Peak Velocity Time Research Articles

Temporal-spatial reach parameters derived from inertial sensors correlate to neurodevelopment in toddlers born preterm

Temporal-spatial reach parameters are revealing of upper-limb function in children with motor impairments, but have not been quantified in a toddler population. This work quantitatively characterizes temporal-spatial reach in typically-developing (TD) and very-low-birth-weight (VLBW) preterm toddlers, who are at increased risk of motor impairment. 47 children born VLBW (<1500 g birth-weight; ≤32 weeks gestation) and 22 TD children completed a reaching assessment at 18–22 months of age, adjusted for prematurity. Inertial sensors containing accelerometers, gyroscopes and magnetometers were fixed to toddlers’ wrists while they reached for a cube. Reach time, path length, velocity at contact, peak velocity magnitude and timing, acceleration at contact, and peak acceleration were derived from inertial-sensor and high-speed video data. Preterm children also received the Bayley Scales of Infant Development—3rd Edition (BSID-III). Compared to TD toddlers, preterm toddlers had significantly different reach path length, velocity at contact, peak velocity magnitude and timing, acceleration at contact, and peak acceleration. Among preterm toddlers, decreased reach time (rho = −.346, p = .018), decreased time to peak velocity (r = −.390, p = .007), and increased peak acceleration (r = .298, p = .044) correlated to higher BSID-III fine motor scores. Toddlers with below-average fine motor scores had significantly higher peak and contact velocity. Preterm toddlers demonstrated substantial differences in temporal-spatial reach parameters compared to TD toddlers, and evidence indicated several reach parameters were revealing of function and may be useful as a clinical assessment.

Echocardiography allows for analysis of pulmonary arterial flow in mice with congenital diaphragmatic hernia

BackgroundCongenital diaphragmatic hernia (CDH) is a structural birth defect associated with pulmonary hypoplasia and pulmonary arterial hypertension (PAH). We hypothesize that echocardiography provides a method to assess real-time right ventricle (RV) function, remodeling, and pulmonary artery (PA) flow. Materials and methodsSlit3 wild-type (WT) (n = 6) and knockout (KO) (n = 5) mice were analyzed at 2-3 months of age. Mice were anesthetized using isoflurane. Echocardiography was performed to analyze left and right ventricular wall thickness, internal diameter (ID), and function. Color Doppler was used to analyze flow in the PA and across the tricuspid valve. ResultsThere was significant RV dilation in the KO mice versus WT, with an average RVID of 1.99 mm versus 1.26 mm, respectively (P = 0.007). Flow in the PA of KO mice was altered compared to WT, with elevated PA velocity time indices, 30.68 mm versus 22.13 mm (P = 0.012), elevated PA peak velocities, 952.61 mm/s versus 628.73 mm/s (P = 0.003), and decreased pulmonary acceleration times, 8.94 ms versus 16.18 ms (P = 0.002), respectively. Pulmonary vascular resistance, calculated by measuring tricuspid regurgitation peak velocity and right ventricular outflow tract velocity time index, was increased in KO versus WT mice, 17.61 mm2/s versus 8.91 mm2/s (P = 0.003), respectively. ConclusionsSlit3 KO mice with CDH show evidence of PAH and resultant RV dilation. Using direct cardiac puncture, elevated RV systolic pressures have been demonstrated in KO mice as evidence of PAH. Echocardiography allows direct analysis of the PA and real-time RV function without sacrifice of the mouse. This mode of evaluation allows longitudinal study in mice with PAH and CDH.

Effects of Different Relative Loads on Power Performance During the Ballistic Push-up.

