PubMed · 13675019
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W WALTERS. 1959. Problems in abdominal surgery.. https://doi.org/10.1080/00325481.1959.11712568
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A number of methods exist for the estimation of abdominal obesity, ranging from waist-to-hip ratio to computed tomography (CT). Although dual-energy X-ray absorptiometry (DXA) was originally used to measure bone density and total body composition, recent improvements in software allow it to determine abdominal fat mass. Sixty-five men and women aged 18-72 yr participated in a series of studies to examine the validity and reliability of the DXA to accurately measure abdominal fat. Total body fat and abdominal regional fat were measured by DXA using a Lunar DPX-IQ. Multislice CT scans were performed between L1 and L4 vertebral bodies (region of interest) using a Picker PQ5000 CT scanner, and volumetric analyses were carried out on a Voxel Q workstation. Both abdominal total tissue mass (P = 0.02) and abdominal fat mass (P < 0.0001) in the L1-L4 region of interest were significantly lower as measured by DXA compared with multislice CT. However, Bland-Altman analysis demonstrated good concordance between DXA and CT for abdominal total tissue mass (i.e., limits of agreement = -1.56-2.54 kg) and fat mass (i.e., limits of agreement = -0.40-1.94 kg). DXA also showed excellent reliability among three different operators to determine total, fat, and lean body mass in the L1-L4 region of interest (intraclass correlations, R = 0.94, 0.97, and 0.89, respectively). In conclusion, the DXA L1-L4 region of interest compared with CT proved to be both reliable and accurate method to determine abdominal obesity.
This study examined whether the head of elderly subjects was less stable in space when the trunk was free to move than when the trunk was fixed to a linearly moving platform. Fourteen healthy elderly subjects were seated on a linear sled with their trunk either fixed to the seat or free to move. Subjects received 10 cm, 445 cm/s2 anterior-posterior ramps and 0.35-4.05 Hz sum-of-sines translations while performing a mental distraction task in the dark. Kinematics of the head and trunk were derived from an Optotrak motion analysis system and a linear accelerometer placed on the head. Electromyographic (EMG) signals were collected for neck and paraspinal muscles. Data were tested for significance with paired t-tests corrected for multiple testing and compared (Mann-Whitney U-test) with previously published data from 12 healthy young adults (Keshner 2003). Linear acceleration trajectories of the head corresponded to the direction of sled linear acceleration when the trunk was fixed and countered the direction of the sled when the trunk was free. Angular head accelerations countered the sled or the trunk when the trunk was fixed or free, respectively. Peak amplitudes of head angular acceleration in space were greater with a fixed trunk. With the trunk free, amplitudes of head linear peak acceleration, angular accelerations, and response gains exceeded those of the young adults. Muscle EMG response latencies did not vary with the timing of head acceleration onset but the neck muscles were activated more frequently in a direction consistent with a vestibulocollic or cervicocollic reflex. Differences in angular motion of the head could be explained by the biomechanical constraints of the two tasks having one freely moving mass (head) with the trunk fixed and two freely moving masses (head and trunk) with the trunk free. These data suggest that elderly subjects rely upon active trunk mechanics in order to coordinate their head and trunk motion; however, a contribution by vestibular and ascending segmental inputs cannot be completely ruled out. A less flexible trunk in the elderly could explain why they were not as successful as young adults in stabilizing their heads in space when the trunk was free to move.
Nonspiking local interneurones are the important premotor elements in arthropod motor control systems. We have analyzed the synaptic interactions between nonspiking interneurones in the crayfish terminal (6th) abdominal ganglion using simultaneous intracellular recordings. Only 15% of nonspiking interneurones formed bi-directional excitatory connections. In 77% of connections, however, the nonspiking interneurones showed a one-way inhibitory interaction. In these cases, the presynaptic nonspiking interneurones received excitatory synaptic inputs from the sensory afferents innervating hairs on the surface of the uropods and the postsynaptic nonspiking interneurones received inhibitory synaptic inputs that were partly mediated by the inputs to the presynaptic nonspiking interneurones. The membrane hyperpolarization of the postsynaptic nonspiking interneurones mediated by the presynaptic nonspiking interneurones was reduced in amplitude when the hyperpolarizing current was injected into the postsynaptic interneurones, or when the external bathing solution was replaced with one containing low calcium and high magnesium concentrations. The role of these interactions in the circuits controlling the movements of the terminal appendages is discussed.