Modified Bagolini striated glass test: clinical applications of starlight test in binocular visual field screening

AIM: To introduce the "starlight" test which was devised to check binocular vision in normal conditions of seeing in a rapid, easy, and cost effective manner and to estimate the possibility of its clinical use in screening the binocular visual field of patients. METHOD: The Bagolini striated glass test consists of optically plano lenses with imperceptible parallel scratches that barely blur the environment but produce two perpendicular luminous stripes (right eye stripe of 45 degrees and left eye stripe of 135 degrees) when subjects with normal binocular vision view one light source. Unlike the original Bagolini test, the starlight test uses three light sources in horizontal or vertical lines according to the testing purposes and the subject is asked to fixate upon the centre light. Through Bagolini glasses, the subject observes the resulting grid-like pattern and the state of binocular visual field of the subject can be roughly estimated. RESULTS: Normal subjects and patients with strabismus, visual field loss from intracranial diseases, glaucoma, retinitis pigmentosa, and functional visual loss were examined using the starlight test and findings from each case were discussed. CONCLUSIONS: The starlight test, which was made by hand at a low cost, is a simple test that can be used clinically. It provides information about the state of binocular vision of patients in normal conditions of seeing. It is also useful because it enables the examiner to share similar experiences with the examinee. The results suggest it can be effective in visual field screening.     

Clinical experience of functional electrical stimulation in complete paraplegia

In the Riordan (bridle) transfer, the posterior tibialis muscle as motor is routed through the interosseous membrane and anastomosed into a "bridle" formed by the distal tibialis anterior and peroneus longus muscles. In theory, the bridle provides inversion/eversion balance even if the transfer effects only tenodesis. However, the procedure has been criticized because its insertion is not into bone. This review analyzes the use of bridle transfer in flaccid paresis involving musculature innervated by the peroneal nerve. Surgery was performed 1 to 3 years after injury for patients with traumatic etiology. Ten patients are reviewed at 61 months' mean follow-up. Eight patients had traumatic peroneal nerve loss. Two had neuromuscular etiology. Evaluation included review of records, telephone interviews, and physical examinations. Data on functional status included walking barefoot running, need for bracing, return to duty, and patient satisfaction. Physical examination recorded ankle position and motions, gait findings, and results of static electromyograms. All patients were able to walk barefoot, but 6 of 10 had a mild to moderate limp. Five patients returned to running initially; only two were able to keep running. Nine patients were brace-free initially (polio sequela required bracing initially), and four others returned to bracing. Of these, two experienced an acute "tearing" and dorsiflexion loss, one sustained a prolonged gradual loss of dorsiflexion, and one sustained a contralateral cerebrovascular accident. Only three of seven patients returned to active duty, and one is on jump status. All patients were satisfied with their initial result. Only two patients had no detectable swing phase problems (both returned to active duty). Five patients had peroneal nerve exploration with repair or neurolysis; two of them sustained complete transections. Postoperative electromyograms showed insignificant, if any, nerve return. The Riordan transfer works well for neuromuscular flaccid paresis and in patients with peroneal nerve injuries with low demands. It may stretch out over time to the point of acute failure in patients with high demands. Concurrent peroneal nerve exploration and repair did not seem to be beneficial in this small study.     

Needs of caregivers of clients with multiple sclerosis

In an earlier study, an in vitro evolution procedure was applied to a large population of variants of the Tetrahymena group I ribozyme to obtain individuals with a 10(5)-fold improved ability to cleave a target single-stranded DNA substrate under simulated physiological conditions. The evolved ribozymes also showed a twofold improvement, compared to the wild-type, in their ability to cleave a single-stranded RNA substrate. Here, we report continuation of the in vitro evolution process using a new selection strategy to achieve both enhanced DNA and diminished RNA-cleavage activity. Our strategy combines a positive selection for DNA cleavage with a negative selection against RNA binding. After 36 "generations" of in vitro evolution, the evolved population showed an approximately 100-fold increase in the ratio of DNA to RNA-cleavage activity. Site-directed mutagenesis experiments confirmed the selective advantage of two covarying mutations within the catalytic core of the ribozyme that are largely responsible for this modified behavior. The population of ribozymes has now undergone a total of 63 successive generations of evolution, resulting in an average of 28 mutations relative to the wild-type that are responsible for the altered phenotype.     

Bacteriological, pharmacokinetic and clinical evaluation of azithromycin in the pediatric field]

Azithromycin (AZM), a new macrolide antibiotic, in fine granules and in capsules was studied for pharmacokinetic and clinical evaluation in the pediatric patients. Antibacterial activity of AZM against 43 clinical isolates: AZM exhibited slightly lower activity against Gram-positive bacteria and 2-8-fold higher activity against Gram-negative bacteria than erythromycin or clarithromycin. Plasma or urine samples were collected from eight patients receiving the drug in fine granular form, and two patients receiving it in capsules for the determination of drug levels. The elimination half-lives of AZM after administration at dose of 10 mg/kg/day for 3 days were 50.0 and 51.2 hours for fine granules, and 41.5 hours for capsules. AUC0-infinity was 11.7 and 24.3 micrograms.hr/ml for fine granules, and 8.3 micrograms.hr/ml for capsules. The cumulative excretion rates up to 120 hours after the start of treatment were 8.24 and 13.84% for fine granules, and 3.83% for capsules. AZM was administered to 123 patients once daily at 3.7-20.0 mg/kg body weight over 3 to 5 days with reference to the standard dose of 10 mg/kg. The drug was used to treat patients with pharyngitis, tonsillitis, scarlet fever, pneumonia, mycoplasmal pneumonia, chlamydial pneumonia, otitis media, pertussis, intestinal infection, and SSTI. The effectiveness of AZM was evaluated in 109 cases. The drug was rated "excellent" in 65.1% of the patients and "good" in 29.4%, resulting in an efficacy rate of 94.5%. Furthermore, AZM eradicated 43 of 46 (93.5%) bacteria that had been identified before the treatment. Three patients complained of side effects of urticaria (1 case) and diarrhea (2 cases). Abnormal laboratory changes were reported as follows: decreased leukocyte (3 cases), increased eosinophil (5), increased platelet (2), increased eosinophil and platelet, elevated GPT (1), and elevated GOT and GPT (1). The abnormalities, however, were mild enough to raise no clinically significant problems. In conclusion, AZM in once daily regimen was effective and safe in treatment of pediatric infections.     

