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Sample records for arm pain based

  1. Nonspecific Arm Pain

    Directory of Open Access Journals (Sweden)

    Ali Moradi

    2013-12-01

    Full Text Available   Nonspecific activity-related arm pain is characterized by an absence of objective physical findings and symptoms that do not correspond with objective pathophysiology. Arm pain without strict diagnosis is often related to activity, work-related activity in particular, and is often seen in patients with physically demanding work. Psychological factors such as catastrophic thinking, symptoms of depression, and heightened illness concern determine a substantial percentage of the disability associated with puzzling hand and arm pains. Ergonomic modifications can help to control symptoms, but optimal health may require collaborative management incorporating psychosocial and psychological elements of illness.

  2. Nonspecific Arm Pain

    Directory of Open Access Journals (Sweden)

    Ali Moradi

    2013-12-01

    Full Text Available Nonspecific activity-related arm pain is characterized by an absence of objective physical findings and symptoms that do not correspond with objective pathophysiology. Arm pain without strict diagnosis is often related to activity, work-related activity in particular, and is often seen in patients with physically demanding work. Psychological factors such as catastrophic thinking, symptoms of depression, and heightened illness concern determine a substantial percentage of the disability associated with puzzling hand and arm pains. Ergonomic modifications can help to control symptoms, but optimal health may require collaborative management incorporating psychosocial and psychological elements of illness.

  3. Does computer use affect the incidence of distal arm pain?

    DEFF Research Database (Denmark)

    Mikkelsen, Sigurd; Lassen, Christina Funch; Vilstrup, Imogen;

    2012-01-01

    To study how objectively recorded mouse and keyboard activity affects distal arm pain among computer workers.......To study how objectively recorded mouse and keyboard activity affects distal arm pain among computer workers....

  4. Connectionist Expert System to Diagnose Neck and Arm Pain

    Directory of Open Access Journals (Sweden)

    S. Thamarai Selvi

    1999-07-01

    Full Text Available A connectionist expert system (CES called BIONET aimed at assisting physicians in the diagnosis of diseases, such as neck and arm pain has been proposed. BIONET is an artificial network or connectionist network model capable of classifying diseases. Need for the development of CES for defence personnel has been discussed: BIONET is a feedforward three layer neural network with one hidden layer. The input, layer has been designated as stimulus layer, the hidden layer as receptor layer and output layer ag cortical layer. The sequential connections with spatial orientation have been maintained between stimulus layer and receptor layer for each specific factor. Parallel connections are established only at the cortical layer. Direct firing and facilitatory and inhibitory mechanisms are adhered to the neurophysiology of human nervous system. An algorithm for training on BIONET is also given. BIONET is simulated on a digital computer with training samples of patients collected from various hospitals in Tamil Nadu to diagnose neck and arm pain,diseases for testing purpose.

  5. A phase III randomized three-arm trial of physical therapist delivered pain coping skills training for patients with total knee arthroplasty: the KASTPain protocol

    Directory of Open Access Journals (Sweden)

    Riddle Daniel L

    2012-08-01

    Full Text Available Abstract Background Approximately 20% of patients report persistent and disabling pain following total knee arthroplasty (TKA despite an apparently normally functioning prosthesis. One potential risk factor for unexplained persistent pain is high levels of pain catastrophizing. We designed a three-arm trial to determine if a pain coping skills training program, delivered prior to TKA, effectively reduces function-limiting pain following the procedure in patients with high levels of pain catastrophizing. Methods/design The trial will be conducted at four University-based sites in the US. A sample of 402 patients with high levels of pain catastrophizing will be randomly assigned to either a pain coping skills training arm, an arthritis education control arm or usual care. Pain coping skills will be delivered by physical therapists trained and supervised by clinical psychologist experts. Arthritis education will be delivered by nurses trained in the delivery of arthritis-related content. The primary outcome will be change in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC Pain scale score 12 months following surgery. A variety of secondary clinical and economic outcomes also will be evaluated. Discussion The trial will be conducted at four University-based sites in the US. A sample of 402 patients with high levels of pain catastrophizing will be randomly assigned to either a pain coping skills training arm, an arthritis education control arm or usual care. Pain coping skills will be delivered by physical therapists trained and supervised by clinical psychologist experts. Arthritis education will be delivered by nurses trained in the delivery of arthritis-related content. The primary outcome will be change in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC Pain scale score 12 months following surgery. A variety of secondary clinical and economic outcomes also will be evaluated. Trial Registration NCT

  6. Effectiveness and cost-effectiveness of a guided and unguided internet-based Acceptance and Commitment Therapy for chronic pain: Study protocol for a three-armed randomised controlled trial.

    Directory of Open Access Journals (Sweden)

    Jiaxi Lin

    2015-03-01

    Discussion: This study will contribute to the evidence base of internet-based pain interventions and provide valuable information about the treatment success and cost-effectiveness regarding the intervention's level of guidance (self-help only vs. guided self-help. If ACTonPain is shown to be effective, investigations in different healthcare settings should follow, to examine possible ways of implementing ACTonPain into existing healthcare systems. The implementation of ACTonPain could help to shorten waiting times, expand access to pain treatment and, potentially, also reduce treatment costs.

  7. Exercise Based- Pain Relief Program

    DEFF Research Database (Denmark)

    Zadeh, Mahdi Hossein

    to cause localized pressure pain and hyperalgesia. A prior bout of ECC has been repeatedly reported to produce a protective adaptation known as repeated bout effect (RBE). One of the main scopes of the current project was to investigate the adaptations by which the RBE can be resulted from. The approach...... in the current study was to use exercise induced- muscle damage followed by ECC as an acute pain model and observe its effects on the sensitivity of the nociceptive system and blood supply in healthy subjects. Then, the effect of a repeated bout of the same exercise as a healthy pain relief strategy......Exercise-based pain management programs are suggested for relieving from musculoskeletal pain; however the pain experienced after unaccustomed, especially eccentric exercise (ECC) alters people´s ability to participate in therapeutic exercises. Subsequent muscle pain after ECC has been shown...

  8. Automated Internet-based pain coping skills training to manage osteoarthritis pain: a randomized controlled trial.

    Science.gov (United States)

    Rini, Christine; Porter, Laura S; Somers, Tamara J; McKee, Daphne C; DeVellis, Robert F; Smith, Meredith; Winkel, Gary; Ahern, David K; Goldman, Roberta; Stiller, Jamie L; Mariani, Cara; Patterson, Carol; Jordan, Joanne M; Caldwell, David S; Keefe, Francis J

    2015-05-01

    Osteoarthritis (OA) places a significant burden on worldwide public health because of the large and growing number of people affected by OA and its associated pain and disability. Pain coping skills training (PCST) is an evidence-based intervention targeting OA pain and disability. To reduce barriers that currently limit access to PCST, we developed an 8-week, automated, Internet-based PCST program called PainCOACH and evaluated its potential efficacy and acceptability in a small-scale, 2-arm randomized controlled feasibility trial. Participants were 113 men and women with clinically confirmed hip or knee OA and associated pain. They were randomized to a group completing PainCOACH or an assessment-only control group. Osteoarthritis pain, pain-related interference with functioning, pain-related anxiety, self-efficacy for pain management, and positive and negative affect were measured before intervention, midway through the intervention, and after intervention. Findings indicated high acceptability and adherence: 91% of participants randomized to complete PainCOACH finished all 8 modules over 8 to 10 weeks. Linear mixed models showed that, after treatment, women who received the PainCOACH intervention reported significantly lower pain than that in women in the control group (Cohen d = 0.33). Intervention effects could not be tested in men because of their low pain and small sample size. Additionally, both men and women demonstrated increases in self-efficacy from baseline to after intervention compared with the control group (d = 0.43). Smaller effects were observed for pain-related anxiety (d = 0.20), pain-related interference with functioning (d = 0.13), negative affect (d = 0.10), and positive affect (d = 0.24). Findings underscore the value of continuing to develop an automated Internet-based approach to disseminate this empirically supported intervention.

  9. Painful dilemmas: the ethics of animal-based pain research

    DEFF Research Database (Denmark)

    Magalhães-Sant'Ana, M.; Sandøe, Peter; Olsson, I. A. S.

    2009-01-01

    While it has the potential to deliver important human benefits, animal-based pain research raises ethical questions, because it involves inducing pain in sentient beings. Ethical decision-making, connected with this variety of research, requires informed harm-benefit analysis, and the aim of this...

  10. Biological 18[F]-FDG-PET image-guided dose painting by numbers for painful uncomplicated bone metastases: A 3-arm randomized phase II trial

    International Nuclear Information System (INIS)

    Background: Antalgic radiotherapy for bone metastases might be improved by implementing biological information in the radiotherapy planning using 18F-FDG-PET-CT based dose painting by numbers (DPBN). Materials and methods: Patients with uncomplicated painful bone metastases were randomized (1:1:1) and blinded to receive either 8 Gy in a single fraction with conventionally planned radiotherapy (arm A) or 8 Gy in a single fraction with DPBN (dose range between 610 Gy and 10 Gy) (arm B) or 16 Gy in a single fraction with DPBN (dose range between 1410 Gy and 18 Gy) (arm C). The primary endpoint was overall pain response at 1 month. The phase II trial was designed to select the experimental arm with sufficient promise of efficacy to continue to a phase III trial. Results: Forty-five patients were randomized. Eight (53%), 12 (80%) and 9 patients (60%) had an overall response to treatment in arm A, B and C, respectively. The estimated odds ratio of overall response for arm B vs. A is 3.5 (95% CI: 0.44–17.71, p = 0.12). The estimated odds ratio of arm C vs. A is 1.31 (95% CI: 0.31–5.58, p = 0.71). Conclusion: A single fraction of 8 Gy with DPBN will be further evaluated in a phase III-trial

  11. The Design of Humanoid Robot Arm Based on Morphological and Neurological Analysis of Human Arm

    OpenAIRE

    Moon, Yongseon; Ko, Nak Yong; Bae, Youngchul

    2009-01-01

    In this paper, we have presented the implementation and performance evaluation for SERCOS based humanoid robot arm by using morphological and neurological analysis of human arm. Moreover, we reviewed the possibility of application of these robot arms. First, we proposed robot development methodology of open architecture based on ISO15745 for "opening of humanoid robot." Then, we verified the method of implementation of humanoid robot arm and its application to the real world. We have implemen...

  12. Lasting effects of workplace strength training for neck/shoulder/arm pain among laboratory technicians

    DEFF Research Database (Denmark)

    Mortensen, Peter; Larsen, Anders I; Zebis, Mette Kreutzfeldt;

    2014-01-01

    Objectives. This study investigated long-term effects and implementation processes of workplace strength training for musculoskeletal disorders. Methods. 333 and 140 laboratory technicians from private and public sector companies, respectively, replied to a 3-year follow-up questionnaire subsequent...... to a 1-year randomized controlled trial (RCT) with high-intensity strength training for prevention and treatment of neck, shoulder, and arm pain. Being a natural experiment, the two participating companies implemented and modified the initial training program in different ways during the subsequent 2...... years after the RCT. Results. At 3-year follow-up the pain reduction in neck, shoulder, elbow, and wrist achieved during the first year was largely maintained at both companies. However, the private sector company was rated significantly better than the public sector company in (1) training adherence...

  13. Motor unit potential morphology differences in individuals with non-specific arm pain and lateral epicondylitis

    Directory of Open Access Journals (Sweden)

    McLean Linda

    2008-12-01

    Full Text Available Abstract Background The pathophysiology of non-specific arm pain (NSAP is unclear and the diagnosis is made by excluding other specific upper limb pathologies, such as lateral epicondylitis or cervical radiculopathy. The purpose of this study was to determine: (i if the quantitative parameters related to motor unit potential morphology and/or motor unit firing patterns derived from electromyographic (EMG signals detected from an affected muscle of patients with NSAP are different from those detected in the same muscle of individuals with lateral epicondylitis (LE and/or control subjects and (ii if the quantitative EMG parameters suggest that the underlying pathophysiology in NSAP is either myopathic or neuropathic in nature. Methods Sixteen subjects with NSAP, 11 subjects with LE, eight subjects deemed to be at-risk for developing a repetitive strain injury, and 37 control subjects participated. A quantitative electromyography evaluation was completed using decomposition-based quantitative electromyography (DQEMG. Needle- and surface-detected EMG signals were collected during low-level isometric contractions of the extensor carpi radialis brevis (ECRB muscle. DQEMG was used to extract needle-detected motor unit potential trains (MUPTs, and needle-detected motor unit potential (MUP and surface detected motor unit potential (SMUP morphology and motor unit (MU firing rates were compared among the four groups using one-way analysis of variance (ANOVA. Post hoc analyses were performed using Tukey's pairwise comparisons. Results Significant group differences were found for all MUP variables and for MU firing rate (p p p p p Conclusion The size-related parameters suggest that the NSAP group had significantly smaller MUPs and SMUPs than the control and LE subjects. Smaller MUPs and SMUPs may be indicative of muscle fiber atrophy and/or loss. A prospective study is needed to confirm any causal relationship between smaller MUPs and SMUPs and NSAP as found

  14. Acquisition and extinction of operant pain-related avoidance behavior using a 3 degrees-of-freedom robotic arm.

    Science.gov (United States)

    Meulders, Ann; Franssen, Mathijs; Fonteyne, Riet; Vlaeyen, Johan W S

    2016-05-01

    Ample empirical evidence endorses the role of associative learning in pain-related fear acquisition. Nevertheless, research typically focused on self-reported and psychophysiological measures of fear. Avoidance, which is overt behavior preventing the occurrence of an aversive (painful) stimulus, has been largely neglected so far. Therefore, we aimed to fill this gap and developed an operant conditioning procedure for pain-related avoidance behavior. Participants moved their arm to a target location using the HapticMaster (FCS Robotics; Moog Inc, East Aurora, New York), a 3 degrees-of-freedom, force-controlled robotic arm. Three movement trajectories led to the target location. If participants in the Experimental Group took the shortest/easiest trajectory, they always received a painful stimulus (T1 = 100% reinforcement; no resistance). If they deviated from this trajectory, the painful stimulus could be partly or totally prevented (T2 = 50% reinforcement; T3 = 0% reinforcement), but more effort was needed (T2 = moderate resistance and deviation; T3 = strongest resistance and largest deviation). The Yoked Group received the same reinforcement schedule irrespective of their own behavior. During the subsequent extinction phase, no painful stimuli were delivered. Self-reported pain-expectancy and pain-related fear were assessed, and avoidance behavior was operationalized as the maximal distance from the shortest trajectory. During acquisition, the Experimental Group reported more pain-related fear and pain-expectancy to T1 vs T2 vs T3 and deviated more from the shortest trajectory than the Yoked Group. During subsequent extinction, avoidance behavior, self-reported fear, and pain-expectancy decreased significantly, but conditioned differences persisted despite the absence of painful stimuli. To conclude, this operant learning task might provide a valid paradigm to study pain-related avoidance behavior in future studies. PMID:26761388

  15. Pain Expression Recognition Based on pLSA Model

    OpenAIRE

    Shaoping Zhu

    2014-01-01

    We present a new approach to automatically recognize the pain expression from video sequences, which categorize pain as 4 levels: “no pain,” “slight pain,” “moderate pain,” and “ severe pain.” First of all, facial velocity information, which is used to characterize pain, is determined using optical flow technique. Then visual words based on facial velocity are used to represent pain expression using bag of words. Final pLSA model is used for pain expression recognition, in order to improve th...

  16. A software radio platform based on ARM and FPGA

    Directory of Open Access Journals (Sweden)

    Yang Xin.

    2016-01-01

    Full Text Available The rapid rise in computational performance offered by computer systems has greatly increased the number of practical software radio applications. A scheme presented in this paper is a software radio platform based on ARM and FPGA. FPGA works as the coprocessor together with the ARM, which serves as the core processor. ARM is used for digital signal processing and real-time data transmission, and FPGA is used for synchronous timing control and serial-parallel conversion. A SPI driver for real-time data transmission between ARM and FPGA under ARM-Linux system is provided. By adopting modular design, the software radio platform is capable of implementing wireless communication functions and satisfies the requirements of real-time signal processing platform for high security and broad applicability.

  17. Pain acceptance-based coping in complex regional pain syndrome Type I: daily relations with pain intensity, activity, and mood.

    Science.gov (United States)

    Cho, Sungkun; McCracken, Lance M; Heiby, Elaine M; Moon, Dong-Eon; Lee, Jang-Han

    2013-10-01

    This study aimed to examine the temporal patterning of pain acceptance-based coping, activity, and mood in patients with complex regional pain syndrome Type I (CRPS-I), by using a daily diary method. A total of 30 patients with CRPS-I seeking treatment in a tertiary pain management center located in Seoul, Korea participated in the study. Multilevel random effects analyses indicated that (a) engagement in pain acceptance-based coping was significantly associated with lower same-day pain and negative mood and greater same-day activity and positive mood; (b) pain acceptance-based coping predicted increases in activity on the following day; (c) greater pain intensity was significantly associated with lower same-day pain acceptance-based coping and activity and greater same-day negative mood; and (d) pain intensity did not predict pain acceptance-based coping, activity, or mood on the following day. These findings suggest that patients with CRPS-I may benefit from responding to pain with acceptance. Further study and eventual application of this process in CRPS-I may improve upon the success of current approaches to this problem. PMID:22854886

  18. ARM 7 BASED MP3 PLAYER

    Directory of Open Access Journals (Sweden)

    Ashiq V Mehta

    2014-02-01

    Full Text Available MP3 is a patented encoding format for digital audio which uses a form of lossy data compression. It is a common audio format for consumer audio streaming or storage, as well as a de facto standard of digital audio compression for the transfer and playback of music on most digital audio players. Since the MPEG-1 Layer III encoding technology is nowadays widely used it might be interesting to gain knowledge of how this powerful compression/decompression scheme actually functions. The MPEG-1 Layer III is capable of reducing the bit rate with a factor of 12 without almost any audible degradation. Arm7 lpc2148 is arm7tdmi-s core board microcontroller that uses 16/32-bit 64 pin (lqfp microcontroller no.lpc2148 from Philips (nxp.The hardware system of lpc2148 includes the necessary devices within only one mcu has such as usb, adc, dac, timer/counter, pwm, capture, i2c, spi, uart, and etc.

  19. Ad-hoc Network Based on ARM-Linux%基于ARM-Linux的Ad-hoc组网

    Institute of Scientific and Technical Information of China (English)

    王晓华; 贾继洋

    2014-01-01

    Aiming to solve the problem of the contemporary communication system in the absence of any network, a new scheme of the Ad-hoc network based on ARM-Linux system is designed. Firstly, this paper introduces the transportation of the Linux2.6.36 and the driver of RT3070 on ARM11 platform. Then based on socket programming in TCP/IP, program designing of communication and tests are conducted on the ARM-Linux platform. Results have proved that the Ad-hoc network can use the least resources and costs to achieve reliable high rate communication. It is significant for practical application.%针对传统通信系统不能满足在无任何网络情况下的通信需求现状,设计并实现了一种由 ARM-Linux 系统及其外围部件组成的无线自组网(Ad-hoc)的通信方案.在 ARM11平台上完成了 Linux2.6.36操作系统和RT3070无线通信模块的驱动程序移植.利用基于TCP/IP协议的socket编程,编写测试程序,进行节点间无线通信传输实验.实验结果表明:本文搭建的Ad-hoc网络,可以用最少的资源和成本,实现节点间可靠的无线高速率通信,具有现实应用意义.

  20. Pain Expression Recognition Based on pLSA Model

    Directory of Open Access Journals (Sweden)

    Shaoping Zhu

    2014-01-01

    Full Text Available We present a new approach to automatically recognize the pain expression from video sequences, which categorize pain as 4 levels: “no pain,” “slight pain,” “moderate pain,” and “ severe pain.” First of all, facial velocity information, which is used to characterize pain, is determined using optical flow technique. Then visual words based on facial velocity are used to represent pain expression using bag of words. Final pLSA model is used for pain expression recognition, in order to improve the recognition accuracy, the class label information was used for the learning of the pLSA model. Experiments were performed on a pain expression dataset built by ourselves to test and evaluate the proposed method, the experiment results show that the average recognition accuracy is over 92%, which validates its effectiveness.

  1. Electroacupuncture to treat painful diabetic neuropathy: study protocol for a three-armed, randomized, controlled pilot trial

    OpenAIRE

    Lee, Seunghoon; Kim, Joo-Hee; Shin, Kyung-Min; Kim, Jung-Eun; Kim, Tae-Hun; Kang, Kyung-Won; Lee, Minhee; Jung, So-Young; Shin, Mi-Suk; Kim, Ae-Ran; Park, Hyo-Ju; Hong, Kwon-Eui; Choi, Sun-Mi

    2013-01-01

    Background The purpose of this study is to conduct a basic analysis of the effectiveness and safety of electroacupuncture in the treatment of painful diabetic neuropathy (PDN) as compared to placebo and usual care and to evaluate the feasibility of large-scale clinical research. Methods/design This study is a protocol for a three-armed, randomized, patient-assessor-blinded (to the type of treatment), controlled pilot trial. Forty-five participants with a ≥ six month history of PDN and a mean ...

  2. Evaluation of Evidence-based Nursing Pain Management Practice.

    Science.gov (United States)

    Song, Wenjia; Eaton, Linda H; Gordon, Debra B; Hoyle, Christine; Doorenbos, Ardith Z

    2015-08-01

    It is important to ensure that cancer pain management is based on the best evidence. Nursing evidence-based pain management can be examined through an evaluation of pain documentation. The aim of this study was to modify and test an evaluation tool for nursing cancer pain documentation, and describe the frequency and quality of nursing pain documentation in one oncology unit via the electronic medical system. A descriptive cross-sectional design was used for this study at an oncology unit of an academic medical center in the Pacific Northwest. Medical records were examined for 37 adults hospitalized during April and May 2013. Nursing pain documentations (N = 230) were reviewed using an evaluation tool modified from the Cancer Pain Practice Index to consist of 13 evidence-based pain management indicators, including pain assessment, care plan, pharmacologic and nonpharmacologic interventions, monitoring and treatment of analgesic side effects, communication with physicians, and patient education. Individual nursing documentation was assigned a score ranging from 0 (worst possible) to 13 (best possible), to reflect the delivery of evidence-based pain management. The participating nurses documented 90% of the recommended evidence-based pain management indicators. Documentation was suboptimal for pain reassessment, pharmacologic interventions, and bowel regimen. The study results provide implications for enhancing electronic medical record design and highlight a need for future research to understand the reasons for suboptimal nursing documentation of cancer pain management. For the future use of the data evaluation tool, we recommend additional modifications according to study settings. PMID:26256215

  3. Possibility of Independence in ADL (Activities of Daily Living) for Patients with Cervical Spinal Cord Injuries : An Evaluation based on the Zancolli Classification of Residual Arm Functions

    OpenAIRE

    Yoshimura, Osamu; Takayanagi, Kiyomi; Kobayashi, Ryuji; Hosoda, Masataka; Minematsu, Akira; Sasaki, Hisato; Maejima, Hiroshi; Matsuda, Yuiti; Tanaka, Satiko; Matsuo, Akihisa; Kanemura, Naohiko

    1998-01-01

    For patients with cervical spinal cord injuries to become independent in their ADL (Activities of Daily Living), residual arm function is very important. Also, age, sex, physical strength, obesity, spasticity, pain, contracture and motivation are related. We investigated the possibility of independence in ADL for patients with cervical spinal cord injuries, carrying out our evaluation based on the Zancolli Classification of Residual Arm Functions. Zancolli classification C6BII is taken as the...

  4. Asynchronous Complex Pipeline Design Based on ARM Instruction Set

    Institute of Scientific and Technical Information of China (English)

    WANG Bing; WANG Qin; PENG Rui-hua; FU Yu-zhuo

    2008-01-01

    This paper proposes an asynchronous complex pipeline based on ARM-V3 instruction set. Muller pipeline structure is used as prototype, and the factors which may affect pipeline performance are analyzed. To balance the difficulty of asynchronous design and performance analysis, both complete asynchronous and partial asynchronous structures aere designed and compared. Results of comparison with the well-Rnown industrial product ARM922T verify that about 30% and 40% performance improvement of the partial and complete asynchronous complex pipelines can be obtained respectively. The design methodologies can also be used in the design of other asynchronous pipelines.

  5. Gesture Recognition Based on the Probability Distribution of Arm Trajectories

    Science.gov (United States)

    Wan, Khairunizam; Sawada, Hideyuki

    The use of human motions for the interaction between humans and computers is becoming an attractive alternative to verbal media, especially through the visual interpretation of the human body motion. In particular, hand gestures are used as non-verbal media for the humans to communicate with machines that pertain to the use of the human gestures to interact with them. This paper introduces a 3D motion measurement of the human upper body for the purpose of the gesture recognition, which is based on the probability distribution of arm trajectories. In this study, by examining the characteristics of the arm trajectories given by a signer, motion features are selected and classified by using a fuzzy technique. Experimental results show that the use of the features extracted from arm trajectories effectively works on the recognition of dynamic gestures of a human, and gives a good performance to classify various gesture patterns.

  6. A Parallax-based Distance Estimator for Spiral Arm Sources

    CERN Document Server

    Reid, M J; Menten, K M; Brunthaler, A

    2016-01-01

    The spiral arms of the Milky Way are being accurately located for the first time via trigonometric parallaxes of massive star forming regions with the BeSSeL Survey, using the Very Long Baseline Array and the European VLBI Network, and with the Japanese VERA project. Here we describe a computer program that leverages these results to significantly improve the accuracy and reliability of distance estimates to other sources that are known to follow spiral structure. Using a Bayesian approach, sources are assigned to arms based on their (l,b,v) coordinates with respect to arm signatures seen in CO and HI surveys. A source's kinematic distance, displacement from the plane, and proximity to individual parallax sources are also considered in generating a full distance probability density function. Using this program to estimate distances to large numbers of star forming regions, we generate a realistic visualization of the Milky Way's spiral structure as seen from the northern hemisphere.

  7. Evidence-based clinical practice guidelines for interventional pain management in cancer pain

    Directory of Open Access Journals (Sweden)

    Sushma Bhatnagar

    2015-01-01

    Full Text Available Intractable cancer pain not amenable to standard oral or parenteral analgesics is a horrifying truth in 10-15% of patients. Interventional pain management techniques are an indispensable arsenal in pain physician′s armamentarium for severe, intractable pain and can be broadly classified into neuroablative and neuromodulation techniques. An array of neurolytic techniques (chemical, thermal, or surgical can be employed for ablation of individual nerve fibers, plexuses, or intrathecalneurolysis in patients with resistant pain and short life-expectancy. Neuraxial administration of drugs and spinal cord stimulation to modulate or alter the pain perception constitutes the most frequently employed neuromodulation techniques. Lately, there is a rising call for early introduction of interventional techniques in carefully selected patients simultaneously or even before starting strong opioids. After decades of empirical use, it is the need of the hour to head towards professionalism and standardization in order to secure credibility of specialization and those practicing it. Even though the interventional management has found a definite place in cancer pain, there is a dearth of evidence-based practice guidelines for interventional therapies in cancer pain. This may be because of paucity of good quality randomized controlled trials (RCTs evaluating their safety and efficacy in cancer pain. Laying standardized guidelines based on existing and emerging evidence will act as a foundation step towards strengthening, credentialing, and dissemination of the specialty of interventional cancer pain management. This will also ensure an improved decision-making and quality of life (QoL of the suffering patients.

  8. Evidence-based Clinical Practice Guidelines for Interventional Pain Management in Cancer Pain.

    Science.gov (United States)

    Bhatnagar, Sushma; Gupta, Maynak

    2015-01-01

    Intractable cancer pain not amenable to standard oral or parenteral analgesics is a horrifying truth in 10-15% of patients. Interventional pain management techniques are an indispensable arsenal in pain physician's armamentarium for severe, intractable pain and can be broadly classified into neuroablative and neuromodulation techniques. An array of neurolytic techniques (chemical, thermal, or surgical) can be employed for ablation of individual nerve fibers, plexuses, or intrathecalneurolysis in patients with resistant pain and short life-expectancy. Neuraxial administration of drugs and spinal cord stimulation to modulate or alter the pain perception constitutes the most frequently employed neuromodulation techniques. Lately, there is a rising call for early introduction of interventional techniques in carefully selected patients simultaneously or even before starting strong opioids. After decades of empirical use, it is the need of the hour to head towards professionalism and standardization in order to secure credibility of specialization and those practicing it. Even though the interventional management has found a definite place in cancer pain, there is a dearth of evidence-based practice guidelines for interventional therapies in cancer pain. This may be because of paucity of good quality randomized controlled trials (RCTs) evaluating their safety and efficacy in cancer pain. Laying standardized guidelines based on existing and emerging evidence will act as a foundation step towards strengthening, credentialing, and dissemination of the specialty of interventional cancer pain management. This will also ensure an improved decision-making and quality of life (QoL) of the suffering patients. PMID:26009665

  9. Does computer use affect the incidence of distal arm pain? A one-year prospective study using objective measures of computer use

    DEFF Research Database (Denmark)

    Mikkelsen, S.; Lassen, C. F.; Vilstrup, Imogen;

    2012-01-01

    PURPOSE: To study how objectively recorded mouse and keyboard activity affects distal arm pain among computer workers. METHODS: Computer activities were recorded among 2,146 computer workers. For 52 weeks mouse and keyboard time, sustained activity, speed and micropauses were recorded...... were not risk factors for acute pain, nor did they modify the effects of mouse or keyboard time. Computer usage parameters were not associated with prolonged or chronic pain. A major limitation of the study was low keyboard times. CONCLUSION: Computer work was not related to the development...... with a software program installed on the participants' computers. Participants reported weekly pain scores via the software program for elbow, forearm and wrist/hand as well as in a questionnaire at baseline and 1-year follow up. Associations between pain development and computer work were examined for three pain...

  10. Treating fibromyalgia with mindfulness-based stress reduction: results from a 3-armed randomized controlled trial.

    Science.gov (United States)

    Schmidt, Stefan; Grossman, Paul; Schwarzer, Barbara; Jena, Susanne; Naumann, Johannes; Walach, Harald

    2011-02-01

    Mindfulness-based stress reduction (MBSR) is a structured 8-week group program teaching mindfulness meditation and mindful yoga exercises. MBSR aims to help participants develop nonjudgmental awareness of moment-to-moment experience. Fibromyalgia is a clinical syndrome with chronic pain, fatigue, and insomnia as major symptoms. Efficacy of MBSR for enhanced well-being of fibromyalgia patients was investigated in a 3-armed trial, which was a follow-up to an earlier quasi-randomized investigation. A total of 177 female patients were randomized to one of the following: (1) MBSR, (2) an active control procedure controlling for nonspecific effects of MBSR, or (3) a wait list. The major outcome was health-related quality of life (HRQoL) 2 months post-treatment. Secondary outcomes were disorder-specific quality of life, depression, pain, anxiety, somatic complaints, and a proposed index of mindfulness. Of the patients, 82% completed the study. There were no significant differences between groups on primary outcome, but patients overall improved in HRQoL at short-term follow-up (P=0.004). Post hoc analyses showed that only MBSR manifested a significant pre-to-post-intervention improvement in HRQoL (P=0.02). Furthermore, multivariate analysis of secondary measures indicated modest benefits for MBSR patients. MBSR yielded significant pre-to-post-intervention improvements in 6 of 8 secondary outcome variables, the active control in 3, and the wait list in 2. In conclusion, primary outcome analyses did not support the efficacy of MBSR in fibromyalgia, although patients in the MBSR arm appeared to benefit most. Effect sizes were small compared to the earlier, quasi-randomized investigation. Several methodological aspects are discussed, e.g., patient burden, treatment preference and motivation, that may provide explanations for differences. In a 3-armed randomized controlled trial in female patients suffering from fibromyalgia, patients benefited modestly from a mindfulness-based

  11. Autonomous sensor-based dual-arm satellite grappling

    Science.gov (United States)

    Wilcox, Brian; Tso, Kam; Litwin, Todd; Hayati, Samad; Bon, Bruce

    1989-01-01

    Dual-arm satellite grappling involves the integration of technologies developed in the Sensing and Perception (S&P) Subsystem for object acquisition and tracking, and the Manipulator Control and Mechanization (MCM) Subsystem for dual-arm control. S&P acquires and tracks the position, orientation, velocity, and angular velocity of a slowly spinning satellite, and sends tracking data to the MCM subsystem. MCM grapples the satellite and brings it to rest, controlling the arms so that no excessive forces or torques are exerted on the satellite or arms. A 350-pound satellite mockup which can spin freely on a gimbal for several minutes, closely simulating the dynamics of a real satellite is demonstrated. The satellite mockup is fitted with a panel under which may be mounted various elements such as line replacement modules and electrical connectors that will be used to demonstrate servicing tasks once the satellite is docked. The subsystems are housed in three MicroVAX II microcomputers. The hardware of the S&P Subsystem includes CCD cameras, video digitizers, frame buffers, IMFEX (a custom pipelined video processor), a time-code generator with millisecond precision, and a MicroVAX II computer. Its software is written in Pascal and is based on a locally written vision software library. The hardware of the MCM Subsystem includes PUMA 560 robot arms, Lord force/torque sensors, two MicroVAX II computers, and unimation pneumatic parallel grippers. Its software is written in C, and is based on a robot language called RCCL. The two subsystems are described and test results on the grappling of the satellite mockup with rotational rates of up to 2 rpm are provided.

  12. Photoelectric radar servo control system based on ARM+FPGA

    Science.gov (United States)

    Wu, Kaixuan; Zhang, Yue; Li, Yeqiu; Dai, Qin; Yao, Jun

    2016-01-01

    In order to get smaller, faster, and more responsive requirements of the photoelectric radar servo control system. We propose a set of core ARM + FPGA architecture servo controller. Parallel processing capability of FPGA to be used for the encoder feedback data, PWM carrier modulation, A, B code decoding processing and so on; Utilizing the advantage of imaging design in ARM Embedded systems achieves high-speed implementation of the PID algorithm. After the actual experiment, the closed-loop speed of response of the system cycles up to 2000 times/s, in the case of excellent precision turntable shaft, using a PID algorithm to achieve the servo position control with the accuracy of + -1 encoder input code. Firstly, This article carry on in-depth study of the embedded servo control system hardware to determine the ARM and FPGA chip as the main chip with systems based on a pre-measured target required to achieve performance requirements, this article based on ARM chip used Samsung S3C2440 chip of ARM7 architecture , the FPGA chip is chosen xilinx's XC3S400 . ARM and FPGA communicate by using SPI bus, the advantage of using SPI bus is saving a lot of pins for easy system upgrades required thereafter. The system gets the speed datas through the photoelectric-encoder that transports the datas to the FPGA, Then the system transmits the datas through the FPGA to ARM, transforms speed datas into the corresponding position and velocity data in a timely manner, prepares the corresponding PWM wave to control motor rotation by making comparison between the position data and the velocity data setted in advance . According to the system requirements to draw the schematics of the photoelectric radar servo control system and PCB board to produce specially. Secondly, using PID algorithm to control the servo system, the datas of speed obtained from photoelectric-encoder is calculated position data and speed data via high-speed digital PID algorithm and coordinate models. Finally, a

  13. Pain in the Blood? Envisioning Mechanism-Based Diagnoses and Biomarkers in Clinical Pain Medicine

    Directory of Open Access Journals (Sweden)

    Emmanuel Bäckryd

    2015-03-01

    Full Text Available Chronic pain is highly prevalent, and pain medicine lacks objective biomarkers to guide diagnosis and choice of treatment. The current U.S. “opioid epidemic” is a reminder of the paucity of effective and safe treatment options. Traditional pain diagnoses according to the International Classification of Diseases are often unspecific, and analgesics are often prescribed on a trial-and-error basis. In contrast to this current state of affairs, the vision of future mechanism-based diagnoses of chronic pain conditions is presented in this non-technical paper, focusing on the need for biomarkers and the theoretical complexity of the task. Pain is and will remain a subjective experience, and as such is not objectively measurable. Therefore, the concept of “noci-marker” is presented as an alternative to “pain biomarker”, the goal being to find objective, measurable correlates of the pathophysiological processes involved in different chronic pain conditions. This vision entails a call for more translational pain research in order to bridge the gap between clinical pain medicine and preclinical science.

  14. Evaluation of Evidence-Based Nursing Pain Management Practice

    Science.gov (United States)

    Song, Wenjia; Eaton, Linda H.; Gordon, Debra B.; Hoyle, Christine; Doorenbos, Ardith Z.

    2014-01-01

    Background It is important to ensure that cancer pain management is based on the best evidence. Nursing evidence-based pain management can be examined through an evaluation of pain documentation. Aims This study aimed to (a) modify and test an evaluation tool for nursing cancer pain documentation, and (b) describe the frequency and quality of nursing pain documentation in one oncology unit via electronic medical system. Design and Setting A descriptive cross-sectional design was used for this study at an oncology unit of an academic medical center in the Pacific Northwest. Methods Medical records were examined for 37 adults hospitalized during April and May of 2013. Nursing pain documentations (N = 230) were reviewed using an evaluation tool modified from the Cancer Pain Practice Index to consist of 13 evidence-based pain management indicators, including pain assessment, care plan, pharmacologic and nonpharmacologic interventions, monitoring and treatment of analgesic side effects, communication with physicians, and patient education. Individual nursing documentation was assigned a score from 0 (worst possible) to 13 (best possible), to reflect the delivery of evidence-based pain management. Results The participating nurses documented 90% of the recommended evidence-based pain management indicators. Documentation was suboptimal for pain reassessment, pharmacologic interventions, and bowel regimen. Conclusions The study results provide implications for enhancing electronic medical record design and highlight a need for future research to understand the reasons for suboptimal nursing documentation of cancer pain management. For the future use of the data evaluation tool, we recommend additional modifications according to study settings. PMID:26256215

  15. Shoulder pain

    Science.gov (United States)

    Pain - shoulder ... changes around the rotator cuff can cause shoulder pain. You may have pain when lifting the arm above your head or ... The most common cause of shoulder pain occurs when rotator cuff tendons ... The tendons become inflamed or damaged. This condition ...

  16. Structural Optimization of Slender Robot Arm Based on Sensitivity Analysis

    Directory of Open Access Journals (Sweden)

    Zhong Luo

    2012-01-01

    Full Text Available An effective structural optimization method based on a sensitivity analysis is proposed to optimize the variable section of a slender robot arm. The structure mechanism and the operating principle of a polishing robot are introduced firstly, and its stiffness model is established. Then, a design of sensitivity analysis method and a sequential linear programming (SLP strategy are developed. At the beginning of the optimization, the design sensitivity analysis method is applied to select the sensitive design variables which can make the optimized results more efficient and accurate. In addition, it can also be used to determine the scale of moving step which will improve the convergency during the optimization process. The design sensitivities are calculated using the finite difference method. The search for the final optimal structure is performed using the SLP method. Simulation results show that the proposed structure optimization method is effective in enhancing the stiffness of the robot arm regardless of the robot arm suffering either a constant force or variable forces.

  17. A Parallax-based Distance Estimator for Spiral Arm Sources

    Science.gov (United States)

    Reid, M. J.; Dame, T. M.; Menten, K. M.; Brunthaler, A.

    2016-06-01

    The spiral arms of the Milky Way are being accurately located for the first time via trigonometric parallaxes of massive star-forming regions with the Bar and Spiral Structure Legacy Survey, using the Very Long Baseline Array and the European VLBI Network, and with the Japanese VLBI Exploration of Radio Astrometry project. Here we describe a computer program that leverages these results to significantly improve the accuracy and reliability of distance estimates to other sources that are known to follow spiral structure. Using a Bayesian approach, sources are assigned to arms based on their (l, b, v) coordinates with respect to arm signatures seen in CO and H i surveys. A source's kinematic distance, displacement from the plane, and proximity to individual parallax sources are also considered in generating a full distance probability density function. Using this program to estimate distances to large numbers of star-forming regions, we generate a realistic visualization of the Milky Way's spiral structure as seen from the northern hemisphere.

  18. ARM Processor Based Embedded System for Remote Data Acquisition

    Directory of Open Access Journals (Sweden)

    Raj Kumar Tiwari

    2014-01-01

    Full Text Available The embedded systems are widely used for the data acquisition. The data acquired may be used for monitoring various activity of the system or it can be used to control the parts of the system. Accessing various signals with remote location has greater advantage for multisite operation or unmanned systems. The remote data acquisition used in this paper is based on ARM processor. The Cortex M3 processor used in this system has in-built Ethernet controller which facilitate to acquire the remote data using internet. The system developed provides high performance, low power consumption, smaller size {&} high speed

  19. Development of the Embedded Protective Device Based on ARM

    Institute of Scientific and Technical Information of China (English)

    LIU Xiao-wen; LI Na; PAN Chun-de

    2005-01-01

    An embedded protective device for 35kV power line is worked out based on Philips' LPC2292 ARM MCU. Several aspects such as embedded design technique adopted in the system framework, application of adaptive theory in data acquisition, Board Support Packet (BSP) developing and task dispatching related to operating system are discussed. Both hardware and software framework of the system are given. Advanced hardware platform and software development environment is applied in design of the system, with the advanced co-design technology.

  20. A car theft deterrent system research based on ARM9

    Science.gov (United States)

    Zhang, Kaisheng; Liu, Jinhao; Fan, Lijun

    2009-07-01

    The traditional automotive burglarproof systems commonly only rely on the simple remote control to security which measures are not perfect and functions are too single. With the development of society, people tend to concern on the fingerprint recognition technology, GSM /GPRS wireless transmission technology, the idea of ARM9-based design of automobile burglarproof system is dependent on both of them. The S3C2410 microprocessor embedded system is used in this system, which is illuminated the idea of the control system design through the hardware and software. The spot use indicates that the high control precision, steady performance and the humanistic rational design of automotive burglarproof system.

  1. American Society for Pain Management Nursing Position Statement: Prescribing and Administering Opioid Doses Based Solely on Pain Intensity.

    Science.gov (United States)

    Pasero, Chris; Quinlan-Colwell, Ann; Rae, Diana; Broglio, Kathleen; Drew, Debra

    2016-06-01

    The foundation of safe and effective pain management is an individualized, comprehensive pain assessment, which includes, but is not limited to, determining the intensity of pain if the patient is able to report it. An unforeseen consequence of the widespread use of pain intensity rating scales is the practice of prescribing specific doses of opioid analgesics based solely on specific pain intensity. Many factors in addition to pain intensity influence opioid requirements, and there is no research showing that a specific opioid dose will relieve pain of a specific intensity in all patients. The American Society for Pain Management Nursing (ASPMN) holds the position that the practice of prescribing doses of opioid analgesics based solely on a patient's pain intensity should be prohibited because it disregards the relevance of other essential elements of assessment and may contribute to untoward patient outcomes. PMID:27108082

  2. Arm7 Based Evolution in Vehicle Mobility and Automation

    Directory of Open Access Journals (Sweden)

    Mr. N. S. Vaidya

    2013-09-01

    Full Text Available The “Arm7 Based Evolution In Vehicle Mobility And Automation”, various sensor is used to detect various parameters of the vehicle system like Temperature sensor is used to detect engine temperature, Light sensor is used to switch on head light at night automatically, proximity sensor are used for driver as well as driver side seat belt wearing information, figure print sensor are used to open the vehicle as well as start the car. Micro serial data card reader is used here to work as a black box of the vehicle, whenever accident happen it can give all the last information which is stored in to memory card to the investigator, which is easy to detect the cause of accident. The smartness of this vehicle is to tell all the information or sensor output data audibly to the vehicle owner or driver and driver side seat passenger. All the things can be controlled by one system which is ARM7 and information is also displayed on LCD monitor

  3. Mechanisms-based classifications of musculoskeletal pain: part 3 of 3: symptoms and signs of nociceptive pain in patients with low back (± leg) pain.

    LENUS (Irish Health Repository)

    Smart, Keith M

    2012-08-01

    As a mechanisms-based classification of pain \\'nociceptive pain\\' (NP) refers to pain attributable to the activation of the peripheral receptive terminals of primary afferent neurones in response to noxious chemical, mechanical or thermal stimuli. The symptoms and signs associated with clinical classifications of NP have not been extensively studied. The purpose of this study was to identify symptoms and signs associated with a clinical classification of NP in patients with low back (± leg) pain. Using a cross-sectional, between-subjects design; four hundred and sixty-four patients with low back (± leg) pain were assessed using a standardised assessment protocol after which their pain was assigned a mechanisms-based classification based on experienced clinical judgement. Clinicians then completed a clinical criteria checklist indicating the presence\\/absence of various symptoms and signs. A regression analysis identified a cluster of seven clinical criteria predictive of NP, including: \\'Pain localised to the area of injury\\/dysfunction\\

  4. Mechanisms-based classifications of musculoskeletal pain: part 2 of 3: symptoms and signs of peripheral neuropathic pain in patients with low back (± leg) pain.

    LENUS (Irish Health Repository)

    Smart, Keith M

    2012-08-01

    As a mechanisms-based classification of pain \\'peripheral neuropathic pain\\' (PNP) refers to pain arising from a primary lesion or dysfunction in the peripheral nervous system. Symptoms and signs associated with an assumed dominance of PNP in patients attending for physiotherapy have not been extensively studied. The purpose of this study was to identify symptoms and signs associated with a clinical classification of PNP in patients with low back (± leg) pain. Using a cross-sectional, between-subjects design; four hundred and sixty-four patients with low back (± leg) pain were assessed using a standardised assessment protocol. Patients\\' pain was assigned a mechanisms-based classification based on experienced clinical judgement. Clinicians then completed a clinical criteria checklist specifying the presence or absence of various clinical criteria. A binary logistic regression analysis with Bayesian model averaging identified a cluster of two symptoms and one sign predictive of PNP, including: \\'Pain referred in a dermatomal or cutaneous distribution\\

  5. Simulation of Octopus Arm Based on Coupled CPGs

    Directory of Open Access Journals (Sweden)

    Juan Tian

    2015-01-01

    Full Text Available The octopus arm has attracted many researchers’ interests and became a research hot spot because of its amazing features. Several dynamic models inspired by an octopus arm are presented to realize the structure with a large number of degrees of freedom. The octopus arm is made of a soft material introducing high-dimensionality, nonlinearity, and elasticity, which makes the octopus arm difficult to control. In this paper, three coupled central pattern generators (CPGs are built and a 2-dimensional dynamic model of the octopus arm is presented to explore possible strategies of the octopus movement control. And the CPGs’ signals treated as activation are added on the ventral, dorsal, and transversal sides, respectively. The effects of the octopus arm are discussed when the parameters of the CPGs are changed. Simulations show that the octopus arm movements are mainly determined by the shapes of three CPGs’ phase diagrams. Therefore, some locomotion modes are supposed to be embedded in the neuromuscular system of the octopus arm. And the octopus arm movements can be achieved by modulating the parameters of the CPGs. The results are beneficial for researchers to understand the octopus movement further.

  6. Kinect-Based Sliding Mode Control for Lynxmotion Robotic Arm

    Directory of Open Access Journals (Sweden)

    Ismail Ben Abdallah

    2016-01-01

    Full Text Available Recently, the technological development of manipulator robot increases very quickly and provides a positive impact to human life. The implementation of the manipulator robot technology offers more efficiency and high performance for several human’s tasks. In reality, efforts published in this context are focused on implementing control algorithms with already preprogrammed desired trajectories (passive robots case or trajectory generation based on feedback sensors (active robots case. However, gesture based control robot can be considered as another channel of system control which is not widely discussed. This paper focuses on a Kinect-based real-time interactive control system implementation. Based on LabVIEW integrated development environment (IDE, a developed human-machine-interface (HMI allows user to control in real time a Lynxmotion robotic arm. The Kinect software development kit (SDK provides a tool to keep track of human body skeleton and abstract it into 3-dimensional coordinates. Therefore, the Kinect sensor is integrated into our control system to detect the different user joints coordinates. The Lynxmotion dynamic has been implemented in a real-time sliding mode control algorithm. The experimental results are carried out to test the effectiveness of the system, and the results verify the tracking ability, stability, and robustness.

  7. Arm locking for space-based laser interferometry gravitational wave observatories

    OpenAIRE

    Yu, Yinan; Mitryk, Shawn; Mueller, Guido

    2014-01-01

    Laser frequency stabilization is a critical part of the interferometry measurement system of space-based gravitational wave observatories such as the Laser Interferometer Space Antenna (LISA). Arm locking as a proposed frequency stabilization technique, transfers the stability of the long arm lengths to the laser frequency. The arm locking sensor synthesizes an adequately filtered linear combination of the inter-spacecraft phase measurements to estimate the laser frequency noise, which can be...

  8. Pain in Intellectually Disabled Children: Towards Evidence-Based Pharmacotherapy?

    Science.gov (United States)

    Valkenburg, Abraham J; de Leeuw, Tom G; van Dijk, Monique; Tibboel, Dick

    2015-10-01

    This critical opinion article deals with the challenges of finding the most effective pharmacotherapeutic options for the management of pain in intellectually disabled children and provides recommendations for clinical practice and research. Intellectual disability can be caused by a wide variety of underlying diseases and may be associated with congenital anomalies such as cardiac defects, small-bowel obstructions or limb abnormalities as well as with comorbidities such as scoliosis, gastro-esophageal reflux disease, spasticity, and epilepsy. These conditions themselves or any necessary surgical interventions are sources of pain. Epilepsy often requires chronic pharmacological treatment with antiepileptic drugs. These antiepileptic drugs can potentially cause drug-drug interactions with analgesic drugs. It is unfortunate that children with intellectual disabilities often cannot communicate pain to caregivers. Although these children are at high risk of experiencing pain, researchers nevertheless often have to exclude them from trials on pain management because of ethical considerations. We therefore make a plea for prescribers, researchers, patient organizations, pharmaceutical companies, and policy makers to study evidence-based, safe and effective pharmacotherapy in these children through properly designed studies. In the meantime, parents and clinicians must resort to validated pain assessment tools such as the revised FLACC scale. PMID:26076801

  9. The effects of a home-based arm ergometry exercise programme on physical fitness, fatigue and activity in polio survivors: protocol for a randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Murray Deirdre

    2012-12-01

    Full Text Available Abstract Background Many Polio survivors have reduced mobility, pain and fatigue, which make access to conventional forms of aerobic exercise difficult. Inactivity leads to increased risk of health problems, many of which are prevalent among Polio survivors. Aerobic exercise programmes in Polio survivors should utilise stable muscle groups and should be designed to minimise exacerbation of pain and fatigue. A home-based arm ergometry aerobic exercise programme may represent an affordable and accessible exercise modality, incorporating exercise prescription principles in this group. Methods/design This is a prospective, single blinded, randomised controlled trial. There are two arms; exercise intervention using arm ergometers and control. Polio survivors meeting eligibility criteria will be recruited and randomly allocated to intervention or control groups. Participants allocated to the intervention group will receive a small arm ergometer and a polar heart rate monitor. They will carry out a home-based moderate intensity (50-70% HRMax aerobic exercise programme for eight weeks, following instruction by the treating physiotherapist. Assessments will occur at baseline and after eight weeks and will include tests of physical fitness, activity, energy cost of walking, fatigue and quality of life. Clinically feasible assessment tools including the Six Minute Arm Test, the Physical Activity Scale for People with Physical Disabilities questionnaire, the Physiological Cost Index, Fatigue Severity Scale and the SF-36v2 will be utilised. Discussion The efficacy of a home-based arm ergometry programme in Polio survivors will be examined. No previous trial has examined such a programme using a wide range of outcome measures pertinent to Polio survivors. This study will provide new information on the impact of arm ergometry on physical fitness, activity, body composition, fatigue, pain, muscle strength, and health related quality of life. Also, the study

  10. Zigbee GPS Based Tracking System Using ARM 9

    Directory of Open Access Journals (Sweden)

    Y. Pavan Kumar Reddy

    2013-05-01

    Full Text Available Real Time person tracking is an important building block in advanced humanoid robots. The applications extend to small area security system like offices, hospitals, prisons, industries etc. There are various methods and some of them are now used in smart mobile applications using GSM-GPS, Sensor networks, vision based tracking system etc. But these are expensive to be used in day-to-day life. As far as concerned with the security systems the investments are high and in the case of humanoids the monitoring system is too huge for an automated machine. To overcome these issues, a simple hardware build-up is proposed. The proposed system is Real Time person location detection and tracking system consisting of ZIGBEE modules and GPS interfaced to ARM9 development board with an RTOS (WinCE or Embedded LINUX. The whole system has two parts namely Monitoring system and the Tags. Monitoring system acts as a server which processes the data received from the tags. Tags are match box size devices transmitting the locations based data to the monitoring system. This system has its own advantages of small size, Low power consumption, range flexibility and GUI. The measured results indicate that the developed system can track a person up to 20m with an accuracy of 5m

  11. A Media Player Based On ARM by Porting of Linux

    OpenAIRE

    Archan Agrawal*; Mrs. Monika S. Joshi

    2014-01-01

    This paper describes the porting of embedded linux on ARM 9 platform for designing and implementing of embedded media player on S3Cmini2440 development board. A novel transplating method for linux kernel is presented here, Linux kernel as well as its cut,compile,and porting process under ARM platform are introduced. Optimized linux operating system in the processor has been installed and transplanted the SDL_FFMPEG library into S3Cmini2440 after the cross compilation. Ofthis whole...

  12. 基于ARM+FPGA的GPS接收机设计%Design of a GPS receiver based on ARM and FPGA

    Institute of Scientific and Technical Information of China (English)

    邢增强; 李金海; 梁华庆; 汪峰; 阎跃鹏

    2011-01-01

    The GPS receiver based on ARM and FPGA is designed for civilian and military application. The GP2015 chip is used as the receiver' s RF front-end. The AT91SAM9261 chip based on ARM9 core and The Cyclone Ⅱ seriers EP2C70F672I8 chip are used as the base-band processing part. Also the receiver' s software design is explained,including the capture engine,tracking engine,demodulation messages,and position resolution. Through the field test, the receiver's positioning precision is 6m ( longitude)/8m ( latitude ), and the dynamic performance is 2000m/s. The receiver can achieve high dynamic navigation and positioning. It has small size, low power consumption.%针对GPS接收机在民用和军事领域的重要应用,设计了一种基于ARM+ FPGA的GPS接收机.接收机的射频前端采用GP2015芯片,基带处理部分采用ARM9内核的A191 SAM9261芯片和CycloneⅡ系列的EP2C70F67218芯片.同时阐述来接收机的软件设计,包括捕获引擎、跟踪引擎、解调电文,定位解算等.该接收机通过现场实验定位精度为6m(经度)/8m(纬度),动态性能达2000m/s,可以实现高动态导航定位,同时体积小,功耗低.

  13. Digital Signature Based Fax Machine Using ARM9 and Linux

    Directory of Open Access Journals (Sweden)

    Ch. Komali

    2013-01-01

    Full Text Available In this method we are having the S3C2240A (ARM9 Board which is ported with Linux in it. And this ARM9 board with Linux will be connected to the Touch Screen device. This ARM9 board intern will be connected to the LAN network (Ethernet. To design this fax machine we are using two Arm controller boards. One Arm board will keep at fax Transmission side and another board will keep at fax receiving side. By using the Ethernet we will send and receive the fax, for that we are using TCP/IP server and TCP/IP client. In this fax machine we have too many options on touch screen of arm like retrieve, sign, send, save etc. By selecting the retrieve option we can see the received text data on touch screen. If we want to transmit text data, we can select send option, then the fax will sent to the destination. On the receiving side, the received fax will be displayed on LCD touch screen. If necessary, we can sign directly on the touch panel by selecting the sign option. If we want to retransmit that signed document, we should active server. In this way bidirectional transmission and reception is possible

  14. A Model-Based Approach for Joint Analysis of Pain Intensity and Opioid Consumption in Postoperative Pain.

    Science.gov (United States)

    Juul, Rasmus V; Knøsgaard, Katrine R; Olesen, Anne E; Pedersen, Katja V; Kreilgaard, Mads; Christrup, Lona L; Osther, Palle J; Drewes, Asbjørn M; Lund, Trine M

    2016-07-01

    Joint analysis of pain intensity and opioid consumption is encouraged in trials of postoperative pain. However, previous approaches have not appropriately addressed the complexity of their interrelation in time. In this study, we applied a non-linear mixed effects model to simultaneously study pain intensity and opioid consumption in a 4-h postoperative period for 44 patients undergoing percutaneous kidney stone surgery. Analysis was based on 748 Numerical Rating Scale (NRS) scores of pain intensity and 51 observed morphine and oxycodone dosing events. A joint model was developed to describe the recurrent pattern of four key phases determining the development of pain intensity and opioid consumption in time; (A) Distribution of pain intensity scores which followed a truncated Poisson distribution with time-dependent mean score ranging from 0.93 to 2.45; (B) Probability of transition to threshold pain levels (NRS ≥ 3) which was strongly dependent on previous pain levels ranging from 2.8-15.2% after NRS of 0-2; (C) Probability of requesting opioid when allowed (NRS ≥ 3) which was strongly correlated with the number of previous doses, ranging from 89.8% for requesting the first dose to 26.1% after three previous doses; (D) Reduction in pain scores after opioid dosing which was significantly related to the pain intensity at time of opioid request (P probability of rescue dosing or the effect of opioids in the postoperative pain period. PMID:27116023

  15. LabVIEW For ARM Based System Automation

    Directory of Open Access Journals (Sweden)

    Ms. Sneha Goyanka

    2014-09-01

    Full Text Available Embedded Systems are hardware and software components working together to perform a specific application. They exist in abundance in our modern society and play a vital role in our everyday lives. Automation has entered in every part of life. Industries, buildings, machines almost every system has been automated and efforts for automating every system is going on. Programmable Logic Controllers (PLCs represent state-of-the-art microprocessor-based electronics that make up technologically advanced control systems with applications in virtually every segment of industry where automation is required. PLC has evolved as an important controller in industries these days because of its simplicity and robustness. It is used for controlling many mechanical movements of the heavy machines or to control the voltage and frequency of the power supplies. This paper presents a design for embedded PLC, and its use for system automation. The development of the embedded PLC is done with the combination of the LabVIEW software’s embedded module and the ARM Microcontroller. This PLC is flexible, robust, compatible to industrial components, cost effective and scalable to new technology

  16. Patellofemoral pain.

    Science.gov (United States)

    Crossley, Kay M; Callaghan, Michael J; van Linschoten, Robbart

    2016-02-01

    Patellofemoral pain refers to pain behind or around the patella (also known as patellofemoral pain syndrome, anterior knee pain, runner's knee, and, formerly, chondromalacia patellae). Patellofemoral pain is common, accounting for 11-17% of all knee pain presentations to general practice.(1 2) While it typically occurs in physically active people aged Patellofemoral pain can be diagnosed in the clinic, and evidence based treatments can reduce pain and improve function, allowing patients to maintain a physically active lifestyle. PMID:26834209

  17. Case-Based Learning for Orofacial Pain and Temporomandibular Disorders.

    Science.gov (United States)

    Clark, Glenn T.; And Others

    1993-01-01

    The use of interactive computer-based simulation of cases of chronic orofacial pain and temporomandibular joint disfunction patients for clinical dental education is described. Its application as a voluntary study aid in a third-year dental course is evaluated for effectiveness and for time factors in case completion. (MSE)

  18. Innovative Design of Plastic Bottle Recycling Box Based on ARM

    Directory of Open Access Journals (Sweden)

    Yuedong Xiong

    2014-04-01

    Full Text Available Aiming at the problems of on-site plastic bottles recycling and the reuse of waste, the automatic recycling system was developed on the basis of ARM. As the main controller, ARM not only controls the mechanical system of the collector to recover and break plastic bottles, but also communicates with and rewards the user by the automatic reward system through the wireless network. The experimental prototype test results show: post treated fragments of plastic bottles are small, which are convenient to transport and take advantage of; the operation of recovery is easy, and the interface of man-machine interaction is friendly which is easy to expand functions.

  19. A Model-Based Approach for Joint Analysis of Pain Intensity and Opioid Consumption in Postoperative Pain

    DEFF Research Database (Denmark)

    Juul, Rasmus V; Knøsgaard, Katrine R; Olesen, Anne E;

    2016-01-01

    Joint analysis of pain intensity and opioid consumption is encouraged in trials of postoperative pain. However, previous approaches have not appropriately addressed the complexity of their interrelation in time. In this study, we applied a non-linear mixed effects model to simultaneously study pain...... intensity and opioid consumption in a 4-h postoperative period for 44 patients undergoing percutaneous kidney stone surgery. Analysis was based on 748 Numerical Rating Scale (NRS) scores of pain intensity and 51 observed morphine and oxycodone dosing events. A joint model was developed to describe...... the recurrent pattern of four key phases determining the development of pain intensity and opioid consumption in time; (A) Distribution of pain intensity scores which followed a truncated Poisson distribution with time-dependent mean score ranging from 0.93 to 2.45; (B) Probability of transition to threshold...

  20. Optical Sensors Based on Single Arm Thin Film Waveguide Interferometer

    Science.gov (United States)

    Sarkisov, S. S.; Diggs, D.; Curley, M.; Adamovsky, Grigory (Technical Monitor)

    2001-01-01

    Single-arm double-mode double-order optical waveguide interferometer utilizes interference between two propagating modes of different orders. Sensing effect results from the change in propagation conditions of the modes caused by the environment. The waveguide is made as an open asymmetric slab structure containing a dye-doped polymer film onto a fused quartz substrate. It is more sensitive to the change of environment than its conventional polarimetric analog using orthogonal modes (TE and TM) of the same order. The sensor still preserves the option of operating in polarimetric regime using a variety of mode combinations such as TE(sub 0)/TM(sub 0) (conventional), TE(sub 0)/TM(sub 1), TE(sub 1)/TM(sub 0), or TE(sub 1)/TM(sub 1) but can also work in nonpolarimetric regime using combinations TE(sub 0)/TM(sub 1) or TE(sub 0)/TM(sub 1). Utilization of different mode combinations simultaneously makes the device more versatile. Application of the sensor to gas sensing is based on doping polymer film with an organic indicator dye sensitive to a particular gas. Change of optical absorption spectrum of the dye caused by the gaseous pollutant results change of the reactive index of the dye-doped polymer film that can be detected by the sensor. As an indicator dyes, we utilize Bromocresol Purple doped into polymer poly(methyl) methacrylate, which shows a reversible growth of the absorption peak neat 600 nm after exposure to wet ammonia. We have built a breadboard prototype of the sensor with He-Ne laser as a light source and with a single mode fiber input and a multimode fiber output. The prototype showed sensitivity to temperature change of the order of 2 C per one full oscillation of the signal. The sensitivity of the sensor to the presence of wet ammonia is 200 ppm per one full oscillation of the signal. The further improvements include switching to a longer wavelength laser source (750-nm semiconductor laser), substitution of poly(methyl) methacrylate with hydrophilic

  1. Arm locking for space-based laser interferometry gravitational wave observatories

    CERN Document Server

    Yu, Yinan; Mueller, Guido

    2014-01-01

    Laser frequency stabilization is a critical part of the interferometry measurement system of space-based gravitational wave observatories such as the Laser Interferometer Space Antenna (LISA). Arm locking as a proposed frequency stabilization technique, transfers the stability of the long arm lengths to the laser frequency. The arm locking sensor synthesizes an adequately filtered linear combination of the inter-spacecraft phase measurements to estimate the laser frequency noise, which can be used to control the laser frequency. At the University of Florida we developed the hardware-based University of Florida LISA Interferometer Simulator (UFLIS) to study and verify laser frequency noise reduction and suppression techniques under realistic LISA-like conditions. These conditions include the variable Doppler shifts between the spacecraft, LISA-like signal travel times, optical transponders, realistic laser frequency and timing noise. We review the different types of arm locking sensors and discuss their expect...

  2. Internet-Based Survey Evaluating Use of Pain Medications and Attitudes of Radiation Oncology Patients Toward Pain Intervention

    International Nuclear Information System (INIS)

    Purpose: Pain is a common symptom among cancer patients, yet many patients do not receive adequate pain management. Few data exist quantifying analgesic use by radiation oncology patients. This study evaluated the causes of pain in cancer patients and investigated the reasons patients fail to receive optimal analgesic therapy. Methods and Materials: An institutional review board-approved, Internet-based questionnaire assessing analgesic use and pain control was posted on the OncoLink (available at (www.oncolink.org)) Website. Between November 2005 and April 2006, 243 patients responded. They were predominantly women (73%), white (71%), and educated beyond high school (67%) and had breast (38%), lung (6%), or ovarian (6%) cancer. This analysis evaluated the 106 patients (44%) who underwent radiotherapy. Results: Of the 106 patients, 58% reported pain from their cancer treatment, and 46% reported pain directly from their cancer. The pain was chronic in 51% and intermittent in 33%. Most (80%) did not use medication to manage their pain. Analgesic use was significantly less in patients with greater education levels (11% vs. 36%, p = 0.002), with a trend toward lower use by whites (16% vs. 32%, p 0.082) and women (17% vs. 29%, p = 0.178). The reasons for not taking analgesics included healthcare provider not recommending medication (87%), fear of addiction or dependence (79%), and inability to pay (79%). Participants experiencing pain, but not taking analgesics, pursued alternative therapies for relief. Conclusions: Many radiation oncology patients experience pain from their disease and cancer treatment. Most study participants did not use analgesics because of concerns of addiction, cost, or failure of the radiation oncologist to recommend medication. Healthcare providers should have open discussions with their patients regarding pain symptoms and treatment

  3. DNA gridiron nanostructures based on four-arm junctions.

    Science.gov (United States)

    Han, Dongran; Pal, Suchetan; Yang, Yang; Jiang, Shuoxing; Nangreave, Jeanette; Liu, Yan; Yan, Hao

    2013-03-22

    Engineering wireframe architectures and scaffolds of increasing complexity is one of the important challenges in nanotechnology. We present a design strategy to create gridiron-like DNA structures. A series of four-arm junctions are used as vertices within a network of double-helical DNA fragments. Deliberate distortion of the junctions from their most relaxed conformations ensures that a scaffold strand can traverse through individual vertices in multiple directions. DNA gridirons were assembled, ranging from two-dimensional arrays with reconfigurability to multilayer and three-dimensional structures and curved objects.

  4. A Vibration Control Method for the Flexible Arm Based on Energy Migration

    Directory of Open Access Journals (Sweden)

    Yushu Bian

    2015-01-01

    Full Text Available A vibration control method based on energy migration is proposed to decrease vibration response of the flexible arm undergoing rigid motion. A type of vibration absorber is suggested and gives rise to the inertial coupling between the modes of the flexible arm and the absorber. By analyzing 1 : 2 internal resonance, it is proved that the internal resonance can be successfully created and the exchange of vibration energy is existent. Due to the inertial coupling, the damping enhancement effect is revealed. Via the inertial coupling, vibration energy of the flexible arm can be dissipated by not only the damping of the vibration absorber but also its own enhanced damping, thereby effectively decreasing vibration. Through numerical simulations and analyses, it is proven that this method is feasible in controlling nonlinear vibration of the flexible arm undergoing rigid motion.

  5. 基于ARM&FPGA的CCD图像识别装置%CCD Image Recognition Apparatus Based on ARM and FPGA

    Institute of Scientific and Technical Information of China (English)

    胡胜; 杨雷; 宋跃; 胡必武; 李君

    2012-01-01

    A sort of design technique of CCD image recognition apparatus was presented. This apparatus regarded ARM and FPGA as master control chip. Concurrent control multiple channel data acquisition of CCD image signal based on Nios II and many core based on Nios II were devised. This paper mainly introduced the design of LCD drive based on Nios II for realizing LCD display , the design of A/D sampling control module for realizing multiple channel data acquisition, the design of SL811HS drive for realizing USB correspondence of ARM and PC and so on. Experiments show that this system has the advantages of high application value,high rate,high reliability and less accident.%给出了一种CCD图像识别装置的设计方法,该装置以ARM与FPGA为主控芯片,设计了基于Nios Ⅱ的A/D控制模块并行控制多路CCD图像信号的数据采集和基于Nios Ⅱ的多种内核,重点介绍了基于Nios Ⅱ的LCD驱动以实现液晶显示、设计A/D采样控制模块以实现多路数据采集以及设计SL811HS驱动以实现ARM与PC的USB通信等.实验结果表明系统具有应用价值高、速度高、可靠性高、故障少等优点.

  6. Generic Preference-based Measures for Low Back Pain

    OpenAIRE

    Finch, Aureliano Paolo; Melina DRITSAKI; Jommi, Claudio

    2016-01-01

    Study Design. Systematic review. Objective. This systematic review examines validity and responsiveness of three generic preference-based measures in patients with low back pain (LBP). Summary of Background Data. LBP is a very common incapacitating disease with a significant impact on health-related quality of life (HRQoL). Health state utility values can be derived from various preference-based HRQoL instruments, and among them the most widely ones are EuroQol 5 dimensions (EQ-5D), Short For...

