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1.
The aim of this study was to investigate the correlation between lumbar spine bone mineral density (LS-BMD) and the vertebral body heights with advancing age and years since menopause. One hundred and sixty-three women ages 39-74 years (77 normal premenopausal, ages 39-54, and 86 normal postmenopausal, ages 46-74 years) were studied. LS-BMD was measured by dual energy X-ray absorptiometry. Vertebral heights were evaluated, using morphometry, as the sum of anterior (AHs), middle (MHs), and posterior (PHs) vertebral body heights from T4 to L5. The AHs/PHs ratio at the same level was also calculated. AHs, MHs, PHs, and AHs/PHs ratio directly correlated with LS-BMD; the correlations are AHs r = 0.80, P < 0.0001, MHs r = 0.75, P < 0.0001, PHs r = 0.76, P < 0.0001, and AHs/PHs r = 0.66, P < 0.001. Both LS-BMD and AHs are inversely correlated with age, and the regressions fit with both linear and cubic curves. The statistical significance of the correlations persists while maintaining age constant. The linear regression curve of AHs with age indicates that the spine height decrement rate is 2.12 mm/year, corresponding to 7.4 cm in 35 years. AHs decreases immediately after menopause fitting with a cubic curve model, with a decrement rate of about 3 cm in the first 5 years after menopause. We conclude that the measurement of the sum of vertebral body heights could usefully integrate LS-BMD evaluation in the clinical and epidemiological investigation of osteoporosis.  相似文献   

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We report on the case of a man, whose psychopathological symptoms markedly varied during different phases of his illness, causing difficulties in applying common diagnostic criteria for schizophrenia. Depending upon each of the predominant symptoms, this resulted in different diagnoses and therapeutic strategies. We also discuss the importance of obsessions and compulsions in differential diagnosis in this case.  相似文献   

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STUDY DESIGN: A study was performed to measure the vertebral body depths in different locations from C2 to C7. OBJECTIVES: To measure the vertebral body depths in 10 linear dimension from C2 to C7. SUMMARY OF BACKGROUND DATA: Anterior plate-screw fixation of the cervical spine has been the common surgical procedure for management of multilevel degenerative disc disease and fracture dislocation. However, injury to the spinal cord during drill or screw placement is the most feared complication of this procedure. It is beneficial for one to have a knowledge of the vertebral body depths in different locations of the vertebral body before anterior cervical plating. METHODS: Twenty-seven cervical spines from C2 to C7 were evaluated directly for this study. Anatomic evaluation of the vertebral body included the anteroposterior midline sagittal depth and the anteroposterior parasagittal depth 5 mm lateral to midline on the superior and inferior endplates, as well as on the middle body. Measurements also were made of anteroposterior parasagittal vertebral depth with both medial and lateral inclination of 10 degrees, with respect to the parasagittal plane of the vertebral body. RESULTS: In general, the measurements of male specimens were larger than those of female specimens. Significant differences were noted at 21 measurements over C3 through C7. The mean depths of the superior endplate for all male and female specimens increased consistently from C3 to C7. The mean depths of the inferior endplate varied but generally increased from C2 to C6, then decreased to C7. The mean sagittal and parasagittal middle vertebral body depths were both 14 mm. CONCLUSIONS: This information, in conjunction with preoperative computed tomographic evaluation, may be helpful in determining proper screw length during anterior plating of the cervical spine.  相似文献   

5.
Curvature and tangential velocity of voluntary hand movements are constrained by an empirical relation known as the Two-Thirds Power Law. It has been argued that the law reflects the working of central control mechanisms, but it is not known whether these mechanisms are specific to the hand or shared also by other types of movement. Three experiments tested whether the power law applies to the smooth pursuit movements of the eye, which are controlled by distinct neural motor structures and a peculiar set of muscles. The first experiment showed that smooth pursuit of elliptic targets with various curvature-velocity relationships was most accurate when targets were compatible with the Two-Thirds Power Law. Tracking errors in all other cases reflected the fact that, irrespective of target kinematics, eye movements tended to comply with the law. Using only compatible targets, the second experiment demonstrated that kinematics per se cannot account for the pattern of pursuit errors. The third experiment showed that two-dimensional performance cannot be fully predicted on the basis of the performance observed when the horizontal and vertical components of the targets used in the first condition were tracked separately. We conclude that the Two-Thirds Power Law, in its various manifestations, reflects neural mechanisms common to otherwise distinct control modules.  相似文献   