Dynamic defocus and occlusion compensation of projected imagery by model-based optimal projector selection in multi-projection environment

This paper presents a novel model-based approach of dynamic defocus and occlusion compensation method in a multi-projection environment. Conventional defocus compensation research applies appearance-based method, which needs a point spread function (PSF) calibration when either position or orientation of an object to be projected is changed, thus cannot be applied to interactive applications in which the object dynamically moves. On the other hand, we propose a model-based method in which PSF and geometric calibrations are required only once in advance, and projector’s PSF is computed online based on geometric relationship between the projector and the object without any additional calibrations. We propose to distinguish the oblique blur (loss of high-spatial-frequency components according to the incidence angle of the projection light) from the defocus blur and to introduce it to the PSF computation. For each part of the object surfaces, we select an optimal projector that preserves the largest amount of high-spatial-frequency components of the original image to realize defocus-free projection. The geometric relationship can also be used to eliminate the cast shadows of the projection images in multi-projection environment. Our method is particularly useful in the interactive systems because the movement of the object (consequently geometric relationship between each projector and the object) is usually measured by an attached tracking sensor. This paper describes details about the proposed approach and a prototype implementation. We performed two proof-of-concept experiments to show the feasibility of our approach.     

Design of a GPC-based PID controller for controlling a weigh feeder

Most weigh feeders are controlled by a PID control method, and it is desirable to achieve high performance with this PID control. The present paper discusses the application of a generalized predictive control (GPC)-based PID controller to a weigh feeder. In conventional methods, GPC-based PID controllers are designed using a step-type reference signal, but in control of a weigh feeder, a reference input to be followed by a measured signal is a ramp-type signal because the measured signal is discharged mass. Hence, control of a weigh feeder using a GPC-based PID controller is enhanced for tracking a ramp-type signal. Because GPC can be expressed by PID parameters, the proposed method can be easily adopted in various industries. Experimental results show that a weigh feeder is well controlled using the enhanced GPC-based PID controller.     

Orientation space filtering for multiple orientation linesegmentation

The goal of this paper is to present an appropriate method for the segmentation of lines at intersections (X-junctions) and branches (T-junctions), which can be regarded as local regions where lines occur at multiple orientations. A novel representation called “orientation space” is proposed, which is derived by adding the orientation axis to the abscissa and the ordinate of the image. The orientation space representation is constructed by treating the orientation parameter, to which Gabor filters can be tuned, as a continuous variable. The problem of segmenting lines at multiple orientations is dealt with by thresholding 3D images in the orientation space and then detecting the connected components therein. In this way, X-junctions and T-junctions can be separated effectively. Curve grouping can also be accomplished. The segmentation of mathematically modeled X-, T-, and L-junctions is demonstrated and analyzed. The sensitivity limits of the method are also discussed. Experimental results using both synthesized and real images show the method to be effective for junction segmentation and curve grouping     

Integrating Computing Resources on Multiple Grid-Enabled Job Scheduling Systems Through a Grid RPC System

We present a framework for a parallel programming model by remote procedure calls, which bridge large-scale computing resource pools managed by multiple Grid-enabled job scheduling systems. With this system, the user can exploit not only remote servers and clusters, but also the computing resources provided by Grid-enabled job scheduling systems located on different sites. This framework requires a Grid remote procedure call (RPC) system to decouple the computation in a remote node from the Grid RPC mechanism and uses document-based communication rather than connection-based communication. We implemented the proposed framework as an extension of the OmniRPC system, which is a Grid RPC system for parallel programming. We designed a general interface to easily adapt the OmniRPC system to various Grid-enabled job scheduling systems, including XtremWeb, CyberGRIP, Condor and Grid Engine. We show the preliminary performance of these implementations using a phylogenetic application. We found that the proposed system can achieve approximately the same performance as OmniRPC and can handle interruptions in worker programs on remote nodes. Yoshihiro Nakajima is a Research Fellow of the Japan Society for the Promotion of Science     

Bayesian inference explains perception of unity and ventriloquism aftereffect: identification of common sources of audiovisual stimuli

We study a computational model of audiovisual integration by setting a Bayesian observer that localizes visual and auditory stimuli without presuming the binding of audiovisual information. The observer adopts the maximum a posteriori approach to estimate the physically delivered position or timing of presented stimuli, simultaneously judging whether they are from the same source or not. Several experimental results on the perception of spatial unity and the ventriloquism effect can be explained comprehensively if the subjects in the experiments are regarded as Bayesian observers who try to accurately locate the stimulus. Moreover, by adaptively changing the inner representation of the Bayesian observer in terms of experience, we show that our model reproduces perceived spatial frame shifts due to the audiovisual adaptation known as the ventriloquism aftereffect.