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Sample records for cephalic containtment orthosis

  1. Cephalic Disorders

    Science.gov (United States)

    ... may be caused by a disturbance in the proliferation of nerve cells. Micrencephaly may also be associated with maternal problems ... as cephalic disorders. Understanding how genes control brain cell migration, proliferation, differentiation, and death, and how radiation, drugs, toxins, ...

  2. Active Elbow Orthosis

    Directory of Open Access Journals (Sweden)

    Tomas Ripel

    2014-09-01

    Full Text Available This paper presents a novel approach to the design of a motorized rehabilitation device – active elbow orthosis (AEO – inspired by the principles of robotic exoskeletons. The device is currently designed for the elbow joint, but can be easily modified for other joints as well. AEO determines the motion activity of the patient using a strain gauge and utilizes this measurement to control the actuator that drives the forearm part of the orthosis. Patient activity level is related to a free arm measurement obtained via a calibration procedure prior to the exercise. A high-level control module offers several types of exercises mimicking the physiotherapist. The device was successfully verified by tests on a number of patients, resulting in extended range of elbow-joint motion.

  3. Cephalic vein aneurysm.

    Science.gov (United States)

    Faraj, Walid; Selmo, Francesca; Hindi, Mia; Haddad, Fadi; Khalil, Ismail

    2007-11-01

    Cephalic vein aneurysms are rare malformations that may develop in any part of the vascular system, and their history, presentation, and management vary depending on their site. The etiology of venous aneurysms remains unclear, although several theories have been elaborated. Venous aneurysms are unusual vascular malformations that occur equally between the sexes and are seen at any age; they can present as either a painful or a painless subcutaneous mass. No serious complications have been reported from upper extremity venous aneurysms. Surgical excision is the definitive management for most of these. The case reported here presented with a painless and mobile, soft, subcutaneous mass that caused only cosmetic concern.

  4. Benign cephalic histiocytosis.

    Science.gov (United States)

    Gianotti, F; Caputo, R; Ermacora, E; Gianni, E

    1986-09-01

    Benign cephalic histiocytosis is a self-healing non-X, nonlipid cutaneous histiocytosis of children, characterized by a papular eruption on the head. Mucous membranes and viscera are always spared. In the 13 cases reported herein, the children were otherwise in good general health. The disease appeared during the first three years of life, and spontaneous regression was complete by the age of nine years in the four cases healed to date. The histiocytic infiltrate was localized in the upper and middle dermis and contained no lipids at any stage of evolution. All the histiocytes contained coated vesicles, and 5% to 30% also contained comma-shaped bodies in their cytoplasm.

  5. Cephalic aura after frontal lobe resection.

    Science.gov (United States)

    Kakisaka, Yosuke; Jehi, Lara; Alkawadri, Rafeed; Wang, Zhong I; Enatsu, Rei; Mosher, John C; Dubarry, Anne-Sophie; Alexopoulos, Andreas V; Burgess, Richard C

    2014-08-01

    A cephalic aura is a common sensory aura typically seen in frontal lobe epilepsy. The generation mechanism of cephalic aura is not fully understood. It is hypothesized that to generate a cephalic aura extensive cortical areas need to be excited. We report a patient who started to have cephalic aura after right frontal lobe resection. Magnetoencephalography (MEG) showed interictal spike and ictal change during cephalic aura, both of which were distributed in the right frontal region, and the latter involved much more widespread areas than the former on MEG sensors. The peculiar seizure onset pattern may indicate that surgical modification of the epileptic network was related to the appearance of cephalic aura. We hypothesize that generation of cephalic aura may be associated with more extensive cortical involvement of epileptic activity than that of interictal activity, in at least a subset of cases.

  6. Plagiocephaly and brachycephaly treatment with cranial orthosis: a case report.

    Science.gov (United States)

    Schreen, Gerd; Matarazzo, Carolina Gomes

    2013-01-01

    The number of cranial deformities has increased considerably since international efforts of pediatricians to recommend parents putting their babies to sleep in the supine position as a strategy to reduce sudden death syndrome of the newborn. On the one hand, this program has demonstrated very efficient results at reducing deaths and, on the other hand, such recommendation has increased the incidence of cranial asymmetries. In addition, infants are kept too long in one position, much of this due to abusive use of strollers, baby carriers, car seats, swings and other devices. Among resulting asymmetries, the most frequently found are plagiocephaly (parallelogram shaped skull, with posterior unilateral flattening with the opposite frontal area also flattened) and brachycephaly (occipital bilateral flattening). The present study is a case report of a patient with brachycephaly associated with deformational plagiocephaly treated with cranial orthosis. The same physician clinically evaluated the patient before and after treatment using photographic recording and a laser scanning device, which allows the accurate measurement of variables determining asymmetries. It became clear during treatment that there was significant improvement in cranial symmetry documented by decrease in the cephalic index, diagonal difference and volume gain in the quadrant that was flattened. The authors conclude that orthotic therapy is a safe and effective therapeutic modality for position cranial asymmetries. PMID:23579755

  7. AN ULTRASONOGRAPHIC EVALUATION OF FOETAL CEPHALIC INDEX

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    Nagesh

    2016-05-01

    Full Text Available Cephalic index is the ratio of head’s breadth to length, which reflects the cranial dimensions and is an important parameter in anthropometry. Cephalic index is also known as cranial index and was defined by Swedish professor of anatomy Anders Retzius. It is useful to differentiate different types of crania belonging to different races, gender, age, geographical zones, tradition and nutrition, etc. AIMS To estimate foetal cephalic index by ultrasonography, to classify foetal heads as per international categories and to know the frequent head types in second and third trimesters of pregnancy. MATERIAL AND METHODS This prospective cross-sectional study included 100 normal singleton pregnant women with foetuses in the duration 12 to 40 weeks of gestational age. By ultrasonography, foetal head breadth and length was measured. Cephalic index was calculated by Breadth/Length X 100 and all the heads were classified as per international categories. RESULTS Of the total 100 foetal heads in the gestational age of 12 to 40 weeks, the mean cephalic index was 78.95±03.01. Mean biparietal diameter was 68.04±22.26. Mean occipitofrontal diameter was 86.38±28.61. According to cephalic index value 51% mesocephalic, 38% brachycephalic, 10% dolichocephalic and 1% hyperbrachycephalic heads were noticed. A mean cephalic index of 80 at 12-16 weeks, 78.48 at 36-40 weeks and a constant cephalic index of 78 to 79 was observed between 16-36 weeks. CONCLUSIONS The mean cephalic index in the present study was 78.95 and is of mesocephalic phenotype in our study. It is the most frequent head type noticed. A linear correlation was observed between gestational age versus biparietal diameter and occipitofrontal diameter. No linear relationship was seen between gestational age and cephalic index. Brachycephalic heads at 12-16 weeks, mesocephalic heads at 36-40 weeks and a constant cephalic index of 78 to 79 was noticed from 16 to 36 weeks of gestation.

  8. Development of Active Orthosis for Lumbago Relief- Improvement of Pneumatic Textile Actuator for Orthosis

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    Fujimoto Shinsaku

    2016-01-01

    Full Text Available It is important to develop the orthosis which improves the Quality of Life (QOL and maintains health conditions. As one of the treatment methods done to lumbago(low back pain, the waist fixation method with the spinal brace or the orthosis is prescribed. A waist active orthosis implemented with pneumatic flexible actuators have been developed. However, several problems of the previous actuator were that the strain and the generated force were small for the orthosis.Thus, this paper proposesthe improved actuator for the orthosis. Theimproved actuator is modeled and the reliability of static and dynamic model is validated through experiment. As a result, it was confirmed that the improved actuator had the strain of 2 times and the generated force of 1.3 times, in comparison with the previous actuator. And the dynamic model including volume of actuatorcould be represented by a second-order form with a dead time.

  9. Cephalic Tetanus from Penetrating Orbital Wound

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    Eloïse Guyennet

    2009-01-01

    Full Text Available Tetanus is a neurologic disorder caused by tetanospasmin, a protein toxin elaborated by Clostridium tetani. Cephalic tetanus is a localized form of the disease causing trismus and dysfunction of cranial nerves. We report the case of a man who presented with facial trauma, complete ophthalmoplegia, exophthalmos, areactive mydriasis, and periorbital hematoma. An orbital CT revealed air bubbles in the right orbital apex. The patient was given a tetanus toxoid booster and antibiotherapy. After extraction of a wooden foreign body, the patient developed right facial nerve palsy, disorders of swallowing, contralateral III cranial nerve palsy, and trismus. Only one case of cephalic tetanus from penetrating orbital wound has been reported in literature 20 years ago. When a patient presents with an orbital wound with ophthalmoplegia and signs of anaerobic infection, cephalic tetanus should be ruled out.

  10. Benign cephalic histiocytosis: report of four cases.

    Science.gov (United States)

    de Luna, M L; Glikin, I; Golberg, J; Stringa, S; Schroh, R; Casas, J

    1989-09-01

    We cared for four patients with benign cephalic histiocytosis, a self-healing non-X, nonlipid cutaneous histiocytosis of children. The age of onset of the disease was 5 to 9 months, with papules and erythematous macules involving the head (mainly the cheeks), and posterior spread to the trunk and limbs in three patients. Microscopic examination of skin biopsies revealed a histiocytic infiltrate in the superficial dermis that was S100 protein-negative by immunoperoxidase (PAP method). One patient showed comma-shaped bodies and desmosomelike junctions on electron microscopy. No Birbeck's granules were present. Benign cephalic histiocytosis is a self-limiting condition that requires no treatment.

  11. Cephalic veins in coronary artery bypass surgery

    DEFF Research Database (Denmark)

    Licht, P; Jakobsen, Erik; Lerbjerg, G;

    1996-01-01

    Various alternative conduits for aortocoronary bypass grafting have been suggested when the saphenous vein quality is inadequate. During a 10-year period we have used the cephalic vein in 39 patients. Eighteen entered an angiographic follow-up study. A total of 31 arm vein grafts were used with 4...

  12. Pancreatico-gastric Anastomosis Following Cephalic Duodenopancreatectomy: New Perspectives

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    Tudor A

    2015-09-01

    Full Text Available Introduction. Although in recent years there have been various versions of pancreatic - digestive reconstruction after cephalic duodenopancreatectomy, this issue is still highly debated.

  13. Development and evaluation of prefabricated antipronation foot orthosis

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    Rachel Majumdar, BSc (Hons

    2014-02-01

    Full Text Available Our aim was to develop and evaluate a new antipronation foot orthosis that addressed problems perceived by clinicians and users with existing foot orthoses. Clinicians and users were engaged to develop a user specification for the orthosis, and orthotic geometry and materials were developed using clinical reasoning. The orthotic material properties were tested and the ability of the orthosis to reduce foot pronation evaluated on 27 individuals. Clinicians expressed concern that current prefabricated orthoses often did not offer sufficient support to the foot because of a combination of the shape and materials used, and users concurred but also highlighted issues of durability and hygiene. The geometry of the new orthosis was, therefore, adjusted to enable individual foot size orthoses to be produced. A material was selected that was harder and more durable than materials used in many prefabricated orthoses. When the new orthosis was being worn, maximum rearfoot eversion was reduced in both walking (mean reduction −3.8 degrees, p < 0.001 and running (mean reduction −2.5 degrees, p < 0.001. Through a structured process, orthotic design decisions were made that addressed the specific concerns of clinicians and users and the new orthosis was proven to reduce rearfoot pronation.

  14. Cephalic phase responses to sweet taste.

    Science.gov (United States)

    Abdallah, L; Chabert, M; Louis-Sylvestre, J

    1997-03-01

    The sweet taste of nonnutritive sweeteners has been reported to increase hunger and food intake through the mechanism of cephalic-phase insulin release (CPIR). We investigated the effect of oral sensation of sweetness on CPIR and other indexes associated with glucose metabolism using nutritive and nonnutritive sweetened tablets as stimuli. At lunchtime, 12 normal-weight men sucked for 5 min a sucrose, an aspartame-polydextrose, or an unsweetened polydextrose tablet (3 g) with no added flavor. The three stimuli were administered in a counterbalanced order, each on a separate day at 1-wk intervals. Blood was drawn continuously for 45 min before and 25 min after the beginning of sucking and samples were collected at 1-min intervals. Spontaneous oscillations in glucose, insulin, and glucagon concentrations were assessed as were increments (slopes) of fatty acid concentrations during the baseline period. The nature of the baseline (oscillations: glucose, insulin, and glucagon; and slopes: fatty acids) was taken into account in the analyses of postexposure events. No CPIR and no significant effect on plasma glucagon or fatty acid concentrations were observed after the three stimuli. However, there was a significant decrease in plasma glucose and insulin after all three stimuli. Only the consumption of the sucrose tablet was followed by a postabsorptive increase in plasma glucose and insulin concentrations starting 17 and 19 min, respectively, after the beginning of sucking. In conclusion, this study suggested that oral stimulation provided by sweet nonflavored tablets is not sufficient for inducing CPIR. PMID:9062523

  15. Voluntary driven elbow orthosis with speed controlled tremor suppression

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    Gil eHerrnstadt

    2016-03-01

    Full Text Available Robotic technology is gradually becoming commonplace in the medical sector and in the service of patients. Medical conditions that have benefited from significant technological development include stroke, for which rehabilitation with robotic devices is administered, and surgery assisted by robots. Robotic devices have also been proposed for assistance of movement disorders. Pathological tremor, among the most common movement disorders, is such one example. In practice, the dissemination and availability of tremor suppression robotic systems has been limited. Devices in the marketplace tend to either be non-ambulatory or to target specific functions such as eating and drinking.We have developed a one degree-of-freedom (DOF elbow orthosis that could be worn by an individual with tremor. A speed controlled voluntary driven suppression approach is implemented with the orthosis. Typically tremor suppression methods estimate the tremor component of the signal and produce a canceling counterpart signal. The suggested approach, instead estimates the voluntary component of the motion. A controller then actuates the orthosis based on the voluntary signal while simultaneously rejecting the tremorous motion.In this work, we tested the suppressive orthosis using a 1 DOF robotic system that simulates the human arm. The suggested suppression approach does not require a model of the human arm. Moreover, the human input along with the orthosis forearm gravitational forces, of nonlinear nature, are considered as part of the disturbance to the suppression system. Therefore, the suppression system can be modeled linearly. Nevertheless, the orthosis forearm gravitational forces can be compensated by the suppression system.The electromechanical design of the orthosis is presented, and data from an Essential Tremor patient is used as the human input. Velocity tracking results demonstrate an RMS error of 0.31 rad/s, and a power spectral density shows a reduction of

  16. A Convertible Spinal Orthosis for Controlled Torso Rigidity

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    Nicole I. Kern

    2013-01-01

    Full Text Available A traditional spinal orthosis in conjunction with a hip-knee-ankle-foot orthosis (HKAFO improves posture in persons with paraplegia during standing and walking. It also limits the wearer's range of motion when worn during other activities, such as vehicle transfer or sitting and reaching for objects. In order to regain full torso flexibility the user would need to remove the spinal orthosis which can be arduous and time consuming. A Convertible Spinal Orthosis (CSO that allows the user to switch between Locked rigid torso support and Unlocked free motion has been designed, fabricated and tested. It shows promise for increasing functionality, wear time and subject comfort. Analysis of movement has been performed with an able-bodied and a paraplegic subject wearing a rigid spinal orthosis, the CSO in both states, and without any bracing. Configuration state had the most impact on lateral bending. Mean values for the paraplegic subject of 27°, 38°, 48°, and 48° and for the able-bodied subject of 22°, 26°, 48°, and 45° were found for lateral bending of the upper torso relative to the thighs in the Rigid, Locked, Unlocked, and No-Brace states, respectively.

  17. Theory analysis and structure optimization design of powered gait orthosis

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    Meng Ning

    2016-03-01

    Full Text Available Patients suffering from paraplegia are special disabled groups in society. In order to help them with lower-limb rehabilitation, a kind of power-assisted gait orthosis is designed. In consideration of the crutches that are rather necessary to keep balance when walking, the effects of crutches on analysis of mechanism cannot be ignored. Based on the gait characteristics, this gait orthosis mechanism is designed, of which the structure is optimized by genetic algorithm and the dynamical model is generated. The periodic movement of hip joints, knee joints, and ankle joints in corrected gait are achieved and the torque can be transferred to the driving force of the back motor and the pushrod according to the orthosis structure. Finally, a verification test shows this design is reasonable and practical.

  18. CEPHALIC INDEX IN NEWBORNS: THE EFFECT OF HEREDITY AND SEX

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    Aprajita

    2016-01-01

    Full Text Available Anthropometric dimensions are the basis of evaluation of health of new-borns. MATERIALS AND METHOD Head length and Head Width of three hundred sixty normal new-borns (180 male and 180 female belonging to three different endogamous groups, i.e. Jat Sikhs, Banias and Majhbi Sikhs were recorded and Cephalic Index was calculated. RESULTS The difference in mean Cephalic index was found to be highly significant in the three endogamous groups (p<0.001, whereas it was just significant in males and females. CONCLUSION Cephalic index varies with heredity and also shows sexual dimorphism. This variation can be used in forensic practice for identification of skeletal remains. It is also useful in plastic surgery, facial reconstruction, pediatrics, oral surgery, dentistry and various other craniofacial surgeries.

  19. Cephalic sensorial pores in galaxiid fishes from Chile (Osmeriformes: Galaxiidae

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    Sylvia Sáez

    2014-11-01

    Full Text Available The number and arrangement of the cephalic pores of the lateral line in Chilean fishes of the family Galaxiidae, were studied. The study showed that Brachygalaxias differs from Galaxias, in the absence of mandibular pores and in pore number reductions in the preopeopercular series. The most important variations were recorded in Galaxias globiceps and G. platei. The former species differed from the other species in the absence of a pore in the preopercular series, while in G. platei the supraorbital pore situated behind the eye was the main distinctive feature observed, in contrast to the upper position observed in the other species studied. A taxonomic key using cephalic sensory pores is proposed. These results indicate that the cephalic sensorial pores of the lateral line are a useful taxonomic character in the improvement of the diagnosis of galaxiid fishes -and in taxonomic and systematic studies among family Galaxiidae members.

  20. Indeterminate cell histiocytosis that presented clinically as benign cephalic histiocytosis.

    Science.gov (United States)

    Haimovic, Adele; Chernoff, Karen; Hale, Christopher S; Meehan, Shane A; Schaffer, Julie V

    2014-12-16

    Indeterminate cell histiocytosis (ICH) is a rare, heterogeneous disorder that is characterized by immunophenotypic features of both Langerhans cell histiocytosis (LCH) and non-LCH. We describe a 12-month-old boy with a four-month history of asymptomatic, small, pink-tan papules on his face. Histopathologic evaluation showed a superficial, dermal infiltrate of histiocytes that was positive for S100, CD1a, CD68, and Factor XIIIa. To our knowledge, this represents the first report of the clinical presentation of benign cephalic histiocytosis with immunohistochemical findings of ICH. We review the classification of histiocytic disorders and the clinical and immunohistochemical features of both ICH and benign cephalic histiocytosis.

  1. Radiotherapy of the cephalic segment in patients with advanced neuroblastoma

    International Nuclear Information System (INIS)

    Although the treatment results have significantly improved for several pediatric malignant neoplasms, particularly Wilms's tumor, lymphomas and leukemia, in the last decade, the prognosis of the INSS, stage 4 neuroblastoma over one year one old patients remains poor. Even for the more advanced centers, using the more aggressive treatment schedules, such as bone marrow transplantation, the probability of a 2 year progression free interval varies from 6 to 50% and at 3 to 6 years, from 13 to 54%. Thereby, at least, 46 to 94% of these patients are expected to die due to the merciless neoplasm progression. The hypothesis here to be tested is regarding the impact of the cephalic irradiation on the outcome of stage 4 patients with skull metastasis at diagnosis. The end point was to establish, under the NEURO-III-85 protocol chemotherapy schedule, the possible benefit of this radiotherapy in preventing the cephalic recurrence, and its reflex on these patients total and diseases free survival. These results disclosed that the cephalic segment irradiation may prevent recurrences at this site. Unfortunately, the decrease in the cranial recurrence frequency did not affect either the disease free interval, or the total survival. The conclusion was that cephalic irradiation have the potential of avoiding these recurrences, without modifying the final outcome. This modality of radiotherapy must be reevaluated under more effective systemic treatments. (author)

  2. Cephalic phase metabolic responses in normal weight adults.

    Science.gov (United States)

    Bruce, D G; Storlien, L H; Furler, S M; Chisholm, D J

    1987-08-01

    The presence and physiologic importance of cephalic phase insulin release in humans remains controversial. The aim of these studies was to determine whether cephalic phase insulin release could be demonstrated in normal weight subjects and whether it would be associated with changes in blood glucose, free fatty acid, and pancreatic polypeptide levels. The studies were followed by a hyperglycemic clamp to determine whether cephalic responses would alter overall glucose disposal or glucose-stimulated insulin secretion. In all, 17 subjects were studied on two occasions with and without (control study) presentation of food stimuli. Tease-feeding alone (n = 6), or the administration of a sweet taste alone (aspartame, n = 5) failed to stimulate cephalic responses. However, the presentation of the combined stimuli (tease meals plus sweet taste, n = 7) resulted in a significant fall (P less than .005) in blood glucose levels and a variable rise in serum insulin (% insulin rise 38 +/- 15%, P less than .05) and C-peptide levels (7 +/- 6%, NS) within five minutes of the food presentation when compared with control studies, with no change seen in free fatty acid or pancreatic polypeptide levels. The blood glucose fall correlated strongly (r = .90, P less than .01) with a score of the subjective response to the food and taste.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:3298939

  3. Mimetic orthosis for lower limbs to be applied on rehabilitation for hemiplegic persons

    OpenAIRE

    P.S. Luna; E. Cardiel; R. Muñoz; Urrutia, R.; Villanueva, D.; P.R.Hernández

    2008-01-01

    A rehabilitation tool based on an innovative mimetic active orthosis for hemiplegics is presented. It follows concepts of neuronal learning from afferent information from movements, similar to those lost after brain damage. An artificial gait pattern is applied on knee and hip articulations of a functional modified limb by using an exoskeleton powered by pneumatic muscles. Key Words: Key Words: Key Words: Key Words: Key Words: Active orthosis, mimetic orthosis, gait rehabilitation.

  4. A Powered Lower Limb Orthosis for Providing Legged Mobility in Paraplegic Individuals

    OpenAIRE

    Quintero, Hugo A.; Farris, Ryan J.; Hartigan, Clare; Clesson, Ismari; Goldfarb, Michael

    2011-01-01

    This paper presents preliminary results on the development of a powered lower limb orthosis intended to provide legged mobility (with the use of a stability aid, such as forearm crutches) to paraplegic individuals. The orthosis contains electric motors at both hip and both knee joints, which in conjunction with ankle-foot orthoses, provides appropriate joint kinematics for legged locomotion. The paper describes the orthosis and the nature of the controller that enables the SCI patient to comm...

  5. Obesity-related complications in Danish single cephalic term pregnancies

    DEFF Research Database (Denmark)

    Rode, Line; Nilas, Lisbeth; Wøjdemann, Karen;

    2005-01-01

    OBJECTIVE: Our objective was to investigate the relationship between prepregnancy and obstetric body mass index (BMI) as well as fetal complications in a large, unselected cohort of Danish women with single cephalic pregnancies. METHODS: A cohort of 8,092 women from the Copenhagen First Trimester...... Study with a registered prepregnancy BMI and a single cephalic term delivery were stratified into 3 BMI groups: normal weight (BMI obese (BMI >/= 30 kg/m(2)). The effects of BMI and parity on the outcome were analyzed using multivariate logistic...... regression analyses. RESULTS: Overweight women had an odds ratio (OR) of 3.4 for diabetes, 1.9 for hypertension, 1.7 for preeclampsia, and 1.5 for cesarean delivery. The corresponding figures for obese women were 15.3, 4.8, 2.7, and 1.7, respectively. No relationship was found between BMI and vacuum...