6.
Although a number of factors have been found to predict smoking status among adolescents, few researchers have examined how belief in smoking as a weight-control strategy may be related to smoking in this high-risk population. With the goal of discovering whether belief in smoking as a weight-control strategy predicted smoking status, the present investigation surveyed 659 Black and White high school students. Analyses showed that among regular smokers, 39% of White female and 12% of White male smokers reported using smoking to control their appetite and weight. Although belief in smoking as a weight-control strategy did not predict regular smokers versus never smokers, the weight-belief item reliably separated experimental smokers from regular smokers. The survey also revealed that White female restrained eaters were the most likely to actually use smoking as a weight-control strategy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   

7.
The author reports the technique and clinical course of patients suffering from metastatic spine tumors, treated by osteosynthesis with the Polster vertebral body implant and bone cement. All tumors were treated by an open ventral procedure: curettage of the tumor, insertion of the tumor device, and correction and stabilization of the lost height. In addition, bone cement was used to strengthen the reconstruction. Subjective and objective clinical improvement was found in 64 per cent, unchanged condition in 23, per cent and new symptoms occurred in 13 per cent. In nearly all cases of clinical improvement, no deterioration recurred. Patients with metastasis died after an average of 10 months, plasmacytomas were found to have an overall survival of about two years.  相似文献   

8.
[Correction Notice: An erratum for this article was reported in Vol 31(3) of Psychotherapy: Theory, Research, Practice, Training (see record 2009-17141-001). This article contained, as Figure 1, an SASB model. The authorship and copyrights for the model were not acknowledged. The following acknowledgement should have been included: "From Benjamin (1983), Intrex User's Manual. Intrex Interpersonal Institute, P.O. Box 581037, Salt Lake City, UT 84158. Reprinted by permission." An apology is offered to the author, Dr. Lorna Smith Benjamin. The particular version used in the article was developed in collaboration with Clinton W. McLemore.] Examined the association between global and specific measures of the therapeutic relationship in Sessions 3, 5, and 15 of 9 cases of time-limited psychodynamic psychotherapy. L. S. Benjamin's (see PA, Vol 53:2991; see also, 1984) structural analysis of social behavior (SASB) model provided the specific measure of relationship. There were more consistent associations between ratings of client contributions to the alliance and SASB ratings of client behaviors than there were for the same therapist variables. Additionally, analyses show that external (i.e., nonself) judgments of client and therapist contributions to the alliance, rather than therapist or client self-ratings of contributions to the alliance, were most frequently associated with the SASB behavior codes. Finally, different therapist and client behaviors seemed to be associated with quality of the therapeutic relationship at different points in the therapeutic process. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   

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Overweight people are at high risk of developing knee osteoarthritis (OA) and may also be at increased risk of hand and hip OA. Furthermore, being overweight accelerates disease progression in knee OA. While the increased joint stress accompanying obesity may explain the strong linkage between obesity and knee OA risk, it does not necessarily explain why obese people have a high risk of disease in the hand nor why obese women are at higher comparative risk of knee disease than obese men. Unfortunately, studies of metabolic factors linked to obesity have not provided an explanation for these findings. There are a paucity of data on weight loss as a treatment for OA, but preliminary information suggests it is especially effective in knee disease and that even small amounts of weight reduction may have favourable effects.  相似文献   

11.
We studied 130 patients, aged 20 to 81 years, with symptoms of tinnitus, vertigo or dizziness. Radiological examinations revealed degenerative changes in the cervical spines of all patients such as discopathy or osteophytes. Head and neck and neurological examinations ruled out other symptoms apart from vertebrobasilar artery flow insufficiency. The vertebrobasilar arteries were examined by means of a color Doppler ultrasonograph using duplex scanning. The correlation coefficient (CC) defining the relationship between the number of patients with abnormal blood flow and the total number of patients with radiologically confirmed changes in the cervical spine was 41.5%. When patients were separated by age, the value of the CC coefficient increased proportionally according to age, changing from 0 to 79.1%. Use of the Doppler ultrasonograph was found to be a safe and non-invasive diagnostic method that enabled us to assess the influence of degenerative changes in the cervical spine on hemodynamic disturbances in the inner ear and brain stem. Our findings demonstrated a pathological decrease of vertebral artery flow velocity in relationship to degenerative changes in the cervical spine.  相似文献   

