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1.
Int. j. morphol ; 41(2): 437-444, abr. 2023. ilus, tab
Article in Spanish | LILACS | ID: biblio-1440312

ABSTRACT

Los objetivos del presente estudio fueron primero evaluar la asociación de dimensiones antropométricas de tórax y tronco con índices espirométricos, segundo, ajustar una ecuación de predicción con dimensiones antropométricas de tronco y tercero, comparar nuestro modelo predictivo con dos ecuaciones diagnósticas. Se evaluaron 59 estudiantes universitarios entre 20 y 40 años, de ambos sexos, sin hábito tabáquico. Las variables consideradas fueron: edad, sexo, peso, estatura, diámetro transverso de tórax, diámetro anteroposterior de tórax, perímetro de tórax, altura de tórax, altura de tronco, flujo espiratorio máximo (FEM), volumen espiratorio forzado en el primer segundo (VEF1) y capacidad vital forzada (CVF). Se utilizó el análisis de regresión múltiple para estimar los valores espirométricos en función de las variables demográficas y antropométricas. La CVF y el VEF1 tienen asociación lineal directa con el diámetro transverso de tórax, altura de tórax, perímetro de tórax y altura de tronco. Se ajustó una ecuación de regresión lineal múltiple que indicó que es posible estimar la CVF y el VEF11 en función de la altura de tronco y el perímetro de tórax para ambos sexos. Estas variables son capaces de explicar el 74 % de los valores de CVF y el 68 % de los valores de VEF1. Al comparar los valores obtenidos por nuestras ecuaciones predictivas con las ecuaciones de referencia nacional observamos que nuestros resultados son más cercanos a los de Quanjer et al. (2012) que a los de Knudson et al. (1983). La altura de tronco y el perímetro de tórax tienen asociación directa con el VEF1 y CVF y son buenos predictores del VEF1 y CVF en estudiantes universitarios. Nuestros valores estimados son más cercanos a las ecuaciones de Quanjer et al. (2012) en comparación a las estimaciones de Knudson (1983).


SUMMARY: The purposes of the present study were first to evaluate the association between anthropometric dimensions of the thorax and trunk with spirometric indices, second, to fit a prediction equation with anthropometric dimensions of the trunk, and third, to compare our predictive model with two diagnostic equations. Fifty-nine university students between 20 and 40 years old, of both sexes and non-smokers were recruited. Variables considered were age, sex, weight, height, chest transverse diameter, chest anteroposterior diameter, chest perimeter, chest height, trunk height, maximum expiratory flow (PEF), forced expiratory volume in the first second (FEV1) and forced vital capacity (FVC). Multiple regression analysis was used to estimate spirometric values based on demographic and anthropometric variables. FVC and FEV1 have a direct linear association with chest transverse diameter, chest height, chest circumference, and trunk height. A multiple linear regression equation was fitted, indicating that it is possible to estimate FVC and FEV1 as a function of trunk height and chest girth for both sexes. These variables can explain 74% of the FVC values and 68% of the FEV1 values. Comparing the values obtained by our predictive equations with the national reference equations, we observe that our results are closer to those of Quanjer et al. (2012) than to those of Knudson et al. (1983). Trunk height and chest circumference have a direct association with FEV1 and FVC and are good predictors of FEV1 and FVC in university students. Our estimated values are closer to Quanjer et al. (2012) than Knudson et al. (1983) prediction equations.


Subject(s)
Humans , Male , Female , Adult , Young Adult , Spirometry , Anthropometry , Torso/anatomy & histology , Torso/physiology , Thorax/anatomy & histology , Thorax/physiology , Vital Capacity/physiology , Forced Expiratory Volume/physiology , Regression Analysis
2.
Article in English | MEDLINE | ID: mdl-35329101

ABSTRACT

Chest compression is a parameter of injury criteria assessment for human beings. Additionally, it is used to find the external compression response as a result of vehicle crashes, falls, or sporting impacts. This behavioral feature is described by many deterministic models related to specific experimental tests, hindering distinct scenarios. The present study evaluates the energy absorbed as a function of rib compression. The proposed model was obtained from three different computed tomography (CT) studies. The anthropometric values are interpolated to obtain a parametric curve for a human rib's average size. The computed results are compared against an STL-DICOM® file used to obtain a virtual reconstruction of one rib. A numerical model of the behavior of the thorax displacement expressed injury in the human rib model's stiffness. The proposed model is used to determine the correlation of the input payload versus the numerical stiffness value. The outcome is confirmed by numerical analyses applied to a virtual human rib reconstruction.


