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PubMed1977

[Changes in the bioelectrical activity of pacemaker cells of the desympathized and reserpinized frog heart under conditions of parasympathetic rhythm acceleration].

A study was made of the mechanism of parasympathetic acceleration on Rana temporaria hearts with the preliminarily exhausted catecholamine stores due to desympathization and reserpinization of the animals. Bioelectrical activity of the cells of the isolated pace-maker was recorded. Parasympathetic acceleration was accompanied by an increase in the rate of accretion of slow diastolic depolarization (this indicating an active mechanism of this acceleration), and also a slight hyperpolarization and a decrease of the action potential duration. The acceleration effect and the changes of the form of the action potential were absent after atropine treatment of the preparation, this confirming the cholinergic nature of the parasympathetic acceleration. It is supposed that the parasympathetic system mediator acetylcholine--could decrease potassium or increase sodium permeability of the Pacemaker cell membrane, this leading to increase of the slow diastolic depolarization rate and to discharge acceleration.

Action Potentials↗

PubMed2005

Survival benefit with imatinib mesylate therapy in patients with accelerated-phase chronic myelogenous leukemia--comparison with historic experience.

BACKGROUND: The effect of imatinib mesylate on survival in the accelerated phase of chronic myelogenous leukemia (CML) is unknown. The objectives of this study were to update the long-term experience with imatinib in patients who had accelerated-phase CML and to compare outcomes with historic experience. METHODS: The outcomes of 176 patients who received treatment with imatinib were reviewed and compared with the outcomes of 213 historic control patients with accelerated-phase CML who received treatment with interferon-alpha or with other modalities. RESULTS: With imatinib, the complete hematologic response rate was 82% versus a rate < or = 50% for others, and the complete cytogenetic response rate was 43% versus rates of 0-6% for others. The estimated 4-year survival rates were 53% with imatinib, 42% with interferon-alpha, and 0-21% for others. A multivariate analysis of the total population of 389 patients indicated that imatinib therapy (vs. other therapies) was an independent, favorable prognostic factor for survival (P < 0.0001; hazard rate, 0.62). A subset analysis that included only patients who were treated with imatinib and interferon-alpha (276 patients) also identified imatinib as an independent favorable prognostic factor (P < 0.0001; hazard rate, 0.65). The 3-month cytogenetic response to imatinib was associated with significantly different survival outcomes (P < 0.0001). A multivariate analysis that included pretreatment characteristics and 3-month cytogenetic response among 150 patients who received imatinib and were alive at 3 months identified only 2 adverse independent prognostic factors: lack of a cytogenetic response at 3 months (P < 0.001) and anemia (hemoglobin < 10 g/dL; P = 0.003). Patients who had neither factor (41%) had an estimated 4-year survival rate of 88%; in the other patients, the 4-year survival rate was < or = 60%. This may have implications in relation to subsequent therapy, because, according to the outcomes of patients who underwent allogeneic transplantation in accelerated phase at the authors' institution and from literature reports, the estimates of 5-year survival were 25-30%. CONCLUSIONS: The current results suggest that imatinib improved survival compared with other therapies in patients with accelerated-phase CML.

Adult↗

PubMed1994

Long-duration +Gz acceleration on cardiac volumes determined by two-dimensional echocardiography.

To enhance protection of humans exposed to long-duration low-gravity environments such as the Space Shuttle and National Aerospace Plane during re-entry or in the short-duration high(-)+Gz environment of fighter aircraft, the effects of +Gz acceleration on cardiovascular hemodynamics must be understood. This study reports the use of two-dimensional echocardiography in normal men during +Gz acceleration. The heart's position in relation to the chest did not change during acceleration up to +7 Gz. The success in maintaining high-quality images during exposures to G-forces of this magnitude may be attributed to the relatively low rate of G onset. End-diastolic volumes (EDV) and stroke volumes (SV) decreased during a +Gz acceleration ramp that increased until the subject experienced peripheral light loss (PLL) (P < .05). An inflated G-suit partially counteracted this effect. By 30 seconds of a +3 Gz acceleration plateau, the protective effects of the inflated G-suit to maintain EDV is lost and the EDV of the inflated G-suit was lower than the EDV of the uninflated G-suit (P < .05).

Acceleration↗

PubMed1995

Motion induced phase shifts in MR: acceleration effects in quantitative flow measurements--a reconsideration.