Wang, R, Hoffman, JR, Sadres, E, Bartolomei, S, Muddle, TWD, Fukuda, DH, and Stout, JR. Effects of different relative loads on power performance during the ballistic push-up. J Strength Cond Res 31(12): 3411-3416, 2017-The purpose of this investigation was to examine the effect of load on force and power performance during a ballistic push-up. Sixty (24.5 ± 4.3 years, 1.75 ± 0.07 m, and 80.8 ± 13.5 kg) recreationally active men who participated in this investigation completed all testing and were included in the data analysis. All participants were required to perform a 1 repetition maximum bench press, and ballistic push-ups without external load (T1), with 10% (T2) and 20% (T3) of their body mass. Ballistic push-ups during T2 and T3 were performed using a weight loaded vest. Peak and mean force, power, as well as net impulse and flight time were determined for each ballistic push-up. Peak and mean force were both significantly greater (p < 0.01) during T3 (1,062 ± 202 and 901 ± 154 N, respectively), than both T2 (1,017 ± 202 and 842 ± 151 N, respectively) and T1 (960 ± 188 and 792 ± 140 N, respectively). Peak and mean power were significantly greater (p < 0.01) during T1 (950 ± 257 and 521 ± 148 W, respectively), than both T2 (872 ± 246 and 485 ± 143 W, respectively) and T3 (814 ± 275 and 485 ± 162 W, respectively). Peak and mean power were greatest during T1, regardless of participants' strength levels. Significant (p < 0.01) greater net impulse and smaller peak velocity and flight time were also noted from T1 to T3. Results of this investigation indicated that maximal power outputs were achieved without the use of an external load when performing the ballistic push-up, regardless of the participants' level of strength.

Kinematic Analysis of a Drinking Task in Chronic Hemiparetic Patients Using Features Analysis and Statistical Parametric Mapping

ObjectiveTo compare sitting posture and movement strategies between chronic hemiparetic and healthy subjects while performing a drinking task, using statistical parametric mapping (SPM) and feature analysis. DesignCross-sectional study. SettingA university physical therapy department. ParticipantsParticipants (N=26) consisted of chronic hemiparetic (n=13) and healthy individuals (n=13) matched for sex and age. InterventionsNot applicable. Main Outcome MeasuresThe drinking task was divided into phases: reaching, transporting the glass to mouth, transporting the glass to table, and returning to initial position. An SPM 2-sample t test was used to compare the entire kinematic waveforms of different joint angles (trunk, scapulothoracic, humerothoracic, elbow). Joint angles at the beginning and end of the motion, movement time, peak velocity timing, trajectory deviation, normalized integrated jerk, and range of motion were extracted from the motion data. Group differences for these parameters were analyzed using independent t tests. ResultsAt the static posture and beginning of the reaching phase, patients showed a shoulder position more deviated from the midline and externally rotated with increased scapula protraction, medial rotation, anterior tilting, trunk anterior flexion and inclination to the paretic side. Altered spatiotemporal variables throughout the task were found in all phases, except for the returning phase. Patients returned to a similar posture as the task onset, except for the scapula, which was normalized after the reaching phase. ConclusionsChronic hemiparetic subjects showed more deviations in the proximal joints during seated posture and reaching. However, the scapular movement drew nearer to the healthy individuals' patterns after the first phase, showing an interesting point to consider in rehabilitation programs.

Efectos de la inducción inhalatoria con sevoflurano sobre la función ventricular izquierda

ObjectiveIn the present study, we studied the effect of inhalational induction with sevoflurane on left ventricular systolic and diastolic function. Patients and methodsA prospective study was carried out on 58 healthy patients, ASA I-II, aged 18- 60 years and scheduled for general surgery. After administration of 0.05mg kg–1 of intravenous midazolam, transthoracic echocardiography was performed, measuring: fractional shortening (FA), ejection fraction (EF), cardiac output (CO) and left ventricular end diastolic area index (LVEDAI). Subsequently, we used an apical four chambers view for measuring transmitral Doppler, calculating: wave E peak velocity (pE), wave A peak velocity (pA), E/A ratio (E/A) and deceleration time (DT). Immediately after an inhalational anesthesia was induced with sevoflurane 8% through a face mask maintaining spontaneous ventilation and when the end tidal of sevoflurane reached a value of 4% a new echocardiography was performed by the same observer measuring the same parameters. ResultsWe observed a decrease in mean arterial pressure of 8.33% (95% CI –11.77% - –4.90%), an increase in cardiac output 7.8% (CI95% 0.08%-15.52%) and an increase in E/A ratio 5.92% (95% CI 2.45%-9.38%), all with statistical significance. However, we found no statistically significant changes in heart rate, FA, FE, IC, PE, PA or DT. ConclusionsAccording to our study, induction with sevoflurane does not cause significant changes in systolic left ventricular function.