  7. Research on Compound Display Connections to ARM Based Processors

    Directory of Open Access Journals (Sweden)

    T J V Subrahmanyeswara Rao

    2011-09-01

    Full Text Available An electronic display is used to present data visually by transmitting images as output device. Visual displays generate visual information according to the electrical input signal either by generation of light or modulation of available light. This is of two types analog or digital. Now-a-days usage of many displays gaining wide acceptance in many areas of applications like Workstations, Information Broad casting, video conferencing etc. connecting two or more displays to a personal computer is possible by adding extra hardware and accordingly software like device drivers which are often expensive. Power supply requirement for this dedicated task is almost same as personal computer which runs with various applications. In this paper we have implemented multiple display connection modes to an ARM processor and achieved great reduction of power supply for this dedicated task.

  8. Normalization of Pain-Evoked Neural Responses Using Spontaneous EEG Improves the Performance of EEG-Based Cross-Individual Pain Prediction

    Science.gov (United States)

    Bai, Yanru; Huang, Gan; Tu, Yiheng; Tan, Ao; Hung, Yeung Sam; Zhang, Zhiguo

    2016-01-01

    An effective physiological pain assessment method that complements the gold standard of self-report is highly desired in pain clinical research and practice. Recent studies have shown that pain-evoked electroencephalography (EEG) responses could be used as a readout of perceived pain intensity. Existing EEG-based pain assessment is normally achieved by cross-individual prediction (i.e., to train a prediction model from a group of individuals and to apply the model on a new individual), so its performance is seriously hampered by the substantial inter-individual variability in pain-evoked EEG responses. In this study, to reduce the inter-individual variability in pain-evoked EEG and to improve the accuracy of cross-individual pain prediction, we examined the relationship between pain-evoked EEG, spontaneous EEG, and pain perception on a pain EEG dataset, where a large number of laser pulses (>100) with a wide energy range were delivered. Motivated by our finding that an individual's pain-evoked EEG responses is significantly correlated with his/her spontaneous EEG in terms of magnitude, we proposed a normalization method for pain-evoked EEG responses using one's spontaneous EEG to reduce the inter-individual variability. In addition, a nonlinear relationship between the level of pain perception and pain-evoked EEG responses was obtained, which inspired us to further develop a new two-stage pain prediction strategy, a binary classification of low-pain and high-pain trials followed by a continuous prediction for high-pain trials only, both of which used spontaneous-EEG-normalized magnitudes of evoked EEG responses as features. Results show that the proposed normalization strategy can effectively reduce the inter-individual variability in pain-evoked responses, and the two-stage pain prediction method can lead to a higher prediction accuracy. PMID:27148028

  9. Synthesis and application of rhodamine-based fluorescent probe dyes with spacer linker arm

    Institute of Scientific and Technical Information of China (English)

    Yong Gao; Jian Li Li; Zhen Shi

    2007-01-01

    When rhodamine-based fluorescent probe dyes are used to track target molecules they always perturb the behavior of target molecules because of steric hindrance effect.In order to minimize potential steric problems, a kind of rhodamine-based fluorescent probe dye with spacer linker arm was designed and synthesized and its application in immunofluorescence histochemistry was investigated.

  10. Psychological Factors and Pain Exacerbation in Knee Osteoarthritis : A Web Based Case-Crossover Study

    NARCIS (Netherlands)

    Erfani, Tahereh; Keefe, Francis; Bennell, Kim; Chen, J; Makovey, J; Metcalf, B; Williams, A.D.; Zhang, Y; Hunter, David

    2015-01-01

    OBJECTIVES: The pain experienced by osteoarthritis (OA) patients is neither constant nor unchanging and patients experience episodes of pain exacerbations. Using an innovative web based case-crossover design, we evaluated whether psychological factors are risk factors for pain exacerbations in patie

  11. Mindfulness-based stress reduction for low back pain. A systematic review

    OpenAIRE

    Cramer Holger; Haller Heidemarie; Lauche Romy; Dobos Gustav

    2012-01-01

    Abstract Background Mindfulness-based stress reduction (MBSR) is frequently used for pain conditions. While systematic reviews on MBSR for chronic pain have been conducted, there are no reviews for specific pain conditions. Therefore a systematic review of the effectiveness of MBSR in low back pain was performed. Methods MEDLINE, the Cochrane Library, EMBASE, CAMBASE, and PsycInfo were screened through November 2011. The search strategy combined keywords for MBSR with keywords for low back pa...

  12. Mindfulness meditation-based pain relief: a mechanistic account.

    Science.gov (United States)

    Zeidan, Fadel; Vago, David R

    2016-06-01

    Pain is a multidimensional experience that involves interacting sensory, cognitive, and affective factors, rendering the treatment of chronic pain challenging and financially burdensome. Further, the widespread use of opioids to treat chronic pain has led to an opioid epidemic characterized by exponential growth in opioid misuse and addiction. The staggering statistics related to opioid use highlight the importance of developing, testing, and validating fast-acting nonpharmacological approaches to treat pain. Mindfulness meditation is a technique that has been found to significantly reduce pain in experimental and clinical settings. The present review delineates findings from recent studies demonstrating that mindfulness meditation significantly attenuates pain through multiple, unique mechanisms-an important consideration for the millions of chronic pain patients seeking narcotic-free, self-facilitated pain therapy. PMID:27398643

  13. Pain assessment in severe demented elderly based on facial expression

    OpenAIRE

    Leysens, Greet; Noben, Annelies; De Maesschalck, Lieven

    2010-01-01

    Introduction: Pain is an important and underestimated aspect at elderly with dementia, especially when their communication skills deteriorate. Moreover, the risk of under treatment increases with the progression of dementia, despite of the increasing pharmacological possibilities and interest in pain. Facial expression can be considered as a reflection of the real, authentic pain experience. Elderly with cognitive limitations are less socially inhibited to express pain nonverbally. Therefore ...

  14. Evidence-based practice for pain identification in cognitively impaired nursing home residents.

    Science.gov (United States)

    Sacoco, Christina; Ishikawa, Sally

    2014-09-01

    Pain identification of cognitively impaired elderly is very challenging. This project aimed to identify best practices for pain assessment in nursing home residents with cognitive impairment and to establish a standardized pain assessment guide to optimize nursing practice and resident outcomes. The Iowa Model of Evidence-Based Practice to Promote Quality of Care guided the project's process. Phase I of the project analyzed data gained from chart reviews on current practices of pain assessment, and Phase II used the results of Phase I to develop, implement, and evaluate an evidence-based practice standard for nursing assessment of pain for cognitively impaired residents. PMID:25155534

  15. Recurrent pain is associated with decreased selective attention in a population-based sample.

    Science.gov (United States)

    Gijsen, C P; Dijkstra, J B; van Boxtel, M P J

    2011-01-01

    Studies which have examined the impact of pain on cognitive functioning in the general population are scarce. In the present study we assessed the predictive value of recurrent pain on cognitive functioning in a population-based study (N=1400). Furthermore, we investigated the effect of pain on cognitive functioning in individuals with specific pain complaints (i.e. back pain, gastric pain, muscle pain and headache). Cognitive functioning was assessed using the Stroop Color-Word Interference test (Stroop interference), the Letter-Digit-Substitution test (LDST) and the Visual Verbal learning Task (VVLT). Pain was measured with the COOP/WONCA pain scale (Dartmouth Primary Care Cooperative Information Project/World Organization of National Colleges, Academies, and Academic Associations of General Practice /Family Physicians). We controlled for the effects of age, sex, level of education and depressive symptoms. It was demonstrated that pain had a negative impact on the performance on the Stroop interference but not on the VVLT and the LDST. This indicates that subjects who reported extreme pain had more problems with selective attention and were more easily distracted. Effects were in general larger in the specific pain groups when compared to the associations found in the total group. Implications of these findings are discussed. The experience of recurrent pain has a negative influence on selective attention in a healthy population.

  16. Online Monitoring System Design of Intelligent Circuit Breaker Based on DSP and ARM

    Directory of Open Access Journals (Sweden)

    Meng Song

    2014-08-01

    Full Text Available In order to accurately analyze the dynamic characteristics of the vacuum circuit breaker, a dual-core master-slave processor structure for online monitoring system based on DSP and ARM is proposed. This structure consists of host computer, lower computer and signal processing modules. The lower computer uses DSP as the core, which completes acquisition and data preprocessing of circuit breaker’s dynamic characteristics through sensors and signal conditioning circuits. The host computer uses ARM as the core which is responsible for task management, analysis, processing and displaying collected data via Ethernet. The communication between DSP and ARM is conducted by HPI. This design improves the reliability of intelligent control unit for the circuit breaker. The experiment showed that this system works steadily and accuracy.

  17. Cancer Pain: A Critical Review of Mechanism-based Classification and Physical Therapy Management in Palliative Care.

    Science.gov (United States)

    Kumar, Senthil P

    2011-05-01

    Mechanism-based classification and physical therapy management of pain is essential to effectively manage painful symptoms in patients attending palliative care. The objective of this review is to provide a detailed review of mechanism-based classification and physical therapy management of patients with cancer pain. Cancer pain can be classified based upon pain symptoms, pain mechanisms and pain syndromes. Classification based upon mechanisms not only addresses the underlying pathophysiology but also provides us with an understanding behind patient's symptoms and treatment responses. Existing evidence suggests that the five mechanisms - central sensitization, peripheral sensitization, sympathetically maintained pain, nociceptive and cognitive-affective - operate in patients with cancer pain. Summary of studies showing evidence for physical therapy treatment methods for cancer pain follows with suggested therapeutic implications. Effective palliative physical therapy care using a mechanism-based classification model should be tailored to suit each patient's findings, using a biopsychosocial model of pain. PMID:21976851

  18. Cancer pain: A critical review of mechanism-based classification and physical therapy management in palliative care

    Directory of Open Access Journals (Sweden)

    Senthil P Kumar

    2011-01-01

    Full Text Available Mechanism-based classification and physical therapy management of pain is essential to effectively manage painful symptoms in patients attending palliative care. The objective of this review is to provide a detailed review of mechanism-based classification and physical therapy management of patients with cancer pain. Cancer pain can be classified based upon pain symptoms, pain mechanisms and pain syndromes. Classification based upon mechanisms not only addresses the underlying pathophysiology but also provides us with an understanding behind patient′s symptoms and treatment responses. Existing evidence suggests that the five mechanisms - central sensitization, peripheral sensitization, sympathetically maintained pain, nociceptive and cognitive-affective - operate in patients with cancer pain. Summary of studies showing evidence for physical therapy treatment methods for cancer pain follows with suggested therapeutic implications. Effective palliative physical therapy care using a mechanism-based classification model should be tailored to suit each patient′s findings, using a biopsychosocial model of pain.

  19. Novel Three-Day, Community-Based, Nonpharmacological Group Intervention for Chronic Musculoskeletal Pain (COPERS): A Randomised Clinical Trial

    Science.gov (United States)

    Taylor, Stephanie J. C.; Carnes, Dawn; Homer, Kate; Kahan, Brennan C.; Hounsome, Natalia; Eldridge, Sandra; Spencer, Anne; Pincus, Tamar; Underwood, Martin

    2016-01-01

    Background Chronic musculoskeletal pain is the leading cause of disability worldwide. The effectiveness of pharmacological treatments for chronic pain is often limited, and there is growing concern about the adverse effects of these treatments, including opioid dependence. Nonpharmacological approaches to chronic pain may be an attractive alternative or adjunctive treatment. We describe the effectiveness of a novel, theoretically based group pain management support intervention for chronic musculoskeletal pain. Methods and Findings We conducted a multi-centre, pragmatic, randomised, controlled effectiveness and cost-effectiveness (cost–utility) trial across 27 general practices and community musculoskeletal services in the UK. We recruited 703 adults with musculoskeletal pain of at least 3 mo duration between August 1, 2011, and July 31, 2012, and randomised participants 1.33:1 to intervention (403) or control (300). Intervention participants were offered a participative group intervention (COPERS) delivered over three alternate days with a follow-up session at 2 wk. The intervention introduced cognitive behavioural approaches and was designed to promote self-efficacy to manage chronic pain. Controls received usual care and a relaxation CD. The primary outcome was pain-related disability at 12 mo (Chronic Pain Grade [CPG] disability subscale); secondary outcomes included the CPG disability subscale at 6 mo and the following measured at 6 and 12 mo: anxiety and depression (Hospital Anxiety and Depression Scale [HADS]), pain acceptance (Chronic Pain Acceptance Questionnaire), social integration (Health Education Impact Questionnaire social integration and support subscale), pain-related self-efficacy (Pain Self-Efficacy Questionnaire), pain intensity (CPG pain intensity subscale), the census global health question (2011 census for England and Wales), health utility (EQ-5D-3L), and health care resource use. Analyses followed the intention-to-treat principle

  20. The design of multi-channel pulse amplitude analyzer based on ARM micro controller

    International Nuclear Information System (INIS)

    It introduces the design of multi-channel pulse amplitude analyzer based on embedded ARM micro-controller. The embedded and real-time system μC/OS-II builds up the real-time and stability of the system and advances the integration. (authors)

  1. Analgesic and antihyperalgesic effects of melatonin in a human inflammatory pain model: a randomized, double-blind, placebo-controlled, three-arm crossover study.

    Science.gov (United States)

    Andersen, Lars P H; Gögenur, Ismail; Fenger, Andreas Q; Petersen, Marian C; Rosenberg, Jacob; Werner, Mads U

    2015-11-01

    Antinociceptive effects of melatonin have been documented in a wide range of experimental animal models. The aim of this study was to investigate the analgesic, antihyperalgesic, and anti-inflammatory properties of melatonin using a validated burn injury (BI) model in healthy male volunteers. The design was a randomized, double-blind, placebo-controlled, three-arm crossover study. Each volunteer participated in 3 identical study sessions with intravenous administration of placebo, melatonin 10 mg, or melatonin 100 mg. Sixty minutes after bolus injection of study medication, a BI was induced by a computerized contact thermode (47.0°C, 420 seconds, 5.0 × 2.5 cm). Pain ratings during the BI and quantitative sensory testing at baseline and at 1, 2, 4, and 6 hours after the BI were performed. Quantitative sensory testing included assessments of secondary hyperalgesia areas, mechanical and thermal thresholds in the BI area, and pressure algometry. Furthermore, markers of inflammation, skin-reflectance spectrophotometry, and high-resolution ultrasonography were applied to measure skin erythema and dermal thickness in the BI area. Pain during the BI and secondary hyperalgesia areas were defined as primary outcomes. Twenty-nine volunteers were randomized and completed the study. While the BI induced large secondary hyperalgesia areas and significantly increased the markers of inflammation, no significant effects of melatonin were observed with respect to primary or secondary outcomes, compared with placebo. The administration of melatonin was not associated with any adverse effects. Melatonin did not demonstrate any analgesic, antihyperalgesic, or anti-inflammatory properties in the BI model.

  2. Pain following stroke: a population-based follow-up study.

    Directory of Open Access Journals (Sweden)

    Henriette Klit

    Full Text Available BACKGROUND AND PURPOSE: Chronic pain is increasingly recognized as a consequence of stroke. This study aimed to describe the prevalence and pain types of new onset chronic pain ("novel pain" in patients with stroke compared with a randomly selected reference group from the general population and to identify factors associated with pain development in stroke patients. METHODS: In a population-based follow-up design, development of chronic pain after stroke was assessed by a questionnaire sent to consecutive stroke patients, registered in a Danish national stroke database, two years after their stroke. A randomly selected sex- and age-matched reference group from the same catchment area received a similar questionnaire about development of new types of chronic pain in the same time period. A total of 608 stroke patients and 519 reference subjects were included in the study. RESULTS: Development of novel pain was reported by 39.0% of stroke patients and 28.9% of reference subjects (OR 1.57, CI 1.21-2.04, and was associated with low age and depression in a multivariate model. Daily intake of pain medication for novel pain was reported by 15.3% and 9.4% of the stroke and reference population, respectively. Novel headache, shoulder pain, pain from increased muscle stiffness, and other types of novel pain were more common in stroke patients, whereas joint pain was equally common in the two groups. CONCLUSIONS: Development of chronic pain is more common in stroke patients compared with sex- and age-matched reference subjects. Evaluation of post-stroke pain should be part of stroke follow-up.

  3. Pain management for chronic musculoskeletal conditions: the development of an evidence-based and theory-informed pain self-management course

    OpenAIRE

    Carnes, D; Homer, K; Underwood, M; Pincus, T.; Rahman, A; Taylor, S J C

    2013-01-01

    Objective: To devise and test a self-management course for chronic pain patients based on evidence and underpinned by theory using the Medical Research Council (MRC) framework for developing complex interventions. Design: We used a mixed method approach. We conducted a systematic review of the effectiveness of components and characteristics of pain management courses. We then interviewed chronic pain patients who had attended pain and self-management courses. Behavioural change theories we...

  4. Dor e parestesias nos membros superiores e diagnóstico da síndrome do túnel do carpo Pain and numbness in the arms and hands and carpal tunnel syndrome diagnosis

    Directory of Open Access Journals (Sweden)

    Valéria Ribeiro Nogueira Barbosa

    2006-12-01

    Full Text Available Nós avaliamos a freqüência e localização de dor e parestesias em pacientes com síndrome do túnel do carpo (STC e em indivíduos da população geral, pareados por gênero e idade. Determinamos a sensibilidade e a especificidade desses sintomas para o diagnóstico de STC. Dor foi um sintoma comum nos dois grupos de pacientes. Parestesia ocorreu com mais freqüência em pacientes com STC (p75% quando são localizadas nas mãos.We studied the frequency and localization of pain and numbness in patients with carpal tunnel syndrome (CTS, in comparison with individuals of the general population, matched for sex and age, and we determined the sensitivity and the specificity of these symptoms for the CTS diagnosis. Pain was a common symptom in the two groups of patients. Numbness occurred more frequently in CTS group (p<0.05. In CTS patients, pain complaints were present in neck (42.8%, arms (36.8% and hands (82.8%. Among controls, pain was more common in head (11.4%, trunk (37.1%, legs (22.8%. In our casuistics, in relation to the CTS diagnosis, the presence of pain and numbness have low sensitivity and high specificity when they occur in the arms, and high sensitivity and specificity when they occur in the hands.

  5. Mechanism-based classification of pain for physical therapy management in palliative care: A clinical commentary

    Directory of Open Access Journals (Sweden)

    Senthil P Kumar

    2011-01-01

    Full Text Available Pain relief is a major goal for palliative care in India so much that most palliative care interventions necessarily begin first with pain relief. Physical therapists play an important role in palliative care and they are regarded as highly proficient members of a multidisciplinary healthcare team towards management of chronic pain. Pain necessarily involves three different levels of classification-based upon pain symptoms, pain mechanisms and pain syndromes. Mechanism-based treatments are most likely to succeed compared to symptomatic treatments or diagnosis-based treatments. The objective of this clinical commentary is to update the physical therapists working in palliative care, on the mechanism-based classification of pain and its interpretation, with available therapeutic evidence for providing optimal patient care using physical therapy. The paper describes the evolution of mechanism-based classification of pain, the five mechanisms (central sensitization, peripheral neuropathic, nociceptive, sympathetically maintained pain and cognitive-affective are explained with recent evidence for physical therapy treatments for each of the mechanisms.

  6. [A surgical navigation system based on C-arm fluoroscopy images].

    Science.gov (United States)

    Qian, Liwei; Yan, Shijun; Xia, Qing; Wang, Chengtao

    2009-10-01

    A surgical navigation system based on X-rays of C-arm with a calibration target has been studied and developed. Extracting images of markers in the two templates on the calibration target, the system is able to establish the relationship between different markers coordinates in different coordinate systems using the algorithm based on the layout of specific markers. The correction of X-ray image distortion and C-arm camera calibration are performed using the images of calibration target as bases. After the parameters of the C-arm projection model being determined, an X-ray image of surgical site will be acquired preoperatively; the surgical instruments will be tracked by the optical position system, and then virtual projections of instruments can be formed on preoperative images. Surgeons will perform operations with the guidance of the system. The C-arm can be used less frequently and the X-ray radiation can be reduced. Cadaveric spine specimen experiments and error analysis have underpinned the clinical feasibility of the system.

  7. Development of Feeling Better: A web-based pain management programme for children with chronic pain and their parents.

    Directory of Open Access Journals (Sweden)

    Angeline M Traynor

    2015-10-01

    Conclusions: It is feasible to create an evidence-based and theory driven online self-management intervention to support children with chronic pain and their parents. Service users can be involved in the design and conduct of research in a meaningful way. An exploratory trial to test the feasibility of acceptability of Feeling Better is underway.

  8. Case-based reasoning in postoperative pain treatment

    OpenAIRE

    Kianifar, Arash

    2011-01-01

    Even today, with modern medicine and technology, post-operative pain still exists as anmajor issue in modern treatment. A lot of research efforts have been made, in order toimprove pain outcome for patients that has undergone surgery[18][15].Even though physician's and doctors are well educated, the success rate is aboutapproximately 70 %, still there are patients that experience severe pain, after they haveundergone surgery. There could be several reasons to this, for example, lack of method...

  9. Mindfulness-based stress reduction for low back pain. A systematic review

    Directory of Open Access Journals (Sweden)

    Cramer Holger

    2012-09-01

    Full Text Available Abstract Background Mindfulness-based stress reduction (MBSR is frequently used for pain conditions. While systematic reviews on MBSR for chronic pain have been conducted, there are no reviews for specific pain conditions. Therefore a systematic review of the effectiveness of MBSR in low back pain was performed. Methods MEDLINE, the Cochrane Library, EMBASE, CAMBASE, and PsycInfo were screened through November 2011. The search strategy combined keywords for MBSR with keywords for low back pain. Randomized controlled trials (RCTs comparing MBSR to control conditions in patients with low back pain were included. Two authors independently assessed risk of bias using the Cochrane risk of bias tool. Clinical importance of group differences was assessed for the main outcome measures pain intensity and back-specific disability. Results Three RCTs with a total of 117 chronic low back pain patients were included. One RCT on failed back surgery syndrome reported significant and clinically important short-term improvements in pain intensity and disability for MBSR compared to no treatment. Two RCTs on older adults (age ≥ 65 years with chronic specific or non-specific low back pain reported no short-term or long-term improvements in pain or disability for MBSR compared to no treatment or health education. Two RCTs reported larger short-term improvements of pain acceptance for MBSR compared to no treatment. Conclusion This review found inconclusive evidence of effectiveness of MBSR in improving pain intensity or disability in chronic low back pain patients. However, there is limited evidence that MBSR can improve pain acceptance. Further RCTs with larger sample sizes, adequate control interventions, and longer follow-ups are needed before firm conclusions can be drawn.

  10. Empowering Patients with Persistent Pain Using an Internet-based Self-Management Program.

    Science.gov (United States)

    Wilson, Marian; Roll, John M; Corbett, Cynthia; Barbosa-Leiker, Celestina

    2015-08-01

    New strategies are needed to improve access to cognitive and behavioral therapies for patients with persistent pain. The purpose of this randomized, controlled trial was to determine the effectiveness of the Chronic Pain Management Program, an 8-week online intervention targeting cognitive, emotional, behavioral, and social pain determinants. Program efficacy and engagement was evaluated for 92 individuals with a diagnosis of chronic noncancer pain who had a current opioid prescription. Participants were recruited from primary care practices and Internet sites, then randomly assigned to receive access to the intervention either immediately (treatment group) or after an 8-week delay (wait-list comparison). Biweekly self-report measurements were collected using online surveys on pain, depressive symptoms, pain self-management behaviors, and health care utilization during the 8-week trial. Additional measurements of opioid misuse behaviors, pain self-efficacy, and medicine regimens were completed at baseline and week 8. Engagement was evaluated by examining completion of program learning modules. The results from analysis of variance showed that at week 8, the treatment group had significantly greater improvements on pain self-efficacy and opioid misuse measures than the wait-list comparison group. Engagement level was positively associated with improvements in pain intensity, pain interference, and pain self-efficacy. In conclusion, patients on opioids were able to engage and demonstrate positive outcomes using an Internet-based self-management program. Future efforts toward heightening engagement could further maximize impacts. PMID:26088940

  11. Pain-Based Behavior with Children and Adolescents in Conflict

    Science.gov (United States)

    Anglin, James P.

    2014-01-01

    Many actions of troubled children and adolescents can disguise and conceal their ever-present and deep-seated psycho-emotional pain. Adults living and working with these youth may overlook this pain in a strategy of avoidance. Labelling troubling behavior as "outbursts," "explosions," or "acting out," ignores the…

  12. Design of Objects Tracking System Based on ARM Embedded Platform

    Institute of Scientific and Technical Information of China (English)

    XU Mei; SONG Yong-duan; LV Shao-dong; LIU Zhi-long; HUANG Cong-ying

    2014-01-01

    In recent years, according to the need of intelligent video surveillance system increasing rapidly in metropolitan cities ,a design based on S3C2440 microprocessor and embedded Linux operating system is adopted for real-time video target tracking. However, it is very challenging as embedded systems usually afford limited processing power and limited resources. Therefore, to address this problem, a real-time tracking algorithm using multi-features based on compressive sensing is proposed and implemented. The algorithm uses multiple matrix as the projection matrix of the compressive sensing and the compressed date as the multiple features to extract useful information needed by tracking process. Functions and libraries in OpenCV which were developed by Intel Corporation are utilized for building the tracking algorithms. It is tested with variant video sequences and the results show that the algorithm achieves stable tracking for the target moved of the light changed.

  13. SpaceWire- Based Control System Architecture for the Lightweight Advanced Robotic Arm Demonstrator [LARAD

    Science.gov (United States)

    Rucinski, Marek; Coates, Adam; Montano, Giuseppe; Allouis, Elie; Jameux, David

    2015-09-01

    The Lightweight Advanced Robotic Arm Demonstrator (LARAD) is a state-of-the-art, two-meter long robotic arm for planetary surface exploration currently being developed by a UK consortium led by Airbus Defence and Space Ltd under contract to the UK Space Agency (CREST-2 programme). LARAD has a modular design, which allows for experimentation with different electronics and control software. The control system architecture includes the on-board computer, control software and firmware, and the communication infrastructure (e.g. data links, switches) connecting on-board computer(s), sensors, actuators and the end-effector. The purpose of the control system is to operate the arm according to pre-defined performance requirements, monitoring its behaviour in real-time and performing safing/recovery actions in case of faults. This paper reports on the results of a recent study about the feasibility of the development and integration of a novel control system architecture for LARAD fully based on the SpaceWire protocol. The current control system architecture is based on the combination of two communication protocols, Ethernet and CAN. The new SpaceWire-based control system will allow for improved monitoring and telecommanding performance thanks to higher communication data rate, allowing for the adoption of advanced control schemes, potentially based on multiple vision sensors, and for the handling of sophisticated end-effectors that require fine control, such as science payloads or robotic hands.

  14. Arm Orthosis/Prosthesis Movement Control Based on Surface EMG Signal Extraction.

    Science.gov (United States)

    Suberbiola, Aaron; Zulueta, Ekaitz; Lopez-Guede, Jose Manuel; Etxeberria-Agiriano, Ismael; Graña, Manuel

    2015-05-01

    This paper shows experimental results on electromyography (EMG)-based system control applied to motorized orthoses. Biceps and triceps EMG signals are captured through two biometrical sensors, which are then filtered and processed by an acquisition system. Finally an output/control signal is produced and sent to the actuators, which will then perform the actual movement, using algorithms based on autoregressive (AR) models and neural networks, among others. The research goal is to predict the desired movement of the lower arm through the analysis of EMG signals, so that the movement can be reproduced by an arm orthosis, powered by two linear actuators. In this experiment, best accuracy has achieved values up to 91%, using a fourth-order AR-model and 100ms block length.

  15. Vision based motion planning of humanoid robot arm for grasping task

    International Nuclear Information System (INIS)

    This paper presents the robust and efficient motion control approach for a redundant humanoid arm of BHR-02 (Beijing Humanoid Robot-02). This work is based on the numerical algorithm for computing the Inverse Kinematics of redundant arm and stereo based vision system to detect the pose and position of target object. Forward recursion formula with backward cycle computation method is used to reach in the vicinity of target object. Then BFS (Broyden Fletcher Shanno) method is then used to grasp object in real-time. Vision is a very important non contact sensor for humanoid robots. A method combining visual feed forward and visual feedback is proposed. Visual feed forward facilitates the reach in the vicinity of the object and reduces the manipulation time. Visual feedback increases the robustness by compensating the weak calibration errors. Effectiveness of the proposed strategy is proved through experiments. (author)

  16. Pain management in trauma patients in (pre)hospital based emergency care: Current practice versus new guideline

    NARCIS (Netherlands)

    A.C. Scholten (Annemieke); S.A.A. Berben (Sivera); A.H. Westmaas (Alvin H); P.M. van Grunsven (Pierre); E.T. de Vaal; P.P.M. Rood (Pleunie); N. Hoogerwerf (N.); C.J.M. Doggen (Carine); R. van Schoonhoven (Renee)

    2015-01-01

    textabstractIntroduction Acute pain in trauma patients in emergency care is still undertreated. Early pain treatment is assumed to effectively reduce pain in patients and improve long-term outcomes. In order to improve pain management in the chain of emergency care, a national evidence-based guideli

  17. Pain management in trauma patients in (pre)hospital based emergency care: current practice versus new guideline

    NARCIS (Netherlands)

    Scholten, A.C.; Berben, S.A.A.; Westmaas, A.H.; Grunsven, P.M.; Vaal, de E.T.; Rood, Pleunie P.M.; Hoogerwerf, N.; Doggen, C.J.M.; Schoonhoven, L.

    2015-01-01

    Introduction Acute pain in trauma patients in emergency care is still undertreated. Early pain treatment is assumed to effectively reduce pain in patients and improve long-term outcomes. In order to improve pain management in the chain of emergency care, a national evidence-based guideline was devel

  18. Pain management in trauma patients in (pre)hospital based emergency care: current practice versus new guideline

    NARCIS (Netherlands)

    Scholten, A.C.; Berben, S.A.A.; Westmaas, A.H.; Grunsven, P.M. van; Vaal, E.T. de; Hoogerwerf, N.; Doggen, C.J.; Schoonhoven, L.

    2015-01-01

    INTRODUCTION: Acute pain in trauma patients in emergency care is still undertreated. Early pain treatment is assumed to effectively reduce pain in patients and improve long-term outcomes. In order to improve pain management in the chain of emergency care, a national evidence-based guideline was deve

  19. Do silver-based wound dressings reduce pain? A prospective study and review of the literature.

    Science.gov (United States)

    Abboud, Elia Charbel; Legare, Timothy B; Settle, Judson C; Boubekri, Amir M; Barillo, Dave J; Marcet, Jorge E; Sanchez, Jaime E

    2014-12-01

    Silver-containing dressings are a mainstay in the management of burn injury and acute and chronic wounds. In addition to antimicrobial activity, there is anecdotal evidence that silver dressings may modulate or reduce wound pain. Pain is subjective and difficult to quantify, and most studies of silver-containing dressings evaluate pain as a secondary rather than a primary outcome. Nevertheless, a dressing with a proven ability to reduce pain independent of systemic analgesics would have great utility. In this study, we compared patient-reported pain levels in patients previously randomized to receiving silver-nylon dressings vs. conventional gauze dressings in a study of surgical site infection. Compared to gauze dressings, patients in the silver dressing group reported less pain between postoperative days 0 and 9 (peffect of silver on pain. Silver-based dressings may reduce wound pain by providing an occlusive barrier or by other as-yet undefined mechanisms. The role of silver in pain relief, however, cannot be definitively stated until well-designed prospective randomized studies evaluating pain as a primary endpoint are carried out. PMID:25418437

  20. First experience with particle-in-cell plasma physics code on ARM-based HPC systems

    Science.gov (United States)

    Sáez, Xavier; Soba, Alejandro; Sánchez, Edilberto; Mantsinen, Mervi; Mateo, Sergi; Cela, José M.; Castejón, Francisco

    2015-09-01

    In this work, we will explore the feasibility of porting a Particle-in-cell code (EUTERPE) to an ARM multi-core platform from the Mont-Blanc project. The used prototype is based on a system-on-chip Samsung Exynos 5 with an integrated GPU. It is the first prototype that could be used for High-Performance Computing (HPC), since it supports double precision and parallel programming languages.

  1. The Redundant Arm Self-motion Control Based on Self-tuning Fuzzy PID Controller

    Institute of Scientific and Technical Information of China (English)

    Liu Yu(刘宇); Sun Lining; Du Zhijiang

    2004-01-01

    A fuzzy control algorithm based on self-tuning PID proportional factor is presented. To a certain degree, it overcomes robot motion control's nonlinearity and uncertainty caused by joints coupled and friction, and decreases overshoot of end manipulator's tracking desired curves. The controller's structure is very simple but effective. With this control method, a 7-DOF redundant arm's self-motion developed by the authors is investigated. Research results show that the said controller restrains track overshoot and possesses preferable merits.

  2. Performance benefits of telerobotics and teleoperation - enhancements for an arm-based tank waste retrieval system

    International Nuclear Information System (INIS)

    This report evaluates telerobotic and teleoperational arm-based retrieval systems that require advanced robotic controls. These systems will be deployed in waste retrieval activities in Hanford's Single Shell Tanks (SSTs). The report assumes that arm-based, retrieval systems will combine a teleoperational arm and control system enhanced by a number of advanced and telerobotic controls. The report describes many possible enhancements, spanning the full range of the control spectrum with the potential for technical maturation. The enhancements considered present a variety of choices and factors including: the enhancements to be included in the actual control system, safety, detailed task analyses, human factors, cost-benefit ratios, and availability and maturity of technology. Because the actual system will be designed by an offsite vendor, the procurement specifications must have the flexibility to allow bidders to propose a broad range of ideas, yet build in enough restrictions to filter out infeasible and undesirable approaches. At the same time they must allow selection of a technically promising proposal. Based on a preliminary analysis of the waste retrieval task, and considering factors such as operator limitations and the current state of robotics technology, the authors recommend a set of enhancements that will (1) allow the system to complete its waste retrieval mission, and (2) enable future upgrades in response to changing mission needs and technological advances

  3. Performance benefits of telerobotics and teleoperation - enhancements for an arm-based tank waste retrieval system

    Energy Technology Data Exchange (ETDEWEB)

    Horschel, D.S. [Sandia National Labs., Albuquerque, NM (United States); Gibbons, P.W. [Westinghouse Hanford Co., Richland, WA (United States); Draper, J.V. [Oak Ridge National Lab., TN (United States)] [and others

    1995-06-01

    This report evaluates telerobotic and teleoperational arm-based retrieval systems that require advanced robotic controls. These systems will be deployed in waste retrieval activities in Hanford`s Single Shell Tanks (SSTs). The report assumes that arm-based, retrieval systems will combine a teleoperational arm and control system enhanced by a number of advanced and telerobotic controls. The report describes many possible enhancements, spanning the full range of the control spectrum with the potential for technical maturation. The enhancements considered present a variety of choices and factors including: the enhancements to be included in the actual control system, safety, detailed task analyses, human factors, cost-benefit ratios, and availability and maturity of technology. Because the actual system will be designed by an offsite vendor, the procurement specifications must have the flexibility to allow bidders to propose a broad range of ideas, yet build in enough restrictions to filter out infeasible and undesirable approaches. At the same time they must allow selection of a technically promising proposal. Based on a preliminary analysis of the waste retrieval task, and considering factors such as operator limitations and the current state of robotics technology, the authors recommend a set of enhancements that will (1) allow the system to complete its waste retrieval mission, and (2) enable future upgrades in response to changing mission needs and technological advances.

  4. Wireless Video Surveillance System Based on ARM11%基于ARM11的无线视频监控系统

    Institute of Scientific and Technical Information of China (English)

    王刚; 毛剑飞; 田青; 毛飞飞

    2011-01-01

    This paper designs a wireless video surveillance system based on ARM 11 and Linux operating system. To improve processing speed, the system adopts ARM 11 as the main processor, and the video capturing equipment is OV9650 camera, also uses hard-coding to compress the video data with H.264. Then it can transfer encoded data to remote server and display that. It realizes a wireless video surveillance platform, which has stable running, quick speed, lower expenditure and small volume. It has great practical value.%设计了一种基于ARM11+Linux系统组成的无线视频监控系统.为提高运算速度,系统采用ARM11微处理器S3C6410作为主处理器,采用OV9650摄像头作为图像采集设备,用硬编码方式对图像数据进行H264编码.接着通过WI-FI无线网络和RTP流媒体传输协议把已编码的数据传送到远端的服务器上显示.实现了运行稳定、速度快、成本低、体积小的无线视频监控平台,具有很大的实用价值.

  5. Evidence-based pharmacological management of chronic neuropathic pain

    Directory of Open Access Journals (Sweden)

    Zarrin Ansari

    2013-06-01

    Full Text Available Neuropathic pain (NP is a chronic, debilitating symptomatology of lesions/injuries of the central and peripheral nervous system. As per pooled estimates, the prevalence is 7-8% in the general population; however, the prevalence varies with different neuropathic conditions. The aetiology can range from peripheral neuropathic conditions viz. peripheral diabetic neuropathic pain (PDNP, post-herpetic neuralgia (PHN, trigeminal neuralgia, HIV- associated polyneuropathy, cervical radiculopathy to central neuropathic conditions, viz. central post-stroke pain, spinal cord injury and the neuropathic pain associated with multiple sclerosis. Apart from the symptomatic perception of pain, neuropathic pain affects the cognitive and emotional aspects of the affected individual. The pain, being debilitating and resistant to over-the-counter analgesics, diminishes the quality of life, disrupts sleep and leads to psychiatric complications such as comorbid anxiety and depression. The management is palliative and involves drugs, psychological intervention, stimulations and nerve-blocking techniques. This review concentrates on the pharmacological therapeutic options available and focuses on the selection of the agent/s in accordance with the evidence. The first-line treatment includes the tricyclic antidepressants ([TCAs]; amitriptyline, nortriptyline, selective serotonin norepinephrine inhibitors ([SNRIs]; duloxetine, venlafaxine, calcium channel alpha 2 - delta ligands (pregabalin, gabapentin, carbamazepine and oxcarbazepine. Lidocaine plasters are first-line options for specific focal conditions such as post-herpetic neuralgia. The second-line therapy includes the opioid analgesics and tramadol. The choice of drug selection should complement the patient’s age, type of neuropathic condition, tolerability to an agent, comorbid condition and cost-effectiveness. Management must be individualized with a realistic and composite goal of making the pain tolerable and

  6. Analysis of Low Back Pain and Health Education of Chinese People's Armed Police Forces%武警官兵下腰痛的调查分析及健康教育

    Institute of Scientific and Technical Information of China (English)

    纪慧茹; 刘春梅; 徐继培; 张倩

    2011-01-01

    目的:探讨武警官兵的下腰痛的特点及影响因素,制定预防措施及健康教育对策,为武警部队提供科学训练的依据.方法:对2007年6月至2010年6月我科门诊诊治的1806例武警部队下腰痛患者进行调查分析,了解引起下腰痛的主病因、下腰痛类型与兵种的关系、下腰痛复发的影响因素、下腰痛与兵龄长短的关系.结果:引起下腰痛的主原因为急性腰扭伤及腰肌劳损,勤务兵主是急性腰痛为主(P<0.001),而运输兵、通讯兵和公务员主是慢性腰痛(P<0.001),特种兵则急性腰痛与慢性腰痛基本接近(p=0.0897),运输兵和特种兵容易出现腰肌劳损的复发,腰肌劳损及韧带炎的复发多与不正规治疗有关,兵龄短的官兵的下腰痛主为急性腰痛,而兵龄超过3年的官兵的下腰痛主为慢性腰痛,随着兵龄的增加,慢性腰痛的发病率增加.结论:科学训练是减少武警官兵下腰痛的关键,尤其是慢性下腰痛的发生,出现下腰痛后,及时、正规的诊治是防治和避免其复发的关键.%Objective: To investigate the characteristics and affecting factors of low back pain of the Chinese people's armed police officers, it is to develop the preventive measures and strategies of health education, which is provide a scientific basis for training. Methods: Our out-patient treatment of 1806 cases of armed police was investigated from June 2007 to June 2010. Then we analysis the major cause of low back pain, relationship between type of low back pain and branches of the military, the factors of recurrence of low back pain and relationship of the length of military age. Results: The main reason for low back pain was lumbar sprain and strain of lumbar muscles. Orderlies officer was mainly acute low back pain (P< 0. 001); transport troops, communications troops and civil servants was mainly chronic low back pain (P<0. 001), and acute low back pain and chronic low back pain of special force was

  7. Developing an ARM based GNU/Linux Operating System for Single Board Computer – Cubietruck

    Directory of Open Access Journals (Sweden)

    S.Pravin Kumar

    2014-12-01

    Full Text Available The design and implementation of a Monolithic-Kernel Single Board Computer (SBC - Cubietruck GNU/Linux-like operating system on ARM platform in technical details, including boot loader design - UBOOT, building the Kernel - uImage, design of root file system and init process. The Single Board Computer Operating System (SBC OS is developed on Linux platform with GNU tool chain. The SBC OS can be used for both SBC system application development and related curriculum teaching. Single Board Computer like embedded system related curriculums are already become necessary components for undergraduate computer majors. The system is mainly designed for the purpose of technical research and curriculum based teaching and students to learn, study and more readable, of which the source codes can be provided to students, guiding them to design tiny operating system on ARM platform from scratch.

  8. Petri net-based scheduling of time constrained single-arm cluster tools with wafer revisiting

    Directory of Open Access Journals (Sweden)

    ZiCheng Liu

    2016-05-01

    Full Text Available It is very difficult to schedule a single-arm cluster tool with wafer revisiting such that wafer residency time constraints are satisfied. This article conducts a study on this challenging problem for a single-arm cluster tool with atomic layer deposition process. With a so-called p-backward strategy being applied, a Petri net model is developed to describe the dynamic behavior of the system. Based on the model, the existence of a feasible schedule is analyzed, schedulability conditions are derived, and scheduling algorithms are presented if there is a schedule. A schedule is obtained by simply setting the robot waiting time if schedulable, and it is very computationally efficient. The obtained schedule is shown to be optimal. Illustrative examples are given to demonstrate the proposed approach.

  9. An evidence-based algorithm for the treatment of neuropathic pain

    DEFF Research Database (Denmark)

    Finnerup, Nanna B; Otto, Marit; Jensen, Troels S;

    2007-01-01

    OBJECTIVE: The purpose of this article is to discuss an evidence-based algorithm that can be implemented by the primary care physician in his/her daily clinical practice for the treatment of patients with neuropathic pain conditions. METHOD: A treatment algorithm for neuropathic pain was formulat...

  10. Effect of Video-Based versus Personalized Instruction on Errors during Elastic Tubing Exercises for Musculoskeletal Pain

    DEFF Research Database (Denmark)

    Andersen, Kenneth Jay; Schraefel, M. C.; Brandt, M.;

    2014-01-01

    Workplace interventions have shown beneficial results of resistance training for chronic pain in the neck, shoulder, and arm. However, studies have relied on experienced exercise instructors, which may not be an available resource at most workplaces. The objective of this study is to evaluate the...

  11. Portable voice-service group call system based on ARM-Linux%基于ARM-Linux的便携式语音群呼系统

    Institute of Scientific and Technical Information of China (English)

    钱莹晶; 张仁民

    2014-01-01

    In order to improve office efficiency and realize the intelligent life, the portable voice-service group call system based on the ARM-Linux is designed. This system is composed of ARM processor (S3C2440), GSM module (TC35i) and voice module (UDA1341). The recorded speech is played through the GSM module controlled by AT instruction coming from ARM. Test results show that this system can record speech, set up call numbers, dial playback and display the unsuccessful numbers automatically. The system has the advantages of friendly interface, simple operation and low cost.%为了提高办公的效率和实现人民生活的智能化,研制了一种基于 ARM-Linux 的便携式语音业务群呼系统。系统以 S3C2440为处理器、TC35i 为GSM 模块、UDA1341为语音芯片, ARM 处理器通过 AT 指令控制 GSM 模块将录制好的语音业务进行群呼。测试结果表明,该系统具有录入话音、设置呼叫号码、自动拨号放音和统计未呼叫成功号码等功能,系统操作简单、界面友好、成本低廉。

  12. Trajectory control of an articulated robot with a parallel drive arm based on splines under tension

    Science.gov (United States)

    Yi, Seung-Jong

    Today's industrial robots controlled by mini/micro computers are basically simple positioning devices. The positioning accuracy depends on the mathematical description of the robot configuration to place the end-effector at the desired position and orientation within the workspace and on following the specified path which requires the trajectory planner. In addition, the consideration of joint velocity, acceleration, and jerk trajectories are essential for trajectory planning of industrial robots to obtain smooth operation. The newly designed 6 DOF articulated robot with a parallel drive arm mechanism which permits the joint actuators to be placed in the same horizontal line to reduce the arm inertia and to increase load capacity and stiffness is selected. First, the forward kinematic and inverse kinematic problems are examined. The forward kinematic equations are successfully derived based on Denavit-Hartenberg notation with independent joint angle constraints. The inverse kinematic problems are solved using the arm-wrist partitioned approach with independent joint angle constraints. Three types of curve fitting methods used in trajectory planning, i.e., certain degree polynomial functions, cubic spline functions, and cubic spline functions under tension, are compared to select the best possible method to satisfy both smooth joint trajectories and positioning accuracy for a robot trajectory planner. Cubic spline functions under tension is the method selected for the new trajectory planner. This method is implemented for a 6 DOF articulated robot with a parallel drive arm mechanism to improve the smoothness of the joint trajectories and the positioning accuracy of the manipulator. Also, this approach is compared with existing trajectory planners, 4-3-4 polynomials and cubic spline functions, via circular arc motion simulations. The new trajectory planner using cubic spline functions under tension is implemented into the microprocessor based robot controller and

  13. Self-Administered, Home-Based SMART (Sensorimotor Active Rehabilitation Training) Arm Training: A Single-Case Report.

    Science.gov (United States)

    Hayward, Kathryn S; Neibling, Bridee A; Barker, Ruth N

    2015-01-01

    This single-case, mixed-method study explored the feasibility of self-administered, home-based SMART (sensorimotor active rehabilitation training) Arm training for a 57-yr-old man with severe upper-limb disability after a right frontoparietal hemorrhagic stroke 9 mo earlier. Over 4 wk of self-administered, home-based SMART Arm training, the participant completed 2,100 repetitions unassisted. His wife provided support for equipment set-up and training progressions. Clinically meaningful improvements in arm impairment (strength), activity (arm and hand tasks), and participation (use of arm in everyday tasks) occurred after training (at 4 wk) and at follow-up (at 16 wk). Areas for refinement of SMART Arm training derived from thematic analysis of the participant's and researchers' journals focused on enabling independence, ensuring home and user friendliness, maintaining the motivation to persevere, progressing toward everyday tasks, and integrating practice into daily routine. These findings suggest that further investigation of self-administered, home-based SMART Arm training is warranted for people with stroke who have severe upper-limb disability.

  14. Generic Preference-based Measures for Low Back Pain

    Science.gov (United States)

    Finch, Aureliano Paolo; Dritsaki, Melina; Jommi, Claudio

    2016-01-01

    Study Design. Systematic review. Objective. This systematic review examines validity and responsiveness of three generic preference-based measures in patients with low back pain (LBP). Summary of Background Data. LBP is a very common incapacitating disease with a significant impact on health-related quality of life (HRQoL). Health state utility values can be derived from various preference-based HRQoL instruments, and among them the most widely ones are EuroQol 5 dimensions (EQ-5D), Short Form 6 Dimensions (SF-6D), and Health Utilities Index 3 (HUI III). The ability of these instruments to reflect HRQoL has been tested in various contexts, but never for LBP populations. Methods. A systematic search on electronic literature databases was undertaken to identify studies of patients with LBP where health state utility values were reported. Records were screened using a set of predefined eligibility criteria. Data on validity (correlations and known group methods) and responsiveness (effect sizes, standardized response means, tests of statistical significance) of instruments were extracted using a customized extraction template, and assessed using predefined criteria. Results. There were substantial variations in the 37 included papers identified in relation to study design and outcome measures used. EQ-5D demonstrated good convergent validity, as it was able to distinguish between known groups. EQ-5D was also able to capture changes of health states as results of different interventions. Evidence for SF-6D and HUI III was limited to allow an appropriate evaluation. Conclusion. EQ-5D performs well in LBP population and its scores seem to be suitable for economic evaluation of LBP interventions. However, the paucity of information on the other instruments makes it impossible to determine its relative validity and responsiveness compared with them. Level of Evidence: 2 PMID:26583478

  15. Self-reported pain severity, quality of life, disability, anxiety and depression in patients classified with 'nociceptive', 'peripheral neuropathic' and 'central sensitisation' pain. The discriminant validity of mechanisms-based classifications of low back (±leg) pain.

    LENUS (Irish Health Repository)

    Smart, Keith M

    2012-04-01

    Evidence of validity is required to support the use of mechanisms-based classifications of pain clinically. The purpose of this study was to evaluate the discriminant validity of \\'nociceptive\\' (NP), \\'peripheral neuropathic\\' (PNP) and \\'central sensitisation\\' (CSP) as mechanisms-based classifications of pain in patients with low back (±leg) pain by evaluating the extent to which patients classified in this way differ from one another according to health measures associated with various dimensions of pain. This study employed a cross-sectional, between-subjects design. Four hundred and sixty-four patients with low back (±leg) pain were assessed using a standardised assessment protocol. Clinicians classified each patient\\'s pain using a mechanisms-based classification approach. Patients completed a number of self-report measures associated with pain severity, health-related quality of life, functional disability, anxiety and depression. Discriminant validity was evaluated using a multivariate analysis of variance. There was a statistically significant difference between pain classifications on the combined self-report measures, (p = .001; Pillai\\'s Trace = .33; partial eta squared = .16). Patients classified with CSP (n = 106) reported significantly more severe pain, poorer general health-related quality of life, and greater levels of back pain-related disability, depression and anxiety compared to those classified with PNP (n = 102) and NP (n = 256). A similar pattern was found in patients with PNP compared to NP. Mechanisms-based pain classifications may reflect meaningful differences in attributes underlying the multidimensionality of pain. Further studies are required to evaluate the construct and criterion validity of mechanisms-based classifications of musculoskeletal pain.

  16. Multimodal System Based on Electrooculography and Voice Recognition to Control a Robot Arm

    Directory of Open Access Journals (Sweden)

    José A. Martínez

    2013-07-01

    Full Text Available People with severe motor disorders cannot use their arms and/or hands to interact with the environment. In such cases, a human‐machine interface can be used to allow these people to perform activities of daily life. Voice recognition would be the best method to control a device devoted to help with these tasks, but this method is very dependent on the background noise and, under certain circumstances, it cannot be used successfully. In this sense, other methods must be included in the system to assist the voice recognition module. In this project, electrooculography (EOG has been selected due to its stability and robustness. This way, a multimodal system based on EOG and voice recognition has been developed to control a robotic arm. This paper presents the procedures designed to combine both methods to create a multimodal interface useful for disabled people. Tests presented in this document compare the skills of five different users while controlling the robotic arm to perform pick‐and‐place tasks. Task duration and accuracy have been measured to obtain specific scores that are used to evaluate both interaction methods independently and the multimodal combination of them. The system works successfully using both methods (EOG and voice recognition. In addition, the multimodal interface improves robustness and reduces the uncertainty generated by the environment when there is background noise.

  17. [Wearable Medical Devices' MCU Selection Analysis Based on the ARM Cortex-MO+ Architecture].

    Science.gov (United States)

    Wu, Zaoquan; Liu, Mengxing; Qin, Liping; Ye, Shuming; Chen, Hang

    2015-03-01

    According to the characteristics of low cost, high performance, high integration and long battery life of wearable medical devices, the mainstream low-power microcontroller(MCU) series were compared, and came to the conclusion that the MCU series based on ARM Cortex-M0+ architecture were suitable for the development of wearable medical devices. In aspects of power consumption, operational performance, integrated peripherals and cost, the MCU series based on Cortex-M0+ architecture of primary semiconductor companies were compared, aimed at providing the guides of MCU selection for wearable medical devices.

  18. Pain Assessment

    Science.gov (United States)

    Introduction Types of Pain Pain Assessment Pain Treatments Integrative Pain Therapy Pain Management Recommendations References September 04, 2016 Pain Assessment Effective pain management begins with a comprehensive ...

  19. Acute low back pain is marked by variability: An internet-based pilot study

    Science.gov (United States)

    2011-01-01

    Background Pain variability in acute LBP has received limited study. The objectives of this pilot study were to characterize fluctuations in pain during acute LBP, to determine whether self-reported 'flares' of pain represent discrete periods of increased pain intensity, and to examine whether the frequency of flares was associated with back-related disability outcomes. Methods We conducted a cohort study of acute LBP patients utilizing frequent serial assessments and Internet-based data collection. Adults with acute LBP (lasting ≤3 months) completed questionnaires at the time of seeking care, and at both 3-day and 1-week intervals, for 6 weeks. Back pain was measured using a numerical pain rating scale (NPRS), and disability was measured using the Oswestry Disability Index (ODI). A pain flare was defined as 'a period of increased pain lasting at least 2 hours, when your pain intensity is distinctly worse than it has been recently'. We used mixed-effects linear regression to model longitudinal changes in pain intensity, and multivariate linear regression to model associations between flare frequency and disability outcomes. Results 42 of 47 participants (89%) reported pain flares, and the average number of discrete flare periods per patient was 3.5 over 6 weeks of follow-up. More than half of flares were less than 4 hours in duration, and about 75% of flares were less than one day in duration. A model with a quadratic trend for time best characterized improvements in pain. Pain decreased rapidly during the first 14 days after seeking care, and leveled off after about 28 days. Patients who reported a pain flare experienced an almost 3-point greater current NPRS than those not reporting a flare (mean difference [SD] 2.70 [0.11]; p < 0.0001). Higher flare frequency was independently associated with a higher final ODI score (ß [SE} 0.28 (0.08); p = 0.002). Conclusions Acute LBP is characterized by variability. Patients with acute LBP report multiple distinct flares

  20. Acute low back pain is marked by variability: An internet-based pilot study

    Directory of Open Access Journals (Sweden)

    Katz Jeffrey N

    2011-10-01

    Full Text Available Abstract Background Pain variability in acute LBP has received limited study. The objectives of this pilot study were to characterize fluctuations in pain during acute LBP, to determine whether self-reported 'flares' of pain represent discrete periods of increased pain intensity, and to examine whether the frequency of flares was associated with back-related disability outcomes. Methods We conducted a cohort study of acute LBP patients utilizing frequent serial assessments and Internet-based data collection. Adults with acute LBP (lasting ≤3 months completed questionnaires at the time of seeking care, and at both 3-day and 1-week intervals, for 6 weeks. Back pain was measured using a numerical pain rating scale (NPRS, and disability was measured using the Oswestry Disability Index (ODI. A pain flare was defined as 'a period of increased pain lasting at least 2 hours, when your pain intensity is distinctly worse than it has been recently'. We used mixed-effects linear regression to model longitudinal changes in pain intensity, and multivariate linear regression to model associations between flare frequency and disability outcomes. Results 42 of 47 participants (89% reported pain flares, and the average number of discrete flare periods per patient was 3.5 over 6 weeks of follow-up. More than half of flares were less than 4 hours in duration, and about 75% of flares were less than one day in duration. A model with a quadratic trend for time best characterized improvements in pain. Pain decreased rapidly during the first 14 days after seeking care, and leveled off after about 28 days. Patients who reported a pain flare experienced an almost 3-point greater current NPRS than those not reporting a flare (mean difference [SD] 2.70 [0.11]; p ß [SE} 0.28 (0.08; p = 0.002. Conclusions Acute LBP is characterized by variability. Patients with acute LBP report multiple distinct flares of pain, which correspond to discrete increases in pain intensity. A

  1. Computational functional genomics based analysis of pain-relevant micro-RNAs.

    Science.gov (United States)

    Lötsch, Jörn; Niederberger, Ellen; Ultsch, Alfred

    2015-11-01

    Micro-ribonucleic acids (miRNAs) play a role in pain, based on studies on models of neuropathic or inflammatory pain and clinical evidence. The present analysis made extensive use of computational biology, knowledge discovery methods, publicly available databases and data mining tools to merge results from genetic and miRNA research into an analysis of the systems biological roles of miRNAs in pain. We identified that about one-third of miRNAs detected through nociceptive research have been associated with a mere 18 regulated genes. Substituting the missing genetic information by computational data mining and based on comprehensive current empirical evidence of gene versus miRNA interactions, we have identified a total of 130 pain genes as being probably regulated by a total of 167 different miRNAs. Particularly pain-relevant roles of miRNAs include the control of gene expression at any level and regulation of interleukin-6-related pain entities. Among the miRNAs regulating pain genes are seven that are brain specific, hinting at their therapeutic utility for modulating central nervous mechanisms of pain. PMID:26385553

  2. Mach-Zehnder Interferometers with Asymmetric Modulation Arms in Applications of High Speed Silicon-on-Insulator Based Optical Switches

    Institute of Scientific and Technical Information of China (English)

    SUN Fei; YU Jin-Zhong

    2006-01-01

    @@ Modulation arms with different widths are introduced to Mach-Zehnder interferometers (MZIs) to obtain improved performance. Theoretical analysis and numerical simulation have shown that when the widths of the two arms are properly designed to achieve an inherent mπ/2 (m is an odd integer) optical phase difference between the arms, the asymmetric MZI presents higher modulation speed. Furthermore, the carrier-absorption induced divergence of insertion losses in silicon-on-insulator (SOI) based MZI optical switches can be obviously improved.

  3. Widespread pain in chronic epicondylitis.

    Science.gov (United States)

    Pienimäki, Tuomo; Siira, Pertti; Vanharanta, Heikki

    2011-10-01

    We studied the associations of widespread pain with other pain and functional measures among patients with chronic epicondylitis. A total of 190 patients (66% females) participated in the study; with a mean age 43.7, mean duration of symptoms 48weeks, chronic lateral (n=160) and medial (n=30) epicondylitis. We analysed clinical status, grip strength and cubital pain thresholds and interviewed pain and disability, leisure time physical activity, strenuous hobby activities for arms, duration of symptoms, other systemic and upper extremity disorders, arm operations, and work ability. The location of pain was analysed using a whole-body pain drawing, categorized into three groups; the highest of which was classified as widespread pain. A total of 85 patients (45%) reported widespread pain. It was highly associated with female gender, high pain scores, decreased grip strength and pain thresholds (p<0.001 for all), with increased number of positive manual tests, low level of hobby strain for arms and physical activity, long duration of symptoms, and sick leave (p for all <0.05). It was also related to upper extremity disorders and arm surgery, but not with operated epicondylitis, other systemic diseases, workload or work ability. In addition, 39% of patients without other disease reported widespread pain. Widespread pain is common in chronic epicondylitis with and without other diseases, and is related to high pain scores, decreased function of the arm, long duration of symptoms, sick leave, and with a low level of physical activity. PMID:21565536

  4. Pain in Intellectually Disabled Children: Towards Evidence-Based Pharmacotherapy?

    NARCIS (Netherlands)

    A.J. Valkenburg (Abraham); T.G. de Leeuw (Tom); M. van Dijk (Monique); D. Tibboel (Dick)

    2015-01-01

    textabstractThis critical opinion article deals with the challenges of finding the most effective pharmacotherapeutic options for the management of pain in intellectually disabled children and provides recommendations for clinical practice and research. Intellectual disability can be caused by a wid

  5. Evidence based guidelines for complex regional pain syndrome type 1

    NARCIS (Netherlands)

    Perez, Roberto S.; Zollinger, Paul E.; Dijkstra, Pieter U.; Thomassen-Hilgersom, Ilona L.; Zuurmond, Wouter W.; Rosenbrand, Kitty C. J.; Geertzen, Jan H.

    2010-01-01

    Background: Treatment of complex regional pain syndrome type I (CRPS-I) is subject to discussion. The purpose of this study was to develop multidisciplinary guidelines for treatment of CRPS-I. Method: A multidisciplinary task force graded literature evaluating treatment effects for CRPS-I according

  6. Mindfulness-based psychological intervention for coping with pain in endometriosis

    DEFF Research Database (Denmark)

    Jensen, Mette Kold; Hansen, Tia G. B.; Vedsted-Hansen, Hanne;

    2012-01-01

    Endometriosis is an important cause of pain and fatigue in fertile women. The disease is often overlooked in general medical practice, and significant delay from onset of symptoms to diagnosis and treatment is common. Severe cases cause chronic pain and reduce work ability and quality of life even...... after optimal medical treatment. We suggest a psychological intervention based on mindfulness techniques for dealing with pain, and report results from a pilot study with 10 endometriosis patients with chronic pain problems. Participants’ level of distress was measured with self-report questionnaires...... of general health status (SF-36) and endometriosis health profile (EHP-30) pre- and post-intervention and at six- and 12-month follow-ups. Results indicate significant and lasting effects on participants’ pain level, well-being, and ability to function in daily life. Although conclusions remain preliminary...

  7. Heritability of neck pain: a population-based study of 33,794 Danish twins

    DEFF Research Database (Denmark)

    Fejer, R; Hartvigsen, J; Kyvik, K O

    2006-01-01

    OBJECTIVES: To determine the heritability of neck pain in a large population-based study of twins. METHODS: Data on lifetime prevalence of neck pain from a population-based cross-sectional survey of Danish twins were used. To assess twin similarity, the probandwise concordance rates, zygosity...... gradually less important with increasing age, and environmental factors dominate almost completely in the older age groups....

  8. Small-Sized Variable Stiffness Actuator Module Based on Adjustable Moment Arm

    Energy Technology Data Exchange (ETDEWEB)

    Yu, Hongseon; Song, Jaebok [Korea Univ., Seoul (Korea, Republic of)

    2013-10-15

    In recent years, variable stiffness actuation has attracted much attention because interaction between a robot and the environment is increasingly required for various robot tasks. Several variable stiffness actuators (VSO) have been developed; however, they find limited applications owing to their size and weight. For realizing their widespread use, we developed a compact and lightweight mini-VSO. The mini-VSO consists of a control module based on an adjustable moment arm mechanism and a drive module with two motors. By controlling the relative motion of cams in the control module, the position and stiffness can be simultaneously controlled. Experimental results are presented to show its ability to change stiffness.

  9. 基于ARM7的RFID读写器硬件系统设计%Design of RFID Read-Write Hardware System Based on ARM7

    Institute of Scientific and Technical Information of China (English)

    仲芳强; 张亚君

    2011-01-01

    介绍一种通用的基于ARM7的13.56MHZ RFID读写器硬件系统设计过程.该系统通过LPC2364(ARM7)对MFRC500射频识别芯片进行驱动和控制,利用DM161A芯片与PC机进行网络通信和传输实时数据.经实践证明该系统可以读写Mifare One等射频卡,在实际情况中底层的软件和硬件不需要修改,无需了解底层的细节,方便与上位机的连接与通信,有利于进行二次开发,具有一定的通用性.该方案具有广阔的应用前景.%Introduced a universal 13.56MHz RFID reader hardware system based on ARM7 designing procession.The system uses LPC2364(ARM7)to drive and control the MFRC500 RFID IC chip and the DM9161A IC chip to communicate with the PC by the network and transfer real time data. The result of experiment shows that the system can read-write the Mifare One RFID card, facilitates the connection between PC and communications. No need to modify the firmware and hardware and just change the PC software development is conducive to the second development and has a certain universal. This design scheme has wide application future.

  10. Design of microphone control system based on ARM11%基于ARM11的麦克风控制系统研究

    Institute of Scientific and Technical Information of China (English)

    荣少巍

    2011-01-01

    介绍了一种基于ARM11的麦克风控制系统的硬件、操作系统驱动部分的设计与实现.采用继电器对外部进行控制,并使用片上AD采集语音信号.系统的处理器运用了高性能低功耗S3C6410A ARM11芯片作为主处理器,操作系统采用Linux系统,使板上FLASH进行数据存储,外部采用有触摸屏进行输入,软件系统采用Nokia公司推出的Qt4.7作为开发平台进行开发,拥有良好的可视化界面.最后进行系统调试,拥有较好的性能.%This paper introduces to the software and hardware design of a microphone control system based on ARM11, include operating system part of the design and implementation. A relay for external control, acquisition voice signals use on-chip AD. The system uses a S3C6410A /ARM11 of high-performance and low power consumption processor as main processor. The operating system use Linux. The system use board on FLASH to data storage, External input use of a touch screen for input. The software use Nokia's Qt4. 7 as software develop platform. This platform has a good visual interface. Finally,system debug and it has better performance.

  11. DESIGN OF ARM BASED REAL TIME PERSONNEL MONITORING SYSTEM USING WI-FI TECHNOLOGY

    Directory of Open Access Journals (Sweden)

    Rekha George

    2013-01-01

    Full Text Available Nowadays we constantly come across the need to transfer remote data to monitor center which will be far away from the place of data acquisition. Traditional data acquisition system using wires cannot satisfy these requirements due to its heavy cost and impracticability. Embedded devices with network communication which makes it more powerful and easier to monitor and control remote data, is one of the major outcomes of the developments in the field of communication and networking technologies. This study presents the design of a real time personnel monitoring system based on wireless technology. ARM embedded processor and Wi-Fi module are used as hardware platform in this project. Data transfer over the wireless network is based on the TCP/IP protocol which is a part of the Wi-Fi module. Using this designed system an officer can monitor the personnel in the organization by opening a web page from a place that is geographically far. This system is based on the conversion of serial to wireless data which could be transferred over the wireless network to the server and also over the internet. At the completion of the design, the result shows that data is transferred between the ARM processor and the host system using the wireless network.

  12. Automated detection of pain from facial expressions: a rule-based approach using AAM

    Science.gov (United States)

    Chen, Zhanli; Ansari, Rashid; Wilkie, Diana J.

    2012-02-01

    In this paper, we examine the problem of using video analysis to assess pain, an important problem especially for critically ill, non-communicative patients, and people with dementia. We propose and evaluate an automated method to detect the presence of pain manifested in patient videos using a unique and large collection of cancer patient videos captured in patient homes. The method is based on detecting pain-related facial action units defined in the Facial Action Coding System (FACS) that is widely used for objective assessment in pain analysis. In our research, a person-specific Active Appearance Model (AAM) based on Project-Out Inverse Compositional Method is trained for each patient individually for the modeling purpose. A flexible representation of the shape model is used in a rule-based method that is better suited than the more commonly used classifier-based methods for application to the cancer patient videos in which pain-related facial actions occur infrequently and more subtly. The rule-based method relies on the feature points that provide facial action cues and is extracted from the shape vertices of AAM, which have a natural correspondence to face muscular movement. In this paper, we investigate the detection of a commonly used set of pain-related action units in both the upper and lower face. Our detection results show good agreement with the results obtained by three trained FACS coders who independently reviewed and scored the action units in the cancer patient videos.

  13. Nursing Home Staff Adherence to Evidence-Based Pain Management Practices

    OpenAIRE

    Jablonski, Anita; Ersek, Mary

    2009-01-01

    The purpose of this study was to determine the extent to which nursing home staff adhere to current evidence-based guidelines to assess and manage persistent pain experienced by elderly residents. A retrospective audit was conducted of the medical records of 291 residents of 14 long-term care facilities in western Washington State. Data revealed a gap between actual practice and current best practice. Assessment of persistent pain was limited primarily to intensity and location. Although pres...

  14. Phenotyping chronic pelvic pain based on latent class modeling of physical examination.

    Science.gov (United States)

    Fenton, B W; Grey, S F; Reichenbach, M; McCarroll, M; Von Gruenigen, V

    2013-01-01

    Introduction. Defining clinical phenotypes based on physical examination is required for clarifying heterogeneous disorders such as chronic pelvic pain (CPP). The objective of this study was to determine the number of classes within 4 examinable regions and then establish threshold and optimal exam criteria for the classes discovered. Methods. A total of 476 patients meeting the criteria for CPP were examined using pain pressure threshold (PPT) algometry and standardized numeric scale (NRS) pain ratings at 30 distinct sites over 4 pelvic regions. Exploratory factor analysis, latent profile analysis, and ROC curves were then used to identify classes, optimal examination points, and threshold scores. Results. Latent profile analysis produced two classes for each region: high and low pain groups. The optimal examination sites (and high pain minimum thresholds) were for the abdominal wall region: the pair at the midabdomen (PPT threshold depression of > 2); vulvar vestibule region: 10:00 position (NRS > 2); pelvic floor region: puborectalis (combined NRS > 6); vaginal apex region: uterosacral ligaments (combined NRS > 8). Conclusion. Physical examination scores of patients with CPP are best categorized into two classes: high pain and low pain. Standardization of the physical examination in CPP provides both researchers and general gynecologists with a validated technique.