Magnetic resonance phase difference techniques are commonly used to study flow velocities in the human body. Acceleration is often present, either in the form of pulsatile flow, or in the form of convective acceleration. Questions have arisen about the exact time point at which the velocity is encoded, and also about the sensitivity to (convective) acceleration and higher order motion derivatives. It has become common practice to interpret the net phase shifts measured with a phase difference velocity technique as being the velocity at a certain (Taylor) expansion time point, chosen somewhere between the RF excitation and the echo readout. However, phase shifts are developed over the duration of the encoding magnetic field gradient wave form, and should therefore be interpreted as a more or less time-averaged velocity. It will be shown that the phase shift as measured with a phase difference velocity technique represents the velocity at the "gravity" center of the encoding bipolar gradient (difference) function, without acceleration contribution. Any attempt to interpret the measured phase shift in terms of velocity on any other time point than the gradient gravity point will automatically introduce acceleration sensitivity.

Acceleration↗

PubMed1991

Activity of eye movement-related neurons in and near the interstitial nucleus of Cajal during sinusoidal vertical linear acceleration and optokinetic stimuli.

1. A total of 43 neurons that showed a close correlation with vertical eye movement with a burst-tonic or tonic type response during spontaneous saccades, were recorded within, and in the close vicinity of, the interstitial nucleus of Cajal (INC) in alert cats. Neuronal responses to sinusoidal vertical linear acceleration (0.2-0.85 Hz, amplitude 10.5 cm) and optokinetic stimuli (0.1-1.0 Hz, amplitude 10.5 cm), were examined. 2. All 43 eye movement-related neurons responded to sinusoidal vertical linear acceleration in the presence of a stationary visual pattern in correlation to robust eye movement responses with compensatory phase. Phase and gain values (re stimulus position) of response of individual cells were independent of the stimulus frequencies tested. Of these, 33 cells were examined during linear acceleration without visual input. Most cells (27/33) did not respond even when a weak linear vestibulo-ocular reflex was present (6/27). The remaining 6 cells (6/33) responded to linear acceleration. Their mean phase values advanced by 80 degrees and gain dropped by 55% compared to the responses with visual inputs. 3. Twenty eight of the 43 cells were examined during vertical optokinetic stimuli. The activity of all 28 cells was modulated in correlation to eye movement responses. Response phase showed more lag, and gain decreased as stimulus frequencies increased, similar to optokinetic eye movement responses. 4. The close correlation between the activity of eye movement-related neurons in the INC region and robust eye movements during linear acceleration with visual inputs and optokinetic stimuli suggest that these neurons are involved in some aspect of vertical eye position generation during such stimuli.

Acceleration↗

PubMed1982

The response of primary horizontal semicircular canal neurons in the rat and guinea pig to angular acceleration.

In rats and guinea pigs, primary afferent neurons from the horizontal semicircular canal were divided into two categories, regular and irregular, on the basis of the regularity of their resting activity. Regular neurons tend to have higher average resting rates than irregular neurons and in response to a constant angular acceleration stimulus of 16.7 deg/s2 regular neurons tended to have lower sensitivity and longer time constants than irregular cells. Some irregular neurons are more sensitive to incremental accelerations than to decremental accelerations of the same magnitude, whereas regular neurons tend to show symmetrical sensitivity. In response to sinusoidal angular acceleration stimuli (fixed frequencies) in the range 0.01-1.5 Hz, cells which fired regularly at rest tended to have smaller gain and longer phase lag re acceleration at most frequencies than irregular cells. Transfer functions were obtained for averaged data for regular and irregular neurons separately in both species. In both species there is evidence of systematic variation between neurons within each category, and this systematic variation is obscured by averaging across neurons.

Acceleration↗

PubMed1982

Postnatal developmental changes in the response of rat primary horizontal semicircular canal neurons to sinusoidal angular accelerations.

At birth primary horizontal semicircular canal afferent neurons in the albino Wistar rat have slow, irregular spontaneous activity and insensitive, sluggish, variable responses to sinusoidal angular acceleration stimuli. There are rapid changes in the gross morphology of the rat semicircular canal in the first 4-5 days after birth, and during this time there is a rapid increase in neural gain re acceleration. Irregular neurons in rats about 6 days old have gains in the same range as irregular neurons in adult rats. However, after the gross morphological growth is complete, there continues to be a decrease in phase lag re acceleration. The causes of this developmental change in phase are unknown. It could be produced by changes in the receptor-afferent-efferent complex or by changes in the cupula or cupula-hair-cell attachment. These results with sinusoidal accelerations confirm the developmental increase in sensitivity and decrease in time constant found with constant angular accelerations (Curthoys 1979b).

Acceleration↗

PubMed1982

Human ocular counterrolling induced by varying linear accelerations.