  6. Classic metaphyseal lesion following external cephalic version and cesarean section.

    Science.gov (United States)

    Lysack, John T; Soboleski, Don

    2003-06-01

    We report a case of an otherwise healthy neonate diagnosed at birth with a classic metaphyseal lesion of the proximal tibia following external cephalic version for frank breech presentation and a subsequent urgent cesarean section. Although the classic metaphyseal lesion is considered highly specific for infant abuse, this case demonstrates the importance of obtaining a history of obstetric trauma for neonates presenting to the imaging department for suspected non-accidental injury. PMID:12709748

  7. Classic metaphyseal lesion following external cephalic version and cesarean section

    Energy Technology Data Exchange (ETDEWEB)

    Lysack, John T.; Soboleski, Don [Department of Diagnostic Radiology, Queen' s University, Kingston General Hospital, 76 Stuart Street, K7L 2V7, Kingston, Ont. (Canada)

    2003-06-01

    We report a case of an otherwise healthy neonate diagnosed at birth with a classic metaphyseal lesion of the proximal tibia following external cephalic version for frank breech presentation and a subsequent urgent cesarean section. Although the classic metaphyseal lesion is considered highly specific for infant abuse, this case demonstrates the importance of obtaining a history of obstetric trauma for neonates presenting to the imaging department for suspected non-accidental injury. (orig.)

  8. Plastazote abduction orthosis in the management of neonatal hip instability.

    Science.gov (United States)

    Eberle, Charles F

    2003-01-01

    Since 1987, 113 consecutive newborns with either Ortolani-positive or provocative-positive hip examinations in the newborn nursery have been treated with a Plastazote hip abduction orthosis when diagnosed and followed to determine if the method was safe, effective, and easy to use. Ortolani-positive hips often had bilateral abnormalities in the hip examination, were frequently associated with breech position, and were anatomically more dysplastic than those hips that were unstable by provocative testing. No patient developed ischemic necrosis during follow-up. Only two had additional treatment of their unstable hips. The rest had excellent results. Parents and caregivers found the device easy to use. The orthosis is recommended as the primary method for managing newborns with clinical instability to either the provocative or Ortolani test as being safe, effective, and easy to use across all skill levels. PMID:12960623

  9. A Motor Learning Oriented, Compliant and Mobile Gait Orthosis

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    A. Calanca

    2012-01-01

    Full Text Available People affected by Cerebral Palsy suffer from physical disabilities due to irreversible neural impairment since the very beginning of their life. Difficulties in motor control and coordination often relegate these patients to the use of a wheelchair and to the unavoidable upcoming of disuse syndromes. As pointed out in recent literature Damiano [7] physical exercise, especially in young ages, can have a deep impact on the patient health and quality of life. For training purposes is very important to keep an upright position, although in some severe cases this is not trivial. Many commercial mobile orthoses are designed to facilitate the standing, but not all the patients are able to deploy them. ARGO, the Active Reciprocated Gait Orthosis we developed, is a device that overcomes some of the limitations of these devices. It is an active device that is realized starting from a commercial reciprocated Gait Orthosis applying sensors and actuators to it. With ARGO we aim to develop a device for helping limbs in a non-coercive way accordingly to user’s intention. In this way patients can drive the orthosis by themselves, deploying augmented biofeedback over movements. In fact Cerebral Palsy patients usually have weak biofeedback mechanisms and consequently are hardly inclined to learn movements. To achieve this behavior ARGO deploys a torque planning algorithm and a force control system. Data collected from a single case of study shows benefits of the orthosis. We will show that our test patient reaches complete autonomous walking after few hour of training with prototype.

  10. FES-Assisted Walking with Spring Brake Orthosis: Simulation Studies

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    R. Jailani

    2011-01-01

    Full Text Available This paper presents a simulation of bipedal locomotion to generate stimulation pulses for activating muscles for paraplegic walking with wheel walker using functional electrical stimulation (FES with spring brake orthosis (SBO. A new methodology for paraplegic gait, based on exploiting natural dynamics of human gait, is introduced. The work is a first effort towards restoring natural like swing phase in paraplegic gait through a new hybrid orthosis, referred to as spring brake orthosis (SBO. This mechanism simplifies the control task and results in smooth motion and more-natural like trajectory produced by the flexion reflex for gait in spinal cord injured subjects. SBO can eliminate reliance on the withdrawal reflex and foot-ground clearance without extra upper body effort. The stored energy in the spring of SBO is used to replace stimulation pulses in knee flexion and reduce total required torque for the paraplegic walking with wheel walker. The study is carried out with a model of humanoid with wheel walker using the Visual Nastran (Vn4D dynamic simulation software. Stimulated muscle model of quadriceps is developed for knee extension. Fuzzy logic control (FLC is developed in Matlab/Simulink to regulate the muscle stimulation pulse-width required to drive FES-assisted walking gait and the computed motion is visualised in graphic animation from Vn4D. The simulation results show that SBO can be successfully used with FES for paraplegic walking with wheel walker with all the advantages discussed over the current hybrid orthoses available.

  11. Ambulation with the reciprocating-gait orthosis - Experience in 15 children with myelomeningocele or paraplegia

    NARCIS (Netherlands)

    GerritsmaBleeker, CLE; Heeg, M; VosNiel, H

    1997-01-01

    We reviewed 15 children with spina bifida or paraplegia who have used a reciprocating-gait orthosis between 1985 and 1995. All were nonfunctional ambulators. The level of the spinal lesions ranged from Th10 to L3. The mean age of fitting the orthosis was 5 years. 8 children have stopped using it at

  12. The morphology of the cephalic lobes and anterior pectoral fins in six species of batoids.

    Science.gov (United States)

    Mulvany, Samantha; Motta, Philip J

    2013-09-01

    Many benthic batoids utilize their pectoral fins for both undulatory locomotion and feeding. Certain derived, pelagic species of batoids possess cephalic lobes, which evolved from the anterior pectoral fins. These species utilize the pectoral fins for oscillatory locomotion while the cephalic lobes are used for feeding. The goal of this article was to compare the morphology of the cephalic lobes and anterior pectoral fins in species that possess and lack cephalic lobes. The skeletal elements (radials) of the cephalic lobes more closely resembled the radials in the pectoral fin of undulatory species. Second moment of area (I), calculated from cephalic lobe radial cross sections, and the number of joints revealed greater flexibility and resistance to bending in multiple directions as compared to pectoral fin radials of oscillatory species. The cephalic lobe musculature was more complex than the anterior pectoral fin musculature, with an additional muscle on the dorsal side, with fiber angles running obliquely to the radials. In Rhinoptera bonasus, a muscle presumably used to help elevate the cephalic lobes is described. Electrosensory pores were found on the cephalic lobes (except Mobula japonica) and anterior pectoral fins of undulatory swimmers, but absent from the anterior pectoral fins of oscillatory swimmers. Pore distributions were fairly uniform except in R. bonasus, which had higher pore numbers at the edges of the cephalic lobes. Overall, the cephalic lobes are unique in their anatomy but are more similar to the anterior pectoral fins of undulatory swimmers, having more flexibility and maneuverability compared to pectoral fins of oscillatory swimmers. The maneuverable cephalic lobes taking on the role of feeding may have allowed the switch to oscillatory locomotion and hence, a more pelagic lifestyle. PMID:23801572

  13. Implementation of the external cephalic version in breech delivery. Dutch national implementation study of external cephalic version

    Directory of Open Access Journals (Sweden)

    Papatsonis Dimitri N

    2010-05-01

    Full Text Available Abstract Background Breech presentation occurs in 3 to 4% of all term pregnancies. External cephalic version (ECV is proven effective to prevent vaginal breech deliveries and therefore it is recommended by clinical guidelines of the Royal Dutch Organisation for Midwives (KNOV and the Dutch Society for Obstetrics and Gynaecology (NVOG. Implementation of ECV does not exceed 50 to 60% and probably less. We aim to improve the implementation of ECV to decrease maternal and neonatal morbidity and mortality due to breech presentations. This will be done by defining barriers and facilitators of implementation of ECV in the Netherlands. An innovative implementation strategy will be developed based on improved patient counselling and thorough instructions of health care providers for counselling. Method/design The ultimate purpose of this implementation study is to improve counselling of pregnant women and information of clinicians to realize a better implementation of ECV. The first phase of the project is to detect the barriers and facilitators of ECV. The next step is to develop an implementation strategy to inform and counsel pregnant women with a breech presentation, and to inform and educate care providers. In the third phase, the effectiveness of the developed implementation strategy will be evaluated in a randomised trial. The study population is a random selection of midwives and gynaecologists from 60 to 100 hospitals and practices. Primary endpoints are number of counselled women. Secondary endpoints are process indicators, the amount of fetes in cephalic presentation at birth, complications due to ECV, the number of caesarean sections and perinatal condition of mother and child. Cost effectiveness of the implementation strategy will be measured. Discussion This study will provide evidence for the cost effectiveness of a structural implementation of external cephalic versions to reduce the number of breech presentations at term. Trial

  14. Prevalence, Outcome, and Women's Experiences of External Cephalic Version in a Low-Risk Population

    NARCIS (Netherlands)

    M. Rijnders; P. Offerhaus; P. Dommelen; T. Wiegers; S. Buitendijk

    2010-01-01

    Background: Until recently, external cephalic version to prevent breech presentation at birth was not widely accepted. The objective of our study was to assess the prevalence, outcomes, and women's experiences of external cephalic version to improve the implementation of the procedure in the Netherl

  15. Cephalic arch stenosis in autogenous brachiocephalic hemodialysis fistulas: results of cutting balloon angioplasty

    DEFF Research Database (Denmark)

    Heerwagen, Søren Thorup; Lönn, Lars; Schroeder, Torben V;

    2010-01-01

    Cephalic arch stenosis is a known cause of hemodialysis access failure in patients with brachiocephalic fistulas (BCFs). Outcomes of endovascular treatment are affected by resistance of the stenosis to balloon dilation, a high vein rupture rate and the development of early restenosis. The purpose...... of this retrospective study was to report outcomes after cutting balloon angioplasty (CBA) of cephalic arch stenosis....

  16. Embracing additive manufacture: implications for foot and ankle orthosis design

    Directory of Open Access Journals (Sweden)

    Telfer Scott

    2012-05-01

    Full Text Available Abstract Background The design of foot and ankle orthoses is currently limited by the methods used to fabricate the devices, particularly in terms of geometric freedom and potential to include innovative new features. Additive manufacturing (AM technologies, where objects are constructed via a series of sub-millimetre layers of a substrate material, may present the opportunity to overcome these limitations and allow novel devices to be produced that are highly personalised for the individual, both in terms of fit and functionality. Two novel devices, a foot orthosis (FO designed to include adjustable elements to relieve pressure at the metatarsal heads, and an ankle foot orthosis (AFO designed to have adjustable stiffness levels in the sagittal plane, were developed and fabricated using AM. The devices were then tested on a healthy participant to determine if the intended biomechanical modes of action were achieved. Results The adjustable, pressure relieving FO was found to be able to significantly reduce pressure under the targeted metatarsal heads. The AFO was shown to have distinct effects on ankle kinematics which could be varied by adjusting the stiffness level of the device. Conclusions The results presented here demonstrate the potential design freedom made available by AM, and suggest that it may allow novel personalised orthotic devices to be produced which are beyond the current state of the art.

  17. Successful External Cephalic Version: Factors Predicting Vaginal Birth

    Directory of Open Access Journals (Sweden)

    Pei Shan Lim

    2014-01-01

    Full Text Available Purpose. To determine the maternal and fetal outcomes of successful external cephalic version (ECV as well as factors predicting vaginal birth. Methods. The ECV data over a period of three years at Universiti Kebangsaan Malaysia Medical Centre (UKMMC between 1 September 2008 and 30 September 2010 was reviewed. Sixty-seven patients who had successful ECV were studied and reviewed for maternal, fetal, and labour outcomes. The control group comprised patients with cephalic singletons of matching parity who delivered following the index cases. Results. The mean gestational age at ECV was 263±6.52 days (37.5 weeks ± 6.52 days. Spontaneous labour and transient cardiotocographic (CTG changes were the commonest early adverse effects following ECV. The reversion rate was 7.46%. The mean gestational age at delivery of the two groups was significantly different (P=0.000 with 277.9±8.91 days and 269.9±9.68 days in the study group and control groups, respectively. The study group needed significantly more inductions of labour. They required more operative deliveries, had more blood loss at delivery, a higher incidence of meconium-stained liquor, and more cord around the neck. Previous flexed breeches had a threefold increase in caesarean section rate compared to previous extended breeches (44.1% versus 15.2%, P=0.010. On the contrary, an amniotic fluid index (AFI of 13 or more is significantly associated with a higher rate of vaginal birth (86.8% versus 48.3%, P=0.001. Conclusions. Patients with successful ECV were at higher risk of carrying the pregnancy beyond 40 weeks and needing induction of labour, with a higher rate of caesarean section and higher rates of obstetrics complications. Extended breech and AFI 13 or more were significantly more likely to deliver vaginally postsuccessful ECV. This additional information may be useful to caution a patient with breech that ECV does not bring them to behave exactly like a normal cephalic, so that they

  18. Neurogenesis of cephalic sensory organs of Aplysia californica

    DEFF Research Database (Denmark)

    Wollesen, Tim; Wanninger, Andreas; Klussmann-Kolb, Annette

    2007-01-01

    The opisthobranch gastropod Aplysia californica serves as a model organism in experimental neurobiology because of its simple and well-known nervous system. However, its nervous periphery has been less intensely studied. We have reconstructed the ontogeny of the cephalic sensory organs (labial...... microscopy to analyze the ciliary distribution of these sensory epithelia. Labial tentacles and the lip develop during metamorphosis, whereas rhinophores appear significantly later, in stage 10 juveniles. Our study has revealed immunoreactivity against FMRFamides and serotonin in all major nerves. The common...... labial nerve develops first, followed by the labial tentacle base nerve, oral nerve, and rhinophoral nerve. We have also identified previously undescribed neuronal pathways and other FMRFamide-like-immunoreactive neuronal elements, such as peripheral ganglia and glomerulus-like structures, and two groups...

  19. Obesity-related complications in Danish single cephalic term pregnancies

    DEFF Research Database (Denmark)

    Rode, Line; Nilas, Lisbeth; Wøjdemann, Karen;

    2005-01-01

    regression analyses. RESULTS: Overweight women had an odds ratio (OR) of 3.4 for diabetes, 1.9 for hypertension, 1.7 for preeclampsia, and 1.5 for cesarean delivery. The corresponding figures for obese women were 15.3, 4.8, 2.7, and 1.7, respectively. No relationship was found between BMI and vacuum...... Study with a registered prepregnancy BMI and a single cephalic term delivery were stratified into 3 BMI groups: normal weight (BMI obese (BMI >/= 30 kg/m(2)). The effects of BMI and parity on the outcome were analyzed using multivariate logistic...... extraction. Obese women had an increased risk of delivering macrosomic but also low birth weight children. No differences existed among the 3 weight groups with regard to neonatal morbidity estimated by Apgar score, umbilical cord pH, or admittance to a neonatal intensive care unit. Nulliparous women had...

  20. Wearing an active spinal orthosis improves back extensor strength in women with osteoporotic vertebral fractures

    DEFF Research Database (Denmark)

    Valentin, Gitte Hoff; Pedersen, Louise Nymann; Maribo, Thomas

    2014-01-01

    Background:Vertebral fractures are the most common clinical manifestations of osteoporosis. Vertebral fractures and reduced back extensor strength can result in hyperkyphosis. Hyperkyphosis is associated with diminished daily functioning and an increased risk of falling. Improvements in back...... strengthening exercises. It is essential that the orthosis is adjusted correctly and that there is an individual programme concerning the amount of time the orthosis has to be worn every day....

  1. Design and Evaluation of the AIRGAIT Exoskeleton: Leg Orthosis Control for Assistive Gait Rehabilitation

    Directory of Open Access Journals (Sweden)

    Mohd Azuwan Mat Dzahir

    2013-01-01

    Full Text Available This paper introduces the body weight support gait training system known as the AIRGAIT exoskeleton and delves into the design and evaluation of its leg orthosis control algorithm. The implementation of the mono- and biarticular pneumatic muscle actuators (PMAs as the actuation system was initiated to generate more power and precisely control the leg orthosis. This research proposes a simple paradigm for controlling the mono- and bi-articular actuator movements cocontractively by introducing a cocontraction model. Three tests were performed. The first test involved control of the orthosis with monoarticular actuators alone without a subject (WO/S; the second involved control of the orthosis with mono- and bi-articular actuators tested WO/S; and the third test involved control of the orthosis with mono- and bi-articular actuators tested with a subject (W/S. Full body weight support (BWS was implemented in this study during the test W/S as the load supported by the orthosis was at its maximum capacity. This assessment will optimize the control system strategy so that the system operates to its full capacity. The results revealed that the proposed control strategy was able to co-contractively actuate the mono- and bi-articular actuators simultaneously and increase stiffness at both hip and knee joints.

  2. Study about the ontogenetic development of cephalic sensory system of Cottus Gobio Linaeus 1758 (Pisces; Cottidae)

    OpenAIRE

    Ilie C. TELCEAN; SAS, István; Nicoleta R. RADU

    2005-01-01

    The lateral-cephalic channels system of Cotus gobio L. was studied for a number of 66 juveniles originated from the upper Tisa River. The topography of cephalic channels system and the number of their opening pores present a lot of similarities between different fishes groups that is close related in their phylogeny. The jointly characters are in fact the results of convergent evolution.The study on the ontogenesis of cephalic-laterals channels system and its pores at Cottus gobio can offer a...

  3. Design of a portable hydraulic ankle-foot orthosis.

    Science.gov (United States)

    Neubauer, Brett C; Nath, Jonathan; Durfee, William K

    2014-01-01

    Small-scale hydraulics is ideal for powered human assistive devices including powered ankle foot orthoses because a large torque can be generated with an actuator that is small and light. A portable hydraulic ankle foot orthosis has been designed and is undergoing preliminary prototyping and engineering bench test evaluation. The device provides 90 Nm of ankle torque and has an operating pressure of 138 bar (2,000 psi). The battery-operated hydraulic power supply weighs about 3 kg and is worn at the waist. The ankle component weighs about 1.2 Kg and connects to the power supply with two hoses. Performance simulation and preliminary bench testing suggests that the device could be useful in certain rehabilitation applications. PMID:25570175

  4. Design optimization of a magnetorheological brake in powered knee orthosis

    Science.gov (United States)

    Ma, Hao; Liao, Wei-Hsin

    2015-04-01

    Magneto-rheological (MR) fluids have been utilized in devices like orthoses and prostheses to generate controllable braking torque. In this paper, a flat shape rotary MR brake is designed for powered knee orthosis to provide adjustable resistance. Multiple disk structure with interior inner coil is adopted in the MR brake configuration. In order to increase the maximal magnetic flux, a novel internal structure design with smooth transition surface is proposed. Based on this design, a parameterized model of the MR brake is built for geometrical optimization. Multiple factors are considered in the optimization objective: braking torque, weight, and, particularly, average power consumption. The optimization is then performed with Finite Element Analysis (FEA), and the optimal design is obtained among the Pareto-optimal set considering the trade-offs in design objectives.

  5. Cephalic vein: Saviour in the microsurgical reconstruction of breast and head and neck cancers

    Directory of Open Access Journals (Sweden)

    Vinay K Shankhdhar

    2012-01-01

    Full Text Available Background: Reconstruction with microvascular free flaps is considered the reconstructive option of choice in cancer of the head and neck regions and breast. Rarely, there is paucity of vessels, especially the veins, at the recipient site. The cephalic vein with its good caliber and constant anatomy is a reliable recipient vein available in such situations. Materials and Methods: It is a retrospective study from January 2010 to July 2012 and includes 26 patients in whom cephalic vein was used for free-flap reconstruction in head and neck (3 cases and breast cancers (23 cases. Results: All flaps in which cephalic vein was used survived completely. Conclusion: Cephalic vein can be considered as a reliable source of venous drainage when there is a non-availability/unusable of veins during free-flap reconstruction in the head and neck region and breast and also when additional source of venous drainage is required in these cases.

  6. Performance of spinal cord injury individuals while standing with the Mohammad Taghi Karimi reciprocal gait orthosis (MTK-RGO)

    International Nuclear Information System (INIS)

    Most patients with spinal cord injury use a wheelchair to transfer from place to place, however they need to stand and walk with orthosis to improve their health status. Although many orthoses have been designed for paraplegic patients, they have experienced various problems while in use. A new type of reciprocal gait orthosis was designed in the Bioengineering Unit of Strathclyde University to solve the problems of the available orthoses. Since there was no research undertaken regarding testing of the new orthosis on paraplegic subjects, this study was aimed to evaluate the new orthosis during standing of paraplegic subjects. Five paraplegic patients with lesion level between T12 and L1 and aged matched normal subjects were recruited into this study. The stability of subjects was evaluated during quiet standing and while undertaking hand tasks during standing with the new orthosis and the knee ankle foot orthosis (KAFO). The difference between the performances of paraplegic subjects while standing with both orthoses, and between the function of normal and paraplegic subjects were compared using the paired t test and independent sample t test, respectively. The stability of paraplegic subjects in standing with the new orthosis was better than that of the KAFO orthosis (p < 0.05). Moreover, the force applied on the crutch differed between the orthoses. The functional performance of paraplegic subjects was better with the new orthosis compared with normal subjects. The performance of paraplegic subjects while standing with the new orthosis was better than the KAFO. Therefore, the new orthosis may be useful to improve standing and walking in patients with paraplegia.

  7. Voluntary-Driven Elbow Orthosis with Speed-Controlled Tremor Suppression.

    Science.gov (United States)

    Herrnstadt, Gil; Menon, Carlo

    2016-01-01

    Robotic technology is gradually becoming commonplace in the medical sector and in the service of patients. Medical conditions that have benefited from significant technological development include stroke, for which rehabilitation with robotic devices is administered, and surgery assisted by robots. Robotic devices have also been proposed for assistance of movement disorders. Pathological tremor, among the most common movement disorders, is one such example. In practice, the dissemination and availability of tremor suppression robotic systems has been limited. Devices in the marketplace tend to either be non-ambulatory or to target specific functions, such as eating and drinking. We have developed a one degree-of-freedom (DOF) elbow orthosis that could be worn by an individual with tremor. A speed-controlled, voluntary-driven suppression approach is implemented with the orthosis. Typically tremor suppression methods estimate the tremor component of the signal and produce a canceling counterpart signal. The suggested approach instead estimates the voluntary component of the motion. A controller then actuates the orthosis based on the voluntary signal, while simultaneously rejecting the tremorous motion. In this work, we tested the suppressive orthosis using a one DOF robotic system that simulates the human arm. The suggested suppression approach does not require a model of the human arm. Moreover, the human input along with the orthosis forearm gravitational forces, of non-linear nature, are considered as part of the disturbance to the suppression system. Therefore, the suppression system can be modeled linearly. Nevertheless, the orthosis forearm gravitational forces can be compensated by the suppression system. The electromechanical design of the orthosis is presented, and data from an essential tremor patient is used as the human input. Velocity tracking results demonstrate an RMS error of 0.31 rad/s, and a power spectral density shows a reduction of the tremor

  8. Cell shape change and invagination of the cephalic furrow involves reorganization of F-actin.

    Science.gov (United States)

    Spencer, Allison K; Siddiqui, Bilal A; Thomas, Jeffrey H

    2015-06-15

    Invagination of epithelial sheets to form furrows is a fundamental morphogenetic movement and is found in a variety of developmental events including gastrulation and vertebrate neural tube formation. The cephalic furrow is a deep epithelial invagination that forms during Drosophila gastrulation. In the first phase of cephalic furrow formation, the initiator cells that will lead invagination undergo apicobasal shortening and apical constriction in the absence of epithelial invagination. In the second phase of cephalic furrow formation, the epithelium starts to invaginate, accompanied by both basal expansion and continued apicobasal shortening of the initiator cells. The cells adjacent to the initiator cells also adopt wedge shapes, but only after invagination is well underway. Myosin II does not appear to drive apical constriction in cephalic furrow formation. However, cortical F-actin is increased in the apices of the initiator cells and in invaginating cells during both phases of cephalic furrow formation. These findings suggest that a novel mechanism for epithelial invagination is involved in cephalic furrow formation.