123 Doppler assessment of aortic stenosis: reading the peak velocity is superior to velocity time integral

IntroductionPrevious studies of the reproducibility of echocardiographic assessment of aortic stenosis have compared only a pair of observers. The aim of this study was to assess reproducibility across a large...

Evaluating Upper-body Strength And Power From A Single Test

Muscular strength and power are major determinants for many explosive, short duration sporting events. Consequently, the assessment of muscular strength and power is imperative for training program design and talent identification purposes. The one repetition maximum (1RM) squat and bench press are the most frequently used field tests for assessing lower and upper body strength, respectively. However, time constraints and maximal testing for untrained individuals may limit the use of 1RM testing in large population groups. Additionally, there has been only a limited number of investigations that have focused on the evaluation of upper body muscular power. PURPOSE: The purpose of this study was to examine the reliability of the ballistic push-up (BPU) exercise, and to develop prediction equations for 1RM bench press and upper-body power. METHODS: Sixty recreationally-active men completed a 1RM bench press and two BPU in three separate testing sessions. Intraclass correlation coefficients (ICC) of peak and mean force, peak velocity, flight time, and peak and mean power were calculated and used to examine the reliability of the BPU. Mean force, flight time and peak velocity was used to develop equations to predict the 1RM bench press, and time-based and velocity-based upper-body power. RESULTS: ICC’s ranged from 0.849 - 0.971 for the BPU measurements. Multiple regression analysis provided the following 1RM bench press prediction equations: 1RM = 0.31 × Mean Force - 1.64 × Body mass + 0.70 (R2 = 0.837, SEE = 11 kg); time-based power prediction equations: Peak Power = 11.0 × Body Mass + 2012.3 × Flight Time - 338.0 (R2 = 0.658, SEE = 150 W), Mean Power = 6.7 × Body Mass + 1004.4 × Flight Time - 224.6 (R2 = 0.664, SEE = 82 W); and velocity-based power prediction equation: Peak Power = 8.1 × Body Mass + 818.6 × Peak Velocity - 762.0 (R2 = 0.797, SEE = 115 W); Mean Power = 5.2 × Body Mass + 435.9 × Peak Velocity - 467.7 (R2 = 0.838, SEE = 57 W). CONCLUSIONS: Results indicate that the BPU is a reliable test for both upper-body strength and power. Furthermore, the mean force generated from the BPU can be used to predict 1RM bench press, while peak velocity and flight time measured during the BPU can be used to predict upper-body power. These findings support the potential use of the BPU as a valid method to evaluate upper-body strength and power.

Evaluating Upper-Body Strength and Power From a Single Test: The Ballistic Push-up.

Wang, R, Hoffman, JR, Sadres, E, Bartolomei, S, Muddle, TWD, Fukuda, DH, and Stout, JR. Evaluating upper-body strength and power from a single test: the ballistic push-up. J Strength Cond Res 31(5): 1338-1345, 2017-The purpose of this study was to examine the reliability of the ballistic push-up (BPU) exercise and to develop a prediction model for both maximal strength (1 repetition maximum [1RM]) in the bench press exercise and upper-body power. Sixty recreationally active men completed a 1RM bench press and 2 BPU assessments in 3 separate testing sessions. Peak and mean force, peak and mean rate of force development, net impulse, peak velocity, flight time, and peak and mean power were determined. Intraclass correlation coefficients were used to examine the reliability of the BPU. Stepwise linear regression was used to develop 1RM bench press and power prediction equations. Intraclass correlation coefficient's ranged from 0.849 to 0.971 for the BPU measurements. Multiple regression analysis provided the following 1RM bench press prediction equation: 1RM = 0.31 × Mean Force - 1.64 × Body Mass + 0.70 (R = 0.837, standard error of the estimate [SEE] = 11 kg); time-based power prediction equation: Peak Power = 11.0 × Body Mass + 2012.3 × Flight Time - 338.0 (R = 0.658, SEE = 150 W), Mean Power = 6.7 × Body Mass + 1004.4 × Flight Time - 224.6 (R = 0.664, SEE = 82 W); and velocity-based power prediction equation: Peak Power = 8.1 × Body Mass + 818.6 × Peak Velocity - 762.0 (R = 0.797, SEE = 115 W); Mean Power = 5.2 × Body Mass + 435.9 × Peak Velocity - 467.7 (R = 0.838, SEE = 57 W). The BPU is a reliable test for both upper-body strength and power. Results indicate that the mean force generated from the BPU can be used to predict 1RM bench press, whereas peak velocity and flight time measured during the BPU can be used to predict upper-body power. These findings support the potential use of the BPU as a valid method to evaluate upper-body strength and power.

