring the frontal aspect of the human skull, largely due to the intricate and unique nature of its cranial anatomy. To better examine this region, this study introduces a simplified single-surface craniofacial bone mask comprising of 6707 quasi-landmarks, which can aid in the classification and quantification of variation over human facial bone surfaces. Automatic craniofacial bone phenotyping was conducted on a dataset of 31 skull scans obtained through cone-beam computed tomography (CBCT) imaging. The MeshMonk framework facilitated the non-rigid alignment of the constructed craniofacial bone mask with each individual target mesh. To gauge the accuracy and reliability of this automated process, 20 anatomical facial landmarks were manually placed three times by three independent observers on the same set of images. Intra- and inter-observer error assessments were performed using root mean square (RMS) distances, revealing consistently low scores. Subsequently, the corresponding automatic landmarks were computed and juxtaposed with the manually placed landmarks. The average Euclidean distance between these two landmark sets was 1.5 mm, while centroid sizes exhibited noteworthy similarity. Intraclass coefficients (ICC) demonstrated a high level of concordance (> 0.988), with automatic landmarking showing significantly lower errors and variation. These results underscore the utility of this newly developed single-surface craniofacial bone mask, in conjunction with the MeshMonk framework, as a highly accurate and reliable method for automated phenotyping of the facial region of human skulls from CBCT and CT imagery. This craniofacial template bone mask expansion of the MeshMonk toolbox not only enhances our capacity to study craniofacial bone variation but also holds significant potential for shedding light on the genetic, developmental, and evolutionary underpinnings of the overall human craniofacial structure.

Correlation between different points on the face and the width of maxillary anterior teeth

Statement of problemThere is currently no consensus on the relationship between maxillary anterior teeth and different facial anthropometric measurements. Additionally, whether these relationships vary by age and sex remains unreported. PurposeThis clinical study aimed to investigate the relationship between the intercanine distance (ICaD) and intercanthal distance (ICD), interpupillary distance (IPD), interalar width (IAW), and intercommissural width (ICW), and to compare whether these relationships differ between different age and sex populations. Material and methodsParticipants (n = 409) were enrolled according to the inclusion criteria, and their standardized digital images were taken to measure facial and oral segments through an image processing program. The differences between ICaD and four facial measurements and the sexual differences for all measurements were compared using the 1-sample t-test. The differences among different age groups for all measurements were compared using the one-way analysis of variance (ANOVA) test, and a least significant difference (LSD) test was used for multiple comparisons. The association between ICaD and the four facial measurements was evaluated using Pearson correlation analysis. The correlation between ICaD and four facial measurements was evaluated using linear regression. Differences in regression equations among the subgroups were evaluated through subgroup regression analysis and the significance test of the difference between the two regression coefficients. Tests of significance were two-sided, with alpha level of 0.05. The reliability of the results was evaluated by calculating intraclass correlation coefficients. ResultsThe ICD, IPD, ICW, and IAW significantly differed from the ICaD in both sexes (P < 0.01). All measurements were significantly greater in men than in women (P < 0.01). The differences among the age groups were statistically significant for all measurements except IPD (P < 0.05). A significant positive correlation was found between all facial measurements (r = 0.258 [ICD], r = 0.334 [IPD], r = 0.389 [ICW], and r = 0.393 [IAW]) and the ICaD in both sexes. The highest correlation was found between ICW(r = 0.345) and ICAD in men and IAW (r = 0.285) and ICAD in women. Except for the 20–29 and 50–59 age groups, the mathematical equations of ICaD and facial anthropometric measurements differed among the other age groups and sexes. ConclusionsICD, IPD, ICW, and IAW cannot be directly used to determine ICaD in both sexes. Nevertheless, when observed from the frontal aspect, by the use of digital images, all facial measurements correlated to the intercanine distance, with a high probability. The mathematical formulae combined with facial anthropological measurements can help ensure the combined width of the six maxillary anterior teeth, but the effects of sex and age differences should be considered.