  9. The influence of the reciprocal hip joint link in the Advanced Reciprocating Gait Orthosis on standing performance in paraplegia

    NARCIS (Netherlands)

    Baardman, G.; IJzerman, M.J.; Hermens, H.J.; Veltink, P.H.; Boom, H.B.K.; Zilvold, G.

    1997-01-01

    The effect of reciprocally linking the hip hinges of a hip-knee-ankle-foot orthosis on standing performance was studied in a comparative trial of the Advanced Reciprocating Gait Orthosis (ARGO) and an ARGO in which the Bowden cable was removed (A_GO). Six male subjects with spinal cord injury (SCI)

  10. A pneumatically powered knee-ankle-foot orthosis (KAFO with myoelectric activation and inhibition

    Directory of Open Access Journals (Sweden)

    Ferris Daniel P

    2009-06-01

    Full Text Available Abstract Background The goal of this study was to test the mechanical performance of a prototype knee-ankle-foot orthosis (KAFO powered by artificial pneumatic muscles during human walking. We had previously built a powered ankle-foot orthosis (AFO and used it effectively in studies on human motor adaptation, locomotion energetics, and gait rehabilitation. Extending the previous AFO to a KAFO presented additional challenges related to the force-length properties of the artificial pneumatic muscles and the presence of multiple antagonistic artificial pneumatic muscle pairs. Methods Three healthy males were fitted with custom KAFOs equipped with artificial pneumatic muscles to power ankle plantar flexion/dorsiflexion and knee extension/flexion. Subjects walked over ground at 1.25 m/s under four conditions without extensive practice: 1 without wearing the orthosis, 2 wearing the orthosis with artificial muscles turned off, 3 wearing the orthosis activated under direct proportional myoelectric control, and 4 wearing the orthosis activated under proportional myoelectric control with flexor inhibition produced by leg extensor muscle activation. We collected joint kinematics, ground reaction forces, electromyography, and orthosis kinetics. Results The KAFO produced ~22%–33% of the peak knee flexor moment, ~15%–33% of the peak extensor moment, ~42%–46% of the peak plantar flexor moment, and ~83%–129% of the peak dorsiflexor moment during normal walking. With flexor inhibition produced by leg extensor muscle activation, ankle (Pearson r-value = 0.74 ± 0.04 and knee ( r = 0.95 ± 0.04 joint kinematic profiles were more similar to the without orthosis condition compared to when there was no flexor inhibition (r = 0.49 ± 0.13 for ankle, p = 0.05, and r = 0.90 ± 0.03 for knee, p = 0.17. Conclusion The proportional myoelectric control with flexor inhibition allowed for a more normal gait than direct proportional myoelectric control. The current

  11. Evaluation of safety and reliability in an infant reciprocal walking orthosis.

    Science.gov (United States)

    Miller, K; Woollam, P J; Jones, N; Poiner, R; Farmer, I R; Stallard, J

    2002-08-01

    In response to new demands for infant walking orthoses consideration was given to the development of a device for this category of patient. A specially developed hip joint with the required structural properties (Woollam et al., 2001) provided an opportunity for this development. Earlier structural assessment, and limited cyclic load testing of key elements of the orthosis (primarily the body brace), confirmed that a safe device for evaluation with patients could, theoretically, be produced. A provisional prototype was therefore designed and manufactured for initial structural testing of the complete infant orthosis (Stallard et al., 2001). Efficiency of walking is strongly influenced by the lateral rigidity of the orthosis. Monitoring the structural performance of the provisional infant design indicated it would equal or improve on the stiffness of that achieved in the adult specification. Additionally, relative strength was comparable with the adult version, which has proven to be safe and reliable in many years of routine prescription. This, together with the limited cyclic testing of the complete orthosis (Stallard et al., 2001), gave confidence that it was safe to proceed with controlled field evaluation of the infant design when supplied as a rehabilitation engineering device within the provisions of an ISO9001 and EN46001 QA System. This additional study of controlled patient use, and further representative cyclic load testing in parallel with the field evaluation, had established the long-term structural safety of the orthosis. Wider application is now to be introduced through completion of the EC (European Community) Medical Devices Directive formalities. PMID:12227452

  12. Cephalic arch stenosis in dialysis patients: review of clinical relevance, anatomy, current theories on etiology and management.

    Science.gov (United States)

    Sivananthan, Gajan; Menashe, Leo; Halin, Neil J

    2014-01-01

    Arteriovenous hemodialysis fistulas (AVFs) serve as a lifeline for many individuals with end-stage renal failure. A common cause of AVF failure is cephalic arch stenosis. Its high prevalence compounded with its resistance to treatment makes cephalic arch stenosis important to understand. Proposed etiologies include altered flow in a fistulized cephalic vein, external compression by fascia, the unique morphology of the cephalic arch, large number of valves in the cephalic outflow tract and biochemical changes that accompany renal failure. Management options are also in debate and include angioplasty, cutting balloon angioplasty, bare metal stents, stent grafts and surgical techniques including flow reduction with minimally invasive banding as well as more invasive venovenostomy with transposition surgeries for refractory cases. In this review, the evidence for the clinical relevance of cephalic arch stenosis, its etiology and management are summarized.

  13. Mina: A Sensorimotor Robotic Orthosis for Mobility Assistance

    Directory of Open Access Journals (Sweden)

    Anil K. Raj

    2011-01-01

    Full Text Available While most mobility options for persons with paraplegia or paraparesis employ wheeled solutions, significant adverse health, psychological, and social consequences result from wheelchair confinement. Modern robotic exoskeleton devices for gait assistance and rehabilitation, however, can support legged locomotion systems for those with lower extremity weakness or paralysis. The Florida Institute for Human and Machine Cognition (IHMC has developed the Mina, a prototype sensorimotor robotic orthosis for mobility assistance that provides mobility capability for paraplegic and paraparetic users. This paper describes the initial concept, design goals, and methods of this wearable overground robotic mobility device, which uses compliant actuation to power the hip and knee joints. Paralyzed users can balance and walk using the device over level terrain with the assistance of forearm crutches employing a quadrupedal gait. We have initiated sensory substitution feedback mechanisms to augment user sensory perception of his or her lower extremities. Using this sensory feedback, we hypothesize that users will ambulate with a more natural, upright gait and will be able to directly control the gait parameters and respond to perturbations. This may allow bipedal (with minimal support gait in future prototypes.

  14. A portable powered ankle-foot orthosis for rehabilitation

    Directory of Open Access Journals (Sweden)

    K. Alex Shorter, PhD

    2011-05-01

    Full Text Available Innovative technological advancements in the field of orthotics, such as portable powered orthotic systems, could create new treatment modalities to improve the functional outcome of rehabilitation. In this article, we present a novel portablepowered ankle-foot orthosis (PPAFO to provide untethered assistance during gait. The PPAFO provides both plantar flexor and dorsiflexor torque assistance by way of a bidirectional pneumatic rotary actuator. The system uses a portable pneumatic power source (compressed carbon dioxide bottle and embedded electronics to control the actuation of the foot. We collected pilot experimental data from one impaired and three nondisabled subjects to demonstrate design functionality. The impaired subject had bilateral impairment of the lower legs due to cauda equina syndrome. We found that data from nondisabledwalkers demonstrated the PPAFO’s capability to provide correctlytimed plantar flexor and dorsiflexor assistance during gait. Reduced activation of the tibialis anterior during stance and swing was also seen during assisted nondisabled walking trials. An increase in the vertical ground reaction force during the second half of stance was present during assisted trials for the impaired subject. Data from nondisabled walkers demonstrated functionality, and data from an impaired walker demonstrated the ability to provide functional plantar flexor assistance.

  15. Engineering evaluation of the energy-storing orthosis FES gait system.

    Science.gov (United States)

    Kangude, Abhijit; Burgstahler, Brett; Durfee, William

    2010-01-01

    A system to restore walking in the vicinity of a wheelchair for people with paraplegia resulting from spinal cord injury is under development. The approach combines single channel surface electrical stimulation with an orthosis. The orthosis is spring loaded and contains a pneumatic system that stores energy during knee extension caused by quadriceps stimulation and transfers it to hip joint for hip extension. A laboratory version of the prototype of the gait system has been fabricated and engineering bench tests were performed. The paper presents the design of the wearable prototype and results of bench testing. PMID:21096941

  16. A new hybrid spring brake orthosis for controlling hip and knee flexion in the swing phase.

    Science.gov (United States)

    Gharooni, S; Heller, B; Tokhi, M O

    2001-03-01

    In this study it is proposed that active contraction of muscles might be artificially replaced by a spring brake orthosis (SBO) to provide near-natural knee and hip swing phase trajectories for gait in spinal cord injured subjects. The SBO is a new gait restoration system in which stored spring elastic energy and potential energy of limb segments are utilized to aid gait. It is also shown that hip flexion can be produced without the need for withdrawal reflex, hip flexor stimulus or any mechanical actuator at the hip. A hip flexion angle of 21 degrees was achieved by a nonimpaired subject wearing a prototype orthosis.

  17. Long-Term Use of a Static Hand-Wrist Orthosis in Chronic Stroke Patients: A Pilot Study

    Directory of Open Access Journals (Sweden)

    Aukje Andringa

    2013-01-01

    Full Text Available Background. Long-term splinting, using static orthoses to prevent contractures, is widely accepted in stroke patients with paresis of the upper limb. A number of stroke patients complain about increased pain and spasticity, which leads to the nonuse of the orthosis and a risk of developing a clenched fist. Objectives. Evaluating long-term use of static hand-wrist orthoses and experienced comfort in chronic stroke patients. Methods. Eleven stroke patients who were advised to use a static orthosis for at least one year ago were included. Semistructured telephone interviews were conducted to explore the long-term use and experienced comfort with the orthosis. Data were analyzed using descriptive statistics. Results. After at least one year, seven patients still wore the orthosis for the prescribed hours per day. Two patients were unable to wear the orthosis 8 hours per day, due to poor comfort. Two patients stopped using the orthosis because of an increase in spasticity or pain. Conclusions. These pilot data suggest that a number of stroke patients cannot tolerate a static orthosis over a long-term period because of discomfort. Without appropriate treatment opportunities, these patients will remain at risk of developing a clenched fist and will experience problems with daily activities and hygiene maintenance.

  18. A retrospective study of the success, safety and effectiveness of external cephalic version without tocolysis in a specialised midwifery centre in the Netherlands

    NARCIS (Netherlands)

    Rijnders, M.; Herschderfer, K.; Prins, M.; Baaren, R. van; Veelen, A.J. van; Schönbeck, Y.; Buitendijk, S.

    2008-01-01

    Background: to evaluate the effectiveness of external cephalic version (ECV) without tocolysis or epidural analgesia, the complications associated with the procedure and the association between the number of ECV attempts and cephalic presentation at birth and caesarean section. Methods: retrospectiv

  19. Below-knee orthosis: a wrap-around design for ankle-foot control.

    Science.gov (United States)

    Gans, B M; Erickson, G; Simons, D

    1979-02-01

    Control of foot and ankle positions with orthotic appliances is generally more difficult to accomplish in children with spastic than flaccid paralytic disorders. Our new design for a custom molded plastic ankle-foot orthosis has proven superior to other designs in most applications. The appliance is vacuum molded from very thin polypropylene plastic and innerfaced with a foam material (Aliplast). The limb is enclosed completely in plastic with an anterior opening secured by several Velcro straps. Although the material is soft and pliable, the circumferential support provides remarkably rigid control of the limb. The orthosis has been successfully applied to children with polio, meningomyelocele and all forms of spastic and athetoid cerebral palsy. In addition to superior limb control, another advantage appears to be reflex inhibition of abnormal motor tone in may spastic patients. Patients have preferred this orthosis to those previously worn probably due to greater comfort. The limitation of adjustability of dorsiflexion can be compensated by heel or sole shoe lifts. Excessive heat created by the "wrap-around" design can be reduced by a thin cotton sock extended above the orthosis.

  20. What Are the Next Steps in Designing an Orthosis for Paraplegic Subjects?

    Directory of Open Access Journals (Sweden)

    Mohammad Taghi Karimi

    2012-01-01

    Conclusion: Although the HGO has better functional performance than other available orthoses, the subjects are more willing to use the RGO. The new design of orthoses must allow easy donning and doffing by the users, have enough stability during walking and standing, and enable the patients to change the alignment of the orthosis to suit their needs.

  1. Effect of antipronation foot orthosis geometry on compression of heel and arch soft tissues

    Directory of Open Access Journals (Sweden)

    Declan Sweeney, BSc (Hon

    2016-09-01

    Full Text Available This study aimed to understand how systematic changes in arch height and two designs of heel wedging affect soft tissues under the foot. Soft tissue thickness under the heel and navicular was measured using ultrasound. Heel pad thickness was measured while subjects were standing on a flat surface and also while they were standing on an orthosis with 4 and 8 degree extrinsic wedges and 4 and 8 mm intrinsic wedges (n = 27. Arch soft tissue thickness was measured when subjects were standing and when standing on an orthosis with –6 mm, standard, and +6 mm increments in arch height (n = 25. Extrinsic and intrinsic heel wedges significantly increased soft tissue thickness under the heel compared with no orthosis. The 4 and 8 degree extrinsic wedges increased tissue thickness by 28.3% and 27.6%, respectively, while the 4 and 8 mm intrinsic wedges increased thickness by 23.0% and 14.6%, respectively. Orthotic arch height significantly affected arch soft tissue thickness. Compared with the no orthosis condition, the –6 mm, standard, and +6 mm arch heights decreased arch tissue thickness by 9.1%, 10.2%, and 11.8%, respectively. This study demonstrates that change in orthotic geometry creates different plantar soft tissue responses that we expect to affect transmission of force to underlying foot bones.

  2. Studying the effect of kinematical pattern on the mechanical performance of paraplegic gait with reciprocating orthosis.

    Science.gov (United States)

    Nakhaee, Koorosh; Farahmand, Farzam; Salarieh, Hassan

    2012-08-01

    Paraplegic users of mechanical walking orthoses, e.g. advanced reciprocating gait orthosis (ARGO), often face high energy expenditure and extreme upper body loading during locomotion. We studied the effect of kinematical pattern on the mechanical performance of paraplegic locomotion, in search for an improved gait pattern that leads to lower muscular efforts. A three-dimensional, four segment, six-degrees-of-freedom skeletal model of the advanced reciprocating gait orthosis-assisted paraplegic locomotion was developed based on the data acquired from an experimental study on a single subject. The effect of muscles was represented by ideal joint torque generators. A response surface analysis was performed on the model to determine the impact of the kinematical parameters on the resulting muscular efforts, characterized by net joint torques. Results indicated that a lateral bending manoeuvre at the trunk would facilitate the foot clearance by reducing the torque requirement of the whole body lateral tilting. For swing leg advancement, the trunk posterior bending manoeuvre was found to be more effective and efficient than the whole body axial rotation, owing to the coupled reciprocal action of the advanced reciprocating gait orthosis. It was hypothesized that a modified gait pattern, with larger trunk movements and no axial rotation, could improve the energy expenditure and upper body loading during advanced reciprocating gait orthosis-assisted locomotion. More detailed modelling and experimental studies are needed to verify this hypothesis and evaluate its potential effects on the soft tissue strains.

  3. The Influence of Dynamic Orthosis Training on Upper Extremity Function after Stroke: A Pilot Study

    Directory of Open Access Journals (Sweden)

    Rodrigo Cappato de Araújo

    2014-01-01

    Full Text Available The goal of this study was to assess the use of a dynamic orthosis on upper extremity function in chronic stroke patients. A case series approach was utilized, with provision of a training program (3x/week, 50 minutes/session for 8 weeks and employment of a dynamic orthosis. Six volunteers with persistent hemiparesis due to a single, unilateral stroke performed task-oriented movements with the aid of a dynamic orthosis. Tests were administered before and after training. Functional capacity was assessed using the TEMPA (Test d'Évaluation des Membres Supérieurs de Personnes Âgées test. The Wilcoxon test was used for pre-training and post-training comparisons of TEMPA scores. The volunteers showed significant improvement of upper extremity function in the performance of a bilateral task (p = 0.01 and three unilateral tasks (p = 0.04. This pilot study suggests that the dynamic orthosis associated with the performance of functional tasks can have positive outcomes regarding the improvement of functional capacity of upper extremity.

  4. A study of cephalic index and facial index in Visakhapatnam, Andhra Pradesh, India

    Directory of Open Access Journals (Sweden)

    K. Lakshmi Kumari

    2015-06-01

    Full Text Available Background: The description of the human body has been a major concern since ancient times. The use of medical terminology enhances reliability of comparison made between studies from different areas thereby contributing higher level of scientific evidence. Cephalic index is an important parameter in forensic medicine, anthropology and genetics to know the sex and racial differences between individuals. Facial index is useful index for forensic scientists, plastic surgeons and anatomist. The parameters are useful for plastic surgeons during treatment of congenital and traumatic deformities, identification of individuals in medicolegal cases by forensic scientists and identifying craniofacial deformities of genetic syndromes by geneticist. Methods: 170 males and 110 female adults from Visakhapatnam, Andhra Pradesh, India region are included in this study. Anthropometric points for cephalic index were measured by using spreading calipers. Facial index measurements were taken by measuring tape. All measurements were taken in subjects sitting in relaxed condition and subjects head is in anatomical position. Cranial index and facial index were calculated as per the formula. Results: Maximum number of males with mean cephalic index values of 80.21 were observed as mesocephalic and female with mean value of 79.25 observed as brachycephalic. Regarding facial index males were leptoprosopic and females were mesoprosopic. Conclusion: Cephalic index and facial index were terms used by anthropologists, anatomists, plastic surgeons and forensic scientists to identify individual's race and sex for treatment of craniofacial deformities. [Int J Res Med Sci 2015; 3(3.000: 656-658

  5. Phenotypic variability and heritability of the cephalic region of Caiman latirostris.

    Science.gov (United States)

    Imhoff, Carolina; Giri, Federico; Siroski, Pablo; Amavet, Patricia

    2016-03-01

    The study of the cephalic shape of crocodilian is relevant in the fields of ecology, systematics, evolution, and conservation. Therefore, the integration of geometric analysis within quantitative genetics allows the evaluation of the inheritable shape components. In this study, the dorsal cephalic region of 210 Caiman latirostris hatchlings was analyzed from seven populations in Santa Fe, Argentina, to detect intra-, and inter-population phenotypic variability, and to determine the heritability of biological shape and size, using newly available geometric morphometric tools. The principal component analysis showed two configurations of cephalic shape that could be related to sexual dimorphism. In the canonical variate analysis, Procrustes distances between groups indicated that there are differences in shape among populations. Furthermore, the method of partial least squares indicated a covariation between cephalic shape and environmental variables. Regarding to CS of the skull we found significant differences among populations, moreover the partial least squares was also significant. Estimates of the heritability of shape and size were high, indicating that the components of these features are susceptible to the selection. PMID:26682625

  6. Cephalic arch stenosis in autogenous brachiocephalic hemodialysis fistulas: results of cutting balloon angioplasty

    DEFF Research Database (Denmark)

    Heerwagen, Søren Thorup; Lönn, Lars; Schroeder, Torben V;

    2010-01-01

    Cephalic arch stenosis is a known cause of hemodialysis access failure in patients with brachiocephalic fistulas (BCFs). Outcomes of endovascular treatment are affected by resistance of the stenosis to balloon dilation, a high vein rupture rate and the development of early restenosis. The purpose...

  7. Study of Effect of Resection of Cephalic Portion of Nasal Alar Cartilage on Nasal Tip Rotation

    Directory of Open Access Journals (Sweden)

    N Berjis

    2005-11-01

    Full Text Available Background: One of the most common techniques of nasal tip surgery in rhinoplasty is conservative resection of cephalic portion of nasal alar cartilage; although, there is a controversy about its effectiveness on nasal tip rotation in textbooks and articles. Therefore, in this research, we have studied the effect of conservative resection of cephalic portion of alar cartilage on nasal tip rotation. Methods: 35 patients were selected from the patients who were candidates for septoplasty, after getting their agreement. In surgery we performed conservative resection of cephalic portion of alar cartilage. Nasolabial angles were calculated, using the lateral photographs of the patients before and six monthes after surgery. The means of these angles were analyzed with t-paired test. Results: The means and standard deviations of nasolabial angles before and six months after surgery were 91.49±7.35 and 91.57±7.04, respectively. Calculated P-value was 0.52. Conclusion: There was no meaningful difference between means of nasolabial angles before and six months after surgery (P-value was greater than 0.05. Therefore, in this research we concluded that conservative resection of cephalic portion of alar cartilage has no effect on nasal tip rotation. Key words: nasal alar cartilage, nasolabial angle, nasal tip

  8. Risk factors for cesarean section and instrumental vaginal delivery after successful external cephalic version.

    Science.gov (United States)

    de Hundt, Marcella; Vlemmix, Floortje; Bais, Joke M J; de Groot, Christianne J; Mol, Ben Willem; Kok, Marjolein

    2016-06-01

    Aim of this article is to examine if we could identify factors that predict cesarean section and instrumental vaginal delivery in women who had a successful external cephalic version. We used data from a previous randomized trial among 25 hospitals and their referring midwife practices in the Netherlands. With the data of this trial, we performed a cohort study among women attempting vaginal delivery after successful ECV. We evaluated whether maternal age, gestational age, parity, time interval between ECV and delivery, birth weight, neonatal gender, and induction of labor were predictive for a vaginal delivery on one hand or a CS or instrumental vaginal delivery on the other hand. Unadjusted and adjusted odds ratios were calculated with univariate and multivariate logistic regression analysis. Among 301 women who attempted vaginal delivery after a successful external cephalic version attempt, the cesarean section rate was 13% and the instrumental vaginal delivery rate 6%, resulting in a combined instrumental delivery rate of 19%. Nulliparity increased the risk of cesarean section (OR 2.7 (95% CI 1.2-6.1)) and instrumental delivery (OR 4.2 (95% CI 2.1-8.6)). Maternal age, gestational age at delivery, time interval between external cephalic version and delivery, birth weight and neonatal gender did not contribute to the prediction of failed spontaneous vaginal delivery. In our cohort of 301 women with a successful external cephalic version, nulliparity was the only one of seven factors that predicted the risk for cesarean section and instrumental vaginal delivery. PMID:26333291

  9. An evaluation of the posterior leaf spring orthosis using joint kinematics and kinetics.

    Science.gov (United States)

    Ounpuu, S; Bell, K J; Davis, R B; DeLuca, P A

    1996-01-01

    The primary function of the posterior leaf spring orthosis (PLS) is to prevent excessive equinus or drop foot in swing. The name of the orthosis, posterior leaf "spring," suggests that it also mechanically augments push-off in stance. The purpose of this study was to determine the effect of the PLS on ankle function by using computerized gait-analysis techniques. Multiple barefoot versus brace walks were compared in 31 children with cerebral palsy. Results indicate that the PLS reduces excessive equinus in swing and is sufficiently flexible to allow ankle dorsiflexion in midstance. In terminal stance, the peak power-generating capabilities of the ankle were reduced when the child was wearing the PLS. Energy results indicate that more mechanical energy was absorbed during midstance and less produced during terminal stance with the PLS. Therefore, the PLS improved ankle function but did not augment ankle function through storage and return of mechanical, or spring, energy. PMID:8728642

  10. The Effect of Different Foot Orthosis Inverted Angles on Plantar Pressure in Children with Flexible Flatfeet.

    Directory of Open Access Journals (Sweden)

    Soo-Kyung Bok

    Full Text Available Although orthotic modification using the inverted technique is available for the treatment of flatfoot, empirical evidence for the biomechanical effects of inverted-angle foot orthoses (FOs is lacking. The aim of this study was to evaluate the effects of different FO inversion angles on plantar pressure during gait in children with flatfoot. Twenty-one children with flexible flatfeet (mean age 9.9 years were enrolled in this study. The plantar pressures were measured for the rearfoot; medial and lateral midfoot; and medial, central, and lateral forefoot as participants walked on a treadmill while wearing shoes only and shoes with the following 3 orthotic conditions: (i orthosis with no inverted angle, (ii orthosis with a 15° inverted angle, and (iii orthosis with a 30° inverted angle. A one-way repeated measures analysis of variance (ANOVA with the Bonferroni-adjusted post-hoc test was used to compare the mean values of each orthotic condition. Compared with the shoe only condition, the peak pressure decreased significantly under the medial forefoot and rearfoot with all FOs (p <0.05. However, no significant differences in the peak pressure under the medial forefoot and rearfoot were observed between the FOs. The peak pressure under the medial midfoot increased significantly with all FOs, and a maximal increase in the peak pressure was obtained with a 30° inverted angle orthosis. Furthermore, the contact area under the medial midfoot and rearfoot increased significantly with all FOs, compared with the shoe only condition (p <0.05. Again, no significant differences were observed between the FOs. For plantar pressure redistribution, a FO with a low inverted angle could be effective, accommodative, and convenient for children with flatfoot.