12.
One of the assumptions inherent in a technique recently devised for enumerating motor units in human muscles is that the surface potentials from active motor units summate in a linear fashion. We present an electrical model of a muscle which predicts that a linear relationship between the number of active units and the electrical response recorded at the surface overlying the muscle would not be expected. The extent of the non-linearity, and hence the error in the calculation of the number of motor units in a given muscle, depends upon the ratio between the mean conductance of the motor units themselves and that of the external conduction pathway through which the electrical signal is fed (Gu/Ge). The extent of non-linearity is assessed experimentally in human hypothenar muscles using a "collision" technique. The average underestimate introduced into the calculation of the number of motor units in this particular case was concluded to be 26%. The value of Gu/Ge derived from these experiments, in 2 subjects, was checked by simulating an intramuscular action potential and determining the attenuation at the surface. The 2 independently obtained values were sufficiently close to suggest that the model may be a valid one. We conclude that caution should be employed in the interpretation of experiments which purport to determine the number of motor units in a muscle by means of surface recordings.  相似文献   

13.
Stimulation of T cells via the T cell receptor (TCR) leads to an increase intracellular in free Ca2+ levels ([Ca2+]i) and the activation of the MAP kinase signaling pathway. This study analyzes for the first time Ca2+ fluxes in naive cytotoxic T cells stimulated with full agonists, partial agonists, or antagonists. Four different types of Ca2+ responses could be observed. Full agonists triggered a strong and sustained increase in [Ca2+]i. In contrast, partial T cell agonists induced either a strong but transient Ca2+ flux or very low to no increases in [Ca2+]i, while T cell antagonists failed to induce any measurable Ca2+ flux. The ability of peptides to induce elevated [Ca2+]i perfectly paralleled their ability to trigger TCR internalization and T cell activation. Thus, stimulation of naive cytotoxic T cells with a panel of defined altered peptide ligands reveals a consistent picture, where Ca2+ fluxes predict agonist, partial agonist and antagonist properties of peptides.  相似文献   

14.
Sought to determine the relationship between body fat and various components of gross motor proficiency. 10 tests of gross motor performance, previously shown by E. A. Fleishman (1964) to be reliable diagnostic indexes of 9 separate gross motor factors, were administered to 56 students in the US Naval School of Diving and Salvage. Six anthropometric indicators of body fat were also obtained from each S. Factor analyses confirmed the structure of the measures of physical proficiency and indicated the presence of a single dimension for body fatness. Tests of the relationships between body fatness and the components of physical proficiency revealed a selective effect where body fatness was significantly related to performance on only 3 of the 9 component measures: dynamic strength, gross body coordination, and stamina. Controlling for S age reduced the magnitude of the correlations by a slight degree but did not otherwise alter the relationships. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   

15.
The relationship between upper gastrointestinal hemorrhage and drug use was studied in 251 Chinese patients (179 men, 72 women) admitted to the Prince of Wales Hospital, Hong Kong, and control subjects matched for age and sex. There was a highly significant difference between the cases and control subjects in the use of NSAIDs (odds ratio 14.0, p < 0.00001), ulcer healing drugs (odds ratio 12.5, p < 0.00001), and Chinese proprietary medicines (odds ratio 16.0, p < 0.00001). There was also a significant difference in the use of analgesics (odds ratio 14.0, p = 0.001), paracetamol (odds ratio 2.5, p = 0.01), antacids (odds ratio 2.7, p < 0.001) and unknown drugs (odds ratio 4.7, p < 0.001). Cases also differed from control subjects regarding the use of tobacco (odds ratio 2.3, p < 0.001) and alcohol (odds ratio 1.7, p = 0.02), and the presence of peptic ulcer symptoms (odds ratio 29.8, p < 0.00001). Significantly more control subjects than cases were receiving aspirin, cardiovascular drugs, bronchodilators, oral hypoglycemic drugs/lipid-lowering drugs, and anticonvulsants/hypnotics, due to the inevitable differences in disease pattern between the 2 groups. NSAID use was a major factor associated with upper gastrointestinal hemorrhage from primarily peptic ulcers. Differences in the use of other drugs may reflect variations in disease patterns between cases and controls, the common practice of self-medication in Hong Kong, and the concomitant use of NSAIDs and ulcer healing drugs/antacids.  相似文献   