Long wave infrared signature of swept back leading edges in aircraft frontal aspect

PurposeIn recent years, increased use of all-aspect infrared (IR)-guided missiles based on the long-wave infrared (LWIR; 8–12 µm) band has lowered the probability of aircraft survival in warfare. The lock-on of these highly sensitive missiles is difficult to break, especially from the front. Aerodynamically heated swept-back leading edges (SBLE), because of their high temperature and large area, serve as a prominent LWIR source for aircraft detection from the front. This study aims to report the influence of sweep-back angle (Λ, based on the Mach number [M∞]) on aerodynamic heating and the LWIR signature of SBLE.Design/methodology/approachThe temperature along SBLE is obtained numerically as radiation equilibrium temperature (Tw) by discretizing the SBLE length into “n” number of segments, and for each segment, emission based on Tw is evaluated. IR radiance due to reflected external sources (sky-shine and Earthshine) and radiance due to Tw are collectively used to determine the IR contrast between SBLE and its replaced background in the LWIR band (icont-SBLE,LWIR).FindingsThe results are obtained for low subsonic turboprop aircraft (Λ = 3°, M∞ = 0.44); high subsonic strategic bombers (Λ = 35°, M∞ = 0.8); fifth-generation stealth aircraft (Λ = 40°, M∞ = 1.6); and aircraft with supercruise/supersonic capability (Λ = 50°, M∞ = 2.5). The aircraft with supersonic capability (Λ = 50°, M∞ = 2.5) reports the maximum LWIR signatures and hence the highest visibility from the front. The results obtained are compared with values at Λ = 0° for all cases, which shows that increasing Λ significantly reduces aerodynamic heating and LWIR signatures.Originality/valueThe novelty of this study comes from its report on the influence of Λ on the LWIR signatures of aircraft SBLE in the frontal aspect for the first time.

Comparison of three-dimensional soft tissue changes according to the split pattern after sagittal split osteotomy in patients with skeletal class III malocclusion

ObjectivesThis study aimed to analyse the changes in soft tissue and hard tissue stability associated with the split pattern, i.e. long split (LS) or short split (SS), after sagittal split osteotomy.Materials and methodsPatients who underwent sagittal split ramus osteotomy were classified into LS or SS groups according to postoperative computed tomography images. They were examined via lateral cephalography and three-dimensional (3D) optical scanning before surgery (T0) and 1 (T1), 3 (T2), and 12 (T3) months after surgery. Six standard angles (SNA, SNB, ANB, FMA, FMIA, and IMPA) were used as measures of hard tissue change. The two sets of 3D data were superimposed, and the volumetric differences were calculated as the soft tissue change. The areas evaluated were delimited by 10 × 20-mm rectangles in the frontal aspect and a 25 × 25-mm square in the lateral aspect.ResultsA total of 42 sides (26 patients) were analysed, including 20 (16 patients) in the SS group and 22 (16 patients) in the LS group. We found no significant differences in cephalographic angle or soft tissue changes in the frontal aspect between the SS and LS groups. We found significant differences in the subauricular region from T0–T1 (p = 0.02), T0–T2 (p = 0.03), and T0–T3 (p = 0.037) in terms of soft tissue changes in the lateral aspect. The volume increase associated with posterior mandibular movement was greater in the LS group.ConclusionsWe found that LS patients with mandibular prognathism exhibited increased subauricular volumes following mandibular setback.Clinical relevanceIt is essential to predict the postoperative facial profile before surgery. The split pattern after sagittal split osteotomy affects the postoperative profile of patients with mandibular prognathism.

Long-wave infrared signature of aircraft nose and its emissivity for low observability

High speeds have been an advantage for aircraft to fly out of the adversary’s airspace fast, to escape earlier generations of infrared (IR) guided missiles that could lock-on only from the rear aspect. Advancements in IR seekers in long-wave IR (LWIR, 8 to 12 μm) band with imaging sensors in focal plane arrays made them capable of tracking aircraft also from the frontal aspect, which is a tactical advantage. Aerodynamically heated airframe surfaces are LWIR signature hot spots that increase aircraft susceptibility from front and bottom views. The conventional belief is that IR signatures of aircraft nose is only due to temperature-based emission acquired by aerodynamic heating at high Mach number (Mamb). Our study reports the LWIR contrast of aircraft nose (with nose replaced skyshine as background) by considering: (i) aerodynamic heating (important for high εnose, Mamb) and (ii) reflected skyshine and Earthshine (important at low εnose, Mamb), where skyshine is more important relative to Earthshine. Earthshine irradiance is obtained using atmospheric transmittance and view factor between visible circular Earth-disc and nose surface. The role of a transition Mach number (Mtrans) in emissivity selection is identified as follows: for Mamb < Mtrans, LWIR contrast decreases with εnose and for Mamb > Mtrans, LW-IR contrast increases with εnose.