  11. The Effect of Using Anti spastic Orthosis on the Reduction of Spasticity in Diplegic Spastic Children

    OpenAIRE

    Ashkan Irani; Azadeh Imani; Seyyed Ali Hosseini

    2012-01-01

    Background and aim: Cerebral palsy is a non progressive brain disorder and, cerebral plasy is the most common type of spastic paralysis which can be the cause of motor and postural deficits during child development. The purpose of this study was to investigate the effect of using Anti spastic Orthosis on the Reduction of Spasticity and in diplegic spastic children between 2 – 5 years in Tehran.Materials & Methods: 20 diplegic spastic children between 2- 5 years were selected randomly and divi...

  12. Preliminary design of an energy storing orthosis for providing gait to people with spinal cord injury.

    Science.gov (United States)

    Boughner, Kyle J; Durfee, William K

    2014-01-01

    A new design is proposed for an energy storing orthosis (ESO) that restores walking to people with spinal cord injury by combining functional electrical stimulation of the quadriceps muscle with a mechanical brace that uses elastic elements to store and transfer energy between hip and knee joints. The new ESO is a variation of a previous design and uses constant force springs for energy storage. Based on the detailed design and on dynamic simulations, the concept has demonstrated preliminary technical feasibility. PMID:25570518

  13. Use of a static progressive stretch orthosis to treat post-traumatic ankle stiffness

    OpenAIRE

    Costa Christopher R; McElroy Mark J; Johnson Aaron J; Lamm Bradley M; Mont Michael A

    2012-01-01

    Abstract Background Chronic ankle stiffness can develop for numerous reasons after traumatic injury, and may adversely affect patient gait, mobility, and function. Although standard physical therapeutic techniques typically resolve this stiffness, some cases may be recalcitrant to these measures, making it difficult to restore range-of-motion. The purpose of this study was to evaluate a static progressive stretch orthosis for the treatment of chronic ankle stiffness. Methods Twenty-six patien...

  14. Effectiveness of adjustable dorsiflexion night splint in combination with accommodative foot orthosis on plantar fasciitis

    Directory of Open Access Journals (Sweden)

    Winson C. C. Lee, PhD

    2013-01-01

    Full Text Available Foot orthoses and night splints have been used separately to treat patients with plantar fasciitis, but were not always successful. Combined use of both orthoses might give better outcomes. This study evaluated the effectiveness of a soft and self-adjustable dorsiflexion night splint in combination with an accommodative foot orthosis for patients with plantar fasciitis. Twenty-eight patients were assigned to group A (foot orthosis only and group B (combination of foot orthosis and dorsiflexion night splints. A Foot Function Index (FFI questionnaire was used to evaluate the pain and functions of feet just before, 2 weeks after, and 8 weeks after the treatments. Results showed that subjects in group B had significantly reduced pain scores at week 2 (p < 0.001 and week 8 (p < 0.001. In group A, no statistical differences were noted in the pain (p = 0.15, disability (p = 0.56, activity limitation (p = 0.75, and total FFI (p = 0.35 scores for the three time periods. The application of foot orthoses with adjustable dorsiflexion night splints was found to be more effective than the application of foot orthoses alone in relieving foot pain in patients with plantar fasciitis.

  15. The Effect of Different Foot Orthosis Inverted Angles on Plantar Pressure in Children with Flexible Flatfeet

    Science.gov (United States)

    Lee, Hyunkeun; Ahn, Soyoung; Song, Youngshin; Park, Insik

    2016-01-01

    Although orthotic modification using the inverted technique is available for the treatment of flatfoot, empirical evidence for the biomechanical effects of inverted-angle foot orthoses (FOs) is lacking. The aim of this study was to evaluate the effects of different FO inversion angles on plantar pressure during gait in children with flatfoot. Twenty-one children with flexible flatfeet (mean age 9.9 years) were enrolled in this study. The plantar pressures were measured for the rearfoot; medial and lateral midfoot; and medial, central, and lateral forefoot as participants walked on a treadmill while wearing shoes only and shoes with the following 3 orthotic conditions: (i) orthosis with no inverted angle, (ii) orthosis with a 15° inverted angle, and (iii) orthosis with a 30° inverted angle. A one-way repeated measures analysis of variance (ANOVA) with the Bonferroni-adjusted post-hoc test was used to compare the mean values of each orthotic condition. Compared with the shoe only condition, the peak pressure decreased significantly under the medial forefoot and rearfoot with all FOs (p flatfoot. PMID:27458719

  16. Exoskeleton Technology in Rehabilitation: Towards an EMG-Based Orthosis System for Upper Limb Neuromotor Rehabilitation

    Directory of Open Access Journals (Sweden)

    Luis Manuel Vaca Benitez

    2013-01-01

    Full Text Available The rehabilitation of patients should not only be limited to the first phases during intense hospital care but also support and therapy should be guaranteed in later stages, especially during daily life activities if the patient’s state requires this. However, aid should only be given to the patient if needed and as much as it is required. To allow this, automatic self-initiated movement support and patient-cooperative control strategies have to be developed and integrated into assistive systems. In this work, we first give an overview of different kinds of neuromuscular diseases, review different forms of therapy, and explain possible fields of rehabilitation and benefits of robotic aided rehabilitation. Next, the mechanical design and control scheme of an upper limb orthosis for rehabilitation are presented. Two control models for the orthosis are explained which compute the triggering function and the level of assistance provided by the device. As input to the model fused sensor data from the orthosis and physiology data in terms of electromyography (EMG signals are used.

  17. A Critical Analysis of a Hand Orthosis Reverse Engineering and 3D Printing Process

    Science.gov (United States)

    2016-01-01

    The possibility to realize highly customized orthoses is receiving boost thanks to the widespread diffusion of low-cost 3D printing technologies. However, rapid prototyping (RP) with 3D printers is only the final stage of patient personalized orthotics processes. A reverse engineering (RE) process is in fact essential before RP, to digitize the 3D anatomy of interest and to process the obtained surface with suitable modeling software, in order to produce the virtual solid model of the orthosis to be printed. In this paper, we focus on the specific and demanding case of the customized production of hand orthosis. We design and test the essential steps of the entire production process with particular emphasis on the accurate acquisition of the forearm geometry and on the subsequent production of a printable model of the orthosis. The choice of the various hardware and software tools (3D scanner, modeling software, and FDM printer) is aimed at the mitigation of the design and production costs while guaranteeing suitable levels of data accuracy, process efficiency, and design versatility. Eventually, the proposed method is critically analyzed so that the residual issues and critical aspects are highlighted in order to discuss possible alternative approaches and to derive insightful observations that could guide future research activities. PMID:27594781

  18. A Critical Analysis of a Hand Orthosis Reverse Engineering and 3D Printing Process

    Directory of Open Access Journals (Sweden)

    Gabriele Baronio

    2016-01-01

    Full Text Available The possibility to realize highly customized orthoses is receiving boost thanks to the widespread diffusion of low-cost 3D printing technologies. However, rapid prototyping (RP with 3D printers is only the final stage of patient personalized orthotics processes. A reverse engineering (RE process is in fact essential before RP, to digitize the 3D anatomy of interest and to process the obtained surface with suitable modeling software, in order to produce the virtual solid model of the orthosis to be printed. In this paper, we focus on the specific and demanding case of the customized production of hand orthosis. We design and test the essential steps of the entire production process with particular emphasis on the accurate acquisition of the forearm geometry and on the subsequent production of a printable model of the orthosis. The choice of the various hardware and software tools (3D scanner, modeling software, and FDM printer is aimed at the mitigation of the design and production costs while guaranteeing suitable levels of data accuracy, process efficiency, and design versatility. Eventually, the proposed method is critically analyzed so that the residual issues and critical aspects are highlighted in order to discuss possible alternative approaches and to derive insightful observations that could guide future research activities.

  19. A Critical Analysis of a Hand Orthosis Reverse Engineering and 3D Printing Process.

    Science.gov (United States)

    Baronio, Gabriele; Harran, Sami; Signoroni, Alberto

    2016-01-01

    The possibility to realize highly customized orthoses is receiving boost thanks to the widespread diffusion of low-cost 3D printing technologies. However, rapid prototyping (RP) with 3D printers is only the final stage of patient personalized orthotics processes. A reverse engineering (RE) process is in fact essential before RP, to digitize the 3D anatomy of interest and to process the obtained surface with suitable modeling software, in order to produce the virtual solid model of the orthosis to be printed. In this paper, we focus on the specific and demanding case of the customized production of hand orthosis. We design and test the essential steps of the entire production process with particular emphasis on the accurate acquisition of the forearm geometry and on the subsequent production of a printable model of the orthosis. The choice of the various hardware and software tools (3D scanner, modeling software, and FDM printer) is aimed at the mitigation of the design and production costs while guaranteeing suitable levels of data accuracy, process efficiency, and design versatility. Eventually, the proposed method is critically analyzed so that the residual issues and critical aspects are highlighted in order to discuss possible alternative approaches and to derive insightful observations that could guide future research activities.

  20. A Critical Analysis of a Hand Orthosis Reverse Engineering and 3D Printing Process.

    Science.gov (United States)

    Baronio, Gabriele; Harran, Sami; Signoroni, Alberto

    2016-01-01

    The possibility to realize highly customized orthoses is receiving boost thanks to the widespread diffusion of low-cost 3D printing technologies. However, rapid prototyping (RP) with 3D printers is only the final stage of patient personalized orthotics processes. A reverse engineering (RE) process is in fact essential before RP, to digitize the 3D anatomy of interest and to process the obtained surface with suitable modeling software, in order to produce the virtual solid model of the orthosis to be printed. In this paper, we focus on the specific and demanding case of the customized production of hand orthosis. We design and test the essential steps of the entire production process with particular emphasis on the accurate acquisition of the forearm geometry and on the subsequent production of a printable model of the orthosis. The choice of the various hardware and software tools (3D scanner, modeling software, and FDM printer) is aimed at the mitigation of the design and production costs while guaranteeing suitable levels of data accuracy, process efficiency, and design versatility. Eventually, the proposed method is critically analyzed so that the residual issues and critical aspects are highlighted in order to discuss possible alternative approaches and to derive insightful observations that could guide future research activities. PMID:27594781

  1. Cephalic salivary glands of two species of advanced eusocial bees (Hymenoptera: Apidae): morphology and secretion

    OpenAIRE

    Silvana B. Poiani; Carminda da Cruz-Landim

    2010-01-01

    Some adult eusocial bees have a pair of cephalic salivary glands (CSG) in addition to the thoracic labial or salivary gland pairs. This paper deals with variations in morphological features and secretion production of the CSG of females and males of Apis mellifera Linnaeus, 1758 and Scaptotrigona postica Latreille, 1807. The following life stages were studied: newly emerged, nurse, and forager workers; newly emerged and egg-laying queens; and newly emerged and sexually mature males. The histo...

  2. The Management of Cephalic Arch Stenosis in Arteriovenous Fistulas for Hemodialysis: A Systematic Review

    Energy Technology Data Exchange (ETDEWEB)

    Vasanthamohan, Lakshman, E-mail: lakshman.vasanthamohan@medportal.ca; Gopee-Ramanan, Prasaanthan, E-mail: Prasa.gopee@medportal.ca; Athreya, Sriharsha, E-mail: sathreya@stjoes.ca [McMaster University, Faculty of Health Sciences (Canada)

    2015-10-15

    AimTo conduct a systematic review of management of current cephalic arch stenosis (CAS) and associated outcomes in the context of dysfunctional hemodialysis access.Materials and MethodsPubMed, Web of Science, and Cochrane Library were searched to retrieve literature on the management of CAS. Studies had to focus on management of access stenosis solely in the cephalic arch. Case reports and literature reviews were excluded. Studies were categorized by intervention, and primary and secondary patency data were compiled. Studies were aggregated, and meta-analyses were performed where possible.ResultsNine papers satisfied the aforementioned criteria: five were retrospective studies and four were prospective studies. CAS management strategies have included percutaneous transluminal balloon angioplasty (PTA), peripheral cutting balloons, surgical cephalic vein transpositions, bare stents, and stent grafts. Reporting strategies varied between studies. Meta-analyses showed that results were variable even within studies using the same modality, particularly for PTA.ConclusionNo singular, definitive management strategy exists for CAS. Current studies are limited by being primarily single-center retrospective trials featuring heterogenous patient populations, interventions, and endpoints. Priorities for future studies should include larger randomized trials, more uniform management strategies and endpoints, and a longer duration of follow-up.

  3. Computational Study of Non-Physiological Hemodynamics in the Cephalic Arch

    Science.gov (United States)

    Cassel, Kevin; Boghosian, Michael; Mahmoudzadeh, S. M. Javid; Hammes, Mary

    2012-11-01

    Numerical simulations of the unsteady, two-dimensional, incompressible Navier-Stokes equations are performed for the flow in a two-dimensional geometry created from radiological images and Doppler flow measurements of the cephalic arch in dialysis patients with a brachiocephalic fistula (surgically placed direct arterial-venous connection). The simulations are performed before insertion of the fistula and at subsequent time intervals as the cephalic vein arterializes over a period of three to six months. A mature fistula, with increased diameter and flow rate, can exhibit Reynolds numbers that are more than one order of magnitude larger than that of the pre-fistula vein. We evaluate the effect of this increased (physiologically abnormal) Reynolds number on flow structures and wall shear stresses through the curved cephalic arch, which is a site prone to stenosis in fistula patients. The long-term goal is to investigate if the development of initimal hyperplasia and stenoses correlates with wall shear stresses or other hemodynamic variables obtained using computational hemodynamics. Research supported by the National Institute of Diabetes And Digestive And Kidney Diseases of the National Institutes of Health under Award Number R01DK090769.

  4. Enhanced ghrelin secretion in the cephalic phase of food ingestion in women with bulimia nervosa.

    Science.gov (United States)

    Monteleone, Palmiero; Serritella, Cristina; Scognamiglio, Pasquale; Maj, Mario

    2010-02-01

    In humans, the cephalic phase response to food ingestion consists mostly of vagal efferent activation, which promotes the secretion of entero-pancreatic hormones, including ghrelin. Since symptomatic patients with bulimia nervosa (BN) are characterized by increased vagal tone, we hypothesized an enhanced ghrelin secretion in the cephalic phase of vagal stimulation. Therefore, we investigated ghrelin response to modified sham feeding (MSF) in both BN and healthy women. Six drug-free BN women and 7 age-matched healthy females underwent MSF with initially seeing and smelling a meal, and then chewing the food without swallowing it. Blood samples were drawn immediately before and after MSF for hormone assay. Circulating ghrelin increased after MSF in both groups with BN individuals exhibiting a greater ghrelin increase, which positively correlated with the patients' weekly frequency of binge-purging. These results show for the first time an increased ghrelin secretion in the cephalic phase of vagal stimulation in symptomatic BN patients, likely resulting in a potentiation of the peripheral hunger signal, which might contribute to their aberrant binge-purging behavior.

  5. The Management of Cephalic Arch Stenosis in Arteriovenous Fistulas for Hemodialysis: A Systematic Review

    International Nuclear Information System (INIS)

    AimTo conduct a systematic review of management of current cephalic arch stenosis (CAS) and associated outcomes in the context of dysfunctional hemodialysis access.Materials and MethodsPubMed, Web of Science, and Cochrane Library were searched to retrieve literature on the management of CAS. Studies had to focus on management of access stenosis solely in the cephalic arch. Case reports and literature reviews were excluded. Studies were categorized by intervention, and primary and secondary patency data were compiled. Studies were aggregated, and meta-analyses were performed where possible.ResultsNine papers satisfied the aforementioned criteria: five were retrospective studies and four were prospective studies. CAS management strategies have included percutaneous transluminal balloon angioplasty (PTA), peripheral cutting balloons, surgical cephalic vein transpositions, bare stents, and stent grafts. Reporting strategies varied between studies. Meta-analyses showed that results were variable even within studies using the same modality, particularly for PTA.ConclusionNo singular, definitive management strategy exists for CAS. Current studies are limited by being primarily single-center retrospective trials featuring heterogenous patient populations, interventions, and endpoints. Priorities for future studies should include larger randomized trials, more uniform management strategies and endpoints, and a longer duration of follow-up

  6. Regulation of pre-otic brain development by the cephalic neural crest.

    Science.gov (United States)

    Creuzet, Sophie E

    2009-09-15

    Emergence of the neural crest (NC) is considered an essential asset in the evolution of the chordate phylum, as specific vertebrate traits such as peripheral nervous system, cephalic skeletal tissues, and head development are linked to the NC and its derivatives. It has been proposed that the emergence of the NC was responsible for the formation of a "new head" characterized by the spectacular development of the forebrain and associated sense organs. It was previously shown that removal of the cephalic NC (CNC) prevents the formation of the facial structures but also results in anencephaly. This article reports on the molecular mechanisms whereby the CNC controls cephalic neurulation and brain morphogenesis. This study demonstrates that molecular variations of Gremlin and Noggin level in CNC account for morphological changes in brain size and development. CNC cells act in these processes through a multi-step control and exert cumulative effects counteracting bone morphogenetic protein signaling produced by the neighboring tissues (e.g., adjacent neuroepithelium, ventro-medial mesoderm, superficial ectoderm). These data provide an explanation for the fact that acquisition of the NC during the protochordate-to-vertebrate transition has coincided with a large increase of brain vesicles. PMID:19720987

  7. Short-term effects and long-term use of a hybrid orthosis for neuromuscular electrical stimulation of the upper extremity in patients after chronic stroke.

    NARCIS (Netherlands)

    Meijer, J.W.; Voerman, G.E.; Santegoets, K.M.; Geurts, A.C.H.

    2009-01-01

    OBJECTIVE: To associate the short-term effects of the Handmaster orthosis on disabling symptoms of the affected upper extremity with long-term Handmaster orthosis use after stroke. DESIGN: Historic cohort study. PATIENTS: Patients with chronic stroke. METHODS: The Modified Ashworth Scale (0-5) for w

  8. A Newly Designed Tennis Elbow Orthosis With a Traditional Tennis Elbow Strap in Patients With Lateral Epicondylitis

    Directory of Open Access Journals (Sweden)

    Saremi

    2016-05-01

    Full Text Available Background Lateral epicondylitis is a common cause of pain and upper limb dysfunction. The use of counterforce straps for treatment of lateral epicondylitis is widespread. This kind of orthosis can be modified to have a greater effect on relieving pain by reducing tension on the origin of the extensor pronator muscles. Objectives To determine the immediate effects of a newly designed orthosis on pain and grip strength in patients with lateral epicondylitis. Materials and Methods Twelve participants (six men and six women were recruited (mean age = 41 ± 6.7 years and evaluated for pain and grip strength in three sessions. A 48-hour break was taken between each session. The first session was without any orthosis, the second session was with the new modified tennis elbow orthosis, and the third session was with a conventional tennis elbow strap. Results Both counterforce straps were effective. However, significantly more improvement was observed in pain and grip strength after using the newly modified orthosis (P < 0.05. Conclusions The newly designed strap reduces pain more effectively and improves grip strength by causing greater localized pressure on two regions with different force applications (two component vectors versus one.

  9. Study about the ontogenetic development of cephalic sensory system of Cottus Gobio Linaeus 1758 (Pisces; Cottidae

    Directory of Open Access Journals (Sweden)

    Ilie C. TELCEAN

    2005-05-01

    Full Text Available The lateral-cephalic channels system of Cotus gobio L. was studied for a number of 66 juveniles originated from the upper Tisa River. The topography of cephalic channels system and the number of their opening pores present a lot of similarities between different fishes groups that is close related in their phylogeny. The jointly characters are in fact the results of convergent evolution.The study on the ontogenesis of cephalic-laterals channels system and its pores at Cottus gobio can offer an image on the main stages of their phylogeny. The first channels which are forming are the preoperculo-mandibularis (POM followed by the infraorbitalis (IO, supratemporalis (ST and the occipital (OC channel. The last formed seem to be the supraorbital channels (SO. The main stages of this ontogeny suggest that the sensory channels from the mandible and upper head have the priority in their development. A number of genipores are the forerunner for the cephalic pores. The beginning genipores from the infraorbital and supratemporal cephalic surface are the most similar with those from the Gobiidae fish family. The secondary process in sensory system ontogeny consists in developing of the channel structure. The channels structure development occurred principally in the fresh water fishes it seems to be related with their environment.The total length of lateral line at the populations of Cottus gobio from the upper Tisa River is already complete at the individuals with 35-40 mm standard length. That earliest development of the cannels and its opening pores are distinctive for Cottus gobio from the Tisa River system or generally for the entire lower Danube rivers system. The mature individuals have an average number of 30-33 pores on the lateral line. The comparative study of the lateral line lengthiness correlated with the standard length of specimens reveal that the individuals from Tisa River have similarities with the populations of Cottus gobio from Czech

  10. Cephalic And Prosopic Indices: Comparison In One-Day Newborn Boys In Zahedan

    Directory of Open Access Journals (Sweden)

    Heidari Z

    2004-07-01

    Full Text Available Background: Cephalometry is one of the important branches of anthropometry that has wide uses in identification, forensic medicine, plastic surgery, orthodontics, archeology and determining the origins of races. This research was investigated to determine the head and face phenotypes among one-day newborn boys in two aborigines of Sistani and Baluchi who were resident in Zahedan. Materials and Methods: The investigation is based on cross-sectional analytical descriptions of 420 newborn aborigine boys (216 Sistani & 204 Baluchi, who were clinically healthy, in Quds hospital in summer 1381, in Zahedan. In this study cephalic and prosopic indices were determined by classical cephalometric. Results: The mean and the standard deviations of cephalic index were 83.67±4.80 and 83.64±4.77 and prosopic index 86.79±5.87 and 86.53±6.76 for Sistani and Baluchi subjects respectively. Based on the cephalic index, the dominant head types in sistani group were hyperbrachycephalic (37% and brachycephalic (37%. In Blachui group, the hyperbrachycephalic (37.3% and brachycephalic (35.3% type were the dominant one. Furthermore, according to the prosopic index. The dominant face type among sistanis was euryprosopic type (42.6%. In Baluchi group, the dominant face type was also euryprosopic (39.2%. Conclusion: This research showed no statistically significant differences in terms of head and face type indices between two aborigines of Zahedan. Based on this cross-sectional study, it seems that there is similarities between the aforementioned groups

  11. Use of a static progressive stretch orthosis to treat post-traumatic ankle stiffness

    Directory of Open Access Journals (Sweden)

    Costa Christopher R

    2012-07-01

    Full Text Available Abstract Background Chronic ankle stiffness can develop for numerous reasons after traumatic injury, and may adversely affect patient gait, mobility, and function. Although standard physical therapeutic techniques typically resolve this stiffness, some cases may be recalcitrant to these measures, making it difficult to restore range-of-motion. The purpose of this study was to evaluate a static progressive stretch orthosis for the treatment of chronic ankle stiffness. Methods Twenty-six patients (26 ankles who had chronic post-traumatic ankle stiffness were studied. The patients began treatment at a mean of 47 weeks (range, 6 to 272 weeks following their initial injury using a static progressive stretch orthosis. A patient-directed protocol was used for 30 minutes per day, 1 to 3 times per day, until the range-of-motion was considered to have plateaued. Mean treatment time was 10 weeks (range, 3 to 19 weeks. Treatment duration, range-of-motion, and complications with the device were assessed. Results The overall mean improvement in motion (combined dorsiflexion and plantar flexion was 17 degrees (range, 2 to 44 degrees. There was a mean improvement in dorsiflexion of 9 degrees (range, -2 to 20 degrees, and a mean improvement of 8 degrees of plantar flexion (range, -10 to 35 degrees. There were no reports of numbness or skin problems. Conclusions The outcomes of this study suggest that a patient-directed treatment protocol using a static progressive stretch orthosis was an effective ancillary method for the treatment of chronic post-traumatic ankle stiffness that was refractory to standard physical therapy techniques.