ALTERED ARTERIAL DOPPLER FLOW PATTERN AND PERINATAL OUTCOME IN INTRAUTERINE GROWTH RESTRICTION

ABSTRACTObjectives: Intrauterine growth restriction (IUGR) is one of the common conditions that interfere with the growth of the fetus accounting for 10-15%of pregnant woman. Literature explores a wide range of incidence of perinatal complication including mortality among IUGR pregnancies. Limiteddata available on these complications confined to coastal Karnataka and its association with abnormal arterial Doppler flow pattern. To study theperinatal complications associated with IUGR pregnancies and its prevalence in comparison to healthy controls of comparable gestational age.Methods: This cohort study screened 53 IUGR fetuses by an antenatal scan at gestational age of 27 weeks or more. The diagnosis of IUGR was madeaccording to established criteria from SOGC clinical practice guidelines August 2013. The data also included 48 appropriate for gestational age fetuseswith healthy mothers with the comparable gestational week. Experienced cardiac sonographer and gynecologist performed fetal echocardiography(ECHO) using Vivid 7, GE health-care system ECHO machine with the convex transducer of frequency 1.7-2.4 MHz. The study was conducted at southIndian tertiary care center.Results: This study included 53 IUGR cases and 48 non-IUGR controls. The mean age was 27±4.37 and 26.88±3.14 years in IUGR and non-IUGRgroups, respectively. Fetal Doppler study variables showed a significant decrease in peak aortic velocity and velocity time integral which was notevident on other valves, though mitral antegrade flow during atrial contraction was found to be lower among IUGR group. In two-dimensional chamberquantification of IUGR group revealed significant increase in pulmonary artery dimension, right ventricular (RV) dimension and RV thickness than thecontrol group (p&lt;0.05). The anthropometric parameters such as weight and length; abdomen circumference was significantly lower in IUGR group,whereas head circumference found to be more in IUGR group (p&lt;0.001). The gestational weeks at delivery was significantly different among twogroups with IUGR group depicting the early delivery group. p&lt;0.001(35.58±2.92 and 38.5±0.96 in IUGR and non-IUGR groups, respectively). IUGRgroup also had prolonged neonatal intensive care unit stay when compared to controls (p&lt;0.001).Conclusions: IUGR carries profound course in altered Doppler indices and cardiac function which explore its prediction on mortality and adverseperinatal outcome. This study showed significant perinatal mortality accounting for 5.6% among IUGR cases when compared to normal. Althoughtissue Doppler indices show normal variants, IUGR possesses significant adverse perinatal outcome, however with lesser incidence compared tosevere form of IUGR subsets who show altered tissue annular velocities.Keywords: Intrauterine growth restriction, Echocardiography, Doppler, Perinatal.