Aesthetic Outcomes of Early Occlusal Loaded SLA Dental Implants with Hydroxyl Ion Modified Surface—A 12 Months Prospective Study

Background: Many efforts have been made recently to arrange a newer, more hydrophilic and more osteoconductive implant surface. One of the possible options in this matter is modification with hydroxyl ion. Materials and Methods: Forty implants with the diameters 3.5 and 4.0 mm were inserted as a single missing tooth restoration protocol in the frontal aspect of the maxilla. All implants were loaded early in a 4 week period. Prior to and during the surgery, the following indices were considered: height of keratinized tissue, the thickness of soft tissue, and the initial level of bone tissue. After 12 months, the implant and the tissues in its direct vicinity were evaluated once more with the following indices: marginal bone loss (MBL), height of keratinized tissue (HKT), probing pocket depth (PPD), pink and white aesthetics scores (PES, WES), as well as pain sensations combined with the procedure (VAS). All results were related to the diameter of the implant and thickness of periodontal biotype. Results: High aesthetic outcomes were reported regardless of soft tissue thickness and implant diameter. The VAS score was higher for the 4.0 implant group, and the thickness of soft tissue had no influence on VAS. In case of implantation in thin or soft tissue, higher MBL levels were reported (0.26 mm), while in case of a thick phenotype, MBL was 0.06 mm. Conclusions: Hydrophilic surface implants can be used for a protocol of early functional occlusal loading. The initial thickness of soft tissue does not influence aesthetic outcomes and does not raise pain perception, although it may elevate crestal bone resorption.

Correlation of the Iris Diameter with the Mesiodistal Width of Maxillary Central Incisor using Digital Image Analyzer

Aim: The purpose of this clinical study was to determine the correlation between the horizontal visible iris diameters with the mesiodistal width of the central incisor respectively in the Central India population aged between 18 and 26 years. Background: Can the Iris Diameter be correlated with the mesiodistal width of maxillary central incisor. If thus results obtained, the iris diameter can be used as a tool for the selection of maxillary anterior tooth in completely edentulous patients. Materials and Methods: Seventy Five Central Indian participants aged between 18 and 26 years participated in this study. Standardized digital photographs of the face generated from the frontal aspect were made using a digital camera. The measurements of the iris diameter and the mesiodistal width of the maxillary central incisor at the incisal edge, middle third, and cervical third were assessed with photoimaging software. The data obtained have undergone the statistical analysis by using the paired-sample t-test to compare the right and left sides, and independent-sample t-tests to compare between gender, and the Pearson correlation coefficient (r) to evaluate the relationship between variables. Results: A positive correlation between the horizontal visible iris diameter and the mesiodistal width of the maxillary central incisor was found in men and women. In men, the r = 0.276, 0.373, 0.378 (right side) and 282, 158, 429 (left side) respectively were found for cervical third, middle third, and incisal third region. In women, the r = 0.329, 0.415, 0.192 (right side) and 0.053, 0.469, 0.163 (left side) were found respectively in cervical third, middle third, and incisal region were found. Conclusions: The conclusion was that the horizontal visible iris diameter can be used as a reference point to estimate the mesiodistal width of the maxillary central incisor tooth.

A Useful Approach to I-Shaped Crooked Nose Correction: Cross-Spreader Graft Technique.