  12. Ossification in the cephalic attachment of the ligamentum flavum: an anatomical and CT study

    International Nuclear Information System (INIS)

    A review of 50 anatomical specimens and 100 routine CT scans of the chest and abdomen demonstrated that ossification in the cephalic attachment of the ligamentum flavum is a common anatomical finding, but not as common on CT. Examination of hospital charts and plain radiographs of 26 patients with such ossification suggests that it is probably a normal variant; there was no evidence that it is related to diffuse idiopathic skeletal hyperostosis (DISH) or inflammatory arthropathy. Marked ossification may cause or contribute to neurological symptoms

  13. 截瘫步行器的仿生效果%Bionic effect of reciprocating gait orthosis

    Institute of Scientific and Technical Information of China (English)

    陈文远

    2011-01-01

    BACKGROUND: Reciprocating gait orthosis makes the paraplegia patients walking, but reciprocating gait orthosis can only perform walking rehabilitation training and simple walking, which was far from real walking function compensation.OBJECTIVE: To summarize and analyze construction features, action mechanism and bionic effect of reciprocating gait orthosis.METHODS: We retrieved PubMed Database and Wanfang Database for articles concerning features, bionic effect and clinical application of reciprocating gait orthosis published from January 1990 to December 2008. The key words were "reciprocation gait orthosis, walkabout, bionice". A total of 32 articles were researched.RESULTS AND CONCLUSION: At present, unpowered reciprocating gait orthosis has been extensively utilized , but it can only perform walking rehabilitation training and simple walking, which was far from real walking function compensation for paraplegia patients. The bionic effects of reciprocation gait orthosis and walkabout were poor; gait lacked fidelity; physical ability was greatly consumed. However, the gait orthosis that requires outer energy for supplement can overcome the disadvantage of unpowered gait orthosis. With the wide usage of artificial intellectual technology in robot and many industry fields, its development can provide gait orthosis that has good function, safety, reliability, and bionics.%背景:截瘫步行器的临床应用,使截瘫患者重建步行功能成为可能,但截瘫步行器只为进行步行康复训练及简单的行走,距离真正意义上的步行功能代偿相差还很远.目的:对目前几种截瘫步行器的结构特点、作用机制及仿生效果进行归纳、分析.方法:应用计算机检索1990-01/2008-12 PubMed数据库及万方数据库有关截瘫步行器的特点、仿生效果及临床应用方面的相关文献,英文检索词"reciprocation gait orthosis,walkabout,bionice",中文检索词"截瘫步行器,仿生".检索文献量总计32篇.

  14. Automatic Assessment of Global Craniofacial Differences between Crouzon mice and Wild-type mice in terms of the Cephalic Index

    DEFF Research Database (Denmark)

    Ólafsdóttir, Hildur; Oubel, Estanislao; Frangi, Alejandro F.;

    2006-01-01

    This paper presents the automatic assessment of differences between Wild-Type mice and Crouzon mice based on high-resolution 3D Micro CT data. One factor used for the diagnosis of Crouzon syndrome in humans is the cephalic index, which is the skull width/length ratio. This index has traditionally...... been computed by time-consuming manual measurements that prevent large-scale populational studies. In this study, an automatic method to estimate cephalic index for this mouse model of Crouzon syndrome is presented. The method is based on constructing a craniofacial atlas of Wild-type mice...... and then registering each mouse to the atlas using affine transformations. The skull length and width are then measured on the atlas and propagated to all subjects to obtain automatic measurements of the cephalic index. The registration accuracy was estimated by RMS landmark errors. Even though the accuracy...

  15. In situ cephalic vein bypasses from axillary to the brachial artery after catheterization injuries.

    Science.gov (United States)

    Hudorovic, Narcis; Lovricevic, Ivo; Ahel, Zaky

    2010-07-01

    The need to bypass to the brachial artery is rare. Over a five-year period, 16 patients had suffered iatrogenic post-catheterization injuries of the upper extremity. We have performed 16 bypasses, in 16 patients, mean age was 65 years (range 47-75), to the brachial artery originating from an artery proximal to the shoulder joint. In all cases, the axillary artery was the donor artery. All bypasses were created by using the cephalic vein with the in situ technique and distal anastomoses were made to a distance-free section of brachial artery. No operative mortality, neurological complications or major upper-extremity amputation was associated with the procedure. Life-long-conduit analysis showed 75% patency in the five-year period. After iatrogenic post-catheterization trauma of arterial system of upper extremity, bypasses from axillary to brachial artery with the cephalic vein with the in situ technique is a safe operation with satisfactory long-term patency. PMID:20395248

  16. Cephalic Duodenopancreatectomy for Hyperalgic Duodenal Crohn's Disease Fistulized in the Pancreatic Gland

    Directory of Open Access Journals (Sweden)

    Sabra Guellouz

    2014-03-01

    Full Text Available Upper gastrointestinal (GI tract involvement in adult Crohn's disease (CD is rare and severe complications unusual. Stenosis has been reported, but gastroduodenal fistulae are seldom detected during surgery and most of the fistulae are cologastric or ileogastric. In complicated gastroduodenal CD, medical treatments are often effective and surgery is only considered in exceptional cases. We here report the unusual case of a 23-year-old patient with upper GI CD presenting a hyperalgic giant ulcer of the bulb fistulized in the pancreatic gland. The failure of steroids and two lines of combined treatment led us to a salvage surgical option. Abdominal exploration showed a plate stomach with an inflammatory bulboduodenal block. Cephalic duodenopancreatectomy and cholecystectomy were performed; histological analysis reported large fissuring pylorus ulceration with micro abscesses reaching the pancreas and the presence of non-caseating granulomas. Six months after the surgery, the patient had stopped antalgic treatment and did not have residual abdominal pain. He had gained 11 kg in weight and had no diarrhea with pancreatic enzymes. To our knowledge, we report the first case of an upper GI and fistulizing CD patient heavily treated with steroids and combined immunosuppressant agents requiring salvage cephalic duodenopancreatectomy.

  17. Thoraco-pelvic orthosis: a portable and removable bassinet for secure patient immobilization after primary bladder exstrophy closure.

    Science.gov (United States)

    Castagnetti, Marco; Berrettini, Alfredo; Beniamin, Francesco; Rigamonti, Waifro

    2010-12-01

    A portable and removable thoraco-pelvic orthosis for patient immobilization after neonatal primary bladder exstrophy closure is described. The device is made of a polyethylene shell, moulded at 170°C, coated inside with a 5 mm pad of plastazote and works applying a constant gentle pressure on the hips. PMID:20857296

  18. The Effect of Using Anti spastic Orthosis on the Reduction of Spasticity in Diplegic Spastic Children

    Directory of Open Access Journals (Sweden)

    Ashkan Irani

    2012-10-01

    Full Text Available Background and aim: Cerebral palsy is a non progressive brain disorder and, cerebral plasy is the most common type of spastic paralysis which can be the cause of motor and postural deficits during child development. The purpose of this study was to investigate the effect of using Anti spastic Orthosis on the Reduction of Spasticity and in diplegic spastic children between 2 – 5 years in Tehran.Materials & Methods: 20 diplegic spastic children between 2- 5 years were selected randomly and divided into two groups. The first lower limb spasticity was assessed by a neurologist, and then by an experienced occupational therapist whitout being aware of research process before the intervention, The experimental group went under treatment using positioning therapeutic intervention and neurodevelopmental treatment, while the control group was treated and only with NDT. The research Instrument used was the Modified Ashworth scale (MAS and the H-Reflex and, H/M ratio in the lower limb spasticity was assessed, Utilizing Experimental pretest - post test with control group design. The data of this study was analyzed using t Test k square test and the findings showed meaningful differences between the two groups.Result: The findings of this study reveraled meaningful differences between the two groups, scores of mean spasticity in interference group was significantly less than control group (p=0/003 Conclusion: Application of Anti spastic Orthosis before rehabilitation exercises is recommended for diplegic spastic children.

  19. A quasi-passive compliant stance control Knee-Ankle-Foot Orthosis.

    Science.gov (United States)

    Shamaei, Kamran; Napolitano, Paul C; Dollar, Aaron M

    2013-06-01

    In this paper, we present the design of a novel quasi-passive stance-control orthosis that implements a natural amount of knee compliance during the weight acceptance phase and potentially the entire stance phase of the gait, and allows for free motion during the rest of the gait. We explain that the unaffected knee behaves close to a linear torsional spring in stance and hypothesize that an assistive device that places a linear spring of appropriate stiffness in parallel with the knee can help restore the natural behavior of the joint in stance. We present the design of a friction-based latching mechanism and a control algorithm that engages the spring in parallel with the knee in stance and disengages it during the swing phase of gait, and explain how this module is implemented into a brace in order to create a novel class of compliant stance control orthosis. The device is quasi-passive in that a small actuator serves to lock and unlock the spring module, but the device otherwise requires no actuation and very little power, computation, and control to operate. PMID:24187288

  20. Effectiveness of modified ankle foot orthosis of low-temperature thermoplastics in idiopathic congenital talipes equino varus.

    Science.gov (United States)

    Solanki, Punita Vasant; Sheth, Binoti Arun; Poduval, Murali; Sams, Stephen Brian Austin

    2010-07-01

    The aim of this study was to study the effectiveness of modified ankle foot orthosis fabricated from low-temperature thermoplastics, as an alternative orthosis for the maintenance of correction in idiopathic congenital talipes equino varus (CTEV) deformity. The study was conducted in infants after the completion of the Ponseti serial manipulation and cast treatment, with or without, percutaneous Achilles tenotomy. Both male and female infants with unilateral or bilateral CTEV deformity were included in our study. A custom-made modified ankle foot orthosis was fabricated on the day of the removal of the last plaster of Paris cast. Initial clinical assessment, including medical history, Pirani score, modified Dimeglio score, clinical method of evaluating tibial torsion, ankle and foot range of motion were carried out on the day of the fabrication of the orthosis. Follow-up assessments were carried out at regular intervals for a duration of 6 months. All infants were provided with a set of exercises in the outpatient department three to five times per week, and other sessions were carried out by the caregivers in the form of home exercise programmes, daily every 2 h. In our study, we had 40 infants. Of these, 12 were lost to follow-up. The remaining 28 infants (22 males and six females) were included in the study. Of the 28 infants, six were left sided, seven were right sided and 15 were bilateral cases. The age at which cast treatment was initiated ranged from 1 week to 8 months, and the age at which modified ankle foot orthosis was given ranged from 1 month 1 week to 15 months. The average number of plaster of Paris casts given was six. Sixteen infants required tenotomy. We found that there was a significant reduction in the Pirani and modified Dimeglio scores from baseline to the third and to the sixth months, that is, improvement and/or maintenance of the baseline scores of Pirani and modified Dimeglio was observed (P0.05). The difference was independent of the

  1. Radiotherapy of the cephalic segment in patients with advanced neuroblastoma; Radioterapia do segmento cefalico em pacientes portadores de neuroblastoma avancado

    Energy Technology Data Exchange (ETDEWEB)

    Weltman, Eduardo

    1995-07-01

    Although the treatment results have significantly improved for several pediatric malignant neoplasms, particularly Wilms's tumor, lymphomas and leukemia, in the last decade, the prognosis of the INSS, stage 4 neuroblastoma over one year one old patients remains poor. Even for the more advanced centers, using the more aggressive treatment schedules, such as bone marrow transplantation, the probability of a 2 year progression free interval varies from 6 to 50% and at 3 to 6 years, from 13 to 54%. Thereby, at least, 46 to 94% of these patients are expected to die due to the merciless neoplasm progression. The hypothesis here to be tested is regarding the impact of the cephalic irradiation on the outcome of stage 4 patients with skull metastasis at diagnosis. The end point was to establish, under the NEURO-III-85 protocol chemotherapy schedule, the possible benefit of this radiotherapy in preventing the cephalic recurrence, and its reflex on these patients total and diseases free survival. These results disclosed that the cephalic segment irradiation may prevent recurrences at this site. Unfortunately, the decrease in the cranial recurrence frequency did not affect either the disease free interval, or the total survival. The conclusion was that cephalic irradiation have the potential of avoiding these recurrences, without modifying the final outcome. This modality of radiotherapy must be reevaluated under more effective systemic treatments. (author)

  2. Association between improved trunk stability and walking capacity using ankle-foot orthosis in hemiparetic patients with stroke: evidence from three-dimensional gait analysis

    Institute of Scientific and Technical Information of China (English)

    LAN Yue; XU Guang-qing; HUANG Dong-feng; MAO Yu-rong; CHEN Shao-zhen; PEI Zhong; ZENG Jin-sheng

    2013-01-01

    Background Restoration of both normal movement of the pelvis and centre of mass is a primary goal of walking rehabilitation in post-stroke patients because these movements are essential components of effective gait.The aim of this study is to quantitatively analyze the effect of ankle-foot orthosis on walking ability,and to investigate the correlation between improvements in trunk motion and walking capacity.Methods Walking speed,centre of mass displacement,and pelvic movements were examined in 20 post-stroke hemiparetic patients with and without ankle-foot orthosis using three-dimensional motion analysis.Results Using ankle-foot orthosis improved walking speed,pelvic rotation and tilt,and lateral and vertical displacements of the centre of mass (P <0.01).Moreover,the gait asymmetry index was significantly decreased (P <0.01),and the Functional Ambulation Categories score improved significantly when patients used an anklefoot orthosis (P <0.05).There was significant correlation between improvements in the walking capacity and the displacement of the centre of mass in both vertical and lateral directions (P <0.01).Conclusions Using ankle-foot orthosis improves the walking capacity by improving the stability and concordant of the trunk in hemiplegic patients.The improvement in the walking capacity from using an ankle-foot orthosis may be attributed to its prevention of foot drop and compensation for the instability of the ankle joint.

  3. Absorbed doses received by infants subjected to panoramic dental and cephalic radiographs

    International Nuclear Information System (INIS)

    The IAEA Report No. 115 recommends that each country or region can establish levels of absorbed doses for each radiographic technique employed in diagnostic. assuming the extended and expensive of this purpose, we have been to begin in a first step with the dentistry area, in order to estimate the dose levels received at crystalline and thyroid level in infants that go to an important public institution in our country to realize panoramic and cephalic radiographs. This work will serve to justify and impel a quality assurance program in Venezuela on the dentistry area which includes aspects such as training for the medical lap referring the justification of the radiological practice, optimization of X-ray units to produce an adequate image quality that delivers to patient an absorbed dose as much lower as reasonably it can be reached without diagnostic detriment. (Author)

  4. Biomechanical evaluation of wrist-driven flexor hinge orthosis in persons with spinal cord injury

    Directory of Open Access Journals (Sweden)

    Yeoun-Seung Kang, MD, PhD, CPO

    2013-11-01

    Full Text Available The wrist-driven flexor hinge orthosis (WDFHO is a device used to restore hand function in persons with tetraplegic spinal cord injury by furnishing three-point prehension. We assessed the effectiveness and biomechanical properties of the WDFHO in 24 persons with cervical 6 or 7 tetraplegia who have severely impaired hand function. This study introduces a mechanical operating model to assess the efficiency of the WDFHO. Experimental results showed that pinch force increased significantly (p < 0.001 after using the WDFHO and was found to positively correlate with the strength of wrist extensor muscles (r = 0.41, p < 0.001. However, when the strength of the wrist extensors acting on the WDFHO was greater, the reciprocal wrist and finger motion that generates three-point prehension was less effective (r = 0.79, p < 0.001. Reliable and valid biomechanical evaluation of the WDFHO could improve our understanding of its biomechanics.

  5. Fuzzy-logic-based hybrid locomotion mode classification for an active pelvis orthosis: Preliminary results.

    Science.gov (United States)

    Yuan, Kebin; Parri, Andrea; Yan, Tingfang; Wang, Long; Munih, Marko; Vitiello, Nicola; Wang, Qining

    2015-01-01

    In this paper, we present a fuzzy-logic-based hybrid locomotion mode classification method for an active pelvis orthosis. Locomotion information measured by the onboard hip joint angle sensors and the pressure insoles is used to classify five locomotion modes, including two static modes (sitting, standing still), and three dynamic modes (level-ground walking, ascending stairs, and descending stairs). The proposed method classifies these two kinds of modes first by monitoring the variation of the relative hip joint angle between the two legs within a specific period. Static states are then classified by the time-based absolute hip joint angle. As for dynamic modes, a fuzzy-logic based method is proposed for the classification. Preliminary experimental results with three able-bodied subjects achieve an off-line classification accuracy higher than 99.49%.

  6. 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.

  7. Fuzzy-logic-based hybrid locomotion mode classification for an active pelvis orthosis: Preliminary results.

    Science.gov (United States)

    Yuan, Kebin; Parri, Andrea; Yan, Tingfang; Wang, Long; Munih, Marko; Vitiello, Nicola; Wang, Qining

    2015-08-01

    In this paper, we present a fuzzy-logic-based hybrid locomotion mode classification method for an active pelvis orthosis. Locomotion information measured by the onboard hip joint angle sensors and the pressure insoles is used to classify five locomotion modes, including two static modes (sitting, standing still), and three dynamic modes (level-ground walking, ascending stairs, and descending stairs). The proposed method classifies these two kinds of modes first by monitoring the variation of the relative hip joint angle between the two legs within a specific period. Static states are then classified by the time-based absolute hip joint angle. As for dynamic modes, a fuzzy-logic based method is proposed for the classification. Preliminary experimental results with three able-bodied subjects achieve an off-line classification accuracy higher than 99.49%. PMID:26737144

  8. Mechanical Performance of Actuators in an Active Orthosis for the Upper Extremities

    Directory of Open Access Journals (Sweden)

    Roland Wiegand

    2011-01-01

    Full Text Available The aim of the project OrthoJacket is to develop a lightweight, portable, and active orthosis for the upper limps. The system consists of two special designed fluidic actuators which are used for supporting the elbow function and the internal rotation of the shoulder. A new design of flexible fluid actuator (FFA is presented that enables more design options of attaching parts, as it is allowed by conventional actuators with a stationary centre of rotation. This advantage and the inherent flexibility and the low weight of this kind of actuator predestined them for the use in exoskeletons, orthoses, and prostheses. The actuator for the elbow generates a maximum torque of 32 Nm; the internal rotation is supported with 7 Nm. Both actuators support the movement with up to 100% of the necessary power. The shells for the arm and forearm are made of carbon reinforced structures in combination with inflatable cushions.

  9. Joint Motion Control of a Powered Lower Limb Orthosis for Rehabilitation

    Institute of Scientific and Technical Information of China (English)

    Nelson Costa; Milan Bezdicek; Michael Brown; John O. Gray; Darwin G. Caldwell; Stephen Hutchins

    2006-01-01

    Many patients with spinal injures are confined to wheelchairs, leading to a sedentary lifestyle with secondary pathologies and increased dependence on a carer. Increasing evidence has shown that locomotor training reduces the incidence of these secondary pathologies, but the physical effort involved in this training is such that there is poor compliance. This paper reports on the design and control of a new "human friendly" orthosis (exoskeleton), powered by high power pneumatic Muscle Actuators (pMAs). The combination of a highly compliant actuation system, with an intelligent embedded control mechanism which senses hip, knee, and ankle positions, velocity, acceleration and force, produces powerful yet inherently safe operation for paraplegic patients. This paper analyzes the motion of ankle, knee, and hip joints under zero loading, and loads which simulate human limb mass, showing that the use of "soft" actuators can provide a smooth user friendly motion.The application of this technology will greatly improve the rehabilitative protocols for paraplegic patients.

  10. A pneumatic power harvesting ankle-foot orthosis to prevent foot-drop

    Directory of Open Access Journals (Sweden)

    Chin Robin

    2009-06-01

    Full Text Available Abstract Background A self-contained, self-controlled, pneumatic power harvesting ankle-foot orthosis (PhAFO to manage foot-drop was developed and tested. Foot-drop is due to a disruption of the motor control pathway and may occur in numerous pathologies such as stroke, spinal cord injury, multiple sclerosis, and cerebral palsy. The objectives for the prototype PhAFO are to provide toe clearance during swing, permit free ankle motion during stance, and harvest the needed power with an underfoot bellow pump pressurized during the stance phase of walking. Methods The PhAFO was constructed from a two-part (tibia and foot carbon composite structure with an articulating ankle joint. Ankle motion control was accomplished through a cam-follower locking mechanism actuated via a pneumatic circuit connected to the bellow pump and embedded in the foam sole. Biomechanical performance of the prototype orthosis was assessed during multiple trials of treadmill walking of an able-bodied control subject (n = 1. Motion capture and pressure measurements were used to investigate the effect of the PhAFO on lower limb joint behavior and the capacity of the bellow pump to repeatedly generate the required pneumatic pressure for toe clearance. Results Toe clearance during swing was successfully achieved during all trials; average clearance 44 ± 5 mm. Free ankle motion was observed during stance and plantarflexion was blocked during swing. In addition, the bellow component repeatedly generated an average of 169 kPa per step of pressure during ten minutes of walking. Conclusion This study demonstrated that fluid power could be harvested with a pneumatic circuit built into an AFO, and used to operate an actuated cam-lock mechanism that controls ankle-foot motion at specific periods of the gait cycle.