Near-fault deformation and Dc″ during the 2016 Mw7.1 Kumamoto earthquake

An Mw7.1 Kumamoto earthquake occurred at 01:25:05 on April 16, 2016 (JST). The earthquake involved a rupture at a shallow depth along a strike-slip fault with surface breaks. Near-fault ground motion records, especially those of a strike-slip earthquake, can provide us with direct information on the earthquake source process. During the earthquake, near-fault seismograms were obtained at KMMH16 station located about 500 m off the fault. The ground displacements were well recovered from the double numerical integration of accelerograms at KMMH16 both on the surface and at the bottom of the 252-m-deep borehole. Fault-parallel static displacement was estimated to be about 1.1 m from the acceleration waveforms. The Dc″ value, which is defined as double the fault-parallel displacement at peak velocity time, was proposed as a proxy of the slip-weakening distance. Using both the velocity and displacement fault-parallel waveforms, the Dc″ value was estimated at about 1 m. This value was between 30 and 50% of the total slip on the fault, which is consistent with previous observations. Graphical abstract GRAPHICAL ABSTRACT CAPTION

Temporal–spatial reach parameters derived from inertial sensors: Comparison to 3D marker-based motion capture

Reaching is a well-practiced functional task crucial to daily living activities, and temporal–spatial measures of reaching reflect function for both adult and pediatric populations with upper-extremity motor impairments. Inertial sensors offer a mobile and inexpensive tool for clinical assessment of movement. This research outlines a method for measuring temporal–spatial reach parameters using inertial sensors, and validates these measures with traditional marker-based motion capture. 140 reaches from 10 adults, and 30 reaches from nine children aged 18–20 months, were recorded and analyzed using both inertial-sensor and motion-capture methods. Inertial sensors contained three-axis accelerometers, gyroscopes, and magnetometers. Gravitational offset of accelerometer data was measured when the sensor was at rest, and removed using sensor orientation measured at rest and throughout the reach. Velocity was calculated by numeric integration of acceleration, using a null-velocity assumption at reach start. Sensor drift was neglected given the 1–2s required for a reach. Temporal–spatial reach parameters were calculated independently for each data acquisition method. Reach path length and distance, peak velocity magnitude and timing, and acceleration at contact demonstrated consistent agreement between sensor- and motion-capture-based methods, for both adult and toddler reaches, as evaluated by intraclass correlation coefficients from 0.61 to 1.00. Taken together with actual difference between method measures, results indicate that these functional reach parameters may be reliably measured with inertial sensors.

Can You Hear That Peak? Utilization of Auditory and Visual Feedback at Peak Limb Velocity

Purpose: At rest, the central nervous system combines and integrates multisensory cues to yield an optimal percept. When engaging in action, the relative weighing of sensory modalities has been shown to be altered. Because the timing of peak velocity is the critical moment in some goal-directed movements (e.g., overarm throwing), the current study sought to test whether visual and auditory cues are optimally integrated at that specific kinematic marker when it is the critical part of the trajectory. Methods: Participants performed an upper-limb movement in which they were required to reach their peak limb velocity when the right index finger intersected a virtual target (i.e., a flinging movement). Brief auditory, visual, or audiovisual feedback (i.e., 20 ms in duration) was provided to participants at peak limb velocity. Performance was assessed primarily through the resultant position of peak limb velocity and the variability of that position. Results: Relative to when no feedback was provided, auditory feedback significantly reduced the resultant endpoint variability of the finger position at peak limb velocity. However, no such reductions were found for the visual or audiovisual feedback conditions. Further, providing both auditory and visual cues concurrently also failed to yield the theoretically predicted improvements in endpoint variability. Conclusions: Overall, the central nervous system can make significant use of an auditory cue but may not optimally integrate a visual and auditory cue at peak limb velocity, when peak velocity is the critical part of the trajectory.

Finger-to-Beat Coordination Skill of Non-dancers, Street Dancers, and the World Champion of a Street-Dance Competition.