  15. On the nature, assessment, and treatment of fetal pain: neurobiological bases, pragmatic issues, and ethical concerns.

    Science.gov (United States)

    Gupta, Anita; Giordano, James

    2007-07-01

    Over the past 2 decades, the issue of fetal pain and stress has attracted considerable attention and has become the focus of ongoing debate in light of advances in medical diagnostics and technology that allow invasive prenatal medical intervention(s), and an enhanced understanding of fetal neurophysiology, together with a broadened appreciation for the relationship of brain and consciousness. In this essay, we explore the issue of fetal pain based upon knowledge of both the ontogeny and function of the nervous system and the interaction of brain, mind, and pain. We posit that contemporary understanding of neurological development fortifies appreciation that pain sensation and perception occurs during (later) fetal life and that this pain warrants clinical consideration during the conduct of invasive prenatal procedures. We present differing perspectives on this issue, discuss the relative merits and difficulties of these positions, and ultimately describe the fundamental basis for a consideration of fetal pain and address this consideration with regard to pragmatic and ethical benefits, burdens, and risks. We adopt a neurocentric, yet consilient approach that entails both scientific and philosophical orientations. By attempting to reveal inherent limitations in our contemporary appreciation and approach(es) to fetal pain, we hope to illustrate the need for and posit potential venues toward resolving these limitations and dilemmas.

  16. Cannabis, pain, and sleep: lessons from therapeutic clinical trials of Sativex, a cannabis-based medicine.

    Science.gov (United States)

    Russo, Ethan B; Guy, Geoffrey W; Robson, Philip J

    2007-08-01

    Cannabis sativa L. has been utilized for treatment of pain and sleep disorders since ancient times. This review examines modern studies on effects of Delta9-tetrahydrocannabinol (THC) and cannabidiol (CBD) on sleep. It goes on to report new information on the effects on sleep in the context of medical treatment of neuropathic pain and symptoms of multiple sclerosis, employing standardized oromucosal cannabis-based medicines containing primarily THC, CBD, or a 1 : 1 combination of the two (Sativex). Sleep-laboratory results indicate a mild activating effect of CBD, and slight residual sedation with THC-predominant extracts. Experience to date with Sativex in numerous Phase I-III studies in 2000 subjects with 1000 patient years of exposure demonstrate marked improvement in subjective sleep parameters in patients with a wide variety of pain conditions including multiple sclerosis, peripheral neuropathic pain, intractable cancer pain, and rheumatoid arthritis, with an acceptable adverse event profile. No tolerance to the benefit of Sativex on pain or sleep, nor need for dosage increases have been noted in safety extension studies of up to four years, wherein 40-50% of subjects attained good or very good sleep quality, a key source of disability in chronic pain syndromes that may contribute to patients' quality of life. PMID:17712817

  17. Occurrence and Characteristics of Chronic Pain in a Community-Based Cohort of Indigent Adults Living With HIV Infection

    OpenAIRE

    Miaskowski, C; Penko, JM; D. Guzman; Mattson, JE; Bangsberg, DR; Kushel, MB

    2011-01-01

    Pain is common among people living with HIV/AIDS (PLWHA), but little is known about chronic pain in socioeconomically disadvantaged HIV-infected populations with high rates of substance abuse in the postantiretroviral era. This cross-sectional study describes the occurrence and characteristics of pain in a community-based cohort of 296 indigent PLWHA. Participants completed questionnaires about sociodemographics, substance use, depression, and pain. Cut-point analysis was used to generate cat...

  18. Randomized Placebo-Controlled Double-Blind Clinical Trial of Cannabis-Based Medicinal Product (Sativex) in Painful Diabetic Neuropathy

    OpenAIRE

    Selvarajah, D.; Gandhi, R.; Emery, C.J.; Tesfaye, S.

    2010-01-01

    Objective: To assess the efficacy of Sativex, a cannabis-based medicinal extract, as adjuvant treatment in painful diabetic peripheral neuropathy (DPN). Research design and methods: In this randomized controlled trial, 30 subjects with painful DPN received daily Sativex or placebo. The primary outcome measure was change in mean daily pain scores, and secondary outcome measures included quality-of-life assessments. Results: There was significant improvement in pain scores in ...

  19. Nursing Home Staff Adherence to Evidence-Based Pain Management Practices

    Science.gov (United States)

    Jablonski, Anita; Ersek, Mary

    2010-01-01

    The purpose of this study was to determine the extent to which nursing home staff adhere to current evidence-based guidelines to assess and manage persistent pain experienced by elderly residents. A retrospective audit was conducted of the medical records of 291 residents of 14 long-term care facilities in western Washington State. Data revealed a gap between actual practice and current best practice. Assessment of persistent pain was limited primarily to intensity and location. Although prescribing practices were more in line with evidence-based guidelines, a significant number of residents did not obtain adequate pain relief. Nonpharmacological pain management methods were rarely implemented. Nursing home staff and administrators must critically examine both system and individual staff reasons for failure to comply with best pain management practices. Research is needed to determine factors that contribute to less-than-optimal adherence to evidence-based guidelines for pain management, as well as the best methods for implementing practice change. PMID:19650621

  20. Mechanisms-based classifications of musculoskeletal pain: part 1 of 3: symptoms and signs of central sensitisation in patients with low back (± leg) pain.

    LENUS (Irish Health Repository)

    Smart, Keith M

    2012-08-01

    As a mechanisms-based classification of pain \\'central sensitisation pain\\' (CSP) refers to pain arising from a dominance of neurophysiological dysfunction within the central nervous system. Symptoms and signs associated with an assumed dominance of CSP in patients attending for physiotherapy have not been extensively studied. The purpose of this study was to identify symptoms and signs associated with a clinical classification of CSP in patients with low back (± leg) pain. Using a cross-sectional, between-subjects design; four hundred and sixty-four patients with low back (± leg) pain were assessed using a standardised assessment protocol. Patients\\' pain was assigned a mechanisms-based classification based on experienced clinical judgement. Clinicians then completed a clinical criteria checklist specifying the presence or absence of various clinical criteria. A binary logistic regression analysis with Bayesian model averaging identified a cluster of three symptoms and one sign predictive of CSP, including: \\'Disproportionate, non-mechanical, unpredictable pattern of pain provocation in response to multiple\\/non-specific aggravating\\/easing factors\\

  1. Population-based study of central post-stroke pain in Rimini district, Italy

    Directory of Open Access Journals (Sweden)

    Raffaeli W

    2013-09-01

    Full Text Available William Raffaeli,1 Cristina E Minella,2 Francesco Magnani,3 Donatella Sarti3 1ISAL Foundation, Institute for Research on Pain, Torre Pedrera, Rimini, Italy 2Pain Therapy Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy 3Department of Pain Therapy and Palliative Care, Infermi Hospital, Rimini, Italy Abstract: Central post-stroke pain (CPSP is still an underestimated complication of stroke, resulting in impaired quality of life and, in addition to the functional and cognitive consequences of stroke, the presence of CPSP may be associated with mood disorders, such as depression, anxiety, and sleep disturbances. This type of pain may also impair activities of daily living and further worsen quality of life, negatively influencing the rehabilitation process. The prevalence of CSPS in the literature is highly variable (1%–12% according to different studies, and this variability could be influenced by selection criteria and the different ethnic populations being investigated. With this scenario in mind, we performed a population-based study to assess the prevalence of CPSP and its main features in a homogeneous health district (Rimini, Italy, including five hospitals for a total population of 329,970 inhabitants. From 2008 to 2010, we selected 1,494 post-stroke patients and were able to interview 660 patients, 66 (11% of whom reported pain with related tactile and thermal hyperesthesia, accompanied by needle puncture, tingling, swelling, and pressure sensations. Patients reported motor impairment and disability, which influenced their working ability, rehabilitation, and social life. Despite this severe pain state, there was a high percentage of patients who did not receive adequate treatment for pain. Keywords: stroke, central post-stroke pain, disability

  2. [The organizational bases for the building of a modern medical support system for the Armed Forces].

    Science.gov (United States)

    Chizh, I M

    1996-01-01

    In the article the problems concerning characteristic features of the local wars and armed conflicts, organization bases of construction of The Army and Fleet medical support modern system are discussed. The organization of personnel medical security is considered depending on the duration, intensity and spatial scope of military conflict, peculiarities of group (forces) application and ways of military actions conduction. The distribution of federal troops sanitary losses during the war in Chechenskaya Republic is shown depending on the type, localization and degree of injuries gravity as well as volume of the wounded and invalids evacuation by air transport and work of military medical institutions. The following principles of construction of the Armed Forces medical support system are formulated: The system must be in compliance with troops goals, structure, strategy and tactics, its specificity; development of medical security forms and methods, their historicism; interdependency, completeness and integrity of the system's elements; territorial aspects of its construction and management optimization. Considering character of the goals being laid on the Mobile Forces the paramount importance is attached to the level of readiness of medical service and its formations and units to act in crisis situations. PMID:8659162

  3. Study on New Smart Transformer Terminal Unit Based on ARM and GPRS Network

    Directory of Open Access Journals (Sweden)

    Na Wu

    2013-12-01

    Full Text Available Distribution transformer is one of the most important power equipments in distribution network, whose running state exercises a great influence on the stability of the network. Transformer Terminal Unit (TTU is an effective device to monitor the running state of transformers in the distribution automation system. In this paper, we study a new smart TTU which uses ARM7 series chip as processor, equipped with ATT7022B based electric meter module and GPRS module for remote data transmission control. We focus on the corresponding hardware, software design and the measurement principle of harmonics of TTU. The new TTU can measure the electric parameters of the distribution transformer precisely. Taking advantage of the powerful ARM processor, it can analyze harmonic of the power line effectively. Due to the always-on-line feature of GPRS, TTU can achieve reliable communication with the remote terminal and the master station. Compared with other similar units, the new unit outperforms in terms of real-time, precision and reliability, which can fully meet with the high-speed development of distribution automation system.

  4. Design and Application of Embedded System Based on ARM7 LPC2104 Processor in Telemedicine.

    Science.gov (United States)

    Miao, Ya-Lin; Miao, Xiang-Lin; Bian, Zheng-Zhong; Zhang, Yong-Jie

    2005-01-01

    This paper, based on ARM7 processor and real-time embedded operating system (μC/OS-II), establishes an embedded telemedicine platform ground on LPC2104 and realizes some very popular embedded application technologies such as USB communication, embedded Internet communication, infrared communication, etc. Meanwhile the volume of the hardware is smaller; power consumption is lower; the functions are mightier and the expansibility is stronger. In addition, for the embedded real-time μC/OS-II in use has gone through the reliability authentication, the whole running system is more stable and the program maintenance and update is more convenient. The telemedicine system based on this technology has been tested to be stable and efficient, and has obtained the results as expected.

  5. Design of High Precision Frequency Meter Based on ARM7%基于ARM7的高精度频率计的设计

    Institute of Scientific and Technical Information of China (English)

    薛巨峰; 关子钧; 刘彬

    2015-01-01

    In this paper, based on the analysis of the phase coincidence detection technology, a design method of a high precision frequency meter which is based on this theory and uses ARM7 as the main control chip is proposed. The design method can effectively eliminate the counting error of ±1 words by capturing the coincidence point between phases, On this basis, because the ARM7 has a 32 bit processor core and pipeline technology, the measurement speed and accuracy of the frequency meter is much higher than that of the traditional ones using 16 bit single-chip design. The maximum measurement frequency of the frequency meter is 10MHz. At the same time, this design uses the OCXO 10811A produced by Agilent as the standard frequency and the measurement accuracy can reach 10-10 order of magnitude. In order to reduce the cost, the design chooses the counters built in ARM7 chip and uses a simple logic circuit to design. Its measurement precision is superior over multiple cycle synchronous measurement and its cost is much lower than those of the analog interpolation method and the cursor method, so this frequency meter has a very broad market prospect.%文章通过对相位重合检测技术的分析,提出了基于此理论并用ARM7作为主控芯片的高精度频率计的设计方法。该设计方法通过捕捉相位之间的重合点,能够有效消除±1个字的计数误差。在此基础上由于ARM7具有32位的处理器内核以及流水线技术,使得频率计的测量速度和精度比传统的使用16位单片机设计的频率计要高很多。本频率计最大测量频率为10MHz。同时本设计采用安捷伦公司生产的恒温晶振10811A作为标准频率,能够有效保证测量精度能够达到10-10量级。为了降低成本,在设计中选用采用ARM7芯片内部的计数器以及用简单的逻辑电路进行设计。由于其测量精度要超过多周期同步测量法,而成本又比模拟内插法和游标法低很多,因此

  6. Effect of Video-Based versus Personalized Instruction on Errors during Elastic Tubing Exercises for Musculoskeletal Pain: A Randomized Controlled Trial

    Directory of Open Access Journals (Sweden)

    Kenneth Jay

    2014-01-01

    Full Text Available Workplace interventions have shown beneficial results of resistance training for chronic pain in the neck, shoulder, and arm. However, studies have relied on experienced exercise instructors, which may not be an available resource at most workplaces. The objective of this study is to evaluate the technical performance level of upper limb rehabilitation exercises following video-based versus personalized exercise instruction. We recruited 38 laboratory technicians and office workers with neck/shoulder pain for a two-week exercise training period receiving either (1 personal and video or (2 video only instruction in four typical neck/shoulder/arm rehabilitation exercises using elastic tubing. At a 2-week follow-up, the participants’ technical execution was assessed by two blinded physical therapists using a reliable error assessment tool. The error assessment was based on ordinal deviation of joint position from the ideal position of the shoulder, elbow, and wrist in a single plane by visual observation. Of the four exercises only unilateral shoulder external rotation had a higher normalized error score in the V group of 22.19 (9.30 to 12.64 (6.94 in the P group (P=0.002. For the remaining three exercises the normalized error score did not differ. In conclusion, when instructing simple exercises to reduce musculoskeletal pain the use of video material is a cost-effective solution that can be implemented easily in corporations with challenging work schedules not allowing for a fixed time of day to go see a personal trainer.

  7. Self-Delivered Home-Based Mirror Therapy for Lower Limb Phantom Pain

    OpenAIRE

    Darnall, Beth D

    2009-01-01

    Home-based patient-delivered mirror therapy is a promising approach in the treatment of phantom limb pain. Previous studies and case reports of mirror therapy have used a therapist-guided, structured protocol of exercises. No case report has described treatment for either upper or lower limb phantom pain by using home-based patient-delivered mirror therapy. The success of this case demonstrates that home-based patient-delivered mirror therapy may be an efficacious, low-cost treatment option t...

  8. A diagnosis-based clinical decision rule for spinal pain part 2: review of the literature

    Directory of Open Access Journals (Sweden)

    Hurwitz Eric L

    2008-08-01

    Full Text Available Abstract Background Spinal pain is a common and often disabling problem. The research on various treatments for spinal pain has, for the most part, suggested that while several interventions have demonstrated mild to moderate short-term benefit, no single treatment has a major impact on either pain or disability. There is great need for more accurate diagnosis in patients with spinal pain. In a previous paper, the theoretical model of a diagnosis-based clinical decision rule was presented. The approach is designed to provide the clinician with a strategy for arriving at a specific working diagnosis from which treatment decisions can be made. It is based on three questions of diagnosis. In the current paper, the literature on the reliability and validity of the assessment procedures that are included in the diagnosis-based clinical decision rule is presented. Methods The databases of Medline, Cinahl, Embase and MANTIS were searched for studies that evaluated the reliability and validity of clinic-based diagnostic procedures for patients with spinal pain that have relevance for questions 2 (which investigates characteristics of the pain source and 3 (which investigates perpetuating factors of the pain experience. In addition, the reference list of identified papers and authors' libraries were searched. Results A total of 1769 articles were retrieved, of which 138 were deemed relevant. Fifty-one studies related to reliability and 76 related to validity. One study evaluated both reliability and validity. Conclusion Regarding some aspects of the DBCDR, there are a number of studies that allow the clinician to have a reasonable degree of confidence in his or her findings. This is particularly true for centralization signs, neurodynamic signs and psychological perpetuating factors. There are other aspects of the DBCDR in which a lesser degree of confidence is warranted, and in which further research is needed.

  9. Concise Arm and Hand Rehabilitation Approach in Stroke (CARAS: A practical and evidence-based framework for clinical rehabilitation management

    Directory of Open Access Journals (Sweden)

    Johan A. Franck

    2015-10-01

    Full Text Available The volume of information on new treatment techniques supporting the restoration of arm-hand function (AHF and arm-hand skill performance (ASHP in stroke survivors overwhelms therapists in everyday clinical practice when choosing the appropriate therapy. The Concise Arm and Hand Rehabilitation Approach in Stroke (CARAS is designed for paramedical staff to structure and implement training of AHF and AHSP in stroke survivors. The CARAS is based on four constructs: (a stratification according to the severity of arm–hand impairment (using the Utrecht Arm/Hand -Test [UAT], (b the individual’s rehabilitation goals and concomitant potential rehabilitation outcomes, (c principles of self-efficacy, and (d possibilities to systematically incorporate (new technology and new evidence-based training elements swiftly. The framework encompasses three programs aimed at treating either the severely (UAT 0-1, moderately (UAT 2-3, or mildly (UAT 4-7 impaired arm-hand. Program themes are: taking care of the limb and prevention of complications (Program 1, task-oriented gross motor grip performance (Program 2, and functional AHSP training (Program 3. Each program is preceded and followed by an assessment. Training modularity facilitates rapid interchange/adaptation of sub-elements. Proof-of-principle in clinical rehabilitation has been established. The CARAS facilitates rapid structured design and provision of state-of-the-art AHF and ASHP treatment in stroke patients.

  10. IMPLEmenting a clinical practice guideline for acute low back pain evidence-based manageMENT in general practice (IMPLEMENT: Cluster randomised controlled trial study protocol

    Directory of Open Access Journals (Sweden)

    Francis Jill

    2008-02-01

    Full Text Available Abstract Background Evidence generated from reliable research is not frequently implemented into clinical practice. Evidence-based clinical practice guidelines are a potential vehicle to achieve this. A recent systematic review of implementation strategies of guideline dissemination concluded that there was a lack of evidence regarding effective strategies to promote the uptake of guidelines. Recommendations from this review, and other studies, have suggested the use of interventions that are theoretically based because these may be more effective than those that are not. An evidence-based clinical practice guideline for the management of acute low back pain was recently developed in Australia. This provides an opportunity to develop and test a theory-based implementation intervention for a condition which is common, has a high burden, and for which there is an evidence-practice gap in the primary care setting. Aim This study aims to test the effectiveness of a theory-based intervention for implementing a clinical practice guideline for acute low back pain in general practice in Victoria, Australia. Specifically, our primary objectives are to establish if the intervention is effective in reducing the percentage of patients who are referred for a plain x-ray, and improving mean level of disability for patients three months post-consultation. Methods/Design This study protocol describes the details of a cluster randomised controlled trial. Ninety-two general practices (clusters, which include at least one consenting general practitioner, will be randomised to an intervention or control arm using restricted randomisation. Patients aged 18 years or older who visit a participating practitioner for acute non-specific low back pain of less than three months duration will be eligible for inclusion. An average of twenty-five patients per general practice will be recruited, providing a total of 2,300 patient participants. General practitioners in the

  11. IMPLEmenting a clinical practice guideline for acute low back pain evidence-based manageMENT in general practice (IMPLEMENT): Cluster randomised controlled trial study protocol

    Science.gov (United States)

    McKenzie, Joanne E; French, Simon D; O'Connor, Denise A; Grimshaw, Jeremy M; Mortimer, Duncan; Michie, Susan; Francis, Jill; Spike, Neil; Schattner, Peter; Kent, Peter M; Buchbinder, Rachelle; Green, Sally E

    2008-01-01

    Background Evidence generated from reliable research is not frequently implemented into clinical practice. Evidence-based clinical practice guidelines are a potential vehicle to achieve this. A recent systematic review of implementation strategies of guideline dissemination concluded that there was a lack of evidence regarding effective strategies to promote the uptake of guidelines. Recommendations from this review, and other studies, have suggested the use of interventions that are theoretically based because these may be more effective than those that are not. An evidence-based clinical practice guideline for the management of acute low back pain was recently developed in Australia. This provides an opportunity to develop and test a theory-based implementation intervention for a condition which is common, has a high burden, and for which there is an evidence-practice gap in the primary care setting. Aim This study aims to test the effectiveness of a theory-based intervention for implementing a clinical practice guideline for acute low back pain in general practice in Victoria, Australia. Specifically, our primary objectives are to establish if the intervention is effective in reducing the percentage of patients who are referred for a plain x-ray, and improving mean level of disability for patients three months post-consultation. Methods/Design This study protocol describes the details of a cluster randomised controlled trial. Ninety-two general practices (clusters), which include at least one consenting general practitioner, will be randomised to an intervention or control arm using restricted randomisation. Patients aged 18 years or older who visit a participating practitioner for acute non-specific low back pain of less than three months duration will be eligible for inclusion. An average of twenty-five patients per general practice will be recruited, providing a total of 2,300 patient participants. General practitioners in the control arm will receive access

  12. Discrete wavelet transform-based fault diagnosis for driving system of pipeline detection robot arm

    Institute of Scientific and Technical Information of China (English)

    Deng Huiyu; Wang Xinli; Ma Peisun

    2005-01-01

    A real-time wavelet multi-resolution analysis (MRA)-based fault detection algorithm is proposed. The first stage detailed MRA signals extracted from the original signals were used as the criteria for fault detection. By measuring sharp variations in the detailed MRA signals, faults in the motor driving system of pipeline detection robot arm could be detected. The fault type was then identified by comparison of the three-phase MRA sharp variations. The effects of the faults were examined. The simulation results show that this algorithm is effective and robust, it is promising for fault detection in a robot's joint driving system. The method is simple, rapid and it can operate in real time.

  13. Widespread pain - do pain intensity and care-seeking influence sickness absence? - A population-based cohort study

    DEFF Research Database (Denmark)

    Mose, Søren; Christiansen, David Høyrup; Jensen, Jens Christian;

    2016-01-01

    BACKGROUND: Both musculoskeletal pain-intensity in relation to a specific location (e.g. lower back or shoulder) and pain in multiple body regions have been shown to be associated with impaired function and sickness absence, but the impact of pain intensity on the association between widespread...... pain and sickness absence has not been studied. Additionally it is unknown whether care-seeking in general practice due to musculoskeletal disorders has a positive or negative impact on future absenteeism. The purpose of this study was to examine the influence of pain intensity on the association...... between number of musculoskeletal pain sites and sickness absence, and to analyze the impact on absenteeism from care-seeking in general practice due to musculoskeletal disorders. METHODS: 3745 Danish adults registered with eight General Practitioners (GPs) in one primary medical center reported location...

  14. 基于ARM9的野外探测设备设计%Design of Outdoors Exploring Device based on ARM9

    Institute of Scientific and Technical Information of China (English)

    赵元苏

    2011-01-01

    为了让机器可以代替人类在危险地带工作,介绍了一种基于ARM9芯片(S3C2440),使用传感器、USB摄像头、无线网卡等外设,搭建出可被遥控的、能将采集到的视频数据通过无线网络传回的移动平台。嵌入式操作系统采用Linux,应用程序编程语言使用C语言。%To make machine working in dangerous area instead of human being, this papers based on ARM9 embedded chip assembled with peripheral equipment, such as sensor, USB camera, wireless adapter, and so on, builds a removable platform that could be remote and transmit video flow back to control center through the wireless Internet. The embedded operating system is Linux, and C language is used to program.

  15. Design of multi-ports mobile monitoring system based on ARM-Linux%基于ARM-Linux的多端口移动监测系统设计

    Institute of Scientific and Technical Information of China (English)

    李昶; 翟开元

    2011-01-01

    Multi - ports mobile monitoring system based on ARM-Linux is designed, composing of the hardware and software. The hardware adopts embedded microprocessor PXA270 as the core, the software realizes transport of the monitoring data and video streaming through TCP and Modbus protocol, Socket network programming. The system has better operational efficiency than the traditional monitoring system,realizing multi - stations and mobile monitoring.%设计了基于ARM-Linux的多端口监测和移动视频监控系统.系统由硬件和软件两部分组成,硬件采用嵌入式微控制器PXA270为核心,软件采用,TCP和Modbus协议以及Socket网络编程实现监测数据和视频流的传输.该系统比传统的数据监测系统具有更高的运行效率,可实现多工位、移动式监控.

  16. A perspective matrix-based seed reconstruction algorithm with applications to C-arm based intra-operative dosimetry

    Science.gov (United States)

    Narayanan, Sreeram; Cho, Paul S.

    2006-03-01

    Currently available seed reconstruction algorithms are based on the assumption that accurate information about the imaging geometry is known. The assumption is valid for isocentric x-ray units such as radiotherapy simulators. However, the large majority of the clinics performing prostate brachytherapy today use C-arms for which imaging parameters such as source to axis distance, image acquisition angles, central axis of the image are not accurately known. We propose a seed reconstruction algorithm that requires no such knowledge of geometry. The new algorithm makes use of perspective projection matrix, which can be easily derived from a set of known reference points. The perspective matrix calculates the transformation of a point in 3D space to the imaging coordinate system. An accurate representation of the imaging geometry can be derived from the generalized projection matrix (GPM) with eleven degrees of freedom. In this paper we show how GPM can be derived given a theoretical minimum number of reference points. We propose an algorithm to compute the line equation that defines the backprojection operation given the GPM. The algorithm can be extended to any ray-tracing based seed reconstruction algorithms. Reconstruction using the GPM does not require calibration of C-arms and the images can be acquired at arbitrary angles. The reconstruction is performed in near real-time. Our simulations show that reconstruction using GPM is robust and accuracy is independent of the source to detector distance and location of the reference points used to generate the GPM. Seed reconstruction from C-arm images acquired at unknown geometry provides a useful tool for intra-operative dosimetry in prostate brachytherapy.

  17. Evidence-based risk assessment and recommendations for physical activity: arthritis, osteoporosis, and low back pain.

    Science.gov (United States)

    Chilibeck, Philip D; Vatanparast, Hassanali; Cornish, Stephen M; Abeysekara, Saman; Charlesworth, Sarah

    2011-07-01

    We systematically reviewed the safety of physical activity (PA) for people with arthritis, osteoporosis, and low back pain. We searched PubMed, MEDLINE, Sport Discus, and the Cochrane Central Register of Controlled Trials (1966 through March 2008) for relevant articles on PA and adverse events. A total of 111 articles met our inclusion criteria. The incidence for adverse events during PA was 3.4%-11% (0.06%-2.4% serious adverse events) and included increased joint pain, fracture, and back pain for those with arthritis, osteoporosis, and low back pain, respectively. Recommendations were based on the Appraisal of Guidelines for Research and Evaluation, which applies Levels of Evidence based on type of study ranging from high-quality randomized controlled trials (Level 1) to anecdotal evidence (Level 4) and Grades from A (strong) to C (weak). Our main recommendations are that (i) arthritic patients with highly progressed forms of disease should avoid heavy load-bearing activities, but should participate in non-weight-bearing activities (Level 2, Grade A); and (ii) patients with osteoporosis should avoid trunk flexion (Level 2, Grade A) and powerful twisting of the trunk (Level 3, Grade C); (iii) patients with acute low back pain can safely do preference-based PA (i.e., PA that does not induce pain), including low back extension and flexion (Level 2, Grade B); (iv) arthritic patients with stable disease without progressive joint damage and patients with stable osteoporosis or low back pain can safely perform a variety of progressive aerobic or resistance-training PAs (Level 2, Grades A and B). Overall, the adverse event incidence from reviewed studies was low. PA can safely be done by most individuals with musculoskeletal conditions. PMID:21800948

  18. A population-based cohort study on chronic pain: the role of opioids

    DEFF Research Database (Denmark)

    Sjøgren, Per; Grønbæk, Morten; Peuckmann, Vera;

    2010-01-01

    OBJECTIVES: The aims of this study were 2-fold: (1) to investigate the consequences of opioid use in individuals with chronic pain in the Danish population, and (2) to investigate the development of and recovery from chronic pain from 2000 to 2005. METHODS: Data derived from the Danish Health...... Interview Survey in 2000, which were linked on the individual level with register-based follow-up data. The survey was based on a county-stratified random sample of 16,684 individuals, out of which 10,434 individuals (62.5%) completed a face-to-face interview and returned a self-administered questionnaire...

  19. Communication style and exercise compliance in physiotherapy (CONNECT. A cluster randomized controlled trial to test a theory-based intervention to increase chronic low back pain patients’ adherence to physiotherapists’ recommendations: study rationale, design, and methods

    Directory of Open Access Journals (Sweden)

    Lonsdale Chris

    2012-06-01

    Full Text Available Abstract Background Physical activity and exercise therapy are among the accepted clinical rehabilitation guidelines and are recommended self-management strategies for chronic low back pain. However, many back pain sufferers do not adhere to their physiotherapist’s recommendations. Poor patient adherence may decrease the effectiveness of advice and home-based rehabilitation exercises. According to self-determination theory, support from health care practitioners can promote patients’ autonomous motivation and greater long-term behavioral persistence (e.g., adherence to physiotherapists’ recommendations. The aim of this trial is to assess the effect of an intervention designed to increase physiotherapists’ autonomy-supportive communication on low back pain patients’ adherence to physical activity and exercise therapy recommendations. Methods/Design This study will be a single-blinded cluster randomized controlled trial. Outpatient physiotherapy centers (N =12 in Dublin, Ireland (population = 1.25 million will be randomly assigned using a computer-generated algorithm to either the experimental or control arm. Physiotherapists in the experimental arm (two hospitals and four primary care clinics will attend eight hours of communication skills training. Training will include handouts, workbooks, video examples, role-play, and discussion designed to teach physiotherapists how to communicate in a manner that promotes autonomous patient motivation. Physiotherapists in the waitlist control arm (two hospitals and four primary care clinics will not receive this training. Participants (N = 292 with chronic low back pain will complete assessments at baseline, as well as 1 week, 4 weeks, 12 weeks, and 24 weeks after their first physiotherapy appointment. Primary outcomes will include adherence to physiotherapy recommendations, as well as low back pain, function, and well-being. Participants will be blinded to treatment allocation, as

  20. Different temporal bases for body and arm movements in volleyball serve reception

    NARCIS (Netherlands)

    Benerink, N. H.; Bootsma, R. J.; Zaal, F. T. J. M.

    2015-01-01

    In many sports, successfully intercepting a ball requires players to move both their body and their arms. Yet, studies of interception typically focus on one or the other. We performed an analysis of the moments of first foot and arm movements of elite-level volleyball players during serve reception

  1. Human-Like Behavior Generation Based on Head-Arms Model for Robot Tracking External Targets and Body Parts.

    Science.gov (United States)

    Zhang, Zhijun; Beck, Aryel; Magnenat-Thalmann, Nadia

    2015-08-01

    Facing and pointing toward moving targets is a usual and natural behavior in daily life. Social robots should be able to display such coordinated behaviors in order to interact naturally with people. For instance, a robot should be able to point and look at specific objects. This is why, a scheme to generate coordinated head-arm motion for a humanoid robot with two degrees-of-freedom for the head and seven for each arm is proposed in this paper. Specifically, a virtual plane approach is employed to generate the analytical solution of the head motion. A quadratic program (QP)-based method is exploited to formulate the coordinated dual-arm motion. To obtain the optimal solution, a simplified recurrent neural network is used to solve the QP problem. The effectiveness of the proposed scheme is demonstrated using both computer simulation and physical experiments.

  2. Kinematics and control of redundant robotic arm based on dielectric elastomer actuators

    Science.gov (United States)

    Branz, Francesco; Antonello, Andrea; Carron, Andrea; Carli, Ruggero; Francesconi, Alessandro

    2015-04-01

    Soft robotics is a promising field and its application to space mechanisms could represent a breakthrough in space technologies by enabling new operative scenarios (e.g. soft manipulators, capture systems). Dielectric Elastomers Actuators have been under deep study for a number of years and have shown several advantages that could be of key importance for space applications. Among such advantages the most notable are high conversion efficiency, distributed actuation, self-sensing capability, multi-degree-of-freedom design, light weight and low cost. The big potentialities of double cone actuators have been proven in terms of good performances (i.e. stroke and force/torque), ease of manufacturing and durability. In this work the kinematic, dynamic and control design of a two-joint redundant robotic arm is presented. Two double cone actuators are assembled in series to form a two-link design. Each joint has two degrees of freedom (one rotational and one translational) for a total of four. The arm is designed to move in a 2-D environment (i.e. the horizontal plane) with 4 DoF, consequently having two degrees of redundancy. The redundancy is exploited in order to minimize the joint loads. The kinematic design with redundant Jacobian inversion is presented. The selected control algorithm is described along with the results of a number of dynamic simulations that have been executed for performance verification. Finally, an experimental setup is presented based on a flexible structure that counteracts gravity during testing in order to better emulate future zero-gravity applications.

  3. Network-based study on the relationship between arms exports and foreign policies

    Science.gov (United States)

    Chen, Xing; Zhao, Ru-lan; Zhang, Zi-ke; Zhao, Jing

    2016-02-01

    According to the data of arms exports of the top 20 largest arms exports countries in 1993-2012, an arms exports network is constructed to study the relationship of the exporters. Then the topological properties of the network and its minimal spanning tree are calculated to weigh the influence and importance of a country in all exporters, and the time evolution of the properties. It turns out that the properties fluctuate with the time. Consequently, the correlations of the arms exporters are discussed with the recipients during and after the wars. Besides, a time delayed network is constructed. The correlations of the exporters with time lag are discussed by filtering the time delayed network in different ways. The interactions between the exporters are visualized after filtering. This study may shed new light on how arms exports reflect foreign policies.

  4. Design of Air Conditioner Central Control System Based on ARM-Linux-Qt%基于ARM-Linux-Qt的空调集中控制系统设计

    Institute of Scientific and Technical Information of China (English)

    杨都; 赖东锋; 肖焕明; 叶铁英

    2015-01-01

    In this paper, a central control system based on embedded technology, communication technology and HMI (Human and Machine Interactive) technology designed is introduced. The system selects TI AM335x hardware plat-form which based on ARM Cortex A8 processor, and Linux operation system as the software platform. The HMI in-terface is designed using Qt technology, and the communication is designed using CAN bus technology. The functions of the system include Multi-VRF centralized control, real time inspect, and schedule management. In addition, a high definition LCD and capacitive touch screen is provided to make system interactive conveniently and efficiently.%基于嵌入式技术、通信技术和人机交互技术设计了空调集中控制系统。该系统基于ARM Cortex A8的高速处理器TI AM335X硬件平台,采用嵌入式Linux操作系统,利用Qt设计了人机交互界面,通过CAN总线通讯技术,实现了多联机空调集中控制、实时监控、日程管理等功能。该系统采用7寸高分辨率彩色液晶屏和电容式触摸,较好的解决了以往空调集中控制器人机交互便捷性差、效率低下的问题。

  5. Stereocomplexation in Copolymer Networks Incorporating Enantiomeric Glycerol-Based 3-Armed Lactide Oligomers and a 2-Armed ɛ-Caprolactone Oligomer

    Directory of Open Access Journals (Sweden)

    Ayaka Shibita

    2016-07-01

    Full Text Available The reactions of enantiomeric glycerol-based 3-armed lactide oligomers (H3DLAO and H3LLAO and a diethylene glycol-based 2-armed ɛ-caprolactone oligomer (H2CLO with hexamethylene diisocyanate (HDI produced polyesterurethane copolymer networks (PEU-3scLAO/2CLOs 100/0, 75/25, 50/50, 25/75 and 0/100 with different feed ratios of stereocomplex (sc lactide oligomer (H3scLAO = H3DLAO + H3LLAO, H3DLAO/H3LLAO = 1/1 and H2CLO. Thermal and mechanical properties of the copolymer networks were compared with those of a simple homochiral (hc network (PEU-3DLAO produced by the reaction of H3DLAO and HDI. X-ray diffraction and differential scanning calorimetric analyses revealed that sc crystallites are formed without any hc crystallization for PEU-3scLAO/2CLOs, and that PEU-3DLAO is amorphous. The melting temperatures of sc crystallites for PEU-3scLAO/2CLOs were much higher than that of hc crystallites of H3DLAO. The polarized optical microscopic analysis revealed that the nucleation efficiency is enhanced with increasing feed of H3scLAO fraction, whereas the spherulite growth rate is accelerated with increasing feed H2CLO fraction over 100/0-50/50 networks. PEU-3scLAO/2CLO 100/0 (i.e., PEU-3scLAO exhibited a higher tensile strength and modulus than PEU-3DLAO. The elongation at break and tensile toughness for PEU-3scLAO/2CLOs increased with an increasing feed amount of H2CLO.

  6. Design & Implementation of a Low Cost Based Wireless HCI System for Disabled Persons Using ARM7

    Directory of Open Access Journals (Sweden)

    Surya Narayan Pradhan

    2014-05-01

    Full Text Available This paper focuses on design & development of a portable wireless Human Computer Interface (HCI system to create a robust hands free interface for disabled peoples or peoples having upper limb motor paralysis. Early techniques mainly considered image processing, gaze tracking and cameras to synthesis the device. We propose a new mouse as an input device for a computer whose operation is based on measurement of rotations of the user‘s head and detection of eye blinks. A tilt sensor(3-axis accelerometer is used to detect both lateral and vertical head movements to navigate the mouse cursor position placed on a helmet .The IR based eye blink sensor is placed on a spec used to detect eye blink and in turns do clicking operation. The signals are sent to the micro-controller (ARM7 LPC2148 for processing & do required operations. The wireless technology includes Zigbee module used to sends signals to the computer in use. A C# based program is developed for the mouse control operations & provides a flexible method for the disabled people to improve both personal & professional life quality.

  7. Differences in brain structure in patients with distinct sites of chronic pain A voxel-based morphometric analysis

    Institute of Scientific and Technical Information of China (English)

    Cuiping Mao; Longxiao Wei; Qiuli Zhang; Xia Liao; Xiaoli Yang; Ming Zhang

    2013-01-01

    A reduction in gray matter volume is common in patients with chronic back pain, and different types of pain are associated with gray matter abnormalities in distinct brain regions. To examine ences in brain morphology in patients with low back pain or neck and upper back pain, we gated changes in gray matter volume in chronic back pain patients having different sites of pain using voxel-based morphometry. A reduction in cortical gray matter volume was found primarily in the left postcentral gyrus and in the left precuneus and bilateral cuneal cortex of patients with low back pain. In these patients, there was an increase in subcortical gray matter volume in the bilateral putamen and accumbens, right pal idum, right caudate nucleus, and left amygdala. In upper back pain patients, reduced cortical gray matter volume was found in the left precentral and left tral cortices. Our findings suggest that regional gray matter volume abnormalities in low back pain patients are more extensive than in upper back pain patients. Subcortical gray matter volume in-creases are found only in patients with low back pain.

  8. Self-reported and performance-based outcomes using DEKA Arm

    Directory of Open Access Journals (Sweden)

    Linda Resnik, PT, PhD

    2014-06-01

    Full Text Available Mechanical properties of the DEKA Arm and associated engineering innovations are easy to observe. What is less clear is how these advances translate into functional benefits for the user with amputation. Study aims were to (1 quantify outcomes including dexterity, performance of daily activities, and prosthetic skill and spontaneity of users of the DEKA Arm and (2 compare outcomes when using the DEKA Arm with scores using the existing prosthesis. This was a quasi-experimental study. Descriptive analyses examined outcomes by DEKA Arm configuration level. Of the 39 subjects fit with a DEKA Arm, 32 were trained in use and completed end-of-study testing. Data from 26 prosthetic users were used to compare outcomes using existing prostheses with outcomes with the DEKA Arm. Dexterity and activity performance with the DEKA Arm varied by amputation level (p < 0.01. Self-reported function and number of activities performed using the prosthesis were similar across levels. Comparisons with existing prostheses showed the effect on dexterity varied by level. Activity performance and spontaneity of prosthetic use improved for users of the shoulder configuration level, while use of the prosthesis to perform activities and perceived difficulty performing self-selected tasks improved for all levels.

  9. Multinational evidence-based recommendations for pain management by pharmacotherapy in inflammatory arthritis

    DEFF Research Database (Denmark)

    Whittle, Samuel L; Colebatch, Alexandra N; Buchbinder, Rachelle;

    2012-01-01

    Objective. To develop evidence-based recommendations for pain management by pharmacotherapy in patients with inflammatory arthritis (IA).Methods. A total of 453 rheumatologists from 17 countries participated in the 2010 3e (Evidence, Expertise, Exchange) Initiative. Using a formal voting process,...

  10. Innovation and Design of a Web-Based Pain Education Interprofessional Resource

    Directory of Open Access Journals (Sweden)

    Leila Lax

    2011-01-01

    Full Text Available INTRODUCTION: The present article describes educational innovation processes and design of a web-based pain interprofessional resource for prelicensure health science students in universities across Canada. Operationalization of educational theory in design coupled with formative evaluation of design are discussed, along with strategies that support collaborative innovation.

  11. A Randomized Controlled Trial to Assess Pain and Magnetic Resonance Imaging-Based (MRI-Based) Structural Spine Changes in Low Back Pain Patients After Yoga Practice.

    Science.gov (United States)

    Telles, Shirley; Bhardwaj, Abhishek K; Gupta, Ram K; Sharma, Sachin K; Monro, Robin; Balkrishna, Acharya

    2016-01-01

    BACKGROUND The present study aimed at determining whether 12 weeks of yoga practice in patients with chronic LBP and MRI-based degenerative changes would result in differences in: (i) self-reported pain, anxiety, and spinal flexibility; and (ii) the structure of the discs or vertebrae. MATERIAL AND METHODS Sixty-two persons with MRI-proven degenerative intervertebral discs (group mean ±S.D., 36.2±6.4 years; 30 females) were randomly assigned to yoga and control groups. However, testing was conducted on only 40 subjects, so only their data are included in this study. The assessments were: self-reported pain, state anxiety, spinal flexibility, and MRI of the lumbosacral spine, performed using a 1.5 Tesla system with a spinal surface column. The yoga group was taught light exercises, physical postures, breathing techniques, and yoga relaxation techniques for 1 hour daily for 3 months. No intervention was given to the control group except for routine medical care. A repeated-measures analysis of variance (ANOVA) with post hoc analyses (which was Bonferroni-adjusted) was used. The Ethics Committee of Patanjali Research Foundation had approved the study which had been registered in the Clinical Trials Registry of India (CTRI/2012/11/003094). RESULTS The yoga group showed a significant reduction in self-reported pain and state anxiety in a before/after comparison at 12 weeks. A few patients in both groups showed changes in the discs and vertebrae at post-intervention assessment. CONCLUSIONS Within 12 weeks, yoga practice reduced pain and state anxiety but did not alter MRI-proven changes in the intervertebral discs and in the vertebrae. PMID:27619104

  12. A Randomized Controlled Trial to Assess Pain and Magnetic Resonance Imaging-Based (MRI-Based) Structural Spine Changes in Low Back Pain Patients After Yoga Practice

    Science.gov (United States)

    Telles, Shirley; Bhardwaj, Abhishek K.; Gupta, Ram K.; Sharma, Sachin K.; Monro, Robin; Balkrishna, Acharya

    2016-01-01

    Background The present study aimed at determining whether 12 weeks of yoga practice in patients with chronic LBP and MRI-based degenerative changes would result in differences in: (i) self-reported pain, anxiety, and spinal flexibility; and (ii) the structure of the discs or vertebrae. Material/Methods Sixty-two persons with MRI-proven degenerative intervertebral discs (group mean ±S.D., 36.2±6.4 years; 30 females) were randomly assigned to yoga and control groups. However, testing was conducted on only 40 subjects, so only their data are included in this study. The assessments were: self-reported pain, state anxiety, spinal flexibility, and MRI of the lumbosacral spine, performed using a 1.5 Tesla system with a spinal surface column. The yoga group was taught light exercises, physical postures, breathing techniques, and yoga relaxation techniques for 1 hour daily for 3 months. No intervention was given to the control group except for routine medical care. A repeated-measures analysis of variance (ANOVA) with post hoc analyses (which was Bonferroni-adjusted) was used. The Ethics Committee of Patanjali Research Foundation had approved the study which had been registered in the Clinical Trials Registry of India (CTRI/2012/11/003094). Results The yoga group showed a significant reduction in self-reported pain and state anxiety in a before/after comparison at 12 weeks. A few patients in both groups showed changes in the discs and vertebrae at post-intervention assessment. Conclusions Within 12 weeks, yoga practice reduced pain and state anxiety but did not alter MRI-proven changes in the intervertebral discs and in the vertebrae.

  13. A population-based, incidence cohort study of mid-back pain after traffic collisions

    DEFF Research Database (Denmark)

    Johansson, M S; Boyle, E; Hartvigsen, Jan;

    2015-01-01

    data from a population-based inception cohort of all traffic injuries occurring in Saskatchewan, Canada, during a 2-year period were used. Annual overall and age-sex-specific incidence rates were calculated, the course of recovery was described using the Kaplan-Meier technique, and associations between...... participant characteristics and time-to-self-reported recovery were explored in 3496 MBP cases using Cox proportional hazards models. RESULTS: The yearly incidence rate was 236 per 100,000 population during the study period, and was highest in women and in young persons. The median time-to-first reported......BACKGROUND: Traffic collisions often result in a wide range of symptoms included in the umbrella term whiplash-associated disorders. Mid-back pain (MBP) is one of these symptoms. The incidence and prognosis of different traffic injuries and their related conditions (e.g. neck pain, low back pain...

  14. Effect of workplace- versus home-based physical exercise on musculoskeletal pain among healthcare workers

    DEFF Research Database (Denmark)

    Jakobsen, Markus D.; Sundstrup, Emil; Brandt, Mikkel;

    2015-01-01

    intensity (0-10 scale) in the low back and neck/shoulder was the primary outcome. RESULTS: Per week, 2.2 (SD 1.1) and 1.0 (SD 1.2) training sessions were performed in WORK and HOME groups, respectively. Pain intensity, back muscle strength and use of analgesics improved more following WORK than HOME (P...OBJECTIVE: Numerous studies has shown that regular physical exercise can reduce musculoskeletal pain, but the optimal setting to achieve high adherence and effectiveness remains unknown. This study investigated the effect of workplace versus home-based physical exercise on musculoskeletal pain...... among healthcare workers. METHODS: The randomized controlled trial (RCT) comprised 200 female healthcare workers from 18 departments at 3 hospitals. Participants were randomly allocated at the cluster level to ten weeks of: (i) workplace physical exercise (WORK) performed during working hours for 5...

  15. DESIGNING COMPILATION SYSTEM OF PLC SOURCE PROGRAM BASED ON ARM-FPGA%基于 ARM-FPGA的 PLC源程序编译系统的设计

    Institute of Scientific and Technical Information of China (English)

    蒋玉新; 蔡启仲; 李克俭; 张炜

    2013-01-01

    在研究PLC程序编译执行过程和新指令特点的基础上,基于ARM-FPGA的PLC主机结构,提出一种新型PLC指令的编译方法。静态编译将指令的操作数转换为PLC软元件的直接地址,建立转移类指令的转移地址链表,编译成为新的PLC程序代码序列;动态编译在PLC程序执行过程中将新程序指令中操作数的直接地址转换为立即数,由FPGA模块执行。通过对PLC用户源程序的编译与执行,表明该方法能够充分应用FPGA高速并行处理的功能,提高了PLC程序执行的速度。%Based on the study of compilation and execution process of PLC program and the features of new instructions , we propose a novel compilation method of PLC program on a PLC platform designed by ARM-FPGA.The static compilation converts the instruction operands to direct address of PLC soft components , sets up the branch address link list of branch instructions , and the new PLC program code sequence is complied;the dynamic compilation converts the direct address of operands in new program instructions to immediate data during the execution process of PLC program and this is done by FPGA module .By compiling and executing PLC user source program , it is demonstrated that our proposed method can speed up the processing of PLC program by fully utilising the high speed parallel processing functions of FPGA.

  16. 基于ARM-Linux的滑动轴承实验系统设计%Design of Sliding Bearing Experiment System Based on ARM-Linux

    Institute of Scientific and Technical Information of China (English)

    王福刚; 曾兵; 葛良全

    2009-01-01

    Taking ARM chip as the core, developed a sliding bearing experiment system based on embedded system, for enhancing real -time performance and scientific research performance of it. replanting embedded Linux OS (Operating System) in ARM chip. The systemcomposed of core board and expansion board runs with embedded Linux Operating System and friendly GUI (Graphical User Interfaces). Its parameter can be changed dynamically and its re-development performance is fine. Uses a modular and standardized design method, and also introduces the replanting of embedded Linux OS and the development of driver and Qt/Embedded application procedures. And, the demo system has been finished with a good debugging result.%为提高滑动轴承实验系统的实时性及改善其科研性能,以ARM芯片为核心,研制了一种基于嵌入式系统的滑动轴承实验系统;系统由核心板和扩展板两部分组成,移植了嵌入式Linux操作系统,开发了友好的人机界面,可动态改变参数,二次开发性能优良;采用了模块化、标准化的硬件设计方法,介绍了嵌入式Linux的移植过程,详述了驱动程序的开发以及基于Qt/Embedded的应用程序设计;系统样机已完成,运行稳定,调试效果良好.

  17. Ruler Based Automatic C-Arm Image Stitching Without Overlapping Constraint.

    Science.gov (United States)

    Chen, Cheng; Kojcev, Risto; Haschtmann, Daniel; Fekete, Tamas; Nolte, Lutz; Zheng, Guoyan

    2015-08-01

    In this paper, we propose a new method for stitching multiple fluoroscopic images taken by a C-arm instrument. We employ an X-ray radiolucent ruler with numbered graduations while acquiring the images, and the image stitching is based on detecting and matching ruler parts in the images to the corresponding parts of a virtual ruler. To achieve this goal, we first detect the regular spaced graduations on the ruler and the numbers. After graduation labeling, for each image, we have the location and the associated number for every graduation on the ruler. Then, we initialize the panoramic X-ray image with the virtual ruler, and we "paste" each image by aligning the detected ruler part on the original image, to the corresponding part of the virtual ruler on the panoramic image. Our method is based on ruler matching but without the requirement of matching similar feature points in pairwise images, and thus, we do not necessarily require overlap between the images. We tested our method on eight different datasets of X-ray images, including long bones and a complete spine. Qualitative and quantitative experiments show that our method achieves good results.

  18. Testing coordinate measuring arms with a geometric feature-based gauge: in situ field trials

    International Nuclear Information System (INIS)

    This work describes in detail the definition of a procedure for calibrating and evaluating coordinate measuring arms (AACMMs or CMAs). CMAs are portable coordinate measuring machines that have been widely accepted in industry despite their sensitivity to the skill and experience of the operator in charge of the inspection task. The procedure proposed here is based on the use of a dimensional gauge that incorporates multiple geometric features, specifically designed for evaluating the measuring technique when CMAs are used, at company facilities (workshops or laboratories) and by the usual operators who handle these devices in their daily work. After establishing the procedure and manufacturing the feature-based gauge, the research project was complemented with diverse in situ field tests performed with the collaboration of companies that use these devices in their inspection tasks. Some of the results are presented here, not only comparing different operators but also comparing different companies. The knowledge extracted from these experiments has allowed the procedure to be validated, the defects of the methodologies currently used for in situ inspections to be detected, and substantial improvements for increasing the reliability of these portable instruments to be proposed. (paper)

  19. Testing coordinate measuring arms with a geometric feature-based gauge: in situ field trials

    Science.gov (United States)

    Cuesta, E.; Alvarez, B. J.; Patiño, H.; Telenti, A.; Barreiro, J.

    2016-05-01

    This work describes in detail the definition of a procedure for calibrating and evaluating coordinate measuring arms (AACMMs or CMAs). CMAs are portable coordinate measuring machines that have been widely accepted in industry despite their sensitivity to the skill and experience of the operator in charge of the inspection task. The procedure proposed here is based on the use of a dimensional gauge that incorporates multiple geometric features, specifically designed for evaluating the measuring technique when CMAs are used, at company facilities (workshops or laboratories) and by the usual operators who handle these devices in their daily work. After establishing the procedure and manufacturing the feature-based gauge, the research project was complemented with diverse in situ field tests performed with the collaboration of companies that use these devices in their inspection tasks. Some of the results are presented here, not only comparing different operators but also comparing different companies. The knowledge extracted from these experiments has allowed the procedure to be validated, the defects of the methodologies currently used for in situ inspections to be detected, and substantial improvements for increasing the reliability of these portable instruments to be proposed.

  20. Comparison of MODIS and VIIRS cloud properties with ARM ground-based observations over Finland

    Science.gov (United States)

    Sporre, Moa K.; O'Connor, Ewan J.; Håkansson, Nina; Thoss, Anke; Swietlicki, Erik; Petäjä, Tuukka

    2016-07-01

    Cloud retrievals from the Moderate Resolution Imaging Spectroradiometer (MODIS) instruments aboard the satellites Terra and Aqua and the Visible Infrared Imaging Radiometer Suite (VIIRS) instrument aboard the Suomi-NPP satellite are evaluated using a combination of ground-based instruments providing vertical profiles of clouds. The ground-based measurements are obtained from the Atmospheric Radiation Measurement (ARM) programme mobile facility, which was deployed in Hyytiälä, Finland, between February and September 2014 for the Biogenic Aerosols - Effects on Clouds and Climate (BAECC) campaign. The satellite cloud parameters cloud top height (CTH) and liquid water path (LWP) are compared with ground-based CTH obtained from a cloud mask created using lidar and radar data and LWP acquired from a multi-channel microwave radiometer. Clouds from all altitudes in the atmosphere are investigated. The clouds are diagnosed as single or multiple layer using the ground-based cloud mask. For single-layer clouds, satellites overestimated CTH by 326 m (14 %) on average. When including multilayer clouds, satellites underestimated CTH by on average 169 m (5.8 %). MODIS collection 6 overestimated LWP by on average 13 g m-2 (11 %). Interestingly, LWP for MODIS collection 5.1 is slightly overestimated by Aqua (4.56 %) but is underestimated by Terra (14.3 %). This underestimation may be attributed to a known issue with a drift in the reflectance bands of the MODIS instrument on Terra. This evaluation indicates that the satellite cloud parameters selected show reasonable agreement with their ground-based counterparts over Finland, with minimal influence from the large solar zenith angle experienced by the satellites in this high-latitude location.

  1. EEG-based "serious" games and monitoring tools for pain management.

    Science.gov (United States)

    Sourina, Olga; Wang, Qiang; Nguyen, Minh Khoa

    2011-01-01

    EEG-based "serious games" for medical applications attracted recently more attention from the research community and industry as wireless EEG reading devices became easily available on the market. EEG-based technology has been applied in anesthesiology, psychology, etc. In this paper, we proposed and developed EEG-based "serious" games and doctor's monitoring tools that could be used for pain management. As EEG signal is considered to have a fractal nature, we proposed and develop a novel spatio-temporal fractal based algorithm for brain state quantification. The algorithm is implemented with blobby visualization tools for patient monitoring and in EEG-based "serious" games. Such games could be used by patient even at home convenience for pain management as an alternative to traditional drug treatment.

  2. [Study for lung sound acquisition module based on ARM and Linux].

    Science.gov (United States)

    Lu, Qiang; Li, Wenfeng; Zhang, Xixue; Li, Junmin; Liu, Longqing

    2011-07-01

    A acquisition module with ARM and Linux as a core was developed. This paper presents the hardware configuration and the software design. It is shown that the module can extract human lung sound reliably and effectively.

  3. An evidence-based guideline on yoga in reducing pain among adult patients with chronic low back pain

    OpenAIRE

    林德; Lam, Tak

    2013-01-01

    Low back pain (LBP) is a common complaint and health problem in Hong Kong, particularly among middle-aged individuals. LBP is the main cause of chronic disability which significantly affects the daily life activities of patients. Pain might result in repeated hospital admissions and subsequently increase the burden on health care providers in Hong Kong. LBP has an enormous effect on quality of life and therefore deserves research attention. Growing evidence shows that yoga may help reduce...

  4. Neuropathic pain

    Directory of Open Access Journals (Sweden)

    Giuseppe Re

    2009-02-01

    Full Text Available Neuropathic pain is the expression of a dysfunction or primary lesion of a nerve in the peripheral or central nervous system, or both, rather than the biological signal transmitted by the nerve following peripheral nociceptor activation. It represents about 20% of all painful syndromes, with an estimated prevalence of 1.5%, however is actual incidence is hard to pinpoint due to the difficulties encountered in distinguishing it from chronic pain, of which it represents a significant percentage, on account of the not infrequent concurrence of conditions. It is crucial to recognise the variety of symptoms with which it can present: these can be negative and positive and, in turn, motor, sensitive and autonomic. In public health terms, it is important to emphasise that the diagnosis of neuropathic pain does not in most cases require sophisticated procedures and does not therefore weigh on health expenditure. In clinical practice, a validated scale (the LANSS is mentioned is useful for identifying patients presenting neuropathic pain symptoms. Therapy is based on three categories of medication: tricyclic antidepressants, anti-epileptics and opioids at high doses: neuropathic pain has a bad reputation for often resisting common therapeutic approaches and responding less well that nociceptor pain to monotherapy. Therapeutic strategies are all the more adequate the more they are based on symptoms and therefore on the pain generation mechanisms, although the recommendations are dictated more by expert opinions that double-blind randomised trials.

  5. Web-Based Interventions for Chronic Back Pain: A Systematic Review

    Science.gov (United States)

    Garg, Divya; Turin, Tanvir C; Chowdhury, M Faruq U

    2016-01-01

    Background Chronic low back pain is one of the most common presenting complaints to a physician’s office. Treatment is often challenging and recovery depends on various factors, often resulting in significant investments of time and resources. Objective The aim of this review is to determine which Web-based interventions aimed at chronic low back pain are of benefit to patients. Methods Randomized controlled trials (RCTs) studying Web-based interventions directed at adults with chronic low back pain were included. Retrospective studies, narrative reviews, nonrandomized trials, and observational studies were excluded. Electronic databases and bibliographies were searched. Results In total, nine unique RCTs were identified (total participants=1796). The number of patients randomized in each trial ranged from 51 to 580. Four trials studied online cognitive behavioral therapy (CBT) and five trials studied other Web-based interventions with interactive features. Empowerment/control was improved in six studies. Use of CBT was associated with reduced catastrophization among patients. Mixed results were reported with regards to reduction in pain levels and disability, although some studies showed promise in reducing disability in the short term. One study that measured health care utilization reported reduced utilization with the use of moderated email discussion. Conclusions Limited data are available regarding effective Web-based interventions to improve outcomes for patients with chronic low back pain. Nine RCTs with small sample sizes were identified in this review. Online CBT appears to show some promise in terms of reducing catastrophization and improving patient attitudes. Further research in this area with larger-scale studies focusing on appropriate outcomes appears to be a priority. PMID:27460413

  6. Pain expressiveness and altruistic behavior: an exploration using agent-based modeling.

    Science.gov (United States)

    de C Williams, Amanda C; Gallagher, Elizabeth; Fidalgo, Antonio R; Bentley, Peter J

    2016-03-01

    Predictions which invoke evolutionary mechanisms are hard to test. Agent-based modeling in artificial life offers a way to simulate behaviors and interactions in specific physical or social environments over many generations. The outcomes have implications for understanding adaptive value of behaviors in context. Pain-related behavior in animals is communicated to other animals that might protect or help, or might exploit or predate. An agent-based model simulated the effects of displaying or not displaying pain (expresser/nonexpresser strategies) when injured and of helping, ignoring, or exploiting another in pain (altruistic/nonaltruistic/selfish strategies). Agents modeled in MATLAB interacted at random while foraging (gaining energy); random injury interrupted foraging for a fixed time unless help from an altruistic agent, who paid an energy cost, speeded recovery. Environmental and social conditions also varied, and each model ran for 10,000 iterations. Findings were meaningful in that, in general, contingencies that evident from experimental work with a variety of mammals, over a few interactions, were replicated in the agent-based model after selection pressure over many generations. More energy-demanding expression of pain reduced its frequency in successive generations, and increasing injury frequency resulted in fewer expressers and altruists. Allowing exploitation of injured agents decreased expression of pain to near zero, but altruists remained. Decreasing costs or increasing benefits of helping hardly changed its frequency, whereas increasing interaction rate between injured agents and helpers diminished the benefits to both. Agent-based modeling allows simulation of complex behaviors and environmental pressures over evolutionary time. PMID:26655734

  7. Effect of aquatic and land-based exercise programs on the pain and motor function of weight lifters with patellofemoral pain syndrome

    Directory of Open Access Journals (Sweden)

    Farideh Babakhani

    2015-09-01

    Full Text Available Background: Patellofemoral Syndrome (PFPS is one of the most common knee joint problems among the athletes. The present study was aimed to compare the effect of aquatic and land-based exercise methods on the pain level and motor function of the weight lifters with patellofemoral syndrome. Methods: A total of twenty weight lifters with patellofemoral syndrome participated in this quasi-experimental study. They were randomly divided to two groups of aquatic exercise and land-based exercise. Visual Analog Scale (VAS and Kujala Scale were used before and after the exercise period to measure the pain and motor function, respectively. To compare the pre-test and post-test scores of the participating groups, dependent t-test was used and to compare the differences between groups, ANOVA was applied. Results: The results of post-test showed a significant difference in both groups in terms of pain level and motor function compared to pre-test after eight weeks of strength exercise. However, the comparison of data indicated no significant difference between groups with regard to pain level and motor function. Conclusion: According to the findings of this study, exercise in water and on land can reduce the pain and improve the performance of the patients with patellofemoral syndrome.

  8. Multivariate Radiological-Based Models for the Prediction of Future Knee Pain: Data from the OAI

    Directory of Open Access Journals (Sweden)

    Jorge I. Galván-Tejada

    2015-01-01

    Full Text Available In this work, the potential of X-ray based multivariate prognostic models to predict the onset of chronic knee pain is presented. Using X-rays quantitative image assessments of joint-space-width (JSW and paired semiquantitative central X-ray scores from the Osteoarthritis Initiative (OAI, a case-control study is presented. The pain assessments of the right knee at the baseline and the 60-month visits were used to screen for case/control subjects. Scores were analyzed at the time of pain incidence (T-0, the year prior incidence (T-1, and two years before pain incidence (T-2. Multivariate models were created by a cross validated elastic-net regularized generalized linear models feature selection tool. Univariate differences between cases and controls were reported by AUC, C-statistics, and ODDs ratios. Univariate analysis indicated that the medial osteophytes were significantly more prevalent in cases than controls: C-stat 0.62, 0.62, and 0.61, at T-0, T-1, and T-2, respectively. The multivariate JSW models significantly predicted pain: AUC = 0.695, 0.623, and 0.620, at T-0, T-1, and T-2, respectively. Semiquantitative multivariate models predicted paint with C-stat = 0.671, 0.648, and 0.645 at T-0, T-1, and T-2, respectively. Multivariate models derived from plain X-ray radiography assessments may be used to predict subjects that are at risk of developing knee pain.

  9. Gesture Therapy: A Vision-Based System for Arm Rehabilitation after Stroke

    Science.gov (United States)

    Sucar, L. Enrique; Azcárate, Gildardo; Leder, Ron S.; Reinkensmeyer, David; Hernández, Jorge; Sanchez, Israel; Saucedo, Pedro

    Each year millions of people in the world survive a stroke, in the U.S. alone the figure is over 600,000 people per year. Movement impairments after stroke are typically treated with intensive, hands-on physical and occupational therapy for several weeks after the initial injury. However, due to economic pressures, stroke patients are receiving less therapy and going home sooner, so the potential benefit of the therapy is not completely realized. Thus, it is important to develop rehabilitation technology that allows individuals who had suffered a stroke to practice intensive movement training without the expense of an always-present therapist. Current solutions are too expensive, as they require a robotic system for rehabilitation. We have developed a low-cost, computer vision system that allows individuals with stroke to practice arm movement exercises at home or at the clinic, with periodic interactions with a therapist. The system integrates a web based virtual environment for facilitating repetitive movement training, with state-of-the art computer vision algorithms that track the hand of a patient and obtain its 3-D coordinates, using two inexpensive cameras and a conventional personal computer. An initial prototype of the system has been evaluated in a pilot clinical study with promising results.

  10. Sensor-based whole-arm obstacle avoidance utilizing ASIC technology

    International Nuclear Information System (INIS)

    Operation of manipulator systems in poorly defined work environments often presents a significant hazard to both the robotic assembly and the environment. In applications relating to the Environmental Restoration and Waste Management (ER ampersand WM) Program, many of the environments are considered hazardous, both, in the structure and composition of the environment Use of a sensing system that provides information to the manipulator control unit regarding obstacles in close proximity will provide protection against collisions. In this paper, a hierarchical design and implementation of a whole-arm obstacle avoidance system is presented. The system is based on capacitive sensors configured as bracelets for proximity sensing. Each bracelet contains a number of sensor nodes and a processor for sensor node control and readout, and communications with a higher level host, common to all bracelets. The host controls the entire sensing network and communicates proximity information to the manipulator controller. The overall architecture of this system is discussed with detail on the individual system modules. Details of an application specific integrated circuit (ASIC) designed to implement the sensor node electronics are presented. Justifications for the general measurement methods and associated implementation are discussed. Additionally, the current state of development including measured dam is presented

  11. Sensor-based whole-arm obstacle avoidance utilizing ASIC technology

    Science.gov (United States)

    Wintenberg, A. L.; Ericson, M. N.; Babcock, S. M.; Armstrong, G. A.; Britton, C. L., Jr.; Butler, P. L.; Hamel, W. R.; Newport, D. F.

    Operation of manipulator systems in poorly defined work environments often presents a significant hazard to both the robotic assembly and the environment. In applications relating to the Environmental Restoration and Waste Management (ER&WM) Program, many of the environments are considered hazardous, both, in the structure and composition of the environment. Use of a sensing system that provides information to the manipulator control unit regarding obstacles in close proximity will provide protection against collisions. A hierarchical design and implementation of a whole-arm obstacle avoidance system is presented. The system is based on capacitive sensors configured as bracelets for proximity sensing. Each bracelet contains a number of sensor nodes and a processor for sensor node control and readout, and communications with a higher level host, common to all bracelets. The host controls the entire sensing network and communicates proximity information to the manipulator controller. The overall architecture of this system is discussed with detail on the individual system modules. Details of an application specific integrated circuit (ASIC) designed to implement the sensor node electronics are presented. Justifications for the general measurement methods and associated implementation are discussed. Additionally, the current state of development including measured data is presented.

  12. Integrated vision-based robotic arm interface for operators with upper limb mobility impairments.

    Science.gov (United States)

    Jiang, Hairong; Wachs, Juan P; Duerstock, Bradley S

    2013-06-01

    An integrated, computer vision-based system was developed to operate a commercial wheelchair-mounted robotic manipulator (WMRM). In this paper, a gesture recognition interface system developed specifically for individuals with upper-level spinal cord injuries (SCIs) was combined with object tracking and face recognition systems to be an efficient, hands-free WMRM controller. In this test system, two Kinect cameras were used synergistically to perform a variety of simple object retrieval tasks. One camera was used to interpret the hand gestures to send as commands to control the WMRM and locate the operator's face for object positioning. The other sensor was used to automatically recognize different daily living objects for test subjects to select. The gesture recognition interface incorporated hand detection, tracking and recognition algorithms to obtain a high recognition accuracy of 97.5% for an eight-gesture lexicon. An object recognition module employing Speeded Up Robust Features (SURF) algorithm was performed and recognition results were sent as a command for "coarse positioning" of the robotic arm near the selected daily living object. Automatic face detection was also provided as a shortcut for the subjects to position the objects to the face by using a WMRM. Completion time tasks were conducted to compare manual (gestures only) and semi-manual (gestures, automatic face detection and object recognition) WMRM control modes. The use of automatic face and object detection significantly increased the completion times for retrieving a variety of daily living objects. PMID:24187264

  13. Integrated vision-based robotic arm interface for operators with upper limb mobility impairments.

    Science.gov (United States)

    Jiang, Hairong; Wachs, Juan P; Duerstock, Bradley S

    2013-06-01

    An integrated, computer vision-based system was developed to operate a commercial wheelchair-mounted robotic manipulator (WMRM). In this paper, a gesture recognition interface system developed specifically for individuals with upper-level spinal cord injuries (SCIs) was combined with object tracking and face recognition systems to be an efficient, hands-free WMRM controller. In this test system, two Kinect cameras were used synergistically to perform a variety of simple object retrieval tasks. One camera was used to interpret the hand gestures to send as commands to control the WMRM and locate the operator's face for object positioning. The other sensor was used to automatically recognize different daily living objects for test subjects to select. The gesture recognition interface incorporated hand detection, tracking and recognition algorithms to obtain a high recognition accuracy of 97.5% for an eight-gesture lexicon. An object recognition module employing Speeded Up Robust Features (SURF) algorithm was performed and recognition results were sent as a command for "coarse positioning" of the robotic arm near the selected daily living object. Automatic face detection was also provided as a shortcut for the subjects to position the objects to the face by using a WMRM. Completion time tasks were conducted to compare manual (gestures only) and semi-manual (gestures, automatic face detection and object recognition) WMRM control modes. The use of automatic face and object detection significantly increased the completion times for retrieving a variety of daily living objects.

