103 resultados para Torso
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This paper presents a method based on articulated models for the registration of spine data extracted from multimodal medical images of patients with scoliosis. With the ultimate aim being the development of a complete geometrical model of the torso of a scoliotic patient, this work presents a method for the registration of vertebral column data using 3D magnetic resonance images (MRI) acquired in prone position and X-ray data acquired in standing position for five patients with scoliosis. The 3D shape of the vertebrae is estimated from both image modalities for each patient, and an articulated model is used in order to calculate intervertebral transformations required in order to align the vertebrae between both postures. Euclidean distances between anatomical landmarks are calculated in order to assess multimodal registration error. Results show a decrease in the Euclidean distance using the proposed method compared to rigid registration and more physically realistic vertebrae deformations compared to thin-plate-spline (TPS) registration thus improving alignment.
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- Réalisé au centre de recherche de l'hospital du Sacré-Coeur de Montréal. - Programme conjoint entre Université de Montréal et École Polytechnique de Montréal.
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This paper describes a method for analyzing scoliosis trunk deformities using Independent Component Analysis (ICA). Our hypothesis is that ICA can capture the scoliosis deformities visible on the trunk. Unlike Principal Component Analysis (PCA), ICA gives local shape variation and assumes that the data distribution is not normal. 3D torso images of 56 subjects including 28 patients with adolescent idiopathic scoliosis and 28 healthy subjects are analyzed using ICA. First, we remark that the independent components capture the local scoliosis deformities as the shoulder variation, the scapula asymmetry and the waist deformation. Second, we note that the different scoliosis curve types are characterized by different combinations of specific independent components.
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Objetivó: Caracterizar los pacientes con heridas cardiacas penetrantes grado II a VI, describir las características del trauma, tratamiento quirúrgico, evolución clínica e identificar los factores asociados a un desenlace. Metodología: Se diseñó un estudio de asociación en 308 pacientes que ingresaron a cirugía con diagnóstico de herida penetrante de corazón entre enero de 1999 y octubre de 2009. Se excluyeron 68 casos. La serie analizada incluyó 240 pacientes con heridas cardiacas. Se analizaron variables demográficas, clínicas, quirúrgicas y de evolución, tabulados en EXCEL® y analizados en SPSS 20®. Resultados: El promedio de edad fue 27.8 años, principalmente hombres (96%), lesiones por arma cortopunzante 93% y un 7% por proyectil arma de fuego. El estado hemodinámico al ingreso (según Ivatury) fue normal 44%; Shock profundo 34%; Agónicos 18% y 3% fatales. El 67% (n=161) presentaron taponamiento cardiaco. Los grados de lesión cardiaca según la clasificación OIS-AAST fueron: grado II 33%, grado III 13%, grado IV 29%, grado V 22% y grado VI 3%. La ventana pericárdica fue el método diagnóstico confirmatorio de lesión en 63% y las incisiones de abordaje quirúrgico fueron la esternotomía 63% y la toracotomía anterolateral 35%. La mortalidad fue 15% (n=36). Las diferencias en mortalidad entre el estado hemodinámico al inicio de cirugía, mecanismo de lesión y grado de herida, demostraron ser estadísticamente significativas (valor de p<0.001). Conclusiones: El estado hemodinámico y las heridas por arma de fuego son factores asociados a mortalidad. La ventana pericárdica subxifoidea favorece la preferencia y buenos resultados de la esternotomía como vía de abordaje quirúrgico.