  11. Chopart prosthesis and semirigid foot orthosis in traumatic forefoot amputation. Comparative gait analysis.

    Science.gov (United States)

    Hirsch, G; McBride, M E; Murray, D D; Sanderson, D J; Dukes, I; Menard, M R

    1996-01-01

    Gait was analyzed in seven otherwise healthy males at least 11 mo after they had recovered from a traumatic unilateral transmetatarsal amputation incurred during the course of their usual occupation. All seven were fitted with a semirigid foot orthosis. Four were also fitted with a Chopart prosthesis. Gait was evaluated with forceplate measurements of ground reaction force during free walking, by clinical observation of such ambulation on videotape, and by the subjective impression of the men as obtained by a questionnaire. In all men, with unmodified footwear, with the orthosis, and with the prosthesis, the forceplate data showed an abnormal pattern characterized by reduced stance duration and deficient forward propulsion on the amputated side. The abnormality and asymmetry of ground-reaction forces were less with greater preserved stump length and for a given stump length were with the above-ankle concept (Chopart) prosthesis than with the below-ankle concept. These features were recognized during the clinical analysis of all footwear, but there was an extra irregularity of weight progression noted with the fixed ankle of the Chopart prosthesis. The questionnaire reported stump problems to be the principal difficulty, and the follow-up revealed persistent attempts at surgical management including consideration of amputation at a higher level. It was concluded that the patient and the surgeons are likely to choose preservation of limb length over considerations of function during acute care and that the prosthetic concept best suited to deal with the resulting stump should emphasize unloading the distal part of the stump and smoothing out the impulsive force peak on the stump in late stance to minimize pain and to enhance ambulation capacity.

  12. Characteristics of the muscle activities of the elderly for various pressures in the pneumatic actuator of lower limb orthosis

    Science.gov (United States)

    Kim, Kyong; Yu, Chang-Ho; Kwon, Tae-Kyu; Hong, Chul-Un; Kim, Nam-Gyun

    2005-12-01

    There developed a lower limb orthosis with a pneumatic rubber actuator, which can assist and improve the muscular activities in the lower limb of the elderly. For this purpose, the characteristics of the lower limbs muscle activities for various pressures in the pneumatic actuator for the lower limb orthosis was investigated. To find out the characteristics of the muscle activities for various pneumatic pressures, it analyzed the flexing and extending movement of the knees, and measured the lower limbs muscular power. The subjects wearing the lower limbs orthosis were instructed to perform flexing and extending movement of the knees. The variation in the air pressure of the pneumatic actuator was varies from one kgf/cm2 to four kgf/cm2. The muscular power was measured by monitoring electromyogram using MP100 (BIOPAC Systems, Inc.) and detailed three-dimensional motions of the lower limbs were collected by APAS 3D Motion Analysis system. Through this study, it expected to find the most suitable air pressure for the improvement of the muscular power of the aged.

  13. Morphological changes in the cephalic salivary glands of females and males of Apis mellifera and Scaptotrigona postica (Hymenoptera, Apidae)

    Indian Academy of Sciences (India)

    Silvana Beani Poiani; Carminda Da Cruz-Landim

    2010-06-01

    The cephalic salivary glands of some species of bees are exclusive and well developed only in Apinae. These glands were studied with light and scanning electron microscopy in workers, queens and males from the honey bee Apis mellifera, and the stingless bee Scaptotrigona postica in different life phases. The results show that the cephalic salivary glands are present in females of both the species, and in males of S. postica. Nevertheless, they are poorly developed in young males of A. mellifera. In both species, gland growth is progressive from the time of emergence to the oldest age but, in A. mellifera males, the gland degenerates with age. Scanning electron microscopy shows that the secretory units of newly emerged workers are collapsed while in older workers they are turgid. Some pits on the surface of the secretory units correspond to open intercellular spaces. The possible functions of these glands in females and males of both species are discussed.

  14. A comparative ultrastructural investigation of the cephalic sensory organs in Opisthobranchia (Mollusca, Gastropoda).

    Science.gov (United States)

    Göbbeler, K; Klussmann-Kolb, A

    2007-12-01

    Cephalic sensory organs (CSOs) are specialised structures in the head region of adult Opisthobranchia involved in perception of different stimuli. The gross morphology of these organs differs considerably among taxa. The current study aims at describing the cellular morphology of the CSOs in order to reveal cellular patterns, especially of sensory epithelia, common for opisthobranchs. Transmission electron microscopy was used to characterise the fine structure of the organs and to compare the CSOs of four different opisthobranch species. The cellular composition of the sensory system is conserved among taxa. The epidermal cells in sensory regions are always columnar and ciliated cells are frequently apparent. The sensory cells are primary receptors arranged in subepidermal cell clusters. They extend dendrites which penetrate the epithelium and reach the surface. Some of the dendrites bear cilia, whereas others only build a small protuberance. Processing of sensory information takes place in the peripheral glomeruli of all species. Moreover, few taxa possess additional peripheral ganglia at the base of their CSOs. The results of the present study might support other investigations indicating that the posterior CSOs are primarily involved in distance chemoreception, whereas the anterior CSOs might be used for contact chemoreception and mechanoreception. PMID:17881026

  15. Cephalic Arch Stenosis in Autogenous Haemodialysis Fistulas: Treatment With the Viabahn Stent-Graft

    Energy Technology Data Exchange (ETDEWEB)

    Shawyer, Andrew, E-mail: andrew.shawyer@bartsandthelondon.nhs.uk [The Royal London Hospital, Radiology Department (United Kingdom); Fotiadis, Nicos I., E-mail: fotiadis.nicholas@gmail.com [Royal Marsden Hospital, Radiology Department, The Royal Marsden NHS Foundation Trust (United Kingdom); Namagondlu, Girish, E-mail: girish.namagondlu@bartsandthelondon.nhs.uk [The Royal London Hospital, Renal Medicine Department (United Kingdom); Iyer, Arun, E-mail: arun.iyer@bartsandthelondon.nhs.uk [The Royal London Hospital, Radiology Department (United Kingdom); Blunden, Mark, E-mail: mark.blunden@bartsandthelondon.nhs.uk; Raftery, Martin, E-mail: martin.raftery@bartsandthelondon.nhs.uk; Yaqoob, Magdi, E-mail: magdi.yaqoob@bartsandthelondon.nhs.uk [The Royal London Hospital, Renal Medicine Department (United Kingdom)

    2013-02-15

    Cephalic arch stenosis (CAS) is an important and common cause of dysfunction in autogenous haemodialysis fistulas that requires multiple reinterventions and aggressive surveillance. We evaluated the safety and efficacy of the Viabahn stent-graft for the management of CAS. Between April 2005 and October 2011, 11 consecutive patients [four men and seven women (mean age 56.7 years)] with CAS and dysfunctional fistulas were treated with insertion of 11 Viabahn stent-grafts. Six stent-grafts were inserted due to residual stenosis after angioplasty and five for fistuloplasty-induced rupture. No patient was lost to follow-up. The technical and clinical success rate was 100 %. Primary access patency rates were 81.8 % [95 % confidence interval (CI) 0.482-0.977] at 6 months and 72.7 % (95 % CI 0.390-0.939) at 12 months. Secondary access patency rates were 90.9 % at 6 months (95 % CI 0.587-0.997). There were no procedure-related complications. Mean follow-up was 543.8 days (range 156-2,282). The use of the Viabahn stent-graft in the management of CAS is technically feasible and, in this small series, showed patency rates that compare favorably with historical data of angioplasty and bare stents.

  16. The cephalic morphology of the Gondwanan key taxon Hackeriella (Coleorrhyncha, Hemiptera).

    Science.gov (United States)

    Spangenberg, Rico; Wipfler, Benjamin; Friedemann, Katrin; Pohl, Hans; Weirauch, Christiane; Hartung, Viktor; Beutel, Rolf G

    2013-07-01

    External and internal head structures of Coleorrhyncha, a key-taxon within the Hemiptera, are described in detail and documented using modern techniques. The main focus is on Hackeriella veitchi, but two additional representatives of the Gondwanan relict group were also examined, and also head structures of Enicocephalidae, a member of a potentially basal heteropteran lineage. Features were compared to those documented in literature for the Sternorrhyncha, Auchenorrhyncha, and Heteroptera. Coleorrhyncha are characterized by highly modified head structures and correspondingly an entire series of autapomorphies, such as for instance a strongly flattened head capsule with fenestrations. However, they also display features that are likely plesiomorphic compared to members of other hemipteran groups. These include the almost complete tentorium and the lack of the gula. The sistergroup relationship between Coleorrhyncha and Heteroptera is well supported by cephalic features. Potential synapomorphies are the presence of a distinct mandibular sulcus, the reduced number of antennomeres, the absence of clasping organs in the labial groove, coiled accessory salivary ducts, the presence of a small cervical muscle M1a (M. pronotopostoccipitalis medialis), the presence of a second mandibular promotor M14 (M. zygomaticus mandibulae), the presence of M28 (M. verticopharyngalis), and M30 (M. frontobuccalis posterior). PMID:23583344

  17. Effects of a functional foot orthosis on the knee angle in the sagittal plane of college students in their 20s with flatfoot

    Science.gov (United States)

    Park, KwangYong; Seo, KyoChul

    2015-01-01

    [Purpose] The purpose of this study was to examine the effects of a functional foot orthosis on the knee angle in the sagittal plane of college students in their 20s who had flatfoot. [Subjects and Methods] The subjects of this study were 20 college students diagnosed as having flatfoot. The variations of their knee angle (Q-angle) in the sagittal plane during the stance phase were measured using the VICON Motion System (Vicon, Hansung, Korea) before and while wearing a foot orthosis. The experimental data were analyzed using SPSS 12.0 for Windows. [Results] The Q-angle in the test group during the stance phase showed statistically significant declines on the right and left sides while wearing the foot orthosis during the gait-phases of loading response and midstance. During initial contact, terminal stance, and preswing, the Q-angle also decreased on the right and left sides after wearing the foot orthosis, but the changes were not statistically significant. [Conclusion] The college students with flatfoot exhibited declines in the Q-angle in the sagittal plane while wearing a foot orthosis. In this regard, the application of active gait training using orthotic shoes for long hours is likely to help individuals with flatfoot to achieve normal gait. PMID:25995591

  18. Experimental Implementation of Underactuated Potential Energy Shaping on a Powered Ankle-Foot Orthosis

    Science.gov (United States)

    Lv, Ge; Zhu, Hanqi; Elery, Toby; Li, Luwei; Gregg, Robert D.

    2016-01-01

    Traditional control methodologies of rehabilitation orthoses/exoskeletons aim at replicating normal kinematics and thus fall into the category of kinematic control. This control paradigm depends on pre-defined reference trajectories, which can be difficult to adjust between different locomotor tasks and human subjects. An alternative control category, kinetic control, enforces kinetic goals (e.g., torques or energy) instead of kinematic trajectories, which could provide a flexible learning environment for the user while freeing up therapists to make corrections. We propose that the theory of underactuated potential energy shaping, which falls into the category of kinetic control, could be used to generate virtual body-weight support for stroke gait rehabilitation. After deriving the nonlinear control law and simulating it on a human-like biped model, we implemented this controller on a powered ankle-foot orthosis that was designed specifically for testing torque control strategies. Experimental results with an able-bodied human subject demonstrate the feasibility of the control approach for both positive and negative virtual body-weight augmentation.

  19. Genetic Algorithms Based Approach for Designing Spring Brake Orthosis – Part I: Spring Parameters

    Directory of Open Access Journals (Sweden)

    M. S. Huq

    2012-01-01

    Full Text Available Spring brake orthosis (SBO concentrates purely on the knee to generate the swing phase of the paraplegic gait with the required hip flexion occurring passively as a consequence of the ipsilateral knee flexion, generated by releasing the torsion spring mounted at the knee joint. Electrical stimulation then drives the knee back to full extension, as well as restores the spring potential energy. In this paper, genetic algorithm (GA and its variant multi-objective GA (MOGA is used to perform the search operation for the ‘best’ spring parameters for the SBO spring mounted on an average sized subject simulated in the sagittal plane. Conventional torsion spring is tested against constant torque type spring in terms of swing duration as, based on first principles, it is hypothesized that constant torque spring would be able to produce slower SBO swing phase as might be preferred in assisted paraplegic gait. In line with the hypothesis, it is found that it is not possible to delay the occurrence of the flexion peak of the SBO swing phase further than its occurrence in the natural gait. The use of conventional torsion spring causes the swing knee flexion peak to appear rather faster than that of the natural gait, resulting in a potentially faster swing phase and hence gait cycle. The constant torque type spring on the other hand is able to stretch duration of the swing phase to some extent, rendering it the preferable spring type in SBO.

  20. Anatomy of the lateral antebrachial cutaneous nerve in relation to the lateral epicondyle and cephalic vein.

    Science.gov (United States)

    Wongkerdsook, Wachara; Agthong, Sithiporn; Amarase, Chavarin; Yotnuengnit, Pattarapol; Huanmanop, Thanasil; Chentanez, Vilai

    2011-01-01

    The lateral antebrachial cutaneous nerve (LACN) is the terminal sensory branch of the musculocutaneous nerve supplying the lateral aspect of forearm. Because of its close proximity to the biceps brachii tendon (BBT), the lateral epicondyle (LE), and the cephalic vein (CV), surgery and venipuncture in the cubital fossa can injure the LACN. Measurement data regarding the relative anatomy of LACN are scarce. We, therefore, dissected 96 upper extremities from 26 males and 22 females to expose the LACN in the cubital fossa and forearm. The LACN consistently emerged from the lateral margin of BBT. It then pierced the deep fascia distal to the interepicondylar line (IEL) in 84.4% with mean distances of 1.8 ± 1.1 and 1.2 ± 0.9 cm (male and female, respectively). At the level of IEL, the LACN in all cases was medial to the LE (5.9 ± 1.1 cm male and 5.2 ± 0.9 cm female). Two types of branching were observed: single trunk (78.1%) and bifurcation (21.9%). Asymmetry in the branching pattern was observed in 6 males and 1 female. Concerning the relationship to the CV, the LACN ran medially within 1 cm at the level of IEL in 78.7%. Moreover, in 10 specimens, the LACN was directly beneath the CV. In the forearm, the LACN tends to course medial to the CV. Significant differences in the measurement data between genders but not sides were found in some parameters. These data are important for avoiding LACN injury and locating the LACN during relevant medical procedures.

  1. a Study on the Structural Stress Analysis of Plastic Ankle Foot Orthosis (afo) Under Dorsiflexion and Plantarflextion Conditions

    Science.gov (United States)

    Lee, Young-Shin; Choi, Young-Jin; Kim, Hyun-Soo; Lee, Hyun-Seung; Cho, Kang-Hee

    The ankle foot orthosis (AFO) is used as the gait assistive tool for hemiplegic patients. The structural characteristics of the AFO are applied to the state of the patient. However, the prescription guide for hemiplegic patients is not well established. The purpose of this study is to develop design guide to find out the structural characteristics of polypropylene of AFO used for hemiplegics. In this study, the rigidities of dorsiflexion and plantarflexion of the AFO with varied types of ankle widths are investigated and performed by using FEM code.

  2. Cost-effectiveness of external cephalic version for term breech presentation

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    Carvalho Brendan

    2010-01-01

    Full Text Available Abstract Background External cephalic version (ECV is recommended by the American College of Obstetricians and Gynecologists to convert a breech fetus to vertex position and reduce the need for cesarean delivery. The goal of this study was to determine the incremental cost-effectiveness ratio, from society's perspective, of ECV compared to scheduled cesarean for term breech presentation. Methods A computer-based decision model (TreeAge Pro 2008, Tree Age Software, Inc. was developed for a hypothetical base case parturient presenting with a term singleton breech fetus with no contraindications for vaginal delivery. The model incorporated actual hospital costs (e.g., $8,023 for cesarean and $5,581 for vaginal delivery, utilities to quantify health-related quality of life, and probabilities based on analysis of published literature of successful ECV trial, spontaneous reversion, mode of delivery, and need for unanticipated emergency cesarean delivery. The primary endpoint was the incremental cost-effectiveness ratio in dollars per quality-adjusted year of life gained. A threshold of $50,000 per quality-adjusted life-years (QALY was used to determine cost-effectiveness. Results The incremental cost-effectiveness of ECV, assuming a baseline 58% success rate, equaled $7,900/QALY. If the estimated probability of successful ECV is less than 32%, then ECV costs more to society and has poorer QALYs for the patient. However, as the probability of successful ECV was between 32% and 63%, ECV cost more than cesarean delivery but with greater associated QALY such that the cost-effectiveness ratio was less than $50,000/QALY. If the probability of successful ECV was greater than 63%, the computer modeling indicated that a trial of ECV is less costly and with better QALYs than a scheduled cesarean. The cost-effectiveness of a trial of ECV is most sensitive to its probability of success, and not to the probabilities of a cesarean after ECV, spontaneous reversion

  3. Evaluating a novel cervical orthosis, the Sheffield Support Snood, in patients with amyotrophic lateral sclerosis/motor neuron disease with neck weakness.

    Science.gov (United States)

    Baxter, Susan; Reed, Heath; Clarke, Zoë; Judge, Simon; Heron, Nicola; Mccarthy, Avril; Langley, Joe; Stanton, Andrew; Wells, Oliver; Squire, Gill; Quinn, Ann; Strong, Mark; Shaw, Pamela J; Mcdermott, Christopher J

    2016-01-01

    Current practice and guidelines recommend the use of neck orthoses for people with amyotrophic lateral sclerosis (ALS) to compensate for neck weakness and to provide surrogate neck control. However, available options are frequently described by patients as restrictive and unsuitable and there was a need for a new device that addressed the needs of people with ALS. This project utilized a co-design process to develop a new neck orthosis that was more flexible yet supportive. Following development of a prototype device, a mixed methods cohort study was undertaken with patients and carers, in order to evaluate the new orthosis. Twenty-six patients were recruited to the study, with 20 of these completing all phases of data collection. Participants described the impact of neck weakness on their life and limitations of existing supports. Evaluation of the new orthosis identified key beneficial features: notably, increased support while providing a greater range of movement, flexibility of use, and improved appearance and comfort. In conclusion, the results of this evaluation highlight the value of this alternative option for people with ALS, and potentially other patient groups who require a neck orthosis. PMID:26915274

  4. Design and evaluation of a new type of knee orthosis to align the mediolateral angle of the knee joint with osteoarthritis.

    Science.gov (United States)

    Esrafilian, Amir; Karimi, Mohammad Taghi; Eshraghi, Arezoo

    2012-01-01

    Background. Osteoarthritis (OA) is a disease which influences the performance of the knee joint. Moreover, the force and moments applied on the joint increase in contrast to normal subjects. Various types of knee orthoses have been designed to solve the mentioned problems. However, there are other problems in terms of distal migration during walking and the alignment of the orthosis which cannot be changed following the use of brace. Therefore, the main aim of the research was to design an orthosis to solve the aforementioned problems. Method. A new type of knee orthosis was designed with a modular structure. Two patients with knee OA participated in this research project. The force applied on the foot, moment transmitted through the knee joint, and spatiotemporal gait parameters were measured by use of a motion analysis system. Results. The results of the research showed that the adduction moment applied on the knee joint decreased while subjects walked with the new knee orthosis (P-value knee brace can be used as an effective treatment to decrease the loads applied on the knee joint and to improve the alignment whilst walking.

  5. Design and Evaluation of a New Type of Knee Orthosis to Align the Mediolateral Angle of the Knee Joint with Osteoarthritis

    Directory of Open Access Journals (Sweden)

    Amir Esrafilian

    2012-01-01

    Full Text Available Background. Osteoarthritis (OA is a disease which influences the performance of the knee joint. Moreover, the force and moments applied on the joint increase in contrast to normal subjects. Various types of knee orthoses have been designed to solve the mentioned problems. However, there are other problems in terms of distal migration during walking and the alignment of the orthosis which cannot be changed following the use of brace. Therefore, the main aim of the research was to design an orthosis to solve the aforementioned problems. Method. A new type of knee orthosis was designed with a modular structure. Two patients with knee OA participated in this research project. The force applied on the foot, moment transmitted through the knee joint, and spatiotemporal gait parameters were measured by use of a motion analysis system. Results. The results of the research showed that the adduction moment applied on the knee joint decreased while subjects walked with the new knee orthosis (P-value < 0.05. Conclusion. The new design of the knee brace can be used as an effective treatment to decrease the loads applied on the knee joint and to improve the alignment whilst walking.

  6. Recent Trends in Lower-Limb Robotic Rehabilitation Orthosis: Control Scheme and Strategy for Pneumatic Muscle Actuated Gait Trainers

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    Mohd Azuwan Mat Dzahir

    2014-04-01

    Full Text Available It is a general assumption that pneumatic muscle-type actuators will play an important role in the development of an assistive rehabilitation robotics system. In the last decade, the development of a pneumatic muscle actuated lower-limb leg orthosis has been rather slow compared to other types of actuated leg orthoses that use AC motors, DC motors, pneumatic cylinders, linear actuators, series elastic actuators (SEA and brushless servomotors. However, recent years have shown that the interest in this field has grown exponentially, mainly due to the demand for a more compliant and interactive human-robotics system. This paper presents a survey of existing lower-limb leg orthoses for rehabilitation, which implement pneumatic muscle-type actuators, such as McKibben artificial muscles, rubbertuators, air muscles, pneumatic artificial muscles (PAM or pneumatic muscle actuators (PMA. It reviews all the currently existing lower-limb rehabilitation orthosis systems in terms of comparison and evaluation of the design, as well as the control scheme and strategy, with the aim of clarifying the current and on-going research in the lower-limb robotic rehabilitation field.

  7. Evaluation of the autonomic response in healthy subjects during treadmill training with assistance of a robot-driven gait orthosis.

    Science.gov (United States)

    Magagnin, Valentina; Porta, Alberto; Fusini, Laura; Licari, Vittorio; Bo, Ivano; Turiel, Maurizio; Molteni, Franco; Cerutti, Sergio; Caiani, Enrico G

    2009-04-01

    Body weight supported treadmill training assisted with a robotic driven gait orthosis is an emerging clinical tool helpful to restore gait in individuals with loss of motor skills. However, the autonomic response during this rehabilitation protocol is not known. The aim of the study was to evaluate the autonomic response during a routine protocol of motor rehabilitation through spectral and symbolic analyses of short-term heart rate variability in a group of 20 healthy subjects (11 men, mean age 25+/-3.8 years). The protocol included the following phases: (1) sitting position; (2) standing position; (3) suspension during subject instrumentation; (4 and 5) robotic-assisted treadmill locomotion at 1.5km/h and 2.5km/h respectively with partial body weight support; (6) standing recovery after exercise. Results showed a significant tachycardia associated with the reduction in variance during the suspended phase of the protocol compared to the sitting position. Spectral analysis did not demonstrate any significant autonomic response during the entire protocol, while symbolic analysis detected an increase in sympathetic modulation during body suspension and an increase of vagal modulation during walking. These results could be used to improve understanding of the cardiovascular effects of rehabilitation in subjects undergoing robotic driven gait orthosis treadmill training.

  8. Immediate effects of a controllable knee ankle foot orthosis for functional compensation of gait in patients with proximal leg weakness.

    Science.gov (United States)

    Moreno, Juan C; Brunetti, Fernando; Rocon, Eduardo; Pons, José L

    2008-01-01

    Application of intermittent control of the knee joint stiffness in a knee ankle foot orthosis (KAFO) during gait is proposed. The approach combines inertial sensors and an actuator system in order to apply compensation in quadriceps weakness with a wearable device. Two methods, segment-angular rotation based and segment-angular velocity based, are analysed for the control of the knee joint state (intermittent stiffness) based on the inertial sensors signals. Protocolled tests are developed with two post-polio syndrome patients (PPS). In this study, the cases of gait with free-swinging leg and safe stance with the orthotic system are presented in terms of quantified kinematics (average peak angle of knee flexion of 50 degrees ) and evidences of reduction of frequent compensations (e.g. leg lateral movement) in post-polio syndrome patients. The results from immediate inspection indicate an important improvement of the gait patterns in two patients with proximal leg weakness by means of compensations applied by the wearable orthosis.