Subject(s)
Cardiopulmonary Resuscitation , Thoracic Injuries , Humans , Rib Cage , Thorax/diagnostic imaging , Thorax/physiology , Tomography, X-Ray Computed
3.
PLoS One ; 15(4): e0231407, 2020.
Article in English | MEDLINE | ID: mdl-32315344

ABSTRACT

We studied the relationship between body morphometric traits, and their underlying association with milk production (MP), lactation length (LL), first calving interval (FCI) and subsequent calving interval (CI) of crossbred progeny of Murrah × Jafarabadi buffalo aiming to assist in selection programs. We carried out principal component analysis (PCA) of the body morphometric traits, which include breast width (BW), thigh width (THW), hip width (HW), rump width (RW), rump length (RL), body depth (BD), body length (BL), height withers (HEW), rear height (RH), shoulder width (SW), thorax width (TW), loin width (LW), distance from the head to ischium (DHI), and thoracic perimeter (TP). We determined the association of morphometric traits with milk/reproduction traits using canonical correlation analysis (CCA). The analysis revealed that the first six PCA accounted for 82.14% of the total observed variation, and the traits THW, HW, TW, LW, RW, HEW, TP, RH, and BW, accounted for almost half (48.00%) of the total variance indicating a higher contribution in body structural conformation. The first canonical function was significant (p<0.05), accounted for 72.46% of the total variance, and the canonical correlation was 0.56, indicating the dependence between both groups of traits. Higher canonical loadings were obtained for LL (0.49), FCI (0.46), BW (-0.71), BL (-0.56), DHI (-0.34), HEW, (-0.38) and TP (-0.50). These traits were most important for the derivation of canonical statistical variables, and presented a higher canonical correlations (r) between the dependent (LL/FCI) and independent (BW, BL, DHI, HEW and TP) groups. The results could suggest that the body morphometric traits THW, HW, TW, LW, RW, HEW, BD, TP, RH, and BW could play important role in body structural composition, indicating a suitable functional type, and aid designing of selection programs for buffalo breeding.


Subject(s)
Buffaloes/physiology , Milk/metabolism , Reproduction , Animals , Brazil , Breeding , Hip/physiology , Lower Extremity/physiology , Principal Component Analysis , Shoulder/physiology , Thorax/physiology
4.
Respir Physiol Neurobiol ; 261: 67-74, 2019 03.
Article in English | MEDLINE | ID: mdl-30654164

ABSTRACT

PURPOSE: To compare the effects of flow incentive spirometer (FIS), volume incentive spirometer (VIS), and sustained maximal inspiration exercise (SMI) on breathing pattern, chest wall motion, and thoracoabdominal asynchrony. METHODS: Sixteen healthy adults aged 27.63 ± 5.26 years were evaluated by optoelectronic plethysmography in the supine position with trunk inclination of 45° during quiet breathing and during exercise performance. RESULTS: In the comparisons among exercises, VIS promoted a significantly higher inspiratory time and lower mean inspiratory flow compared with FIS. The rating of perceived exertion according to the Borg Scale was significantly higher after the performance of FIS compared with VIS. Regarding asynchrony, none of the exercises caused changes in thoracoabdominal synchrony between the rib cage and abdomen. However, both devices significantly reduced the asynchrony between the pulmonary and abdominal rib cage compared with quiet breathing. CONCLUSION: SMI exercise was equivalent to incentive spirometers and may be an interesting alternative for clinical use in cases in which it is not possible to acquire the devices.


Subject(s)
Abdomen , Breathing Exercises , Movement , Respiration , Spirometry/instrumentation , Thorax , Abdomen/physiology , Adult , Female , Humans , Male , Movement/physiology , Periodicity , Plethysmography , Spirometry/methods , Supine Position/physiology , Thorax/physiology
5.
Article in English | MEDLINE | ID: mdl-30465281

ABSTRACT

In social insects, the tuning of activity levels among different worker task groups, which constitutes a fundamental basis of colony organization, relies on the exchange of reliable information on the activity level of individuals. The underlying stimuli, however, have remained largely unexplored so far. In the present study, we describe low-frequency thoracic vibrations generated by honey bee workers (Apis mellifera) within the colony, whose velocity amplitudes and main frequency components significantly increased with the level of an individual's activity. The characteristics of these vibrations segregated three main activity level-groups: foragers, active hive bees, and inactive hive bees. Nectar foragers, moreover, modulated their low-frequency vibrations during trophallactic food unloading to nestmates according to the quality of the collected food. Owing to their clear association with the activity level of an individual and their potential perceptibility during direct contacts, these low-frequency thoracic vibrations are candidate stimuli for providing unambiguous local information on the motivational status of honey bee workers.