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Introducción: La hipertensión arterial es un problema de salud pública tanto en países industrializados como en vía de desarrollo. Su prevalencia en la infancia viene en aumento por lo que es relevante determinarla en niños preescolares a nivel local. Objetivo: Determinar la prevalencia de hipertensión arterial en niños de tres a cinco años de una cohorte de 14 hogares infantiles del ICBF de la localidad de Usaquén en Bogotá. Materiales y métodos: Se realizó un estudio de corte transversal analítico, utilizando la base de datos de un ensayo aleatorizado y controlado del año 200913, y se evaluaron las cifras de tensión arterial de acuerdo a sexo, edad, talla y su correlación con el IMC con un nivel de confianza del 95% y precisión del 1%. Se calcularon las medias, desviaciones estándar, percentiles y prevalencia. Resultados: Se obtuvo una muestra de 1035 casos, encontrándose una prevalencia de 4,5% de HTA sistólica, 10,4% de diastólica, ambas en estadio I; teniendo en cuenta tanto sistólica como diastólica, fue de 11,6% en estadio I. Se determinaron los valores de presión arterial sistólica y diastólica en cuartiles de acuerdo a edad, sexo y talla. El coeficiente de correlación entre el IMC y los niveles de presión arterial sistólica y diastólica fueron de 0.0992 y 0.0362 respectivamente. Conclusión: La prevalencia de HTA general fue de 11,6%, predominando la diastólica en estadio I en niños preescolares. No se encontró correlación entre el IMC y las cifras de tensión arterial sistólica y diastólica.
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La Escuela Nueva es un laboratorio de pedagogía práctica, y quiere ser pionera respecto a las escuelas del Estado. Su carácter de internado las encarecía y hacia que estuviesen reservadas para las clases pudientes, a pesar de que jamás de que en ellas hubo el menor carácter elitista en ellas. Las grandes extensiones de terreno requeridas, la existencia de pequeños edificios separados para imitar la vida familiar, fue un nuevo factor de encarecimiento. Este ha sido uno de los puntos en que la escuela ha sido menos imitable y una rémora para su difusión, aunque los internados en plena campiña hayan podido inspirarse, en algún aspecto, en este modelo. Otro de sus rasgos típicos es su naturalismo, su anhelo de una vida lo más natural posible. La gimnasia ha de ser practicada con el torso desnudo porque endurece y aleja las enfermedades. Esta preocupación por el ambiente natural ha sido la parte que menos ha pervivido de esta escuela y por aquí vinieron las dificultades al no ser posible generalizar el experimento. A pesar de ser clara su tendencia renovadora y naturalista, si quisiéramos resumir en un solo término la ambición fundamental de la Escuela Nueva será la educación integral. Este ha sido su mayor mérito y de ahí le han venido sus mayores riesgos. Ha querido asumir todas las instancias y factores educativos: pretendió hacerlo todo. Esta no distinción entre lo que la Escuela puede y debe hacer, y lo que corresponde al medio ambiente y a la sociedad, la ha convertido en experimento apasionante y de imposible generalización. Se ha opuesto al enciclopedismo y a los procedimientos memorísticos y ah acentuado el valor de los métodos de trabajo intelectual (observación, hipótesis, verificación, ley), recurso directo a los hechos de la naturaleza o de la cultura, para descubrirlos, clasificarlos y elaborarlos.
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Background: Previous assessment methods for PG recognition used sensor mechanisms for PG that may cause discomfort. In order to avoid stress of applying wearable sensors, computer vision (CV) based diagnostic systems for PG recognition have been proposed. Main constraints in these methods are the laboratory setup procedures: Novel colored dresses for the patients were specifically designed to segment the test body from a specific colored background. Objective: To develop an image processing tool for home-assessment of Parkinson Gait(PG) by analyzing motion cues extracted during the gait cycles. Methods: The system is based on the idea that a normal body attains equilibrium during the gait by aligning the body posture with the axis of gravity. Due to the rigidity in muscular tone, persons with PD fail to align their bodies with the axis of gravity. The leaned posture of PD patients appears to fall forward. Whereas a normal posture exhibits a constant erect posture throughout the gait. Patients with PD walk with shortened stride angle (less than 15 degrees on average) with high variability in the stride frequency. Whereas a normal gait exhibits a constant stride frequency with an average stride angle of 45 degrees. In order to analyze PG, levodopa-responsive patients and normal controls were videotaped with several gait cycles. First, the test body is segmented in each frame of the gait video based on the pixel contrast from the background to form a silhouette. Next, the center of gravity of this silhouette is calculated. This silhouette is further skeletonized from the video frames to extract the motion cues. Two motion cues were stride frequency based on the cyclic leg motion and the lean frequency based on the angle between the leaned torso tangent and the axis of gravity. The differences in the peaks in stride and lean frequencies between PG and normal gait are calculated using Cosine Similarity measurements. Results: High cosine dissimilarity was observed in the stride and lean frequencies between PG and normal gait. High variations are found in the stride intervals of PG whereas constant stride intervals are found in the normal gait. Conclusions: We propose an algorithm as a source to eliminate laboratory constraints and discomfort during PG analysis. Installing this tool in a home computer with a webcam allows assessment of gait in the home environment.
