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131.
132.
Point-to-point functional movements involve simultaneous shoulder and elbow joint rotations. In able-bodied subjects these movements are fully automatic, and feed-forward control ensures the synergistic activity of many muscles. Synergy between joint rotations was defined and described as a scaling between joint angular velocities [19]. Similarly, subjects who can control their shoulder movements may be assisted in reaching tasks by functional electrical stimulation (FES) of elbow extensor muscles. The synergistic control paradigm can be implemented in real-time by employing a hierarchically structured production-rules method. The use of production-rules necessitates the acquisition of knowledge and the assembly of a rule-base. A nonparametric technique was designed for the identification of the rules. The identification process was divided into two phases: determination of the scaling parameters, and determination of the stimulation parameters. The scaling parameters, needed for the coordination of movements, were determined in able-bodied subjects. Those depend exclusively on the initial and target positions of the hand. The number of scalings could be reduced by dividing the workspace into 12 zones. The stimulation parameters, needed for the execution of movements, were determined in subjects with paralyzed elbow extensor muscles by identifying triplets: elbow angular velocity, elbow angular acceleration (velocity increments), and the corresponding pulse durations for various classes of movements and loads attached to the hand. 相似文献
133.
TA Bateman RJ Zimmerman RA Ayers VL Ferguson SK Chapes SJ Simske 《Canadian Metallurgical Quarterly》1998,23(6):527-535
Pituitary adenylate cyclase activating peptide and vasoactive intestinal peptide belong to the same neuropeptide family. Both peptides are present in nerve fibers in the gastric wall and are thought to be involved in the regulation of inflammatory processes. Experimental ulcers were induced in the rat gastric mucosa by local application of acetic acid. During the healing process we examined the PACAP and VIP innervation by means of immunohistochemistry and in situ hybridization. The ulcer area was examined from day 1 to day 15 after ulcer induction. There was a marked depletion of PACAP in nerve fibers at the ulcer margin from day 1 and onwards. On day 10 and day 15, PACAP-immunoreactive nerve fibers could again be visualized at the ulcer margin. In contrast, VIP immunoreactive nerve fibers were present at the ulcer margin at all time points studied. From day 10 following ulcer induction PACAP- and VIP- immunoreactive nerve fibers were increased in frequency in the smooth muscle beneath the ulcer. An upregulation of VIP and PACAP mRNA was also demonstrated in the myenteric ganglia adjacent to ulcer. The present results indicate that neuronal PACAP and VIP react differently to the inflammation at the ulcer margin but similarly in the smooth muscle during the ulcer healing. 相似文献
134.
AS Stein MR O'Donnell A Chai GM Schmidt A Nademanee PM Parker EP Smith DS Snyder A Molina DE Stepan R Spielberger G Somlo KA Margolin N Vora J Lipsett J Lee J Niland SJ Forman 《Canadian Metallurgical Quarterly》1996,14(8):2206-2216
PURPOSE: To evaluate in a prospective study the efficacy of autologous bone marrow transplantation (BMT) in adult patients with acute myelogenous leukemia (AML) in first remission, using a single course of high-dose Cytarabine (HD Ara-C) consolidation therapy as in vivo purging. PATIENTS AND METHODS: Sixty consecutive adult patients with AML in first complete remission (CR) were treated with HD Ara-C consolidation therapy as a method of in vivo purging before marrow collection. High-dose therapy consisted of fractionated total-body irradiation (FTBI) 12 Gy, intravenous etoposide 60 mg/kg, and cyclophosphamide 75 mg/kg, followed by reinfusion of cryopreserved marrow. RESULTS: Sixty patients underwent consolidation treatment with HD Ara-C with the intent to treat with autologous BMT. Sixteen patients were unable to proceed to autologous BMT (10 patients relapsed, one died of sepsis, one developed cerebellar toxicity, two had inadequate blood counts, and two refused). Forty-four patients underwent autologous BMT and have a median follow-up time of 37 months (range, 14.7 to 68.7) for patients who are alive with no relapse. The cumulative probability of disease-free survival (DFS) at 24 months in the intent-to-treat group is 49% (95% confidence interval [CI], 37% to 62%) and in those who actually underwent autologous BMT is 61% (95% CI, 46% to 74%). The probability of relapse was 44% (95% CI, 31% to 58%) and 33% (95% CI, 20% to 49%) for the intent-to-treat and autologous BMT patients, respectively. CONCLUSION: This approach offers a relatively high DFS rate to adult patients with AML in first CR. The results of this study are similar to those achieved with allogeneic BMT. 相似文献
135.
SJ Simpson S Shah M Comiskey YP de Jong B Wang E Mizoguchi AK Bhan C Terhorst 《Canadian Metallurgical Quarterly》1998,187(8):1225-1234
136.