The coordination of body movements to a musical beat is a common feature of many dance styles. However, the auditory–motor coordination skills of dancers remain largely uninvestigated. The purpose of this study was to examine the auditory–motor coordination skills of non-dancers, street dancers, and the winner of a celebrated international street dance competition, while coordinating their rhythmic finger movements to a beat. The beat rate of a metronome increased from 1.0 to 3.7 Hz. The participants were asked to either flex or extend their index fingers on the beat in each condition. Under the extend-on-the-beat condition, both the dancers and non-dancers showed a spontaneous transition from the extend-on-the-beat to the flex-on-the-beat or to a phase wandering pattern. However, the critical frequency at which the transition occurred was significantly higher in the dancers (3.3 Hz) than in the non-dancers (2.6 Hz). Under the flex-on-the-beat condition, the dancers were able to maintain their coordination pattern more stably at high beat rates compared to the non-dancers. Furthermore, the world champion matched the timing of movement peak velocity to the beat across the different beat rates. This may give a sense of unity between the movement and the beat for the audience because the peak velocity of the rhythmic movement works as a temporal cue for the audiovisual synchrony perception. These results suggest that the skills of accomplished dancers lie in their small finger movements and that the sensorimotor learning of street dance is characterized by a stabilization of the coordination patterns, including the inhibition of an unintentional transition to other coordination patterns.

日本人健康男子中学生における身長, 除脂肪量, 骨量の最大増加時期

日本人健康男子中学生における身長, 除脂肪量, 骨量の最大増加時期

Cardiac Ultrasonography in the critical care setting: a practical approach to asses cardiac function and preload for the "non-cardiologist".

Cardiac ultrasonography has become an indispensible tool in the management of hemodynamically unstable critically ill patients. Some consider it as the modern stethoscope. Echocardiography is non-invasive and safe while the modern portable devices allow to be used at the bedside in order to provide fast, specific and vital information regarding the hemodynamic status, as well as the function, structure and anatomy of the heart. In this review, we will give an overview of cardiac function in general followed by an assessment of left ventricular function using echocardiography with calculation of cardiac output, left ventricular ejection fraction (EF), fractional shortening, fractional area contraction, M mode EF, 2D planimetry and 3D volumetry. We will briefly discuss mitral annulus post systolic excursion (MAPSE), calculation of dP/dt, speckle tracking or eyeballing to estimate EF for the experienced user. In a following section, we will discuss how to assess cardiac preload and diastolic function in 4 simple steps. The first step is the assessment of systolic function. The next step assesses the left atrium. The third step evaluates the diastolic flow patterns and E/e' ratio. The final step integrates the information of the previous steps. Echocardiography is also the perfect tool to evaluate right ventricular function with tricuspid annular plane systolic excursion (TAPSE), tissue Doppler imaging, together with inferior vena cava dimensions and systolic pulmonary artery pressure and right ventricular systolic pressure measurement. Finally, methods to assess fluid responsiveness with echocardiography are discussed with the inferior vena cava collapsibility index and the variation on left ventricle outflow tract peak velocity and velocity time integral. Cardiac ultrasonography is an indispensible tool for the critical care physician to assess cardiac preload, afterload and contractile function in hemodynamically unstable patients in order to fine-tune treatment with fluids, inotropes and/or vasopressors.

Abstract 18192: Aortic Stenosis: The Effect of Spectral Broadening in the Left Ventricular Outflow Tract on Stroke Volume and Calculated Aortic Valve Area