Subject(s)
Animal Communication , Bees/physiology , Feeding Behavior , Mechanotransduction, Cellular , Pitch Perception , Social Behavior , Thorax/physiology , Animals , Motivation , Vibration
6.
Acta sci. vet. (Online) ; 46: 1-7, 2018. ilus, tab
Article in Portuguese | VETINDEX | ID: vti-19144

ABSTRACT

Background: The ultrasound exam has always played a secondary role in pulmonary imaging, with its applicability restricted in emergency care to screen for pleural and/or pericardial effusion, pneumothorax and pulmonary contusion. The recognition of different reverberating artifacts arising from the normal aerated lungs (A lines) and in the presence of lungs with interstitial and/or alveolar infiltrates (B lines) led to wider application of the technique in patients with respiratory syndrome. The objective of this study was to describe the ultrasound imaging methodology and the aspects of the pleura, pleural space and lung fields in healthy dogs.Materials, Methods & Results: Twenty healthy dogs of different breeds and ages, males and females were evaluated in this study; good health status was confirmed by physical examination, electro and echocardiographic assessment, thoracic radiography and systemic arterial blood pressure measurements. Dogs were scanned by a single examiner experienced in diagnostic imaging and previously trained for 6 months in thoracic ultrasound image interpretation. A MyLab 40 with a microconvex multifrequency probe (5-8 MHz) was used in this study. Evaluation was performed in an orthopneic position (standing or sternal recumbecy) under manual containment. Ultrasound examinations were based on the VetBLUE (Veterinary Bedside Lung Ultrasound Exam) protocol. Lung fields were regionally scanned at the 2nd-3rd, 4-5th, 6-7th and 8-9th intercostal spaces in the right and left hemithorax. A subxiphoid window was added to screen for free fluid in the pleural space and/or pericardial sac. Pleural sliding and A lines, that are hyperechoic parallel equidistant lines arising from the visceral pleura-lung interface could be easily seen at all intercostal spaces in all dogs in this sample, with more difficult visualization at the 2nd-3rd intercostal space. B lines were observed in seven out of twenty dogs (35%).[...](AU)


Subject(s)
Animals , Male , Female , Dogs , Ultrasonography/veterinary , Lung/physiology , Thorax/physiology
7.
Acta sci. vet. (Impr.) ; 46: 1-7, 2018. ilus, tab
Article in Portuguese | VETINDEX | ID: biblio-1457869

ABSTRACT

Background: The ultrasound exam has always played a secondary role in pulmonary imaging, with its applicability restricted in emergency care to screen for pleural and/or pericardial effusion, pneumothorax and pulmonary contusion. The recognition of different reverberating artifacts arising from the normal aerated lungs (A lines) and in the presence of lungs with interstitial and/or alveolar infiltrates (B lines) led to wider application of the technique in patients with respiratory syndrome. The objective of this study was to describe the ultrasound imaging methodology and the aspects of the pleura, pleural space and lung fields in healthy dogs.Materials, Methods & Results: Twenty healthy dogs of different breeds and ages, males and females were evaluated in this study; good health status was confirmed by physical examination, electro and echocardiographic assessment, thoracic radiography and systemic arterial blood pressure measurements. Dogs were scanned by a single examiner experienced in diagnostic imaging and previously trained for 6 months in thoracic ultrasound image interpretation. A MyLab 40 with a microconvex multifrequency probe (5-8 MHz) was used in this study. Evaluation was performed in an orthopneic position (standing or sternal recumbecy) under manual containment. Ultrasound examinations were based on the VetBLUE (Veterinary Bedside Lung Ultrasound Exam) protocol. Lung fields were regionally scanned at the 2nd-3rd, 4-5th, 6-7th and 8-9th intercostal spaces in the right and left hemithorax. A subxiphoid window was added to screen for free fluid in the pleural space and/or pericardial sac. Pleural sliding and A lines, that are hyperechoic parallel equidistant lines arising from the visceral pleura-lung interface could be easily seen at all intercostal spaces in all dogs in this sample, with more difficult visualization at the 2nd-3rd intercostal space. B lines were observed in seven out of twenty dogs (35%).[...]