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This paper presents a computer-vision based marker-free method for gait-impairment detection in Patients with Parkinson's disease (PWP). The system is based upon the idea that a normal human body attains equilibrium during the gait by aligning the body posture with Axis-of-Gravity (AOG) using feet as the base of support. In contrast, PWP appear to be falling forward as they are less-able to align their body with AOG due to rigid muscular tone. A normal gait exhibits periodic stride-cycles with stride-angle around 45o between the legs, whereas PWP walk with shortened stride-angle with high variability between the stride-cycles. In order to analyze Parkinsonian-gait (PG), subjects were videotaped with several gait-cycles. The subject's body was segmented using a color-segmentation method to form a silhouette. The silhouette was skeletonized for motion cues extraction. The motion cues analyzed were stride-cycles (based on the cyclic leg motion of skeleton) and posture lean (based on the angle between leaned torso of skeleton and AOG). Cosine similarity between an imaginary perfect gait pattern and the subject gait patterns produced 100% recognition rate of PG for 4 normal-controls and 3 PWP. Results suggested that the method is a promising tool to be used for PG assessment in home-environment.
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Objetivou-se neste estudo verificar anatômica e radiograficamente a existência de comunicação entre a bolsa do osso navicular (BN) e a articulação interfalangeana distal (AID), estabelecendo sua freqüência e forma e identificando as estruturas anatômicas envolvidas no processo. Desta forma, foram utilizadas 140 peças anatômicas de membros torácicos e pélvicos de eqüinos. Com o auxílio de fluoroscópio, foi injetada uma mistura de contraste iodado, Neoprene látex e corante na BN dos membros direito e na AID dos membros esquerdos, com subseqüentes exposições radiográficas. Constatadas comunicações, identificavam-se as estruturas e os locais envolvidos, mediante técnica de dissecação. Verificou-se, em duas observações, comunicação entre a BN e a AID, após injeção de contraste iodado, látex e corante na bolsa do osso navicular, sendo um no membro torácico direito (MTD) e outro no membro pélvico direito (MPD). Comunicação entre a AID e a bainha do tendão do músculo flexor profundo do dedo (BTMFPD) ocorreu em uma peça, pertencente ao membro torácico esquerdo (MTE). Comunicação entre a BN e a BTMFPD foi observada na peça de um membro torácico direito. Variações morfológicas nas extremidades laterais da BN, constituindo projeções que se estendiam até o terço proximal da falange média, sendo mais pronunciada na face lateral do que na medial, ocorreram em cinco membros. Mediante a administração de contraste iodado, látex e corante na AID, nenhuma comunicação foi observada entre a AID e a BN.
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A novel non-invasive method to study the motion associated with gastric antral contractions is discussed. The method is based on magnetic flux changes detected by an a.c. biosusceptometer, produced by a magnetic test meal within the stomach. Measurements are made at the surface of the torso and are easy to perform. Simultaneous measurements were made with electrogastrography and scintigraphy showing remarkable coincidence. The effect of a drug on the amplitude of antral contractions was also assayed with the new method.
