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.     

Search intensity versus search diversity: a false trade off?

An implicit tenet of modern search heuristics is that there is a mutually exclusive balance between two desirable goals: search diversity (or distribution), i.e., search through a maximum number of distinct areas, and, search intensity, i.e., a maximum search exploitation within each specific area. We claim that the hypothesis that these goals are mutually exclusive is false in parallel systems. We argue that it is possible to devise methods that exhibit high search intensity and high search diversity during the whole algorithmic execution. It is considered how distance metrics, i.e., functions for measuring diversity (given by the minimum number of local search steps between two solutions) and coordination policies, i.e., mechanisms for directing and redirecting search processes based on the information acquired by the distance metrics, can be used together to integrate a framework for the development of advanced collective search methods that present such desiderata of search intensity and search diversity under simultaneous coexistence. The presented model also avoids the undesirable occurrence of a problem we refer to as the ‘ergometric bike phenomenon’. Finally, this work is one of the very few analysis accomplished on a level of meta-meta-heuristics, because all arguments are independent of specific problems handled (such as scheduling, planning, etc.), of specific solution methods (such as genetic algorithms, simulated annealing, tabu search, etc.) and of specific neighborhood or genetic operators (2-opt, crossover, etc.).     

Interactive multiobjective fuzzy random programming through the level set-based probability model

This paper considers a multiobjective linear programming problem involving fuzzy random variable coefficients. A new fuzzy random programming model is proposed by extending the ideas of level set-based optimality and a stochastic programming model. The original problem involving fuzzy random variables is transformed into a deterministic equivalent problem through the proposed model. An interactive algorithm is provided to obtain a satisficing solution for a decision maker from among a set of newly defined Pareto optimal solutions. It is shown that an optimal solution of the problem to be solved iteratively in the interactive algorithm is analytically obtained by a combination of the bisection method and the simplex method.     

Formation of Zirconia Solid Solutions Containing Alumina Prepared by New Preparation Method

In the system ZrO₂–Al₂O₃, a new method for preparing ZrO₂ solid solutions from ZrCl₄ and AlCl₃ using hydrazine monohydrate is investigated. c -ZrO₂ solid solutions containing up to ∼40 mol% Al₂O₃ crystallize at low temperatures from amorphous materials. The formation mechanism is discussed from IR spectral data. The values of the lattice parameter α increase linearly from 0.5072 to 0.5105 nm with increasing Al₂O₃ content. At higher temperatures, transformation of the solid solutions proceeds as follows: c ( SS ) → t ( ss ) → t ( ss ) +α-Al₂O₃→ m +α-Al₂O₃. m -ZrO₂–α-Al₂O₃ composite ceramics are fabricated by hot isostatic pressing for 2 h at 1250°C and 196 MPa. Microstructures and mechanical properties are examined, in connection with increasing Al₂O₃ content.     

Thermoelectric properties of Bi and Cu co-doped Ca3Co2O6single crystals

Single crystals of Bi and Cu-doped Ca₃Co₂O₆were synthesized in a molten K₂CO₃flux. Using an obtained single crystal of (Ca_0.985(5)Bi_0.015(5))₃(Co_0.990(3)Cu_0.010(3))₂O₆elongated to the c-axis direction of the crystal structure, the electric resistivity (ρ) and Seebeck coefficient (S) were measured from room temperature to over 1000 K in air. The single crystal showed p-type semiconducting behavior with ρ values of 1.8 Ω cm at 303 K and 0.017 Ω cm at 1000 K. The S values were +254 μ VK^{− 1} at 325 K, +360 μ VK^{− 1} at 420 K, and +214 μ VK^{− 1} at 1000 K. The power factor (S ² ρ ^{− 1}) increased with an increase of temperature and attained 2.70 × 10^{− 4} Wm^{− 1}K^{− 2} at 1000 K.     

Characterization of Hydroxyapatite Film on Titanium Substrate by Sputtering Technique

Radiofrequeut magnetron sputtering technique was used to produce calcium phosphate coated on the titurdum substrates, and the sputtered coating films were crystallized in an autoclave at 110℃ using a low temperature hydrothermal technique. The crystallization of as-sputtered coating film on the titanium substrates were amorphous calcium phosphate film. However, after the hydrothermal technique, calcium phosphate crystals grew and these were cohumnar crystal. The Ca/P ratio of sputtered coating films in 1.6 to 2.0.     

InGaAs angled-grating distributed Bragg reflector lasers integrated with grating outcoupler for collimation

An angled-grating distributed Bragg reflector (DBR) laser integrated with a grating outcoupler (GO) is proposed and demonstrated. It consists of an angled broad-area gain stripe surrounded by angled DBR (/spl alpha/-DBR) gratings parallel to the gain stripe and two DBR gratings for feedback at the stripe ends, and a GO for emitting a collimated output beam. Due to distributed Bragg reflection in the /spl alpha/-DBR gratings, filamentation can be suppressed. Single-mode lasing up to 69 mW peak power was obtained under pulse condition. A collimated output beam with divergence angles, close to the diffraction limit, was obtained. These results confirm the effectiveness of the /spl alpha/-DBR gratings.