  9. Comparison of Venous Return Characteristics with Right Ventricular Mechanics During Cephalic Fluid Shift

    Science.gov (United States)

    Elliott, Morgan; Martin, David

    2015-01-01

    For my summer internship project, I organized a pilot study to analyze the effects of a cephalic fluid shift on venous return and right ventricular mechanics to increase right ventricular and venous knowledge. To accomplish this pilot study, I wrote a testing protocol, obtained Institutional Review Board (IRB) approval, completed subject payment forms, lead testing sessions, and analyzed the data. This experiment used -20deg head down tilt (20 HDT) as the ground based simulation for the fluid shift that occurs during spaceflight and compared it to data obtained from the seated and supine positions. Using echocardiography, data was collected for the right ventricle, hepatic vein, internal jugular vein, external jugular vein, and inferior vena cava. Additionally, non-invasive venous pressure measurements, similar to those soon to be done in-orbit, were collected. It was determined that the venous return from below the heard is increased during 20 HDT, which was supported by increased hepatic vein velocities, increased right ventricular inflow, and increased right ventricular strain at 20 HDT relative to seated values. Jugular veins in the neck undergo an increase in pressure and area, but no significant increase in flow, relative to seated values when a subject is tilted 20 HDT. Contrary to the initial expectations based on this jugular flow, there was no significant increase in central venous pressure, as evidenced by no change in Doppler indices for right arterial pressure or inferior vena cava diameter. It is suspected that these differences in pressure are due to the hydrostatic pressure indifference point shifting during tilt; there is a potential for a similar phenomenon with microgravity. This data will hopefully lead to a more in-depth understanding of the response of the body to microgravity and how those relate to the previously mentioned cardiovascular risk of fluid shift that is associated with spaceflight. These results were presented in greater detail

  10. Mobility training using a bionic knee orthosis in patients in a post-stroke chronic state: a case series

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    Byl Nancy N

    2012-07-01

    Full Text Available Abstract Introduction An emerging area of neurorehabilitation is the use of robotic devices to enhance the efficiency and effectiveness of lower extremity physical therapy post-stroke. Many of the robotic devices currently available rely on computer-driven locomotive algorithms combined with partial bodyweight-supported treadmill training that drive reflex stepping with minimal patient intention during therapy. In this case series, we examined the effect of task-oriented mobility training in patients in a post-stroke chronic state using a novel, wearable, mobile, intention-based robotic leg orthosis. Case presentation Three individuals, all of whom had reached a plateau with conventional bodyweight-supported treadmill training, participated in task-oriented mobility therapy (1.5 hours, two to four times per week for four weeks with a robotic leg orthosis under supervision by a physical therapist. Participant 1 was a 59-year-old Caucasian man, who had an ischemic left stroke six years previously with resultant right hemiparesis. Participant 2 was a 42-year-old Caucasian woman with left hemiparesis after a right stroke 15 months previously. Participant 3 was a 62-year-old Caucasian woman with a history of a right middle cerebral artery aneurysm with third degree sub-arachnoid hemorrhage 10 years ago. Immediately after training, all participants demonstrated improved gait speed (10 meter walk, stride length and walking endurance (6 minute walk compared with baseline measurements. Improvements were maintained one month after training. Timed up and go and five times sit-to-stand were maintained for all three participants, with only one individual remaining outside the safety performance norm. Conclusions Lower extremity training integrating an intention-based robotic leg orthosis may improve gait speed, endurance and community levels of participation in select patients in a post-stroke chronic state after plateauing within a bodyweight

  11. Facilitators and barriers to external cephalic version for breech presentation at term among health care providers in the Netherlands: A quantitative analysis

    NARCIS (Netherlands)

    Rosman, A.N.; Vlemmix, F.; Beuckens, A.; Rijnders, M.E.; Opmeer, B.C.; Mol, B.W.J.; Kok, M.; Fleuren, M.A.H.

    2014-01-01

    OBJECTIVE: guidelines recommend that external cephalic version (ECV) should be offered to all women with a fetus in breech presentation at term. However, only 50-60% of the women receive an ECV attempt. We explored the determinants (barriers and facilitators) affecting the uptake of the guidelines a

  12. Patients' and professionals' barriers and facilitators to external cephalic version for breech presentation at term, a qualitative analysis in the Netherlands

    NARCIS (Netherlands)

    Rosman, A.N.; Vlemmix, F.; Fleuren, M.A.H.; Rijnders, M.E.; Beuckens, A.; Opmeer, B.C.; Mol, B.W.J.; Zwieten, M.C.B. van; Kok, M.

    2014-01-01

    Objective: external cephalic version (ECV) is a relatively simple and safe manoeuvre and a proven effective approach in the reduction of breech presentation at term. There is professional consensus that ECV should be offered to all women with a fetus in breech presentation, but only up to 70% of wom

  13. Ukuran kranial dan indeks sefalik pada anak retardasi mental (Cranial size and cephalic index of mentally retarded children

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    Dewi Elianora

    2013-09-01

    Full Text Available Background: Mental retardation is imperfect condition of mental development which resulted in delay of motoric development, speech and in adaption with the environment. The common symptoms is brain growth disorder, which affects the cranial size and the intelectual function lower than average (<70. Purpose: This study was aimed to determine the difference of cranial size and cephalic index of mentally retarded children compared with normal chilren based on antropometry and cephalometric measurement. Methods: This research was epidemiology analytic observational with case control design. The cranial size and cephalic index measurements were carried out on 168 children in range of age 7-12 years old (84 were moderate mental retarded children and 84 were normal children. Data was statistically analyzed with t-test. Results: The size of cranial and cephalic on index on mentally retarded children were smaller than normal children. S-N and G-Op size were shorter than normal children, the results of S-N differences (-4.4, S-Ar (-2.38 and G-Op (-5.5, Eu-Eu (-8.24. The results analysis of linear and angle component cranial base (S-N, S-Ar and cephalic index and the size of cranial base of mentally retarded children were smaller than normal children.Latar belakang: Retardasi mental merupakan ketidaksempurnaan perkembangan mental yang mengakibatkan keterlambatan perkembangan motorik, bicara dan penyesuaian diri dengan lingkungan. Gejala umum adalah gangguan

  14. First Chemical Analysis and Characterization of the Male Species-Specific Cephalic Labial-Gland Secretions of South American Bumblebees.

    Science.gov (United States)

    Brasero, Nicolas; Martinet, Baptiste; Urbanová, Klára; Valterová, Irena; Torres, Alexandra; Hoffmann, Wolfgang; Rasmont, Pierre; Lecocq, Thomas

    2015-10-01

    The evolution of signals and reproductive traits involved in the pre-mating recognition has been in focus of abundant research in several model species, such as bumblebees (genus Bombus). However, the most-studied bumblebee reproductive trait, the male cephalic labial gland secretions (CLGS), remains unknown among bumblebee species from South America. In this study, the CLGS of five South American bumblebees of the subgenera Thoracobombus (Bombus excellens and B. atratus) and Cullumanobombus (B. rubicundus, B. hortulanus, and B. melaleucus) were investigated, by comparing the chemical compositions of their secretions to those of closely related European species. The results showed an obvious interspecific differentiation in both subgenera. The interspecific differentiation among the species of the Thoracobombus subgenus involved different compounds present at high contents (main compounds), while those of the Cullumanobombus subgenus shared the same main components. This suggests that among the species of the Cullumanobombus subgenus, the differentiation in minor components could lead to species discrimination. PMID:26460558

  15. Early functional postoperative therapy of distal radius fracture with a dynamic orthosis: results of a prospective randomized cross-over comparative study.

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    Fabian M Stuby

    Full Text Available This study was conducted according to GCP criteria as a prospective randomized cross-over study. The primary goal of the study was to determine clinical findings and patient satisfaction with postoperative treatment. 29 patients with a distal radius fracture that was surgically stabilized from volar and who met the inclusion criteria were enrolled over a 12-month period. Each patient randomly received either a dorsal plaster splint or a vacuum-fit flexible but blocked orthosis applied postoperatively in the operating theatre to achieve postoperative immobilization. After one week all patients were crossed over to the complementary device maintaining the immobilization until end of week 2. After week 2 both groups were allowed to exercise wrist mobility with a physiotherapist, in the orthosis group the device was deblocked, thus allowing limited wrist mobility. After week 4 the devices were removed in both groups. Follow-up exams were performed after postoperative weeks 1, 2, 4 and 12.Results were determined after week 1 and 2 using SF 36 and a personally compiled questionnaire; after weeks 4 and 12 with a clinical check-up, calculation of ROM and the DASH Score. Comparison of the two groups showed a significant difference in ROM for volar flexion after 4 weeks, but no significant differences in DASH Score, duration of disability or x-ray findings. With regard to satisfaction with comfort and hygiene, patients were significantly more satisfied with the dynamic orthosis, and 23 of the 29 patients would prefer the flexible vacuum orthosis in future.German Clinical Trials Register (DRKS DRKS00006097.

  16. Autogenous brachio-cephalic arterio-venousautogenous brachio-cephalic arterio-venous fistulae: effect of age, diabetes,fistulae: effect of age, diabetes, atherosclerosis, and anticoagulation on theatherosclerosis, and anticoagulation on the long-term outcomelong-term outcome.

    Science.gov (United States)

    Papalois, Vassilios E; Ndzengue, Albert; Choi, Peter; Hakim, Nadey S

    2008-01-01

    Age, diabetes, and generalized atherosclerosis are thought to be limiting factors forAge, diabetes, and generalized atherosclerosis are thought to be limiting factors for creating an autogenous arterio-venous fistula (AVF) unlike the use of anticoagulants. Wecreating an autogenous arterio-venous fistula (AVF) unlike the use of anticoagulants. We retrospectively assessed the effect of these factors on the outcome of 75 autogenousretrospectively assessed the effect of these factors on the outcome of 75 autogenous brachio-cephalic AVFs created between January 1, 2002 and August 31, 2005. Differentbrachio-cephalic AVFs created between January 1, 2002 and August 31, 2005. Different groups of patients were compared and the longevity of the AVFs was calculated. Fifty-twogroups of patients were compared and the longevity of the AVFs was calculated. Fifty-two percent of the patients were >65 years old, 41.3% werepercent of the patients were >65 years old, 41.3% were diabetic, 48% were arteriopaths,diabetic, 48% were arteriopaths, and 41.3% were not using anticoagulants. The maximum follow-up was 35 months (mean,and 41.3% were not using anticoagulants. The maximum follow-up was 35 months (mean, 11.2 +/- 10.3 months; median, 7 months). The success rate of the operation was 93.3% (mean 11.2 +/- 10.3 months; median, 7 months). The success rate of the operation was 93.3% (70 patent AVFs); 79.3% of the AVFs were functioning at 35 months. Age >65 years old,patent AVFs); 79.3% of the AVFs were functioning at 35 months. Age >65 years old, diabetes, generalized atherosclerosis, and the lack of use of anticoagulants were notdiabetes, generalized atherosclerosis, and the lack of use of anticoagulants were not associated with an increased rate of technical failures or a decreased long-term patencyassociated with an increased rate of technical failures or a decreased long-term patency rate of the AVFs.rate of the AVFs. PMID:19731852

  17. A single night of partial sleep loss impairs fasting insulin sensitivity but does not affect cephalic phase insulin release in young men

    OpenAIRE

    Cedernaes, Jonathan; Lampola, Lauri; Axelsson, Emil K; Liethof, Lisanne; Hassanzadeh, Sara; Yeganeh, Adine; Broman, Jan-Erik; Schiöth, Helgi B; Benedict, Christian

    2016-01-01

    The present study sought to investigate whether a single night of partial sleep deprivation (PSD) would alter fasting insulin sensitivity and cephalic phase insulin release (CPIR) in humans. A rise in circulating insulin in response to food-related sensory stimulation may prepare tissues to break down ingested glucose, e.g. by stimulating rate-limiting glycolytic enzymes. In addition, given insulin's anorexigenic properties once it reaches the brain, the CPIR may serve as an early peripheral ...

  18. Lectin binding in the ependymal cells of the cephalic portion of the nervous system in the chick embryo.

    Science.gov (United States)

    Gheri, Gherardo; Vichi, Debora; Sgambati, Eleonora

    2006-01-01

    The content, distribution and changes of the glycoconjugates oligosaccharides in the ependymal cells of the cephalic portion of the nervous system, in the chick embryo from 5 days of incubation till hatching and in the 3 days old chicken, were investigated. For this purpose a battery of six HRP-conjugated lectins were used (WGA, SBA, UEA I, LTA, PNA, ConA). Enzyme and chemical treatments were performed on some sections prior to staining with HRP-lectins. Our findings showed a large amount of all the investigated sugar residues at the apical portion of the ependymal cells, for the whole considered period of incubation and in the 3 days old chicken. This could indicate that also the immature ependymal cells (spongiobasts) begin to play a tipical role of the mature cells. The presence of cytoplasmic sopranuclear granules, containing D-glucosamine, D-galactose-(beta --> 3)-N-acetil-D-galactosamine and sialic acid in the early stages of incubation, might represent a secretion by the ependymal cells to integrate a not yet fully functioning secretion by the choroid plexuses. At the ciglia a large amount of oligosaccharides were detected in the second part of the period of incubation and in 3 days old chicken. These oligosaccharides could be involved in determining and mantaining the movement of the ciglia to facilitate the flow of the CSF. PMID:16981397

  19. Therapeutic Experience on Stance Control Knee-Ankle-Foot Orthosis With Electromagnetically Controlled Knee Joint System in Poliomyelitis.

    Science.gov (United States)

    Kim, Jung-Hwan; Ji, Sang-Goo; Jung, Kang-Jae; Kim, Jae-Hyung

    2016-04-01

    A 54-year-old man with poliomyelitis had been using a conventional, passive knee-ankle-foot orthosis (KAFO) with a drop ring lock knee joint for about 40 years. A stance control KAFO (SCKAFO) with an electromagnetically controlled (E-MAG) knee joint system was prescribed. To correct his gait pattern, he also underwent rehabilitation therapy, which included muscle re-education, neuromuscular electrical stimulation, strengthening exercises for the lower extremities, and balance training twice a week for about 4 months. Both before and after rehabilitation, we conducted a gait analysis and assessed the physiological cost index in energy expended during walking in a locked-knee state and while he wore a SCKAFO with E-MAG. When compared with the pre-rehabilitation data, the velocity, step length, stride length, and knee kinematic data were improved after rehabilitation. Although the SCKAFO with E-MAG system facilitated the control of knee motion during ambulation, appropriate rehabilitative therapy was also needed to achieve a normal gait pattern. PMID:27152288

  20. Role of ankle foot orthosis in improving locomotion and functional recovery in patients with stroke: A prospective rehabilitation study

    Science.gov (United States)

    Sankaranarayan, H.; Gupta, Anupam; Khanna, Meeka; Taly, Arun B.; Thennarasu, K.

    2016-01-01

    Objective: To study role of ankle foot orthosis (AFO) in improving locomotion and functional recovery after stroke. Setting: Neurological Rehabilitation Department of a university research tertiary hospital. Patients and Methods: AFO and activity based rehabilitation. Main Outcome Measures: Distance (meters) covered during the 6-minute walk test (6MWT) and speed (meter/second) during the 10-meter walk test. Functional abilities assessed using Functional Independence Measure (FIM®). Results: Twenty-six patients (21 male) with stroke (mean duration 196.7 days, range 45–360 days) and mean age of 41.6 years (range 18–65 years, standard deviation [SD] 12.5) were included. Fourteen had right hemiplegia. The mean length of stay in the unit was 26.5 days (range 18–45 days, SD 5.5). All patients had equinus deformity with spastic foot drop and were provided with AFO. Walking endurance with 6MWT was 90 m on admission (without AFO). At discharge, it improved to 174 m with AFO and 121 m without AFOs (P 0.16 m/s speed gain; >50 m endurance gain) at discharge. The mean FIM® score on admission was 84.3 ± 18.6. At discharge FIM® improved to 101.9 ± 13.7 (P < 0.001). Conclusions: Use of AFOs improve gait parameters significantly in only one-third stroke patients in the study when combined with activity-based inpatient-rehabilitation.

  1. Role of ankle foot orthosis in improving locomotion and functional recovery in patients with stroke: A prospective rehabilitation study

    Science.gov (United States)

    Sankaranarayan, H.; Gupta, Anupam; Khanna, Meeka; Taly, Arun B.; Thennarasu, K.

    2016-01-01

    Objective: To study role of ankle foot orthosis (AFO) in improving locomotion and functional recovery after stroke. Setting: Neurological Rehabilitation Department of a university research tertiary hospital. Patients and Methods: AFO and activity based rehabilitation. Main Outcome Measures: Distance (meters) covered during the 6-minute walk test (6MWT) and speed (meter/second) during the 10-meter walk test. Functional abilities assessed using Functional Independence Measure (FIM®). Results: Twenty-six patients (21 male) with stroke (mean duration 196.7 days, range 45–360 days) and mean age of 41.6 years (range 18–65 years, standard deviation [SD] 12.5) were included. Fourteen had right hemiplegia. The mean length of stay in the unit was 26.5 days (range 18–45 days, SD 5.5). All patients had equinus deformity with spastic foot drop and were provided with AFO. Walking endurance with 6MWT was 90 m on admission (without AFO). At discharge, it improved to 174 m with AFO and 121 m without AFOs (P 0.16 m/s speed gain; >50 m endurance gain) at discharge. The mean FIM® score on admission was 84.3 ± 18.6. At discharge FIM® improved to 101.9 ± 13.7 (P < 0.001). Conclusions: Use of AFOs improve gait parameters significantly in only one-third stroke patients in the study when combined with activity-based inpatient-rehabilitation. PMID:27695234

  2. Development of an Active Ankle Foot Orthosis to Prevent Foot Drop and Toe Drag in Hemiplegic Patients: A Preliminary Study

    Directory of Open Access Journals (Sweden)

    Jungyoon Kim

    2011-01-01

    Full Text Available We developed an active ankle-foot orthosis (AAFO that controls dorsiflexion/plantarflexion of the ankle joint to prevent foot drop and toe drag during hemiplegic walking. To prevent foot slap after initial contact, the ankle joint must remain active to minimize forefoot collision against the ground. During late stance, the ankle joint must also remain active to provide toe clearance and to aid with push-off. We implemented a series elastic actuator in our AAFO to induce ankle dorsiflexion/plantarflexion. The activator was controlled by signals from force sensing register (FSR sensors that detected gait events. Three dimensional gait analyses were performed for three hemiplegic patients under three different gait conditions: gait without AFO (NAFO, gait with a conventional hinged AFO that did not control the ankle joint (HAFO, and gait with the newly-developed AFO (AAFO. Our results demonstrate that our newly-developed AAFO not only prevents foot drop by inducing plantarflexion during loading response, but also prevents toe drag by facilitating plantarflexion during pre-swing and dorsiflexion during swing phase, leading to improvement in most temporal-spatial parameters. However, only three hemiplegic patients were included in this gait analysis. Studies including more subjects will be required to evaluate the functionality of our newly developed AAFO.

  3. Botulinum toxin type A for cephalic cutaneous allodynia in chronic migraine: a randomized, double-blinded, placebo-controlled trial

    Directory of Open Access Journals (Sweden)

    Luciano Hollanda

    2014-12-01

    Full Text Available Cephalic allodynia (CA can be observed in 50-70% of patients with chronic migraine (CM. The aim of this trial was to assess the efficacy of botulinum toxin type A (Botx-A in the treatment of CA associated with CM. In this placebo-controlled trial, patients were randomized either into Botx-A or 0.9% saline injections and efficacy measures were assessed every 4 weeks for 3 months. Efficacy endpoints were number of migraine episodes associated with CA, changes from baseline in visual analogical scale scores for pain (VAS and frequency of common analgesics use for migraine. A total of 38 subjects were randomized to saline (n=18 or Botx-A (n=20. There were no significant differences in baseline between active intervention or placebo groups regarding mean age, number of headache episodes [mean 12.1 (9.22 and 17.00 (9.69 respectively; P=0.12], pain severity as measured by the VAS or frequency of analgesic use for headache episodes. Efficacy analysis showed that Botx-A injections led to an important decrease from baseline in the mean migraine episodes associated with CA after 12 weeks (5.20 versus 11.17; P=0.01. Also, VAS scores and frequency of analgesics use for headache were significantly reduced in the Botx-A group. This study suggests that Botx-A injections are superior to saline in the treatment of CA associated with CM, with mild self limited side effects.

  4. The evaluation of off-loading using a new removable oRTHOsis in DIABetic foot (ORTHODIAB) randomized controlled trial: study design and rational

    OpenAIRE

    Mohammedi, Kamel; Potier, Louis; François, Maud; Dardari, Dured; Feron, Marilyne; Nobecourt-Dupuy, Estelle; Dolz, Manuel; Ducloux, Roxane; Chibani, Abdelkader; Eveno, Dominique-François; Crea Avila, Teresa; Sultan, Ariane; Baillet-Blanco, Laurence; Rigalleau, Vincent; Velho, Gilberto

    2016-01-01

    Background Off-loading is essential for diabetic foot management, but remains understudied. The evaluation of Off-loading using a new removable oRTHOsis in DIABetic foot (ORTHODIAB) trial aims to evaluate the efficacy of a new removable device “Orthèse Diabète” in the healing of diabetic foot. Methods/design ORTHODIAB is a French multi-centre randomized, open label trial, with a blinded end points evaluation by an adjudication committee according to the Prospective Randomized Open Blinded End...

  5. A Comparative Study Between Total Contact Cast and Pressure-Relieving Ankle Foot Orthosis in Diabetic Neuropathic Foot Ulcers

    Science.gov (United States)

    Chakraborty, Partha Pratim; Ray, Sayantan; Biswas, Dibakar; Baidya, Arjun; Bhattacharjee, Rana; Mukhopadhyay, Pradip; Ghosh, Sujoy; Mukhopadhyay, Satinath; Chowdhury, Subhankar

    2014-01-01

    Background: Off-loading of the ulcer area is extremely important for the healing of plantar ulcers. Off-loading with total contact cast (TCC) may be superior to other off-loading strategies studied so far, but practical limitations can dissuade clinicians from using this modality. This study was conducted to evaluate the efficacy of TCC compared with that of a pressure-relieving ankle foot orthosis (PRAFO) in healing of diabetic neuropathic foot ulcers and their effect on gait parameters. Methods: Thirty adult diabetic patients attending the foot clinic with neuropathic plantar ulcers irrespective of sex, age, duration and type of diabetes were randomly assigned to 1 of 2 off-loading modalities (TCC and PRAFO). Main outcome measures were ulcer healing after 4 weeks of randomization and effect of each of the modalities on various gait parameters. Results: The percentage reduction of the ulcer surface area at 4 weeks from baseline was 75.75 ± 9.25 with TCC and 34.72 ± 13.07 with PRAFO, which was significantly different (P < .001). The results of this study however, showed that most of the gait parameters were better with PRAFO than with TCC. Conclusions: This study comprehensively evaluated the well known advantages and disadvantages of a removable (PRAFO) and a nonremovable device (TCC) in the treatment of diabetic neuropathic foot ulcer. Further studies are needed involving larger subjects and using 3D gait analysis to collect more accurate data on gait parameters and wound healing with different off-loading devices. PMID:25452635

  6. Cephalic secretions of the bumblebee subgenus Sibiricobombus Vogt suggest Bombus niveatus Kriechbaumer and Bombus vorticosus Gerstaecker are conspecific (Hymenoptera, Apidae, Bombus)

    OpenAIRE

    Rasmont, Pierre; Terzo, Michaël; Murat Aytekin, A.; Hines, Heather; Urbanova, Klara; Cahlikova, L.; Valterova, Irena

    2005-01-01

    Three taxa of the subgenus Sibiricobombus live in the Near-East mountain steppes: Bombus niveatus, B. sulfureus and B. vorticosus. The latter is also present in the Balkan. B. niveatus and B. vorticosus can only be distinguished based on color pattern. B. sulfureus differs in coat color and in genitalia. We identified 40 compounds in the secretions of the labial glands of these taxa, among which 7 were detected for the first time in labial cephalic gland secretions of bumblebee males. Whereas...