Introduction: Accurate stroke volume (SV) calculation is critical for calculating aortic valve area by echocardiography. 2D-Doppler estimation of SV (SV 2D ) assumes uniform blood flow velocities through the left ventricular outflow tract (LVOT). Non-uniform flow through the LVOT, appreciated as spectral broadening of the LVOT Doppler signal, could result in inaccurate SV calculation. Hypothesis: Increased spectral broadening in the LVOT will result in overestimation of SV by the SV 2D method compared to 3D volumetric assessment of SV (SV 3D ). Methods: Fifty-one consecutive patients with aortic stenosis underwent comprehensive 2D-TTE and assessment of SV 3D . Patients with ≥ moderate mitral or aortic regurgitation were excluded. An LVOT pulse-wave Doppler signal with &gt; 0.4 m/s difference between outer and inner edge of velocity spectral display (at time of peak velocity) was considered non-uniform flow (i.e., spectral broadening). Results: Spectral broadening was present in 33% of the cohort. These patients were commonly female with smaller ventricles and higher ejection fraction. Spectral broadening was associated with a significant overestimation of SV on Doppler-based measurements (101±20 ml vs 78±15 mL, SV 2D vs SV 3D , respectively; r=0.83, p&lt;0.0001); such differences were not seen in patients with uniform flow velocities (82±15 vs 79±14 mL, r=0.83, p=0.03). Patient characteristics by spectral broadening are shown in table 1. Conclusion: In aortic stenosis patients with non-uniform flow, Doppler-based methods overestimated SV by 29.5% on average (maximum 64%) when compared to 3D methods. This results in a proportional increase in calculated valve area despite a similar mean gradient between groups. Substituting SV 3D resulted in similar SV, valve area, and mean gradient between uniform and non-uniform groups. When spectral broadening &gt;0.40 cm/s is present, 3D volumetric assessment of SV should be considered for accurate estimation of aortic valve area.

The study on hemodynamic effect of varied support models of BJUT-II VAD on coronary artery: a primary CFD study.

BJUT-II VAD (Beijing University of Technology ventricular assist device II) is a novel left ventricular assist device. Because of the special connection between the pump and native heart, the hemodynamic effects of BJUT-II VAD on coronary artery are still unclear. Hence, numerical simulations have been conducted to clarify changes in hemodynamic effects of different support modes. A patient-specific left coronary arterial geometric model is reconstructed based on the computed tomography (CT) data. Three support modes, "constant speed mode," "co-pulse mode," and "counter pulse mode," are used in this study. The wall shear stress (WSS), wall shear stress gradient (WSSG), cycle-averaged wall shear stress (avWSS), oscillatory shear index (OSI), and the flow pattern are calculated to evaluate the hemodynamic states of coronary artery. The computational results demonstrate that the hemodynamic states of coronary artery are directly affected by the support modes. The co-pulse modes could achieve the highest blood perfusion (constant speed: 153 ml/min vs. co-pulse: 775 ml/min vs. counter pulse: 140 ml/min) and the highest avWSS (constant speed: 18.1 Pa vs. co-pulse: 42.6 Pa vs. counter pulse: 22.6 Pa). In addition, both the WSS and WSSG at the time of peak blood velocity under the constant speed mode are lower than those under other two support modes. In contrast, the counter pulse mode generates the highest OSI value (constant speed: 0.365 vs. co-pulse: 0.379 vs. counter pulse: 0.426). BJUT-II VAD under co-pulse mode may have benefits for improving coronary perfusion and preventing the development of atherosclerosis; however, the constant speed mode may have benefit for preventing the development of plaque vulnerability.

The Effect of Bolus Volume on Hyoid Kinematics in Healthy Swallowing

Hyoid movement in swallowing is biomechanically linked to closure of the laryngeal vestibule for airway protection and to opening of the upper esophageal sphincter. Studies suggest that the range of hyoid movement is highly variable in the healthy population. However, other aspects of hyoid movement such as velocity remain relatively unexplored. In this study, we analyze data from a sample of 20 healthy young participants (10 male) to determine whether hyoid movement distance, duration, velocity, and peak velocity vary systematically with increases in thin liquid bolus volume from 5 to 20 mL. The temporal correspondence between peak hyoid velocity and laryngeal vestibule closure was also examined. The results show that maximum hyoid position and peak velocity increase significantly for 20 mL bolus volumes compared to smaller volumes, and that the timing of peak velocity is closely linked to achieving laryngeal vestibule closure. This suggests that generating hyoid movements with increased power is a strategy for handling larger volumes.

Top-down attentional processes modulate the coding of atypical biological motion kinematics in the absence of motor signals.