Subject(s)
Male , Female , Animals , Dogs , Lung/physiology , Thorax/physiology , Ultrasonography/veterinary
8.
J Vector Ecol ; 42(2): 308-318, 2017 12.
Article in English | MEDLINE | ID: mdl-29125251

ABSTRACT

Morphological characters can be used to distinguish the vast majority of triatomine species, but the existence of high levels of phenotypic plasticity and recently diverged species can lead to erroneous determinations. To approach this problem, we analyzed the male and female morphologies of the scutella of Triatoma barberi, T. dimidiata, T. lecticularia, T. mexicana, T. recurva, T. rubida, and two sub-species, T. protracta protracta and T. protracta nahuatlae. Scutellum samples were observed by scanning electron microscopy and subjected to morphological analysis and morphometric investigation using a canonical discriminant analysis. The results revealed differences primarily in central depression shape, posterior process, and vestiture. We observed clear dimension-based differences in scutellum morphometry in all the taxa under study, providing sound evidence for species and subspecies differentiation. On the other hand, there is no difference between sexes in T. lecticularia, T. protracta protracta, and T. protracta nahuatlae. Our methodology can be implemented to differentiate species of the genus Triatoma.


Subject(s)
Triatoma/anatomy & histology , Animals , Discriminant Analysis , Female , Male , Mexico , Microscopy, Electron, Scanning , Multivariate Analysis , Phenotype , Species Specificity , Thorax/anatomy & histology , Thorax/physiology , Triatoma/classification , Triatoma/physiology
9.
Neumol. pediátr. (En línea) ; 11(4): 175-179, oct. 2016. tab, ilus
Article in Spanish | LILACS | ID: biblio-835077

ABSTRACT

To optimize the management of critically ill patients, it is essential to understand the principles of cardiopulmonary interaction.The ultimate goal of the interaction between pulmonary and circulatory systems from a physiological point of view is to optimize the delivery of oxygen to tissues in order to meet metabolic demand, especially in situations where normal physiology is altered, as is the case of pediatric critically ill patients. Thus, during a critical illness, if any of these systems fails (together or separately), the end result is an inadequate delivery of O2 to tissues, which can lead to ischemia, progressive organ dysfunction, and if untreated, to death.In this review we will address key physiological concepts involved in cardiopulmonary interactions and how they are affected by the management we perform in the pediatric critically ill patients.


Para optimizar el manejo de los pacientes críticos, es fundamental comprender los principios de la interacción cardiopulmonar. El objetivo úultimo desde el punto de vista fisiológico de la interacción entre los sistemas circulatorio y pulmonar es optimizar la entrega de oxígeno a los tejidos y dar cuenta de la demanda metabólica especialmente en situaciones donde la fisiología normal se ve alterada, como es el caso de los pacientes pediátricos críticamente enfermos. Es así como durante una enfermedad crítica, si alguno de estos dos sistemas falla, (juntos o por separado), el resultado final es una inadecuada entrega de O2 tisular, que puede conducir a isquemia, disfunción orgánica progresiva, y si no se trata, hasta la muerte.En esta revisión intentaremos abordar de forma didáctica los principales conceptos fisiológicos involucrados en las interaccionescardiopulmonares y cómo estos se ven afectados frente a las intervenciones que realizamos en el manejo de los pacientes críticos.


Subject(s)
Humans , Child , Critical Care , Heart/physiology , Lung/physiology , Heart/physiopathology , Ventricular Function/physiology , Positive-Pressure Respiration , Lung/physiopathology , Thorax/physiology
10.
J Sport Rehabil ; 25(3): 266-72, 2016 Aug.
Article in English | MEDLINE | ID: mdl-26356144

ABSTRACT

CONTEXT: Dynamic postural stability is important for injury prevention, but little is known about how lower-extremity musculoskeletal characteristics (range of motion [ROM] and strength) contribute to dynamic postural stability. Knowing which modifiable physical characteristics predict dynamic postural stability can help direct rehabilitation and injury-prevention programs. OBJECTIVE: To determine if trunk, hip, knee, and ankle flexibility and strength variables are significant predictors of dynamic postural stability during single-leg jump landings. DESIGN: Cross-sectional study. SETTING: Laboratory. PARTICIPANTS: 94 male soldiers (age 28.2 ± 6.2 y, height 176.5 ± 2.6 cm, weight 83.7 ± 26.0 kg). INTERVENTION: None. MAIN OUTCOME MEASURES: Ankle-dorsiflexion and plantar-flexion ROM were assessed with a goniometer. Trunk, hip, knee, and ankle strength were assessed with an isokinetic dynamometer or handheld dynamometer. The Dynamic Postural Stability Index (DPSI) was used to quantify postural stability. Simple linear and backward stepwise-regression analyses were used to identify which physical characteristic variables were significant predictors of DPSI. RESULTS: Simple linear-regression analysis revealed that individually, no variables were significant predictors of the DPSI. Stepwise backward-regression analysis revealed that ankle-dorsiflexion flexibility, ankle-inversion and -eversion strength, and knee-flexion and -extension strength were significant predictors of the DPSI (R2 = .19, P = .0016, adjusted R2 = .15). CONCLUSION: Ankle-dorsiflexion ROM, ankle-inversion and -eversion strength, and knee-flexion and -extension strength were identified as significant predictors of dynamic postural stability, explaining a small amount of the variance in the DPSI.