Correction of crooked nose with long-term functional and aesthetic success remains a great challenge for rhinoplasty surgeons. The aim of this study was to present the aesthetic and functional results of the cross-spreader graft technique applied for the correction of I-shaped crooked nose. A retrospective examination was made of 25 patients applied with open technique rhinoplasty using cross-spreader graft for the correction of I-shaped crooked nose between March 2016 and June 2019. The functional results of the patients were evaluated using the Nasal Obstruction Symptoms Evaluation scale. The Rhinoplasty Outcomes Evaluation was used to evaluate the subjective aesthetic results, and the external nose deviation angle was measured from the frontal aspect to evaluate the objective aesthetic results. Evaluation was made of 25 patients comprising 11 males and 14 females with a mean age of 26.64±7.08 years. The post-operative mean NOSE and ROE scores were significantly improved compared to the preoperative values (p<0.001). A statistically significant improvement was determined in the deviation angle values from preoperative to postoperative (p< 0.001). According to the current study functional and aesthetic results of the cross-spreader graft technique applied for the correction of I-shaped crooked nose, this new technique appears to be an effective method for the treatment of I-shaped crooked nose deformity. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Study of the Measurement of Generation 2 Toyota Event Data Recorders in Low-Speed Side Impacts

&lt;div class="section abstract"&gt;&lt;div class="htmlview paragraph"&gt;Automotive Event Data Recorders (EDRs) are often utilized to determine or validate the severity of vehicle collisions. Several studies have been conducted to determine the accuracy of the longitudinal change in velocity (ΔV) reported by vehicle EDRs. However, little has been published regarding the measurement of EDRs that are capable of reporting lateral ΔVs in low-speed collisions. In this study, two 2007 Toyota Camrys with 04EDR ECU Generation modules (GEN2) were each subjected to several vehicle-to-vehicle lateral impacts. The impact angles ranged from approximately 45 to 135 degrees and the stationary target vehicles were impacted at the frontal, central, and rear aspects of both the driver and passenger sides. The impact locations on the bullet vehicles were the front and rear bumpers and the impact speeds ranged from approximately 7.9 to 16.1 km/h. Instrumentation was mounted at the approximate center of gravity (CG) of the target vehicles, as well as on the front reinforcement bar, rear body panel, airbag ECU, B-pillars, and C-pillars to evaluate the varying lateral ΔV (ΔV&lt;sub&gt;y&lt;/sub&gt;) readings from the 3 sensor locations (ECU, B-pillar, C-pillar) represented in the Toyota EDR and to account for rotational (yaw) effects on the data. The lateral ΔVs reported by the Toyota EDRs were then compared to the recorded ΔV&lt;sub&gt;y&lt;/sub&gt;s from the reference instrumentation mounted within the test vehicles. A comparison of the data revealed a general under-reporting of impact severity from the Toyota EDRs at the ECU sensor when compared to reference instrumentation at the vehicle CG for impacts near the center of the target vehicle where the vehicle typically rotated about its frontal aspect. There was a general over-reporting of impact severity from the Toyota EDRs at the ECU sensor when compared to reference instrumentation at the vehicle CG for impacts near the front (heavy) axle of the target vehicle where the vehicle rotated about its rear aspect. Rotational data from the reference instrumentation and the distance between the ECU and reference instrumentation at the CG was also utilized to calculate the corresponding ΔV&lt;sub&gt;y&lt;/sub&gt; at the ECU location for a direct comparison to the Toyota EDR measurement at the ECU (maximum of 12.0% difference). A comparison of the data recorded at the Toyota ECU sensors and the reference instrumentation mounted to the ECUs revealed accurate measurements by the Toyota ECU sensor (maximum of 7.6% difference). Differences in reported values between the 3 aforementioned Toyota sensor locations, as well as non-recordings and longitudinal ΔV recordings from the Toyota EDRs were also evaluated.&lt;/div&gt;&lt;/div&gt;

An update about neck rejuvenation and complications

The submental-cervical angle is an important anatomical landmark in neck beauty. Considered attractive and a sign of youthful when between 105° and 120°, greater values are considered a “heavy” neck or double chin and are related to the aging process and/or weight gain. The submandibular gland can also contribute to the alteration of the submental-cervical angle, increasing the area’s bulging. Neck-lifting techniques have the potential to produce important changes in the lateral view of the face, making it look more youthful, and that is more noticeable in the frontal aspect. This review focuses on the treatment of the neck, including all modifications that occur during the aging process, and postoperative procedures used to decrease the risk of complications.