The acquisition of sensorimotor parameters that control goal-directed motor behaviors occurs by observing another person in the absence of efferent and afferent motor signals. This is observational practice. During such observation, biological motion properties associated with the observed person are coded into a representation that controls motor learning. Understanding the underlying processes, specifically associated with coding biological motion, has theoretical and practical significance. Here, we examined the following questions. Experiment 1: Are the underlying velocity characteristics associated with observed biological motion kinematics imitated? Experiment 2: Is attention involved in imitating biological motion kinematics? Experiment 3: Can selective attention modulate how biological motion kinematics are imitated/represented? To this end, participants practiced by observing a model performing a movement sequence that contained typical or atypical biological motion kinematics. The differences in kinematics were designed to dissociate the movement constraints of the task and the anatomical constraints of the observer. This way, we examined whether novel motor behaviors are acquired by adopting prototypical movements or coding biological motion. The kinematic analyses indicated the timing and spatial position of peak velocity were represented. Using a dual-task protocol, we attenuated the coding of biological motion kinematics (Experiment 2) and augmented coding using a selective attention protocol (Experiment 3). Findings indicated that velocity characteristics of biological motion kinematics are coded during observational practice, most likely through bottom-up sensorimotor processes. By modulating motion coding using 2 attentional protocols, we showed that bottom-up processes are influenced by input modulation, which is consistent with top-down control during observational practice.

The pattern of facial skeletal growth and its relationship to various common indexes of maturation

Sequential stages in the development of the hand, wrist, and cervical vertebrae commonly are used to assess maturation and predict the timing of the adolescent growth spurt. This approach is predicated on the idea that forecasts based on skeletal age must, of necessity, be superior to those based on chronologic age. This study was undertaken to test this reasonable, albeit largely unproved, assumption in a large, longitudinal sample. Serial records of 100 children (50 girls, 50 boys) were chosen from the files of the Bolton-Brush Growth Study Center in Cleveland, Ohio. The 100 series were 6 to 11 years in length, a span that was designed to encompass the onset and the peak of the adolescent facial growth spurt in each subject. Five linear cephalometric measurements (S-Na, Na-Me, PNS-A, S-Go, Go-Pog) were summed to characterize general facial size; a sixth (Co-Gn) was used to assess mandibular length. In all, 864 cephalograms were traced and analyzed. For most years, chronologic age, height, and hand-wrist films were available, thereby permitting various alternative methods of maturational assessment and prediction to be tested. The hand-wrist and the cervical vertebrae films for each time point were staged. Yearly increments of growth for stature, face, and mandible were calculated and plotted against chronologic age. For each subject, the actual age at onset and peak for stature and facial and mandibular size served as the gold standards against which key ages inferred from other methods could be compared. On average, the onset of the pubertal growth spurts in height, facial size, and mandibular length occurred in girls at 9.3, 9.8, and 9.5 years, respectively. The difference in timing between height and facial size growth spurts was statistically significant. In boys, the onset for height, facial size, and mandibular length occurred more or less simultaneously at 11.9, 12.0, and 11.9 years, respectively. In girls, the peak of the growth spurt in height, facial size, and mandibular length occurred at 10.9, 11.5, and 11.5 years. Height peaked significantly earlier than both facial size and mandibular length. In boys, the peak in height occurred slightly (but statistically significantly) earlier than did the peaks in the face and mandible: 14.0, 14.4, and 14.3 years. Based on rankings, the hand-wrist stages provided the best indication (lowest root mean squared error) that maturation had advanced to the peak velocity stage. Chronologic age, however, was nearly as good, whereas the vertebral stages were consistently the worst. Errors from the use of statural onset to predict the peak of the pubertal growth spurt in height, facial size, and mandibular length were uniformly lower than for predictions based on the cervical vertebrae. Chronologic age, especially in boys, was a close second. The common assumption that onset and peak occur at ages 12 and 14 years in boys and 10 and 12 years in girls seems correct for boys, but it is 6 months to 1 year late for girls. As an index of maturation, hand-wrist skeletal ages appear to offer the best indication that peak growth velocity has been reached. Of the methods tested here for the prediction of the timing of peak velocity, statural onset had the lowest errors. Although mean chronologic ages were nearly as good, stature can be measured repeatedly and thus might lead to improved prediction of the timing of the adolescent growth spurt.