  14. Outcome of non-invasive treatment modalities on back pain: an evidence-based review

    OpenAIRE

    van Tulder, Maurits W.; Koes, Bart; Malmivaara, Antti

    2005-01-01

    At present, there is an increasing international trend towards evidence-based health care. The field of low back pain (LBP) research in primary care is an excellent example of evidence-based health care because there is a huge body of evidence from randomized trials. These trials have been summarized in a large number of systematic reviews. This paper summarizes the best available evidence from systematic reviews conducted within the framework of the Cochrane Back Review Group on non-invasive...

  15. Effects of medical intervention on low back pain among the armed police forces officers and soldiers%医学干预对武警官兵下腰痛的影响

    Institute of Scientific and Technical Information of China (English)

    纪慧茹; 徐继培; 黄菲; 王策; 汪曙燕; 张倩

    2012-01-01

    目的 探讨医学干预对武警部队官兵下腰痛发生情况的影响.方法 随机整群抽样,将武警 部队的两个大队分为两组.一个大队作为干预组,训练过程中采取"教授腰背部预防保护知识,优化训练 措施与方案,进行科学施训,加强心理辅导,强化腰背肌锻炼,受伤后及时诊治"等措施干预;另一大队按 照以往常规方法进行训练,不加任何干预措施,作为对照组.观察12个月内两组官兵的下腰痛的发生情 况.结果 干预组的下腰痛的发生率为10.18%,显著低于对照组(16.13%,P =0.0001)干预组的急性腰扭伤 发生率为3.64%,低于对照组5.91%(χ2=5.4173,P=0.0199;)干预组的急性腰扭伤和腰肌劳损发生率 4.78%,显著低于对照组(7.49%,χ2=6.0879,P=0.0136).结论 实施医学干预可有效降低武警官兵下腰 痛的发生率.%Objective To investigate the effects of medical intervention on the occurrence of low back pain among the armed police forces officers and soldiers . Methods By random cluster sampling, 948 armed police forces officers and soldier, all males, aged 18~32, were selected to undergo conventional training (control group), and 962 age-, sex-, constitution, and length of military service-matched officers and soldier received additional intervention program, including health education, optimization of the training plan and measures, psychological counseling, strengthening of exercising the muscle of low back, and treating the injury of low back in time (intervention group). One year later the incidence rates of low back pain, acute of lumbar sprain, and chronic lumbar muscle strain were analyzed. Results The incidence rate of low back pain of the intervention group was 10.18%, significantly lower than that of the control group(16.13%, P =0.0001). The incidence rate of acute lumbar sprain of the intervention group was 3.64% , , significantly lower than that of the control group (5.91%, X2 = 5.4173, P= 0.0199). . he

  16. Orofacial pain: a primer.

    Science.gov (United States)

    De Rossi, Scott S

    2013-07-01

    Orofacial pain refers to pain associated with the soft and hard tissues of the head, face, and neck. It is a common experience in the population that has profound sociologic effects and impact on quality of life. New scientific evidence is constantly providing insight into the cause and pathophysiology of orofacial pain including temporomandibular disorders, cranial neuralgias, persistent idiopathic facial pains, headache, and dental pain. An evidence-based approach to the management of orofacial pain is imperative for the general clinician. This article reviews the basics of pain epidemiology and neurophysiology and sets the stage for in-depth discussions of various painful conditions of the head and neck.

  17. Evidence-based pain management: is the concept of integrative medicine applicable?

    Directory of Open Access Journals (Sweden)

    Bubnov Rostyslav V

    2012-10-01

    Full Text Available Abstract This article is dedicated to the concept of predictive, preventive, and personalized (integrative medicine beneficial and applicable to advance pain management, overviews recent insights, and discusses novel minimally invasive tools, performed under ultrasound guidance, enhanced by model-guided approach in the field of musculoskeletal pain and neuromuscular diseases. The complexity of pain emergence and regression demands intellectual-, image-guided techniques personally specified to the patient. For personalized approach, the combination of the modalities of ultrasound, EMG, MRI, PET, and SPECT gives new opportunities to experimental and clinical studies. Neuromuscular imaging should be crucial for emergence of studies concerning advanced neuroimaging technologies to predict movement disorders, postural imbalance with integrated application of imaging, and functional modalities for rehabilitation and pain management. Scientific results should initiate evidence-based preventive movement programs in sport medicine rehabilitation. Traditional medicine and mathematical analytical approaches and education challenges are discussed in this review. The physiological management of exactly assessed pathological condition, particularly in movement disorders, requires participative medical approach to gain harmonized and sustainable effect.

  18. Acceptance- and mindfulness-based interventions for the treatment of chronic pain: a meta-analytic review.

    Science.gov (United States)

    Veehof, M M; Trompetter, H R; Bohlmeijer, E T; Schreurs, K M G

    2016-01-01

    The number of acceptance- and mindfulness-based interventions for chronic pain, such as acceptance and commitment therapy (ACT), mindfulness-based stress reduction (MBSR), and mindfulness-based cognitive therapy (MBCT), increased in recent years. Therefore an update is warranted of our former systematic review and meta-analysis of studies that reported effects on the mental and physical health of chronic pain patients. Pubmed, EMBASE, PsycInfo and Cochrane were searched for eligible studies. Current meta-analysis only included randomized controlled trials (RCTs). Studies were rated for quality. Mean quality did not improve in recent years. Pooled standardized mean differences using the random-effect model were calculated to represent the average intervention effect and, to perform subgroup analyses. Outcome measures were pain intensity, depression, anxiety, pain interference, disability and quality of life. Included were twenty-five RCTs totaling 1285 patients with chronic pain, in which we compared acceptance- and mindfulness-based interventions to the waitlist, (medical) treatment-as-usual, and education or support control groups. Effect sizes ranged from small (on all outcome measures except anxiety and pain interference) to moderate (on anxiety and pain interference) at post-treatment and from small (on pain intensity and disability) to large (on pain interference) at follow-up. ACT showed significantly higher effects on depression and anxiety than MBSR and MBCT. Studies' quality, attrition rate, type of pain and control group, did not moderate the effects of acceptance- and mindfulness-based interventions. Current acceptance- and mindfulness-based interventions, while not superior to traditional cognitive behavioral treatments, can be good alternatives. PMID:26818413

  19. Dynamic Structure Optimization Design of Lower Control Arm Based on ESL

    Directory of Open Access Journals (Sweden)

    Lihui Zhao

    2012-11-01

    Full Text Available Structure optimization techniques under static load conditions have been widely used in automotive industry for lightweight and performance improvement of modern cars. However, these static load conditions could not represent all the severe situations of automobile parts which subjected to complex loads varying with time, especially for lower control arm of front suspension. In this study, dynamic optimization of lower control arm was performed by combing traditional static load optimization techniques and multi-body dynamics by Equivalent Static Load (ESL. And the best draw-bead distribution of the stamped lower control arm was attained. Comparing the MBD analysis results of the new design derived from dynamic optimization and original structure, results show that the strength and stiffness was increased significantly while the mass was almost unchanged.

  20. Application of a diagnosis-based clinical decision guide in patients with neck pain

    Directory of Open Access Journals (Sweden)

    Murphy Donald R

    2011-08-01

    Full Text Available Abstract Background Neck pain (NP is a common cause of disability. Accurate and efficacious methods of diagnosis and treatment have been elusive. A diagnosis-based clinical decision guide (DBCDG; previously referred to as a diagnosis-based clinical decision rule has been proposed which attempts to provide the clinician with a systematic, evidence-based guide in applying the biopsychosocial model of care. The approach is based on three questions of diagnosis. The purpose of this study is to present the prevalence of findings using the DBCDG in consecutive patients with NP. Methods Demographic, diagnostic and baseline outcome measure data were gathered on a cohort of NP patients examined by one of three examiners trained in the application of the DBCDG. Results Data were gathered on 95 patients. Signs of visceral disease or potentially serious illness were found in 1%. Centralization signs were found in 27%, segmental pain provocation signs were found in 69% and radicular signs were found in 19%. Clinically relevant myofascial signs were found in 22%. Dynamic instability was found in 40%, oculomotor dysfunction in 11.6%, fear beliefs in 31.6%, central pain hypersensitivity in 4%, passive coping in 5% and depression in 2%. Conclusion The DBCDG can be applied in a busy private practice environment. Further studies are needed to investigate clinically relevant means to identify central pain hypersensitivity, oculomotor dysfunction, poor coping and depression, correlations and patterns among the diagnostic components of the DBCDG as well as inter-examiner reliability, validity and efficacy of treatment based on the DBCDG.

  1. Mechanism-based classification and physical therapy management of persons with cancer pain: A prospective case series

    Directory of Open Access Journals (Sweden)

    Senthil P Kumar

    2013-01-01

    Full Text Available Context: Mechanism-based classification (MBC was established with current evidence and physical therapy (PT management methods for both cancer and for noncancer pain. Aims: This study aims to describe the efficacy of MBC-based PT in persons with primary complaints of cancer pain. Settings and Design: A prospective case series of patients who attended the physiotherapy department of a multispecialty university-affiliated teaching hospital. Material and Methods: A total of 24 adults (18 female, 6 male aged 47.5 ± 10.6 years, with primary diagnosis of heterogeneous group of cancer, chief complaints of chronic disabling pain were included in the study on their consent for participation The patients were evaluated and classified on the basis of five predominant mechanisms for pain. Physical therapy interventions were recommended based on mechanisms identified and home program was prescribed with a patient log to ensure compliance. Treatments were given in five consecutive weekly sessions for five weeks each of 30 min duration. Statistical Analysis Used: Pre-post comparisons for pain severity (PS and pain interference (PI subscales of Brief pain inventory-Cancer pain (BPI-CP and, European organization for research and treatment in cancer-quality of life questionnaire (EORTC-QLQ-C30 were done using Wilcoxon signed-rank test at 95% confidence interval using SPSS for Windows version 16.0 (SPSS Inc, Chicago, IL. Results: There were statistically significant ( P < 0.05 reduction in pain severity, pain interference and total BPI-CP scores, and the EORTC-QLQ-C30. Conclusion: MBC-PT was effective for improving BPI-CP and EORTC-QLQ-C30 scores in people with cancer pain.

  2. Real-Time Discrete Adaptive Control of Robot Arm Based on Digital Signal Processing

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    A discrete model reference adaptive controller of robot arm is obtained by integrating the reduced dynamic model of robot, model reference adaptive control (MRAC) and digital signal processing (DSP) computer system into an electromechanical system. With the DSP computer system, the control signal of each joint of the robot arm can be processed in real time and independently. The simulation and experiment results show that with the control strategy, the robot achieved a good trajectory following precision, a good decoupling performance and a high real-time adaptivity.

  3. Robotic arm

    Science.gov (United States)

    Kwech, Horst

    1989-04-18

    A robotic arm positionable within a nuclear vessel by access through a small diameter opening and having a mounting tube supported within the vessel and mounting a plurality of arm sections for movement lengthwise of the mounting tube as well as for movement out of a window provided in the wall of the mounting tube. An end effector, such as a grinding head or welding element, at an operating end of the robotic arm, can be located and operated within the nuclear vessel through movement derived from six different axes of motion provided by mounting and drive connections between arm sections of the robotic arm. The movements are achieved by operation of remotely-controllable servo motors, all of which are mounted at a control end of the robotic arm to be outside the nuclear vessel.

  4. The Discriminative validity of "nociceptive," "peripheral neuropathic," and "central sensitization" as mechanisms-based classifications of musculoskeletal pain.

    LENUS (Irish Health Repository)

    Smart, Keith M

    2012-02-01

    OBJECTIVES: Empirical evidence of discriminative validity is required to justify the use of mechanisms-based classifications of musculoskeletal pain in clinical practice. The purpose of this study was to evaluate the discriminative validity of mechanisms-based classifications of pain by identifying discriminatory clusters of clinical criteria predictive of "nociceptive," "peripheral neuropathic," and "central sensitization" pain in patients with low back (+\\/- leg) pain disorders. METHODS: This study was a cross-sectional, between-patients design using the extreme-groups method. Four hundred sixty-four patients with low back (+\\/- leg) pain were assessed using a standardized assessment protocol. After each assessment, patients\\' pain was assigned a mechanisms-based classification. Clinicians then completed a clinical criteria checklist indicating the presence\\/absence of various clinical criteria. RESULTS: Multivariate analyses using binary logistic regression with Bayesian model averaging identified a discriminative cluster of 7, 3, and 4 symptoms and signs predictive of a dominance of "nociceptive," "peripheral neuropathic," and "central sensitization" pain, respectively. Each cluster was found to have high levels of classification accuracy (sensitivity, specificity, positive\\/negative predictive values, positive\\/negative likelihood ratios). DISCUSSION: By identifying a discriminatory cluster of symptoms and signs predictive of "nociceptive," "peripheral neuropathic," and "central" pain, this study provides some preliminary discriminative validity evidence for mechanisms-based classifications of musculoskeletal pain. Classification system validation requires the accumulation of validity evidence before their use in clinical practice can be recommended. Further studies are required to evaluate the construct and criterion validity of mechanisms-based classifications of musculoskeletal pain.

  5. Robust EMG sensing system based on data fusion for myoelectric control of a robotic arm

    Directory of Open Access Journals (Sweden)

    Soria Carlos M

    2009-02-01

    Full Text Available Abstract Background Myoelectric control of a robotic manipulator may be disturbed by failures due to disconnected electrodes, interface impedance changes caused by movements, problems in the recording channel and other various noise sources. To correct these problems, this paper presents two fusing techniques, Variance Weighted Average (VWA and Decentralized Kalman Filter (DKF, both based on the myoelectric signal variance as selecting criterion. Methods Tested in five volunteers, a redundant arrangement was obtained with two pairs of electrodes for each recording channel. The myoelectric signals were electronically amplified, filtered and digitalized, while the processing, fusion algorithms and control were implemented in a personal computer under MATLAB® environment and in a Digital Signal Processor (DSP. The experiments used an industrial robotic manipulator BOSCH SR-800, type SCARA, with four degrees of freedom; however, only the first joint was used to move the end effector to a desired position, the latter obtained as proportional to the EMG amplitude. Results Several trials, including disconnecting and reconnecting one electrode and disturbing the signal with synthetic noise, were performed to test the fusion techniques. The results given by VWA and DKF were transformed into joint coordinates and used as command signals to the robotic arm. Even though the resultant signal was not exact, the failure was ignored and the joint reference signal never exceeded the workspace limits. Conclusion The fault robustness and safety characteristics of a myoelectric controlled manipulator system were substantially improved. The proposed scheme prevents potential risks for the operator, the equipment and the environment. Both algorithms showed efficient behavior. This outline could be applied to myoelectric control of prosthesis, or assistive manipulators to better assure the system functionality when electrode faults or noisy environment are present.

  6. Design of Programmable Automation Controller Based on ARM and Linux%基于ARM-Linux的可编程自动化控制器的设计

    Institute of Scientific and Technical Information of China (English)

    李斌; 陈富林; 李森; 王凯

    2011-01-01

    Based on the understanding of the PAC s function and programming method, a kind of PAC proto-type is discussed in detail. The main structure is introduced first, and later the operation system is deduced thor-oughly , both in hardware and software. Its hardware platform is based on a ARM board, while its software is based on linux as OS, Qt as HMI and Sqlite as database. Finally, analysis indicates that this PAC is of great scalability and portability, and can meet the industry requirements sufficiently.%在理解PAC系统的功能、组成和编程方法基础上,从整体上介绍了一种PAC的实现方案.首先对PAC总体结构作了简要介绍,然后主要对运行系统的整体构架的设计做了详细研究,包括软件及硬件系统的设计.运行系统的硬件平台是基于ARM的嵌入式控制器,软件方面使用linux作为操作系统,Qt作为界面,并支持Sqlite数据库.最后对软PLC系统的性能进行分析,分析结果表明:系统具备了良好的扩展性和移植性,达到了工业领域中的控制要求.

  7. ARM Mentor Selection Process

    Energy Technology Data Exchange (ETDEWEB)

    Sisterson, D. L. [Argonne National Lab. (ANL), Argonne, IL (United States)

    2015-10-01

    The Atmospheric Radiation Measurement (ARM) Program was created in 1989 with funding from the U.S. Department of Energy (DOE) to develop several highly instrumented ground stations to study cloud formation processes and their influence on radiative transfer. In 2003, the ARM Program became a national scientific user facility, known as the ARM Climate Research Facility. This scientific infrastructure provides for fixed sites, mobile facilities, an aerial facility, and a data archive available for use by scientists worldwide through the ARM Climate Research Facility—a scientific user facility. The ARM Climate Research Facility currently operates more than 300 instrument systems that provide ground-based observations of the atmospheric column. To keep ARM at the forefront of climate observations, the ARM infrastructure depends heavily on instrument scientists and engineers, also known as lead mentors. Lead mentors must have an excellent understanding of in situ and remote-sensing instrumentation theory and operation and have comprehensive knowledge of critical scale-dependent atmospheric processes. They must also possess the technical and analytical skills to develop new data retrievals that provide innovative approaches for creating research-quality data sets. The ARM Climate Research Facility is seeking the best overall qualified candidate who can fulfill lead mentor requirements in a timely manner.

  8. Outcome of invasive treatment modalities on back pain and sciatica: an evidence-based review

    OpenAIRE

    van Tulder, Maurits W.; Koes, Bart; Seitsalo, Seppo; Malmivaara, Antti

    2005-01-01

    Within the framework of evidence-based medicine high-quality randomised trials and systematic reviews are considered a necessary prerequisite for progress in orthopaedics. This paper summarises the currently available evidence on surgical and other invasive procedures for low back pain. Results of systematic reviews conducted within the framework of the Cochrane Back Review Group were used. Data were gathered from the latest Cochrane Database of Systematic Reviews 2005, Issue 2. The Cochrane ...

  9. A New Crank Arm-Based Load Cell for the 3D Analysis of the Force Applied by a Cyclist

    Directory of Open Access Journals (Sweden)

    Alexandre Balbinot

    2014-12-01

    Full Text Available This report describes a new crank arm-based force platform designed to evaluate the three-dimensional force applied to the pedals by cyclists in real conditions. The force platform was designed to be fitted on a conventional competition bicycle crankset while data is transmitted wirelessly through a BluetoothTM module and also stored on a SD card. A 3D solid model is created in the SolidWorks (Dassault Systèmes SOLIDWORKS Corp. to analyze the static and dynamic characteristics of the crank arm by using the finite elements technique. Each crankset arm is used as a load cell based on strain gauges configured as three Wheatstone bridges. The signals are conditioned on a printed circuit board attached directly to the structure. The load cell showed a maximum nonlinearity error between 0.36% and 0.61% and a maximum uncertainty of 2.3% referred to the sensitivity of each channel. A roller trainer equipped with an optical encoder was also developed, allowing the measurement of the wheel’s instantaneous velocity.

  10. Development of Stepper motor based Two DOF Robotic Arm Transferring Liquid using Peristaltic Pump

    Directory of Open Access Journals (Sweden)

    Padma Thiagarajan

    2013-02-01

    Full Text Available The aim of this work is to transfer liquid contents from one micro cell to another using two stepper motors and a peristaltic pump. There are two objectives here. One is to develop a low cost roboticarm using stepper motors. The second objective is the control and calibration of the peristaltic pump. All parts are controlled and operated by their respective microcontrollers. Fulfillment of both the objectives leads to an integrated system to transfer liquids from one cell to another. The end effecter of the robotic arm is connected to the peristaltic pump. The pump has two pipes connected to it. Through one pipe it takes in the liquid and through the other pipe it delivers the liquid into the second cell. After transferring one sample of liquid, the arm moves to a cleaning module where the end effecter is cleaned to avoid cross contamination. The robotic arm is built using stepper motors and controlled using Atmega32 microcontroller whereas the peristaltic pump is controlled and calibrated using 8051 microcontroller. The pumping is done with the help of DC motors. As a result, the working of the robotic arm and theperistaltic pump is verified experimentally.

  11. Chest Pain of Suspected Cardiac Origin: Current Evidence-based Recommendations for Prehospital Care

    Directory of Open Access Journals (Sweden)

    P. Brian Savino

    2015-12-01

    Full Text Available Introduction: In the United States, emergency medical services (EMS protocols vary widely across jurisdictions. We sought to develop evidence-based recommendations for the prehospital evaluation and treatment of chest pain of suspected cardiac origin and to compare these recommendations against the current protocols used by the 33 EMS agencies in the state of California. Methods: We performed a literature review of the current evidence in the prehospital treatment of chest pain and augmented this review with guidelines from various national and international societies to create our evidence-based recommendations. We then compared the chest pain protocols of each of the 33 EMS agencies for consistency with these recommendations. The specific protocol components that we analyzed were use of supplemental oxygen, aspirin, nitrates, opiates, 12-lead electrocardiogram (ECG, ST segment elevation myocardial infarction (STEMI regionalization systems, prehospital fibrinolysis and β-blockers. Results: The protocols varied widely in terms of medication and dosing choices, as well as listed contraindications to treatments. Every agency uses oxygen with 54% recommending titrated dosing. All agencies use aspirin (64% recommending 325mg, 24% recommending 162mg and 15% recommending either, as well as nitroglycerin and opiates (58% choosing morphine. Prehospital 12- Lead ECGs are used in 97% of agencies, and all but one agency has some form of regionalized care for their STEMI patients. No agency is currently employing prehospital fibrinolysis or β-blocker use. Conclusion: Protocols for chest pain of suspected cardiac origin vary widely across California. The evidence-based recommendations that we present for the prehospital diagnosis and treatment of this condition may be useful for EMS medical directors tasked with creating and revising these protocols.

  12. Co-creating an online exercise-based rehabilitation programme for people with chronic knee and hip pain based on user preferences and behavioural change techniques.

    OpenAIRE

    Michael Hurley

    2015-01-01

    Background: Chronic knee and hip pain in elderly people is very prevalent (1,2) and causes reduced mobility, disability and co-morbidity. Evidence-based many men guidelines recommend exercise and self-management as effective interventions (3). “Enabling Self-management and Coping of Arthritic Pain through Exercise, ESCAPE-pain” (www.escape-pain.org), is a rehabilitation programme that integrates patient self-management information and advice with an exercise regimen (4). Increased knowledge o...

  13. Outcome of non-invasive treatment modalities on back pain: an evidence-based review.

    Science.gov (United States)

    van Tulder, Maurits W; Koes, Bart; Malmivaara, Antti

    2006-01-01

    At present, there is an increasing international trend towards evidence-based health care. The field of low back pain (LBP) research in primary care is an excellent example of evidence-based health care because there is a huge body of evidence from randomized trials. These trials have been summarized in a large number of systematic reviews. This paper summarizes the best available evidence from systematic reviews conducted within the framework of the Cochrane Back Review Group on non-invasive treatments for non-specific LBP. Data were gathered from the latest Cochrane Database of Systematic Reviews 2005, Issue 2. The Cochrane reviews were updated with additional trials, if available. Traditional NSAIDs, muscle relaxants, and advice to stay active are effective for short-term pain relief in acute LBP. Advice to stay active is also effective for long-term improvement of function in acute LBP. In chronic LBP, various interventions are effective for short-term pain relief, i.e. antidepressants, COX2 inhibitors, back schools, progressive relaxation, cognitive-respondent treatment, exercise therapy, and intensive multidisciplinary treatment. Several treatments are also effective for short-term improvement of function in chronic LBP, namely COX2 inhibitors, back schools, progressive relaxation, exercise therapy, and multidisciplinary treatment. There is no evidence that any of these interventions provides long-term effects on pain and function. Also, many trials showed methodological weaknesses, effects are compared to placebo, no treatment or waiting list controls, and effect sizes are small. Future trials should meet current quality standards and have adequate sample size. PMID:16320031

  14. Painful/unstable shoulder

    International Nuclear Information System (INIS)

    This paper reports on the diagnostic performance of CT-arthrography of the painful/unstable shoulder that was evaluated in more than 300 patients. We have encountered a great variety of painful shoulder pathology, including impingement syndrome, cuff tear arthropathy, lesions of the long head of the biceps tendon, calcifying tendinitis, adhesive capsulitis, dead arm syndrome, and degenerative joint disease. Lesions related to instability include cases of capsular avulsions, disruption of the glenohumeral ligaments, labral pathology, glenoid fractures, Hill-Sachs lesions, and changes in glenoid angulation. CT-arthrography is an accurate exploration for both unstable and painful shoulders

  15. Multi-arm multilateral haptics-based immersive tele-robotic system (HITS) for improvised explosive device disposal

    Science.gov (United States)

    Erickson, David; Lacheray, Hervé; Lai, Gilbert; Haddadi, Amir

    2014-06-01

    This paper presents the latest advancements of the Haptics-based Immersive Tele-robotic System (HITS) project, a next generation Improvised Explosive Device (IED) disposal (IEDD) robotic interface containing an immersive telepresence environment for a remotely-controlled three-articulated-robotic-arm system. While the haptic feedback enhances the operator's perception of the remote environment, a third teleoperated dexterous arm, equipped with multiple vision sensors and cameras, provides stereo vision with proper visual cues, and a 3D photo-realistic model of the potential IED. This decentralized system combines various capabilities including stable and scaled motion, singularity avoidance, cross-coupled hybrid control, active collision detection and avoidance, compliance control and constrained motion to provide a safe and intuitive control environment for the operators. Experimental results and validation of the current system are presented through various essential IEDD tasks. This project demonstrates that a two-armed anthropomorphic Explosive Ordnance Disposal (EOD) robot interface can achieve complex neutralization techniques against realistic IEDs without the operator approaching at any time.

  16. Untying chronic pain

    OpenAIRE

    Häuser, Winfried; Wolfe, Frederik; Henningsen, Peter; Schmutzer, Gabriele; Brähler, Elmar; Hinz, Andreas

    2014-01-01

    Background: Chronic pain is a major public health problem. The impact of stages of chronic pain adjusted for disease load on societal burden has not been assessed in population surveys. Methods: A cross-sectional survey with 4360 people aged ≥ 14 years representative of the German population was conducted. Measures obtained included demographic variables, presence of chronic pain (based on the definition of the International Association for the Study of Pain), chronic pain stages (by chronic ...

  17. The influence of children's pain memories on subsequent pain experience.

    Science.gov (United States)

    Noel, Melanie; Chambers, Christine T; McGrath, Patrick J; Klein, Raymond M; Stewart, Sherry H

    2012-08-01

    Healthy children are often required to repeatedly undergo painful medical procedures (eg, immunizations). Although memory is often implicated in children's reactions to future pain, there is a dearth of research directly examining the relationship between the 2. The current study investigated the influence of children's memories for a novel pain stimulus on their subsequent pain experience. One hundred ten healthy children (60 boys) between the ages of 8 and 12 years completed a laboratory pain task and provided pain ratings. Two weeks later, children provided pain ratings based on their memories as well as their expectancies about future pain. One month following the initial laboratory visit, children again completed the pain task and provided pain ratings. Results showed that children's memory of pain intensity was a better predictor of subsequent pain reporting than their actual initial reporting of pain intensity, and mediated the relationship between initial and subsequent pain reporting. Children who had negatively estimated pain memories developed expectations of greater pain prior to a subsequent pain experience and showed greater increases in pain ratings over time than children who had accurate or positively estimated pain memories. These findings highlight the influence of pain memories on healthy children's expectations of future pain and subsequent pain experiences and extend predictive models of subsequent pain reporting.

  18. Optical Sensors Based on Single on Arm Thin Film Waveguide Interferometer

    Science.gov (United States)

    Sarkisov, S. S.; Diggs, D.; Curley, M.; Adamovsky, Grigory (Technical Monitor)

    2000-01-01

    Single-arm dual-mode optical waveguide interferometer utilizes interference between two modes of different order. Sensing effect results from the change in propagation conditions of the modes caused by the environment. The waveguide is made as an open asymmetric structure containing a dye-doped polymer film onto a quartz substrate. It is more sensitive to the change of environment than its conventional polarimetric analog using orthogonal modes (TE and TM) of the same order. The sensor still preserves the option of operating in polarimetric regime using a variety of mode combinations such as TE(sub 0)/TM(sub 0) (conventional) TE(sub 0)/TM(sub 1), TE(sub 1)/TM(sub 0), or TE(sub 1)/TM(sub 1) but can also work in nonpolarimetric regime using combinations TE(sub 0)/TE(sub 1) or TM(sub 0)/TM(sub 1). Utilization of different mode combinations simultaneously makes the device more versatile. Application of the sensor to gas sensing is based on doping polymer film with an organic indicator dye targeting a particular gaseous reagent. Change of the optical absorption spectrum of the dye caused by the gaseous pollutant results in change of the reactive index of the dye-doped polymer film that can be detected by the sensor. As indicator dyes we utilize Bromocresol Purple doped into polymer poly(methyl) methacrylate that is sensitive to small concentrations of ammonia. The indicator dye demonstrated an irreversible increase in optical absorption near the peak at 350 nm being exposed to 5% ammonia in pure nitrogen at 600 Torr. The dye also showed reversible growth of the absorption peak near 600 nm after exposure to a vapor of standard medical ammonia spirit (65% alcohol). We have built a breadboard prototype of the sensor with He-Ne laser as a light source and with a single mode fiber input and a multimode fiber output. The prototype showed a sensitivity to temperature change of the order of 2 C per 2pi phase shift. The sensitivity of the sensor to the presence of dTy ammonia is

  19. Detachment of Tertiary Dendrite Arms during Controlled Directional Solidification in Aluminum - 7 wt Percent Silicon Alloys: Observations from Ground-based and Microgravity Processed Samples

    Science.gov (United States)

    Grugel, Richard N.; Erdman, Robert; Van Hoose, James R.; Tewari, Surendra; Poirier, David

    2012-01-01

    Electron Back Scattered Diffraction results from cross-sections of directionally solidified aluminum 7wt% silicon alloys unexpectedly revealed tertiary dendrite arms that were detached and mis-oriented from their parent arm. More surprisingly, the same phenomenon was observed in a sample similarly processed in the quiescent microgravity environment aboard the International Space Station (ISS) in support of the joint US-European MICAST investigation. The work presented here includes a brief introduction to MICAST and the directional solidification facilities, and their capabilities, available aboard the ISS. Results from the ground-based and microgravity processed samples are compared and possible mechanisms for the observed tertiary arm detachment are suggested.

  20. A capacitance-based proximity sensor for whole arm obstacle avoidance

    International Nuclear Information System (INIS)

    This paper discusses an application of capacitive sensors for detecting incipient collisions during robot motion in unknown or partially modeled environments. Forty-five sensors capable of detecting obstacles up to 330 mm (13 in.) away were distributed over the surface of a PUMA 560 robot arm. Each sensor consisted of a 4 mm thick, 37 mm diameter rings around 21 mm diameter disks. These sensors can detect both conductive and non-conductive obstacles of arbitrary color and shape. The sensor hardware is reliable and inexpensive, and it may be fabricated using flexible printed circuit boards to provide whole-arm and joint protection for any robot or manipulator. Simple collision avoidance control algorithms that perturb the joint commands from a spaceball to avoid collisions have been implemented on the PUMA 560 robot

  1. Application of a diagnosis-based clinical decision guide in patients with low back pain

    Directory of Open Access Journals (Sweden)

    Murphy Donald R

    2011-10-01

    Full Text Available Abstract Background Low back pain (LBP is common and costly. Development of accurate and efficacious methods of diagnosis and treatment has been identified as a research priority. A diagnosis-based clinical decision guide (DBCDG; previously referred to as a diagnosis-based clinical decision rule has been proposed which attempts to provide the clinician with a systematic, evidence-based means to apply the biopsychosocial model of care. The approach is based on three questions of diagnosis. The purpose of this study is to present the prevalence of findings using the DBCDG in consecutive patients with LBP. Methods Demographic, diagnostic and baseline outcome measure data were gathered on a cohort of LBP patients examined by one of three examiners trained in the application of the DBCDG. Results Data were gathered on 264 patients. Signs of visceral disease or potentially serious illness were found in 2.7%. Centralization signs were found in 41%, lumbar and sacroiliac segmental signs in 23% and 27%, respectively and radicular signs were found in 24%. Clinically relevant myofascial signs were diagnosed in 10%. Dynamic instability was diagnosed in 63%, fear beliefs in 40%, central pain hypersensitivity in 5%, passive coping in 3% and depression in 3%. Conclusion The DBCDG can be applied in a busy private practice environment. Further studies are needed to investigate clinically relevant means to identify central pain hypersensitivity, poor coping and depression, correlations and patterns among the diagnostic components of the DBCDG as well as inter-examiner reliability and efficacy of treatment based on the DBCDG.

  2. Outcome of invasive treatment modalities on back pain and sciatica: an evidence-based review.

    Science.gov (United States)

    van Tulder, Maurits W; Koes, Bart; Seitsalo, Seppo; Malmivaara, Antti

    2006-01-01

    Within the framework of evidence-based medicine high-quality randomised trials and systematic reviews are considered a necessary prerequisite for progress in orthopaedics. This paper summarises the currently available evidence on surgical and other invasive procedures for low back pain. Results of systematic reviews conducted within the framework of the Cochrane Back Review Group were used. Data were gathered from the latest Cochrane Database of Systematic Reviews 2005, Issue 2. The Cochrane reviews were updated using the evidence summary on surgery and other invasive procedures from the COST B13 European Guidelines for the Management of Acute and Chronic Non-Specific Low Back Pain. Facet joint, epidural, trigger point and sclerosant injections have not clearly been shown to be effective and can consequently not be recommended. There is no scientific evidence on the effectiveness of spinal stenosis surgery. Surgical discectomy may be considered for selected patients with sciatica due to lumbar disc prolapses that fail to resolve with the conservative management. Cognitive intervention Combined with exercises is recommended for chronic low back pain, and fusion surgery may be considered only in carefully selected patients after active rehabilitation programmes during 2 years time have failed. Demanding surgical fusion techniques are not better than the traditional posterolateral fusion without internal fixation. PMID:16320030

  3. Dynamic modeling of dual-arm cooperating manipulators based on Udwadia–Kalaba equation

    Directory of Open Access Journals (Sweden)

    Jia Liu

    2016-07-01

    Full Text Available Dual-arm cooperating manipulators subject to a certain constraint brought about by the desired trajectory and geometric constraint show high nonlinearity and coupling in their dynamic characteristic. Therefore, it is hard to build dynamical equation with traditional Lagrange equation. The Udwadia–Kalaba equation presents a new idea of dynamic modeling of multi-body systems. However, the dynamic modeling of the unconstrained systems still depends on the traditional Lagrange equation and is quite tedious for dual-arm cooperating manipulators. A generalized dynamical equation of multi-link planar manipulators is thus presented and proven to make modeling conveniently. The constraint relationship is established from a new perspective, and the dynamical equation of dual-arm cooperating manipulator subject to the desired trajectory is acquired with the Udwadia–Kalaba equation. The simple approach overcomes the disadvantage of obtaining dynamical equation from traditional Lagrange equation by Lagrange multiplier. The simulation results of varying law of the joint angles and the motion path of the bar prove that the dynamical equation established by this method conforms to reality.

  4. Menstrual pain and quality of life in women with primary dysmenorrhea: Rationale, design, and interventions of a randomized controlled trial of effects of a treadmill-based exercise intervention.

    Science.gov (United States)

    Kannan, Priya; Chapple, Cathy M; Miller, Dawn; Claydon, Leica S; Baxter, G David

    2015-05-01

    Dysmenorrhea in the absence of pelvic abnormality is termed primary dysmenorrhea (PD). The health burden and social and economic costs of PD are high as it is reported to be the leading cause of recurrent absenteeism from school or work in adolescent girls and young adults. The belief that exercise works for relieving symptoms in women with PD is based on anecdotal evidence and non-experimental studies. There is very limited evidence from randomized controlled trials (RCTs) to support the use of exercise to reduce the intensity of menstrual pain. The objective of this study is to evaluate the effectiveness of exercise to reduce intensity of pain and improve quality of life in women with PD. We describe the study design of a single-blind (assessor), prospective, two-arm RCT, and the participant characteristics of the 70 women recruited in the age-group 18 to 43 years. The primary outcome of the study is pain intensity. The secondary outcomes of the study are quality of life, functional limitation, sleep, global improvement with treatment, and protocol adherence. The outcomes assessments are done at first menstrual period (baseline, Week 0), 2nd menstrual period (Week 4) and at two additional time points (Week 16 and Week 28) during the trial. The results of the study will provide physiotherapists, medical practitioners, and researchers as well as the women who have PD with new insights, knowledge, and evidence about the use of exercise to manage pain in women with PD. PMID:25839713

  5. Are we looking in the wrong place? Implications for behavioural-based pain assessment in rabbits (Oryctolagus cuniculi and beyond?

    Directory of Open Access Journals (Sweden)

    Matthew C Leach

    Full Text Available BACKGROUND: Successful observation of behaviour depends upon knowing both which behaviours to look for and focusing on the appropriate areas of the body to observe them. Behaviour based scoring systems have become increasingly widely used to assess animal pain and distress. Although studies are available demonstrating which behaviours need to be observed, there has been little attempt to assess how effectively observers apply such information when viewing an animal's behaviour. METHODOLOGY/PRINCIPAL FINDINGS: This study used historical video recordings of New Zealand white rabbits (Oryctolagus cuniculi considered to be experiencing varying degrees of post-operative pain to assess the pattern of observation and the ability to assess pain exhibited by both experienced and inexperienced human participants (n = 151. Eye tracking equipment was used to identify how quickly, how frequently, for how long different areas of the rabbit's body were attended to by the participants. Simple visual analogue scoring was used to assess the pain experienced in each sequence. The results demonstrate that irrespective of their experience or gender, observers focus first, more frequently and for longer on the face, compared to the abdomen, ears, back and hindquarters of the rabbit and that participants were poor at identifying rabbits in pain. Observing the back and hindquarters was correlated with 'correct' assessments and observing the face was correlated with 'incorrect' assessments. CONCLUSIONS: In conclusion, irrespective of experience and gender, observers focused on the face when using behaviour to assess pain and were unable to effectively identify rabbits in pain. Focusing on the face is unlikely to be effective when using behavioural indicators of pain since they involve other body areas. Alternatively, if animals exhibit pain-related facial expressions, then it could improve our ability to assess pain. In addition, these results have potential

  6. Internet-based guided self-help intervention for chronic pain based on Acceptance and Commitment Therapy: a randomized controlled trial.

    Science.gov (United States)

    Trompetter, Hester R; Bohlmeijer, Ernst T; Veehof, Martine M; Schreurs, Karlein M G

    2015-02-01

    Acceptance-based psychological interventions can potentially minimize the burden of chronic pain. This randomized controlled trial evaluated an internet-delivered, guided self-help intervention based on Acceptance and Commitment Therapy (ACT). A total of 238 chronic pain sufferers from the general population were randomly allocated to either ACT (n = 82), an internet-based control condition Expressive Writing (n = 79) or a waiting list condition (n = 77). Participants completed measures at baseline, posttreatment (3 months) and at a 3-month follow-up. At follow-up, ACT participants had improved in pain interference in daily life (primary outcome) compared to participants in Expressive Writing (Cohen's d = .47), but not compared to waiting list participants (p value = .11). Those who adhered to the ACT-intervention (48%) did improve significantly compared to waiting list participants (d = .49). ACT-participants also showed superior improvement on depression, pain intensity, psychological inflexibility and pain catastrophizing (d: .28-.60). Significant clinical improvement was present. Especially, 28% of ACT-participants showed general clinically relevant improvement in pain interference, as well as in pain intensity and depression (vs. Expressive Writing and waiting list 5%). Given these findings, internet-based ACT programs may be a promising treatment modality for chronic pain.

  7. Dissociable Learning Processes Underlie Human Pain Conditioning.

    Science.gov (United States)

    Zhang, Suyi; Mano, Hiroaki; Ganesh, Gowrishankar; Robbins, Trevor; Seymour, Ben

    2016-01-11

    Pavlovian conditioning underlies many aspects of pain behavior, including fear and threat detection [1], escape and avoidance learning [2], and endogenous analgesia [3]. Although a central role for the amygdala is well established [4], both human and animal studies implicate other brain regions in learning, notably ventral striatum and cerebellum [5]. It remains unclear whether these regions make different contributions to a single aversive learning process or represent independent learning mechanisms that interact to generate the expression of pain-related behavior. We designed a human parallel aversive conditioning paradigm in which different Pavlovian visual cues probabilistically predicted thermal pain primarily to either the left or right arm and studied the acquisition of conditioned Pavlovian responses using combined physiological recordings and fMRI. Using computational modeling based on reinforcement learning theory, we found that conditioning involves two distinct types of learning process. First, a non-specific "preparatory" system learns aversive facial expressions and autonomic responses such as skin conductance. The associated learning signals-the learned associability and prediction error-were correlated with fMRI brain responses in amygdala-striatal regions, corresponding to the classic aversive (fear) learning circuit. Second, a specific lateralized system learns "consummatory" limb-withdrawal responses, detectable with electromyography of the arm to which pain is predicted. Its related learned associability was correlated with responses in ipsilateral cerebellar cortex, suggesting a novel computational role for the cerebellum in pain. In conclusion, our results show that the overall phenotype of conditioned pain behavior depends on two dissociable reinforcement learning circuits. PMID:26711494

  8. Dissociable Learning Processes Underlie Human Pain Conditioning.

    Science.gov (United States)

    Zhang, Suyi; Mano, Hiroaki; Ganesh, Gowrishankar; Robbins, Trevor; Seymour, Ben

    2016-01-11

    Pavlovian conditioning underlies many aspects of pain behavior, including fear and threat detection [1], escape and avoidance learning [2], and endogenous analgesia [3]. Although a central role for the amygdala is well established [4], both human and animal studies implicate other brain regions in learning, notably ventral striatum and cerebellum [5]. It remains unclear whether these regions make different contributions to a single aversive learning process or represent independent learning mechanisms that interact to generate the expression of pain-related behavior. We designed a human parallel aversive conditioning paradigm in which different Pavlovian visual cues probabilistically predicted thermal pain primarily to either the left or right arm and studied the acquisition of conditioned Pavlovian responses using combined physiological recordings and fMRI. Using computational modeling based on reinforcement learning theory, we found that conditioning involves two distinct types of learning process. First, a non-specific "preparatory" system learns aversive facial expressions and autonomic responses such as skin conductance. The associated learning signals-the learned associability and prediction error-were correlated with fMRI brain responses in amygdala-striatal regions, corresponding to the classic aversive (fear) learning circuit. Second, a specific lateralized system learns "consummatory" limb-withdrawal responses, detectable with electromyography of the arm to which pain is predicted. Its related learned associability was correlated with responses in ipsilateral cerebellar cortex, suggesting a novel computational role for the cerebellum in pain. In conclusion, our results show that the overall phenotype of conditioned pain behavior depends on two dissociable reinforcement learning circuits.

  9. A Mixed-Method Approach to Investigating the Adoption of Evidence-Based Pain Practices in Nursing Homes

    OpenAIRE

    Ersek, Mary; Jablonski, Anita

    2014-01-01

    This mixed methods study examined perceived facilitators and obstacles to adopting evidence-based pain management protocols vis-a-vis documented practice changes that were measured using a chart audit tool. This analysis used data from a subgroup of four nursing homes that participated in a clinical trial. Focus group interviews with staff yielded qualitative data about perceived factors that affected their willingness and ability to use the protocols. Chart audits determined whether pain ass...

  10. Pain and anxiety treatment based on social robot interaction with children to improve patient experience. Ongoing research

    OpenAIRE

    Angulo Bahón, Cecilio; Garriga Berga, Carles; Luaces, Carlos; Perez Payarols, Jaume; Albo-Canals, Jordi; Díaz Boladeras, Marta

    2012-01-01

    A major focus for children’s quality of life programs in hospitals is improving their experiences during procedures. In anticipation of treatment, children may become anxious and during procedures pain appears. The aim of this article is to introduce a proposal to design pioneering techniques based on the use of social robots to improve the patient experience by eliminating or minimizing pain and anxiety. According to this proposed challenge, this research aims to d...

  11. High prevalence of daily and multi-site pain -- a cross-sectional population-based study among 3000 Danish adolescents

    DEFF Research Database (Denmark)

    Rathleff, Michael S; Roos, Ewa M; Olesen, Jens L;

    2013-01-01

    Daily pain and multi-site pain are both associated with reduction in work ability and health-related quality of life (HRQoL) among adults. However, no population-based studies have yet investigated the prevalence of daily and multi-site pain among adolescents and how these are associated with res...

  12. The Design of a Small UAV's Flight Controller Based on ARM11+CPLD%基于ARM11+CPLD的小型无人机飞行控制器设计

    Institute of Scientific and Technical Information of China (English)

    郑积仕; 蒋新华; 陈兴武

    2012-01-01

    本文针对小型无人机控制精度低、实时性不足的问题,设计了基于ARM11+ CPLD的飞行控制器.阐述该飞行控制器的硬件总体架构,各传感器与ARM11接口设计,CPLD并行多路PWM输入、输出设计;阐述硬件的驱动,导航控制、姿态控制的算法设计与实现.该飞行控制器的飞行测试结果理想.%The design of the flight controller based on ARM11+CPLD is presented in this paper aiming to solve the low accuracy and the inadequacy of real time in the control of UAV (Unamed Aircraft Veheicle). The overall frame of the flight controller hardware, the design of the interface between ARM11 and several sensors and the design of multi parallel PWM controls in CPLD are all presented. Furthermore, this paper also elaborates the hardware drive and the algorithm design and fulfillment of the navigation control and the attitude control. The flight test shows the flight controller works well.

  13. Sensor-based whole-arm obstacle avoidance for unstructured environments

    International Nuclear Information System (INIS)

    Whole-arm obstacle avoidance is needed for a variety of robotic applications in the Environmental Restoration and Waste Management (ER ampersand WM) Program. Typical industrial applications of robotics involve well-defined workspaces, allowing a predetermined knowledge of collision-free paths for manipulator motion. However, many hazardous environments are unstructured or poorly defined, providing a significant potential for collisions between manipulators and the environment. In order to allow applications of robotics in such situations, a sensing system is under development which will provide protection against collisions. Specifics of this system including system architecture and projected implementation are described

  14. Risk factors for traumatic and non-traumatic lower limb pain among preadolescents: a population-based study of Finnish schoolchildren

    Directory of Open Access Journals (Sweden)

    Kautiainen Hannu

    2006-01-01

    Full Text Available Abstract Background The child's lower limb is the most commonly reported musculoskeletal location with pain and also the most commonly injured site in sports. Some potential risk factors have been studied, but the results are inconsistent. We hypothesized that distinction of traumatic from non-traumatic pain would provide a clearer picture of these factors. The aim of this study is to assess factors associated with lower extremity pain and its impact on preadolescents in a population-based cohort. Methods A structured pain questionnaire was completed by 1756 schoolchildren of third and fifth grades to assess musculoskeletal pain, psychosomatic symptoms, subjective disabilities, school absence and frequency of exercise. In addition, hypermobility and physical fitness were measured. Results The knee was the most common site of pain followed by the ankle-foot and thigh. Of the children who reported pain in their lower extremity, approximately 70% reported at least one disability and 19 % reported school absence attributed to their pain during the previous three-month period. Children with traumatic pain had a higher subjective disability index than those with non-traumatic pain (P = 0.02. Age less than 11 years, headache, abdominal pain, depressive feelings, day tiredness, and vigorous exercise were more common in children with lower limb pain than those free of it. In the stratified analysis, younger age was related to both traumatic and non-traumatic pain groups. Vigorous exercise was positively associated with traumatic pain, while subjects with non-traumatic pain had more frequent psychosomatic symptoms. Conclusion Risk factors and consequences of traumatic and non-traumatic lower limb pain are not similar. Traumatic lower limb pain is associated with practicing vigorous exercise and high level of physical fitness, while non-traumatic pain is more correlated with psychosomatic symptoms. These differences might be one of the reasons for the

  15. Breathing motion compensated reconstruction for C-arm cone beam CT imaging: initial experience based on animal data

    Science.gov (United States)

    Schäfer, D.; Lin, M.; Rao, P. P.; Loffroy, R.; Liapi, E.; Noordhoek, N.; Eshuis, P.; Radaelli, A.; Grass, M.; Geschwind, J.-F. H.

    2012-03-01

    C-arm based tomographic 3D imaging is applied in an increasing number of minimal invasive procedures. Due to the limited acquisition speed for a complete projection data set required for tomographic reconstruction, breathing motion is a potential source of artifacts. This is the case for patients who cannot comply breathing commands (e.g. due to anesthesia). Intra-scan motion estimation and compensation is required. Here, a scheme for projection based local breathing motion estimation is combined with an anatomy adapted interpolation strategy and subsequent motion compensated filtered back projection. The breathing motion vector is measured as a displacement vector on the projections of a tomographic short scan acquisition using the diaphragm as a landmark. Scaling of the displacement to the acquisition iso-center and anatomy adapted volumetric motion vector field interpolation delivers a 3D motion vector per voxel. Motion compensated filtered back projection incorporates this motion vector field in the image reconstruction process. This approach is applied in animal experiments on a flat panel C-arm system delivering improved image quality (lower artifact levels, improved tumor delineation) in 3D liver tumor imaging.

  16. Low Back Pain Preventive Behaviors Among Nurses Based on the Health Belief Model Constructs

    Directory of Open Access Journals (Sweden)

    Naser Sharafkhani

    2014-12-01

    Full Text Available The nursing profession is physically demanding as it is ranked second from the viewpoint of physical activity, following industrial occupations. Nursing is considered a profession with high musculoskeletal disorders, specifically low back pain. This article evaluated the nurses’ educational needs based on the Health Belief Model (HBM with focus on the low back pain and adoption of preventive behaviors. This analytical cross-sectional study was conducted on 133 nurses who were selected randomly from three public educational hospitals affiliated with Arak University of Medical Sciences. Data collection was performed with a questionnaire, which included demographic characteristics, questions on HBM constructs, and a checklist for explaining the performances. The collected data were analyzed using descriptive and analytical tests and Pearson’s correlation coefficient. In this study, among the HBM constructs, the cues to action and the perceived barriers were the main predictors of optimal performance among the sample subjects (B = 0.09, p < .01. Moreover, there was a significant relationship between the nurses’ performance on adopting the preventive behaviors and the scores of perceived barriers, self-efficacy, and cues to action (p < .05. However, no significant relationship was observed between the nurses’ performance and perceived susceptibility, severity, and benefits. In this study, as for behavior barriers, the nurses complained about unfamiliarity with the workplace ergonomics and inappropriate conditions based on ergonomic principles, which requires educational planning with the aim of overcoming perceived barriers, improving managerial activities, and enhancing the working place conditions.

  17. Human Arm Motion Tracking by Orientation-Based Fusion of Inertial Sensors and Kinect Using Unscented Kalman Filter.

    Science.gov (United States)

    Atrsaei, Arash; Salarieh, Hassan; Alasty, Aria

    2016-09-01

    Due to various applications of human motion capture techniques, developing low-cost methods that would be applicable in nonlaboratory environments is under consideration. MEMS inertial sensors and Kinect are two low-cost devices that can be utilized in home-based motion capture systems, e.g., home-based rehabilitation. In this work, an unscented Kalman filter approach was developed based on the complementary properties of Kinect and the inertial sensors to fuse the orientation data of these two devices for human arm motion tracking during both stationary shoulder joint position and human body movement. A new measurement model of the fusion algorithm was obtained that can compensate for the inertial sensors drift problem in high dynamic motions and also joints occlusion in Kinect. The efficiency of the proposed algorithm was evaluated by an optical motion tracker system. The errors were reduced by almost 50% compared to cases when either inertial sensor or Kinect measurements were utilized. PMID:27428461

  18. Human Arm Motion Tracking by Orientation-Based Fusion of Inertial Sensors and Kinect Using Unscented Kalman Filter.

    Science.gov (United States)

    Atrsaei, Arash; Salarieh, Hassan; Alasty, Aria

    2016-09-01

    Due to various applications of human motion capture techniques, developing low-cost methods that would be applicable in nonlaboratory environments is under consideration. MEMS inertial sensors and Kinect are two low-cost devices that can be utilized in home-based motion capture systems, e.g., home-based rehabilitation. In this work, an unscented Kalman filter approach was developed based on the complementary properties of Kinect and the inertial sensors to fuse the orientation data of these two devices for human arm motion tracking during both stationary shoulder joint position and human body movement. A new measurement model of the fusion algorithm was obtained that can compensate for the inertial sensors drift problem in high dynamic motions and also joints occlusion in Kinect. The efficiency of the proposed algorithm was evaluated by an optical motion tracker system. The errors were reduced by almost 50% compared to cases when either inertial sensor or Kinect measurements were utilized.

  19. Pediatric pain management.

    Science.gov (United States)

    Lederhaas, G

    1997-01-01

    It is now recognized that from the newborn period onwards, children are capable of experiencing pain. This includes the premature infant. The challenge for healthcare providers is to incorporate methods of pain assessment and treatment into their daily practices. The child's understanding of pain closely follows the cognitive and behavioral model developed by Jean Piaget. Based on these developmental stages, pain assessment measures have been developed. Pharmacologic advances have accompanied this improved understanding of infant, child, and adolescent psychology. While acute pain accounts for the majority of children's experiences, recurrent/chronic pain states do occur (e.g. sickle cell related and neuropathic) and can be effectively treated. PMID:9037997

  20. Stretch-induced cervicobrachial pain syndrome.

    Science.gov (United States)

    Quintner, J

    1990-01-01

    The case records of 22 patients who presented with severe and persistent cervicobrachial pain were reviewed. The onset of their pain followed the performance of a forceful activity (lifting, pulling or pushing) using one or both arms in the outstretched position. Their symptoms and the findings on physical examination were both consistent with stretch-induced damage to neural tissues related to the painful upper limb. The predominant site of painful neural pathology appeared to be within the cervical spine. PMID:25025877

  1. Driving and controlling circuit for full-color OLED based on ARM7%ARM7全彩OLED驱动控制电路设计

    Institute of Scientific and Technical Information of China (English)

    张翔; 蒋泉

    2012-01-01

    介绍了一款全彩无源OLED模块的驱动接口电路及驱动程序的设计.系统采用ARM7系列的LPC2138为控制核心,分别设计了电源电路、下载电路、复位电路和接口电路,并向全彩无源OLED模块提供数据信号和控制信号,从而实现了分辨力为128×128,65×103色的动态全彩图片显示.设计了基于ARM7内核的OLED驱动电路实验系统,可显示红、绿、蓝单色以及全彩图片,为中小尺寸OLED提供了一种低成本、低功耗的单芯片解决方案.%The paper introduces the design of driving circuit, reset circuit, download circuit, interface circuit and driving programs of the full-color passive OLED(organic light emitting device) module in the display system. The system adopts the LPC2138, family of ARM7-core, to control the OLED module. The data and control signals are provided by LPC2138 in order to realize a resolution of 128X 128, 65X 103 dynamic full-color display. Experiment results show that the system can display red, green, blue and full-color pictures, provide a low-cost, low-power and single-chip solution for small sized OLEDs.

  2. Identification of RBC and WBC Count in Human Blood Using ARM Based Instrumentation

    Directory of Open Access Journals (Sweden)

    B.Dodda Basavanagoud

    2015-06-01

    Full Text Available The rapid growth in microelectronics and crunching RISC in the field of bio-medical sciences incorporated of soft tools to diagnose various parameters of human fluids. Conventional method of blood sample analysis makes use of laboratory technique of titration, which is operator-dependent and results in lot of errors depending on the skill of the technician. In order to eliminate the human errors involved in the conventional method, in this paper an attempt has been made to present a capillary centrifuge technique driven by high speed DC motor fed by Morgan chopper and controlled by powerful ARM processor. It results in accurate analysis of the blood samples. The various techniques involved in accurate sensing of speed using timer and generation of firing pulses to thyristor in the Morgan chopper is judiciously achieved. This paper clearly brings out the advantages of the proposed blood measurement technique which effectively gives blood analysis faster and at a low cost.

  3. 基于ARM NEON的H.265解码器优化%H.265 Decoder Optimization Based on ARM NEON

    Institute of Scientific and Technical Information of China (English)

    简欢

    2014-01-01

    基于ARM Cortex A9处理器平台,对NEON处理器的指令和编程优化方法等技术进行了分析,并以此为平台进行了H.265软件解码器的优化实现.在瑞芯微电子的RK3188 SDK开发板上进行了充分测试,实验结果表明NEON处理器可以较好地提高H.265软件解码器的执行效率.

  4. Pain modulatory phenotypes differentiate subgroups with different clinical and experimental pain sensitivity

    DEFF Research Database (Denmark)

    Vaegter, Henrik B.; Graven-Nielsen, Thomas

    2016-01-01

    Pain biomarkers are warranted for individualized pain management. Based on different pain modulatory phenotypes the objectives of this study were to explore the existence of subgroups within nonmalignant chronic pain patients and to investigate differences in clinical pain and pain hypersensitivi...... on demographics, disability, pain catastrophizing, and fear of movement. Future research should investigate interventions tailored towards these subgroups....

  5. [Mindfulness-based therapeutic approaches: benefits for individuals suffering from pain].

    Science.gov (United States)

    Weber, Béatrice; Jermann, Françoise; Lutz, Antoine; Bizzini, Lucio; Bondolfi, Guido

    2012-06-27

    Chronic diseases and their associated biopsychosocial adjustements tax the limits of modern conventional medicine, with the need then to turn towards new resources. Among these, Mindfulness-Based Stress Reduction (MBSR) is a therapeutic approach developed more than 30 years ago. Designed as an adjuvant to medical care, in particular in the case of chronic pain which is the scope of our article, MBSR is usually provided in group format and based on a meditative practice. Simple, brief and cost-limited, MBSR can potentially be offered to a wide variety of chronic diseases and is part of participatory medicine. After having presented this approach, several results from studies confirming the legitimacy of MBSR as a nonreligious and nonesoteric scientific approach for the treatment of various diseases will be reported.

  6. C-arm based cone-beam CT using a two-concentric-arc source trajectory: system evaluation

    Science.gov (United States)

    Zambelli, Joseph; Zhuang, Tingliang; Nett, Brian E.; Riddell, Cyril; Belanger, Barry; Chen, Guang-Hong

    2008-03-01

    The current x-ray source trajectory for C-arm based cone-beam CT is a single arc. Reconstruction from data acquired with this trajectory yields cone-beam artifacts for regions other than the central slice. In this work we present the preliminary evaluation of reconstruction from a source trajectory of two concentric arcs using a flat-panel detector equipped C-arm gantry (GE Healthcare Innova 4100 system, Waukesha, Wisconsin). The reconstruction method employed is a summation of FDK-type reconstructions from the two individual arcs. For the angle between arcs studied here, 30°, this method offers a significant reduction in the visibility of cone-beam artifacts, with the additional advantages of simplicity and ease of implementation due to the fact that it is a direct extension of the reconstruction method currently implemented on commercial systems. Reconstructed images from data acquired from the two arc trajectory are compared to those reconstructed from a single arc trajectory and evaluated in terms of spatial resolution, low contrast resolution, noise, and artifact level.

  7. Design of image interaction and display system based on ARM+FPGA%基于 ARM+FPGA 的影像交互与显示系统设计

    Institute of Scientific and Technical Information of China (English)

    吴迪; 李丙玉; 王晓东

    2015-01-01

    To promote the integration of mapping information obtained,image interaction and display are realized based on the dual-core ARM+FPGA hardware architecture in this paper by taking full ad-vantage of the parallel processor FPGA (Field-Programmable Gate Array)and the high-performance ARM processor.The real-time image display is realized based on Qt graphical interface and the driven design of FPGA FIFO (First Input First Output)is completed in the Linux 2.6.36 kernel which uses Linux operating system as the software platform,ARM1 1 as the core of embedded hardware processor and FPGA as the coprocessor.The test results show that it could achieve high speed VGA (640×480) format image interaction between ARM and FPGA with the maximum frame rate of 26 fps and the maximum transmission bandwidth of 182 Mbps.This system not only has the advantages of small vol-ume, low power consumption, low cost, but also has good performance of stability and functionality.Moreover,it could meet the real-time requirements for the aerial remote sensing system.%为促进航空测绘信息获取的数字化、一体化、实时化,本文利用 FPGA(Field-Programmable Gate Array,即现场可编程门阵列)并行处理的优势结合 ARM 处理器低功耗高性能的特点,基于 ARM+FPGA 的双核硬件架构实现了影像的交互与显示。该系统以 Linux 操作系统为软件开发平台,以 ARM11嵌入式处理器为硬件核心、FPGA 作为协处理器,采用 FPGA 片内 FIFO(First Input First Output,即先进先出存储器)作为 ARM 处理器与 FPGA 之间的高速通信桥梁,针对 Linux 2.6.36内核完成了对 FPGA 设备的驱动设计,并基于 Qt 图形用户界面实现了影像的实时显示。测试结果表明,ARM 处理器与 FPGA 之间能够实现 VGA(640×480)图像的高速交互,帧率可达26帧/s,最大传输带宽为182 Mbps。该系统不仅体积小、功耗低、成本低,而且稳定性好、功能强,能够满足航空遥感摄影系统的实时性要求。

  8. Evidence-Based Evaluation of Complementary Health Approaches for Pain Management in the United States.

    Science.gov (United States)

    Nahin, Richard L; Boineau, Robin; Khalsa, Partap S; Stussman, Barbara J; Weber, Wendy J

    2016-09-01

    Although most pain is acute and resolves within a few days or weeks, millions of Americans have persistent or recurring pain that may become chronic and debilitating. Medications may provide only partial relief from this chronic pain and can be associated with unwanted effects. As a result, many individuals turn to complementary health approaches as part of their pain management strategy. This article examines the clinical trial evidence for the efficacy and safety of several specific approaches-acupuncture, manipulation, massage therapy, relaxation techniques including meditation, selected natural product supplements (chondroitin, glucosamine, methylsulfonylmethane, S-adenosylmethionine), tai chi, and yoga-as used to manage chronic pain and related disability associated with back pain, fibromyalgia, osteoarthritis, neck pain, and severe headaches or migraines. PMID:27594189

  9. Coordinating a Service Supply Chain under Arms Offset Program’s Intervention by Performance-Based Contracting

    Directory of Open Access Journals (Sweden)

    Yi-Kuei Lin

    2016-01-01

    Full Text Available This paper investigates a support service supply chain for coordinating with a local third-party logistics provider by arms offset program’s intervention and develops a performance-based contracting framework for the coordinating problem, which remains scarce in the literatures. The performance-based contracting framework evaluates payments and profits for the support service by a game-theoretical approach with principal-agent model. We prove that the proposed framework is an effective tool in acquiring the balance between maximum profit and minimum payment for both parties in the coordinating problem without moral hazard issue. A numerical study consolidates the formulated schemes as contracting preference for both parties’ decision with a higher profit margin at a lower customer’s payment.

  10. Mindfulness-based stress reduction, mindfulness-based cognitive therapy, and Zen meditation for depression, anxiety, pain, and psychological distress.

    Science.gov (United States)

    Marchand, William R

    2012-07-01

    Mindfulness has been described as a practice of learning to focus attention on moment-bymoment experience with an attitude of curiosity, openness, and acceptance. Mindfulness practices have become increasingly popular as complementary therapeutic strategies for a variety of medical and psychiatric conditions. This paper provides an overview of three mindfulness interventions that have demonstrated effectiveness for psychiatric symptoms and/or pain. The goal of this review is to provide a synopsis that practicing clinicians can use as a clinical reference concerning Zen meditation, mindfulness-based stress reduction (MBSR), and mindfulness-based cognitive therapy (MBCT). All three approaches originated from Buddhist spiritual practices, but only Zen is an actual Buddhist tradition. MBSR and MBCT are secular, clinically based methods that employ manuals and standardized techniques. Studies indicate that MBSR and MBCT have broad-spectrum antidepressant and antianxiety effects and decrease general psychological distress. MBCT is strongly recommended as an adjunctive treatment for unipolar depression. The evidence suggests that both MBSR and MBCT have efficacy as adjunctive interventions for anxiety symptoms. MBSR is beneficial for general psychological health and stress management in those with medical and psychiatric illness as well as in healthy individuals. Finally, MBSR and Zen meditation have a role in pain management.

  11. Research and Design of Logistics Monitoring System Based on ARM and 3S%基于ARM-3S的物流监控系统研究与设计

    Institute of Scientific and Technical Information of China (English)

    陈彩华; 龙卫兵

    2011-01-01

    In view of the current situation and demands of the logistics monitoring system, this paper made a deep study of the overall architecture of Logistics monitoring system based on embedded technology, and put forward a design of logistics monitoring network system based on ARM9, General Packed Radio Service (GPRS), Global Position System (GPS) and Radio Frequercy Identification (RFID). Through constructing the overall architecture of the logistics control system and analyzing the implementation of 3S communication network, the intelligent management of the logistics information system was realized, Taking Linux as the operating system and ARM S3C2410X as the core of hardware, and expanding wireless communication, the center can implement the location and rea- time control of the goods which is on the way.%从物流监控系统的现状与需求出发,深入研究了基于嵌入式技术的物流监控系统的整体结构,提出了基于ARM9微处理器、GPRS无线传输、GPS定位以及RFID射频识别技术的物流监控网络体系的设计方案;通过构建物流监控系统的整体架构与分析3S通信网络的实现方案,实现了物流信息的智能化管理;文章在Linux和ARM S3C2410X处理器为核心的终端软硬件系统上,扩展了无线通信模块,有效实现了物流车辆的定位与实时控制、货物在途的相关监测.

  12. Finding Ways to Lift Barriers to Care for Chronic Pain Patients: Outcomes of Using Internet-Based Self-Management Activities to Reduce Pain and Improve Quality of Life

    Directory of Open Access Journals (Sweden)

    Kevin Rod

    2016-01-01

    Full Text Available Background. Chronic pain is prevalent, disabling, costly, and undertreated. There is clearly a need to improve patient understanding of ways to manage their pain. Internet-based programs are continually being developed to facilitate mental health improvement, providing tailored content for patients to manage their pain, anxiety, and depression. Objective. To evaluate the impact of Internet-based patient self-management education and activities on patients’ pain, anxiety, and quality of life in patients who could not access multidisciplinary pain management. Design. Observational study. Subjects. Two hundred (200 patients (61% females, 39% males, between 18 and 75 years old from one community pain clinic in Toronto, Canada (Toronto Poly Clinic, participated. Patients had moderate to severe pain, depression, and anxiety. These patients committed to study from a group of 515 patients with chronic noncancer pain of different origins who were stable on their levels of pain, anxiety, and depression for 12 consecutive months before start of study and could not afford noninsured treatment modalities like physiotherapy, psychology, nutrition, or exercise therapy consultation. Methods. Patients were encouraged to visit two Internet sites (a blog and Twitter postings for educational postings written by the author about exercise, nutrition, mindfulness meditation, disease management methods, evidence-based supplements, daily relaxation exercises, and overall self-management methods 15 minutes per day for six months. Patients were also encouraged to share their ideas and comments on a blog. Activity logs were kept by patients and reviewed by physician at follow-up visits. Compliance was encouraged via weekly email reminders and phone calls during the observation period. Results. Modest improvements were noted in pain, anxiety, depression, and quality of life. Of the patients with moderate or severe pain before treatment, 45% reported mild levels of pain

  13. Finding Ways to Lift Barriers to Care for Chronic Pain Patients: Outcomes of Using Internet-Based Self-Management Activities to Reduce Pain and Improve Quality of Life.

    Science.gov (United States)

    Rod, Kevin

    2016-01-01

    Background. Chronic pain is prevalent, disabling, costly, and undertreated. There is clearly a need to improve patient understanding of ways to manage their pain. Internet-based programs are continually being developed to facilitate mental health improvement, providing tailored content for patients to manage their pain, anxiety, and depression. Objective. To evaluate the impact of Internet-based patient self-management education and activities on patients' pain, anxiety, and quality of life in patients who could not access multidisciplinary pain management. Design. Observational study. Subjects. Two hundred (200) patients (61% females, 39% males, between 18 and 75 years old) from one community pain clinic in Toronto, Canada (Toronto Poly Clinic), participated. Patients had moderate to severe pain, depression, and anxiety. These patients committed to study from a group of 515 patients with chronic noncancer pain of different origins who were stable on their levels of pain, anxiety, and depression for 12 consecutive months before start of study and could not afford noninsured treatment modalities like physiotherapy, psychology, nutrition, or exercise therapy consultation. Methods. Patients were encouraged to visit two Internet sites (a blog and Twitter postings) for educational postings written by the author about exercise, nutrition, mindfulness meditation, disease management methods, evidence-based supplements, daily relaxation exercises, and overall self-management methods 15 minutes per day for six months. Patients were also encouraged to share their ideas and comments on a blog. Activity logs were kept by patients and reviewed by physician at follow-up visits. Compliance was encouraged via weekly email reminders and phone calls during the observation period. Results. Modest improvements were noted in pain, anxiety, depression, and quality of life. Of the patients with moderate or severe pain before treatment, 45% reported mild levels of pain after treatment

  14. Finding Ways to Lift Barriers to Care for Chronic Pain Patients: Outcomes of Using Internet-Based Self-Management Activities to Reduce Pain and Improve Quality of Life.