How to assess chest wall deformity in children with pectus excavatum - evaluation of the agreement among methods

Background/Aim. Pectus excavatum (PE) is the most common deformity of the frontal aspect of the chest wall in children. A particular dilemma arises about the degree of deformity that should be subjected to surgical treatment. The aim of this study was to compare several morphological methods of evaluating the degree of deformity and determine the matching among them, a s w ell a s t o determine the connection between the functional and morphological abnormalities of echocardiography. Methods. The study included 35 patients with PE, aged between 7 and 15 years. A noninvasive evaluation of chest deformity was carried out in all patients by photographic method (surrogate of clinical examination), native X-ray imaging, and computed tomography (CT), as well as by echocardiographic examination. Results. In our group of patients, males were more common (67.5%), as well as children with the Haller index (HI) &gt; 3.5 [represented in most children (86.7%)]. A significant correlation of the index of the affected sternum segment (ASt) and the total length of the sternum (ASt/LSt) determined by the photographic method with that determined by the CT scan of the chest was established (p = 0.001). In addition, the correlation between HI, determined by the X-ray method and CT images was presented (p = 0.012). In contrast, despite the high frequency of echocardiographic abnormalities (69%), those were not mutually correlated with the degree of pronounced morphological deformities of the chest wall. Conclusion. A detailed clinical examination and photographic evaluation method, combined with the X-ray method, can determine the severity of deformity with a high degree of agreement with the CT chest findings. In this way, it is possible for children with PE, who are not candidates for surgical treatment, to be s pared f rom r epeated C T scans t hat a re c arried o ut i n order to monitor the development of chest deformities with growth. Echocardiographic evaluation remains an integral part of the assessment of children with PE.

A Comparative Study on the Perception of Dental Esthetics of Laypersons and Dental Students

Abstract Introduction: Esthetic dentistry aims to create a harmonious smile that is well integrated with the facial architecture of the patient. A good understanding of the patient’s esthetic perception is important when designing a smile. Materials and methods: 106 subjects, 51 patients 54 dental students took part in the study. Each subject was asked to evaluate 10 pictures showing frontal aspect of real cases. They were asked to rate the aesthetics of the clinical cases on a scale from 1 to 5. An open question was associated with each picture, where the subjects were asked to describe what they like and what they do not like about the picture. Results and discussions: The overall mean esthetic rating of dental students was 2,68, while the laypersons’ rating was 2,98. Crowded teeth are more often criticized by patients, while dental students consider that slight crowding give a more natural appearance and individualize the teeth. The presence of diastema is observed by dental students even when it is discrete. The discrepancy between maxillary and mandibular dental midline is more easily observed by dental students. Discolored teeth lead to low aesthetic scores for both groups of subjects. Dental students gave lower esthetic scores to restorations with uniform colour, while laypersons appreciate white restorations. The limited height of papillae is considered unattractive by dental students, while laypersons hardly notice this aspect. Conclusions: This study showed several differences in the aesthetic perception of dental students and laypersons. Students were generally more critical and gave lower scores than laypersons. They also observed and criticized more aspects regarding the smile.

Binocular Encoding in the Damselfly Pre-motor Target Tracking System.

Akin to all damselflies, Calopteryx (family Calopterygidae), commonly known as jewel wings or demoiselles, possess dichoptic (separated) eyes with overlapping visual fields of view. In contrast, many dragonfly species possess holoptic (dorsally fused) eyes with limited binocular overlap. We have here compared the neuronal correlates of target tracking between damselfly and dragonfly sister lineages and linked these changes in visual overlap to pre-motor neural adaptations. Although dragonflies attack prey dorsally, we show that demoiselles attack prey frontally. We identify demoiselle target-selective descending neurons (TSDNs) with matching frontal visual receptive fields, anatomically and functionally homologous to the dorsally positioned dragonfly TSDNs. By manipulating visual input using eyepatches and prisms, we show that moving target information at the pre-motor level depends on binocular summation in demoiselles. Consequently, demoiselles encode directional information in a binocularly fused frame of reference such that information of a target moving toward the midline in the left eye is fused with information of the target moving away from the midline in the right eye. This contrasts with dragonfly TSDNs, where receptive fields possess a sharp midline boundary, confining responses to a single visual hemifield in a sagittal frame of reference (i.e., relative to the midline). Our results indicate that, although TSDNs are conserved across Odonata, their neural inputs, and thus the upstream organization of the target tracking system, differ significantly and match divergence in eye design and predatory strategies. VIDEO ABSTRACT.