Ocular counterrolling (OCR) has previously been studied using static head tilt or continuous rotation about the line of sight as a stimulus to the otolith organs. This study presents the first measurements of OCR in humans induced by linear accelerations. Dynamic measurements of the response to lateral linear acceleration indicate the eye movements to be on the order of 2 degrees for 0.2 g peak acceleration, 0.2 Hz sinusoidal acceleration. These values are consistent with static OCR studies. The dynamics of the response are similar to a low order linear system with a dominant time constant of 0.33 s. A previous model predicts a time constant of 0.32 s. Sinusoidal oscillation at 0.2, 0.4, and 1.0 Hz with a 0.2 g peak acceleration showed good agreement with the model in both gain and phase. The question of amplitude linearity remains unsettled. This otolithocular reflex, over short periods at least, appears to be stationary in the statistical sense.

Acceleration↗

PubMed1982

Dependence of motion sickness in automobiles on the direction of linear acceleration.

Thirty-eight normal volunteers were tested in an ambulance car while being accelerated in one of the following positions: (1) sitting upright facing forward in the car, (2) lying supine on a stretcher head forward, (3) supine position head backward. Consecutive short period of negative horizontal acceleration (0.7-0.95 g) were achieved by brisk braking manoeuvres of the car, followed by weak reacceleration (0.15 g). Motion sickness symptoms were observed and recorded after each experiment using a special motion sickness scaling index which was weighted according to the strength of any particular symptom. The results indicate that horizontal linear acceleration in a car, such as experienced during multiple breaking manoeuvres, is an effective motion sickness provoking stimulus. Negative X-axis stimulation is more nauseogenic then acceleration in the Z-axis stimulation is more nauseogenic then acceleration in the Z-axis of the body.

Acceleration↗

PubMedDate not supplied

The effects of acceleration on the mechanical impedance response of a primate model exposed to sinusoidal vibration.

Criteria for developing active and passive isolation mechanisms for reducing the effects of whole-body vibration exposure rely on a thorough understanding of the stiffness, damping, and resonance behaviors of the human or human surrogate body. Three Rhesus monkeys were exposed to seated whole-body sinusoidal vibration between 3 and 20 Hz at 0.69 and 3.47 msec-2 rms (0.1 and 0.5 g peak) accelerations. The mechanical impedance magnitude and phase were calculated as the ratio and phase relation between the transmitted force and input velocity, respectively, at the seat. The resultant profiles showed a significant decrease in the primary resonance frequency with increasing acceleration. At the lower acceleration level, a second lower impedance peak was observed at approximately 5 Hz. A three-mass, two degree-of-freedom model, which included upper torso and leg representation, was used to determine the mechanical parameters that best described the measured responses. The mean stiffness coefficients and the mean undamped natural frequencies associated with the upper torso and leg subsystems showed a significant decrease with increases in the acceleration level. The results of this study strongly suggested that nonlinear stiffness properties were responsible for the observed differences in the biodynamic response of the Rhesus monkey with acceleration level.

Acceleration↗

PubMed1997

Eye acceleration during large horizontal saccades in man.

The pattern of acceleration was recorded during horizontal saccadic eye movements using a light-weight accelerometer fixed to a scleral contact lens. Horizontal saccades of 15-20 degrees were dominated by either several pulses of acceleration, with a frequency of around 40 Hz. or a single acceleration-deceleration wave followed by lower amplitude polyphasic activity of about 80 Hz. These features are unlikely to be due to slippage or resonance in the contact lens-accelerometer system, as very similar patterns of acceleration were simultaneously recorded with an accelerometer taped over the closed eyelid of the contralateral eye. Analysis of simultaneous surface electromyogram recordings indicated that the multicomponent acceleration profiles were the product, at least in part of the rhythmic and synchronous modulation of eye muscle discharge during saccades.

Acceleration↗

PubMed2004

Visual acceleration and spatial distortion in right brain-damaged patients.

A subset of right brain-damaged patients shows leftward overextension in the line extension task. It has been argued that this deficit can be attributed to a distortion of the metric structure of perceived space (spatial anisometry). We investigated whether spatial distortion of static stimuli is associated with a corresponding misperception of perceived acceleration of moving stimuli. Seven right brain-damaged patients with spatial anisometry and two control groups were presented with stimuli moving leftwards or rightwards along the horizontal axis at different rates of acceleration. They were asked to estimate whether the target accelerated or decelerated. The anisometric group judged the perceived acceleration of leftward motions as less than that of rightward motions. The magnitude of the misperception of acceleration correlated positively with relative left overextension in the line extension task and with rightward displacement error in the line bisection task. This directional difference is in line with the predictions of the spatial anisometry hypothesis.