JP Edwards SJ West CL Pooley KB Marschke LJ Farmer TK Jones 《Canadian Metallurgical Quarterly》1998,8(7):745-750
Typhoid fever is often associated with abnormal liver biochemical tests, but severe hepatic involvement with a clinical feature of acute hepatitis is a rare complication. There have been more than 150 cases of salmonella hepatitis reported from both developed and developing countries. The documented incidence varies widely from less than 1% to 26% patients with enteric fever. The possible associated factors for development of salmonella hepatitis are virulence of the organisms, delayed treatment and poor general health of the patients. The pathogenesis of severe hepatic involvement in salmonella infection may be multifactorial and includes endotoxin, local inflammatory and/or host immune reactions. Clinical jaundice in salmonella hepatitis usually occurs within the first 2 weeks of the febrile illness. Hepatomegaly and moderate elevation of transaminase levels are common findings. Extreme hepatic dysfunction with hepatic encephalopathy is a rare coexisting complication in salmonella hepatitis. A positive culture for salmonella from blood or stool is essential to differentiate salmonella hepatitis from other causes of acute hepatitis. Hepatic pathology is characterized by the presence of typhoid nodules with marked hyperplasia of reticuloendothelial cells. The prognosis is usually good as salmonella hepatitis responds well to a specific antibiotic therapy and juandice resolves with clinical improvement. The clinical course can be severe with a mortality rate as high as 20%, particularly with delayed treatment or in patients with other complications of salmonella infection. As enteric fever is a common infection, the recognition of salmonella hepatitis is of clinical importance. 相似文献
137.
The medical management of Crohn's disease has changed in recent years, but the mainstay of treatment is still prednisone. A substantial fraction of steroid-treated patients are refractory to therapy and addition of azathioprine or methotrexate has a corticosteroid-sparing effect and increases duration of remission. Controlled ileal release budesonide (9 mg daily) induces clinical remission in 60-70% of patients with Crohn's ileitis or right-sided colitis, and continued budesonide treatment has a finite effect on the duration of remission. The efficacy of mesalazine in active Crohn's disease is limited and high doses are required (4000 mg/day). The role of mesalazine in Crohn's disease in remission is disputed, and there is no evidence of a corticosteroid-sparing effect. 相似文献
138.
Tomás Sánchez López Damith C. Ranasinghe Mark Harrison Duncan McFarlane 《Personal and Ubiquitous Computing》2012,16(3):291-308
The Internet of Things (IoT) concept is being widely presented as the next revolution toward massively distributed information,
where any real-world object can automatically participate in the Internet and thus be globally discovered and queried. Despite
the consensus on the great potential of the concept and the significant progress in a number of enabling technologies, there
is a general lack of an integrated vision on how to realize it. This paper examines the technologies that will be fundamental
for realizing the IoT and proposes an architecture that integrates them into a single platform. The architecture introduces
the use of the Smart Object framework to encapsulate radio-frequency identification (RFID), sensor technologies, embedded
object logic, object ad-hoc networking, and Internet-based information infrastructure. We evaluate the architecture against
a number of energy-based performance measures, and also show that it outperforms existing industry standards in metrics such
as network throughput, delivery ratio, or routing distance. Finally, we demonstrate the feasibility and flexibility of the
architecture by detailing an implementation using Wireless Sensor Networks and Web Services, and describe a prototype for
the real-time monitoring of goods flowing through a supply chain. 相似文献
139.
Determinants of off-road vehicle transmission 'shift quality' 总被引:2,自引:0,他引:2
This study was conducted to determine the relationship between factors associated with a tractor transmission shift and the tractor operator's judgement of the quality of the shift. The specific objective was to measure experienced tractor operators' ratings of shift 'acceptability' as peak acceleration, peak jerk and direction of initial acceleration were varied at two levels of background vibration. A six-degree-of-freedom vehicle motion simulator in the Deere & Company Technical Center's human factors laboratory was used to simulate the background vibration and to control the experimental variables. The key results are: (1) The most important factor influencing 'shift quality' is the peak acceleration experienced during the shift. (2) Background vehicle vibration experienced by the tractor operator affects his perception of 'shift quality'. Higher background vibration masks the acceleration experienced during a shift and makes the shift more acceptable than when experienced at a low level of background vibration. (3) Peak jerk experienced during a shift has a negligible effect on 'shift quality'. (4) Upshifts and downshifts of the same peak acceleration, peak jerk, and background vibration receive the same general rating of 'shift quality'. 相似文献
140.
The emergence of highly effective CFTR modulator therapy has led to significant improvements in health care for most patients with cystic fibrosis (CF). For some, however, these therapies remain inaccessible due to the rarity of their individual CFTR variants, or due to a lack of biologic activity of the available therapies for certain variants. One proposed method of addressing this gap is the use of primary human cell-based models, which allow preclinical therapeutic testing and physiologic assessment of relevant tissue at the individual level. Nasal cells represent one such tissue source and have emerged as a powerful model for individual disease study. The ex vivo culture of nasal cells has evolved over time, and modern nasal cell models are beginning to be utilized to predict patient outcomes. This review will discuss both historical and current state-of-the art use of nasal cells for study in CF, with a particular focus on the use of such models to inform personalized patient care. 相似文献