    Science.gov (United States)

    Rod, Kevin

    2016-01-01

    Background. Chronic pain is prevalent, disabling, costly, and undertreated. There is clearly a need to improve patient understanding of ways to manage their pain. Internet-based programs are continually being developed to facilitate mental health improvement, providing tailored content for patients to manage their pain, anxiety, and depression. Objective. To evaluate the impact of Internet-based patient self-management education and activities on patients' pain, anxiety, and quality of life in patients who could not access multidisciplinary pain management. Design. Observational study. Subjects. Two hundred (200) patients (61% females, 39% males, between 18 and 75 years old) from one community pain clinic in Toronto, Canada (Toronto Poly Clinic), participated. Patients had moderate to severe pain, depression, and anxiety. These patients committed to study from a group of 515 patients with chronic noncancer pain of different origins who were stable on their levels of pain, anxiety, and depression for 12 consecutive months before start of study and could not afford noninsured treatment modalities like physiotherapy, psychology, nutrition, or exercise therapy consultation. Methods. Patients were encouraged to visit two Internet sites (a blog and Twitter postings) for educational postings written by the author about exercise, nutrition, mindfulness meditation, disease management methods, evidence-based supplements, daily relaxation exercises, and overall self-management methods 15 minutes per day for six months. Patients were also encouraged to share their ideas and comments on a blog. Activity logs were kept by patients and reviewed by physician at follow-up visits. Compliance was encouraged via weekly email reminders and phone calls during the observation period. Results. Modest improvements were noted in pain, anxiety, depression, and quality of life. Of the patients with moderate or severe pain before treatment, 45% reported mild levels of pain after treatment

  15. Frequency, character, intensity and impact of neuropathic pain in a cohort of spinal cord injury patients

    International Nuclear Information System (INIS)

    The purpose of this study was to determine frequency, character, approximate location and intensity of neuropathic pain in spinal cord injury and its impact on the quality of life. Study Design: A cross-sectional survey Place and Duration of Study: Armed Forces Institute of Rehabilitation Medicine (AFIRM), Rawalpindi from Feb 2009 to Feb 2010. Material and Methods: Through non-probability convenience sampling 87 patients of both genders diagnosed with spinal cord injury based on American Spinal Injury Association criteria and admitted within a year of injury were included. Those in spinal shock, having poor cognition, inability to communicate, concurrent brain injury and history of chronic pain before injury were excluded. The history, localization and characteristics of the pain and interference with life activities were recorded. Neuropathic pain of patients was evaluated with Leeds Assessment of Neuropathic Symptoms and Signs Pain Scale. Visual analogue scale was used to measure the severity of pain. Results: Out of 87 patients (mean age 36.9 years) seventy four were male and 13 were female. Seventy patients (80%) were AIS-A, 6 (7%) were AIS-B and 11 (13%) were AIS-C. Neuropathic pain was present in 57.5% (n=50). Most of the patients localized their pain below the neurological level of injury (78%) and rated pain intensity as moderate pain (54%). Majority (48%) described the pain as burning followed by electric shock like (42%), stabbing (8%) and pricking (2%). 48% patients reported that their quality of life was affected due to pain. 52% required two analgesics of different groups to relieve pain followed by 40% requiring three analgesics and 8% requiring one analgesic. Conclusion: Neuropathic pain is prevalent in people with spinal cord injury and adversely affects life quality. Neuropathic pain is primarily described as a burning sensation of moderate intensity mostly referred to below the neurological level of injury. (author)

  16. The Effectiveness of Mindfulness-based Cognitive Therapy (MBCT and Cognitive Behavior Therapy (CBT on Decreasing Pain, Depression and Anxiety of Patients with Chronic Low Back Pain

    Directory of Open Access Journals (Sweden)

    M Abdolghadery

    2014-02-01

    Conclusion: The results support the effectiveness of MBCT and CBT in decreasing pain, depression and anxiety. Therefore, taking account of these two therapeutic methods is very important for patients with chronic low back pain.

  17. Imaging of low back pain: comparative role of high intensity zone in diagnosing the discogenic low back pain with evidence-based radiology

    Institute of Scientific and Technical Information of China (English)

    CHEN Zhi-ye; MA Lin; LI Tao

    2009-01-01

    Background Discography is a gold standard for the diagnosis of the low back pain (LBP), but it has potential dangers for the development of discitis, cerebral spinal fluid leakage, retroperitoneal bleeding, acute new back pain and the tremendous radiation exposure to the patient. Using "evidence-based radiology" methods, the comparative roles of high intensity zone (HIZ) in diagnosing discogenic LBP were evaluated. Methods A focused clinical question was designed and a Pubmed and manual search were performed to identify the role of HIZ on MRI T2WI compared with discography. The studies retrieved were assessed for validity and strength.Sensitivity, specificity, likelihood ratios (LRs) and graphs of conditional probability were evaluated from the best current study by evidence-based radiology.Results Best evidence was retrieved in ten articles from 1992 to 2007. The best evidence level was 1 b and the strength of the evidence included: sensitivity 0.63 (0.51,0.76), specificity 0.97 (0.92,1.00), positive predictive value 0.95, negative predictive value 0.72, positive LRs 18.37 and negative LRs 0.38. The gold standard of discogenic LBP is the provocative discography.Conclusions For suspected discogenic LBP, HIZ is limited for the diagnosis if HIZ is positive, which suggests further discography. In contrast HIZ is a good test for diagnosis if HIZ is negative, which indicates the disease can be excluded.

  18. Design of Crop Growing Environment Monitoring and Control System Based On ARM and ZIGBEE%基于 ARM 和 ZigBee 的农作物生长环境监控系统的设计

    Institute of Scientific and Technical Information of China (English)

    小玲; 唐四维; 陈立君; 郑龙

    2016-01-01

    The crop growth environment monitoring and control system consisted of host computer ARM and Zig-Bee wireless sensor and actuator network was developed in order to achieve the perception-decision-control of the agri-cultural production process.The ZigBee sensor and actuator network based on CC2530 is able to sample air temperature and humidity,soil temperature and moisture,light illumination intensity,carbon dioxide,water and soil pH,and water dissolved oxygen data,and adjust crop growth environment by means of actuators according to control command from ARM.ARM host computer system in which S5PV210 is used as control core and the corresponding monitoring soft-ware is programmed based on Linux,Qt and SQLite,can implement data transmission between ZigBee coordinator and ARM using UART/SPI serial communication,realize the processing,storage,and management of real-time data from sensor network nodes,and regularly send data to the remote computer center through 3G/LAN port.The test results show that the designed system can achieve the real-time monitoring and control of crop growing environment parame-ters and the data dynamic analysis,historical inquiry,and threshold warning,and the system has good stability and practicality.%为了实现农业生产过程的感知-决策-控制,开发了一套由 ARM 上位机和基于 ZigBee 的传感器/执行器网络构成的农作物生长环境监控系统。基于 CC2530的 ZigBee 传感器/执行器网络能实时采集空气温湿度、土壤温湿度、光照强度、二氧化碳、水质或土壤的 pH 值等数据,并根据 ARM 上位机指令控制执行器状态来调节农作物生长环境参数。以 S5PV210为控制核心、基于 Linux、Qt 和 SQLite 开发的 ARM 上位机系统能采用 UART/SPI 串口通信方式实现 ARM 与 ZigBee 协调器之间的数据传输,实时接收、处理、存储和管理来自传感器网络节点的数据,并定期将数据通过3G 或局域网口上传给远程计算

  19. Synthesis and gas adsorption properties of tetra-armed microporous organic polymer networks based on triphenylamine.

    Science.gov (United States)

    Yang, Xiao; Yao, Shuwen; Yu, Miao; Jiang, Jia-Xing

    2014-04-01

    Two novel tetra-armed microporous organic polymers have been designed and synthesized via a nickel-catalyzed Yamamoto-type Ullmann cross-coupling reaction or Suzuki cross-coupling polycondensation. These polymers are stable in various solvents, including concentrated hydrochloric acid, and are thermally stable. The homocoupled polymer YPTPA shows much higher Brunauer-Emmet-Teller-specific surface area up to 1557 m(2) g(-1) than the copolymer SPTPA (544 m(2) g(-1)), and a high CO2 uptake ability of 3.03 mmol g(-1) (1.13 bar/273 K) with a CO2 /N2 sorption selectivity of 17.3:1. Both polymers show high isosteric heats of CO2 adsorption (22.7-26.5 kJ mol(-1)) because the incorporation of nitrogen atoms into the skeleton of microporous organic polymers enhances the interaction between the pore wall and the CO2 molecules. The values are higher than those of the porous aromatic frameworks, which contain neither additional polar functional groups nor nitrogen atoms, and are rather close to those of previously reported microporous organic polymers containing the nitrogen atoms on the pore wall. These data show that these materials would be potential candidates for applications in post-combustion CO2 capture and sequestration technology.

  20. Physicians' Initial Management of Acute Low Back Pain Versus Evidence-Based Guidelines

    Science.gov (United States)

    Webster, Barbara S; Courtney, Theodore K; Huang, Yueng-Hsiang; Matz, Simon; Christiani, David C

    2005-01-01

    Background Little information is available on physician characteristics and patient presentations that may influence compliance with evidence-based guidelines for acute low back pain. Objective To assess whether physicians' management decisions are consistent with the Agency for Health Research Quality's guideline and whether responses varied with the presentation of sciatica or by physician characteristics. Design Cross-sectional study using a mailed survey. Participants Participants were randomly selected from internal medicine, family practice, general practice, emergency medicine, and occupational medicine specialties. Measurements A questionnaire asked for recommendations for 2 case scenarios, representing patients without and with sciatica, respectively. Results Seven hundred and twenty surveys were completed (response rate=25%). In cases 1 (without sciatica) and 2 (with sciatica), 26.9% and 4.3% of physicians fully complied with the guideline, respectively. For each year in practice, the odds of guideline noncompliance increased 1.03 times (95% confidence interval [CI]=1.01 to 1.05) for case 1. With occupational medicine as the referent specialty, general practice had the greatest odds of noncompliance (3.60, 95% CI=1.75 to 7.40) in case 1, followed by internal medicine and emergency medicine. Results for case 2 reflected the influence of sciatica with internal medicine having substantially higher odds (vs case 1) and the greatest odds of noncompliance of any specialty (6.93, 95% CI=1.47 to 32.78), followed by family practice and emergency medicine. Conclusions A majority of primary care physicians continue to be noncompliant with evidence-based back pain guidelines. Sciatica dramatically influenced clinical decision-making, increasing the extent of noncompliance, particularly for internal medicine and family practice. Physicians' misunderstanding of sciatica's natural history and belief that more intensive initial management is indicated may be factors

  1. Research and Utilization of NEON Technology Based on ARM Cortex-A9%ARM Cortex-A9的NEON技术研究及应用

    Institute of Scientific and Technical Information of China (English)

    陈新泽; 杨斌

    2013-01-01

    ARM Cortex-A系列处理器首次集成了NEON技术,可以有效加速多媒体应用.本文基于Cortex-A9处理器,对NEON技术进行研究,并对JM解码器进行NEON优化,提供实际优化效果.在PandaBoard开发板上对不同分辨率的多个测试序列进行了解码测试,测试结果显示,优化后的解码速率提高了,而且提高分辨率并不影响优化效果.

  2. 基于ARM_Linux的次声数据采集系统%Infrasound Data Acquisition System Based on ARM and Embedded Linux

    Institute of Scientific and Technical Information of China (English)

    范春凤; 梁伟; 张来斌

    2010-01-01

    提出了一种基于ARM9和嵌入式Linux的次声数据采集系统的设计方案.采用以ATMELAT91SAM9263微处理器和LatticeXP2系列FPGA为核心的架构,基于双扭环技术、套接字编程等实现了高速多通道数据采集、高精度数据采集、海量存储、远程传输等功能,已经在管道泄漏次声测试实验中投入使用.

  3. 基于ARM7的半自动生化分析仪%A Semi-automated Clinical Chemistry Analyzer Based on ARM7

    Institute of Scientific and Technical Information of China (English)

    叶小岭; 黄俊平; 张颖超; 孙宁

    2007-01-01

    介绍了一种基于ARM7芯片SEP3203的嵌入式半自动生化分析仪,辅以一片PIC单片机作为协处理器.给出了仪器的工作原理.系统硬件电路由存储器子系统、液路子系统、温度控制模块、吸光度采集模块、人机交互模块等模块组成,详细描述了各硬件模块的设计.分析了软件系统的设计.该新型生化分析仪使用方便,性价比高,适用于国内的中小型医疗机构.

  4. Endometriosis and pain

    Directory of Open Access Journals (Sweden)

    Guido Orlandini

    2011-03-01

    Full Text Available In some patients endometriosis causes persistent or chronic pain and is a specialistic algologic problem. Considering various possible pathogenic pain mechanisms, when pain therapy of endometriosis cannot be etiologic, far from be only symptomatic, it is based on a pathogenetic criterion. We must consider that in endometriosis can be a pain due to activation of nociceptors sensibilized by endometriosic tissues (tissutal nociceptive pain unresponding to NSAIDs and opioids or a pain due to the nerve damage by nerve compression from endometriosic cistis or by involvement of nerve structures in scar tissue (neuropathic pain unresponding to antinociceptive therapy but responding, at least partially, to some neuropathic specific pain drugs and to electrostimulation of the nerve system.

  5. Cancer Pain Physiology

    DEFF Research Database (Denmark)

    Falk, Sarah; Bannister, Kirsty; Dickenson, Anthony

    2014-01-01

    reorganization within segments of the dorsal horn of the spinal cord receiving nociceptive input from the bone are discussed. Changes in certain neurotransmitters implicated in brain modulation of spinal function are also altered with implications for the affective components of cancer pain. Treatments......Mechanisms of inflammatory and neuropathic pains have been elucidated and translated to patient care by the use of animal models of these pain states. Cancer pain has lagged behind since early animal models of cancer-induced bone pain were based on the systemic injection of carcinoma cells....... This precluded systematic investigation of specific neuronal and pharmacological alterations that occur in cancer-induced bone pain. In 1999, Schwei et al. described a murine model of cancer-induced bone pain that paralleled the clinical condition in terms of pain development and bone destruction, confined...

  6. Effects of Mindfulness-Based Cognitive Therapy on Body Awareness in Patients with Chronic Pain and Comorbid Depression

    Science.gov (United States)

    de Jong, Marasha; Lazar, Sara W.; Hug, Kiran; Mehling, Wolf E.; Hölzel, Britta K.; Sack, Alexander T.; Peeters, Frenk; Ashih, Heidi; Mischoulon, David; Gard, Tim

    2016-01-01

    Body awareness has been proposed as one of the major mechanisms of mindfulness interventions, and it has been shown that chronic pain and depression are associated with decreased levels of body awareness. We investigated the effect of Mindfulness-Based Cognitive Therapy (MBCT) on body awareness in patients with chronic pain and comorbid active depression compared to treatment as usual (TAU; N = 31). Body awareness was measured by a subset of the Multidimensional Assessment of Interoceptive Awareness (MAIA) scales deemed most relevant for the population. These included: Noticing, Not-Distracting, Attention Regulation, Emotional Awareness, and Self-Regulation. In addition, pain catastrophizing was measured by the Pain Catastrophizing Scale (PCS). These scales had adequate to high internal consistency in the current sample. Depression severity was measured by the Quick Inventory of Depressive Symptomatology—Clinician rated (QIDS-C16). Increases in the MBCT group were significantly greater than in the TAU group on the “Self-Regulation” and “Not Distracting” scales. Furthermore, the positive effect of MBCT on depression severity was mediated by “Not Distracting.” These findings provide preliminary evidence that a mindfulness-based intervention may increase facets of body awareness as assessed with the MAIA in a population of pain patients with depression. Furthermore, they are consistent with a long hypothesized mechanism for mindfulness and emphasize the clinical relevance of body awareness. PMID:27445929

  7. Advances in the therapy of cancer pain: from novel experimental models to evidence-based treatments

    OpenAIRE

    Sarantopoulos, Constantine D.

    2007-01-01

    Cancer related pain may be due to the malignant disease itself, or subsequent to treatments, such as surgery, chemotherapy or radiation therapy. The pathophysiology of pain due to cancer may be complex and include a variety of nociceptive, inflammatory, and neuropathic mechanisms. Despite modern advances in pharmacotherapy, cancer pain remains overall under-treated in a world-wide scale, and a main reason is lack of understanding of its pertinent pathophysiology and basic pharmacology. Re...

  8. Robot arm based flat panel CT-guided electromagnetic tracked spine interventions: phantom and animal model experiments

    Energy Technology Data Exchange (ETDEWEB)

    Penzkofer, Tobias; Isfort, Peter; Bruners, Philipp; Mahnken, Andreas H. [RWTH Aachen University, Applied Medical Engineering, Helmholtz-Institute Aachen, Aachen (Germany); RWTH Aachen University, Department of Diagnostic Radiology, Aachen University Hospital, Aachen (Germany); Wiemann, Christian; Guenther, Rolf W. [RWTH Aachen University, Department of Diagnostic Radiology, Aachen University Hospital, Aachen (Germany); Kyriakou, Yiannis; Kalender, Willi A. [Friedrich-Alexander University of Erlangen-Nuremberg, Institute for Medical Physics, Erlangen (Germany); Schmitz-Rode, Thomas [RWTH Aachen University, Applied Medical Engineering, Helmholtz-Institute Aachen, Aachen (Germany)

    2010-11-15

    To evaluate accuracy and procedure times of electromagnetic tracking (EMT) in a robotic arm mounted flat panel setting using phantom and animal cadaveric models. A robotic arm mounted flat panel (RMFP) was used in combination with EMT to perform anthropomorphic phantom (n = 90) and ex vivo pig based punctures (n = 120) of lumbar facet joints (FJ, n = 120) and intervertebral discs (IVD, n = 90). Procedure accuracies and times were assessed and evaluated. FJ punctures were carried out with a spatial accuracy of 0.8 {+-} 0.9 mm (phantom) and 0.6 {+-} 0.8 mm (ex vivo) respectively. While IVD punctures showed puncture deviations of 0.6 {+-} 1.2 mm (phantom) and 0.5 {+-} 0.6 mm (ex vivo), direct and angulated phantom based punctures had accuracies of 0.8 {+-} 0.9 mm and 1.0 {+-} 1.3 mm. Planning took longer for ex vivo IVD punctures compared to phantom model interventions (39.3 {+-} 17.3 s vs. 20.8 {+-} 5.0 s, p = 0.001) and for angulated vs. direct phantom FJ punctures (19.7 {+-} 5.1 s vs. 28.6 {+-} 7.8 s, p < 0.001). Puncture times were longer for ex vivo procedures when compared to phantom model procedures in both FJ (37.9 {+-} 9.0 s vs. 23.6 {+-} 7.2 s, p = 0.001) and IVD punctures (43.9 {+-} 16.1 s vs. 31.1 {+-} 6.4 s, p = 0.026). The combination of RMFP with EMT provides an accurate method of navigation for spinal interventions such as facet joint punctures and intervertebral disc punctures. (orig.)

  9. Phoenix Stretches its Arm

    Science.gov (United States)

    2008-01-01

    [figure removed for brevity, see original site] Click on image for animation The Phoenix spacecraft is scheduled to begin raising its robotic arm up and out of its stowed configuration on the third Martian day, or Sol 3 (May 28, 2008) of the mission. This artist's animation, based on engineering models, shows how Phoenix will accomplish this task. First, its wrist actuator will rotate, releasing its launch-restraint pin. Next, the forearm moves up, releasing the elbow launch-restraint pin. The elbow will then move up and over in small steps, a process referred to as 'staircasing.' This ensures that the arm's protective biobarrier wrap, now unpeeled and lying to the side of the arm, will not get in the way of the arm's deployment. The arm is scheduled to straighten all the way out on Sol 4 (May 29, 2008), after engineers have reviewed images and telemetry data from the spacecraft showing that the biobarrier material has been cleared. The Phoenix Mission is led by the University of Arizona, Tucson, on behalf of NASA. Project management of the mission is by NASA's Jet Propulsion Laboratory, Pasadena, Calif. Spacecraft development is by Lockheed Martin Space Systems, Denver.

  10. Altered pain modulation in patients with persistent postendodontic pain.

    Science.gov (United States)

    Nasri-Heir, Cibele; Khan, Junad; Benoliel, Rafael; Feng, Changyong; Yarnitsky, David; Kuo, Fengshen; Hirschberg, Craig; Hartwell, Gary; Huang, Ching-Yu; Heir, Gary; Korczeniewska, Olga; Diehl, Scott R; Eliav, Eli

    2015-10-01

    Persistent pain may follow nerve injuries associated with invasive therapeutic interventions. About 3% to 7% of the patients remain with chronic pain after endodontic treatment, and these are described as suffering from painful posttraumatic trigeminal neuropathy (PTTN). Unfortunately, we are unable to identify which patients undergoing such procedures are at increased risk of developing PTTN. Recent findings suggest that impaired endogenous analgesia may be associated with the development of postsurgical chronic pain. We hypothesized that patients with PTTN display pronociceptive pain modulation, in line with other chronic pain disorders. Dynamic (conditioned pain modulation, temporal summation) and static (response to mechanical and cold stimulation) psychophysical tests were performed intraorally and in the forearm of 27 patients with PTTN and 27 sex- and age-matched controls. The dynamic sensory testing demonstrated less efficient conditioned pain modulation, suggesting reduced function of the inhibitory endogenous pain-modulatory system, in patients with PTTN, mainly in those suffering from the condition for more than a year. The static sensory testing of patients with PTTN demonstrated forearm hyperalgesia to mechanical stimulation mainly in patients suffering from the condition for less than a year and prolonged painful sensation after intraoral cold stimulus mainly in patients suffering from the condition for more than a year. These findings suggest that PTTN is associated more with the inhibitory rather than the facilitatory arm of pain modulation and that the central nervous system has a role in PTTN pathophysiology, possibly in a time-dependent fashion. PMID:26098442

  11. A new geometric-based model to accurately estimate arm and leg inertial estimates.

    Science.gov (United States)

    Wicke, Jason; Dumas, Geneviève A

    2014-06-01

    Segment estimates of mass, center of mass and moment of inertia are required input parameters to analyze the forces and moments acting across the joints. The objectives of this study were to propose a new geometric model for limb segments, to evaluate it against criterion values obtained from DXA, and to compare its performance to five other popular models. Twenty five female and 24 male college students participated in the study. For the criterion measures, the participants underwent a whole body DXA scan, and estimates for segment mass, center of mass location, and moment of inertia (frontal plane) were directly computed from the DXA mass units. For the new model, the volume was determined from two standing frontal and sagittal photographs. Each segment was modeled as a stack of slices, the sections of which were ellipses if they are not adjoining another segment and sectioned ellipses if they were adjoining another segment (e.g. upper arm and trunk). Length of axes of the ellipses was obtained from the photographs. In addition, a sex-specific, non-uniform density function was developed for each segment. A series of anthropometric measurements were also taken by directly following the definitions provided of the different body segment models tested, and the same parameters determined for each model. Comparison of models showed that estimates from the new model were consistently closer to the DXA criterion than those from the other models, with an error of less than 5% for mass and moment of inertia and less than about 6% for center of mass location. PMID:24735506

  12. 基于ARM的微型打印机研究与设计%The Research and Design for Micro-Printer Based on ARM

    Institute of Scientific and Technical Information of China (English)

    冯艳娜

    2011-01-01

    With economic development, improvement of living standards of people, the requirement of micro-printer is increasing.Usually, the micro-printer clip is controlled by single-chip. As a result of single-chip's performance limitations, embedded ARM has gradually replaced it. Account of the cost, performance, power consumption, security and other aspects, using of ARM to control micro-printer clip is a good choice. This paper introduces a micro-printer based on ARM which controls the M- 15011 printer core by ARM7 S3C44B0X.%随着经济的发展和人们生活水平的提高,行业用户对于微型打印机的需求不断增长.微型打印机多由单片机控制,由于单片机性能所限,考虑成本、性能,功耗、安全等各方面的话,采用ARM主板是很不错的选择.本文介绍了基于ARM的微机打印机的硬件、软件设计与实现.系统采用ARM7 S3C44BOX芯片控制EPSON公司M-150Ⅱ型打印机芯实现了微型打印功能.

  13. Assessment of pain sensitivity in patients with deep bite and sex- and age-matched controls

    DEFF Research Database (Denmark)

    Sonnesen, Ane Liselotte; Svensson, Peter

    2011-01-01

    was scored by the subjects ( n = 60) on a 0 to 10 cm visual analog scale. Subjects drew the perceived pain area on a face and arm chart and described the quality of pain on the McGill Pain Questionnaire. Thresholds for cold detection, cold pain, cold tolerance, warmth detection, heat pain, and heat tolerance...

  14. A 13-weeks Mindfulness Based Pain Management Program Improves Psychological Distress in Patients with Chronic Pain Compared with Waiting List Controls

    DEFF Research Database (Denmark)

    Andersen, Tonny Elmose; Vægter, Henrik Bjarke

    2016-01-01

    Background: Eradication of pain is seldom an option in chronic pain management. Hence, mindfulness meditation has become popular in pain management. Objective: This pilot study compared the effect of a 13-weeks cognitive behavioural therapy program with integrated mindfulness meditation (CBTm......) in patients with chronic non-malignant pain with a control condition. It was hypothesised that the CBTm program would reduce pain intensity and psychological distress compared to the control condition and that level of mindfulness and acceptance both would be associated with the reduction in pain intensity...... and psychological distress were performed in both groups at baseline and after 13 weeks. Results: The CBTm program reduced depression, anxiety and pain-catastrophizing compared with the control group. Increased level of mindfulness and acceptance were associated with change in psychological distress...

  15. Integrating evidence into practice: use of McKenzie-based treatment for mechanical low back pain

    Directory of Open Access Journals (Sweden)

    Clarke S

    2011-11-01

    Full Text Available Angela Dunsford1, Saravana Kumar1,2, Sarah Clarke1 1International Centre for Allied Health Evidence, 2School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia Abstract: Low back pain (LBP is a major health issue with significant socioeconomic implications in most Western countries. Many forms of treatment have been proposed and investigated in the past, with exercise being a commonly prescribed intervention. Within allied health, in particular physiotherapy, there has been a growing movement that recognizes the role of the McKenzie method in treating LBP. Within the McKenzie framework, directional preference (DP exercises are one such intervention, with preliminary data demonstrating its effectiveness in the management of LBP. In this paper, we aim to integrate the evidence from current research, identified using a systematic review, and utilize a practical real-life case scenario to outline how evidence from the literature can be implemented in clinical practice. The findings from the systematic review indicate that DP exercises may have positive effects in the management of LBP. While the body of evidence to support this is limited (only four studies and therefore modest at best, it does provide some emerging evidence to support the use of DP exercises in clinical practice. Despite this, gaps also persist in the literature on DP exercises, and this relates to the exercise parameters and the compliance rates. Recognizing this dichotomy (modest evidence in some areas and evidence gaps in other areas, which is likely to confront health practitioners, using a practical approach with a real-life clinical scenario, we outline how the evidence from the systematic review can be implemented in clinical practice. This approach builds on the philosophy of evidence-based practice of integrating research evidence with clinical expertise and patient values. Keywords: low back pain, McKenzie method, directional

  16. Effect Of Relaxation Education, Based on Theory of planned behavior On students’ painful dismenorrhea

    Directory of Open Access Journals (Sweden)

    Zeinab Jalambadani

    2015-10-01

    Full Text Available Background and Aim: Dysmenorrhea is one of the most common problems in females. “Theory of Planned Behavior” is one of the important theories that explains the main process of adopting health behaviors. The present study assessed applying “ the Theory of Planned Behavior in relaxation training regarding the  severity and duration of painful dysmenorrhea in Mashhad girl students. Materials and Methods: In this Semi-experimental study, 160  first year intermediate students of Mashhad city who suffered from dysmenorrhea were assessed.They had been randomly selected from 5 girl high- schools in the 6th educational district. They were divided into equal groups  “case” and “control”. Intervention was made in four sessions. The requisite  data was gathered by means of  a researcher designed questionnaire before  and 3 months after the education of the students. Finally, the obtained data was fed into SPSS software (v:16 using statistical  tests including   Wilcoxon, Mann-Whitney, Independent T-test, Paired T and X2. Results: After educational intervention, mean level of knowledge, attitude, perceived behavioral control, and willed performance of relaxation techniques significantly increased  in the case group (P<0.05. These changes were not significant in the control group. Besides, no statistically significant difference in subjective norms was observed between the two groups after intervention. Meditation education group was increased significantly (P<0.05. Conclusion: Education of relaxation base on the Theory of Planned Behavior is effective in reduced pain intensity and its duration.

  17. Cardiac C-arm CT: 4D non-model based heart motion estimation and its application

    Science.gov (United States)

    Prümmer, M.; Fahrig, R.; Wigström, L.; Boese, J.; Lauritsch, G.; Strobel, N.; Hornegger, J.

    2007-03-01

    The combination of real-time fluoroscopy and 3D cardiac imaging on the same C-arm system is a promising technique that might improve therapy planning, guiding, and monitoring in the interventional suite. In principal, to reconstruct a 3D image of the beating heart at a particular cardiac phase, a complete set of X-ray projection data representing that phase is required. One approximate approach is the retrospectively ECG-gated FDK reconstruction (RG-FDK). From the acquired data set of N s multiple C-arm sweeps, those projection images which are acquired closest in time to the desired cardiac phase are retrospectively selected. However, this approach uses only 1/ N s of the obtained data. Our goal is to utilize data from other cardiac phases as well. In order to minimize blurring and motion artifacts, cardiac motion has to be compensated for, which can be achieved using a temporally dependent spatial 3D warping of the filtered-backprojections. In this work we investigate the computation of the 4D heart motion based on prior reconstructions of several cardiac phases using RG-FDK. A 4D motion estimation framework is presented using standard fast non-rigid registration. A smooth 4D motion vector field (MVF) represents the relative deformation compared to a reference cardiac phase. A 4D deformation regridding by adaptive supersampling allows selecting any reference phase independently of the set of phases used in the RG-FDK for a motion corrected reconstruction. Initial promising results from in vivo experiments are shown. The subjects individual 4D cardiac MVF could be computed from only three RG-FDK image volumes. In addition, all acquired projection data were motion corrected and subsequently used for image reconstruction to improve the signal-to-noise ratio compared to RG-FDK.

  18. The Trajectory of Chronic Pain: Can a Community-Based Exercise/Education Program Soften the Ride?

    Directory of Open Access Journals (Sweden)

    Ruth Dubin

    2010-01-01

    Full Text Available The entire primary care record of six patients attending a community-based education/exercise self-management program for chronic noncancer pain (YMCA Pain Exercise/Education Program [Y-PEP] was reviewed. Medical visits, consultations and hospital admissions were coded as related or unrelated to their pain diagnoses. Mood disruption, financial concerns, conflicts with employers/insurers, analgesic doses, medication side effects and major life events were also recorded. The ‘chronic pain trajectory’ resembled a roller coaster with increased health care visits at the time of initial injuries and during ‘crises’ (reinjury, conflict with insurers/employers, failed back-to-work attempts and life events. Visits decreased when conflicts were resolved. Analgesic doses increased during ‘crises’ but did not fall after resolution. After attending Y-PEP, health care use fell for four of six patients and two returned to work. Primary care physicians need to recognize the functional limitations and psychosocial complications experienced by their chronic pain patients. A program such as Y-PEP may promote active self-management strategies resulting in lowered health care use.

  19. A Mixed-Method Approach to Investigating the Adoption of Evidence-Based Pain Practices in Nursing Homes

    Science.gov (United States)

    Ersek, Mary; Jablonski, Anita

    2014-01-01

    This mixed methods study examined perceived facilitators and obstacles to adopting evidence-based pain management protocols vis-a-vis documented practice changes that were measured using a chart audit tool. This analysis used data from a subgroup of four nursing homes that participated in a clinical trial. Focus group interviews with staff yielded qualitative data about perceived factors that affected their willingness and ability to use the protocols. Chart audits determined whether pain assessment and management practices changed over time in light of these reported facilitators and barriers. Reported facilitators included administrative support, staff consistency, and policy and procedure changes. Barriers were staff attitudes, regulatory issues, and provider mistrust of nurses’ judgment. Overall, staff reported improvements in pain practices. These reports were corroborated by modest but significant increases in adherence to recommended practices. Change in clinical practice is complex and requires attention to both structural and process aspects of care. PMID:24640959

  20. Detection method of flexion relaxation phenomenon based on wavelets for patients with low back pain

    Science.gov (United States)

    Nougarou, François; Massicotte, Daniel; Descarreaux, Martin

    2012-12-01

    The flexion relaxation phenomenon (FRP) can be defined as a reduction or silence of myoelectric activity of the lumbar erector spinae muscle during full trunk flexion. It is typically absent in patients with chronic low back pain (LBP). Before any broad clinical utilization of this neuromuscular response can be made, effective, standardized, and accurate methods of identifying FRP limits are needed. However, this phenomenon is clearly more difficult to detect for LBP patients than for healthy patients. The main goal of this study is to develop an automated method based on wavelet transformation that would improve time point limits detection of surface electromyography signals of the FRP in case of LBP patients. Conventional visual identification and proposed automated methods of time point limits detection of relaxation phase were compared on experimental data using criteria of accuracy and repeatability based on physiological properties. The evaluation demonstrates that the use of wavelet transform (WT) yields better results than methods without wavelet decomposition. Furthermore, methods based on wavelet per packet transform are more effective than algorithms employing discrete WT. Compared to visual detection, in addition to demonstrating an obvious saving of time, the use of wavelet per packet transform improves the accuracy and repeatability in the detection of the FRP limits. These results clearly highlight the value of the proposed technique in identifying onset and offset of the flexion relaxation response in LBP subjects.

  1. Evidence-based management of postoperative pain in adults undergoing open inguinal hernia surgery

    DEFF Research Database (Denmark)

    Joshi, G P; Rawal, N; Kehlet, H

    2012-01-01

    BACKGROUND: Open inguinal hernia repair is associated with moderate postoperative pain, but optimal analgesia remains controversial. The aim of this systematic review was to evaluate the available literature on the management of pain after open hernia surgery. METHODS: Randomized studies, in Engl......BACKGROUND: Open inguinal hernia repair is associated with moderate postoperative pain, but optimal analgesia remains controversial. The aim of this systematic review was to evaluate the available literature on the management of pain after open hernia surgery. METHODS: Randomized studies...... that the recommendations had clinical validity. RESULTS: Of the 334 randomized studies identified, 79 were included. Quantitative analysis suggested that regional anaesthesia was superior to general anaesthesia for reducing postoperative pain. Spinal anaesthesia was associated with a higher incidence of urinary retention...

  2. Lumbosacral transitional vertebra in a population-based study of 5860 individuals: Prevalence and relationship to low back pain

    International Nuclear Information System (INIS)

    Purpose: To investigate the prevalence of lumbosacral transitional vertebra (LSTV) within the Chinese Han population, and to determine whether LSTV correlates with low back pain (LBP) and gluteal pain. Materials and methods: Typical standing pelvic radiographs were obtained for 5860 volunteers between 18 to 60 years of age. The lumbosacral region of each spine was evaluated to identify LSTV, which was classified into types I, II, III, and IV based on Castellvi's method. Histories of low back symptoms were obtained using a questionnaire. The association of different subtypes of LSTV with LBP and gluteal pain was explored. Results: LSTV was found in 15.8% (928 of 5860) of our study population. Of the 928 individuals with LSTV, 44.8% were type I (dysplastic transverse process with height >19 mm), 43.2% were type II (pseudoarticulation), 7.2% were type III (fusion), and 4.8% were type IV (a unilateral type II transition with a type III fusion on the contralateral side). Type II LSTV were closely associated with LBP and gluteal pain, with respective odds ratios (ORs) of 2.56 (95% CI: 2.17–3.89) and 5.38 (95% CI: 4.29–8.43). Similarly, types IV LSTV also demonstrated a significant correlation with LBP and gluteal pain, with respective ORs of 4.28 (95% CI: 3.21–6.35) and 6.82 (95% CI: 5.17–16.59). Conclusions: In this population-based study, the prevalence of LSTV was 15.8%, with type I being the most common. Importantly, LSTV types II and IV were significantly associated with LBP and gluteal pain

  3. Lumbosacral transitional vertebra in a population-based study of 5860 individuals: Prevalence and relationship to low back pain

    Energy Technology Data Exchange (ETDEWEB)

    Tang, Min; Yang, Xian-feng; Yang, Shang-wen; Han, Peng; Ma, Yi-ming; Yu, Hui; Zhu, Bin, E-mail: zhubinradio@163.com

    2014-09-15

    Purpose: To investigate the prevalence of lumbosacral transitional vertebra (LSTV) within the Chinese Han population, and to determine whether LSTV correlates with low back pain (LBP) and gluteal pain. Materials and methods: Typical standing pelvic radiographs were obtained for 5860 volunteers between 18 to 60 years of age. The lumbosacral region of each spine was evaluated to identify LSTV, which was classified into types I, II, III, and IV based on Castellvi's method. Histories of low back symptoms were obtained using a questionnaire. The association of different subtypes of LSTV with LBP and gluteal pain was explored. Results: LSTV was found in 15.8% (928 of 5860) of our study population. Of the 928 individuals with LSTV, 44.8% were type I (dysplastic transverse process with height >19 mm), 43.2% were type II (pseudoarticulation), 7.2% were type III (fusion), and 4.8% were type IV (a unilateral type II transition with a type III fusion on the contralateral side). Type II LSTV were closely associated with LBP and gluteal pain, with respective odds ratios (ORs) of 2.56 (95% CI: 2.17–3.89) and 5.38 (95% CI: 4.29–8.43). Similarly, types IV LSTV also demonstrated a significant correlation with LBP and gluteal pain, with respective ORs of 4.28 (95% CI: 3.21–6.35) and 6.82 (95% CI: 5.17–16.59). Conclusions: In this population-based study, the prevalence of LSTV was 15.8%, with type I being the most common. Importantly, LSTV types II and IV were significantly associated with LBP and gluteal pain.

  4. Groin pain

    Science.gov (United States)

    ... groin pain in men. The terms "groin" and "testicle" are sometimes used interchangeably. But what causes pain ... hernia. It may also involve pain in the testicles. Hernia : This problem occurs when there is a ...

  5. Eye pain

    Science.gov (United States)

    Ophthalmalgia; Pain - eye ... Pain in the eye can be an important symptom of a health problem. Make sure you tell your health care provider if you have eye pain that does not go away. Tired eyes or ...

  6. Wrist pain

    Science.gov (United States)

    Pain - wrist; Pain - carpal tunnel; Injury - wrist; Arthritis - wrist; Gout - wrist; Pseudogout - wrist ... Carpal tunnel syndrome: A common cause of wrist pain is carpal tunnel syndrome . You may feel aching, ...

  7. Elbow pain

    Science.gov (United States)

    Pain - elbow ... Elbow pain can be caused by many problems. A common cause in adults is tendinitis . This is inflammation and ... a partial dislocation ). Other common causes of elbow pain are: Bursitis -- inflammation of a fluid-filled cushion ...

  8. Heel pain

    Science.gov (United States)

    Pain - heel ... Heel pain is most often the result of overuse. Rarely, it may be caused by an injury. Your heel ... on the heel Conditions that may cause heel pain include: When the tendon that connects the back ...

  9. 基于ARM ESL的AVS亮度插值的软硬件协同的研究%Integration of AVS luminance interpolation based on ARM ESL

    Institute of Scientific and Technical Information of China (English)

    何颖天; 祝永新

    2008-01-01

    提出一种基于ARM ESL平台的软硬件协同的设计方法,并进行了整个AVS解码系统的设计和仿真验证.在具体的软硬件划分中,通过采用硬件加速AVS亮度插值模块,合并了二分与四分之一亮度插值的软件算法, 并用DMA控制器改进插值的硬件结构,从而改善了系统的整体性能.实验中比较十帧720x576的AVS解码图像在原始纯软件环境,同软硬件协同系统的仿真结果.仿真结果说明新的AVS解码系统的体系结构提高了AVS解码系统的整体性能,为AVS系统的软硬件协同设计提供了有益的参照.

  10. Depression, Pain, and Pain Behavior.

    Science.gov (United States)

    Keefe, Francis J.; And Others

    1986-01-01

    Examined the degree to which depression predicted pain and pain behavior. The Beck Depression Inventory was administered to 207 low back pain patients. Depression and physical findings were the most important predictors of pain and pain behavior. Depression proved significant even after controlling for important demographic and medical status…

  11. Do community pharmacists have the attitudes and knowledge to support evidence based self-management of low back pain?

    Directory of Open Access Journals (Sweden)

    Waddell Gordon

    2007-01-01

    Full Text Available Abstract Background In many countries, community pharmacists can be consulted without appointment in a large number of convenient locations. They are in an ideal position to give advice to patients at the onset of low back pain and also reinforce advice given by other healthcare professionals. There is little specific information about the quality of care provided in the pharmacy for people with back pain. The main objectives of this survey were to determine the attitudes, knowledge and reported practice of English pharmacists advising people who present with acute or chronic low back pain. Methods A questionnaire was designed for anonymous self-completion by pharmacists attending continuing education sessions. Demographic questions were designed to allow comparison with a national pharmacy workforce survey. Attitudes were measured with the Back Beliefs Questionnaire (BBQ and questions based on the Working Backs Scotland campaign. Questions about the treatment of back pain in the community pharmacy were written (or adapted to reflect and characterise the nature of practice. In response to two clinical vignettes, respondents were asked to select proposals that they would recommend in practice. Results 335 responses from community pharmacists were analysed. Middle aged pharmacists, women, pharmacy managers and locums were over-represented compared to registration and workforce data. The mean (SD BBQ score for the pharmacists was 31.37 (5.75, which was slightly more positive than in similar surveys of other groups. Those who had suffered from back pain seem to demonstrate more confidence (fewer negative feelings, more advice opportunities and better advice provision in their perception of advice given in the pharmacy. Awareness of written information that could help to support practice was low. Reponses to the clinical vignettes were generally in line with the evidence base. Pharmacists expressed some caution about recommending activity. Most

  12. Multiple Identifications in Multi-Armed Bandits

    CERN Document Server

    Bubeck, Sébastien; Viswanathan, Nitin

    2012-01-01

    We study the problem of identifying the top $m$ arms in a multi-armed bandit game. Our proposed solution relies on a new algorithm based on successive rejects of the seemingly bad arms, and successive accepts of the good ones. This algorithmic contribution allows to tackle other multiple identifications settings that were previously out of reach. In particular we show that this idea of successive accepts and rejects applies to the multi-bandit best arm identification problem.

  13. Postoperative pain

    DEFF Research Database (Denmark)

    Kehlet, H; Dahl, J B

    1993-01-01

    also modify various aspects of the surgical stress response, and nociceptive blockade by regional anesthetic techniques has been demonstrated to improve various parameters of postoperative outcome. It is therefore stressed that effective control of postoperative pain, combined with a high degree......Treatment of postoperative pain has not received sufficient attention by the surgical profession. Recent developments concerned with acute pain physiology and improved techniques for postoperative pain relief should result in more satisfactory treatment of postoperative pain. Such pain relief may...

  14. Sleep position and shoulder pain.

    Science.gov (United States)

    Zenian, John

    2010-04-01

    The overuse theory for musculoskeletal joint pain cannot explain adequately the occurrence of shoulder pain in those who do not engage in activities that involve repeated and stressful use of the shoulder since the percentage of the painful right shoulders usually does not match the percentage of dominant right arms in such individuals. An alternative hypothesis is presented to propose that shoulder pain is caused by postural immobility in the decubitus or side position during sleep. Prolonged pressure on the shoulder caused by the weight of the thorax can produce enough damage to cause subsequent shoulder pain. In order to test this hypothesis, a preliminary study was carried out to compare the laterality of shoulder pain with the laterality of sleep position. The calculated laterality ratios for sleep position and shoulder pain were found to be strikingly similar, suggesting a causal relationship between the two phenomena. However, the prevalence of shoulder pain in the general population was found to be smaller than the percentage of the time people would spend sleeping in the decubitus position. This discrepancy could be explained by the idea that in order for shoulder pain to develop subjects may have to spend longer times in the same decubitus position before changing to another position than the average person would. Additional evidence from published clinical studies also supports the postural theory of shoulder pain. More studies can be done to test this hypothesis by focusing on the sleep habits of patients with shoulder pain. According to the present hypothesis shoulder pain should for the most part occur on the side that the patient preferred to sleep on before the onset of shoulder pain. The postural theory of shoulder pain provides the possibility for a new and noninvasive method to treat shoulder pain by the modification of posture during sleep.

  15. Research of ARM9-based NIR camellia oil non-destructive detector%基于ARM9的近红外山茶油无损检测仪研究

    Institute of Scientific and Technical Information of China (English)

    刘莹; 胡云龙

    2013-01-01

    基于ARM9微处理器对山茶油无损检测仪的硬件和软件进行了研制,仪器硬件由近红外光谱采集模块和基于ARM9的嵌入式控制系统组成,近红外光谱采集模块包括仪器光路、AD620信号放大和AD7705 A/D转换电路.仪器光路由近红外LED光源、窄带滤光片、菲尼尔透镜和光电检测器组成.嵌入式控制系统以高性价比、低功耗的S3C2440A为核心,包括Nand Flash,SDRAM,USB,UART,LCD显示屏和触摸屏等外围设备.同时在嵌入式Linux系统下完成了AD7705驱动程序和基于QT的系统软件设计,实现了对山茶油的检测.对山茶油体积分数进行了建模和预测,结果表明:预测体积分数值与实际体积分数值基本一致.%The hardware and software of camellia oil non-destructive detector based on ARM9 microprocessor is developed, hardware of the instrument is composed of near infrared (NIR)spectral acquisition module and ARM9-based embedded control system, and the NIR spectral acquisition module of the instrument includes apparatus light path,AD620 signal amplification and AD7705 A/D conversion circuit. Light path of the instrument is made up of NIR LED light source, narrow-band filter, Fresnel lens and photoelectric detector. Embedded control system uses cost-effective and low power consumption S3C2440A as the core, include Nand Flash,SDRAM,USB,UART,LCD display and touch screen peripherals,etc. At the same time,AD7705 driving program and system software design based on QT are completed by embedded Linux system, detection of camellia oil is achieved. Modeling and predicting for volume fraction of camellia oil are carried out, and the results show that the predicted volume fraction values and the actual volume fraction values can basically keep consistent.

  16. 基于 ARM 嵌入式操作系统的图像处理*%Image Processing Based on ARM Embedded Operating System

    Institute of Scientific and Technical Information of China (English)

    左春雪; 吉喆明; 黄小红

    2015-01-01

    无人清扫机器人是通过感知外界环境信息,传输到主控制器,实现自我决策并进行自主导航和壁障的。针对这个情况,论文通过A RM嵌入式操作系统和视觉检测系统对所拍摄图像进行边缘检测。以微控制器S3C2440为核心通过可输出标准的数字图像信号OV7670图像传感器对图像进行采集、通过邻域平均法对图像进行预处理和通过Sobel算子对图像边缘进行检测,为了进一步提高视觉检测系统的实时性和可靠性,在ARM上移植了嵌入式Red Hat 9.0 Linux操作系统,并通过U‐boot对bootloade进行移植,作为嵌入式操作系统中一段启动代码,起到引导加载启动程序的任务。在嵌入式Linux操作系统中,完成了视觉系统中邻域平均法图像预处理和Sobel边缘检测算子的软件设计。最后通过系统的软硬件调试,实时的显示出所拍摄图像的边缘,为无人清扫机器人提供了视觉信息。%Unmanned cleaning robots through the perception of external environment information ,transfer to the main controller ,and realize self decision ,autonomous navigation and walls .Aiming at this situation ,the paper demonstrates a fact the detecting photograph image edge through the ARM embedded operating system and visual inspection system . S3C2440 is considered as the core controller ,through an OV7670 image sensor that can produce digital image signal acquiring the image ,through the neighborhood averaging method preprocessing the image and through Sobel operator detecting the im‐age edge .In order to further improve the real‐time performance and reliability of the visual inspection system ,we transplant the embedded Red Hat Linux 9 .0 operating system on the ARM ,completing the neighborhood averaging method in visual system image preprocessing and Sobel edge detection operator in the software design .Finally ,by system software and hard‐ware debugging ,we can acquire real

  17. Image Processing Based on ARM Embedded Operating System%基于 ARM 嵌入式操作系统的图像处理*

    Institute of Scientific and Technical Information of China (English)

    左春雪; 吉喆明; 黄小红

    2015-01-01

    无人清扫机器人是通过感知外界环境信息,传输到主控制器,实现自我决策并进行自主导航和壁障的。针对这个情况,论文通过A RM嵌入式操作系统和视觉检测系统对所拍摄图像进行边缘检测。以微控制器S3C2440为核心通过可输出标准的数字图像信号OV7670图像传感器对图像进行采集、通过邻域平均法对图像进行预处理和通过Sobel算子对图像边缘进行检测,为了进一步提高视觉检测系统的实时性和可靠性,在ARM上移植了嵌入式Red Hat 9.0 Linux操作系统,并通过U‐boot对bootloade进行移植,作为嵌入式操作系统中一段启动代码,起到引导加载启动程序的任务。在嵌入式Linux操作系统中,完成了视觉系统中邻域平均法图像预处理和Sobel边缘检测算子的软件设计。最后通过系统的软硬件调试,实时的显示出所拍摄图像的边缘,为无人清扫机器人提供了视觉信息。%Unmanned cleaning robots through the perception of external environment information ,transfer to the main controller ,and realize self decision ,autonomous navigation and walls .Aiming at this situation ,the paper demonstrates a fact the detecting photograph image edge through the ARM embedded operating system and visual inspection system . S3C2440 is considered as the core controller ,through an OV7670 image sensor that can produce digital image signal acquiring the image ,through the neighborhood averaging method preprocessing the image and through Sobel operator detecting the im‐age edge .In order to further improve the real‐time performance and reliability of the visual inspection system ,we transplant the embedded Red Hat Linux 9 .0 operating system on the ARM ,completing the neighborhood averaging method in visual system image preprocessing and Sobel edge detection operator in the software design .Finally ,by system software and hard‐ware debugging ,we can acquire real

  18. Mechanisms of disease: mechanism-based classification of neuropathic pain - a critical analysis

    DEFF Research Database (Denmark)

    Finnerup, Nanna Brix; Jensen, Troels Staehelin

    2006-01-01

    Classification of neuropathic pain according to etiology or localization has clear limitations. The discovery of specific molecular and cellular events following experimental nerve injury has raised the possibility of classifying neuropathic pain on the basis of the underlying neurobiological...... mechanisms. Application of this approach in the clinic is problematic, however, owing to a lack of precise tools to assess symptoms and signs, and difficulties in correlating symptoms and signs with mechanisms. Development and validation of diagnostic methods to identify mechanisms, together...... with pharmacological agents that specifically target these mechanisms, seems to be the most logical and rational way of improving neuropathic pain treatment....

  19. Population based study of noncardiac chest pain in southern Chinese:Prevalence, psychosocial factors and health care utilization

    Institute of Scientific and Technical Information of China (English)

    Wai Man Wong; Chi Kuen Chan; Annie O.O. Chan; Shiu Kum Lam; Benjamin Chun-Yu Wong; Kwok Fai Lam; Cecilia Cheng; Wai Mo Hui; Harry Hua-Xiang Xia; Kam Chuen Lai; Wayne H.C. Hu; Jia Qing Huang; Cindy L.K. Lam

    2004-01-01

    AIM: Population-based assessment of noncardiac chest pain (NCCP) is lacking. The aim of this study was to evaluate the prevalence, psychosocial factors and health seeking behaviour of NCCP in southern Chinese.METHODS: A total of 2 209 ethnic Hong Kong Chinese households were recruited to participate in a telephone survey to study the epidemiology of NCCP using the Rose angina questionnaire, a validated gastroesophageal reflux disease (GERD) questionnaire and the hospital anxietydepression scale. NCCP was defined as non-exertional chest pain according to the Rose angina questionnaire and had not been diagnosed as ischaemic heart diseases by a physician.RESULTS: Chest pain over the past year was present in 454 subjects (20.6%, 95% CI 19-22), while NCCP was present in 307 subjects (13.9%, 95% CI 13-15). GERD was present in 51% of subjects with NCCP and 34% had consulted a physician for chest pain. Subjects with NCCP had a significantly higher anxiety (P<0.001) and depression score (P=0.007), and required more days off (P=0.021) than subjects with no chest pain. By multiple logistic regression analysis, female gender (OR 1.9, 95% CI 1.1-3.2), presence of GERD (OR 2.8, 95% CI 1.6-4.8), and social life being affected by NCCP (OR 6.9, 95% CI 3.3-15.9) were independent factors associated with health seeking behaviour in southern Chinese with NCCP.CONCLUSION: NCCP is a common problem in southern Chinese and associated with anxiety and depression. Female gender, GERD and social life affected by chest pain were associated with health care utilization in subjects with NCCP.

  20. Interactive Sections of an Internet-Based Intervention Increase Empowerment of Chronic Back Pain Patients: Randomized Controlled Trial

    OpenAIRE

    Riva, Silvia; Camerini, Anne-Linda; Allam, Ahmed; Schulz, Peter Johannes

    2014-01-01

    Background Chronic back pain (CBP) represents a significant public health problem. As one of the most common causes of disability and sick leave, there is a need to develop cost-effective ways, such as Internet-based interventions, to help empower patients to manage their disease. Research has provided evidence for the effectiveness of Internet-based interventions in many fields, but it has paid little attention to the reasons why they are effective. Objective This study aims to assess the im...

  1. The Research and Design for the Embedded System Based on ARM9%基于ARM9的嵌入式系统研究及设计

    Institute of Scientific and Technical Information of China (English)

    薛凌燕; 杨吉宏; 李凌云; 郑志新

    2009-01-01

    为适应嵌入式技术在现代工业及电子等更多领域的广泛应用,通过对ARM9嵌入式微处理器芯片S3C2410的研究,设计出基于S3C2410核心板的嵌入式系统开发底板,更多的需求及功能可在其底板上进行扩展与实现.首先对ARM9嵌入式微处理器S3C2410进行介绍,然后给出了基于S3C2410核心板的嵌入式系统开发底板的设计与功能扩展,包括开发板总体设计,电源模块设计,各种通信模块设计如串口、JTAG接口、网络接口、CAN总线通信接口等.该模板的设计实现了嵌入式系统在更多更广泛领域应用的灵活性.%To adapting for the embedded technology's application widely in the modern industry, electron and so on,it is the design for the embedded system exploitation motherboard based on S3C2410 core board through the research on ARM9 embedded microprocessor S3C2410. More demand and function can extend and come true on the motherboard. Firstly, introduce ARM9 embedded microprocessor S3C2410. Then introduce the design for the embedded system exploitation motherboard based on S3C2410 core board and the function extend, including exploitation motherboards' collectivity design, power supply design, all kinds of communication module design, such as serial interface, JTAG interface, network interface, CAN bus communication interface and so on. The motherboard's design has realized the embedded system application's flexibility.

  2. Comparison of the CALIPSO satellite and ground-based observations of cirrus clouds at the ARM TWP sites

    Energy Technology Data Exchange (ETDEWEB)

    Thorsen, Tyler J.; Fu, Q.; Comstock, Jennifer M.

    2011-11-10

    Statistics of ice cloud macrophysical and optical properties from the Cloud-Aerosol LIdar with Orthogonal Polarization (CALIOP) instrument on board the Cloud-Aerosol Lidar and Infrared Pathfinder Satellite Observations (CALIPSO) satellite are compared with those from ground-based lidar observations over a 31 month period. Ground-based lidar observations are taken from the micropulse lidars (MPL) at the three Department of Energy Atmospheric Radiation Measurement (ARM) tropical western pacific (TWP) sites: Manus, Nauru and Darwin. CALIPSO observations show a larger cloud fraction at high altitudes while the ground-based MPLs show a larger cloud fraction at low altitudes. The difference in mean ice cloud top and base heights at the Manus and Nauru sites are all within 0.51 km, although differences are statistically significant. Mean ice cloud geometrical thickness agree to within 0.05 km at the Manus and Nauru sites. Larger differences exist at Darwin due to excessive degradation of the MPL output power during our sampling period. Both sets of observations show thicker clouds during the nighttime which may be real but could also be partially an artifact of the decreased signal-to-noise ratio during the daytime. The number of ice cloud layers per profile are also shown to be consistent after accounting for the difference in spatial resolution. For cloud optical depths, four different retrieval methods are compared, two for each set of observations. All products show that the majority of ice cloud optical depths ({approx}60%) fall below an optical depth of 0.2. For most comparisons all four retrievals agree to within the uncertainty intervals. We find that both CALIPSO retrievals agree best to ground-based optical depths when the lidar ratio in the latter is retrieved instead of set to a fixed value. Also thoroughly compared is the cloud properties for the subset of ice clouds which reside in the tropical tropopause layer (TTL).

  3. Optimal management of chronic cyclical pelvic pain: an evidence-based and pragmatic approach

    Directory of Open Access Journals (Sweden)

    Ha Ryun Won

    2010-08-01

    Full Text Available Ha Ryun Won, Jason AbbottDepartment of Endo-Gynecology, Royal Hospital for Women, Sydney, New South Wales, AustraliaAbstract: This article reviews the literature on management of chronic cyclical pelvic pain (CCPP. Electronic resources including Medline, PubMed, CINAHL, The Cochrane Library, Current Contents, and EMBASE were searched using MeSH terms including all ­subheadings and keywords: “cyclical pelvic pain”, “chronic pain”, “dysmenorrheal”, “nonmenstrual ­pelvic pain”, and “endometriosis”. There is a dearth of high-quality evidence for this common ­problem. Chronic pelvic pain affects 4%–25% of women of reproductive age. Dysmenorrhea of varying degree affects 60% of women. Endometriosis is the commonest pathologic cause of CCPP. Other gynecological causes are adenomyosis, uterine fibroids, and pelvic floor myalgia, although other systems disease such as irritable bowel syndrome or interstitial cystitis may be responsible. ­Management options range from simple to invasive, where simple medical ­treatment such as the combined oral contraceptive pill may be used as a first-line treatment prior to invasive ­management. This review outlines an approach to patients with CCPP through history, physical examination, and investigation to identify the cause(s of the pain and its optimal management.Keywords: cyclical pelvic pain, chronic pain, dysmenorrhea, nonmenstrual pelvic pain, endometriosis

  4. [Exploration of novel therapeutic targets for neuropathic pain based on the regulation of immune cells].

    Science.gov (United States)

    Kobayashi, Yuka; Kiguchi, Norikazu; Saika, Fumihiro; Kishioka, Shiroh

    2015-06-01

    The pathogenesis of neuropathic pain is quite complicated and diverse. Because pre-existing analgesics, such as opioid analgesics and nonsteroidal anti-inflammatory drugs, are not sufficient to treat it, it is a serious task to establish a strategy of remedy for neuropathic pain. Recently, increasing evidence suggests that immune cell-mediated neuroinflammation in the nervous system induces central and peripheral sensitization, resulting in chronic pain. Initially, the immune system plays an important role in host defense. Although intravital homeostasis is kept constant by innate and adaptive immunity, the immune system is activated excessively due to infection, stress and tissue injury. Activated immune cells produce and release several kinds of inflammatory mediators, which act directly on sensory neurons and promote a recruitment of immune cells, developing the feedback loop of inflammatory exacerbation. We've focused on the role of crosstalk between immune cells and neurons in peripheral neuroinflammation, and explored a novel candidate for a remedy of neuropathic pain. In this review, we will introduce recent reports and our research work that suggest the functional significance of neuroinflammation in neuropathic pain, and survey possibilities of new strategies for chronic pain from the point of view of basic research. PMID:26281298

  5. Pelvic Pain

    Science.gov (United States)

    Pelvic pain occurs mostly in the lower abdomen area. The pain might be steady, or it might come and go. If the pain is severe, it might get in the way ... re a woman, you might feel a dull pain during your period. It could also happen during ...

  6. Living with Pain or Living in Pain : Narrative Journeys with Low Back Pain

    OpenAIRE

    Blackburn, Alison

    2011-01-01

    This study used a qualitative method to focus on the perspectives, beliefs and expectations of low back pain sufferers. The research was undertaken within a hospital based pain clinic. In recent years low back pain research has proliferated, and the epidemiological evidence suggests that back pain is an increasing problem. Much attention has been paid to the impact of low back pain on the population, and to the increasing cost in economic and health terms. Biomedical and psychological evi...

  7. Chronic Kidney Pain in Autosomal Dominant Polycystic Kidney Disease : A Case Report of Successful Treatment by Catheter-Based Renal Denervation

    NARCIS (Netherlands)

    Casteleijn, Niek F.; de Jager, Rosa L.; Neeleman, M. Peer; Blankestijn, Peter J.; Gansevoort, Ron T.

    2014-01-01

    Chronic pain is a common concern in patients with autosomal dominant polycystic kidney disease (ADPKD). We report what to our knowledge is the first catheter-based renal denervation procedure in a patient with ADPKD resulting in successful management of chronic pain. The patient was a 43-year-old wo

  8. A STUDY TO ANALYSE THE EFFICACY OF MODIFIED PILATES BASED EXERCISES AND THERAPEUTIC EXERCISES IN INDIVIDUALS WITH CHRONIC NON SPECIFIC LOW BACK PAIN: A RANDOMIZED CONTROLLED TRAIL

    Directory of Open Access Journals (Sweden)

    U.Albert Anand,

    2014-06-01

    Full Text Available Background: Chronic low back pain is an expensive and difficult condition to treat. Low back pain is the most common musculoskeletal symptoms seen in 85 % of individuals in their life time. One of the interventions widely used by physiotherapists in the treatment of chronic non-specific low back pain (CNLBP is exercise therapy based upon the Pilates principles. Objective: The purpose of the study was to find out the effect of Modified Pilates based exercises for patients with Chronic Non Specific Low Back Pain. Design: A randomized controlled trial, pre test-post test design Setting: The study was conducted in Out Patient Department of physiotherapy, K.G Hospital, Coimbatore, India. Patients: Fifty– two physically active subjects between 18 – 60 years old with Chronic Non specific Low Specific Pain of more than 12 weeks’ duration were randomly assigned into 2 groups. Interventions: Group A subjects underwent a Modified specific Pilates based exercises with Flexibility Exercises & Group B Subjects underwent a Therapeutic Exercises with Flexibility Exercises were conducted over of 8 weeks. Measurements: Back specific Functional Status outcome were measured with the Oswestry Disability Index and pain intensity were measured with Visual analogue scale. Conclusion: The study concluded that the Modified specific Pilates based exercises helps in reducing the pain, improve the back specific function, improve general health, personal Care, Social Life and flexibility in individuals with non specific chronic low back pain than the therapeutic exercise group.

  9. Evaluation of Arm Processor-based Bionic Intelligent Controller for a Buck-boost Converte

    Directory of Open Access Journals (Sweden)

    M.V. Mini

    2015-07-01

    Full Text Available This study focuses on performance-comparison of different tuning methods for a PI controller applied to a buck-boost converter. Comparison between the controllers is made by analysis of design methodology implementation issues and empirically measured performance. Design of PI controller is based on frequency response of the converter. The optimization of PI controller is based on ant colony algorithm. Experimental results show that, tuning the PI controller using ACO algorithm gave better performance than the conventional algorithm. This is mainly due to the fact ACO is capable of reducing the overshoot without oscillation.

  10. Treatment of Lower Back Pain-The Gap between Guideline-Based Treatment and Medical Care Reality.

    Science.gov (United States)

    Werber, Andreas; Schiltenwolf, Marcus

    2016-01-01

    Despite the fact that unspecific low back pain is of important impact in general health care, this pain condition is often treated insufficiently. Poor efficiency has led to the necessity of guidelines addressing evidence-based strategies for treatment of lower back pain (LBP). We present some statements of the German medical care reality. Self-responsible action of the patient should be supported while invasive methods in particular should be avoided due to lacking evidence in outcome efficiency. However, it has to be stated that no effective implementation strategy has been established yet. Especially, studies on the economic impact of different implementation strategies are lacking. A lack of awareness of common available guidelines and an uneven distribution of existing knowledge throughout the population can be stated: persons with higher risk suffering from LBP by higher professional demands and lower educational level are not skilled in advised management of LBP. Both diagnostic imaging and invasive treatment methods increased dramatically leading to increased costs and doctor workload without being associated with improved patient functioning, severity of pain or overall health status due to the absence of a functioning primary care gate keeping system for patient selection. Opioids are prescribed on a grand scale and over a long period. Moreover, opioid prescription is not indicated properly, when predominantly persons with psychological distress like somatoform disorders are treated with opioids. PMID:27417632

  11. Variance-based iterative image reconstruction from few views in limited-angle C-arm computed tomography

    Science.gov (United States)

    El Hakimi, Wissam; Sakas, Georgios

    2014-03-01

    C-arm cone-beam computed tomography offers CT-like 3D imaging capabilities, but with the additional advantage of being appropriate for interventional suites. Due to the limitations of the data acquisition system, projections are oft acquired in a short scan angular range, resulting in significant artifacts, if conventional analytic formulas are applied. Furthermore, the presence of high-density objects, like metal parts, induces streak-like artifacts, which can obscure relevant anatomy. We present a new algorithm to reduce such artifacts and enhance the quality of reconstructed 3D volume. We make use of the variance of estimated voxel values over all projections to decrease the ground artifact level. The proposed algorithm is less sensitive to data truncation, and does not require explicit estimation of missing data. The number of required images is very low (up to 56 projections), which have several benefits, like significant reduction of patient dose and shortening of the acquisition time. The performance of the proposed method is demonstrated based on simulations and phantom data.

  12. Dynamics Modeling and Robust Trajectory Tracking Control for a Class of Hybrid Humanoid Arm Based on Neural Network

    Institute of Scientific and Technical Information of China (English)

    WANG Yueling; JIN Zhenlin

    2009-01-01

    In order to solve the problem of trajectory tracking for a class of novel serial-parallel hybrid humanoid arm(HHA), which has parameters uncertainty, frictions, disturbance, abrasion and pulse forces derived from motors, a multistep dynamics modeling strategy is proposed and a robust controller based on neural network(NN)-adaptive algorithm is designed. At the first step of dynamics modeling, the dynamics model of the reduced HHA is established by Lagrange method. At the second step of dynamics modeling, the parameter uncertain part resulting mainly from the idealization of the HHA is learned by adaptive algorithm. In the trajectory tracking controller, the radial basis function(RBF) NN, whose optimal weights are learned online by adaptive algorithm, is used to learn the upper limit function of the total uncertainties including frictions, disturbances, abrasion and pulse forces. To a great extent, the conservatism of this robust trajectory tracking controller is reduced, and by this controller the HHA can impersonate mostly human actions. The proof and simulation results testify the validity of the adaptive strategy for parameter learning and the neural network-adaptive strategy for the trajectory tracking control.

  13. Authentication System for Smart Homes Based on ARM7TDMI-S and IRIS-Fingerprint Recognition Technologies

    Directory of Open Access Journals (Sweden)

    Fredrick R. Ishengoma

    2014-12-01

    Full Text Available With the rapid advancement in technology, smart homes have become applicable and so the need arise to solve the security challenges that are accompanied with its operation. Passwords and identity cards have been used as traditional authentication mechanisms in home environments, however, the rise of misuse of these mechanisms are proving them to be less reliable. For instance, ID cards can be misplaced, copied or counterfeited and being misused. Conversely, studies have shown that biometrics authentication systems particularly Iris Recognition Technology (IRT and Fingerprint Recognition Technology (FRT have the most reliable mechanisms to date providing tremendous accuracy and speed. As the technology becomes less expensive, application of IRT& FRT in smart-homes becomes more reliable and appropriate solution for security challenges. In this paper, we present our approach to design an authentication system for smart homes based on IRT, FRT and ARM7TDMI-S.The system employs two biometrics mechanisms for high reliability whereby initially, system users must enroll their fingerprints and eyes into the camera. Iris and fingerprint biometrics are scanned and the images are stored in the database. In the stage of authentication, FRT and IRT fingerprint scan and analyze points of the user's current input iris and fingerprint and match with the database contents. If one or more captured images do not match with the one in the database, then the system will not give authorization.