Subject(s)
Ankle Joint/physiology , Knee Joint/physiology , Movement/physiology , Muscle Strength/physiology , Muscle, Skeletal/physiology , Postural Balance/physiology , Range of Motion, Articular , Adult , Biomechanical Phenomena , Cross-Sectional Studies , Hip Joint/physiology , Humans , Linear Models , Male , Muscle Strength Dynamometer , Thorax/physiology
11.
PLoS One ; 9(11): e111388, 2014.
Article in English | MEDLINE | ID: mdl-25426846

ABSTRACT

Proterochampsids are crocodile-like, probably semi-aquatic, quadrupedal archosauriforms characterized by an elongated and dorsoventrally low skull. The group is endemic from the Middle-Late Triassic of South America. The most recently erected proterochampsid species is "Chanaresuchus ischigualastensis", based on a single, fairly complete skeleton from the early Late Triassic Ischigualasto Formation of northwestern Argentina. We describe here in detail the non-braincase cranial and postcranial anatomy of this species and revisit its taxonomy and phylogenetic relationships. The phylogenetic analysis recovered 'Chanaresuchus ischigualastensis' as part of a trichotomy together with Gualosuchus reigi and Chanaresuchus bonapartei. Accordingly, "Chanaresuchus ischigualastensis" can be potentially more closely related to Gualosuchus reigi, or even Rhadinosuchus gracilis, than to Chanaresuchus bonapartei. In addition, after discussing previously claimed synapomorphies of Chanaresuchus, we could not find unambiguous support for the monophyly of the genus. As a result, we propose here the erection of the new genus Pseudochampsa for 'Chanaresuchus ischigualastensis', which results in the new combination Pseudochampsa ischigualastensis. The information provided here about the anatomy and taxonomy of Pseudochampsa ischiguaslastensis will be useful for future quantitative analyses focused on the biogeography and macroevolutionary history of proterochampsids.


Subject(s)
Dinosaurs/anatomy & histology , Fossils , Phylogeny , Skull/anatomy & histology , Animals , Argentina , Bones of Lower Extremity/anatomy & histology , Bones of Lower Extremity/physiology , Bones of Upper Extremity/anatomy & histology , Bones of Upper Extremity/physiology , Dinosaurs/classification , Dinosaurs/physiology , Extinction, Biological , Osteology , Skull/physiology , Spine/anatomy & histology , Spine/physiology , Thorax/anatomy & histology , Thorax/physiology
13.
Anat Rec (Hoboken) ; 297(3): 410-32, 2014 Mar.
Article in English | MEDLINE | ID: mdl-24482396

ABSTRACT

The breast-shoulder apparatus (BSA) is a structurally and kinematically complex region of lizards. Compared with the pelvic region it has received little attention, even though its morphological variation is known to be extensive. This variability has seldom been the focus of functional explanation, possibly because the BSA has been difficult to explore as a composite entity. In this study we apply geometric morphometric techniques to the analysis of the BSA in an attempt to more fully understand its configuration in relation to differential use in locomotion. Our approach centers upon the Jamaican radiation of anoline lizards (genus Norops) as a tractable, small monophyletic assemblage consisting of species representing several ecomorphs. We hypothesized that the different species and ecomorphs would exhibit variation in the configuration of the BSA. Our findings indicate that this is so, and is expressed in the component parts of the BSA, although it is subtle except for Norops valencienni (twig ecomorph), which differs greatly in morphology (and behavior) from its island congeners. We further found similarities in the BSA of N. grahami, N. opalinus (both trunk-crown ecomorphs), and N. garmani (crown giant). These outcomes are promising for associating morphology with ecomorphological specialization and for furthering our understanding of the adaptive response of the BSA to demands on the locomotor system.