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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
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Pós-graduação em Engenharia Mecânica - FEG
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Lateral asymmetries are in everywhere as well as in all movements made by man, which become more evident in movements of sport. The asymmetry is particularly pointed out in futsal when players, even with clear opportunity of making use of their non-preferred foot, try to place the ball in order to execute the action with their preferred foot. The study of asymmetry in futsal is quite relevant, once ambidextrous players present advantages in their performances during a match, which can help futsal athletes not only in their performance improvement but also with the prescription of training. For this reason, the present study had questioned: is there symmetry/asymmetry at the performance of lower contralateral limbs during actions with the possession ball (pass, receiving a ball and kick into the goal) during a futsal match? Thus, the aim of this study was to analyze the symmetry/asymmetry using the preferred and non-preferred foot in actions with the possession ball (pass, receiving and shoot) in adult Futsal's players (professional). The winner team of eight matches of the 2012 FIFA Futsal World Cup was analyzed. An average of 75 players had all their actions (pass, receiving a ball and shot on goal) using their lower limbs during the match analyzed. However, their actions with the head and torso were not analyzed. The games were acquired through a television broadcast. All eight matches were followed by an appraiser through a computer. The Skout® software was used to collect the data, taking notes of the player involved, the type of action (pass, receiving a ball and shot on goal), its foot used (preferred or non-preferred foot) and if the execution was correct or wrong. These data were saved in a text file, in the form of a matrix and imported into the Matlab® software, where was analyzed the following parameters: frequency of occurrence of each action with each foot and quantity of correct and wrong occurrences performed with...
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The hierarchy of the segmentation cascade responsible for establishing the Drosophila body plan is composed by gap, pair-rule and segment polarity genes. However, no pair-rule stripes are formed in the anterior regions of the embryo. This lack of stripe formation, as well as other evidence from the literature that is further investigated here, led us to the hypothesis that anterior gap genes might be involved in a combinatorial mechanism responsible for repressing the cis-regulatory modules (CRMs) of hairy (h), even-skipped (eve), runt (run), and fushi-tarazu (ftz) anterior-most stripes. In this study, we investigated huckebein (hkb), which has a gap expression domain at the anterior tip of the embryo. Using genetic methods we were able to detect deviations from the wild-type patterns of the anterior-most pair-rule stripes in different genetic backgrounds, which were consistent with Hkb-mediated repression. Moreover, we developed an image processing tool that, for the most part, confirmed our assumptions. Using an hkb misexpression system, we further detected specific repression on anterior stripes. Furthermore, bioinformatics analysis predicted an increased significance of binding site clusters in the CRMs of h 1, eve 1, run 1 and ftz 1 when Hkb was incorporated in the analysis, indicating that Hkb plays a direct role in these CRMs. We further discuss that Hkb and Slp1, which is the other previously identified common repressor of anterior stripes, might participate in a combinatorial repression mechanism controlling stripe CRMs in the anterior parts of the embryo and define the borders of these anterior stripes. (C) 2011 Elsevier Inc. All rights reserved.
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All’ascolto dell’incompiuto Matrimonio di Musorgskij, Borodin aveva sentenziato lapidariamente: «une chose manquée». Uguale commento viene riservato tuttora alla produzione operistica di Sergej Rachmaninov. In questo caso però non ci troviamo di fronte a un teatro rivoluzionario che si trova costretto a fare un passo indietro rispetto ai principi programmatici di cui si vuol far portatore, bensì a un potenziale inespresso, a un profilo drammaturgico mai giunto a piena maturazione. L’evidente eterogeneità della produzione operistica lasciataci in eredità dal compositore non permette infatti di determinarne con chiarezza le ‘linee guida’ e ne rende problematica la collocazione nel contesto musicale a lui coevo. Scopo della presente dissertazione è indagare l’apprendistato e il debutto operistico del compositore russo attraverso l’analisi di materiale documentario, testi letterari, partiture nonché delle fonti critiche in lingua russa, difficilmente accessibili per lo studioso italiano. Il cuore dell’elaborato è un’analisi dettagliata di Aleko, un atto unico presentato nel 1892 dal compositore come prova finale al corso di ‘Libera composizione’ del Conservatorio di Mosca. L’opera viene considerata nel suo complesso come organismo drammatico-musicale autonomo (rapporto fonte/libretto, articolazione interna, sistema delle forme, costellazione dei personaggi, distribuzione delle voci, ecc.), ma inquadrata al contempo nel più ampio contesto del teatro musicale coevo (recezione critica sia da parte della pubblicistica coeva sia da parte della storiografia musicale). Viene fornita in appendice un’edizione del libretto con traduzione a fronte. Incorniciano l’analisi dell’opera un capitolo in cui si offre una rilettura estetica del ‘caso Rachmaninov’ e un aperçu sulla produzione operistica matura del compositore, alla luce delle riflessioni proposte nel corso della dissertazione.