Acceleration↗

PubMed1977

Dynamic relations between natural vestibular inputs and activity of forelimb extensor muscles in the decerebrate cat. I. Motor output during sinusoidal linear accelerations.

Decerebrate cats were subjected to sinusoidal linear accelerations along the animal's horizontal and vertical axes, while recording the EMG activity of both triceps brachii muscles. This activity was found to be sinusoidally modulated in response to the accelerations and thus phase and gain relations between motor output and input acceleration could be obtained. They were found to be the same for accelerations along each of the three axes. In particular the gain dropped by 14-20 dB over a frequency range from 0.2 to 1.0 Hz and the phase of the motor output showed a lag of 40-60 degrees at 1.0 Hz. Thus, it was concluded that (1) the dynamic behavior of utricular and saccular receptors is the same, (2) the changes in motor activity observed during accelerations along the vertical axis are mostly due to the activation of saccular afferents, and (3) the motor output cannot simply result from vestibular afferent activities being relayed directly to the spinal motoneurons via the vestibulo-spinal tracts.

Acceleration↗

PubMed2005

The development of a new basic treatment equivalent model to assess linear accelerator throughput.

AIMS: The basic treatment equivalent (BTE) model was developed in 1996 in an attempt to improve the measurement of linear accelerator throughput in radiotherapy. This study aimed to assess the effect of treatment set-up and patient characteristics on fraction duration, to update the BTE model and to determine the better throughput measure between fields per hour and BTE per hour. MATERIALS AND METHODS: Stopwatch measurements of the duration of each radiotherapy treatment fraction delivered on each linear accelerator in participating New South Wales radiation oncology departments over a 5-day period in 2003 were undertaken. Patient, equipment and staff data were collected to assess the effect of these variables on fraction duration. A new BTE equation was derived, including the most significant variables. Statistical comparison of fields and BTE per unit time was made to assess the better predictor of fraction duration. RESULTS: Data collected on 27 linear accelerators in 13 departments included a total of 135 days of linear accelerator operation, 4316 fractions and 12 892 treatment fields. Seventeen factors significantly influenced fraction duration (P < 0.01). These accounted for 46% of the total variance in the models. The eight most influential predictors of prolonged fraction duration were included in the BTE model. These were as follows: high number of fields, high number of port films/electronic portal imaging, absence of automatic field-sequencing and multi-leaf collimation, high number of junctions, use of bolus and first fraction of a treatment course. The BTE per hour was shown to be a better predictor of throughput than fields per hour. CONCLUSIONS: The BTE model is a better measure of linear accelerator throughput. It incorporates weightings for treatment and patient factors that significantly influenced fraction duration. This measure could be routinely collected by the radiation oncology departments and included in the electronic radiotherapy information systems.

Data Collection↗

PubMed2005

Induced acceleration contributions to locomotion dynamics are not physically well defined.

Induced acceleration analysis quantifies the contributions of individual moments and forces to the accelerations, reaction forces, and powers produced during a task. The analysis has been advocated in the assessment of muscle and joint moment function during locomotion. However, results and interpretations drawn from the analysis have differed considerably between studies. The purpose of this paper is to assess whether induced acceleration contributions to locomotion dynamics are physically well defined. The assessment was facilitated by the analyses of a simple, theoretical locomotor task using different models. The task was based on a planar, rigid-body simulation in which joint moments at the hip, knee, and ankle posturally supported the configuration of the body as it rolled forward in a pendular motion. Induced acceleration analyses were performed using four models that completely described the simulated dynamics of the task but represented progressively fewer degrees of freedom. The contributions of each joint moment to the ground reaction force and trunk and leg powers differed between models, even though the net contributions were identical for all models and consistent with the simulation. Moreover, when all body degrees of freedom were represented in the model, large power redistributions between the trunk and leg were attributed to individual joint moments. However, these redistributions mostly cancelled such that the net redistribution was modest. In a single-segment model, this net redistribution was attributed entirely to gravity, without any cancellation of power flows. To conclude, induced acceleration contributions to the dynamics of a task are not physically well defined. The application of the analysis in the assessment of muscle and joint moment function during locomotion should be critically reevaluated.

Acceleration↗

PubMed2006

Lightweight low-profile nine-accelerometer package to obtain head angular accelerations in short-duration impacts.