Subject(s)
Bone and Bones/anatomy & histology , Lizards/anatomy & histology , Shoulder/anatomy & histology , Animals , Biological Evolution , Biomechanical Phenomena , Bone and Bones/physiology , Clavicle/anatomy & histology , Clavicle/physiology , Female , Lizards/physiology , Locomotion , Male , Phylogeny , Principal Component Analysis , Scapula/anatomy & histology , Scapula/physiology , Sex Factors , Shoulder/physiology , Species Specificity , Spine/anatomy & histology , Spine/physiology , Thorax/anatomy & histology , Thorax/physiology
14.
Braz J Phys Ther ; 18(6): 553-62, 2014.
Article in English, Portuguese | MEDLINE | ID: mdl-25590448

ABSTRACT

OBJECTIVE: To evaluate whether the application of bilevel positive airway pressure in the postoperative period of bariatric surgery might be more effective in restoring lung volume and capacity and thoracic mobility than the separate application of expiratory and inspiratory positive pressure. METHOD: Sixty morbidly obese adult subjects who were hospitalized for bariatric surgery and met the predefined inclusion criteria were evaluated. The pulmonary function and thoracic mobility were preoperatively assessed by spirometry and cirtometry and reevaluated on the 1st postoperative day. After preoperative evaluation, the subjects were randomized and allocated into groups: EPAP Group (n=20), IPPB Group (n=20) and BIPAP Group (n=20), then received the corresponding intervention: positive expiratory pressure (EPAP), inspiratory positive pressure breathing (IPPB) or bilevel inspiratory positive airway pressure (BIPAP), in 6 sets of 15 breaths or 30 minutes twice a day in the immediate postoperative period and on the 1st postoperative day, in addition to conventional physical therapy. RESULTS: There was a significant postoperative reduction in spirometric variables (p<0.05), regardless of the technique used, with no significant difference among the techniques (p>0.05). Thoracic mobility was preserved only in group BIPAP (p>0.05), but no significant difference was found in the comparison among groups (p>0.05). CONCLUSION: The application of positive pressure does not seem to be effective in restoring lung function after bariatric surgery, but the use of bilevel positive pressure can preserve thoracic mobility, although this technique was not superior to the other techniques.


Subject(s)
Bariatric Surgery , Lung/physiology , Positive-Pressure Respiration , Postoperative Care/methods , Adult , Female , Humans , Recovery of Function , Respiratory Function Tests , Thorax/physiology
15.
Rev. bras. cir. plást ; 29(4): 550-556, 2014. tab, ilus
Article in English, Portuguese | LILACS | ID: biblio-849

ABSTRACT

INTRODUÇÃO: Nos estágios finais da reconstrução torácica, consequente a exéreses tumorais, são necessários procedimentos complexos e implantes. O que requer cuidados multidisciplinares, com a participação dos cirurgiões torácicos, plástico, radiologista e fisioterapeuta. O objetivo foi descrever as opções de reconstrução torácica após ressecção de neoplasia, realizado no Hospital Sarah Brasília. MÉTODO: Estudo retrospectivo de reconstrução torácica em tempo único, após excisão de tumor, fisioterapia respiratória com ventilação não invasiva e exercícios. RESULTADOS: Entre 2007 a 2012 foram operados 10 pacientes, sete homens e três mulheres; idade 10 a 31 anos; oito apresentavam tumores torácicos metastáticos (osteosarcoma, sinoviosarcoma, Fibrosarcoma epitelioide esclerosante e Rabdomiosarcoma) e dois originários da parede torácica (fibromatose e condrosarcoma). Observou-se boa evolução no pós-operatório imediato, com extubação ao final da cirurgia, retirada do dreno torácico entre 5° e 8° PO. As complicações foram: atelectasia (10%), recorrência tumoral (10%), e óbito em 3 (30%) casos . CONCLUSÃO: Foi possível a reconstrução torácica em tempo único utilizando tela de polipropileno, polimetilmetacrilato e retalhos musculares, com recuperação precoce da função pulmonar e baixo índice de complicações imediatas.