Comparison of temporomandibular joint shape and size in patients with facial asymmetry.

To examine the morphologic similarities and differences in mandibular condyle and glenoid fossa between the deviated and non-deviated sides in patients with facial asymmetry using statistical analysis. One hundred eighty-four patients (95 men, 89 women; mean age, 22.30 ± 3.87years) with facial asymmetry were examined with cone-beam computed tomography (CBCT). Shape analysis was performed to compare the shapes and sizes of the condyle and fossa between the deviated and non-deviated sides in the frontal and lateral aspects. Ordinary Procrustes analysis (OPA) was used to determine shape variations of the fossa and condyle. Shape variations derived from ordinary sum of squares (OSS) suggested that, in the frontal aspect, there was a difference between the two sides in both the fossa and condyle (P < 0.05). In the lateral aspect, there was no difference in fossa shape between the two sides (P > 0.05); however, the shape of condyle was different between the non-deviated and deviated sides (P < 0.05). Size comparison in OPA matching and centroid size (CS) in the frontal aspect demonstrated that the non-deviated side was larger than the deviated side. In the lateral aspect, fossa showed no difference in CS between the two sides (P > 0.05); however, the non-deviated side was larger than the deviated side for condyle (P < 0.05). Morphometric differences in condyle and fossa between the deviated and non-deviated sides were observed. Structures of the non-deviated side were relatively larger than those of the deviated side, except for fossa in the lateral aspect.

Air velocity influences thermoregulation and endurance exercise capacity in the heat.

This study examined the effects of variations in air velocity on time to exhaustion and thermoregulatory and perceptual responses to exercise in a hot environment. Eight male volunteers completed stationary cycle exercise trials at 70% peak oxygen uptake until exhaustion in an environmental chamber maintained at 30 °C and 50% relative humidity. Four air velocity conditions, 30, 20, 10, and 0 km/h, were tested, and the headwind was directed at the frontal aspect of the subject by 2 industrial fans, with blade diameters of 1 m and 0.5 m, set in series and positioned 3 m from the subject's chest. Mean ± SD time to exhaustion was 90 ± 17, 73 ± 16, 58 ± 13, and 41 ± 10 min in 30-, 20-, 10-, and 0-km/h trials, respectively, and was different between all trials (P < 0.05). There were progressive elevations in the rate of core temperature rise, mean skin temperature, and perceived thermal sensation as airflow decreases (P < 0.05). Core temperature, heart rate, cutaneous vascular conductance, and perceived exertion were higher and evaporative heat loss was lower without airflow than at any given airflow (P < 0.05). Dry heat loss and plasma volume were similar between trials (P > 0.05). The present study demonstrated a progressive reduction in time to exhaustion as air velocity decreases. This response is associated with a faster rate of core temperature rise and a higher skin temperature and perceived thermal stress with decreasing airflow. Moreover, airflow greater than 10 km/h (2.8 m/s) might contribute to enhancing endurance exercise capacity and reducing thermoregulatory, cardiovascular, and perceptual strain during exercise in a hot environment.

Flanker task with equiprobable congruent and incongruent conditions does not elicit the conflict N2

In many published studies, various modifications of the flanker task have been used. Regardless of the flanker task version, the conflict N2 component has been consistently reported and interpreted as evidence for the resolution of conflict introduced by incongruent flankers. However, ERP studies that used the most basic flanker task (i.e., a version with equiprobable congruent and incongruent conditions in which only congruency between the target and flankers is manipulated) have not provided compelling evidence for the conflict N2 component. We report the results of a large-sample ERP study employing a basic flanker task that allowed us to revisit the mechanism underlying the resolution of conflict introduced by incongruent flankers. In the behavioral data, we observed the classic effect of congruency. In the ERP data, we found three conflict-sensitive components: (a) an early frontal component, presumably corresponding to P2, (b) P300 for congruent trials, followed by (c) P300 for incongruent trials. We did not find evidence for the conflict N2 component. Based on a review of literature, we propose that the conflict N2 component observed in a basic flanker task might be a frontal aspect of the P300 component. Given previous attempts to attribute the functional role of the ERP components, the absence of the conflict N2 in the basic flanker task suggests that response inhibition may not be crucial for the resolution of conflict induced by incongruent flankers. Instead, the P2 component appears to indicate that selective attention might play an important role in resolving the flanker conflict.