  14. Design and development of C-arm based cone-beam CT for image-guided interventions: initial results

    Science.gov (United States)

    Chen, Guang-Hong; Zambelli, Joseph; Nett, Brian E.; Supanich, Mark; Riddell, Cyril; Belanger, Barry; Mistretta, Charles A.

    2006-03-01

    X-ray cone-beam computed tomography (CBCT) is of importance in image-guided intervention (IGI) and image-guided radiation therapy (IGRT). In this paper, we present a cone-beam CT data acquisition system using a GE INNOVA 4100 (GE Healthcare Technologies, Waukesha, Wisconsin) clinical system. This new cone-beam data acquisition mode was developed for research purposes without interfering with any clinical function of the system. It provides us a basic imaging pipeline for more advanced cone-beam data acquisition methods. It also provides us a platform to study and overcome the limiting factors such as cone-beam artifacts and limiting low contrast resolution in current C-arm based cone-beam CT systems. A geometrical calibration method was developed to experimentally determine parameters of the scanning geometry to correct the image reconstruction for geometric non-idealities. Extensive phantom studies and some small animal studies have been conducted to evaluate the performance of our cone-beam CT data acquisition system.

  15. Balance maintenance in high-speed motion of humanoid robot arm-based on the 6D constraints of momentum change rate.

    Science.gov (United States)

    Zhang, Da-song; Xiong, Rong; Wu, Jun; Chu, Jian

    2014-01-01

    Based on the 6D constraints of momentum change rate (CMCR), this paper puts forward a real-time and full balance maintenance method for the humanoid robot during high-speed movement of its 7-DOF arm. First, the total momentum formula for the robot's two arms is given and the momentum change rate is defined by the time derivative of the total momentum. The author also illustrates the idea of full balance maintenance and analyzes the physical meaning of 6D CMCR and its fundamental relation to full balance maintenance. Moreover, discretization and optimization solution of CMCR has been provided with the motion constraint of the auxiliary arm's joint, and the solving algorithm is optimized. The simulation results have shown the validity and generality of the proposed method on the full balance maintenance in the 6 DOFs of the robot body under 6D CMCR. This method ensures 6D dynamics balance performance and increases abundant ZMP stability margin. The resulting motion of the auxiliary arm has large abundance in joint space, and the angular velocity and the angular acceleration of these joints lie within the predefined limits. The proposed algorithm also has good real-time performance. PMID:24883404

  16. Accuracy of x-ray image-based 3D localization from two C-arm views: a comparison between an ideal system and a real device

    Science.gov (United States)

    Brost, Alexander; Strobel, Norbert; Yatziv, Liron; Gilson, Wesley; Meyer, Bernhard; Hornegger, Joachim; Lewin, Jonathan; Wacker, Frank

    2009-02-01

    arm X-ray imaging devices are commonly used for minimally invasive cardiovascular or other interventional procedures. Calibrated state-of-the-art systems can, however, not only be used for 2D imaging but also for three-dimensional reconstruction either using tomographic techniques or even stereotactic approaches. To evaluate the accuracy of X-ray object localization from two views, a simulation study assuming an ideal imaging geometry was carried out first. This was backed up with a phantom experiment involving a real C-arm angiography system. Both studies were based on a phantom comprising five point objects. These point objects were projected onto a flat-panel detector under different C-arm view positions. The resulting 2D positions were perturbed by adding Gaussian noise to simulate 2D point localization errors. In the next step, 3D point positions were triangulated from two views. A 3D error was computed by taking differences between the reconstructed 3D positions using the perturbed 2D positions and the initial 3D positions of the five points. This experiment was repeated for various C-arm angulations involving angular differences ranging from 15° to 165°. The smallest 3D reconstruction error was achieved, as expected, by views that were 90° degrees apart. In this case, the simulation study yielded a 3D error of 0.82 mm +/- 0.24 mm (mean +/- standard deviation) for 2D noise with a standard deviation of 1.232 mm (4 detector pixels). The experimental result for this view configuration obtained on an AXIOM Artis C-arm (Siemens AG, Healthcare Sector, Forchheim, Germany) system was 0.98 mm +/- 0.29 mm, respectively. These results show that state-of-the-art C-arm systems can localize instruments with millimeter accuracy, and that they can accomplish this almost as well as an idealized theoretical counterpart. High stereotactic localization accuracy, good patient access, and CT-like 3D imaging capabilities render state-of-the-art C-arm systems ideal devices for X

  17. A theory-based educational intervention targeting nurses' attitudes and knowledge concerning cancer-related pain management: A study protocol of a quasi-experimental design

    Directory of Open Access Journals (Sweden)

    Gustafsson Markus

    2011-09-01

    Full Text Available Abstract Background Pain is one of the most frequent problems among patients diagnosed with cancer. Despite the availability of effective pharmacological treatments, this group of patients often receives less than optimal treatment. Research into nurses' pain management highlights certain factors, such as lack of knowledge and attitudes and inadequate procedures for systematic pain assessment, as common barriers to effective pain management. However, educational interventions targeting nurses' pain management have shown promise. As cancer-related pain is also known to have a negative effect on vital aspects of the patient's life, as well as being commonly associated with problems such as sleep, fatigue, depression and anxiety, further development of knowledge within this area is warranted. Methods/design A quasi-experimental study design will be used to investigate whether the implementation of guidelines for systematic daily pain assessments following a theory-based educational intervention will result in an improvement in knowledge and attitude among nurses. A further aim is to investigate whether the intervention that targets nurses' behaviour will improve hospital patients' perception of pain. Data regarding nurses' knowledge and attitudes to pain (primary outcome, patient perception regarding pain (secondary outcome, together with socio-demographic variables, will be collected at baseline and at four weeks and 12 weeks following the intervention. Discussion Nursing care is nowadays acknowledged as an increasingly complicated activity and "nursing complexity is such that it can be seen as the quintessential complex intervention." To be able to change and improve clinical practice thus requires multiple points of attack appropriate to meet complex challenges. Consequently, we expect the theory-based intervention used in our quasi-experimental study to improve care as well as quality of life for this group of patients and we also envisage that

  18. Electromagnetic field-based navigation for percutaneous punctures on C-arm CT: experimental evaluation and clinical application

    Energy Technology Data Exchange (ETDEWEB)

    Meyer, Bernhard C.; Peter, Olaf; Frericks, Bernd B.; Wolf, Karl-Juergen [Charite - University Hospital, Campus Benjamin Franklin, Department of Radiology and Nuclear Medicine, Berlin (Germany); Nagel, Markus [CAS innovations AG, Erlangen (Germany); Hoheisel, Martin [Siemens Healthcare, Forchheim (Germany); Wacker, Frank K. [Charite - University Hospital, Campus Benjamin Franklin, Department of Radiology and Nuclear Medicine, Berlin (Germany); The Johns Hopkins Hospital, Radiology Department, Division of Vascular and Interventional Radiology, Baltimore, MD (United States)

    2008-12-15

    The aim of this study was to prospectively evaluate the needle visualization and placement error and use of an electromagnetic field-based tracking navigation device for puncture procedures based on C-arm CT (CACT) images. A commercially available navigation device was mounted on an angiographic X-ray system setup for CACT. After the target was defined, needle placement was performed under real-time visualization of the virtual needle in CACT images. The final, real needle position was assessed by CACT. Punctures were performed in phantoms (n = 76) and in twelve patients (eight biopsies, three drainages, one injection). Procedure times, system error, user error and total error were assessed. In phantoms, mean total error was 2.3 {+-} 0.9 mm, user error was 1.4 {+-} 0.8 mm and system error was 1.7 {+-} 0.8 mm. In the patient study, the targeted puncture was successful in all twelve cases. The mean total error was 5.4 mm {+-} 1.9 mm (maximum 8.1 mm), user error was 3.7 {+-} 1.7 mm, system error was 3.2 {+-} 1.4 mm and mean skin-to-target time was less than 1 min. The navigation device relying on CACT was accurate in terms of needle visualization and useful for needle placement under both experimental and clinical conditions. For more complex procedures, electromagnetic field-based tracking guidance might be of help in facilitating the puncture and reducing both the puncture risk and procedure time. (orig.)

  19. ARM-LINUX BASED GUI SYSTEM ARCHITECTURE ANALYSIS AND ITS APPLICATION DESIGN%基于ARM-Linux的GUI系统体系分析及其应用设计

    Institute of Scientific and Technical Information of China (English)

    杜智敏; 谢维波; 谢毅勇

    2011-01-01

    To realize a well performing embedded GUI system, it is required that the developers clearly understand not only the operation system with all its low level hardware components, but also their interactions. The thesis illustrates GUI' s core design concept, additionally carries out exhaustive analysis and discussion upon ARM-Linux based GUI implementation and architecture, then finally proposes MiniGUI-baaed concrete application design, which bears instructive meanings for researchers to develop the embedded GUI system.%实现一个表现良好的嵌入式GUI系统要求开发者对操作系统及底层硬件的各个组件及其之间的交互都十分清楚.阐述GUI的核心设计理念,并对基于ARM-Linux的GUI的实现原理和体系结构进行了详尽的分析探讨,最后给出基于MiniGUI的具体应用设计,对研究人员开发嵌入式GUI系统具有指导意义.

  20. Terminal Hardware Design of Police Based on ARM Cortex-A8 Platform%基于ARM Cortex-A8平台的警务终端硬件设计

    Institute of Scientific and Technical Information of China (English)

    庹云凤; 江先阳

    2011-01-01

    基于ARM Cortex-A8平台研究设计的警务终端,利用当前热门的嵌入式技术与3G无线通信技术,帮助交通警察及公安警察进行交通管理及犯罪活动的打击。警务终端的主要功能包括3G手机功能、电子地图功能、高清拍照功能、驾照及其他二维条码证件扫描验证功能、二代身份证验证功能、IC卡识别功能、银联无线支付功能等。%Based on ARM Cortex-A8 platform,designed to police the terminal study, the use of current technology and popular embedded 3G wireless communications technology to help police and public security traffic management and traffic police crack down on criminal activities.The main function of the police end features including 3G mobile phones,electronic map function,high-definition camera,driver's license and other two-dimensional bar code scanning documents,authentication features,the second generation ID card authentication,IC card recognition, CUP wireless payment functions.

  1. 基于ARM-WindowsCE的便携式漏磁检测仪设计%Design of Portable Magnetic Flux Leakage Testing Instrument Based on ARM-WindowsCE

    Institute of Scientific and Technical Information of China (English)

    于卫刚; 苑希超; 徐超; 王长龙; 王鹏

    2011-01-01

    In order to analyze the relationship between the magnetic flux leakage signals and the types of defect, a portable magnetic flux leakage testing instrument was designed. This paper presents the structure of this magnetic flux leakage testing instrument based on ARM9 embedded configuration. With the S3C2440A processor as the core and WindowCE5. 0 as the operating system and by using HONEYWELL company's magnetism sensor HMC1021 to obtain magnetic flux leakage signals on the surface of ferromagnetic material,the instrument can fulfill the basic function of the magnetic flux leakage testing instrument in a better way.%为了分析漏磁信号和缺陷类型之间存在的对应关系,研制了一种适合现场检测的便携式漏磁检测仪.给出基于ARM9嵌入式结构的漏磁检测仪总体结构,该检测仪以S3C2440A处理器为核心,采用WindowsCE5.0为操作系统,以HONEYWELL公司的HMC1021磁阻传感器来获取铁磁材料表面的漏磁信号,较好地实现了漏磁检测仪的基本功能.

  2. Automatic Control System for Refining Sugarcane Based on Embedded ARM-Linux and ZigBee%基于ARM-Linux和ZigBee的自动煮糖数据采集系统

    Institute of Scientific and Technical Information of China (English)

    王敦锋; 朱名日; 庾志衡; 周信东

    2011-01-01

    According to the special environment of refining; sugarcane production line,a RT data sugar-refine control platform of wireless sensor network based on Zigbee and arm-linux technology was built. The problems of traditional cable data acquisition system such as high cost.poor scalabiliiy of monitoring node,bad mobility were solved. A new way was achieved for the process automation of refinining sugar. The test result shows that the system runs well, and completely meets the requirements of produccion process.%针对糖厂煮糖制炼生产线的特殊环境,利用ZigBee和嵌入式ARM-Linux技术,构建了1个实时的蔗糖制炼无线传感器网络控制平台,有效解决传统的有线数据采集系统存在的成本较高、监控点扩充性差、移动性较差等问题,为实现煮糖过程的自动化提供了手段.测试表明,系统运行良好,能够满足工艺的要求.

  3. ARM Lead Mentor Selection Process

    Energy Technology Data Exchange (ETDEWEB)

    Sisterson, DL

    2013-03-13

    The ARM Climate Research Facility currently operates more than 300 instrument systems that provide ground-based observations of the atmospheric column. To keep ARM at the forefront of climate observations, the ARM infrastructure depends heavily on instrument scientists and engineers, also known as Instrument Mentors. Instrument Mentors must have an excellent understanding of in situ and remote-sensing instrumentation theory and operation and have comprehensive knowledge of critical scale-dependent atmospheric processes. They also possess the technical and analytical skills to develop new data retrievals that provide innovative approaches for creating research-quality data sets.

  4. A Call to Arms: Standards for Agent-Based Modeling and Simulation

    OpenAIRE

    Andrew Collins; Mikel Petty; Daniele Vernon-Bido; Solomon Sherfey

    2015-01-01

    Standards are as old as civilization itself and they are vital to human development. Standards touch almost every part of our lives, from the water we drink to the language used to write this article. A sign of a good standard is one that we do not notice. Good standards exist and so do processes and organizations to create and maintain them. As agent-based modeling and simulation matures as a methodology, a discussion of standards applicable to it becomes increasingly important. Descriptive ...

  5. Mind-Body Exercises for Nurses with Chronic Low Back Pain: An Evidence-Based Review

    Science.gov (United States)

    Arcari, Patricia; Langevin, Helene; Wayne, Peter M.

    2016-01-01

    Background. Chronic low back pain (CLBP) among nurses is a growing health concern. The multimodal nature of mind-body exercises has potential to impact physiological and psychological processes associated with chronic pain, affording possible advantages over conventional unimodal therapies. This paper summarizes the prevalence of and risk factors for CLBP among nurses, reviews the effectiveness in treating pain and disability of mind-body exercises (yoga and tai chi) for CLBP among the general and nursing population, and describes implications. Methods. Articles, published during or prior to 2015, were systematically identified through the PubMed/MEDLINE, Web of Science, and ScienceDirect databases using the following search terms: nurses, mind-body, integrative, biopsychosocial, yoga, tai chi, back pain, and/or risk factors. Results. Prevalence estimates of CLBP among nurses ranged from 50% to 80%. Associated risk factors for CLBP included lifestyle and physical, psychological, psychosocial, and occupational factors. No published studies were identified that evaluated yoga or tai chi for nurses with CLBP. Studies in the general population suggested that these interventions are effective in reducing pain and disability and may improve factors/processes predictive of CLBP. Conclusion. This review suggests that evaluating the impact of multimodal interventions such as yoga and tai chi for nurses with CLBP warrants investigation.

  6. Mind-Body Exercises for Nurses with Chronic Low Back Pain: An Evidence-Based Review.

    Science.gov (United States)

    Budhrani-Shani, Pinky; Berry, Donna L; Arcari, Patricia; Langevin, Helene; Wayne, Peter M

    2016-01-01

    Background. Chronic low back pain (CLBP) among nurses is a growing health concern. The multimodal nature of mind-body exercises has potential to impact physiological and psychological processes associated with chronic pain, affording possible advantages over conventional unimodal therapies. This paper summarizes the prevalence of and risk factors for CLBP among nurses, reviews the effectiveness in treating pain and disability of mind-body exercises (yoga and tai chi) for CLBP among the general and nursing population, and describes implications. Methods. Articles, published during or prior to 2015, were systematically identified through the PubMed/MEDLINE, Web of Science, and ScienceDirect databases using the following search terms: nurses, mind-body, integrative, biopsychosocial, yoga, tai chi, back pain, and/or risk factors. Results. Prevalence estimates of CLBP among nurses ranged from 50% to 80%. Associated risk factors for CLBP included lifestyle and physical, psychological, psychosocial, and occupational factors. No published studies were identified that evaluated yoga or tai chi for nurses with CLBP. Studies in the general population suggested that these interventions are effective in reducing pain and disability and may improve factors/processes predictive of CLBP. Conclusion. This review suggests that evaluating the impact of multimodal interventions such as yoga and tai chi for nurses with CLBP warrants investigation. PMID:27446610

  7. Mind-Body Exercises for Nurses with Chronic Low Back Pain: An Evidence-Based Review

    Directory of Open Access Journals (Sweden)

    Pinky Budhrani-Shani

    2016-01-01

    Full Text Available Background. Chronic low back pain (CLBP among nurses is a growing health concern. The multimodal nature of mind-body exercises has potential to impact physiological and psychological processes associated with chronic pain, affording possible advantages over conventional unimodal therapies. This paper summarizes the prevalence of and risk factors for CLBP among nurses, reviews the effectiveness in treating pain and disability of mind-body exercises (yoga and tai chi for CLBP among the general and nursing population, and describes implications. Methods. Articles, published during or prior to 2015, were systematically identified through the PubMed/MEDLINE, Web of Science, and ScienceDirect databases using the following search terms: nurses, mind-body, integrative, biopsychosocial, yoga, tai chi, back pain, and/or risk factors. Results. Prevalence estimates of CLBP among nurses ranged from 50% to 80%. Associated risk factors for CLBP included lifestyle and physical, psychological, psychosocial, and occupational factors. No published studies were identified that evaluated yoga or tai chi for nurses with CLBP. Studies in the general population suggested that these interventions are effective in reducing pain and disability and may improve factors/processes predictive of CLBP. Conclusion. This review suggests that evaluating the impact of multimodal interventions such as yoga and tai chi for nurses with CLBP warrants investigation.

  8. Mind-Body Exercises for Nurses with Chronic Low Back Pain: An Evidence-Based Review

    Science.gov (United States)

    Arcari, Patricia; Langevin, Helene; Wayne, Peter M.

    2016-01-01

    Background. Chronic low back pain (CLBP) among nurses is a growing health concern. The multimodal nature of mind-body exercises has potential to impact physiological and psychological processes associated with chronic pain, affording possible advantages over conventional unimodal therapies. This paper summarizes the prevalence of and risk factors for CLBP among nurses, reviews the effectiveness in treating pain and disability of mind-body exercises (yoga and tai chi) for CLBP among the general and nursing population, and describes implications. Methods. Articles, published during or prior to 2015, were systematically identified through the PubMed/MEDLINE, Web of Science, and ScienceDirect databases using the following search terms: nurses, mind-body, integrative, biopsychosocial, yoga, tai chi, back pain, and/or risk factors. Results. Prevalence estimates of CLBP among nurses ranged from 50% to 80%. Associated risk factors for CLBP included lifestyle and physical, psychological, psychosocial, and occupational factors. No published studies were identified that evaluated yoga or tai chi for nurses with CLBP. Studies in the general population suggested that these interventions are effective in reducing pain and disability and may improve factors/processes predictive of CLBP. Conclusion. This review suggests that evaluating the impact of multimodal interventions such as yoga and tai chi for nurses with CLBP warrants investigation. PMID:27446610

  9. Price of pain: population-based cohort burden of disease analysis of medication cost of herpes zoster and postherpetic neuralgia

    Directory of Open Access Journals (Sweden)

    Friesen KJ

    2016-08-01

    Full Text Available Kevin J Friesen,1 Jamie Falk,1 Silvia Alessi-Severini,1 Dan Chateau,2 Shawn Bugden1 1College of Pharmacy, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada; 2Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada Background: Pain is a main symptom of herpes zoster (HZ, and postherpetic neuralgia (PHN is a frequent complication occurring in 5% to 15% of cases, causing moderate to severe neuropathic pain. A population-based observational study was conducted to evaluate the treatment patterns and economic burden of prescription drug treatment of HZ and PHN pain in the province of Manitoba (Canada over a period of 15 years. Methods: Administrative health care data, including medical and hospital separation records, were examined to identify episodes of HZ using International Classification of Diseases-9/10 codes between April 1, 1997 and March 31, 2014. Episodes of PHN were identified using medical and prescription claims. Incident use of analgesic, antidepressant, or anticonvulsant drugs was used to determine prescription pain costs. Results: The age-adjusted incidence of HZ increased from 4.7 episodes/1,000 person-years in 1997/98 to 5.7/1,000 person-years in 2013/14. PHN occurred in 9.2% of HZ cases, a rate that did not change over the study period (P=0.57. The annual cost to treat HZ pain rose by 174% from 1997/98, reaching CAD $332,981 in 2011/12, 82.8% (95% confidence interval [CI] 81.2%, 84.3% of which was related to PHN. The per episode cost of HZ rose by 111% from $31.59 (95% CI $25.35, $37.84 to $66.81 (95% CI $56.84, $76.78 and by 94% for PHN from $292 (95% CI $225, $358 to $566 (95% CI $478, $655. These increases were driven by increasing use of anticonvulsants, primarily gabapentin, which accounted for 57% of the increase in cost. Conclusion: There has been an increase in the incidence of HZ and PHN and in the average cost associated with the

  10. The periodontal pain paradox: Difficulty on pain assesment in dental patients (The periodontal pain paradox hypothesis

    Directory of Open Access Journals (Sweden)

    Haryono Utomo

    2006-12-01

    Full Text Available In daily dental practice, the majority of patients’ main complaints are related to pain. Most patients assume that all pains inside the oral cavity originated from the tooth. One particular case is thermal sensitivity; sometimes patients were being able to point the site of pain, although there is neither visible caries nor secondary caries in dental radiograph. In this case, gingival recession and dentin hypersensitivity are first to be treated to eliminate the pain. If these treatments failed, pain may misdiagnose as pulpal inflammation and lead to unnecessary root canal treatment. Study in pain during periodontal instrumentation of plaque-related periodontitis revealed that the majority of patients feel pain and discomfort during probing and scaling. It seems obvious because an inflammation, either acute or chronic is related to a lowered pain threshold. However, in contrast, in this case report, patient suffered from chronic gingivitis and thermal sensitivity experienced a relative pain-free sensation during probing and scaling. Lowered pain threshold which accompanied by a blunted pain perception upon periodontal instrumentation is proposed to be termed as the periodontal pain paradox. The objective of this study is to reveal the possibility of certain factors in periodontal inflammation which may involved in the periodontal pain paradox hypothesis. Patient with thermal hypersensitivity who was conducted probing and scaling, after the relative pain-free instrumentation, thermal hypersensitivity rapidly disappeared. Based on the successful periodontal treatment, it is concluded that chronic gingivitis may modulate periodontal pain perception which termed as periodontal pain paradox

  11. Essential features influencing collaboration in team-based non-specific back pain rehabilitation: Findings from a mixed methods study

    OpenAIRE

    Hellman, Therese; Jensen, Irene; Bergström, Gunnar; Brämberg, Elisabeth Björk

    2016-01-01

    ABSTRACT The aim of the study presented in this article was to explore how professionals, without guidelines for implementing interprofessional teamwork, experience the collaboration within team-based rehabilitation for people with back pain and how this collaboration influences their clinical practice. This study employed a mixed methods design. A questionnaire was answered by 383 participants and 17 participants were interviewed. The interviews were analysed using content analysis. The quan...

  12. Are We Looking in the Wrong Place? Implications for Behavioural-Based Pain Assessment in Rabbits (Oryctolagus cuniculi) and Beyond?

    OpenAIRE

    Leach, Matthew C.; Claire A Coulter; Richardson, Claire A.; Flecknell, Paul A.

    2011-01-01

    BACKGROUND: Successful observation of behaviour depends upon knowing both which behaviours to look for and focusing on the appropriate areas of the body to observe them. Behaviour based scoring systems have become increasingly widely used to assess animal pain and distress. Although studies are available demonstrating which behaviours need to be observed, there has been little attempt to assess how effectively observers apply such information when viewing an animal's behaviour. METHODOLOGY/PR...

  13. Parametric motion control of robotic arms: A biologically based approach using neural networks

    Science.gov (United States)

    Bock, O.; D'Eleuterio, G. M. T.; Lipitkas, J.; Grodski, J. J.

    1993-01-01

    A neural network based system is presented which is able to generate point-to-point movements of robotic manipulators. The foundation of this approach is the use of prototypical control torque signals which are defined by a set of parameters. The parameter set is used for scaling and shaping of these prototypical torque signals to effect a desired outcome of the system. This approach is based on neurophysiological findings that the central nervous system stores generalized cognitive representations of movements called synergies, schemas, or motor programs. It has been proposed that these motor programs may be stored as torque-time functions in central pattern generators which can be scaled with appropriate time and magnitude parameters. The central pattern generators use these parameters to generate stereotypical torque-time profiles, which are then sent to the joint actuators. Hence, only a small number of parameters need to be determined for each point-to-point movement instead of the entire torque-time trajectory. This same principle is implemented for controlling the joint torques of robotic manipulators where a neural network is used to identify the relationship between the task requirements and the torque parameters. Movements are specified by the initial robot position in joint coordinates and the desired final end-effector position in Cartesian coordinates. This information is provided to the neural network which calculates six torque parameters for a two-link system. The prototypical torque profiles (one per joint) are then scaled by those parameters. After appropriate training of the network, our parametric control design allowed the reproduction of a trained set of movements with relatively high accuracy, and the production of previously untrained movements with comparable accuracy. We conclude that our approach was successful in discriminating between trained movements and in generalizing to untrained movements.

  14. Multiuser Test System Based on FPGA and ARM%基于FPGA和ARM的多用户测试系统

    Institute of Scientific and Technical Information of China (English)

    张文亭; 张曙光; 乔庐峰; 陈庆华

    2011-01-01

    Because of the characteristics of small volume, low power, low cost and flexible design that the system has, the design and implementation of multiuser test system based on Field Programmable Gate Array(FPGA) and Advanced RISC Machines(ARM) is introduced in this paper. It can satisfy the specific needs of Asynchronous Transfer Mode(ATM) lest. Because of the console based on Web users as long as access this network can operation the test system, which solves the problem of people can not test on the same time because it is expensive. With the characteristics of small volume, low power, low cost and flexible design that the system can satisfy the specific needs of high speed ATM test. Test show it can satisfy the need of high-speed transmission and exchange equipment.%针对现有异步转移模式测试仪器通用性弱、成本高等局限性,设计基于现场可编程门列阵和嵌入式ARM的多用户测试系统.采用基于Web的监控台,使得用户只要接入网络就能通过Web页面对待测设备进行测试,从而解决专用测试仪表不能多地多人同时测试的问题.测试结果表明,该设计具有体积小、成本低、设计灵括等特点,可以满足专用高速传输和交换设备的测试需求.

  15. Awareness and action for eliminating health care disparities in pain care: Web-based resources.

    Science.gov (United States)

    Fan, Ling; Thomas, Melissa; Deitrick, Ginna E; Polomano, Rosemary C

    2008-01-01

    Evidence shows that disparities in pain care exist, and this problem spans across all health care settings. Health care disparities are complex, and stem from the health system climate, limitations imposed by laws and regulations, and discriminatory practices that are deep seated in biases, stereotypes, and uncertainties surrounding communication and decision-making processes. A search of the Internet identified thousands of Web sites, documents, reports, and educational materials pertaining to health and pain disparities. Web sites for federal agencies, private foundations, and professional and consumer-oriented organizations provide useful information on disparities related to age, race, ethnicity, geography, socioeconomic status, and specific populations. The contents of 10 Web sites are examined for resources to assist health professionals and consumers in better understanding health and pain disparities and ways to overcome them in practice. PMID:19042858

  16. Self-assembled targeted nanoparticles based on transferrin-modified eight-arm-polyethylene glycol–dihydroartemisinin conjugate

    Science.gov (United States)

    Liu, Kefeng; Dai, Lin; Li, Chunxiao; Liu, Jing; Wang, Luying; Lei, Jiandu

    2016-07-01

    Poor delivery of insoluble anticancer drugs has so far precluded their clinical application. In this study, an efficient tumor targeted-nanoparticle delivery system, transferrin-eight-arm-polyethylene glycol–dihydroartemisinin nanoparticles (TF-8arm-PEG-DHA NPs) for the vehiculation of dihydroartemisinin (DHA) was first prepared and evaluated for its targeting efficiency and cytotoxicity in vitro and in vivo to Lewis lung carcinoma (LLC) cells, which overexpress transferrin receptors (TFRs). The synthesized TF-8arm-PEG–DHA NPs had high solubility (~102 fold of free DHA), relatively high drug loading (~10 wt% DHA), long circulating half-life and moderate particle size (~147 nm). The in vitro cytotoxicity and in vivo tumor growth inhibition studies in LLC-tumor bearing mice confirmed the enhanced efficacy of TF-modified 8arm-PEG-DHA NPs compared to free DHA and non-modified 8arm-PEG-DHA NPs. All these results together supported that the formulation developed in this work exhibited great potential as an effective tumor targeting delivery system for insoluble anticancer drugs.

  17. Description of a clinical stream of back-pain patients based on electronic medical records.

    Science.gov (United States)

    Aickin, Mikel; McCaffery, Anne; Pugh, Guy; Tick, Heather; Ritenbaugh, Cheryl; Hicks, Paul; Pelletier, Kenneth R; Cao, Jennifer; Himick, Dan; Monahan, Jennifer

    2013-08-01

    Back pain consists of a spectrum of conditions, with no common etiology and therefore no dominant method of treatment. The purpose of this study is to describe the complexity of a collection of 8000 back pain patients who appeared in an integrative medicine clinic, as a prelude to conducing comparative effectiveness research on CAM alternatives to conventional therapy. Approximately 23% of all clinic patients were diagnosed at some time with back pain. Nearly half had treatment periods of less than one month, while more than 25% were treated for back pain for more than two years. Women were represented more than twice as often as men. The initial diagnosis categories that occurred most frequently were lumbar symptoms, cervical symptoms, and a general category, with smaller numbers having lumbar anatomic, thoracic symptom, brachial neuritis, or sciatica diagnoses. There were few strong relationships between initial diagnosis pattern and length of back pain treatment period. While 77% of back pain patients presented with diagnoses in only a single category, there were many composite categories each of which was sparsely represented. Between 50% and 75% of patients used some CAM service, depending on their initial diagnosis pattern. Patients with complex initial diagnosis patterns strongly tended to chose CAM, and among CAM-users those with complex diagnoses tended toward chiropractic, as opposed to acupuncture or bodywork. The CAM usage patterns of men and women were highly similar. Again among CAM users, 82% used only a single type of CAM service, and multiple service uses tend to be combined at random. Between two-thirds and three-quarters of multiple CAM service users had very simple temporal patterns of use, dominated by use of one type of CAM at a time. PMID:23890463

  18. Complex Regional Pain Syndrome type I of the upper limb - treatment based on Stress Loading Program: a case study

    Directory of Open Access Journals (Sweden)

    Aline Sarturi Ponte

    2015-03-01

    Full Text Available The daily life of an individual suffering from Complex Regional Pain Syndrome type I (CPRS I becomes limited, because this syndrome causes signs and symptoms located in the affected limb, and may occur in other parts. From this premise, this study aims to present the contributions of Occupational Therapy and the Rehabilitation Stress Loading Program for a subject with CRPS I in the upper limb, attended by the Group of Pain from the University Hospital of Santa Maria (HUSM, Rio Grande do Sul state. This research is characterized as a case study, experimental, which deals with pre and post occupational therapy intervention. The instruments used for data collection were the protocols of Disabilities of the Arm, Shoulder and Hand (DASH, the International Classification of Disability, Functioning and Health (ICF, the Canadian Occupational Performance Measure (COPM, the Visual Analogue Scale, and goniometry (EVA. After assessment, the subject was exposed to the treatment of compressive active resistive exercises; after this treatment was completed, the subject was reassessed. It was observed that the treatment applied has contributed to the reduction of the pain and to the improvement in the Range of Motion (ROM of the subject. The use of the stress protocol and active compression contributed significantly to the reduction of pain, ADM gain and occupational performance improvement.

  19. ARM Based Automatic Control System of Nano Positioning Stage for Micromanufacturing

    Directory of Open Access Journals (Sweden)

    Gaurav Singh Naruka

    2013-05-01

    Full Text Available A microcontroller based control system to drive the Physik Instrumente (PI piezoelectric ultrasonic nano-positioning (PUN sta ge for a micro-factory has been proposed by the author. The tuning parameters of th e PI Line Controller are chosen such that the PUN stage shows optimum step response . The microcontroller i.e. LPC2478R provides the user with the choices of oper ations on the 3.2” QVGA LCD screen and the choice can be made by a 5-key joysti ck. The PUN stage moves in different geometrical patterns as chosen by the use r. The stage is placed in the workspace of the Clark-MXRR,Inc. CPA-2101 femto-sec ond laser. Different patterns are made on the material in question. As compared t o the previous works in this area, the user is given the power for position control, r eal time tracking, and trajectory planning of the actuator. The user interface has be en made very easy to comprehend. The repeatability of tasks, portability of the as- sembly, the reduction in the size of the system , power consumption and the human involvemen t are the major achievements after the inclusion of a microcontroller

  20. Optimizing Dendritic Cell-Based Immunotherapy: Tackling the Complexity of Different Arms of the Immune System

    Directory of Open Access Journals (Sweden)

    Ilse Van Brussel

    2012-01-01

    Full Text Available Earlier investigations have revealed a surprising complexity and variety in the range of interaction between cells of the innate and adaptive immune system. Our understanding of the specialized roles of dendritic cell (DC subsets in innate and adaptive immune responses has been significantly advanced over the years. Because of their immunoregulatory capacities and because very small numbers of activated DC are highly efficient at generating immune responses against antigens, DCs have been vigorously used in clinical trials in order to elicit or amplify immune responses against cancer and chronic infectious diseases. A better insight in DC immunobiology and function has stimulated many new ideas regarding the potential ways forward to improve DC therapy in a more fundamental way. Here, we discuss the continuous search for optimal in vitro conditions in order to generate clinical-grade DC with a potent immunogenic potential. For this, we explore the molecular and cellular mechanisms underlying adequate immune responses and focus on most favourable DC culture regimens and activation stimuli in humans. We envisage that by combining each of the features outlined in the current paper into a unified strategy, DC-based vaccines may advance to a higher level of effectiveness.

  1. Treatment of myofascial pain.

    Science.gov (United States)

    Desai, Mehul J; Bean, Matthew C; Heckman, Thomas W; Jayaseelan, Dhinu; Moats, Nick; Nava, Andrew

    2013-01-01

    SUMMARY The objective of this article was to perform a narrative review regarding the treatment of myofascial pain syndrome and to provide clinicians with treatment recommendations. This paper reviews the efficacy of various myofascial pain syndrome treatment modalities, including pharmacological therapy, injection-based therapies and physical therapy interventions. Outcomes evaluated included pain (visual analog scale), pain pressure threshold and range of motion. The evidence found significant benefit with multiple treatments, including diclofenac patch, thiocolchicoside and lidocaine patches. Trigger point injections, ischemic compression therapy, transcutaneous electrical nerve stimulation, spray and stretch, and myofascial release were also efficacious. The authors recommend focusing on treating underlying pathologies, including spinal conditions, postural abnormalities and underlying behavioral issues. To achieve maximum pain reduction and improve function, we recommend physicians approach myofascial pain syndrome with a multimodal plan, which includes a combination of pharmacologic therapies, various physical therapeutic modalities and injection therapies.

  2. Hypnosis for pain management.

    Science.gov (United States)

    Valente, Sharon M

    2006-02-01

    Nurses are in a key position to learn and use hypnosis with patients to reduce pain and enhance self-esteem. However, most nurses lack knowledge about the clinical effectiveness of hypnosis and may seek continuing education to become skilled in its use. Painful procedures, treatments, or diseases remain a major nursing challenge, and nurses need complementary ways to relieve pain from surgery, tumors, injuries, and chemotherapy. This article examines the evidence base related to hypnosis for pain management, as well as how to assess and educate patients about hypnosis. PMID:16526529

  3. Influence of directional solidification variables on primary dendrite arm spacing of Ni-based superalloy DZ125

    Institute of Scientific and Technical Information of China (English)

    Zhang Weiguo; Liu Lin; Huang Taiwen; Zhao Xinbao; Qu Min; Yu Zhuhuan; Fu Hengzhi

    2009-01-01

    The primary dendrite morphology and spacing of DZ125 superalloy have been observed during directional solidification under high thermal gradient about 500 K/cm. The results reveal that the primary dendrite arm spacing decreases from 94 μm to 35.8 μm with the increase of directional solidification cooling rate from 2.525 K/s to 36.4 K/s. The regression equation of the primary dendrite arm spacings λ1 versus cooling rate is λ1=0.013(GV)-0.32. The predictions of Kurz/Fisher model and Hunt/Lu model accord reasonably well with the experimental data. The influence of directional solidification rate under variable thermal gradient on the primary dendrite arm spacing has also been investigated.

  4. Influence of directional solidification variables on primary dendrite arm spacing of Ni-based superalloy DZ125

    Directory of Open Access Journals (Sweden)

    Zhang Weiguo

    2009-11-01

    Full Text Available The primary dendrite morphology and spacing of DZ125 superalloy have been observed during directional solidifi cation under high thermal gradient about 500 K/cm. The results reveal that the primary dendrite arm spacing decreases from 94 μm to 35.8 μm with the increase of directional solidifi cation cooling rate from 2.525 K/s to 36.4 K/s. The regression equation of the primary dendrite arm spacings λ1 versus cooling rate is λ1=0.013(GV-0.32. The predictions of Kurz/Fisher model and Hunt/Lu model accord reasonably well with the experimental data. The infl uence of directional solidifi cation rate under variable thermal gradient on the primary dendrite arm spacing has also been investigated.

  5. 基于 ARM9和 CC2530的远程无线抄表系统设计%The design of remote wireless meter reading system based on ARM 9 and CC2530

    Institute of Scientific and Technical Information of China (English)

    黄璟

    2014-01-01

    针对有线抄表方式空间局限性大、抗干扰能力差等问题,提出了一种基于ARM和ZigBee协议的远程无线抄表系统。该系统由数据采集、数据传输和集抄中心3部分组成。以低功耗片上系统CC2530为核心,采集器配以相应电能计量芯片STPM01进行数据采集,集中器设置了基于μCLinux操作系统的ARM9嵌入式网关,配备打印机接口、触摸屏接口等,用以实现快速现场查询、处理、存储、测试、打印等功能,并为将来复杂无线传感器数据的接入作准备。该无线电能抄表系统具有实用性强、可靠性高、低功耗和可扩展等特点,配置功率放大电路后,有障碍传输距离400 m左右。%For wired meter reading system has space limitations and poor anti-interference ability ,a re-mote meter reading system based on ARM and ZigBee protocol is proposed .This system consists of three parts:data acquisition ,data transmission and control center .Take the low power system-on-chip CC2530 as the core,the design goes together with the corresponding energy metering IC STPM 01 for data collection .Concen-trator is set up the embedded gateway based on ARM 9 and μCLinux operating system .Equipped with printer interface,touch screen interface ,etc.,the system is able to achieve rapid on-site inquiry,process,storage,tes-ting ,printing and other functions ,and make the future preparation of the data access of ubiquitous wireless sen-sor .The wireless meter reading system has strong practicability , high reliability , low power consumption and extensibility etc ,after configuring the power amplification circuit ,the transmission distance of about 400 m.

  6. PHYSICAL REHABILITATION OF LOW BACK PAIN BASED ON A CONCEPTUAL SYSTEM APPROACHES

    Directory of Open Access Journals (Sweden)

    LAZARIEVA Olena

    2014-11-01

    Full Text Available In Europe, back pain is a common disease, this is according to European statistics. In accordance with the new case, the pain each year occurs in 5% of the population. The aim of this work is to develop a conceptual approaches to the physical rehabilitation process at the surgical treatment of patients with back pain. Materials and methods . There was researched an experience of the domestic and foreign researches in physical rehabilitation area. Methods of the research were the analysis of the references and theoretical research methods (as an analysis, interpretation and synthesis of scientific and educational literature on the study problem. Abstraction (or idealization and schematization is the allocation of the essential foundations. Also we used experimenting with schemes (as a development of their content, sophistication and usability testing at development of concepts, practical models and physical rehabilitation programs. Results. The physical rehabilitation concept at the surgical treatment of patients with back pain was developed, given by the modern science in the diagnostics field, performing difficult complex spinal surgery with the using of new tools and the knowledge from the physical rehabilitation improvement. Conclusion. The using of a systematic methodology for physical rehabilitation in the surgical treatment of patients with vertebral pathology, helps to optimize research, diagnostic, therapeutic, rehabilitative and preventive measures, providing them with the required comprehensiveness, consistency, orderliness.

  7. Treatment of Chronic Pain in Older People Evidence-Based Choice of Strong-Acting Opioids

    NARCIS (Netherlands)

    van Ojik, Annette L.; Jansen, Paul A. F.; Brouwers, Jacobus R. B. J.; van Roon, Eric N.

    2012-01-01

    In the treatment of chronic malignant and non-malignant pain, opioids are used as strong analgesics. Frail elderly patients often have multiple comorbidities and use multiple medicines, leading to an increased risk of clinically relevant drug-drug and drug-disease interactions. Age-related changes a

  8. Evidence-based classification of low back pain in the general population

    DEFF Research Database (Denmark)

    Leboeuf-Yde, Charlotte; Lemeunier, Nadège; Wedderkopp, Niels;

    2013-01-01

    It was previously assumed that low back pain (LBP) is a disorder that can be classified as acute, subacute and chronic. Lately, the opinion seems to have veered towards a concept of it being a more recurrent or cyclic condition. Interestingly, a recent review of the literature indicated that LBP...

  9. MobiIe InteIIigent TerminaI Access ControI System Based on ARM-Linux and Wi-Fi%ARM Linux与WiFi的移动智能终端门禁系统设计

    Institute of Scientific and Technical Information of China (English)

    赵思蕊; 吴亚东; 杨文超; 蒋宏宇

    2015-01-01

    设计了一种基于嵌入式 ARM Linux平台和 Wi Fi通信的移动智能终端门禁系统,包括门禁装置和用户移动智能终端设备,其中门禁装置采用S3 C6410处理器,并以嵌入式 Linux为软件开发平台。移动智能终端设备则作为用户开门凭据,基于 Android系统开发门禁 APP,实现用户身份认证、注册和开门功能。测试结果表明,与现有门禁系统相比,该设计在安全性、可操作性和成本上有明显优势。%An access control system of mobile intelligent terminal based on ARM-Linux platform and Wi-Fi communication is designed, which includes access control device and user mobile intelligentx terminal equipment.The access control device uses S3C6410 processor and embedded Linux as the software development platform.Mobile intelligent terminal device is the proof of opening door,mobile intelli-gent terminal development access APP base on Android,which realizes the functions of user authentication,registration,and opening door.Results of the test indicate that the program design has obvious advantages on security,easy operation and low cost compared with the existing techniques and solutions.

  10. Design of a Module of Data Acquisition and Wireless Transmission Based on ARM7%基于ARM7的数据采集与无线传输模块设计

    Institute of Scientific and Technical Information of China (English)

    郑烨; 张伯虎

    2012-01-01

    This paper proposes a module of data acquisition and wireless transmission based on the ARM7 embedded system.Firstly,we introduce a data acquisition station system based on LPC2220 chip,and shows the design of a wireless transmission module which is composed of the embedded LPC2220 microprocessor and the chip of nRF905.When it works at 868 MHz,the rate of data transmission is 1 Mbit·s-1.The effective transmission radius can reach 800 meters with good stability by using the high gain antenna.The design has the advantages of high precision,high speed and real-time data acquisition and wireless transmission.%提出了一种基于ARM7嵌入式系统的数据采集与无线传输模块的设计方案,实现高精度、快速、实时的数据采集与传输。介绍了基于LPC2220芯片的数据采集系统,给出了由嵌入式LPC2220微处理器和射频收发芯片nRF905组成的无线传输模块设计。当其工作在868 MHz频段时,数据传输速率可达1 Mbit.s-1,采用高增益天线,使得传输距离可达800 m以上,且表现出良好的稳定性。最终实现高精度、快速、实时的数据采集与传输。

  11. Smartphone-based Music Listening to Reduce Pain and Anxiety Before Coronarography: A Focus on Sex Differences.

    Science.gov (United States)

    Guétin, Stéphane; Brun, Luc; Deniaud, Maelle; Clerc, Jean-Michel; Thayer, Julian F; Koenig, Julian

    2016-07-01

    Background • Music Care is a smartphone-based application providing a musical intervention for the management of pain and anxiety in a clinical setting. Coronarography is a medical procedure frequently associated with examination anxiety. Objectives • The study intended to perform an initial evaluation of the application for use with patients undergoing a coronarography. Design • The research team performed an uncontrolled, observational study. Setting • The study took place at Nouméa General Hospital in Nouméa, New Caledonia, France. Participants • Participants were 35 patients, 17 women and 18 men, who were undergoing a coronarography between November 2010 and April 2011 at the Nouméa General Hospital. Intervention • Participants listened to a standardized musical sequence of adjustable length by choosing a preferred style of music (eg, classic rock or folk music) from a variety of choices that the research team had chosen to include in the application. Outcome Measures • Before and after listening to the music, all participants were asked to rate their anxiety and pain on an 11-item, visual analogue scale and to complete a questionnaire on their satisfaction with use of the application. Results • The paired sample t test revealed a significant reduction in participants' anxiety (t33 = 4.12, P < .0001) after they had listened to the music. No significant reduction in self-reported pain occurred; however, only a few participants reported pain associated with the procedure. No significant sex differences existed. Women and men both showed reduced anxiety after listening to music as well as reported a high level of satisfaction in using the Music Care application. Conclusions • The smartphone-based Music Care application is an easy-to-use tool to reduce anxiety in patients undergoing coronarography. Future large-scale, controlled trials are necessary to compare its effectiveness with other interventions. Both women and men can benefit from the

  12. Time to gain trust and change--experiences of attachment and mindfulness-based cognitive therapy among patients with chronic pain and psychiatric co-morbidity.

    Science.gov (United States)

    Peilot, Birgitta; Andréll, Paulin; Samuelsson, Anita; Mannheimer, Clas; Frodi, Ann; Sundler, Annelie J

    2014-01-01

    The treatment of patients with chronic pain disorders is complex. In the rehabilitation of these patients, coping with chronic pain is seen as important. The aim of this study was to explore the meaning of attachment and mindfulness-based cognitive therapy (CT) among patients with chronic pain and psychiatric co-morbidity. A phenomenological approach within a lifeworld perspective was used. In total, 10 patients were interviewed after completion of 7- to 13-month therapy. The findings reveal that the therapy and the process of interaction with the therapist were meaningful for the patients' well-being and for a better management of pain. During the therapy, the patients were able to initiate a movement of change. Thus, CT with focus on attachment and mindfulness seems to be of value for these patients. The therapy used in this study was adjusted to the patients' special needs, and a trained psychotherapist with a special knowledge of patients with chronic pain might be required.

  13. Comparison of mental distress in patients with low back pain and a population-based control group measured by Symptoms Check List

    DEFF Research Database (Denmark)

    Christensen, Jan; Fisker, Annette; Mortensen, Erik Lykke;

    2015-01-01

    PURPOSE: Mental distress is common in persons experiencing low back pain and who are sick-listed or at risk of being sick-listed. It is, however, not known how mental distress measured by the Symptoms Check List-90 differs between patients with low back pain and the general population....... The objective of this study was to compare mental symptoms and distress as measured by the Symptoms Check List-90 in sick-listed or at risk of being sick-listed patients with low back pain with a population-based control group. METHODS: Mental distress was compared in a group of patients with low back pain (n...... and the symptom scales of the Symptoms Check List-90 while controlling for baseline demographic differences between the groups. RESULTS: Group mean scores showed that all symptom scales and the Global Severity Index for both sexes were statistically elevated in the low back pain group, except for interpersonal...

  14. Pain Management

    Science.gov (United States)

    ... opiates such as morphine could relieve pain and chemist Felix Hoffmann developed aspirin from a substance in ... sensory and emotional experience associated with actual or potential tissue damage.” TODAY Pain affects more Americans than ...

  15. [Oral pain].

    Science.gov (United States)

    Benslama, Lotfi

    2002-02-15

    Pain, a major symptom of stomatological disease, usually leads to a specialist consultation. Most commonly it is caused by dental caries and differs in nature and in intensity according to the stage of disease: dentinitis, pulpitis, desmodontitis and dental abscess. Added to this is peridental pain and the pre- and post-operative pains related to these diseases. Almost all oral-maxillary pathology is painful, be it boney such as in osteomyelitis and fractures, mucosal in gingivo-stomatitis and aphthous ulcers, or tumourous. However, besides the "multidisciplinary" facial pains such as facial neuralgia and vascular pain, two pain syndromes are specific to stomatology: pain of the tempero-mandibular joint associated with problems of the bite and glossodynia, a very common somatic expression of psychological problems.

  16. Habituating pain

    DEFF Research Database (Denmark)

    Ajslev, Jeppe Zielinski Nguyen; Lund, Henrik Lambrecht; Møller, Jeppe Lykke;

    2013-01-01

    the industry reproduce physical strain and the habituation of pain as unquestioned conditions in construction work. The understanding of this mutual reinforcement of the necessity of physically straining, painful, high-paced construction work provides fruitful perspectives on the overrepresentation...

  17. Testicle pain

    Science.gov (United States)

    ... pain include: Injury Infection or swelling of the sperm ducts ( epididymitis ) or testicles ( orchitis ) Twisting of the ... Cyst in the epididymis that often contains dead sperm cells ( spermatocele ) Fluid surrounding the testicle ( hydrocele ) Pain ...

  18. Breast pain

    Science.gov (United States)

    Pain - breast; Mastalgia; Mastodynia; Breast tenderness ... There are many possible causes for breast pain. For example, hormone level changes from menstruation or pregnancy often cause breast tenderness. Some swelling and tenderness just before your period ...

  19. Association between dental pain and tooth loss with health-related quality of life: the Korea national health and nutrition examination survey: A population-based cohort study.

    Science.gov (United States)

    Yang, Sung-Eun; Park, Yong-Gyu; Han, Kyungdo; Kim, Sin-Young

    2016-08-01

    Dental pain and tooth loss are global public health concerns. However, there have been no large cross-sectional epidemiologic studies of a representative sample of an entire country's populations. The purpose of this study was to evaluate the relationships between dental pain and tooth loss with health-related quality of life (HRQOL) using a well characterized, nationally representative, population-based study.This study analyzed data of 3924, representing 21,836,566 adults from the 2012 Korea National Health and Nutrition Examination Survey. Subjects were divided into 4 groups as follows: tooth loss of up to 8 teeth without dental pain, tooth loss of up to 8 teeth with dental pain, tooth loss of 8 to 28 teeth without dental pain, and tooth loss of 8 to 28 teeth with dental pain. Logistic regression was applied to estimate the adjusted odds ratios (ORs) and 95% confidence intervals (CI), controlling for a range of covariates.Among the 3924 subjects, representing an estimated 21,836,566 adults, the prevalence of tooth loss of 8 to 28 teeth was 24.6% and the prevalence of dental pain was 35%. The tooth loss of 8 to 28 teeth with dental pain group showed the highest level of impaired HRQOL in all 5 dimensions, and the tooth loss up to 8 teeth without dental pain group showed the lowest level. The proportion of both groups without dental pain decreased significantly from the younger age to older age group. After adjustment for sociodemographic factors, the ORs (95% CI) of mobility, self-case, usual activity, pain/discomfort, and anxiety/depression were 1.93 (1.32-2.84), 1.90 (1.25-2.90), 1.46 (0.88-2.43), 1.48 (0.88-2.49), and 1.46 (0.85-2.51) in tooth loss of 8 to 28 teeth with dental pain group. Although the ORs of tooth loss of 8 to 28 teeth without dental pain group did not significantly increase.Dental pain and tooth loss has a considerable impact of HRQOL in the Korean adult population. In our study, HRQOL is more closely associated with dental pain than with

  20. Price of pain: population-based cohort burden of disease analysis of medication cost of herpes zoster and postherpetic neuralgia

    Science.gov (United States)

    Friesen, Kevin J; Falk, Jamie; Alessi-Severini, Silvia; Chateau, Dan; Bugden, Shawn

    2016-01-01

    Background Pain is a main symptom of herpes zoster (HZ), and postherpetic neuralgia (PHN) is a frequent complication occurring in 5% to 15% of cases, causing moderate to severe neuropathic pain. A population-based observational study was conducted to evaluate the treatment patterns and economic burden of prescription drug treatment of HZ and PHN pain in the province of Manitoba (Canada) over a period of 15 years. Methods Administrative health care data, including medical and hospital separation records, were examined to identify episodes of HZ using International Classification of Diseases-9/10 codes between April 1, 1997 and March 31, 2014. Episodes of PHN were identified using medical and prescription claims. Incident use of analgesic, antidepressant, or anticonvulsant drugs was used to determine prescription pain costs. Results The age-adjusted incidence of HZ increased from 4.7 episodes/1,000 person-years in 1997/98 to 5.7/1,000 person-years in 2013/14. PHN occurred in 9.2% of HZ cases, a rate that did not change over the study period (P=0.57). The annual cost to treat HZ pain rose by 174% from 1997/98, reaching CAD $332,981 in 2011/12, 82.8% (95% confidence interval [CI] 81.2%, 84.3%) of which was related to PHN. The per episode cost of HZ rose by 111% from $31.59 (95% CI $25.35, $37.84) to $66.81 (95% CI $56.84, $76.78) and by 94% for PHN from $292 (95% CI $225, $358) to $566 (95% CI $478, $655). These increases were driven by increasing use of anticonvulsants, primarily gabapentin, which accounted for 57% of the increase in cost. Conclusion There has been an increase in the incidence of HZ and PHN and in the average cost associated with the prescription treatment of their resultant neuropathic pain. The primary driver of the increased episodic cost is the increased use of gabapentin. These changes have resulted in a substantial increase in the economic burden associated with HZ and PHN.

  1. Waiting for Treatment for Chronic Pain – a Survey of Existing Benchmarks: Toward Establishing Evidence-Based Benchmarks for Medically Acceptable Waiting Times

    Directory of Open Access Journals (Sweden)

    Mary E Lynch

    2007-01-01

    Full Text Available As medical costs escalate, health care resources must be prioritized. In this context, there is an increasing need for benchmarks and best practices in wait time management. In December 2005, the Canadian Pain Society struck a Task Force to identify benchmarks for acceptable wait times for treatment of chronic pain. The task force mandate included a systematic review and survey to identify national or international wait time benchmarks for chronic pain, proposed or in use, along with a review of the evidence upon which they are based. An extensive systematic review of the literature and a survey of International Association for the Study of Pain Chapter Presidents and key informants has identified that there are no established benchmarks or guidelines for acceptable wait times for the treatment of chronic pain in use in the world. In countries with generic guidelines or wait time standards that apply to all outpatient clinics, there have been significant challenges faced by pain clinics in meeting the established targets. Important next steps are to ensure appropriate additional research and the establishment of international benchmarks or guidelines for acceptable wait times for the treatment of chronic pain. This will facilitate advocacy for improved access to appropriate care for people suffering from chronic pain around the world.

  2. An embedded real-time red peach detection system based on an OV7670 camera, ARM cortex-M4 processor and 3D look-up tables.

    Science.gov (United States)

    Teixidó, Mercè; Font, Davinia; Pallejà, Tomàs; Tresanchez, Marcel; Nogués, Miquel; Palacín, Jordi

    2012-10-22

    This work proposes the development of an embedded real-time fruit detection system for future automatic fruit harvesting. The proposed embedded system is based on an ARM Cortex-M4 (STM32F407VGT6) processor and an Omnivision OV7670 color camera. The future goal of this embedded vision system will be to control a robotized arm to automatically select and pick some fruit directly from the tree. The complete embedded system has been designed to be placed directly in the gripper tool of the future robotized harvesting arm. The embedded system will be able to perform real-time fruit detection and tracking by using a three-dimensional look-up-table (LUT) defined in the RGB color space and optimized for fruit picking. Additionally, two different methodologies for creating optimized 3D LUTs based on existing linear color models and fruit histograms were implemented in this work and compared for the case of red peaches. The resulting system is able to acquire general and zoomed orchard images and to update the relative tracking information of a red peach in the tree ten times per second.

  3. A smartphone-based intervention with diaries and therapist-feedback to reduce catastrophizing and increase functioning in women with chronic widespread pain: randomized controlled trial.

    OpenAIRE

    Kristjánsdóttir, O.B.; Fors, E.A.; Eide, E.; Finset, A.; Stensrud, T.L.; van Dulmen, S.; Wigers, S.H.; Eide, H.

    2013-01-01

    Background Internet-based interventions using cognitive behavioral approaches can be effective in promoting self-management of chronic pain conditions. Web-based programs delivered via smartphones are increasingly used to support the self-management of various health disorders, but research on smartphone interventions for persons with chronic pain is limited. Objective The aim of this trial was to study the efficacy of a 4-week smartphone-delivered intervention with written diaries and therap...

  4. Development of Status Monitoring Agent System Based on the ARM9 and Linux System%基于ARM9和Linux系统的状态监测代理系统开发

    Institute of Scientific and Technical Information of China (English)

    韩卫东

    2013-01-01

    介绍了ARM嵌入式微处理器的特点和应用,并对嵌入式片上系统(SOC)技术进行了简单分析;重点阐述了基于ARM9核的SOC片上系统AtmelSAM9260的输电线路状态监测代理系统的硬件平台和软件系统设计.实现了在一个局部范围内管理和协同各类输电线路状态监测装置,并代替各类装置与主站系统进行安全的双向有线和无线GPRS数据通信,同时满足不同厂家、不同类型的甚至不同线路的一组监测装置的标准化、智能化、安全化接入.为科学规范的建设坚强智能电网输电线路状态监测系统打下基础.%The paper introduces the characteristics of the embedded ARM microprocessor and its application,and gives simple analysis of embedded chip system (SOC) technology.It mainly describes the hardware platform of transmission line state monitoring agent system based on ARM9 core SOC chip system AtmelSAM9260 t and the design of software system.The state monitoring device is managed in a local scope and is coordinated with all kinds of transmission lines,and it replaces all kinds of safety two-way cable and wireless GPRS data communication between various devices and master station system,At the same time,it is able to make standard,intelligent and secure access of a group of monitoring devices with different manufacturers,with different types or with even different line.This will lay the foundation for the construction of state monitoring system of intelligent power grid transmission line.

  5. 基于 ARM 的桌面型3D打印机控制系统设计%Design of desktop 3D printer control system based on ARM

    Institute of Scientific and Technical Information of China (English)

    谭秀腾; 郭小定; 李小龙; 余亮

    2014-01-01

    针对基于单片机为控制器的桌面型3D打印机控制系统中存在的处理速度慢、片外芯片多、电路复杂、打印质量不高等问题,设计了基于ARM为控制器的桌面型3D打印机控制系统。系统采用了NXP公司推出的基于ARM Cortex-M3内核的LPC1768微控制器,用它进行与上位机通信、数据处理、模拟量采集与处理、信号控制,选用A4988专用两相步进电机驱动器实现步进电机细分驱动,简化步进电机细分驱动的设计,行程开关电路采用GK152红外光电传感器。软件采用了PID方式调节加热床、挤出机加热温度。文中论述了控制系统主要硬件电路设计和软件的实现流程,系统测试表明性能良好。%The desktop 3D printer control systems with a sigle-chip controller have problems of slow processing speed, more pieces of outside chips, circuit complexity and poor quality of printing.To solve these problems, a desktop 3D printer control system with an ARM controller is designed.The system employs the LPC1768 microcon-troller based on ARM Cortex-M3 core which is introduced by the NXP and used to communicate with the host com-puter, data processing, analog acquisition and processing, signal control, used A4988 special two-phase stepper motor driver to implement stepper motor subdivision drive and to simplify the drive design for stepping motor.The travel switch circuit adopts GK152 infrared photoelectric sensor.The software adopted PID method in order to adjust the heating temperature of heating bed and extruder.This paper discusses the main hardware circuit design and soft-ware realization process of the control system.The System testing shows good performance.

  6. The Design of Data Acquisition Device Based on ARM7 and μC/OS-Ⅱ%基于ARM7内核和μC/OS-Ⅱ的数据采集装置设计

    Institute of Scientific and Technical Information of China (English)

    郑晋平

    2011-01-01

    A data acquisition device is designed in this paper,which adopts LPC2144 chip that based on ARM7 core and uses the advantages of μC/OS-Ⅱ embedded real-time operating system that are better cutting,portability as well as multi-tasking.The use of data acquisition device in the industrial control system is studied in detail.The device can collect,monitor and record kinds of parameters in production field.It is indicated by experiments that this device has the advantages such as low cost,low power consumption,micro-scale technology,and high accuracy,steady running,cost-effective,etc.In view of these advantages this device can be applied widely in kinds of industrial occasions.%基于ARM7内核的LPC2144芯片,利用μC/OS-Ⅱ嵌入式实时操作系统的可裁剪性、可移植性和多任务等特点支持下的数据采集装置,研究了数据采集装置在工业控制系统中的应用,在生产过程中可对生产现场的各种参数进行采集、监视和记录;数据采集是控制系统实现控制的基本条件,只有准确实时的获取对象的运行数据才能实施有效的控制。结果表明ARM7内核+嵌入式操作系统μC/OS-Ⅱ的移植数据采集装置,具有低成本、低功耗、微型化、精度高、运行稳定、性价比高等特点,不仅使其采集性能大幅度提高,而且抗干扰能力和实时性显著增强,可以在各种工业场合中广泛应用。

  7. Urination Pain

    Science.gov (United States)

    ... more often bad-smelling, bloody, or discolored urine (pee) fever or chills decreased appetite or activity irritability nausea or vomiting lower back pain or abdominal (belly) pain wetting accidents (in potty-trained kids) What to Do Call the doctor if your child has pain while urinating or can't ...

  8. Abdominal Pain

    Science.gov (United States)

    ... relaxation. Guided imagery for abdominal pain About self-hypnosis and kids See YourChild : Pain and Your Child or Teen for more detail ... how to help your baby cope with the pain of medical procedures, circumcision, and teething. ... Helping Kids YourChild : A Look at Biofeedback YourChild : ...

  9. Neural-Dynamic-Method-Based Dual-Arm CMG Scheme With Time-Varying Constraints Applied to Humanoid Robots.

    Science.gov (United States)

    Zhang, Zhijun; Li, Zhijun; Zhang, Yunong; Luo, Yamei; Li, Yuanqing

    2015-12-01

    We propose a dual-arm cyclic-motion-generation (DACMG) scheme by a neural-dynamic method, which can remedy the joint-angle-drift phenomenon of a humanoid robot. In particular, according to a neural-dynamic design method, first, a cyclic-motion performance index is exploited and applied. This cyclic-motion performance index is then integrated into a quadratic programming (QP)-type scheme with time-varying constraints, called the time-varying-constrained DACMG (TVC-DACMG) scheme. The scheme includes the kinematic motion equations of two arms and the time-varying joint limits. The scheme can not only generate the cyclic motion of two arms for a humanoid robot but also control the arms to move to the desired position. In addition, the scheme considers the physical limit avoidance. To solve the QP problem, a recurrent neural network is presented and used to obtain the optimal solutions. Computer simulations and physical experiments demonstrate the effectiveness and the accuracy of such a TVC-DACMG scheme and the neural network solver. PMID:26340789

  10. Motor imagery, P300 and error-related EEG-based robot arm movement control for rehabilitation purpose.

    Science.gov (United States)

    Bhattacharyya, Saugat; Konar, Amit; Tibarewala, D N

    2014-12-01

    The paper proposes a novel approach toward EEG-driven position control of a robot arm by utilizing motor imagery, P300 and error-related potentials (ErRP) to align the robot arm with desired target position. In the proposed scheme, the users generate motor imagery signals to control the motion of the robot arm. The P300 waveforms are detected when the user intends to stop the motion of the robot on reaching the goal position. The error potentials are employed as feedback response by the user. On detection of error the control system performs the necessary corrections on the robot arm. Here, an AdaBoost-Support Vector Machine (SVM) classifier is used to decode the 4-class motor imagery and an SVM is used to decode the presence of P300 and ErRP waveforms. The average steady-state error, peak overshoot and settling time obtained for our proposed approach is 0.045, 2.8% and 44 s, respectively, and the average rate of reaching the target is 95%. The results obtained for the proposed control scheme make it suitable for designs of prosthetics in rehabilitative applications.

  11. iCanCope with Pain™: User-Centred Design of a Web- and Mobile-Based Self-Management Program for Youth with Chronic Pain Based on Identified Health Care Needs

    Directory of Open Access Journals (Sweden)

    Jennifer N Stinson

    2014-01-01

    Full Text Available BACKGROUND: While there are emerging web-based self-management programs for children and adolescents with chronic pain, there is currently not an integrated web- and smartphone-based app that specifically addresses the needs of adolescents with chronic pain.

  12. Spinal pain

    International Nuclear Information System (INIS)

    Highlights: • Purpose of this review is to address the current concepts on the pathophysiology of discogenic, radicular, facet and dysfunctional spinal pain, focusing on the role of the imaging in the diagnostic setting, to potentially address a correct approach also to minimally invasive interventional techniques. • Special attention will be given to the discogenic pain, actually considered as the most frequent cause of chronic low back pain. • The correct distinction between referred pain and radicular pain contributes to give a more correct approach to spinal pain. • The pathogenesis of chronic pain renders this pain a true pathology requiring a specific management. - Abstract: The spinal pain, and expecially the low back pain (LBP), represents the second cause for a medical consultation in primary care setting and a leading cause of disability worldwide [1]. LBP is more often idiopathic. It has as most frequent cause the internal disc disruption (IDD) and is referred to as discogenic pain. IDD refers to annular fissures, disc collapse and mechanical failure, with no significant modification of external disc shape, with or without endplates changes. IDD is described as a separate clinical entity in respect to disc herniation, segmental instability and degenerative disc desease (DDD). The radicular pain has as most frequent causes a disc herniation and a canal stenosis. Both discogenic and radicular pain also have either a mechanical and an inflammatory genesis. For to be richly innervated, facet joints can be a direct source of pain, while for their degenerative changes cause compression of nerve roots in lateral recesses and in the neural foramina. Degenerative instability is a common and often misdiagnosed cause of axial and radicular pain, being also a frequent indication for surgery. Acute pain tends to extinguish along with its cause, but the setting of complex processes of peripheral and central sensitization may influence its evolution in chronic

  13. Spinal pain

    Energy Technology Data Exchange (ETDEWEB)

    Izzo, R., E-mail: roberto1766@interfree.it [Neuroradiology Department, A. Cardarelli Hospital, Naples (Italy); Popolizio, T., E-mail: t.popolizio1@gmail.com [Radiology Department, Casa Sollievo della Sofferenza Hospital, San Giovanni Rotondo (Fg) (Italy); D’Aprile, P., E-mail: paoladaprile@yahoo.it [Neuroradiology Department, San Paolo Hospital, Bari (Italy); Muto, M., E-mail: mutomar@tiscali.it [Neuroradiology Department, A. Cardarelli Hospital, Napoli (Italy)

    2015-05-15

    Highlights: • Purpose of this review is to address the current concepts on the pathophysiology of discogenic, radicular, facet and dysfunctional spinal pain, focusing on the role of the imaging in the diagnostic setting, to potentially address a correct approach also to minimally invasive interventional techniques. • Special attention will be given to the discogenic pain, actually considered as the most frequent cause of chronic low back pain. • The correct distinction between referred pain and radicular pain contributes to give a more correct approach to spinal pain. • The pathogenesis of chronic pain renders this pain a true pathology requiring a specific management. - Abstract: The spinal pain, and expecially the low back pain (LBP), represents the second cause for a medical consultation in primary care setting and a leading cause of disability worldwide [1]. LBP is more often idiopathic. It has as most frequent cause the internal disc disruption (IDD) and is referred to as discogenic pain. IDD refers to annular fissures, disc collapse and mechanical failure, with no significant modification of external disc shape, with or without endplates changes. IDD is described as a separate clinical entity in respect to disc herniation, segmental instability and degenerative disc desease (DDD). The radicular pain has as most frequent causes a disc herniation and a canal stenosis. Both discogenic and radicular pain also have either a mechanical and an inflammatory genesis. For to be richly innervated, facet joints can be a direct source of pain, while for their degenerative changes cause compression of nerve roots in lateral recesses and in the neural foramina. Degenerative instability is a common and often misdiagnosed cause of axial and radicular pain, being also a frequent indication for surgery. Acute pain tends to extinguish along with its cause, but the setting of complex processes of peripheral and central sensitization may influence its evolution in chronic

  14. Brain-Computer Interface-based robotic end effector system for wrist and hand rehabilitation: results of a three-armed randomized controlled trial for chronic stroke

    Directory of Open Access Journals (Sweden)

    Kai Keng eAng

    2014-07-01

    Full Text Available The objective of this study was to investigate the efficacy of an Electroencephalography (EEG-based Motor Imagery (MI Brain-Computer Interface (BCI coupled with a Haptic Knob (HK robot for arm rehabilitation in stroke patients. In this three-arm, single-blind, randomized controlled trial; 21 chronic hemiplegic stroke patients (Fugl-Meyer Motor Assessment (FMMA score 10-50, recruited after pre-screening for MI BCI ability, were randomly allocated to BCI-HK, HK or Standard Arm Therapy (SAT groups. All groups received 18 sessions of intervention over 6 weeks, 3 sessions per week, 90 minutes per session. The BCI-HK group received 1 hour of BCI coupled with HK intervention, and the HK group received 1 hour of HK intervention per session. Both BCI-HK and HK groups received 120 trials of robot-assisted hand grasping and knob manipulation followed by 30 minutes of therapist-assisted arm mobilization. The SAT group received 1.5 hours of therapist-assisted arm mobilization and forearm pronation-supination movements incorporating wrist control and grasp-release functions. In all, 14 males, 7 females, mean age 54.2 years, mean stroke duration 385.1 days, with baseline FMMA score 27.0 were recruited. The primary outcome measure was upper-extremity FMMA scores measured mid-intervention at week 3, end-intervention at week 6, and follow-up at weeks 12 and 24. Seven, 8 and 7 subjects underwent BCI-HK, HK and SAT interventions respectively. FMMA score improved in all groups, but no intergroup differences were found at any time points. Significantly larger motor gains were observed in the BCI-HK group compared to the SAT group at weeks 3, 12 and 24, but motor gains in the HK group did not differ from the SAT group at any time point. In conclusion, BCI-HK is effective, safe, and may have the potential for enhancing motor recovery in chronic stroke when combined with therapist-assisted arm mobilization.