INTRODUCTION: Complex procedures and implants are required in the final stages of chest wall reconstruction after tumor excision. This process requires multidisciplinary care with participation from thoracic and plastic surgeons, a radiologist, and a physical therapist. The goal of this study was to describe the options for chest wall reconstruction after neoplasm resection at Hospital Sarah Brasilia. METHOD: A retrospective study of one-time chest wall reconstruction after tumor excision, respiratory physical therapy with noninvasive ventilation, and exercises was conducted. RESULTS: Between 2007 and 2012, 10 patients underwent surgery (seven men, three women; age range: 10-31 years); eight patients had metastatic thoracic tumors (e.g., osteosarcoma, synovial sarcoma, sclerosing epithelioid fibrosarcoma, and rhabdomyosarcoma) and two had tumors originating from the chest wall (fibromatosis and chondrosarcoma). The outcomes were good after the immediate postoperative period, with extubation occurring at the end of surgery and chest tube removal between the fifth and eighth postoperative day. Three cases (30%) involved complications of atelectasis (10%), tumor recurrence (10%), or death. CONCLUSION: One-time chest wall reconstruction using polypropylene mesh, polymethylmethacrylate, and muscle flaps was possible and was associated with early recovery of pulmonary function and a low rate of immediate complications.


Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , History, 21st Century , Polypropylenes , Thoracic Neoplasms , Thoracic Surgery , Thoracoplasty , Thorax , Medical Records , Review , Polymethyl Methacrylate , Plastic Surgery Procedures , Evaluation Study , Thoracic Wall , Polypropylenes/therapeutic use , Polypropylenes/chemistry , Thoracic Neoplasms/surgery , Thoracic Neoplasms/physiopathology , Thoracic Neoplasms/therapy , Thoracic Surgery/methods , Thoracoplasty/methods , Thorax/physiology , Thorax/pathology , Medical Records/standards , Polymethyl Methacrylate/therapeutic use , Polymethyl Methacrylate/chemistry , Plastic Surgery Procedures/methods , Thoracic Wall/surgery , Thoracic Wall/physiopathology , Thoracic Wall/pathology
16.
Sensors (Basel) ; 13(11): 15068-84, 2013 Nov 05.
Article in English | MEDLINE | ID: mdl-24196434

ABSTRACT

We present a signal processing system with virtual instrumentation of a MEMS sensor to detect magnetic flux density for biomedical applications. This system consists of a magnetic field sensor, electronic components implemented on a printed circuit board (PCB), a data acquisition (DAQ) card, and a virtual instrument. It allows the development of a semi-portable prototype with the capacity to filter small electromagnetic interference signals through digital signal processing. The virtual instrument includes an algorithm to implement different configurations of infinite impulse response (IIR) filters. The PCB contains a precision instrumentation amplifier, a demodulator, a low-pass filter (LPF) and a buffer with operational amplifier. The proposed prototype is used for real-time non-invasive monitoring of magnetic flux density in the thoracic cage of rats. The response of the rat respiratory magnetogram displays a similar behavior as the rat electromyogram (EMG).


Subject(s)
Biomedical Technology/instrumentation , Electronics, Medical/instrumentation , Magnetometry/instrumentation , Signal Processing, Computer-Assisted/instrumentation , Algorithms , Animals , Biomedical Technology/methods , Electromagnetic Fields , Equipment Design , Magnetometry/methods , Male , Micro-Electrical-Mechanical Systems , Rats , Rats, Sprague-Dawley , Respiration , Silicon , Thorax/physiology
17.
Respir Physiol Neurobiol ; 186(1): 40-4, 2013 Mar 01.
Article in English | MEDLINE | ID: mdl-23313854

ABSTRACT

OBJECTIVE: To evaluate the effect of laparoscopic surgery on pulmonary volume distributions and inspiratory muscles activity. Respiratory consequences associated with postoperative pain were also evaluated. METHODS: This study enrolled 20 patients without lung disease performed spirometry and chest wall kinematic analyses (i.e., chest wall, upper and lower ribcage and abdominal volumes), and measured the activity of inspiratory muscular before and 2 days after laparoscopic surgery. Pain was also assessed. RESULTS: After laparoscopy, the patients demonstrated decreased volumes in all three thoracoabdominal compartments: abdomen (ABD), upper and lower rib cage (URC and LRC, respectively) compared with the pre-operative measurements: ABD=0.38±0.20L vs. 0.55±0.25L; URC=0.45±0.18L vs. 0.55±0.21L; and LRC=0.31±0.18L vs. 0.41±0.23L; p<0.05. A reduction in the inspiratory muscular activity after surgery was also observed (sternocleidomastoid: 10.6±5.1×10(-3)mV vs. 12.8±6.3×10(-3)mV; intercostals: 16.8±12.4×10(-3)mV vs. 25.1±21.3×10(-3)mV; p<0.05). In addition, lower volumes during deep breathing were observed in patients who reported significant pain than those who did not (0.51±0.17L vs. 0.79±0.29L; p<0.05, respectively). CONCLUSION: Laparoscopic surgery reduces chest wall ventilation and inspiratory muscular activity during deep breathing. The effects appear to depend on the patient's reported pain level.