16.
The inhomogeneous surface deformation generated during metal forming presents significant challenges to the use of high-strength, lightweight alloys in automotive applications through the initiation of strain localizations that produce both tearing during metal forming and increased friction between mating die surfaces. Thus, a generic understanding of the relationships between plastic strain, grain size, and deformation-induced roughness at the free surface is needed before forming models can be fully developed to accurately predict the behavior and, ultimately, the changes in the friction within the dies. This research examines the roughening behavior of a solid solution strengthened, commercial Al-Mg alloy. The results of this evaluation indicate that the standard roughness measures increase with uniaxial plastic strain in a manner that can be represented by a simple linear estimate. The results also demonstrate that the roughening rate (dR a/ pl) is dependent on the grain size in this alloy, and the relationship between the roughening rate and grain size also appears to be linear for the range of grain sizes included in this evaluation. However, examinations of the roughened surfaces reflect that the roughening process is a highly complex combination of mechanisms and it is strongly influenced by grain size. As a result, representing the complex changes that occur during roughening of a free surface by plastic deformation with a single number calculated from profilometry scans may be too coarse of a measure to fully describe these changes when modeling roughness-dependent behavior or properties.  相似文献   

17.
Evidence indicates that middle-aged smokers weigh less than nonsmokers and that smoking cessation reliably produces weight gain, but recent studies have questioned the weight control "benefits" of smoking in younger populations (the time that people typically initiate smoking). The relationship between smoking and body weight was evaluated in all U.S. Air Force Basic Military Training recruits during a 1-year period (n?=?32,144). Those who smoked prior to Basic Military Training (n?=?10,440) were compared to never smokers or experimental smokers. Results indicated that regular-current smoking had no relationship to body weight in women (p? >?.05) and a very small effect in men (p?  相似文献   

18.
This study evaluated the relationship between smoking and body mass using objective indices of both smoking exposure (COHb) and body mass. The subjects were 4240 adults who participated in the Second National Health and Nutrition Examination Survey (NHANES II). Measurements of dietary intake, physical activity, demographics, body mass index (BMI) and blood carboxy-haemoglobin (COHb) were used in these analyses. After controlling for covariables of body mass, the results indicated that smokers displayed a significantly lower mass compared with non-smokers. Smokers with higher levels of COHb had lower BMIs than smokers at lower COHb levels. White smokers had lower BMIs with increasing COHb exposure whereas black smokers had BMIs at high COHb exposure similar to those of non-smokers. Results indicated that smokers weighed less than non-smokers and that the weight control 'benefits' of smoking were most pronounced in white subjects who were heavy smokers.  相似文献   

19.
Hypothesized that definiteness of the body image boundary is a variable related to differential ease of acquisition of autonomic conditioned responses. The barrier score, derived from Rorschach ink blots, served as the measure of body image definiteness. 29 High- and 20 low-barrier male undergraduates were subjected to a classical autonomic conditioning procedure. The autonomic responses measured were GSR and heart rate. Results indicate that low-barrier Ss are more susceptible than high-barrier Ss to the conditioned heart rate response while high-barrier Ss are more easily conditioned to the GSR response. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   

20.
Voice disorders are thought to be one of the major occupational hazards of school teaching. The resulting symptoms can affect teachers' ability to function in the classroom and prevent them from developing effective working relationships with other staff and students. Sick leave, speech pathology management, and surgical intervention can be costly. Severe voice problems can also result in a teacher permanently leaving the classroom. Despite the significant implications of voice disorders for teachers, this review of published research demonstrates that findings concerning the prevalence of voice problems in teachers and the causes and contributing factors of those voice problems are inconclusive. Similarly, previous research on the efficacy of prevention programs and treatment of voice problems in teachers provide few firm conclusions. Further research based on sound empirical data is needed, as many past studies have relied on anecdotal or self-report data. More operational definitions of what constitutes a voice disorder and the associated contributing factors should be adopted, along with the use of more instrumental measures and careful attention to methodology and appropriate statistical analyses. Only then will we have a sound basis for the development of effective prevention and education programs for teachers.  相似文献   

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