  15. Brain-computer interface-based robotic end effector system for wrist and hand rehabilitation: results of a three-armed randomized controlled trial for chronic stroke.

    Science.gov (United States)

    Ang, Kai Keng; Guan, Cuntai; Phua, Kok Soon; Wang, Chuanchu; Zhou, Longjiang; Tang, Ka Yin; Ephraim Joseph, Gopal J; Kuah, Christopher Wee Keong; Chua, Karen Sui Geok

    2014-01-01

    The objective of this study was to investigate the efficacy of an Electroencephalography (EEG)-based Motor Imagery (MI) Brain-Computer Interface (BCI) coupled with a Haptic Knob (HK) robot for arm rehabilitation in stroke patients. In this three-arm, single-blind, randomized controlled trial; 21 chronic hemiplegic stroke patients (Fugl-Meyer Motor Assessment (FMMA) score 10-50), recruited after pre-screening for MI BCI ability, were randomly allocated to BCI-HK, HK or Standard Arm Therapy (SAT) groups. All groups received 18 sessions of intervention over 6 weeks, 3 sessions per week, 90 min per session. The BCI-HK group received 1 h of BCI coupled with HK intervention, and the HK group received 1 h of HK intervention per session. Both BCI-HK and HK groups received 120 trials of robot-assisted hand grasping and knob manipulation followed by 30 min of therapist-assisted arm mobilization. The SAT group received 1.5 h of therapist-assisted arm mobilization and forearm pronation-supination movements incorporating wrist control and grasp-release functions. In all, 14 males, 7 females, mean age 54.2 years, mean stroke duration 385.1 days, with baseline FMMA score 27.0 were recruited. The primary outcome measure was upper extremity FMMA scores measured mid-intervention at week 3, end-intervention at week 6, and follow-up at weeks 12 and 24. Seven, 8 and 7 subjects underwent BCI-HK, HK and SAT interventions respectively. FMMA score improved in all groups, but no intergroup differences were found at any time points. Significantly larger motor gains were observed in the BCI-HK group compared to the SAT group at weeks 3, 12, and 24, but motor gains in the HK group did not differ from the SAT group at any time point. In conclusion, BCI-HK is effective, safe, and may have the potential for enhancing motor recovery in chronic stroke when combined with therapist-assisted arm mobilization.

  16. Towards an evidence-based management of right iliac fossa pain in the over 50-year-old patient.

    Science.gov (United States)

    Gammeri, E; Catton, A; van Duren, B H; Appleton, S G; van Boxel, G I

    2016-09-01

    Introduction Right iliac fossa pain is a common presenting complaint to general surgery. The differential diagnosis is wide, particularly in the elderly. Computed tomography (CT) is often used in the 'older' population, as they have a higher prevalence of acute colonic diverticulitis and colonic neoplasia, both of which should be identified prior to surgery. There is, however, no published evidence to support this practice. Methods We retrospectively reviewed the records of all patients aged over 50 years who presented with right iliac fossa (RIF) pain to a district general hospital. We determined whether tenderness was predominantly right- or left-sided and whether systemic inflammatory response syndrome (SIRS) was present on admission. The use of imaging modalities, their results and, if performed, operative findings were recorded. Results Of 3160 patients identified, 89 met the inclusion criteria. Diagnoses included appendicitis (27%), neoplasia (15%), non-specific abdominal pain (15%) and acute colonic diverticulitis (10%). CT was performed in 82% of patients, with a sensitivity of 97% based on operative findings. Six patients underwent surgery without a scan, two of whom required a change in the planned procedure due to unexpected findings. Conclusions Unless contraindicated, CT scanning should be mandatory in patients aged over 50 years presenting with signs of peritonism in the RIF or lower abdomen. PMID:27269436

  17. The economic impact of chronic pain: a nationwide population-based cost-of-illness study in Portugal.

    Science.gov (United States)

    Azevedo, Luís Filipe; Costa-Pereira, Altamiro; Mendonça, Liliane; Dias, Cláudia Camila; Castro-Lopes, José M

    2016-01-01

    In addition to its high frequency and relevant individual and social impact, chronic pain (CP) has been shown to be a major contributor to increased healthcare utilisation, reduced labour productivity, and consequently large direct and indirect costs. In the context of a larger nationwide study, we aimed to assess the total annual direct and indirect costs associated with CP in Portugal. A population-based study was conducted in a representative sample of the Portuguese adult population. The 5,094 participants were selected using random digit dialling and contacted by computer-assisted telephone interviews. Questionnaires included the brief pain inventory and pain disability index. Estimates were adequately weighted for the population. From all CP subjects identified, a subsample (n = 562) accepted to participate in this economic study. Mean total annualised costs per CP subject of €1,883.30 were observed, amounting to €4,611.69 million nationally, with 42.7% direct and 57.3% indirect costs, and corresponding to 2.71% of the Portuguese annual GDP in 2010. Only socio-demographic variables were significantly and independently associated with CP costs, and not CP severity, raising the possibility of existing inequalities in the distribution of healthcare in Portugal. The high economic impact of CP in Portugal was comprehensively demonstrated. Given the high indirect costs observed, restricting healthcare services is not a rational response to these high societal costs; instead improving the quality of CP prevention and management is recommended.

  18. Design and realization of vehicle monitoring terminal based on ARM-Linux system%基于ARM-Linux的车载监控终端设计及实现

    Institute of Scientific and Technical Information of China (English)

    戚微苏; 赵宇; 潘勇

    2012-01-01

    A kind of the vehicle real-time monitoring remote terminal implementation scheme based on ARM-Linux system is proposed. The terminal, which is making use the Linux, Samsung S3C6410 Microprocessor as platform of software and hardware,and expanding the image acquisition,satellite positioning,radio frequency identification, wireless communication and other functional modules on the platform. It can realize the function of monitoring cargo security, providing the current position and image information of the car, achieving real-time communication. This paper focuses on the system hardware design and software design, the composition of the module and its functions in vehicle monitoring system. The experiments show that the terminal system has stable performance and meets the design requirements of function. In practical applications it has a certain value.%提出了一种基于ARM-Linux的车载实时监控远程终端实现方案.该车载监控终端系统以Linux、Samsung S3C6410微处理器作为软硬件平台,并在此硬件平台上扩展了图像采集、GPS定位、射频识别以及GPRS无线传输等功能模块.它可实现监控货物安全、提供车载位置和图像信息,达到实时监控的功能.重点阐述了终端系统的硬件设计及软件设计,各功能模块及其在车载监控终端系统中的功能.经多次实验表明,该终端系统性能稳定,满足设计的功能要求.在实际应用中具有一定的参考价值.

  19. 基于ARM920T的织机电控系统CAN总线接口模块设计%Design of CAN bus interface module based on ARM920T

    Institute of Scientific and Technical Information of China (English)

    刘宜胜; 苏鹏东; 胡旭东; 吴震宇; 王婷婷

    2011-01-01

    A CAN bus interface module was designed to connect the other sub-control systems to realize the real-time, reliable performance requirement of the high speed air-jet weaving machine. The hardware platform was mainly built using embedded microprocessor s3c2440A based on ARM920T kernel of Samsung company and CAN bus controller MCP2515 of Microchip. The software designing was implemented in the Windows CE operating system, including of driver module selection, stream interface functions realization, interrupt handling etc.. The test results show that the design meets the requirements of data transmission speed and reliability.%为实现喷气织机对电控系统通讯实时性、可靠性的要求,设计出一种用于连接织机各子控制系统的CAN总线接口模块.其中,硬件平台主要由三星公司的基于ARM920T内核的嵌入式微处理器s3c2440A及Microchip公司的CAN总线控制器MCP2515进行搭建;软件设计部分包括了WinCE操作系统下驱动选型、流接口函数实现、中断处理等内容.实验结果表明,该设计可以满足系统对数据传输的快速性和可靠性的要求.

  20. 基于ARM9的液晶驱动设计与μC/GUI移植研究%LCD driver design and transplant of μC/GUI based on ARM9

    Institute of Scientific and Technical Information of China (English)

    李彬; 纪常伟

    2011-01-01

    In process of embedded systems development, graphical user interface (GUI) is an important way for people to interact with the computer. As an important device for GUI, LCD was widely used in intelligent instruments and high - end embedded devices. This article describes the LCD controller in S3C2440 based on ARM920T core, interface circuit of LCD and its corresponding driver development. On this basis, μC/GUI which is a very excellent package of graphical user interface was transplanted in this system. The satisfactory result is attained on LCD screen by running examples of μC/GUI. The interface circuit and driver design for LCD and transplant of μC/GUI are proved reasonable and stable.%在嵌入式系统开发设计中,图形用户界面(GUI)是人与计算机进行交互的重要方式,液晶屏作为GUI的重要设备,在智能仪器仪表与高端嵌入式设备中得到广泛运用.文中介绍了基于ARM920T内核的芯片S3C2440内部LCD控制器以及LCD接口电路设计和相应驱动程序开发.并在此基础上移植了一种非常优秀的图形用户接口软件包μC/GUI.经过测试与μC/GUI实例运行,在液晶屏幕上得到了满意的显示效果,证明了液晶显示部分硬件接口、驱动设计以及μC/GUI移植的合理性与稳定性.

  1. 基于ARM9与Linux的人脸识别门禁系统设计%The Design of Door Security System for Face Recognition Based on ARM9 & Linux

    Institute of Scientific and Technical Information of China (English)

    刘巍; 汪兆栋

    2015-01-01

    针对现有门禁系统中存在的技术缺陷、维护成本高等问题,本文设计了一套基于 ARM+Linux 的人脸识别门禁系统。该系统采用S3C2410芯片为处理器、IP网络摄像头作为视频采集设备;采用PCA算法进行人脸图像识别,并以识别输出来控制电控锁模块,从而实现人脸识别门禁系统的智能控制。最后,在不同的环境下进行了人脸识别测试,测试结果表明,该系统能准确快速高效地识别人脸,平均识别率高达99%。%Aiming at these problems existing in the current entrance guard system, such as technical shortcomings and expensive maintenance cost, this paper designs a face recognition access system based on ARM9 and Linux. The S3C2410 chip and IP network camera are chosen as processor and video acquisition devices respectively. Then, the facial image recognition is implemented by the PCA algorithm and the electric lock module is controlled by utilizing therecognition output, and thus an intelligent control of face recognition entrance guard system is realized. Finally, sufficient facial recognition tests are performed under different environments, and the test results show that the system can recognize faces accurately, quickly, efficiently, and the average recognition rate reaches up to 99%.

  2. Design of embedded intelligent home control system based on Arm-Linux%基于Arm-Linux的嵌入式智能家居控制系统的设计

    Institute of Scientific and Technical Information of China (English)

    谭涛; 徐晓辉; 黄晓亮; 王盟; 温阳

    2011-01-01

    随着嵌入式技术、网络及信息技术的发展,针对人们对智能家居的追求.提出了一种基于ARM9的嵌入式智能家居控制系统的解决方案.介绍了嵌入式Linux系统的软硬件平台,结合实例阐述了嵌入式QT图形界面系统、嵌入式数据库SQLite等关键技术在嵌入式智能家居控制系统中的应用.该方案解决了控制系统的可视化操作问题,提高了系统数据管理效率,并具有通用性可移植到其他硬件或软件平台应用.%With the development of embedded technology,network and information technology,for the pursuit for the intelligent home,a projection of embedded intelligent home controlling systems is proposed based on ARM9.It describes the software and hardware platforms of embedded Linux systems,explains the appliance on embedded intelligent home controlling systems of key technologies such as embedded QT graphical interface system and embedded database SQLite with examples. The projection solves the problem of visual operations,and improve the efficiency of data management,what's more,it is universal portable to other hardware and software platforms to be applied.

  3. Design of distributed signal synchronization data acquisition system base on ARM9%基于ARM9分布信号同步数据采集系统设计

    Institute of Scientific and Technical Information of China (English)

    邱杰锋; 樊战友; 吴成英

    2011-01-01

    Distribution of signals for synchronous data acquisition,gives a method and process of design of synchronous data acquisition system base on ARM9, analysis and solution the main problems. This paper were introduced by the system's hardware composition and software design. The main function of system is the distribution of various parameters (such as temperature, pressure, sound) at different point in synchronization data acquisition, after the acquisition will be the analog to digital conversion. The biggest advantages of the system is use of the GPS signals control the ADC conversion time in order to realize high-precision synchronization of each acquisition node. Finally,the synchronous accuracy of the system can be achieved within 100ns by experiment.%针对分布信号的同步数据采集,给出了1种基于ARM9的同步数据采集系统的设计方法和过程,并对设计中遇到的主要问题进行了分析和解决.本文从系统的硬件组成、软件设计进行了说明.本系统主要功能是对分布在各个点的各种物理量(如温度、压力、声音)进行同步数据采集,将采集后的数据进行模数转换.系统最大的优点是利用GPS信号控制ADC芯片的转换时间从而实现各个采集节点的高精度同步.最后,通过实验验证了该系统的同步精度可以达到100ns以内.

  4. Research and design of self-service car-washing system based on ARM11%基于ARM11的自助洗车系统设计

    Institute of Scientific and Technical Information of China (English)

    周克良; 刘响响; 张跃飞; 刘松

    2016-01-01

    设计了一种投币式全自动洗车系统。根据语音提示,客户在完成缴费后,系统便可进入洗车环节。借助现代传感器网络技术,该系统采用非接触式洗车方式。通过光电传感器、接触式传感器采集汽车位置信息。以ARM11为控制核心,根据汽车位置信息控制各机构电机的运转以及各部分功能阀的开启与关闭,从而实现对汽车的清洗。实验表明:系统响应快、清洗效果好、各机构设置简单、节约系统耗材。%Design a coin automatic car-washing system. According to voice prompts,after customer completes payment,the system goes into the car-washing mode. Based on modern sensor network technology,the system uses non-contact car-washing way. Through photoelectric sensor and contact sensor,collect vehicle position information. The ARM11 is used as control core,according to vehicle position information,control operation of motor,and open and close of each part of functional valve,so as to realize car-cleaning. Experimental result shows that the system responds quickly,cleaning effect is good,setting of each mechanism is simple and save material cost.

  5. 基于ARM-Linux远程视频监控系统的设计%Design of Embedded Remote Monitoring System Based on ARM-Linux

    Institute of Scientific and Technical Information of China (English)

    王宏志; 宇皓林

    2014-01-01

    The authors designed a remote video capture and wireless transmission system based on embedded Linux operating system and COALL2440.The system needed USB video cameras and wireless LAN, which was built by configuring kernel, writing underlying drivers program and designing upper application.The system adopted the method of remote wireless data transmission, resolved the problem of monitoring the capture only on the computer and it made video be shown on the intelligent mobile terminal intuitively.Thus it can improve the applicability,the security and expansion of the monitoring system.%以COALL2440开发板为硬件平台,Linux操作系统为软件平台,并用 USB视频摄像头和无线网卡,通过对系统内核的配置,底层设备驱动程序的编写和上层应用程序的设计,构建嵌入式视频采集与无线传输系统。通过将采集到的视频图像进行远程无线数据传输的方法,解决了视频图像只能在PC机上进行监控的局限,使视频图像能直观地显示在智能移动终端上,从而提高监控系统的拓展性、安全性与适用性。

  6. Pain Management: Part 1: Managing Acute and Postoperative Dental Pain

    Science.gov (United States)

    Becker, Daniel E.

    2010-01-01

    Abstract Safe and effective management of acute dental pain can be accomplished with nonopioid and opioid analgesics. To formulate regimens properly, it is essential to appreciate basic pharmacological principles and appropriate dosage strategies for each of the available analgesic classes. This article will review the basic pharmacology of analgesic drug classes, including their relative efficacy for dental pain, and will suggest appropriate regimens based on pain intensity. Management of chronic pain will be addressed in the second part of this series. PMID:20553137

  7. Temporomandibular pain.

    Science.gov (United States)

    Prasad, S Raghavendra; Kumar, N Ravi; Shruthi, H R; Kalavathi, S D

    2016-01-01

    Temporomandibular joint pain has various medical and dental etiological factors. The etiology of the temporomandibular joint pain is enigmatic, no single etiological factor is regarded as the cause. Its distribution is also not confined to a single area. This article presents the basic etiologic factors, its epidemiology, distribution of pain, classification of patients and the psychosocial behavior of patients suffering with temporomandibular pain. As overwhelming majority of medical and dental conditions/issues related to etiology of temporomandibular pain in patients have traditionally been presented and interpreted from the clinician's point of view. PMID:27601822

  8. The analysis of spatial relationship between the rotator cuff and the subacromial space in different arm positions

    International Nuclear Information System (INIS)

    Objective: To explore the distance between the acromion and the humerus head at different arm abduction to observe whether it changes or not, to determine at which position the distance is smallest, and to evaluate the relationship between the subacromial space and the rotator cuff. Methods: Fifteen normal volunteers were examined with MRI in six arm positions, and the coronal thin images were obtained with a spin echo sequence. Using a special positioning device, the arm was placed at 0 degree, 30 degree, 60 degree, 90 degree, 120 degree and 150 degree arm abduction, respectively. Of them, 0 degree-90 degree positions were not rotated, while 120 degree and 150 degree positions were slight internal rotated. The minimal distance of acromion-humerus (A-H) and clavicle-humerus (C-H), and the spatial relationship between the rotator cuff and the subacromial space were measured and observed. Results: The values of A-H and C-H at 60 degree - 150 degree arm abduction were obviously smaller than those at 0 degree-30 degree arm abduction (P0.05). The rotator cuff (mainly supraspinatus tendon) just went through between the acromion and the humerus at 60 degree - 120 degree arm positions but not at 0 degree, 30 degree and 150 degree arm positions. So at 60 degree - 120 degree arm positions, rotator cuff between the humerus and the acromion was often impinged. Conclusion: The closest contact between the supraspinatus tendon and subacromial space occurs at 60 degree - 120 degree abduction. The findings testify that the patients with impingement syndrome have shoulder pain at 60 degree - 120 degree abduction in clinic from etiology and pathology. In the future, MRI-based analyses should allow investigating the morphological basis of the impingement syndrome, choosing the appropriate therapy, and minimizing failure rates of surgery

  9. Integrating evidence into practice: use of McKenzie-based treatment for mechanical low back pain

    OpenAIRE

    Clarke S.; Dunsford A; Kumar S

    2011-01-01

    Angela Dunsford1, Saravana Kumar1,2, Sarah Clarke1 1International Centre for Allied Health Evidence, 2School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia Abstract: Low back pain (LBP) is a major health issue with significant socioeconomic implications in most Western countries. Many forms of treatment have been proposed and investigated in the past, with exercise being a commonly prescribed intervention. Within allied health, in particular physiothe...

  10. Antidepressant Drugs for Chronic Urological Pelvic Pain: An Evidence-Based Review

    Directory of Open Access Journals (Sweden)

    Christos Papandreou

    2009-01-01

    Full Text Available The use of antidepressant drugs for the management of chronic pelvic pain has been supported in the past. This study aimed to evaluate the available evidence for the efficacy and acceptability of antidepressant drugs in the management of urological chronic pelvic pain. Studies were selected through a comprehensive literature search. We included all types of study designs due to the limited evidence. Studies were classified into levels of evidence according to their design. Ten studies were included with a total of 360 patients. Amitriptyline, sertraline, duloxetine, nortriptyline, and citalopram are the antidepressants that have been reported in the literature. Only four randomized controlled trials (RCTs were identified (two for amitriptyline and two for sertraline with mixed results. We conclude that the use of antidepressants for the management of chronic urological pelvic pain is not adequately supported by methodologically sound RCTs. From the existing studies amitriptyline may be effective in interstitial cystitis but publication bias should be considered as an alternative explanation. All drugs were generally well tolerated with no serious events reported.

  11. Balance Maintenance in High-Speed Motion of Humanoid Robot Arm-Based on the 6D Constraints of Momentum Change Rate

    Directory of Open Access Journals (Sweden)

    Da-song Zhang

    2014-01-01

    Full Text Available Based on the 6D constraints of momentum change rate (CMCR, this paper puts forward a real-time and full balance maintenance method for the humanoid robot during high-speed movement of its 7-DOF arm. First, the total momentum formula for the robot’s two arms is given and the momentum change rate is defined by the time derivative of the total momentum. The author also illustrates the idea of full balance maintenance and analyzes the physical meaning of 6D CMCR and its fundamental relation to full balance maintenance. Moreover, discretization and optimization solution of CMCR has been provided with the motion constraint of the auxiliary arm’s joint, and the solving algorithm is optimized. The simulation results have shown the validity and generality of the proposed method on the full balance maintenance in the 6 DOFs of the robot body under 6D CMCR. This method ensures 6D dynamics balance performance and increases abundant ZMP stability margin. The resulting motion of the auxiliary arm has large abundance in joint space, and the angular velocity and the angular acceleration of these joints lie within the predefined limits. The proposed algorithm also has good real-time performance.

  12. Effect of dendrite arm spacing and the γ’ phase size on stress rupture properties of Ni3Al-base single crystal superalloy IC6SX

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    The effect of dendrite arm spacing and the size of γ’ phase on stress rupture properties of as-cast Ni3Al-based single crystal superalloy IC6SX was studied.It has been found that the stress rupture properties were affected by dendrite arm spacing and the size of γ’ phase significantly,i.e.,the stress rupture lives of as-cast specimens under the test condition of 1100°C/120 MPa were significantly increased from about 10 h to 31 h with decreasing dendrite arm spacing and the size of γ’ phase from 3.0 μm and 1.6 μm to 1.3 μm and 0.8 μm,respectively.The creep cracks generated easily in the brittle Y-NiMo phase.Then the cracks gradually mergered and grew up during creep,and finally led to specimens fracture.The orientated coarsening of γ’ phase has been found in the stress ruptured specimens,due to the elements diffusion.However,the γ’ phase did not form the integrated structure during the short periods of 10-31 h as the creep tests lasted.

  13. Design and realization of the angular displacement measuring system based on embedded ARM%基于ARM的角位移测量系统研制

    Institute of Scientific and Technical Information of China (English)

    郑丰翔; 朱蕴璞

    2011-01-01

    为了实现角位移的高精度测量,研制了一种基于ARM的角位移测量系统.该系统以ARM9处理器S3C2410为核心,一方面控制旋转编码器采集角位移信号;另一方面通过USB接口与计算机通信,实现命令与数据的传输.在上位机利用C#编写应用程序,绘制并显示角位移、角速度和角加速度曲线.通过实验证明,该系统能快速准确对旋转体运行状况进行检测.%In order to achieve high-precision measurement ofangular displacement,a system based on embedded ARM isdesigned. The ARM9 S3C2410 embedded microprocessor is taken as the core. On the one hand, this kernel is used tocontrol rotary encoder to collect signals; on the other hand, its USB interface is used to transfer command and data toPC. Write program with C # ,and protract the angular acceleration, the angular velocity and the angular displacementcurve. The experimental results show that the system can detect the running status of rotating object quickly andaccurately.

  14. Circuitry Protector of Microcomputer Based on ARM and DSP%基于ARM和DSP的微机线路保护装置

    Institute of Scientific and Technical Information of China (English)

    张小伟

    2012-01-01

    This paper utilizes the effective and rapid digital signal processing capability of digital signal processor(DSP) and the powerful Ethernet network communication function of embed advanced reduced instruction set chip machine(ARM) processor,adopts the dual central processing unit(CPU) hardware structure combined DSP with ARM9,which uses the dual-interface random access memory(RAM) to perform the data exchange between them.The software design is based on embed Linux operating system,replants Bootloader and kernel,constructs the root file system of Ramdisk,and replants the application program.%在微机线路保护中,利用数字信号处理器(DSP)高效快速的数字信号处理能力和嵌入式先进的精简指令集芯片机器(ARM)处理器强大的以太网通信功能,采用DSP+ARM9的双中央处理器(CPU)的硬件结构,两者之间采用双口随机存储器(RAM)进行数据交换。软件设计基于嵌入式Linux操作系统,移植了Bootloader、内核,构建了Ramdisk的根文件系统,并移植了应用程序。

  15. A State of the Art Review- Methods to Evaluate Electrical Performance of Composite Cross-arms and Composite-based Pylons

    DEFF Research Database (Denmark)

    Wang, Qian; Bak, Claus Leth; Silva, Filipe Miguel Faria da;

    2016-01-01

    performance need to be studied. This paper sums up experience and key advances on testing methods to evaluate electrical performance of composite cross-arms and composite-based pylons. Based on state of the art review, several feasible testing methods that can be used to verify the feasibility of the novel......A novel uni-body composite pylon has been proposed for 400 kV transmission lines with advantages of compacted size, friendly looking and cost competitiveness. As its configuration is quite different from the traditional lattice pylon, its electrical performance needs in-depth investigation...

  16. A Model-Based Meta-analysis to Compare Efficacy and Tolerability of Tramadol and Tapentadol for the Treatment of Chronic Non-Malignant Pain

    OpenAIRE

    Mercier, François; Claret, Laurent; Prins, Klaas; Bruno, René

    2014-01-01

    Introduction Pain is a major symptom in many medical conditions which can be relieved thanks to analgesics. The goal of this work was to present an indirect comparison of efficacy and tolerability profiles of two analgesics, tramadol and tapentadol, in patients with chronic non-malignant pain. Methods In the absence of a head-to-head comparison between these two opioid drugs, model-based meta-analyses were used to characterize the pain intensity time dynamics and evaluate the proportions of m...

  17. Managing painful chronic wounds: the Wound Pain Management Model

    DEFF Research Database (Denmark)

    Price, Patricia; Fogh, Karsten; Glynn, Chris;

    2007-01-01

    document persistent wound pain and not to develop a treatment and monitoring strategy to improve the lives of persons with chronic wounds. Unless wound pain is optimally managed, patient suffering and costs to health care systems will increase. Udgivelsesdato: 2007-Apr......Chronic wound pain is not well understood and the literature is limited. Six of 10 patients venous leg ulcer experience pain with their ulcer, and similar trends are observed for other chronic wounds. Chronic wound pain can lead to depression and the feeling of constant tiredness. Pain related...... to the wound should be handled as one of the main priorities in chronic wound management together with addressing the cause. Management of pain in chronic wounds depends on proper assessment, reporting and documenting patient experiences of pain. Assessment should be based on six critical dimensions...

  18. Development of the SAIT single-port surgical access robot--slave arm based on RCM mechanism.

    Science.gov (United States)

    Roh, Se-gon; Lee, Younbaek; Lee, Jongwon; Ha, Taesin; Sang, Taejun; Moon, Kyung-Won; Lee, Minhyong; Choi, Jung-yun

    2015-01-01

    An innovative single-port surgical robot has recently been developed by the Samsung Advanced Institute of Technology (SAIT). The robot can reach various surgical sites inside the abdominal cavity from a single incision on the body. It has two 7-DOF surgical tools, a 3-DOF endoscope, a flexible hyper-redundant 6-DOF guide tube, and a 6-DOF manipulator. This paper primarily focuses on the manipulator, called a slave arm, which is capable of setting the location of a Remote Center Motion (RCM) point. Because the surgical tools can explore the abdominal area through a small incision point when the RCM point is aligned with the incision area, the RCM mechanism is an integral part of the manipulator for single-port surgery. The mechanical feature, operational principle, control method, and the system architecture of the slave arm are introduced in this paper. In addition, manipulation experiments conducted validate its efficacy. PMID:26737484

  19. Cost-effectiveness of a classification-based system for sub-acute and chronic low back pain

    OpenAIRE

    Apeldoorn, Adri T.; Bosmans, Judith E; Raymond W Ostelo; Vet, Henrica C.W. de; van Tulder, Maurits W.

    2012-01-01

    Purpose Identifying relevant subgroups in patients with low back pain (LBP) is considered important to guide physical therapy practice and to improve outcomes. The aim of the present study was to assess the cost-effectiveness of a modified version of Delitto’s classification-based treatment approach compared with usual physical therapy care in patients with sub-acute and chronic LBP with 1 year follow-up. Methods All patients were classified using the modified version of Delitto’s classificat...

  20. Pain genes.

    Directory of Open Access Journals (Sweden)

    Tom Foulkes

    2008-07-01

    Full Text Available Pain, which afflicts up to 20% of the population at any time, provides both a massive therapeutic challenge and a route to understanding mechanisms in the nervous system. Specialised sensory neurons (nociceptors signal the existence of tissue damage to the central nervous system (CNS, where pain is represented in a complex matrix involving many CNS structures. Genetic approaches to investigating pain pathways using model organisms have identified the molecular nature of the transducers, regulatory mechanisms involved in changing neuronal activity, as well as the critical role of immune system cells in driving pain pathways. In man, mapping of human pain mutants as well as twin studies and association studies of altered pain behaviour have identified important regulators of the pain system. In turn, new drug targets for chronic pain treatment have been validated in transgenic mouse studies. Thus, genetic studies of pain pathways have complemented the traditional neuroscience approaches of electrophysiology and pharmacology to give us fresh insights into the molecular basis of pain perception.

  1. Evidence-based guidelines on the use of opioids in chronic non-cancer pain--a consensus statement by the Pain Association of Singapore Task Force

    NARCIS (Netherlands)

    Ho, K.Y.; Chua, N.H.; George, J.M.; Yeo, S.N.; Main, N.B.; Choo, C.Y.; Tan, J.W.; Tan, K.H.; Ng, B.Y.

    2013-01-01

    INTRODUCTION: While opioids are effective in carefully selected patients with chronic non-cancer pain (CNCP), they are associated with potential risks. Therefore, treatment recommendations for the safe and effective use of opioids in this patient population are needed. MATERIALS AND METHODS: A multi

  2. Inpatient-based intensive interdisciplinary pain treatment for highly impaired children with severe chronic pain: randomized controlled trial of efficacy and economic effects.

    Science.gov (United States)

    Hechler, Tanja; Ruhe, Ann-Kristin; Schmidt, Pia; Hirsch, Jessica; Wager, Julia; Dobe, Michael; Krummenauer, Frank; Zernikow, Boris

    2014-01-01

    Pediatric chronic pain, which can result in deleterious effects for the child, bears the risk of aggravation into adulthood. Intensive interdisciplinary pain treatment (IIPT) might be an effective treatment, given the advantage of consulting with multiple professionals on a daily basis. Evidence for the effectiveness of IIPT is scarce. We investigated the efficacy of an IIPT within a randomized controlled trial by comparing an intervention group (IG) (n=52) to a waiting-list control group (WCG) (n=52). We made assessments before treatment (PRE), immediately after treatment (POST), as well as at short-term (POST6MONTHS) and long-term (POST12MONTHS) follow-up. We determined a combined endpoint, improvement (pain intensity, disability, school absence), and investigated 3 additional outcome domains (anxiety, depression, catastrophizing). We also investigated changes in economic parameters (health care use, parental work absenteeism, subjective financial burden) and their relationship to the child's improvement. Results at POST showed that significantly more children in the IG than in the WCG were assigned to improvement (55% compared to 14%; Fisher Peffects were achieved for disability, school absence, depression, and catastrophizing, pain intensity and anxiety did not change until short-term follow-up. More than 60% of the children in both groups were improved long-term. The parents reported significant reductions in all economic parameters. The results from the present study support the efficacy of the IIPT. Future research is warranted to investigate differences in treatment response and to understand the changes in economic parameters in nonimproved children.

  3. Evaluation of low back pain using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire for lumbar spinal disease in a multicenter study. Differences in scores based on age, sex, and type of disease

    International Nuclear Information System (INIS)

    The Japanese Orthopaedic Association (JOA) has investigated the JOA Back Pain Evaluation Questionnaire (JOABPEQ) to evaluate several aspects of low back pain in patients. The score includes five categories (25 items) selected from the Roland Morris Disability Questionnaire and Short Form 36, and a visual analogue scale. Japanese physicians have recently used these scores to evaluate back pain; however, the efficacy has not been fully explored in large-scale studies. In the current study, we used the JOABPEQ to evaluate lumbar spinal disease in 555 patients (with lumbar disc herniation, lumbar spinal stenosis, and lumbar disc degeneration/spondylosis) in multiple spine centers and compared the results based on age, sex, and type of disease. A total of 555 patients who had low back or leg pain were selected in 22 hospitals in Chiba Prefecture. Spine surgeons diagnosed their disease type based on symptoms, physical examination, radiography images, and magnetic resonance imaging. In all, 486 patients were diagnosed with spinal stenosis (239 patients), disc degeneration/spondylosis (143 patients), or disc herniation (104 patients). The other 69 patients were diagnosed with spondylolysis (16 patients) or other diseases (53 patients). The pain score in all patients was evaluated using the JOABPEQ (from 0 to 100, with 0 indicating the worst pain). The age of the patients was 56.1±13.3 years (mean±standard deviation (SD)); the age of patients in the disc herniation and disc degeneration/spondylosis group was significantly lower than that in the spinal stenosis group. The average JOABPEQ scores in all patients were, for low back pain, 47.1; lumbar function, 53.6; walking ability, 54.8; social life function, 48.7; and mental health, 48.3. The low back pain score in men was significantly worse than that in women. In contrast, the mental health score in women was significantly higher than that in men. The low back pain score in patients 65 years old were significantly lower

  4. The Development of a General Purpose ARM-based Processing Unit for the TileCal sROD

    CERN Multimedia

    Cox, Mitchell A

    2014-01-01

    The Large Hadron Collider at CERN generates enormous amounts of raw data which present a serious computing challenge. After planned upgrades in 2022, the data output from the ATLAS Tile Calorimeter will increase by 200 times to 41 Tb/s! ARM processors are common in mobile devices due to their low cost, low energy consumption and high performance. It is proposed that a cost-effective, high data throughput Processing Unit (PU) can be developed by using several consumer ARM processors in a cluster configuration to allow aggregated processing performance and data throughput while maintaining minimal software design difficulty for the end-user. This PU could be used for a variety of high-level functions on the high-throughput raw data such as spectral analysis and histograms to detect possible issues in the detector at a low level. High-throughput I/O interfaces are not typical in consumer ARM System on Chips but high data throughput capabilities are feasible via the novel use of PCI-Express as the I/O interface t...

  5. The Development of a General Purpose ARM-based Processing Unit for the ATLAS TileCal sROD

    CERN Document Server

    Cox, Mitchell Arij; The ATLAS collaboration; Mellado Garcia, Bruce Rafael

    2015-01-01

    The Large Hadron Collider at CERN generates enormous amounts of raw data which present a serious computing challenge. After Phase-II upgrades in 2022, the data output from the ATLAS Tile Calorimeter will increase by 200 times to 41 Tb/s! ARM processors are common in mobile devices due to their low cost, low energy consumption and high performance. It is proposed that a cost-effective, high data throughput Processing Unit (PU) can be developed by using several consumer ARM processors in a cluster configuration to allow aggregated processing performance and data throughput while maintaining minimal software design difficulty for the end-user. This PU could be used for a variety of high-level functions on the high-throughput raw data such as spectral analysis and histograms to detect possible issues in the detector at a low level. High-throughput I/O interfaces are not typical in consumer ARM System on Chips but high data throughput capabilities are feasible via the novel use of PCI-Express as the I/O interface ...

  6. Effectiveness of mat Pilates or equipment-based Pilates in patients with chronic non-specific low back pain: a protocol of a randomised controlled trial

    OpenAIRE

    da Luz Maurício Antônio; Costa Leonardo Oliveira Pena; Fuhro Fernanda Ferreira; Manzoni Ana Carolina Taccolini; de Oliveira Naiane Teixeira Bastos; Cabral Cristina Maria Nunes

    2013-01-01

    Abstract Background Chronic low back pain is an expensive and difficult condition to treat. One of the interventions widely used by physiotherapists in the treatment of chronic non-specific low back pain is exercise therapy based upon the Pilates principles. Pilates exercises can be performed with or without specific equipment. These two types of Pilates exercises have never been compared on a high-quality randomised controlled trial. Methods/design This randomised controlled trial with a bli...

  7. Economic Evaluation of Active Implementation versus Guideline Dissemination for Evidence-Based Care of Acute Low-Back Pain in a General Practice Setting

    OpenAIRE

    Duncan Mortimer; French, Simon D.; McKenzie, Joanne E; Denise A O'Connor; Green, Sally E

    2013-01-01

    INTRODUCTION: The development and publication of clinical practice guidelines for acute low-back pain has resulted in evidence-based recommendations that have the potential to improve the quality and safety of care for acute low-back pain. Development and dissemination of guidelines may not, however, be sufficient to produce improvements in clinical practice; further investment in active implementation of guideline recommendations may be required. Further research is required to quantify the ...

  8. Myofascial pain syndrome: a treatment review.

    Science.gov (United States)

    Desai, Mehul J; Saini, Vikramjeet; Saini, Shawnjeet

    2013-06-01

    Myofascial pain syndrome (MPS) is defined as pain that originates from myofascial trigger points in skeletal muscle. It is prevalent in regional musculoskeletal pain syndromes, either alone or in combination with other pain generators. The appropriate evaluation and management of myofascial pain is an important part of musculoskeletal rehabilitation, and regional axial and limb pain syndromes. This article reviews the current hypotheses regarding the treatment modalities for myofascial trigger points and muscle pain. Through a critical evidence-based review of the pharmacologic and nonpharmacologic treatments, the authors aim to provide clinicians with a more comprehensive knowledge of the interventions for myofascial pain.

  9. 基于ARM9的USB摄像头图像采集压缩及无线传输%ARM9-based USB Camera Image Capture Compression and Wireless Transmission

    Institute of Scientific and Technical Information of China (English)

    王恒; 王中训; 杜思良; 胡小赫

    2011-01-01

    This design is based on the Linux platform, and uses the camera for video capture and advanced MPEG-4 video compression standards to compress the information collected, then uses the GFSK launch 2.4G chips to send information to another ARM-based core embedded chips under the control of the LCD screen, enables wireless control. This system enables video capture, compression, transmission and remote display to achieve wireless monitoring. And the system is stability, portability, and very suitable for embedded applications.%设计了Linux系统平台下,利用摄像头进行视频采集,采用先进的MPEG-4视频压缩标准对所采集的信忠进行压缩,然后通过GFSK发射芯片,将信息发送到另一基于ARM核的嵌入式芯片所控制的液晶显示屏上.系统测试表明,本系统能实现视频的采集、压缩、传输及远程显示,从而实现无线监控,且系统具有稳定性、可移植性,十分适合嵌入式应用领域.

  10. Prevalent knee pain and sport

    DEFF Research Database (Denmark)

    Hahn, Thomas; Foldspang, Anders

    1998-01-01

    STUDY OBJECTIVE: To estimate the prevalence of knee pain in active athletes and to investigate potential associations to type, amount and duration of sports participation. MEASUREMENTS: 339 athletes gave information about occupation, sports activity and different features of knee pain, based...... on a self-filled questionnaire. MAIN RESULTS: The prevalence of knee pain within the preceding 12 months, constant or recurrent knee pain, absence from sport and absence from work due to knee pain, was 54%, 34%, 19% and 4%, respectively. Knee pain was positively associated with years of jogging...... and with weekly hours of participation in competitive gymnastics but negatively with weekly hours of tennis. Constant or recurrent knee pain was positively associated with years of swimming. Absence from sport due to knee pain was positively associated with weekly hours of soccer participation. CONCLUSIONS: Knee...

  11. Low back pain - chronic

    Science.gov (United States)

    Nonspecific back pain; Backache - chronic; Lumbar pain - chronic; Pain - back - chronic; Chronic back pain - low ... Low back pain is common. Almost everyone has back pain at some time in their life. Often, the exact cause ...

  12. Bases genéticas del dolor Genetic foundations of pain

    Directory of Open Access Journals (Sweden)

    P. Armero

    2004-11-01

    Full Text Available La percepción de la sensación dolorosa es un proceso complejo en el que intervienen mútiples procesos bioquímicos bien conocidos junto con otros de integración cortical desconocidos hasta el momento. La existencia de diferencias individuales en la respuesta al estímulo doloroso es una observación bien conocida que sugiere qué factores genéticos pueden estar implicados en la modulación de la respuesta a estímulos dolorosos. Existen dos aproximaciones experimentales para estudiar la implicación del genotipo en la respuesta al estímulo doloroso, los estudios de ligamiento y los estudios de asociación. Hasta el momento los estudios de ligamiento han permitido asociar mutaciones en el gen TRKA con el síndrome de insensibilidad congénita al dolor con anhidrosis (CIPA y el gen CACNL1A4 y la migraña hemipléjica familiar (FHM. Los estudios de asociación son escasos y se han centrado principalmente en el estudio de pacientes con migraña. En este trabajo revisamos los estudios llevados a cabo hasta el momento en diferentes laboratorios y planteamos nuevas perspectivas de futuro.Perception of pain is a complex process which implies multiple biochemical pathways together with unknown processes of cortical integration. The existence of individual differences in the response to painful stimuli suggests that genetic factors can be involved in its modulation. Two different experimental approaches have been developed to study the implication of genotype in the response to pain: linkage studies and the association studies. Up to now linkage studies have allowed the association of TRKA gene mutations with the syndrome of congenital insensitivity to pain with anhidrosis (CIPA and CACNL1A4 gene mutations with the familial hemiplegic migraine (FHM. Few association studies have been performed until now, and have been focused on the study of patients with migraine. Here we review the studies carried out up to now in different laboratories and suggest

  13. Design of Dynamic Electrocardiogram Based on ARM Cortex-M3%基于ARM Cortex-M3的动态心电图机设计

    Institute of Scientific and Technical Information of China (English)

    谢建华; 刘海波; 刘瑞芳

    2012-01-01

    In order to enrich the product categories and function of the dynamic electrocardiogram,a new type of dynamic electrocardiogram product based on ARM (Advanced RISC Machines) Cortex-M3 is developed. The system hardware consists a processor minimum system,bioelectricity amplification module, storage module,LCD(Liquid Crstal Display) and touch screen module,high speed USB interface and the power module. For the system software, the platform was build based on CooCox CoOS embedded realtime operating system, the file system and USB middleware. The man-machine interface is realized by transplanting uC/GUI. The experiment results showed that the system could be used to control ECG signal collection,great capacity data storage and high-speed upload. The graphical user interface and real time waveform display are the innovative points.%针对目前动态心电图机产品种类和功能单一的现状,研制了基于ARM(Advanced RISC Machines) Cortex-M3的新型动态心电图机.硬件主要由处理器最小系统、生物电放大模块、存储模块、LCD (Liquid Cgstal Display)和触摸屏模块、高速USB接口和电源模块构成.软件开发基于CooCox CoOS嵌入式实时操作系统,同时使用了文件系统和USB等中间件.移植uC/GUI实现人机接口设计.测试结果表明,该系统不但实现了心电信号采集、大容量数据存储和高速上传的功能,而且创新性地增加了图形用户界面和实时波形显示功能.

  14. Autoantibody pain.

    Science.gov (United States)

    Goebel, Andreas

    2016-06-01

    As autoantibodies bind to target tissues, Fc-region dependent inflammation can induce pain via mediators exciting nociceptors. But recently another possibility has emerged, where autoantibody binding to nociceptors can directly cause pain, without inflammation. This is thought to occur as a result of Fab-region mediated modification of nerve transduction, transmission, or neuropeptide release. In three conditions, complex regional pain syndrome, anti-voltage gated potassium channel complex autoimmunity, and chronic fatigue syndrome, all associated with no or only little inflammation, initial laboratory-, and clinical trial-results have suggested a potential role for autoantibody-mediated mechanisms. More research assessing the pathogenic roles of autoantibodies in these and other chronic pain conditions is required. The concept of autoantibody-mediated pain offers hope for the development of novel therapies for currently intractable pains. PMID:26883460

  15. Imaging Pain.

    Science.gov (United States)

    Martucci, Katherine T; Mackey, Sean C

    2016-06-01

    The challenges and understanding of acute and chronic pain have been illuminated through the advancement of central neuroimaging. Through neuroimaging research, new technology and findings have allowed us to identify and understand the neural mechanisms contributing to chronic pain. Several regions of the brain are known to be of particular importance for the maintenance and amplification of chronic pain, and this knowledge provides novel targets for future research and treatment. This article reviews neuroimaging for the study of chronic pain, and in particular, the rapidly advancing and popular research tools of structural and functional MRI. PMID:27208709

  16. A simple dose regimen of artesunate and amodiaquine based on arm span- or age range for childhood falciparum malaria: a preliminary evaluation.

    Science.gov (United States)

    Sowunmi, Akintunde; Akinrinola, Ibukun A; Gbotosho, Grace O; Okuboyejo, Titilope M; Happi, Christian T

    2012-08-01

    A dose regimen of artesunate and amodiaquine based on arm span- or age range (DRAAAS), derived from a study of 1674 children, was compared with standard dose regimen of the same drugs calculated according to body weight (SDRAA) in 68 malarious children. Children on DRAAAS received 0.8-1.0 of artesunate/kg and 0.9-1.2 times amodiaquine/kg compared with those receiving SDRAA. Parasite and fever clearance and fall in hematocrit in the first 3 days were similar; both regimens were well tolerated. DRAAAS is simple and is efficacious.

  17. Radiotherapy fractionation for the palliation of uncomplicated painful bone metastases – an evidence-based practice guideline

    Directory of Open Access Journals (Sweden)

    Bezjak Andrea

    2004-10-01

    Full Text Available Abstract Background This practice guideline was developed to provide recommendations to clinicians in Ontario on the preferred standard radiotherapy fractionation schedule for the treatment of painful bone metastases. Methods A systematic review and meta-analysis was performed and published elsewhere. The Supportive Care Guidelines Group, a multidisciplinary guideline development panel, formulated clinical recommendations based on their interpretation of the evidence. In addition to evidence from clinical trials, the panel also considered patient convenience and ease of administration of palliative radiotherapy. External review of the draft report by Ontario practitioners was obtained through a mailed survey, and final approval was obtained from the Practice Guidelines Coordinating Committee. Results Meta-analysis did not detect a significant difference in complete or overall pain relief between single treatment and multifraction palliative radiotherapy for bone metastases. Fifty-nine Ontario practitioners responded to the mailed survey (return rate 62%. Forty-two percent also returned written comments. Eighty-three percent of respondents agreed with the interpretation of the evidence and 75% agreed that the report should be approved as a practice guideline. Minor revisions were made based on feedback from the external reviewers and the Practice Guidelines Coordinating Committee. The Practice Guidelines Coordinating Committee approved the final practice guideline report. Conclusion For adult patients with single or multiple radiographically confirmed bone metastases of any histology corresponding to painful areas in previously non-irradiated areas without pathologic fractures or spinal cord/cauda equine compression, we conclude that: • Where the treatment objective is pain relief, a single 8 Gy treatment, prescribed to the appropriate target volume, is recommended as the standard dose-fractionation schedule for the treatment of symptomatic and

  18. ARM Cortex M0的油田采输物联网监控系统设计%Design of IoT Monitoring System for Oil Extraction and Transportation Based on ARM Cortex-M0

    Institute of Scientific and Technical Information of China (English)

    于玉珠; 殷春莉

    2014-01-01

    为了提升油田生产的自动化程度,保障安全,降低运行成本,扩大对环境恶劣和偏远地区的自动化覆盖范围,设计一种油田采输物联网监控系统。该系统以基于 ARM Cortex M0的 LPC11C14FBD48为主控芯片,M35为 GPRS 通信模块,用 C++语言开发内核软件和远程集中监控中心软件。可远程对油田采输现场的数据进行采集和系统控制,同时与云计算服务中心实现数据交互,为大数据处理提供基础。该系统实现了油田采输无人值守,覆盖偏远区域,降低了运行成本,提升了油田生产的安全性、可靠性和高效性,使油田生产综合效益明显提高。%In order to raise the automation degree and security in oil field production,reduce the running cost and improve the automated range of poor environment and remote areas,a kind of IoT monitoring control system for oil production is designed.The system takes LPC1 1C14FBD48 based on ARM Cortex-M0 as main control chip and M35 as GPRS communication module.C++ is used to develop kernel software and the software of remote centralized monitoring control center.Remote data acquisition and system control of oil acqui-sition areas are realized,and data interactions with the cloud computing service center are completed so as to provide basic data for big data processing.The system can be applied in poor environment and remote areas.It not only saves the operation cost,but also improves safety,reliability and efficiency,so that it increases obviously comprehensive benefits of oil field production.

  19. Power Integrity Analysis of ARM11 Core Board Based on FEM%基于有限元方法的ARM11核心板电源完整性分析

    Institute of Scientific and Technical Information of China (English)

    沈敏; 吴明赞; 李竹

    2014-01-01

    ARM11 core board belongs to high-speed circuit board,and during the design we need to reduce input impedance of PDN ( Power Delivery Network ) to improve power integrity. SSN ( Simultaneous Switching Noise ) produced by 10 transistors and DC/AC Characteristics of PDN before and after adjustment are simulated based on FEM,the simulation results indicate that chip power voltage fluctuation reaches 7. 9% when 10 transistors switch simultaneously;DC voltage of 1. 2 V PDN is increased from 1. 17 V to 1. 18 V,current density of PDN is reduced integrally;Resonance phenomenon of PDN is weakened at the frequency of 397 MHz;So chip power voltage hasn't satisfied the requirements when 10 transistors switch simultaneously,after PDN is adjusted,the input impedance and voltage fluctuation of PDN is reduced finally.%ARM11核心板属于高速电路板,在设计中需要降低电源配送网络( Power Delivery Network)的输入阻抗来提高电源完整性。基于有限元方法对10个晶体管产生的同步开关噪声( Simultaneous Switching Noise)、调整前后PDN的直流/交流特性进行仿真,仿真结果表明:10个晶体管同时开关时芯片电源电压波动达7.9%;1.2 V PDN的直流电压从1.17 V增加到1.18 V,PDN的电流密度整体得到降低;在397 MHz谐振频率处PDN的谐振现象得到减弱;因此当达到10个晶体管同时开关时芯片电源电压已不满足要求,在对PDN调整后最终降低了PDN的输入阻抗和电压波动。

  20. 基于ARM11的机动车柔性限行管理系统设计%Flexible Vehicle Restriction Management System Based on ARM11

    Institute of Scientific and Technical Information of China (English)

    张凯; 孙跃; 周侃; 江慧

    2014-01-01

    为解决城市道路交通拥挤问题,设计了一套基于ARM11的机动车柔性限行管理系统。系统采用S3C6410微处理器为核心,利用GPRS无线通信技术将GPS定位信息传输到交管信息处理中心服务器。交管中心分路段设定限行比例,统计机动车该月在限行路段中出行天数,并将机动车出行信息反馈给车主,对超出限行比例的机动车收取拥挤费,从而实现机动车柔性限行管理。实验证明:GPRS发送GPS定位信息准确,车辆出行信息反馈及时,系统设计达到了预期的功能和要求。%In order to solve the problem of urban road congestion, a flexible ARM11-based vehicle limit line management system was designed. System uses S3C6410 microprocessor core, applies the GPRS wireless communication technology to transmit information to the GPS positioning information processing traffic control center server. The traffic control center to set vehicle restriction ratio by sections, and count vehicles travel days in this month at the limit line sections,feed back to the vehicle's travel information to the car owner,charge the congestion fee for the proportion of vehicles exceeding the vehicle restriction ratio, thus we could achieve a flexible vehicle restriction management. Experiments show that GPRS to send GPS location information is accurate,timely feedback vehicle travel,system design to achieve the desired functionality and requirements.

  1. Technetium-99m sestamibi myocardial tomography based on dipyridamole echocardiography testing in hypertensive patients with chest pain

    Energy Technology Data Exchange (ETDEWEB)

    Schillaci, O. [Section of Nuclear Medicine, Department of Experimental Medicine and Pathology, University ``La Sapienza``, Rome (Italy); Moroni, C. [Department of Internal Medicine, University ``La Sapienza``, Rome (Italy); Scopinaro, F. [Section of Nuclear Medicine, Department of Experimental Medicine and Pathology, University ``La Sapienza``, Rome (Italy); Tavolaro, R. [Section of Nuclear Medicine, Department of Experimental Medicine and Pathology, University ``La Sapienza``, Rome (Italy); Danieli, R. [Section of Nuclear Medicine, Department of Experimental Medicine and Pathology, University ``La Sapienza``, Rome (Italy); Bossini, A. [Department of Internal Medicine, University ``La Sapienza``, Rome (Italy); Cassone, R. [Department of Internal Medicine, University ``La Sapienza``, Rome (Italy); Colella, A.C. [Section of Nuclear Medicine, Department of Experimental Medicine and Pathology, University ``La Sapienza``, Rome (Italy)

    1997-07-01

    The aim of this study was to evaluate the diagnostic capability of technetium-99m sestamibi tomography based on dipyridamole echocardiography testing in hypertensives with chest pain, and to compare the scintigraphic results with those of coronary angiography, exercise electrocardiography and dipyridamole echocardiography. Forty subjects with mild to moderate hypertension, chest pain and no previous myocardial infarction were submitted to {sup 99m}Tc-sestamibi tomography (at rest and after high-dose dipyridamole echocardiography) and to exercise electrocardiography testing. At coronary angiography 22 patients (group A) had significant epicardial coronary artery disease ({>=}70% stenosis of at least one major vessel) and 18 normal main coronary vessels (group B). Dipyridamole {sup 99m}Tc-sestamibi imaging was positive in 21/22 patients of group A and in 5/18 of group B. Dipyridamole echocardiography was positive in 18/22 patients of group A and in 5/18 of group B. Exercise electrocardiography was positive in 15/22 patients of group A and in 11/18 of group B. Four out of five subjects in group B with positive results in all the tests showed a slow run-off of angiographic contrast medium, probably due to small-vessel disease. Significant epicardial coronary artery disease in hypertensives with chest pain is unlikely when dipyridamole {sup 99m}Tc-sestamibi tomography is negative. When scintigraphy is positive, either epicardial coronary artery disease or a small-vessel disease condition is possible. The association of scintigraphy with dipyridamole echocardiography testing allows the assessment of contractile function and myocardial perfusion by a single pharmacological stress. (orig./AJ). With 3 figs., 2 tabs.

  2. Technetium-99m sestamibi myocardial tomography based on dipyridamole echocardiography testing in hypertensive patients with chest pain

    International Nuclear Information System (INIS)

    The aim of this study was to evaluate the diagnostic capability of technetium-99m sestamibi tomography based on dipyridamole echocardiography testing in hypertensives with chest pain, and to compare the scintigraphic results with those of coronary angiography, exercise electrocardiography and dipyridamole echocardiography. Forty subjects with mild to moderate hypertension, chest pain and no previous myocardial infarction were submitted to 99mTc-sestamibi tomography (at rest and after high-dose dipyridamole echocardiography) and to exercise electrocardiography testing. At coronary angiography 22 patients (group A) had significant epicardial coronary artery disease (≥70% stenosis of at least one major vessel) and 18 normal main coronary vessels (group B). Dipyridamole 99mTc-sestamibi imaging was positive in 21/22 patients of group A and in 5/18 of group B. Dipyridamole echocardiography was positive in 18/22 patients of group A and in 5/18 of group B. Exercise electrocardiography was positive in 15/22 patients of group A and in 11/18 of group B. Four out of five subjects in group B with positive results in all the tests showed a slow run-off of angiographic contrast medium, probably due to small-vessel disease. Significant epicardial coronary artery disease in hypertensives with chest pain is unlikely when dipyridamole 99mTc-sestamibi tomography is negative. When scintigraphy is positive, either epicardial coronary artery disease or a small-vessel disease condition is possible. The association of scintigraphy with dipyridamole echocardiography testing allows the assessment of contractile function and myocardial perfusion by a single pharmacological stress. (orig./AJ). With 3 figs., 2 tabs

  3. Pain frequency moderates the relationship between pain catastrophizing and pain

    OpenAIRE

    Heidi eKjøgx; Robert eZachariae; Mogens ePfeiffer-Jensen; Helge eKasch; Peter eSvensson; Troels Staehelin Jensen; Lene eVase

    2014-01-01

    Background Pain frequency has been shown to influence sensitization, psychological distress and pain modulation. The present study examined if pain frequency moderates the relationship between pain catastrophizing and pain. Method A non-clinical (247 students) and a clinical (223 pain patients) sample completed the Danish versions of the Pain Catastrophizing Scale, Beck Depression Inventory and the State Trait Anxiety Inventory and rated pain intensity, unpleasantness and frequency Results In...

  4. 基于ARM和WSNs的智能家居安防系统设计%Design of Smart Home Security System Based on ARM and WSNs

    Institute of Scientific and Technical Information of China (English)

    杨靖; 林益; 李捍东

    2012-01-01

    In accordance with the demands for home security and safeguard, the intelligent monitoring system based on ARM and WSNs is researched and developed. The detection and communication platform is established by the system with wireless sensor network as the foundation. The household central controller, detection nodes and actuation nodes are setup by adopting the embedded system based on ARM microprocessor and nRF9E5 wireless single chip computer. The home environment is detected through the sensors equipped in detection nodes; trie alarm information is transmitted to household central controller and actuation nodes. The system features good detection effects, and is expandable and flexible, it is an effective solution for implementing home security and safeguard.%针对家居安防系统的需求,设计研发了基于ARM和WSNs的智能家居安防监控系统.该系统以无线传感器网络为基础,构建探测和通信平台,采用以ARM9微处理器和nRF9E5无线单片机为核心的嵌入式系统构建家庭总控制器、探测节点和执行节点.探测节点利用配置好的传感器对家居环境进行监测,并通过无线通信方式将报警信息传送给家庭总控制器和执行节点.该系统具有探测效果好、可扩展性强和装设灵活的优点,是家居安防的有效解决方案.

  5. Effects of Action Observational Training Plus Brain-Computer Interface-Based Functional Electrical Stimulation on Paretic Arm Motor Recovery in Patient with Stroke: A Randomized Controlled Trial.

    Science.gov (United States)

    Kim, TaeHoon; Kim, SeongSik; Lee, ByoungHee

    2016-03-01

    The purpose of this study was to investigate whether action observational training (AOT) plus brain-computer interface-based functional electrical stimulation (BCI-FES) has a positive influence on motor recovery of paretic upper extremity in patients with stroke. This was a hospital-based, randomized controlled trial with a blinded assessor. Thirty patients with a first-time stroke were randomly allocated to one of two groups: the BCI-FES group (n = 15) and the control group (n = 15). The BCI-FES group administered to AOT plus BCI-FES on the paretic upper extremity five times per week during 4 weeks while both groups received conventional therapy. The primary outcomes were the Fugl-Meyer Assessment of the Upper Extremity, Motor Activity Log (MAL), Modified Barthel Index and range of motion of paretic arm. A blinded assessor evaluated the outcomes at baseline and 4 weeks. All baseline outcomes did not differ significantly between the two groups. After 4 weeks, the Fugl-Meyer Assessment of the Upper Extremity sub-items (total, shoulder and wrist), MAL (MAL-Activity of Use and Quality of Movement), Modified Barthel Index and wrist flexion range of motion were significantly higher in the BCI-FES group (p stroke rehabilitation. The limitations of the study are that subjects had a certain limited level of upper arm function, and the sample size was comparatively small; hence, it is recommended that future large-scale trials should consider stratified and lager populations according to upper arm function.

  6. C形臂透视影像的手术引导系统%A Surgical Navigation System Based on C-arm Fluoroscopy Images

    Institute of Scientific and Technical Information of China (English)

    钱理为; 闫士举; 夏庆; 王成焘

    2009-01-01

    A surgical navigation system based on X-rays of C-arm with a calibration target has been studied and developed. Extracting images of markers in the two templates on the calibration target,the system is able to establish the relationship between different markers coordinates in different coordinate systems using the algorithm based on the layout of specific markers. The correction of X-ray image distortion and C-arm camera calibration are performed using the images of calibration target as bases. After the parameters of the C-arm projection model being determined,an X-ray image of surgical site will be acquired preoperatively; the surgical instruments will be tracked by the optical position system,and then virtual projections of instruments can be formed on preoperative images. Surgeons will perform operations with the guidance of the system. The C-arm can be used less frequently and the X-ray radiation can be reduced. Cadaveric spine specimen experiments and error analysis have underpinned the clinical feasibility of the system.%研究开发了一种基于校准靶的C形臂X线影像的手术引导系统.系统通过提取分布在校准靶双层模板上的标志点影像,利用标志点特定的分布,提出了确定对应关系的算法,建立了不同坐标系之间标志点中心坐标的联系.基于校准靶影像,校正C形臂X线影像的失真,对C形臂相机模型进行校准.确定C形臂投影模型参数后,术前预先获得病患部位透视影像,术中通过光学定位系统实时跟踪手术工具,在术前影像上形成工具的虚拟投影,引导医生进行手术,从而减少C形臂的使用次数,降低了X线辐射剂量.脊柱标本实验和误差分析表明该系统在临床有一定的使用价值.

  7. Randomized trial of opioids versus tricyclic antidepressants for radiation-induced mucositis pain in head and neck cancer

    Energy Technology Data Exchange (ETDEWEB)

    Ehrnrooth, E.; Grau, C.; Zachariae, R.; Andersen, Joern [Aarhus Univ. Hospital (Denmark). Dept. of Oncology

    2001-11-01

    Patients who receive radiotherapy for head and neck cancer are likely to develop painful mucositis. The pain is characterized by a burning or stinging sensation similar to neuropathic pain sensations. The purpose of the present study was to compare the analgesic effect of a tricyclic antidepressant (TC), commonly used in the treatment of neuropathic pain, with the effect of opioids on radiation-induced mucositis pain. Forty-three patients receiving 66-68 Gy external radiation according to the DAHANCA guidelines (the Danish Head and Neck Cancer Study Group) were randomized to either morphine or TC when mucositis pain was insufficiently managed with weak analgesics. Patients with insufficient pain control in either treatment arm received supplementary medication from the opposite treatment arm. Pain was evaluated weekly using a VAS scale and the McGill Pain Questionnaire. The degree of mucositis and the degree of depression were measured at the same time intervals. Twenty-two patients entered the opioid arm and 21 the TC arm. Two patients in each arm were non-evaluable. VAS pain scores were significantly reduced in the opioid treatment arm one week after randomization (p=0.01). Eight patients in the TC arm were managed with TC alone, but for 11 patients it was necessary to add morphine. The 20 evaluable patients in the morphine arm required no additional treatment. There were no significant differences in side effects between the two groups. Higher pain scores in the TC arm, but not in the opioid arm, were significantly correlated with higher BDI scores. Some head and neck cancer patients with radiation-induced nucositis pain may have sufficient pain control on TC alone. This might be useful in patients with relative counter-indications to opioid treatment.

  8. Assessment of pain

    DEFF Research Database (Denmark)

    Forrest, M; Hermann, G; Andersen, B

    1989-01-01

    In a trial based on 52 patients admitted because of acute abdominal pain, we compared the assessment of pain intensity by doctors and patients according to a visual analogue scale. We found significant differences with regard to the median score of the doctors (3.4 cm) compared to the patients (6.......1 cm). The correlation was 0.64 while the differences in dispersion were insignificant. Our findings indicate that it is far from unimportant who makes the pain assessment--the patient who experiences it or the doctor who evaluates it--but they also suggest that the differences could be a matter of...

  9. Subgroups based on thermal and pressure pain thresholds in women with chronic whiplash display differences in clinical presentation – an explorative study

    Directory of Open Access Journals (Sweden)

    Börsbo B

    2012-11-01

    Full Text Available Björn Börsbo,1,2 Gunilla M Liedberg,3 Mia Wallin,1,3 Björn Gerdle1,41Department of Medicine and Health Sciences, University of Linköping, Linköping, Sweden; 2Clinical Department of Rehabilitation Medicine, County Hospital Ryhov, Jönköping, Sweden; 3Department of Social and Welfare Studies, University of Linköping, Norrköping, Sweden; 4Pain and Rehabilitation Centre, UHL, Östergötland County Council, Linköping, SwedenPurpose: To investigate the presence of subgroups in chronic whiplash-associated disorders (WAD based on pain thresholds for pressure (PPT, cold (CPT, and heat (HPT and to compare these subgroups with respect to symptomatology, disability, and health aspects. Methods: Two groups of female subjects – patients with chronic WAD (n = 28 and healthy controls (CON; n = 29 – were investigated. Quantitative sensory testing (QST for thermal thresholds and algometry for PPT at four sites in the body (over the trapezius and tibialis anterior bilaterally were determined. Habitual pain intensities, psychological strain, disability, and health aspects were registered using a questionnaire.Results: A cluster analysis based on PPT, CPT, and HPT identified two subgroups of chronic WAD: one sensitive subgroup (s-WAD; n = 21, and one less sensitive subgroup (ls-WAD; n = 6. S-WAD displayed widespread hyperalgesia, whereas ls-WAD had localized hyperalgesia in the neck area, with tendencies to supernormal values in remote areas of the body. Generally, s-WAD had a significantly worse situation than the CON with respect to symptomatology, disability, and health aspects. The ls-WAD group was intermediary between s-WAD and CON in these aspects.Conclusion: Different explanations, eg, severity of the pain condition per se, etiological factors, and pre-trauma differences in pain sensitivity, may exist for the differences in pain thresholds between the two subgroups. Future research should investigate the role of pain thresholds in the chronic

  10. Management of chronic visceral pain

    DEFF Research Database (Denmark)

    Olesen, Anne E; Farmer, Adam D; Olesen, Søren S;

    2016-01-01

    Despite marked differences in underlying pathophysiology, the current management of visceral pain largely follows the guidelines derived from the somatic pain literature. The effective management of patients with chronic visceral pain should be multifaceted, including both pharmacological......' symptoms, adopting an empathic approach and taking time to educate patients. To optimize treatment and outcomes in chronic visceral pain we need to move away from approaches exclusively based on dealing with peripheral nociceptive input toward more holistic strategies, taking into account alterations...... in central pain processing....

  11. Face pain

    Science.gov (United States)

    ... begin in other places in the body. Abscessed tooth (ongoing throbbing pain on one side of the lower face that ... chap 18. Digre KB. Headaches and other head pain. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine . 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap ...

  12. Flank pain

    Science.gov (United States)

    ... between the upper belly area (abdomen) and the back. ... or brown color) in the urine Unexplained flank pain that continues ... The doctor or nurse will examine you. You will be asked about your ... there or comes and goes, if it's getting worse What the pain ...

  13. Persistent pain is common 1 year after ankle and wrist fracture surgery: a register-based questionnaire study

    DEFF Research Database (Denmark)

    Friesgaard, Kristian Dahl; Gromov, Kirill; Knudsen, Lone;

    2016-01-01

    and pain characteristics are required. METHODS: All patients undergoing primary surgery because of ankle or wrist fracture at Hvidovre and Odense University Hospitals, Denmark, between April 15, 2013 and April 15, 2014, were identified from the Danish Fracture Database. A questionnaire regarding pain...... neuropathic pain, and 4.0% fulfilled the diagnostic patient-reported research criteria for CRPS. CONCLUSIONS: Persistent postsurgical pain 1 yr after wrist and ankle fracture surgery is frequent, and a large proportion of patients experience symptoms suggestive of neuropathic pain and CRPS. Patients should be...