Despite recognizing the importance of angular acceleration in brain injury, computations using data from experimental studies with biological models such as human cadavers have met with varying degrees of success. In this study, a lightweight and a low-profile version of the nine-accelerometer system was developed for applications in head injury evaluations and impact biomechanics tests. The triangular pyramidal nine-accelerometer package (PNAP) is precision-machined out of standard aluminum, is lightweight (65 g), and has a low profile (82 mm base width, 35 mm vertex height). The PNAP assures accurate orthogonal characteristics because all nine accelerometers are pre-aligned and attached before mounting on a human cadaver preparation. The feasibility of using the PNAP in human cadaver head studies is demonstrated by subjecting a specimen to an impact velocity of 8.1 m/s and the resultant angular acceleration peaked at 17 krad/s2. The accuracy and the high fidelity of the PNAP device at high and low angular acceleration levels were demonstrated by comparing the PNAP-derived angular acceleration data with separate tests using the internal nine-accelerometer head of the Hybrid III anthropomorphic test device. Mounting of the PNAP on a biological specimen such as a human cadaver head should yield very accurate angular acceleration data.

Acceleration↗

PubMed2004

Airflow synchronous with oscillatory acceleration reflects involuntary respiratory muscle activity.

To explore mechanisms causing involuntary airflow synchronous with oscillatory axial whole body acceleration (oscillatory axial acceleration, OAA) such as that during locomotion, we monitored airflow, acceleration, and electromyograms (EMGs) of the rib cage and abdominal muscles in standing subjects undergoing OAA at 3, 6, and 9 Hz at accelerations of 0.1-0.95 g. Subjects relaxed or performed static respiratory maneuvers at constant lung volume with glottis open. Oscillatory airflows (0.01-3.01 s(-1)) synchronous with OAA were not consistent with expectations for a passive respiratory system, and were larger during active respiratory efforts than during relaxation. Peak inspiratory airflow usually preceded peak upward acceleration by 90-180 degrees. In 80% of runs with respiratory muscles voluntarily activated or relaxed, EMGs showed activity synchronous with OAA. Changes in periodic muscle activity coincided with changes in oscillatory airflow. We conclude that periodic muscle activity, probably a reflex response to body wall deformation during OAA, strongly influences the involuntary airflow synchronous with OAA.

Acceleration↗

PubMed2006

Biophysics of cardiopulmonary resuscitation with periodic z-axis acceleration or abdominal compression at aortic resonant frequencies.

UNLABELLED: Periodic z-axis acceleration (pGz)-CPR involves an oscillating motion of a whole patient in the head-to-foot dimension on a mechanized table. The method is able to sustain blood flow and long-term survival during and after prolonged cardiac arrest in anesthetized pigs. However, the exact mechanism by which circulation of blood is created has remained unknown. OBJECTIVES: To explain the hemodynamic mechanism of pGz-CPR and to suggest some theoretically useful improvements. METHOD: Computer modeling using a hybrid analytical-numerical approach, based upon Newton's second law of motion for fluid columns in the aorta and vena cavae, Ohm's law for resistive flow through vascular beds, and a 10-compartment representation of the adult human circulation. This idealized 70-kg human model is exercised to explore the effects upon systemic perfusion pressure of whole body z-axis acceleration at frequencies ranging from 0.5 to 5 Hz. The results, in turn, suggested studies of abdominal compression at these frequencies. RESULTS AND CONCLUSIONS: Blood motion induced in great vessels by periodic z-axis acceleration causes systemic perfusion when cardiac valves are competent. Blood flow is a function of the frequency of oscillation. At 3.5 Hz, periodic acceleration using +/-0.6G and +/-1.2 cm oscillations induces forward blood flow of 2.1L/min and systemic perfusion pressure of 47 mmHg. A form of resonance occurs at the frequency for peak-flow, in which the period of oscillation matches the round-trip transit time for reflected pulse waves in the aorta. For +/-1.0 G acceleration at 3.5 Hz, systemic perfusion pressure is 80 mmHg and forward flow is 3.8L/min in the adult human model with longitudinal z-axis motion of only +/-2 cm. Similar results can be obtained using abdominal compression to excite resonant pressure-volume waves in the aorta. For 20 mmHg abdominal pressure pulses at 3.8 Hz, systemic perfusion pressure is 7 mmHg and forward flow is 2.8L/min. pGz-CPR and high-frequency abdominal CPR are the physically realistic means of generating artificial circulation during cardiac arrest. These techniques have fundamental mechanisms and practical features quite different from those of conventional CPR and the potential to generate superior systemic perfusion.

Abdomen↗