Pressure-induced referred pain is expanded by persistent soreness.

Several chronic pain conditions are accompanied with enlarged referred pain areas. This study investigated a novel method for assessing referred pain. In 20 healthy subjects, pressure pain thresholds (PPTs) were recorded and pressure stimuli (120% PPT) were applied bilaterally for 5 and 60 seconds at the infraspinatus muscle to induce local and referred pain. Moreover, PPTs were measured bilaterally at the shoulder, neck, and leg before, during, and after hypertonic saline-induced referred pain in the dominant infraspinatus muscle. The pressure and saline-induced pain areas were assessed on drawings. Subsequently, delayed onset muscle soreness was induced using eccentric exercise of the dominant infraspinatus muscle. The day-1 assessments were repeated the following day (day 2). Suprathreshold pressure stimulations and saline injections into the infraspinatus muscle caused referred pain to the frontal aspect of the shoulder/arm in all subjects. The 60-second pressure stimulation caused larger referred pain areas compared with the 5-second stimulation (P < 0.01). Compared with pressure stimulation, the saline-induced referred pain area was larger (P < 0.02). After saline-induced pain, the PPTs at the infraspinatus and supraspinatus muscles were reduced (P < 0.05), and the 5-second pressure-induced referred pain area was larger than baseline. Pressure pain thresholds at the infraspinatus and supraspinatus muscles were reduced at day 2 in the delayed onset muscle soreness side (P < 0.05). Compared with day 1, larger pressure and saline-induced referred pain areas were observed on day 2 (P < 0.05). Referred pain to the shoulder/arm was consistently induced and enlarged after 1 day of muscle soreness, indicating that the referred pain area may be a sensitive biomarker for sensitization of the pain system.

Computed Tomographic Evaluation of Joint Geometry in Patients With End-Stage Ankle Osteoarthritis.

Deformation of the talus and the distal tibia can be frequently observed during ankle joint osteoarthritis (OA). The aim of this study was to objectify these morphologic changes. We hypothesized that a flattening of the talus and a broadening of the distal tibia surface occurs in end-stage OA of the ankle joint. Twenty-seven computed tomography (CT) ankle joint examinations of unilateral ankle OA were matched by sex and age with 27 CT examinations of healthy ankle joints. Three-dimensional reformatting and measurements were performed with geometry analysis software. The following parameters were assessed: sagittal radius of the talus, talus height, and mediolateral and anteroposterior width of the distal tibial joint surface. Medial, midsagittal, and lateral sagittal arc radii of osteoarthritic tali were significantly larger compared to tali of controls. There was a statistically significant difference in the height of the osteoarthritic talar dome in the medial and in the lateral frontal segment and in the medial central segment compared to tali of controls. The anteroposterior width and the sagittal curvature of the distal tibia was significantly larger in OA ankles than in the control group. The mediolateral measurements were comparable across both groups. Flattening of the talus appears to be more pronounced in the frontal aspect of the talus. The distal tibia broadens anteroposteriorly. These findings may contribute to better understanding of ankle OA development. Level III, retrospective comparative cohort study.

Post Traumatic Intradiploic Leptomeningeal Cyst in a 2 Year Old Child

Growth of post taumatic intradiploic leptomeningeal cyst following head trauma is one of the rare complications of skull fractures seen mainly in infancy and toddlers. It is characterized by progressive diastatic enlargement of the fracture line with progressively increasing pulsatile cystic mass filled with cerebrospinal fluid in diploic space. Herein, we report a case of 2 year old boy presented with huge soft, non-tender pulsatile growing mass on the frontal aspect 9 months after sustaining head injury. CT imaging delineated it as a post traumatic intradiploic leptomeningeal cyst in frontal bone secondary to superior sagittal suture diastasis. Cyst was meticulously excised from superior sagittal sinus followed by durocranioplasty.