  14. Acknowledging the patient with back pain: A systematic review based on thematic synthesis

    DEFF Research Database (Denmark)

    Damsgaard, Janne Brammer; Bastrup, Lene; Norlyk, Annelise;

    Abstract NOF 2014 Acknowledging the back patient. A thematic synthesis of qualitative research. A systematic literature review. Introduction: Back conditions and back pain rank among the most common causes of reduced working capacity and lengthy, challenging and costly illness trajectories...... and are associated with heavy personal costs and hospitalisations. Thus, it has been the aim of this qualitative literature review to investigate what it feels like to be a back patient and what back patients consider important when dealing with the healthcare system. Methods: The thematic synthesis aims...... to systematise and integrate findings of qualitative studies. The method draws on Thomas' and Hardens approach in "Methods for the thematic synthesis of qualitative research in systematic reviews" (2008). Results: The analysis reveals that many back patients feel that their experiences and perceptions...

  15. Words putting pain in motion: The generalization of pain-related fear within an artificial stimulus category

    Directory of Open Access Journals (Sweden)

    Marc Patrick Bennett

    2015-04-01

    Full Text Available Patients with chronic pain are often fearful of movements that never featured in painful episodes. This study examined whether a neutral movement’s conceptual relationship with pain-relevant stimuli could precipitate pain-related fear; a process known as symbolic generalization. As a secondary objective, we also compared experiential and verbal fear learning in the generalization of pain-related fear. We conducted an experimental study with 80 healthy participants who were recruited through an online experimental management system (Mage = 23.04 years, SD = 6.80 years. First, two artificial categories were established wherein nonsense words and joystick arm movements were equivalent. Using a between-groups design, nonsense words from one category were paired with either an electrocutaneous stimulus (pain-US or threatening information, while nonsense words from the other category were paired with no pain-US or safety information. During a final testing phase, participants were prompted to perform specific joystick arm movements that were never followed by a pain-US, although they were informed that it could occur. The results showed that movements equivalent to the pain-relevant nonsense words evoked heightened pain-related fear as measured by pain-US expectancy, fear of pain, and unpleasantness ratings. Also, experience with the pain-US evinced stronger acquisition and generalization compared to experience with threatening information. The clinical importance and theoretical implications of these findings are discussed.

  16. Multimodal assessment of painful peripheral neuropathy induced by chronic oxaliplatin-based chemotherapy in mice

    Directory of Open Access Journals (Sweden)

    Dorsey Susan G

    2011-04-01

    Full Text Available Abstract Background A major clinical issue affecting 10-40% of cancer patients treated with oxaliplatin is severe peripheral neuropathy with symptoms including cold sensitivity and neuropathic pain. Rat models have been used to describe the pathological features of oxaliplatin-induced peripheral neuropathy; however, they are inadequate for parallel studies of oxaliplatin's antineoplastic activity and neurotoxicity because most cancer models are developed in mice. Thus, we characterized the effects of chronic, bi-weekly administration of oxaliplatin in BALB/c mice. We first studied oxaliplatin's effects on the peripheral nervous system by measuring caudal and digital nerve conduction velocities (NCV followed by ultrastructural and morphometric analyses of dorsal root ganglia (DRG and sciatic nerves. To further characterize the model, we examined nocifensive behavior and central nervous system excitability by in vivo electrophysiological recording of spinal dorsal horn (SDH wide dynamic range neurons in oxaliplatin-treated mice Results We found significantly decreased NCV and action potential amplitude after oxaliplatin treatment along with neuronal atrophy and multinucleolated DRG neurons that have eccentric nucleoli. Oxaliplatin also induced significant mechanical allodynia and cold hyperalgesia, starting from the first week of treatment, and a significant increase in the activity of wide dynamic range neurons in the SDH. Conclusions Our findings demonstrate that chronic treatment with oxaliplatin produces neurotoxic changes in BALB/c mice, confirming that this model is a suitable tool to conduct further mechanistic studies of oxaliplatin-related antineoplastic activity, peripheral neurotoxicity and pain. Further, this model can be used for the preclinical discovery of new neuroprotective and analgesic compounds.

  17. Pain frequency moderates the relationship between pain catastrophizing and pain

    Science.gov (United States)

    Kjøgx, Heidi; Zachariae, Robert; Pfeiffer-Jensen, Mogens; Kasch, Helge; Svensson, Peter; Jensen, Troels S.; Vase, Lene

    2014-01-01

    Background: Pain frequency has been shown to influence sensitization, psychological distress, and pain modulation. The present study examined if pain frequency moderates the relationship between pain catastrophizing and pain. Method: A non-clinical (247 students) and a clinical (223 pain patients) sample completed the Danish versions of the Pain Catastrophizing Scale (PCS), Beck Depression Inventory, and the State Trait Anxiety Inventory and rated pain intensity, unpleasantness and frequency. Results: In both samples, high pain frequency was found to moderate the association between pain catastrophizing and pain intensity, whereas low pain frequency did not. The psychometric properties and the factor structure of the Danish version of the PCS were confirmed. Conclusions: This is the first study to validate the Danish version of the PCS and to show that pain frequency moderates the relationship between pain catastrophizing and reported pain in both non-clinical and clinical populations. PMID:25646089

  18. Pain frequency moderates the relationship between pain catastrophizing and pain

    Directory of Open Access Journals (Sweden)

    Heidi eKjøgx

    2014-12-01

    Full Text Available Background Pain frequency has been shown to influence sensitization, psychological distress and pain modulation. The present study examined if pain frequency moderates the relationship between pain catastrophizing and pain. Method A non-clinical (247 students and a clinical (223 pain patients sample completed the Danish versions of the Pain Catastrophizing Scale, Beck Depression Inventory and the State Trait Anxiety Inventory and rated pain intensity, unpleasantness and frequency Results In both samples, high pain frequency was found to moderate the association between pain catastrophizing and pain intensity, whereas low pain frequency did not. The psychometric properties and the factor structure of the Danish version of the PCS were confirmed.Conclusions This is the first study to validate the Danish version of the PCS and to show that pain frequency moderates the relationship between pain catastrophizing and reported pain in both non-clinical and clinical populations.

  19. Changing patterns of US arms transfers

    Energy Technology Data Exchange (ETDEWEB)

    Salomone, M.D.

    1985-01-01

    The thesis has three purposes. First is to explore the changing patterns of US arms transfers from Fiscal Year 1950 (FY 1950) through Fiscal Year 1980 (FY 1980). Second, is to describe and assess the decision-making process for arms transfers within the US Government. Third is to examine and critique the conventional wisdom concerning US arms transfers, to support that wisdom, or to offer an alternate empirically supported view. The conventional wisdom about US arms transfer is that they have been rising at an alarming rate, and that this is the result of an arms transfer decision-making process which is out of control. This belief is founded on an empirically based proposition that arms transfers have been rising at an alarming rate. However, this proposition has never been empirically validated. To explore this conventional wisdom, the author establishes the historical, political and defense policy contexts for US arms transfers over the period FY 1950 through FY 1980. The author critiques the conventional wisdom about US arms transfers, analyzes the many ways that arms transfers have been measured, and explores the impediments to accurate measurement and assessment of the phenomenon.

  20. Prediction of three-dimensional arm trajectories based on ECoG signals recorded from human sensorimotor cortex.

    Science.gov (United States)

    Nakanishi, Yasuhiko; Yanagisawa, Takufumi; Shin, Duk; Fukuma, Ryohei; Chen, Chao; Kambara, Hiroyuki; Yoshimura, Natsue; Hirata, Masayuki; Yoshimine, Toshiki; Koike, Yasuharu

    2013-01-01

    Brain-machine interface techniques have been applied in a number of studies to control neuromotor prostheses and for neurorehabilitation in the hopes of providing a means to restore lost motor function. Electrocorticography (ECoG) has seen recent use in this regard because it offers a higher spatiotemporal resolution than non-invasive EEG and is less invasive than intracortical microelectrodes. Although several studies have already succeeded in the inference of computer cursor trajectories and finger flexions using human ECoG signals, precise three-dimensional (3D) trajectory reconstruction for a human limb from ECoG has not yet been achieved. In this study, we predicted 3D arm trajectories in time series from ECoG signals in humans using a novel preprocessing method and a sparse linear regression. Average Pearson's correlation coefficients and normalized root-mean-square errors between predicted and actual trajectories were 0.44~0.73 and 0.18~0.42, respectively, confirming the feasibility of predicting 3D arm trajectories from ECoG. We foresee this method contributing to future advancements in neuroprosthesis and neurorehabilitation technology.

  1. Prediction of three-dimensional arm trajectories based on ECoG signals recorded from human sensorimotor cortex.

    Directory of Open Access Journals (Sweden)

    Yasuhiko Nakanishi

    Full Text Available Brain-machine interface techniques have been applied in a number of studies to control neuromotor prostheses and for neurorehabilitation in the hopes of providing a means to restore lost motor function. Electrocorticography (ECoG has seen recent use in this regard because it offers a higher spatiotemporal resolution than non-invasive EEG and is less invasive than intracortical microelectrodes. Although several studies have already succeeded in the inference of computer cursor trajectories and finger flexions using human ECoG signals, precise three-dimensional (3D trajectory reconstruction for a human limb from ECoG has not yet been achieved. In this study, we predicted 3D arm trajectories in time series from ECoG signals in humans using a novel preprocessing method and a sparse linear regression. Average Pearson's correlation coefficients and normalized root-mean-square errors between predicted and actual trajectories were 0.44~0.73 and 0.18~0.42, respectively, confirming the feasibility of predicting 3D arm trajectories from ECoG. We foresee this method contributing to future advancements in neuroprosthesis and neurorehabilitation technology.

  2. Bifunctional Peptide-Based Opioid Agonist-Nociceptin Antagonist Ligands for Dual Treatment of Acute and Neuropathic Pain.

    Science.gov (United States)

    Guillemyn, Karel; Starnowska, Joanna; Lagard, Camille; Dyniewicz, Jolanta; Rojewska, Ewelina; Mika, Joanna; Chung, Nga N; Utard, Valérie; Kosson, Piotr; Lipkowski, Andrzej W; Chevillard, Lucie; Arranz-Gibert, Pol; Teixidó, Meritxell; Megarbane, Bruno; Tourwé, Dirk; Simonin, Frédéric; Przewlocka, Barbara; Schiller, Peter W; Ballet, Steven

    2016-04-28

    Herein, the opioid pharmacophore H-Dmt-d-Arg-Aba-β-Ala-NH2 (7) was linked to peptide ligands for the nociceptin receptor. Combination of 7 and NOP ligands (e.g., H-Arg-Tyr-Tyr-Arg-Ile-Lys-NH2) led to binding affinities in the low nanomolar domain. In vitro, the hybrids behaved as agonists at the opioid receptors and antagonists at the nociceptin receptor. Intravenous administration of hybrid 13a (H-Dmt-d-Arg-Aba-β-Ala-Arg-Tyr-Tyr-Arg-Ile-Lys-NH2) to mice resulted in potent and long lasting antinociception in the tail-flick test, indicating that 13a was able to permeate the BBB. This was further supported by a cell-based BBB model. All hybrids alleviated allodynia and hyperalgesia in neuropathic pain models. Especially with respect to hyperalgesia, they showed to be more effective than the parent compounds. Hybrid 13a did not result in significant respiratory depression, in contrast to an equipotent analgesic dose of morphine. These hybrids hence represent a promising avenue toward analgesics for the dual treatment of acute and neuropathic pain. PMID:27035422

  3. Characterizing neuropathic pain profiles: enriching interpretation of painDETECT

    Directory of Open Access Journals (Sweden)

    Cappelleri JC

    2016-07-01

    Full Text Available Joseph C Cappelleri,1 Vijaya Koduru,2 E Jay Bienen,3 Alesia Sadosky4 1Pfizer Inc, Groton, CT, USA; 2Eliassen Group, New London, CT, USA; 3Outcomes Research Consultant, New York, NY, USA; 4Pfizer Inc, New York, NY, USA Purpose: To psychometrically evaluate painDETECT, a patient-reported screening questionnaire for neuropathic pain (NeP, for discriminating among sensory pain symptoms (burning, tingling/prickling, light touching, sudden pain attacks/electric shock-type pain, cold/heat, numbness, and slight pressure. Methods: The seven-item version of painDETECT provides an overall score that targets only sensory symptoms, while the nine-item version adds responses on two items to the overall score, covering pain course pattern and pain radiation. Both versions have relevance in terms of characterizing broad NeP. The nine- and seven-item versions of painDETECT were administered to subjects with confirmed NeP across six conditions identified during office visits to US community-based physicians. Responses on the sensory symptom items were dichotomized into “at least moderate” (ie, moderate, strongly, very strongly relative to the combined other responses (never, hardly noticed, slightly. Logistic regression of dichotomized variables on the total painDETECT score provided probabilities of experiencing each symptom across the range of painDETECT scores. Results: Both painDETECT versions discriminated among the symptoms with similar probabilities across the score ranges. Using these data, the probability of moderately experiencing each pain sensory item was estimated for a particular score, providing a pain profile. Additionally, the likelihood of experiencing each sensation was determined for a discrete increase in score, ie, the odds of at least a moderate sensation of burning (versus less than a moderate sensation was 1.29 for a 1-point increase, 3.52 for a 5-point increase, and 12.42 for every 10-point increase in the nine-item painDETECT score

  4. Preoperative Hypoalgesia after Cold Pressor Test and Aerobic Exercise is Associated with Pain Relief Six Months after Total Knee Replacement

    DEFF Research Database (Denmark)

    Vaegter, Henrik Bjarke; Handberg, Gitte; Emmeluth, Claus;

    2016-01-01

    subsequently the pain tolerance threshold (cPTT). 2) Manual pressure pain thresholds (PPTs) at the legs, arm and shoulder. Clinical pain intensity (numerical rating scale) and psychological distress (questionnaires) were assessed. RESULTS: Clinical pain intensity, psychological distress, cPPT and PPT at the...

  5. The arms race control

    International Nuclear Information System (INIS)

    Written in 1961, this paper presents the content of a book entitled 'The arms race control' where the author outlined the difference between disarmament and arms control, described the economic and moral role of arms race, the importance of force balance for international security. He wandered whether arms control could ensure this balance and whether nuclear balance meant force balance. Force balance then appears to be a precarious and unsteady component of international security. He commented the challenges of disarmament, recalled some arguments for a nuclear disarmament. Then he discussed what would be an arms control with or without disarmament (either nuclear or conventional)

  6. The Influence of Demographic and Psychosocial Factors on the Intensity of pain Among Chronic Patients Receiving Home-based Nursing Care

    Science.gov (United States)

    Antony, T; Merghani, Tarig Hakim

    2016-01-01

    Aim: To determine the influence of the demographic and the psychosocial factors on the intensity of pain manifestation among the chronic ill patients. Materials and Methods: A descriptive, cross-sectional study was carried out among 328 chronic patients under home-based nursing care in Southern State of Kerala, India, from July to August 2015. Each patient was interviewed during a scheduled home visit by a trained health professional. The translated version of the assessment tool questionnaire Medical Outcome Study-Short Form Health Survey was used for the data collection. Results: Sixty-four (19.5%) out of 328 patients reported pain as one of the primary symptoms of their disease. The percentage of the patients who were suffering from pain increases with the improvements in both the educational level and the monthly income (P = 0.002 and 0.019, respectively). The social interaction with the relatives and other community members was significantly related to pain manifestation (P = 0.013). A higher degree of social interaction was associated with lower pain intensity (P = 0.019). Conclusion: The results of this study showed that certain demographic and psychosocial factors carry a significant level of influence on the pain manifestation and its intensity among the chronic patients. Hence, improvements in education, economic status, and psychosocial support should be considered for the management of the chronic patients. PMID:27559269

  7. Effects of Electroacupuncture with Dominant Frequency at SP 6 and ST 36 Based on Meridian Theory on Pain-Depression Dyad in Rats

    Directory of Open Access Journals (Sweden)

    Yuan-yuan Wu

    2015-01-01

    Full Text Available Epidemic investigations reveal an intimate interrelationship between pain and depression. The effect of electroacupuncture (EA on pain or depression has been demonstrated individually, but its effect on pain-depression dyad is unknown. Our study aimed to screen a dominant EA frequency on pain-depression dyad and determine the validity of acupoint selection based on meridian theory. The pain-depression dyad rat model was induced by reserpine and treated using EA with different frequencies at identical acupoints to extract a dominant frequency and then administrated dominant-frequency EA at different acupoints in the above models. Paw withdrawal latency (PWL, emotional behavior of elevated zero maze (EZM test, and open field (OF test were conducted. We found that 100 Hz EA at Zusanli (ST 36 and Sanyinjiao (SP 6 (classical acupoints for spleen-deficiency syndrome were the most effective in improving PWL, travelling distance in the EZM, and maximum velocity in OF compared to EA with other frequencies; ST 36 and SP 6 were proved more effective than other acupoints beyond the meridian theory and nonacupoints under the same administration of EA. Therefore, we concluded that 100 Hz is the dominant frequency for treating the pain-depression dyad with EA, and acupoints on spleen and stomach meridians are preferable choices.

  8. Effects of Electroacupuncture with Dominant Frequency at SP 6 and ST 36 Based on Meridian Theory on Pain-Depression Dyad in Rats.

    Science.gov (United States)

    Wu, Yuan-Yuan; Jiang, Yong-Liang; He, Xiao-Fen; Zhao, Xiao-Yun; Shao, Xiao-Mei; Du, Jun-Ying; Fang, Jian-Qiao

    2015-01-01

    Epidemic investigations reveal an intimate interrelationship between pain and depression. The effect of electroacupuncture (EA) on pain or depression has been demonstrated individually, but its effect on pain-depression dyad is unknown. Our study aimed to screen a dominant EA frequency on pain-depression dyad and determine the validity of acupoint selection based on meridian theory. The pain-depression dyad rat model was induced by reserpine and treated using EA with different frequencies at identical acupoints to extract a dominant frequency and then administrated dominant-frequency EA at different acupoints in the above models. Paw withdrawal latency (PWL), emotional behavior of elevated zero maze (EZM) test, and open field (OF) test were conducted. We found that 100 Hz EA at Zusanli (ST 36) and Sanyinjiao (SP 6) (classical acupoints for spleen-deficiency syndrome) were the most effective in improving PWL, travelling distance in the EZM, and maximum velocity in OF compared to EA with other frequencies; ST 36 and SP 6 were proved more effective than other acupoints beyond the meridian theory and nonacupoints under the same administration of EA. Therefore, we concluded that 100 Hz is the dominant frequency for treating the pain-depression dyad with EA, and acupoints on spleen and stomach meridians are preferable choices.

  9. Modal Analysis of the Harvesting Robot Arm Based on ANSYS Workbench%基于 ANSYS Workbench 的采摘机器人臂架模态分析

    Institute of Scientific and Technical Information of China (English)

    杨志敏; 周健; 李立君; 程学良

    2013-01-01

    In order to improve the harvesting efficiency of forest-fruit, the structure characteristics of the Harvesting Ro-bot Arm was introduced , the harvesting robot should have more reasonable structure and dynamic performance .Based on the modal analysis theory , a finite element model of the harvesting robot arm was established by utilizing the software of ANSYS Workbench .Three kinds of typical pose were selected , further more , the preceding six steps natural frequency and mode were obtained .Last but not at least , the weak parts of the robot arm were found out and relative improving su ggestion was put forward , which laid foundation for the optimized design .%介绍了采摘机器人臂架的结构特征;为了提高林果的采收效率,使采摘机器人具有更合理的结构和动态特性,以模态分析理论为基础,应用有限元分析软件ANSYSWorkbench,建立了采摘机器人臂架的有限元模型;选取臂架的3种典型位姿,得出了其在不同位姿下的前6阶固有频率和振型,找出薄弱环节,提出了相应的改进方案,为臂架的进一步优化设计打下基础。

  10. Design of audio data acquisition system based on ARM and DSP%基于ARM与DSP的声频数据采集系统设计

    Institute of Scientific and Technical Information of China (English)

    周静雷; 江浩; 乔站仙

    2012-01-01

    结合1个基于ARM与DSP双核架构的声频数据采集系统的开发,介绍了ARM和DSP之间基于HPI通信的接口设计以及A/D、D/A接口设计,说明了接口工作原理及相关配置.提出了一种声频数据采集方案,利用ARM实现控制与人机交互,用DSP做信号处理,给出了数据采集的系统框图和软件流程图.该方案可充分利用DSP的McASP接口实现高精度A/D、D/A转换,利用HPI主机并行接口实现ARM与DSP之间的快速数据传输,从而实现海量声频数据流的高效、实时传输.%According to an audio data acquisition system,this paper introduces the communication interface design on the basis of HPI between ARM and DSP,and A/CD/A converter design,describes the operating principle of interfaces and relevant configuration. A method of audio data acquisition is presented, control is based on ARM, DSP takes charge of signal processing,it provides the system chart of data acquisition and software flow chart. This design scheme can take full advantage of McASP interface to achieve high-precision AD & DA converter,and HPI interface is used to realize high speed data transfer between ARM and DSP, thereby achieving efficient and real-time transmission of huge amounts of audio data stream.

  11. Scanning ARM Cloud Radar Handbook

    Energy Technology Data Exchange (ETDEWEB)

    Widener, K; Bharadwaj, N; Johnson, K

    2012-06-18

    The scanning ARM cloud radar (SACR) is a polarimetric Doppler radar consisting of three different radar designs based on operating frequency. These are designated as follows: (1) X-band SACR (X-SACR); (2) Ka-band SACR (Ka-SACR); and (3) W-band SACR (W-SACR). There are two SACRs on a single pedestal at each site where SACRs are deployed. The selection of the operating frequencies at each deployed site is predominantly determined by atmospheric attenuation at the site. Because RF attenuation increases with atmospheric water vapor content, ARM's Tropical Western Pacific (TWP) sites use the X-/Ka-band frequency pair. The Southern Great Plains (SGP) and North Slope of Alaska (NSA) sites field the Ka-/W-band frequency pair. One ARM Mobile Facility (AMF1) has a Ka/W-SACR and the other (AMF2) has a X/Ka-SACR.

  12. A State of the Art Review- Methods to Evaluate Electrical Performance of Composite Cross-arms and Composite-based Pylons

    DEFF Research Database (Denmark)

    Wang, Qian; Bak, Claus Leth; Silva, Filipe Miguel Faria da;

    2016-01-01

    A novel uni-body composite pylon has been proposed for 400 kV transmission lines with advantages of compacted size, friendly looking and cost competitiveness. As its configuration is quite different from the traditional lattice pylon, its electrical performance needs in-depth investigation...... and evaluation, for which electrical testing methods are essential. However, as research on composite-based pylons is still in initial stage, leaving international standards and theoretical analysis on this topic very limited, effective testing methods to evaluate the fully composite pylon’s electrical...... performance need to be studied. This paper sums up experience and key advances on testing methods to evaluate electrical performance of composite cross-arms and composite-based pylons. Based on state of the art review, several feasible testing methods that can be used to verify the feasibility of the novel...

  13. A smartphone-based intervention with diaries and therapist-feedback to reduce catastrophizing and increase functioning in women with chronic widespread pain: randomized controlled trial.

    NARCIS (Netherlands)

    Kristjánsdóttir, O.B.; Fors, E.A.; Eide, E.; Finset, A.; Stensrud, T.L.; Dulmen, S. van; Wigers, S.H.; Eide, H.

    2013-01-01

    Background: Internet-based interventions using cognitive behavioral approaches can be effective in promoting self-management of chronic pain conditions. Web-based programs delivered via smartphones are increasingly used to support the self-management of various health disorders, but research on smar

  14. A smartphone-based intervention with diaries and therapist-feedback to reduce catastrophizing and increase functioning in women with chronic widespread pain: randomized controlled trial

    NARCIS (Netherlands)

    Kristjansdottir, O.B.; Fors, E.A.; Eide, E.; Finset, A.; Stensrud, T.L.; Dulmen, S. van; Wigers, S.H.; Eide, H.

    2013-01-01

    BACKGROUND: Internet-based interventions using cognitive behavioral approaches can be effective in promoting self-management of chronic pain conditions. Web-based programs delivered via smartphones are increasingly used to support the self-management of various health disorders, but research on smar

  15. [The influence of Donguibogam during the middle Joseon era based on clinical records on low back pain in Seungjeongwon ilgi].

    Science.gov (United States)

    Jung, Jae Young; Lee, Jun Hwan; Chung, Seok Hee

    2011-06-30

    The recently increasing interest in historical records has led to more research on historical records in various fields of study. This trend has also affected medical research, with the medical climate and popular treatment modalities of the past now being revealed based on historical records. However, most research on medical history during the Joseon era has been based on the most well-known record, Joseon wangjo sillok or Annals of the Joseon Dynasty. Joseon wangjo sillok is a comprehensive and organized record of society during the Joseon era and contains key knowledge about medical history during the period, but it lacks details on the treatment of common disorders at the time. Seungjeongwon ilgi or Diary of the Royal Secretariat has detailed records of daily events and is a valuable resource for the daily activities of the era. And in the middle Josoen era, a variety of medical books - especially Donguibogam - was published. Therefore, the authors focused on the under-researched Seungjeongwon ilgi, Donguibogam and attempted to assess and evaluate low back pain treatment performed on Joseon royalty. The most notable characteristic of low back treatment records within the Seungjeongwon ilgi is that diagnosis and treatment was made based on an independent Korean medicine, rather than conventional Chinese medicine. This paradigm shift is represented in Dongeuibogam, and can be seen in the close relationship between Dongeuibogam and national medical exams of the day. Along with the pragmatism of the middle Joseon era, medical treatment also put more focus on pragmatic treatment methods, and records show emphasis on acupuncture and moxibustion and other points in accord with this. The authors also observed meaning and limitations of low back pain treatment during that era through comparison with current diagnosis and treatment. PMID:21894068

  16. Management of chronic musculoskeletal pain.

    Science.gov (United States)

    Uhl, Richard L; Roberts, Timothy T; Papaliodis, Dean N; Mulligan, Michael T; Dubin, Andrew H

    2014-02-01

    Chronic musculoskeletal pain results from a complex interplay of mechanical, biochemical, psychological, and social factors. Effective management is markedly different from that of acute musculoskeletal pain. Understanding the physiology of pain transmission, modulation, and perception is crucial for effective management. Pharmacologic and nonpharmacologic therapies such as psychotherapy and biofeedback exercises can be used to manage chronic pain. Evidence-based treatment recommendations have been made for chronic pain conditions frequently encountered by orthopaedic surgeons, including low back, osteoarthritic, posttraumatic, and neuropathic pain. Extended-release tramadol; select tricyclic antidepressants, serotonin reuptake inhibitors, and anticonvulsants; and topical medications such as lidocaine, diclofenac, and capsaicin are among the most effective treatments. However, drug efficacy varies significantly by indication. Orthopaedic surgeons should be familiar with the widely available safe and effective nonnarcotic options for chronic musculoskeletal pain. PMID:24486756

  17. Severely disabling chronic pain in young adults: prevalence from a population-based postal survey in North Staffordshire

    Directory of Open Access Journals (Sweden)

    Thomas Elaine

    2005-07-01

    Full Text Available Abstract Background Severely disabling chronic pain in the adult population is strongly associated with a range of negative health consequences for individuals and high health care costs, yet its prevalence in young adults is less clear. Methods All adults aged 18–25 years old registered with three general practices in North Staffordshire were invited to complete a postal questionnaire containing questions on pain within the last 6 months, pain location and duration. Severity of chronic pain was assessed by the Chronic Pain Grade. Severely disabling chronic pain was defined as pain within the last six months that had lasted for three months or more and was highly disabling-severely limiting (Grade IV. Results 858 responses from 2,389 were received (adjusted response = 37.0%. The prevalence of any pain within the previous six months was 66.9% (95%CI: 63.7%, 70.1%. Chronic pain was reported by 14.3% (95%CI: 12.0%, 16.8% of respondents with severely disabling chronic pain affecting 3.0% (95%CI: 2.0%, 4.4% of this population. Late responders were very similar to early responders in their prevalence of pain. Cross-checking the practice register against the electoral roll suggested register inaccuracies contributed to non-response. Conclusion Pain is a common phenomenon encountered by young adults, affecting 66.9% of this study population. Previously observed age-related trends in severely disabling chronic pain in older adults extend to younger adults. Although a small minority of younger adults are affected, they are likely to represent a group with particularly high health care needs. High levels of non-response in the present study means that these estimates should be interpreted cautiously although there was no evidence of non-response bias.

  18. Genetic and Environmental Risk for Chronic Pain and the Contribution of Risk Variants for Major Depressive Disorder: A Family-Based Mixed-Model Analysis

    Science.gov (United States)

    McIntosh, Andrew M.; Zeng, Yanni; Davies, Gail; Clarke, Toni-Kim; Hayward, Caroline; Haley, Chris S.; Porteous, David J.; Deary, Ian J.; Smith, Daniel J.; Hinds, David A.; Jones, Amy V.; Scollen, Serena; Meng, Weihua; Hocking, Lynne J.

    2016-01-01

    Background Chronic pain is highly prevalent and a significant source of disability, yet its genetic and environmental risk factors are poorly understood. Its relationship with major depressive disorder (MDD) is of particular importance. We sought to test the contribution of genetic factors and shared and unique environment to risk of chronic pain and its correlation with MDD in Generation Scotland: Scottish Family Health Study (GS:SFHS). We then sought to replicate any significant findings in the United Kingdom Biobank study. Methods and Findings Using family-based mixed-model analyses, we examined the contribution of genetics and shared family environment to chronic pain by spouse, sibling, and household relationships. These analyses were conducted in GS:SFHS (n = 23,960), a family- and population-based study of individuals recruited from the Scottish population through their general practitioners. We then examined and partitioned the correlation between chronic pain and MDD and estimated the contribution of genetic factors and shared environment in GS:SFHS. Finally, we used data from two independent genome-wide association studies to test whether chronic pain has a polygenic architecture and examine whether genomic risk of psychiatric disorder predicted chronic pain and whether genomic risk of chronic pain predicted MDD. These analyses were conducted in GS:SFHS and repeated in UK Biobank, a study of 500,000 from the UK population, of whom 112,151 had genotyping and phenotypic data. Chronic pain is a moderately heritable trait (heritability = 38.4%, 95% CI 33.6% to 43.9%) that is significantly concordant in spouses (variance explained 18.7%, 95% CI 9.5% to 25.1%). Chronic pain is positively correlated with depression (ρ = 0.13, 95% CI 0.11 to 0.15, p = 2.72x10-68) and shows a tendency to cluster within families for genetic reasons (genetic correlation = 0.51, 95%CI 0.40 to 0.62, p = 8.24x10-19). Polygenic risk profiles for pain, generated using independent GWAS

  19. 嵌入式平台ARM-uClinux的构建与应用开发%The Research and Application of Embedded System Based on ARM & uClinux

    Institute of Scientific and Technical Information of China (English)

    黄勋; 唐慧强

    2006-01-01

    介绍了ARM处理器以及嵌入式操作系统uClinux的特点.将uClinux操作系统移植到ARM7上,构建了ARM-uClinux嵌入式平台.以此为基础完成了一种车载GPS接收机的软硬件设计.GP2015作为接收机的射频前端,内嵌ARM7核的GP4020作为接收机的数字基带处理器.此接收机消除以往处理器数据处理的瓶颈效应,解决了体积小,功耗低的问题.

  20. Painful TV

    OpenAIRE

    Pahlen, Kai Graf von

    2011-01-01

    There is a new and profitable market for the infliction of real pain on television, most notably in the British reality television shows ‘Balls of Steel’ and ‘Dirty Sanchez’, which involve two men, known as the ‘Pain Men’, who deliberately inflict consensual pain on each other in order to entertain their television audience. The law says that the consent of the ‘victim’ to an infliction of actual bodily harm does not usually prevent criminal liability of the ‘perpetrator’. The leading case au...

  1. What a Pain! Kids and Growing Pains

    Science.gov (United States)

    ... Here's Help White House Lunch Recipes What a Pain! Kids and Growing Pains KidsHealth > For Kids > What a Pain! Kids and ... something doctors call growing pains . What Are Growing Pains? Growing pains aren't a disease. You probably ...

  2. Persistent Postmastectomy Pain in Breast Cancer Survivors

    DEFF Research Database (Denmark)

    Belfer, Inna; Schreiber, Kristin L; Shaffer, John R;

    2013-01-01

    , medical, and treatment information was abstracted from patients' medical records. One third (32.5%) of patients reported PPMP, defined as ≥3/10 pain severity in the breast, axilla, side, or arm, which did not vary according to time since surgery. Multiple regression analysis revealed significant...

  3. Prevalence of low back pain among soldiers at an army base

    Institute of Scientific and Technical Information of China (English)

    HOU Zhen-hai; SHI Jian-guo; YE Hong; NI Zhi-ming; YAO Jun; ZHENG Long-bao; LIU Zhi-rong

    2013-01-01

    Background Low back pain (LBP) is a major medical and social problem among working populations ana is associated with high medical expense,loss of productivity,and disability.The aim of this study is to investigate the prevalence of LBP among soldiers and evaluate the possible causative factors in military training.The results may provide an insight into changes needed in military training that will reduce the occurrence of LBP among soldiers.Methods A cross-sectional survey was conducted in a group of young soldiers in China to estimate the prevalence of LBP and evaluate possible causative factors in military training.Results The survey was distributed to 1659 soldiers,of whom 1624 responded.LBP was reported by 425 of the 1624 (26.2%) soldiers.The prevalence of LBP was higher in the armored force (51.3%) than in the artillery (27.5%) or infantry (11.9%).A multivariate logical regression analysis identified night training,5 km cross-country race,and grenade-throwing training as military training risk factors for LBP.Conclusions The relatively high incidence of LBP among soldiers was related to night training,5 km racing,and grenade throwing.Modifications in these training methods should enhance the health of recruits and lower the incidence of LBP.

  4. Measurement properties of painDETECT by average pain severity

    Directory of Open Access Journals (Sweden)

    Cappelleri JC

    2014-11-01

    Full Text Available Joseph C Cappelleri,1 E Jay Bienen,2 Vijaya Koduru,3 Alesia Sadosky4 1Pfizer, Groton, CT, 2Outcomes research consultant, New York, NY, 3Eliassen Group, New London, CT, USA; 4Pfizer, New York, NY, USA Background: Since the burden of neuropathic pain (NeP increases with pain severity, it is important to characterize and quantify pain severity when identifying NeP patients. This study evaluated whether painDETECT, a screening questionnaire to identify patients with NeP, can distinguish pain severity. Materials and methods: Subjects (n=614, 55.4% male, 71.8% white, mean age 55.5 years with confirmed NeP were identified during office visits to US community-based physicians. The Brief Pain Inventory – Short Form stratified subjects by mild (score 0–3, n=110, moderate (score 4–6, n=297, and severe (score 7–10, n=207 average pain. Scores on the nine-item painDETECT (seven pain-symptom items, one pain-course item, one pain-irradiation item range from -1 to 38 (worst NeP; the seven-item painDETECT scores (only pain symptoms range from 0 to 35. The ability of painDETECT to discriminate average pain-severity levels, based on the average pain item from the Brief Pain Inventory – Short Form (0–10 scale, was evaluated using analysis of variance or covariance models to obtain unadjusted and adjusted (age, sex, race, ethnicity, time since NeP diagnosis, number of comorbidities mean painDETECT scores. Cumulative distribution functions on painDETECT scores by average pain severity were compared (Kolmogorov–Smirnov test. Cronbach's alpha assessed internal consistency reliability. Results: Unadjusted mean scores were 15.2 for mild, 19.8 for moderate, and 24.0 for severe pain for the nine items, and 14.3, 18.6, and 22.7, respectively, for the seven items. Adjusted nine-item mean scores for mild, moderate, and severe pain were 17.3, 21.3, and 25.3, respectively; adjusted seven-item mean scores were 16.4, 20.1, and 24.0, respectively. All pair

  5. Use of opioid analgesics in the treatment of cancer pain: evidence-based recommendations from the EAPC.

    Science.gov (United States)

    Caraceni, Augusto; Hanks, Geoffrey; Kaasa, Stein; Bennett, Michael I; Brunelli, Cinzia; Cherny, Nathan; Dale, Ola; De Conno, Franco; Fallon, Marie; Hanna, Magdi; Haugen, Dagny Faksvåg; Juhl, Gitte; King, Samuel; Klepstad, Pål; Laugsand, Eivor A; Maltoni, Marco; Mercadante, Sebastiano; Nabal, Maria; Pigni, Alessandra; Radbruch, Lukas; Reid, Colette; Sjogren, Per; Stone, Patrick C; Tassinari, Davide; Zeppetella, Giovambattista

    2012-02-01

    Here we provide the updated version of the guidelines of the European Association for Palliative Care (EAPC) on the use of opioids for the treatment of cancer pain. The update was undertaken by the European Palliative Care Research Collaborative. Previous EAPC guidelines were reviewed and compared with other currently available guidelines, and consensus recommendations were created by formal international expert panel. The content of the guidelines was defined according to several topics, each of which was assigned to collaborators who developed systematic literature reviews with a common methodology. The recommendations were developed by a writing committee that combined the evidence derived from the systematic reviews with the panellists' evaluations in a co-authored process, and were endorsed by the EAPC Board of Directors. The guidelines are presented as a list of 16 evidence-based recommendations developed according to the Grading of Recommendations Assessment, Development and Evaluation system.

  6. 基才ARM和DS18820的温度监测系统%Temperature monitoring system based on ARM and DS18B20

    Institute of Scientific and Technical Information of China (English)

    王文; 王直

    2011-01-01

    Based on the ARM and DS18B20 temperature monitoring system use ARM as the data acquisition unit and digital temperature sensor DS18B20 as the temperature detection element. The overall system design, hardware design and software block diagram are given. The digital filtering of measured data is the average median filtering method.Meanwhile, the acquisition system connects the host computer via the serial port in order to achieve the network monitoring function.%基于ARM和DS18820的温度监测系统使用SAMSUNG公司的32位ARM微控制器S3C2440作为数据采集单元,数字温度传感器DS18820作为温度检测元件。给出了系统的总体设计方案、硬件设计及软件框图。对测得的数据采用防脉冲干扰平均滤波法进行数字滤波。同时,通过串行总线完成了采集系统与上位计算机的连接,实现了采集系统的网络化监测功能。

  7. Design of Long-Distance Monitoring System base on ARM and Zigbee%基于ARM的Zigbee远程监控系统设计

    Institute of Scientific and Technical Information of China (English)

    赵志强; 李建才; 陆川

    2014-01-01

    The paper presents the design of an remote monitoring system in Zigbee wireless sensor network based on ARM1 1 Processor.The system can convert the data between Zigbee net and server and user.Both the design of hardware scheme and the programming method of software are introduced.This system can be used for general purposes,such as logistics management.%文中设计了一个基于ARM11处理器的Zigbee 无线传感器网络的远程监控系统,用来完成Zigbee 网络和用户与服务器之间数据的远程传输。给出了该监控系统的硬件方案设计和主要软件编程思路。该系统具有较好的通用性,可用于物流管理。

  8. Embeded Web Server Platform Design Based on Android and ARM%基于Android和ARM的嵌入式web服务器平台设计

    Institute of Scientific and Technical Information of China (English)

    季云峰

    2012-01-01

    首先对Android嵌入式操作系统、ARM嵌入式处理器做了简单的介绍,在此基础上给出了Android操作系统在Friendly ARM公司的mini2440开发板上的详细移植过程,然后通过对嵌入式web服务器BOA重新修改和编译,实现了BOA到Android2.0系统的移植,由此实现了基于Android和ARM的嵌入式Web服务器平台的构建。%Firstly,this paper makes the brief introductions of Android and ARM,then provides the detailed steps of the transplantation of Android2.0 to the development board of mini2440,after that,gives the solution of transplanting embedded web server(BOA) to Android2.0,and finally finishes the implementation of embedded web server platform based on android and ARM.

  9. 荩于ARM的车载CAN总线智能终端设计%Design of Intelligent Terminal of Vehicle-mounted CAN Bus Based on ARM

    Institute of Scientific and Technical Information of China (English)

    王保和

    2011-01-01

    介绍了一种以基于ARM9内核的S3C2440微处理器为硬件核心的嵌入式Linux车载CAN总线智能节点的设计方法,详细描述了CAN总线控制器MCP2510的特点以及接口电路,同时给出了嵌入式Linux下的底层驱动程序,最后给出了利用Qt开发的图形用户界面。%An embedded Linux vehicle-mounted CAN bus intelligent node was designed, which took ARM9-based S3C2440 microprocessor as hardware core. The features of CAN bus controller MCP2510 and its interface circuit are in- troduced, an embedded Linux low-level drivers is proposed, and the graphical user interface developed by Qt is put forward.

  10. Design and implementation of GPS embedded receiver based on ARM integrated circuit board%内置ARM板卡GPS接收机设计与实现

    Institute of Scientific and Technical Information of China (English)

    杜娟; 马辉; 刘星; 刘丙申

    2012-01-01

    随着信息化科技的不断发展,GPS在很多领域得到了广泛的应用.本文以GPS系统为蓝图,用ARM板卡技术作为平台设计了嵌入式GPS接收机,并对接收的动态试验数据精度进行分析,证明了基于ARM板卡的嵌入式GPS接收机在GPS系统中应用的可行性.%GPS is applied widely in more fields with the developing of information science and technology. In this paper, the system of multi-objective GPS was taken for a blueprint and ARM integrated circuit board technology was taken as the platform, GPS embedded receiver was designed. And the precision of dynamic test data received was analyzed. The results showed that it was feasible that GPS embedded receiver based on ARM integrated circuit board technology was applied in the GPS system.

  11. Optimization-Based Design of a Small Pneumatic-Actuator-Driven Parallel Mechanism for a Shoulder Prosthetic Arm with Statics and Spatial Accessibility Evaluation

    Directory of Open Access Journals (Sweden)

    Masashi Sekine

    2013-07-01

    Full Text Available Human arms undertake most tasks in the activities of daily living (ADLs. When designing shoulder prostheses for high‐level upper‐limb amputees, we should consider not only how to realize high degrees of freedom under weight and shape constraints but also the user’s individual task space in daily life. An appropriate mechanical structure that can make full use of state‐of‐the‐art actuators and a scheme to optimize the structure’s configuration to match users’ spatial access and manipulability requirements are essential. In our previous research, a small pneumatic‐actuator‐driven parallel mechanism was studied as a shoulder prosthetic arm. In this paper, a systematic procedure is proposed to design the mechanism for a shoulder prosthesis considering force and spatial accessibility. This procedure includes ADL measurements to obtain the task spaces for individual subjects, indexes to evaluate the force and spatial accessibility and an optimization process based on kinematic and statics models. With this approach, the parallel mechanism was optimized for one important ADL task group, considering the trade‐off between its required force and working space. Moreover, it was confirmed that the proposed design procedure could find solutions for various spatial specifications. That is, the approach could be used for individualized shoulder prosthesis design.

  12. 基于ARM的平板电脑硬件平台设计%Design of tablet PC hardware platform based on ARM

    Institute of Scientific and Technical Information of China (English)

    王茜

    2012-01-01

    为了给学生搭建专业实践的平台,设计了基于ARM的平板电脑硬件平台系统,供学生开发各种应用软件。该系统以三星公司的ARM处理器S5PV210为控制核心,采用核心板加扩展板的设计方案,结合各种外围设备完成了相关的设计。目前,该平台上已成功运行了Android操作系统,并交由学生进行应用软件的开发。%In order to offer the students the practice platform, for students to develop application programs. The system takes the the application of main board and expansion board, and uses kinds cessfully running on the platform, and students begin to develop the this paper designs an ARM-based tablet PC hardware system Samsung's ARM processor S5PV210 as the core control, with of peripheral equipments. Currently, Android OS has been suc-application programs.

  13. Chronic pain - resources

    Science.gov (United States)

    Pain - resources; Resources - chronic pain ... The following organizations are good resources for information on chronic pain: American Chronic Pain Association -- www.theacpa.org National Fibromyalgia and Chronic Pain Association -- www.fmcpaware.org ...

  14. Chronic Pelvic Pain

    Science.gov (United States)

    ... Events Advocacy For Patients About ACOG Chronic Pelvic Pain Home For Patients Search FAQs Chronic Pelvic Pain ... Pain FAQ099, August 2011 PDF Format Chronic Pelvic Pain Gynecologic Problems What is chronic pelvic pain? What ...

  15. What Is Chronic Pain?

    Medline Plus

    Full Text Available ... Programs Resource Guide to Chronic Pain Treatments Pain Awareness Toolkits Partners for Understanding Pain September is Pain Awareness Month Home Pain Management Tools Videos What Is ...

  16. Physiotherapy for pain

    DEFF Research Database (Denmark)

    Ginnerup-Nielsen, Elisabeth; Christensen, Robin; Thorborg, Kristian;

    2016-01-01

    OBJECTIVES: To empirically assess the clinical effects of physiotherapy on pain in adults. DESIGN: Using meta-epidemiology, we report on the effects of a 'physiotherapy' intervention on self-reported pain in adults. For each trial, the group difference in the outcome 'pain intensity' was assessed...... 'no intervention' or of a sham-controlled design were selected. Only articles written in English were eligible. RESULTS: An overall moderate effect of physiotherapy on pain corresponding to 0.65 SD-units (95% CI 0.57 to 0.73) was found based on a moderate inconsistency (I(2)=51%). Stratified...... exploration showed that therapeutic exercise for musculoskeletal diseases tended to be more beneficial than multimodal interventions (difference 0.30 95% CI 0.03 to 0.57; p=0.03). Trials with a 'no intervention' comparator tended to have a higher overall effect size than trials with a sham comparator...

  17. Mechanisms of postoperative pain

    Institute of Scientific and Technical Information of China (English)

    YUE Yun

    2007-01-01

    @@ The practice of modern anaesthesiology has extended into perioperative medicine. Due to their expertise in analgesic drug pharmacology and peripheral nerve blocking, anaesthesiologists have pioneered in the management of acute postoperative pain. Effective postoperative analgesia reduces the incidence of postoperative chronic pain, improves the functioning of organs following surgery and shortens the hospital stay.1,2 Although a variety of analgesic techniques and preventative approaches are at the disposal of modem aneasthesiologists, including patient controlled epidural analgesia (PCEA), patient controlled intravenous analgesia, multimodal analgesia and pre-empty analgesia.Despite this array of strategies, these predominantly opioid based techniques are still limited by side-effects such as vomiting, nausea, itching and urinary retention.To optimize further the management of acute postoperative pain, basic mechanisms of postoperative pain must be explored and new treatments must continue to be developed.

  18. Integrated, Team-Based Chronic Pain Management: Bridges from Theory and Research to High Quality Patient Care.

    Science.gov (United States)

    Driscoll, Mary A; Kerns, Robert D

    2016-01-01

    Chronic pain is a significant public health concern. For many, chronic pain is associated with declines in physical functioning and increases in emotional distress. Additionally, the socioeconomic burden associated with costs of care, lost wages and declines in productivity are significant. A large and growing body of research continues to support the biopsychosocial model as the predominant framework for conceptualizing the experience of chronic pain and its multiple negative impacts. The model also informs a widely accepted and empirically supported approach for the optimal management of chronic pain. This chapter briefly articulates the historical foundations of the biopsychosocial model of chronic pain followed by a relatively detailed discussion of an empirically informed, integrated, multimodal and interdisciplinary treatment approach. The role of mental health professionals, especially psychologists, in the management of chronic pain is particularly highlighted. PMID:26900068

  19. Crystal structure, characterization and magnetic properties of a 1D copper(II) polymer incorporating a Schiff base with carboxylate side arm

    Indian Academy of Sciences (India)

    SHYAMAPADA SHIT; MADHUSUDAN NANDY; CORRADO RIZZOLI; CÉDRIC DESPLANCHES; SAMIRAN MITRA

    2016-06-01

    A new 1D polymeric copper(II) complex [{Cu(L)$(CF_{3}COO)}2]_{n}$ has been synthesized using apotentially tetradentate Schiff base ligand, HL, ((E)-2-((pyridin-2-yl)methyleneamino)-5-chlorobenzoic acid)and characterized by different spectroscopic methods. Single crystal X-ray structural characterization revealsthat the side arm carboxylate group of the coordinated Schiff base exhibits a $μ_{1,3}$ -bridging mode and connectsthe neighbouring copper(II) ions leading to a zigzag 1D chain structure where the copper(II) ions displaydistorted square pyramidal geometries. Variable temperature magnetic susceptibility measurement reveals aweak antiferromagnetic exchange (J = −0.47±0.01 $cm_{−1}) prevails between copper(II) ions in the chainmediated by the bridging carboxylate group, is also supported by the room temperature EPR spectral study.Electrochemical property of the complex is also reported.

  20. Joint pain

    Science.gov (United States)

    ... or conditions. It may be linked to arthritis , bursitis , and muscle pain . No matter what causes it, ... Autoimmune diseases such as rheumatoid arthritis and lupus Bursitis Chondromalacia patellae Crystals in the joint: gout (especially ...

  1. Penis pain

    Science.gov (United States)

    Pain - penis ... Bites, either human or insect Cancer of the penis Erection that does not go away (priapism) Genital herpes Infected hair follicles Infected prosthesis of the penis Infection under the foreskin of uncircumcised men ( balanitis ) ...

  2. Heel Pain

    Science.gov (United States)

    ... improperly fitted or excessively worn shoes, or obesity. Plantar Fasciitis: Both heel pain and heel spurs are frequently associated with plantar fasciitis, an inflammation of the band of fibrous connective ...

  3. Foot pain

    Science.gov (United States)

    ... Drez's Orthopaedic Sports Medicine . 4th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 117. Kadakia AR. Heel pain ... Drez's Orthopaedic Sports Medicine . 4th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 119. Molloy A, Selvan D. ...

  4. 基于ARM7的新型开放式多功能医用信号仪的研制%Development of a Novel Open Multi-Function Instrument Based on ARM7 for Generating Medical Signal

    Institute of Scientific and Technical Information of China (English)

    陈龙聪; 刘改琴; 熊兴良; 高斌; 邓世雄

    2011-01-01

    目的 现有的常用信号发生器或生理信号发生器不能同时输出常用信号和模拟生理信号,本文提出一种新型开放式多功能医用信号仪,用于检测各种生理信号,听取不同频率、不同信号的声音及输出常用信号等.方法 该仪器以STM32F103RF和高性能集成芯片MAX038为核心.此医用信号仪包括硬件和软件两部分,其中硬件含有ARM7单片机控制单元、按钮组输入单元、数据存储单元等12个单元,软件用C语言编写,并采用keil C进行编译.结果 该仪器不仅能输出常用的正弦、方波、三角波、锯齿、矩形信号,还能输出医学中常用的多种生理信号如心电、脉搏波等,且信号波形频率、幅度、类型、波形均采用直观的LCD液晶显示.此外,该仪器具有一个高驱动能力的接口,可直接驱动耳机等,以方便对人耳频率特性和人体阻抗特性的研究和教学.同时,为了便于使用一般示波器能观察各种生理信号,对同一种生理信号可输出不同的频率.结论 本仪器使用方便,可广泛应用于科研、教学、测试和仪器维修等.%Objective To overcome shortages of available common multi-function physiological signal generators, which can not output the common and physiological signals simultaneously, a novel opening multifunction generator for physiological signal was introduced in this paper so that we can observe various physiological signals, hear the sound of different frequency or type signals, and obtain common signals. Methods Based on STM32F103RF microcomputer and the high performance signal chip MAX038, this instrument includes two parts, hardware and software. Its hardware, including microcontroller ARM7, keyboard, data memory and soon, was divided into twelve units. And complied by Keil C Vision3, the software was programmed by C language. Results This instrument output not only common types of signals, such as sine, square, triangle and sawtooth signals

  5. 基于ARM7的多功能离子导入治疗仪的设计%Design of Multi-functional Iontophoresis Therapeutic Instrument Based on ARM7

    Institute of Scientific and Technical Information of China (English)

    卫亚博; 王军敏; 宋璐

    2012-01-01

    This paper aims to design a kind of new-type multi-functional ions into instrument. It overcomes the shortcomings of single output frequency or be limited to a particular frequency band of most current instruments and realizes different kinds of drug ions importing, maximizes the curative effect of drug ion. Methods: Using the LPC2138 ARM7 core as main control chip, using the AD9834 based on DDS technology as waveform signal chip, after amplifying by power amplifier LF347,the system can realize the independent regulation four channel outputs. Using LCD TFT as dynamic display device, using the API8108A as voice chip, the system can realize dynamic display and voice synchronous told. Results: The output waveform of the system shows that the system realizes multiple frequency and various waveform output, and output amplitude and frequency adjustable, and can realize two treatment function of electric ion into therapy and interference elect oshock therapy through treatment mode choice. Conclusions: The whole system has the advantage of simple circuit structure, low cost, safe and reliable, stable performance and high precision. The system has high human-computer interaction ability and operation is simple. Specially designed electrode loss detection circuit can protect patients by automatic detecting whether the contact of electrode and human body is reliable and prompting user for inspection.%目的:设计一种频率可调的新型多功能离子导入治疗仪,使之能够克服目前国内大部分离子导入仪输出频率单一,或者仅仅局限于某一频段的缺点,可实现不同种类药物离子的导入,最大限度地发挥药物的疗效.方法:采用以ARM7为内核的LPC2138作为主控芯片,使用基于DDS技术的AD9834作为波形信号产生芯片,经过功率放大器LF347放大后,系统可实现独立调节的四通道输出.使用LCD TFT真彩屏作为显示器件,API8108A作为语音芯片,具有动态显示和语音同步告知等功能.

  6. Design and Research of Intelligent Control System for Fruit and Vegetable Packaging Machine-Based on Embedded ARM%果蔬包装机智控系统的设计与研究-基于嵌入式 ARM

    Institute of Scientific and Technical Information of China (English)

    罗成; 刘志刚

    2016-01-01

    -tant.The AT91SAM9263 processor was used to design and research of the fruit and vegetable packing machine intelligent control system , the mechanical and electronic , intelligent test and a photoelectric sensor on various subjects based on ARM embedded .With a high degree of automation , high technology content , better accuracy and stability , high by fea-tures,it can greatly improve the quality of packaging , complete on different kinds of products packaging with strong adapt-ability .It not only improves the efficiency of packaging operations , but also savse the economic costand for farmers .

  7. 基于ARM的手机位置采集及跟踪研究%Research of mobile phone location acquisition and tracking based on ARM

    Institute of Scientific and Technical Information of China (English)

    包理群; 吕林霞; 李祥林

    2016-01-01

    In view of the demand of real-time location data acquisition and location tracking for spe-cial groups, GPS location data acquisition algorithm and the update algorithm for data acquisition interval are studied in this paper. The mobile location tracking system based on ARM and Google Maps are de-signed and implemented. The users take GPS smart phones with them when they go out. The guardian can check their location in real-time on the map through portable embedded terminals. It send out alarm in-formation when users are close to or enter the danger zone. It can be widely used in the elderly, chil-dren, the disabled and other special groups of protection. The embedded location information database is created based on ARM platform, which is used to store all the time and location data when users are not at home. It can provide data support for big data research based on the smart phone positioning data. Ex-periments tests the reproducibility of the GPS data, the performance of location information database and ARM position tracking system,and verified the effectiveness of the algorithm and the feasibility of the de-sign.%针对特殊群体的实时位置跟踪需求,研究了GPS位置数据获取算法和数据采集时间间隔更新算法,设计实现了基于ARM和Google Maps的手机位置跟踪系统. 用户只需随身携带GPS手机,监护人即可通过嵌入式移动终端在地图上实时查看其位置信息,并在用户接近和进入危险区域时报警,可应用于老人、小孩、残疾人等特殊群体的保护. 基于ARM的嵌入式位置信息数据库保存了用户出行数据,为智能手机定位的大数据研究提供支持. 通过对GPS数据重复性、位置信息数据库以及ARM位置跟踪系统的性能测试,验证了算法的有效性及设计思路的可行性.

  8. [Is there a correlation between back pain and stability of the lumbar spine in pregnancy? A model-based hypothesis].

    Science.gov (United States)

    Liebetrau, A; Puta, C; Schinowski, D; Wulf, T; Wagner, H

    2012-02-01

    During pregnancy approximately 50% of women suffer from low back pain (LBP), which significantly affects their everyday life. The pain could result in chronic insomnia, limit the pregnant women in their ability to work and produce a reduction of their physical activity. The etiology of the pain is still critically discussed and not entirely understood. In the literature different explanations for LBP are given and one of the most common reasons is the anatomical changes of the female body during pregnancy; for instance, there is an increase in the sagittal moments because of the enlarged uterus and fetus and the occurrence of hyperlordosis.The aim of this study was to describe how the anatomical changes in pregnant women affect the stability and the moments acting on the lumbar spine with the help of a simplified musculoskeletal model.A two-dimensional musculoskeletal model of the lumbar spine in the sagittal plane consisting of five lumbar vertebrae was developed. The model included five centres of rotation and three antagonistic pairs of paraspinal muscles. The concept of altered acting torques during pregnancy was explored by varying the geometrical arrangements. The situations non-pregnant, pregnant and pregnant with hyperlordosis were considered for the model-based approach. These simulations were done dependent on the stability of the erect posture and local countertorques of every lumbar segment.In spite of the simplicity of the model and the musculoskeletal arrangement it was possible to maintain equilibrium of the erect posture at every lumbar spinal segment with one minimum physiological cross-sectional area of all paraspinal muscles. The stability of the musculoskeletal system depends on the muscular activity of the paraspinal muscles and diminishing the muscular activity causes unstable lumbar segments.The relationship between the non-pregnant and the pregnant simulations demonstrated a considerable increase of acting segmental countertorques

  9. Pain Management: Part 1: Managing Acute and Postoperative Dental Pain

    OpenAIRE

    Becker, Daniel E

    2010-01-01

    Safe and effective management of acute dental pain can be accomplished with nonopioid and opioid analgesics. To formulate regimens properly, it is essential to appreciate basic pharmacological principles and appropriate dosage strategies for each of the available analgesic classes. This article will review the basic pharmacology of analgesic drug classes, including their relative efficacy for dental pain, and will suggest appropriate regimens based on pain intensity. Management of chronic pai...

  10. Rationale, design, and implementation protocol of the Dutch clinical practice guideline Pain in patients with cancer: a cluster randomised controlled trial with short message service (SMS and interactive voice response (IVR

    Directory of Open Access Journals (Sweden)

    te Boveldt Nienke

    2011-12-01

    Full Text Available Abstract Background One-half of patients with cancer have pain. In nearly one out of two cancer patients with pain, this was undertreated. Inadequate pain control still remains an important problem in this group of patients. Therefore, in 2008 a national, evidence-based multidisciplinary clinical practice guideline 'pain in patients with cancer' has been developed. Yet, publishing a guideline is not enough. Implementation is needed to improve pain management. An innovative implementation strategy, Short Message Service with Interactive Voice Response (SVS-IVR, has been developed and pilot tested. This study aims to evaluate on effectiveness of this strategy to improve pain reporting, pain measurement and adequate pain therapy. In addition, whether the active role of the patient and involvement of caregivers in pain management may change. Methods/design A cluster randomised controlled trial with two arms will be performed in six oncology outpatient clinics of hospitals in the Southeastern region of the Netherlands, with three hospitals in the intervention and three in the control condition. Follow-up measurements will be conducted in all hospitals to study the long-term effect of the intervention. The intervention includes training of professionals (medical oncologists, nurses, and general practitioners and SMS-IVR to report pain in patients with cancer to improve pain reporting by patients, pain management by medical oncologists, nurses, and general practitioners, and decrease pain intensity. Discussion This innovative implementation strategy with technical tools and the involvement of patients, may enhance the use of the guideline 'pain in patients with cancer' for pain management. Short Message Service alerts may serve as a tool to support self-management of patients. Therefore, the SMS-IVR intervention may increase the feeling of having control over one's life. Trail registration Netherlands Trial Register (NTR: NTR2739

  11. Efficacy of two cannabis based medicinal extracts for relief of central neuropathic pain from brachial plexus avulsion: results of a randomised controlled trial.

    Science.gov (United States)

    Berman, Jonathan S; Symonds, Catherine; Birch, Rolfe

    2004-12-01

    The objective was to investigate the effectiveness of cannabis-based medicines for treatment of chronic pain associated with brachial plexus root avulsion. This condition is an excellent human model of central neuropathic pain as it represents an unusually homogenous group in terms of anatomical location of injury, pain descriptions and patient demographics. Forty-eight patients with at least one avulsed root and baseline pain score of four or more on an 11-point ordinate scale participated in a randomised, double-blind, placebo-controlled, three period crossover study. All patients had intractable symptoms regardless of current analgesic therapy. Patients entered a baseline period of 2 weeks, followed by three, 2-week treatment periods during each of which they received one of three oromucosal spray preparations. These were placebo and two whole plant extracts of Cannabis sativa L.: GW-1000-02 (Sativex), containing Delta(9)tetrahydrocannabinol (THC):cannabidiol (CBD) in an approximate 1:1 ratio and GW-2000-02, containing primarily THC. The primary outcome measure was the mean pain severity score during the last 7 days of treatment. Secondary outcome measures included pain related quality of life assessments. The primary outcome measure failed to fall by the two points defined in our hypothesis. However, both this measure and measures of sleep showed statistically significant improvements. The study medications were generally well tolerated with the majority of adverse events, including intoxication type reactions, being mild to moderate in severity and resolving spontaneously. Studies of longer duration in neuropathic pain are required to confirm a clinically relevant, improvement in the treatment of this condition. PMID:15561385

  12. Development of a non-expert risk assessment method for hand-arm related tasks (HARM)

    NARCIS (Netherlands)

    Douwes, M.; Kraker, H. de

    2014-01-01

    To support health and safety practitioners in their obligation of risk assessment the 'Hand Arm Risk Assessment Method' (HARM) was developed. This tool can be used by any type of company for risk assessment of developing arm, neck or shoulders symptoms (pain) resulting from light manual tasks.This p

  13. The Influence of Arm Swelling Duration on Shoulder Pathology in Breast Cancer Patients with Lymphedema

    OpenAIRE

    Dae-Hyun Jang; Min-Wook Kim; Se-Jeong Oh; Jae Min Kim

    2015-01-01

    Purpose To evaluate the pathological effect of the duration of arm swelling on the shoulder pathology in patients with breast cancer-related lymphedema. Methods Forty seven breast cancer patients with unilateral arm lymphedema were assessed. The duration of the arm swelling and shoulder pain were recorded. Ultrasound examination of the shoulder joint was performed in all patients to detect any lesions. Results Abnormalities were detected by ultrasound in 41/47 (87.2%) study participants. Suba...

  14. Pain relief can be painful

    Directory of Open Access Journals (Sweden)

    Ashish Bindra

    2015-01-01

    Full Text Available Mandibular nerve block is periodically used procedure used to treat neuralgic pain in the distribution of trigeminal nerve. It is a commonly performed block in outpatient settings at our institute. We present a case of an elderly edentulous patient with trigeminal neuralgia who suffered recurrent temporomandibular joint (TMJ dislocation following mandibular nerve block. The patient presented with complaints of severe pain, inability to close mouth, and eat food since 2 days. Anterior closed reduction of TMJ resulted in reduction of joint and immediate pain relief. However, the maneuver failed due to recurrent dislocation of the joint. A Barton dressing was applied to prevent another dislocation. This was followed by autologous blood injection into the joint. This case focuses on the preponderance of clinical evaluation and accentuates the need for additional forethought to be taken during pain procedures, particularly in the geriatric population.

  15. [Myofascial pain syndrome--fascial muscle pain].

    Science.gov (United States)

    Partanen, Juhani; Ojala, Tuula; Arokoski, Jari P A

    2010-01-01

    Symptoms of myofascial pain syndrome, i.e. fascial muscle pain may occur in several areas of the body, particularly in the neck-shoulder region. The muscle pain symptom in the neck-shoulder region is commonly termed tension neck pain or nonspecific neck pain, but myofascial pain syndrome can also be distinguished into its own diagnosis. This review deals with the clinical picture of myofascial pain syndrome along with pathophysiological hypotheses and treatment options.

  16. Lower back pain in physically demanding college academic programs: a questionnaire based study

    Directory of Open Access Journals (Sweden)

    Donncha Ciarán

    2007-07-01

    Full Text Available Abstract Background Lower back pain (LBP is ranked first as a cause of disability and inability to work, and is expected to affect up to 90% of the worlds population at some point in their lifetime. The annual first time incidence of LBP is 5%, and the annual prevalence (i.e. those suffering at time of questioning is between 15 and 63%. Prospective studies demonstrate that low back problems do not display a six-week spontaneous recovery pattern, as was once believed. The condition is regularly seen to worsen over time, becoming a chronic disorder, influenced by both physical and psychosocial factors. Methods The current study assessed the level of LBP amongst students engaged in educational programs that were physically demanding, and its influence on lower back problems. A 1-year retrospective questionnaire consisting of 37 closed, open and multi-choice questions was designed to ascertain self-reported information on the occurrence, cause and type of LBP. Treatment, care seeking and general knowledge regarding LBP were also recorded. Students were enrolled in BSc Equine Science, BSc Physical Education and BSc Sports & Exercise Science degree programs and a total number of 188 valid questionnaires were collected. Results The self reported, anthropometrical data for participants in this study are: age 20.9 ± 2.7 yrs; height 171.8 ± 9.3 cm; weight 66.7 ± 10.4 kg; female 64% (n = 120, male 36% (n = 68. The overall self reported prevalence of LBP was 32% (n = 61. Within the LBP population, 77% reported their problem as recurring. Two factors showed significance as having an influence on LBP. They were age (21.6 ± 3.5 yrs, p = 0.005 and hours of personal training physical activity (14.0 ± 8.2 hrs per week, p = 0.02. LBP sufferers also displayed poor management of their condition and an interest in education and treatment of their problem. Conclusion The current study revealed high prevalence of LBP consistent with that of the literature, and

  17. Time to gain trust and change—Experiences of attachment and mindfulness-based cognitive therapy among patients with chronic pain and psychiatric co-morbidity

    Directory of Open Access Journals (Sweden)

    Birgitta Peilot

    2014-08-01

    Full Text Available The treatment of patients with chronic pain disorders is complex. In the rehabilitation of these patients, coping with chronic pain is seen as important. The aim of this study was to explore the meaning of attachment and mindfulness-based cognitive therapy (CT among patients with chronic pain and psychiatric co-morbidity. A phenomenological approach within a lifeworld perspective was used. In total, 10 patients were interviewed after completion of 7- to 13-month therapy. The findings reveal that the therapy and the process of interaction with the therapist were meaningful for the patients’ well-being and for a better management of pain. During the therapy, the patients were able to initiate a movement of change. Thus, CT with focus on attachment and mindfulness seems to be of value for these patients. The therapy used in this study was adjusted to the patients’ special needs, and a trained psychotherapist with a special knowledge of patients with chronic pain might be required.

  18. A randomized controlled trial of an Internet-based cognitive-behavioural intervention for non-specific chronic pain : An effectiveness and cost-effectiveness study

    NARCIS (Netherlands)

    de Boer, M.J.; Versteegen, G. J.; Vermeulen, K. M.; Sanderman, R.; Struys, M. M.

    2014-01-01

    BACKGROUND: Cognitive-behavioural treatment can nowadays be delivered through the Internet. This form of treatment can have various advantages with regard to availability and accessibility. Previous studies showed that Internet-based treatment for chronic pain is effective compared to waiting-list c

  19. Hip and knee strength is not affected in 12-16 year old adolescents with patellofemoral pain - a cross-sectional population-based study

    DEFF Research Database (Denmark)

    Rathleff, Camilla Rams; Baird, William Neill; Olesen, Jens Lykkegaard;

    2013-01-01

    One of the rationales behind using strength training in the treatment of adolescents with Patellofemoral Pain (PFP) is that reduced strength of the lower extremity is a risk factor for PFP and a common deficit. This rationale is based on research conducted on adolescents >15 years of age but has...

  20. 基于ARM温度检测系统设计%The Design of Temperature Measuring System Based on ARM

    Institute of Scientific and Technical Information of China (English)

    王双友

    2012-01-01

      本设计以ARM S3C2410为核心的温度检测系统。温度数据由温度芯片DS18B20采集,并以数字信号的方式传送给S3C2410处理芯片。详细论述了该系统的硬件组成和软件设计,实验证明本设计提高了系统的稳定性和可靠性。%  It gives a new type of Temperature Measuring System equipped with Samsung S3C2410. Chip DS18B20 is responsible for collecting temperature data, which was transmitted to the chip of S3C2410 in the way of digital signal. The hardware composition and software design of the system were discussed in detail. The experimental results indicate that the design improves the system stability and reliability.