Subject(s)
Inhalation/physiology , Laparoscopy/adverse effects , Respiratory Mechanics/physiology , Abdomen/physiology , Cohort Studies , Female , Humans , Male , Middle Aged , Respiratory Muscles/physiology , Spirometry , Thoracic Wall/physiology , Thorax/physiology
18.
J Exp Biol ; 214(Pt 23): 4055-64, 2011 Dec 01.
Article in English | MEDLINE | ID: mdl-22071198

ABSTRACT

The honey bee's waggle dance constitutes a remarkable example of an efficient code allowing social exploitation of available feeding sites. In addition to indicating the position (distance, direction) of a food patch, both the occurrence and frequency of the dances depend on the profitability of the exploited resource (sugar concentration, solution flow rate). During the waggle dance, successful foragers generate pulsed thoracic vibrations that putatively serve as a source of different kinds of information for hive bees, who cannot visually decode dances in the darkness of the hive. In the present study, we asked whether these vibrations are a reliable estimator of the excitement of the dancer when food profitability changes in terms of both sugar concentration and solution flow rate. The probability of producing thoracic vibrations as well as several features related to their intensity during the waggle phase (pulse duration, velocity amplitude, duty cycle) increased with both these profitability variables. The number of vibratory pulses, however, was independent of sugar concentration and reward rate exploited. Thus, pulse number could indeed be used by dance followers as reliable information about food source distance, as suggested in previous studies. The variability of the dancer's thoracic vibrations in relation to changes in food profitability suggests their role as an indicator of the recruiter's motivational state. Hence, the vibrations could make an important contribution to forager reactivation and, consequently, to the organisation of collective foraging processes in honey bees.


Subject(s)
Animal Communication , Bees/physiology , Food , Honey , Thorax/physiology , Vibration , Animals , Carbohydrates/analysis , Rheology , Solutions
19.
J Appl Biomech ; 27(4): 380-4, 2011 Nov.
Article in English | MEDLINE | ID: mdl-21975179

ABSTRACT

The aim of the current study was to investigate the EMG activity of pectoralis major and latissimus dorsi muscles during the pullover exercise. Eight healthy male volunteers took part in the study. The EMG activity of the pectoralis major and that of the latissimus dorsi of the right side were acquired simultaneously during the pullover exercise with a free-weight barbell during both the concentric and eccentric phases of the movement. After a warm-up, all the subjects were asked to perform the pullover exercise against an external load of 30% of their body weight, during 1 set × 10 repetitions. The criterion adopted to normalize the EMG data was the maximal voluntary isometric activation. The present findings demonstrated that the barbell pullover exercise emphasized the muscle action of the pectoralis major more than that of the latissimus dorsi, and the higher activation depended on the external force lever arm produced.


Subject(s)
Back/physiology , Movement/physiology , Muscle Contraction/physiology , Muscle, Skeletal/physiology , Resistance Training/methods , Thorax/physiology , Adult , Humans , Male
20.
J Strength Cond Res ; 25(7): 1824-30, 2011 Jul.
Article in English | MEDLINE | ID: mdl-21499134

ABSTRACT

The objective of this study was to verify the effect of 2 periodized resistance training (RT) methods on the evolution of 1-repetition maximum (1RM) and 8RM loads. Twenty resistance trained men were randomly assigned to 2 training groups: linear periodization (LP) group and daily undulating periodization (DUP) group. The subjects were tested at baseline and after 12 weeks for 1RM and 8RM loads in leg press (LEG) and bench press (BP) exercises. The training program was performed in alternated sessions for upper (session A: chest, shoulder and triceps) and lower body (session B: leg, back and biceps). The 12-week periodized training was applied only in the tested exercises, and in the other exercises, 3 sets of 6-8RM were performed. Both groups exhibited significant increases in 1RM loads on LEG and BP, but no statistically significant difference between groups was observed. The same occurred in 8RM loads on LEG and BP. However, DUP group presented superior effect size (ES) in 1RM and 8RM loads for LEG and BP exercises when compared to the LP group. In conclusion, periodized RT can be an efficient method for increasing the strength and muscular endurance in trained individuals. Although there was no statistically significant difference between periodization models, DUP promoted superior ES gains in muscular maximal and submaximal strength.


Subject(s)
Muscle Strength/physiology , Muscle, Skeletal/physiology , Periodicity , Resistance Training/methods , Adult , Humans , Leg/physiology , Male , Random Allocation , Thorax/physiology , Young Adult
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