  7. Computed-torque method for the control of a 2 DOF orthosis actuated through pneumatic artificial muscles: a specific case for the rehabilitation of the lower limb

    CERN Document Server

    Prattico, Flavio; Yamamoto, Shin-ichiroh

    2014-01-01

    In this paper we give a new control model based on the so called computed-torque method for the control of a 2 degrees of freedom orthosis for the rehabilitation of the lower limb, the AIRGAIT exoskeleton's leg orthosis. The actuation of the AIRGAIT is made through self-made pneumatic muscles. For this reason this work starts with the static and dynamic characterization of our pneumatic muscles. The followed approach is based on the analytical description of the system. For this, we describe the pneumatic muscles behaviour with an easy-invertible polynomial fit function in order to model its non-linear trend. We give a geometrical model of the mechanical system to compute the length between the attachments of the pneumatic muscles to the structure for every angles assumed by the two joints. We evaluate through Newton-Euler equation the couples at the joints for each values of the angles. At last we show some validation tests in order to characterize the functioning of the proposed control model on the actuati...

  8. Ambulatory Function and Perception of Confidence in Persons with Stroke with a Custom-Made Hinged versus a Standard Ankle Foot Orthosis

    Directory of Open Access Journals (Sweden)

    Angélique Slijper

    2012-01-01

    Full Text Available Objective. The aim was to compare walking with an individually designed dynamic hinged ankle foot orthosis (DAFO and a standard carbon composite ankle foot orthosis (C-AFO. Methods. Twelve participants, mean age 56 years (range 26–72, with hemiparesis due to stroke were included in the study. During the six-minute walk test (6MW, walking velocity, the Physiological Cost Index (PCI, and the degree of experienced exertion were measured with a DAFO and C-AFO, respectively, followed by a Stairs Test velocity and perceived confidence was rated. Results. The mean differences in favor for the DAFO were in 6MW 24.3 m (95% confidence interval [CI] 4.90, 43.76, PCI −0.09 beats/m (95% CI −0.27, 0.95, velocity 0.04 m/s (95% CI −0.01, 0.097, and in the Stairs Test −11.8 s (95% CI −19.05, −4.48. All participants except one perceived the degree of experienced exertion lower and felt more confident when walking with the DAFO. Conclusions. Wearing a DAFO resulted in longer walking distance and faster stair climbing compared to walking with a C-AFO. Eleven of twelve participants felt more confident with the DAFO, which may be more important than speed and distance and the most important reason for prescribing an AFO.

  9. 外展支具配合学步车治疗发育性髋关节脱位的疗效评价%Effect of abducens orthosis combined with walker on developmental dysplasia of the hip

    Institute of Scientific and Technical Information of China (English)

    胡志勇; 徐勇强; 梁捷予; 李康华; 廖前德

    2009-01-01

    Objective To evaluate the effect of abducens orthosis combined with walker on de-velopmental dysplasia of the hip ( DDH ). Methods A total of 126 patients (224 hips ) with DDH aged 6~36 months in Xiangya Hospital was randomly divided into 2 groups: an orthosis combined with walker group and an improved hip frog cast fixation group. Seventy patients (130 hips) were treated by the orthosis combined with walker and 56 patients (94 hips) were treated by the improved hip frog cast fixation. We compared the effect and complications of the 2 groups. Results The fine-ness rates of the orthosis combined with walker group and the improved hip frog cast fixation group were 89.2% and 90.4% , respectively, with no significant difference (P>0.05). The rate of femoral head osteonecrosis in the orthosis combined with walker group was significantly lower than that in the improved hip frog cast fixation group (1.5 % vs. 5.3 % , P0.05).支具加学步车组股骨头坏死的比例显著低于改良蛙式石膏组(分别为1.5%和5.3%,P<0.05),但前者术后发生再脱位的比例显著高于后者(分别为6.9%和1.1%,P<0.05).结论:两种方法均能有效治疗DDH,外展支具配合学步车治疗后出现股骨头坏死比例较低,但再脱位比例较高.

  10. Phylogeny and revision of the bee genus Rhinocorynura Schrottky (Hymenoptera, Apidae, Augochlorini, with comments on its female cephalic polymorphism

    Directory of Open Access Journals (Sweden)

    Rodrigo B. Gonçalves

    2012-03-01

    Full Text Available Phylogeny and revision of the bee genus Rhinocorynura Schrottky (Hymenoptera, Apidae, Augochlorini, with comments on its female cephalic polymorphism. A taxonomic revision and a phylogeny for the species of Rhinocorynura are provided. Six species are recognized: R. briseis, R. crotonis, R. inflaticeps and R. vernoniae stat. nov., the latter removed from synonymy with R. inflaticeps, in addition to two newly described species, R. brunnea sp. nov. and R. viridis sp. nov. Lectotypes for Halictus crotonis Ducke, 1906 and Halictus inflaticeps Ducke, 1906 are hereby designated. Another available name included in Rhinocorynura, Corynuropsis ashmeadi Schrottky, 1909, is removed from the genus and treated as species inquerenda in Augochlorini. Rhinocorynura is monophyletic in the phylogenetic analysis and the following relationships were found among its species: (R. crotonis (R. briseis ((R. brunnea sp. nov. + R. viridis sp. nov. (R. inflaticeps + R. vernoniae. Biogeographic relationships within the genus and comparisons with related taxa are presented. Females of all species exhibit pronounced variation in body size, in two of them, R. inflaticeps and R. vernoniae, with structural modifications possibly linked to division of labor. Identification key and illustrations for the species are provided.Filogenia e revisão taxonômica das abelhas do gênero Rhinocorynura Schrottky (Hymenoptera, Apidae, Augochlorini, com comentários sobre o poliformismo cefálico das fêmeas. São apresentadas uma revisão taxonômica e filogenia para as espécies de Rhinocorynura. Seis espécies são reconhecidas, duas descritas como novas, R. brunnea sp. nov. e R. viridis sp. nov., e quatro com nomes disponíveis, R. briseis, R. crotonis, R. inflaticeps e R. vernoniae stat. nov., esta última removida da sinonímia com R. inflaticeps. Designam-se aqui lectótipos para Halictus crotonis Ducke, 1906 e Halictus inflaticeps Ducke, 1906. Outro nome disponível incluído em

  11. FY1995 development of rehabilitation system for promoting social integration of people with disabilities. Development of a robotic orthosis assisting motion capabilities; 1995 nendo shogaino aru hito no shakai shinshutsu wo sokushinsuru rehabilitation system no kaihatsu. Rehabilitation kino wo yusuru doryoku sogu no kaihatsu

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-03-01

    People with slight disabilities on motion. capability can be active in daily life using properly designed motion-assisting devices. Using these device in various cases would help the disabled participate in production activities, and would promote social integration of the disabled as rehabilitation in a broad sense. This research aims at developing such a device capable to help human motion by forearm based on technology and science in robotics. Two different methods are discussed in this research in order to develop robotic orthosis with good performance for assisting human motion by forearm. The first method is constructing a robotic orthosis with electronic motors and force sensors to produce a desired mechanical impedance. This orthosis was carefully designed such that mechanical safety for human is realized. The validity of the mechanism is illustrated by several experiments. The second method is constructing a low cost robotic orthosis with pneumatic actuators. A new type of pneumatic actuator is developed to realize this orthosis. Experimental results show that physical therapy can be performed effectively using this orthosis operated by direct teaching. (NEDO)

  12. Absorbed doses received by infants subjected to panoramic dental and cephalic radiographs; Dosis absorbida recibida por infantes sometidos a radiografias dentales panoramicas y cefalicas

    Energy Technology Data Exchange (ETDEWEB)

    Carrizales, L.; Carreno, S. [Instituto Venezolano de Investigaciones Cientificas. Laboratorio Secundario de Calibracion Dosimetrica. Carretera Panamericana Km. 11. Apartado Postal 21827, Caracas (Venezuela)

    1998-12-31

    The IAEA Report No. 115 recommends that each country or region can establish levels of absorbed doses for each radiographic technique employed in diagnostic. assuming the extended and expensive of this purpose, we have been to begin in a first step with the dentistry area, in order to estimate the dose levels received at crystalline and thyroid level in infants that go to an important public institution in our country to realize panoramic and cephalic radiographs. This work will serve to justify and impel a quality assurance program in Venezuela on the dentistry area which includes aspects such as training for the medical lap referring the justification of the radiological practice, optimization of X-ray units to produce an adequate image quality that delivers to patient an absorbed dose as much lower as reasonably it can be reached without diagnostic detriment. (Author)

  13. Auto-rotação cefálica ativa em pacientes com tontura/ vertigem Active cephalic auto-rotation in patients with dizziness/ vertigo

    Directory of Open Access Journals (Sweden)

    Aída R.M. de Assunção

    Full Text Available Introdução: A auto-rotação cefálica ativa é um teste rápido, de simples realização, não invasivo, que não causa desconforto ao paciente, pode ser realizado com facilidade em crianças e avalia o reflexo vestíbulo-ocular nas freqüências fisiológicas de movimentação da cabeça, utilizadas na vida cotidiana (de 1 a 4 Hz. Forma de estudo: clínico retrospectivo não randomizado. Objetivo: Avaliar pacientes com queixas de tontura/vertigem através da auto-rotação cefálica ativa comparando os sintomas com as alterações encontradas. Material e método: Um grupo de 1281 pacientes com queixa de tontura/vertigem foi submetido ao teste de auto-rotação cefálica ativa horizontal com alvo fixo, como uma etapa da avaliação otoneurológica. Resultados: As idades variaram de três a 93 anos com média de 49,6 anos, sendo 946 (73,8% do sexo feminino e 335 (26,2% do sexo masculino. A queixa de vertigem foi relatada por 896 (69,9% dos pacientes e a tontura por 385 (30,1%. A faixa de freqüência de resposta à prova de auto-rotação cefálica variou de 1,5 a 7,5Hz com média de 3,5Hz. A prova de auto-rotação cefálica ativa foi normal em 937 (73,1% e alterada em 344 (26,9% dos pacientes. As alterações mais freqüentes foram as relacionadas ao ganho (aumento, redução isoladas ou associadas a alterações de fase e simetria, em 241 (19% pacientes. O aumento do ganho isolado foi verificado em 92 pacientes (7,2%. Conclusão: Não houve relação entre as alterações na prova de auto-rotação cefálica ativa horizontal e as queixas de tontura e vertigem.Introduction: Active cephalic auto-rotation is a rapid, easy, painless and comfort test, that can be done in children and evaluate the vestibulo-ocular reflex in the physiologic frequencies of head, used in the every day life (from one to four hertz. Study design: clinical retrospective not randomized. Aim: Evaluate patients with complaints of dizziness/vertigo through the active

  14. AN ANALYSIS OF THE MANUFACTURING POSSIBILITY OF SPECIAL ANKLE FOOT ORTHOSIS COMPONENTS BY OMPARISON BETWEEN THE REQUIRED PRECISION AND THE VAILABLE PRECISION ON A VERTICAL MACHINING CENTER PROGRAMED WITH TOPSOLID

    Directory of Open Access Journals (Sweden)

    Alexandru STANIMIR

    2010-06-01

    Full Text Available Validation of different solutions adopted to achieve new ankle foot orthosis involves among others their prototyping. In these paper we developed a representative part for two axis machining that requires the use of the main features of TopSolid Cad and Cam modules, and that assumes the use of the main manufacturing processes that usually may be met on a vertical machining center. Also, in order to determine the dimensional and geometrical deviations of the part this was done on the YMC 1050 machining center. After comparing the measured deviations with the requirements of various components of orthesis, we concluded that the available precision meets the requirements and that the machining center with TopSolid software that we have will enable us to realize special ankle foot orthosis of quality, for experimental research .

  15. Lightweight modular orthosis.

    Science.gov (United States)

    Engen, T

    1989-12-01

    Background and highlights are presented concerning the development of a new orthotic system judged to be "the most outstanding innovation in prosthetics and/or orthotics practice" during the 1986-1989 period. The first Brian Blatchford Prize was awarded at the Sixth World Congress of ISPO held in Kobe, Japan. November 12-17, 1989. The new development selected as most deserving of this award consists of a system utilizing inexpensive, lightweight, modular components which can be quickly assembled with a few hand tools to provide custom-fitted knee-ankle-foot orthoses for persons with paraplegia and quadriplegia. These leg frames support standing and permit the patient to begin receiving the physical and psychological benefits of weightbearing as soon as medically feasible after injury. Later, if desired, specially designed knee-joints, with a variety of possible locking features, can be installed on the existing leg frames at a reasonable cost. PMID:2608419

  16. Use of External Cephalic Version and Amnioreduction in the Delivery of a Fetal Demise with Macrocephaly Secondary to Massive Intracranial Teratoma

    Directory of Open Access Journals (Sweden)

    Matthew J. Blitz

    2015-04-01

    Full Text Available Introduction - Congenital intracranial tumors are rare and often incidentally diagnosed on routine ultrasound. We report a case of a fetal demise with a massive intracranial teratoma at 25 weeks of gestation and the management of her delivery in the setting of macrocephaly, breech presentation, and polyhydramnios. Case - A 31-year-old G3P1011 woman at 25 weeks' gestation presented with a recent fetal demise and a fetal intracranial tumor first identified at 16 weeks' gestational age. The patient had declined termination of pregnancy. Biometry was consistent with 24 weeks' gestation, except for a head circumference of 394.4 mm consistent with 39 weeks' gestation. The fetus was in a breech presentation. An external cephalic version (ECV was successfully performed under epidural anesthesia and an amnioreduction was then performed to stabilize the fetal position. Immediate induction of labor and vaginal delivery followed. Discussion - ECV and amnioreduction may help facilitate delivery in cases of fetal demise complicated by macrocephaly, malpresentation, and polyhydramnios.

  17. Effect of wearing a dorsiflexion assist orthosis on mobility, perceived fatigue and exertion during the six-minute walk test in people with multiple sclerosis: a randomised cross-over protocol

    Directory of Open Access Journals (Sweden)

    McLoughlin James

    2012-05-01

    Full Text Available Abstract Background Fatigue in combination with gait and balance impairments can severely limit daily activities in people with multiple sclerosis (PWMS. Generalised fatigue has a major impact on walking ability, with moderately disabled PWMS experiencing difficulty in walking extended distances. Localised motor fatigue in the ankle dorsiflexors can lead to foot drop, further reducing functional ambulation. The aim of this study is to evaluate the effect of a simple dynamic dorsiflexion assist orthosis on walking-induced fatigue, gait, balance and functional mobility in PWMS. Methods A randomised cross-over trial will be conducted with 40 community dwelling PWMS with mild to moderate mobility disability. Participants will initially be screened for disease severity, balance, strength, depression and fatigue at the South Australian Motion Analysis Centre. On two non-consecutive occasions, within two weeks, participants will undergo either the 6-minute walk test (6MWT or the 6MWT while wearing a dorsiflexion ankle orthosis (with a randomised condition order. Distance walked, perceived exertion, perceived fatigue and the physiological cost of walking (the primary outcome measures will be compared between the two walking conditions. Additional pre- and post-6MWT assessments for the two conditions will include tests of strength, reaction time, gait and balance. Discussion This study will increase our understanding of motor fatigue on gait and balance control in PWMS and elucidate the effect of a Dynamic Ankle Orthosis on fatigue-related balance and gait in PWMS. It will also examine relationships between mobility and balance performance with perceived fatigue levels in this group. Trial Registration Number ACTRN12612000218897

  18. 头静脉周围血管营养皮瓣修复皮肤缺损45例%Repairing skin and soft tissue defect in 45 cases by vasculotrophic flaps around cephalic vein

    Institute of Scientific and Technical Information of China (English)

    王宣生; 周巨良; 应素兰; 石小龙; 王振翼; 李庆泰

    2014-01-01

    Objective To discuss the clinical effect of treating skin defect with vasculotrophic flaps around cephalic veins. Methods We used 45 vasculotrophic flaps around cephalic veins to treat 45 patients with skin defect, from February 2008 to March 2012. The follow-up time was 6 months to 1 year, 10 months on average. Based on the surgical methods, the surgical flaps were divided into two classes, one was antegrade flap, with the flap at the distal end of the pedicle. And the other was retrograde flap, with the flap at the proximal of the pedicle. Type I of the second class:reflux vein could be found inside the wound surface, and the cephalic vein inside the flap was anastomosed with the reflux vein inside the wound surface. Type II of the second class: reflux vein could not be found inside the wound surface, and the cephalic vein inside the flap tissues was ligated. Flaps were cut from deep fascial layer, the pedicle width has cephalic vein as the center, not less than 3.0 cm, and the flap length-to-width ratio should not be greater than 5:1. The pedicle of free flap has a strip of skin for reducing tension during suturing. The superficial cutaneous nerves should be kept when cutting the skin flaps. Results Through the method of vasculotrophic flaps around cephalic veins, 45 flaps all survived. As the cutaneous nerve was kept when cutting the flaps, the sensory function of the body was good. Conclusion The cephalic veins exist inside the fascia tissues, and have more concentrated arteries around to supply blood, which provide nutrition to cephalic veins and peripheral tissues. Various vasculotrophic flaps around cephalic veins could be designed by utilizing these tissues for blood supply. As the skin flaps only contain cephalic veins and don't injure nerves and arteries, the damage to the limb is small and higher survival rate, so it has broad application prospects.%目的:探讨头静脉周围血管营养皮瓣修复皮肤缺损的临床疗效。方法对2008年2

  19. Orthosis-Shaped Sandals Are as Efficacious as In-Shoe Orthoses and Better than Flat Sandals for Plantar Heel Pain: A Randomized Control Trial.

    Directory of Open Access Journals (Sweden)

    Bill Vicenzino

    Full Text Available To investigate efficacy of a contoured sandal being marketed for plantar heel pain with comparison to a flat flip-flop and contoured in-shoe insert/orthosis.150 volunteers aged 50 (SD: 12 years with plantar heel pain (>4 weeks were enrolled after responding to advertisements and eligibility determined by telephone and at first visit. Participants were randomly allocated to receive commercially available contoured sandals (n = 49, flat flip-flops (n = 50 or over the counter, pre-fabricated full-length foot orthotics (n = 51. Primary outcomes were a 15-point Global Rating of Change scale (GROC: 1 = a very great deal worse, 15 = a very great deal better, 13 to 15 representing an improvement and the 20-item Lower Extremity Function Scale (LEFS on which participants rate 20 common weight bearing activities and activities of daily living on a 5-point scale (0 = extreme difficulty, 4 = no difficulty. Secondary outcomes were worst level of heel pain in the preceding week, and the foot and ankle ability measure. Outcomes were collected blind to allocation. Analyses were done on an intention to treat basis with 12 weeks being the primary outcome time of interest.The contoured sandal was 68% more likely to report improvement in terms of GROC compared to flat flip-flop. On the LEFS the contoured sandal was 61% more likely than flat flip-flop to report improvement. The secondary outcomes in the main reflected the primary outcomes, and there were no differences between contoured sandal and shoe insert.Physicians can have confidence in supporting a patient's decision to wear contoured sandals or in-shoe orthoses as one of the first and simple strategies to manage their heel pain.The Australian New Zealand Clinical Trials Registry ACTRN12612000463875.

  20. 3D打印技术在矫形鞋垫中的应用进展%Application of 3D Printing Technology in Custom-made Foot Orthosis (review)

    Institute of Scientific and Technical Information of China (English)

    曹萍; 吴小高

    2015-01-01

    3D printing technology has become the focus of the study on rapid proyotyping technology in recent years. This paper intro-duced the principle, material and equipments of 3D printing, as well as the foot orthosis. This paper also summarized the application of 3D printing in custom-made foot orthosis, and the differences between 3D printing and traditional technology from the aspect of structure de-sign, material, and clinical application, etc., and discussed the problems and future development of 3D printing.%3D打印技术的快速发展使其成为近年国内外快速成型技术研究的重点。本文简要介绍3D打印技术原理、原材料和加工设备;介绍矫形鞋垫制作;总结国内外3D打印技术在矫形鞋垫制作中的应用现状,从鞋垫的结构设计、打印材料、临床应用等方面对3D打印和传统工艺的区别进行阐述,并对存在的问题和未来发展进行讨论。

  1. Mathematical model and applicable prescription of ankle-foot orthosis and its early application in analysis of hemiplegic gait of stroke patients%踝足矫形器数学模型、应用处方及其早期应用对脑卒中患者偏瘫步态影响的趋势分析

    Institute of Scientific and Technical Information of China (English)

    钱竞光; 沈鑫

    2008-01-01

    随着多体系统动力学理论和计算机技术的发展,矫形器的计算机辅助设计和制造(CAD/CAM)技术已经日趋成熟,利用这项新技术可建立人体和矫形器的数学力学模型,通过模拟计算来确定矫形器处方、预测疗效和康复效果.踝足矫形器(AFO)早期应用对于脑卒中患者脑功能恢复、偏瘫步态恢复以及对于纠正异常步态起重要作用,在康复临床矫形器处方中,建立相应的数学模型,推测足踝功能变化和脑卒中后脑功能恢复的作用和机制,这对偏瘫步态的分析、矫形器的设计和患者步态的恢复等方面都会产生积极影响.%With the development of the Multi-Rigid-Body system dynamics theory and computer technology, computer aided design and manufacturing of orthosis have already matured, mathematical mechanical model of human body and orthosis can be established using this new technology, and simulation calculation can be used to determine the orthosis prescription, predict the efficacy and effectiveness of rehabilitation. Early application of ankle-foot orthosis plays an important role in restoration of brain function in stroke patients, resumption of hemiplegic gait and abnormal gait correction. In clinical orthosis prescription, establishment of corresponding mathematical model and speculation of ankle-foot function changes, as well as the effect and mechanism of resumption of brain function in post-stroke patients, have a positive impact on the analysts of hemiplegic gait, orthosis design and gait resumption.

  2. Effect of knee ankle foot orthosis in the rehabilitation of patients with complete spinal cord injury%膝踝足矫形器对完全性脊髓损伤患者的康复作用

    Institute of Scientific and Technical Information of China (English)

    林志伟; 练振坚; 符俏

    2013-01-01

    Objective To investigate effect of knee ankle foot orthosis (KAFO) in the rehabilitation of patients with complete spinal cord injury. Methods Seventeen patients (11 males and 6 females) with spinal cord injury of L1 or under L1 were enrolled in the study, aged from 19 to 42 years old (34.7 in average), of which 9 cases were L1 level, 5 cases were L2 level, 3 cases were L3 level. Several rehabilitation therapies were needed before assembly of KAFO, including muscle strength, cardiopulmonary function, wheelchair transfer, the activities daily living (ADL), bladder training. After assembly of KAFO, intensive gait training was performed, with walking function tests (including 6 min walking test and 10 m walking time evaluation) before orthosis assembly and before discharge. The gait analysis and the modified Barthel index (MBI) were evaluated. Results All patients could not walk independently without orthosis conditions. After the orthosis assembly and training, the 10 m walking time was (76.35±32.45) s, the average 6 min walking distance was (67.48±24.35) m, and the average step size was 37.9 cm. Conclusion The KAFO combined with systematic rehabilitation treatment can improve the walking ability and the activities of daily living in patients with complete spinal cord injury.%目的 探讨膝踝足矫形器(KAFO)对完全性脊髓损伤患者的康复作用.方法 L1及以下脊髓损伤患者17 例,其中男性11 例,女性6 例;损伤节段:L1损伤9 例,L2损伤5 例,L3损伤3 例;年龄19~42 岁,平均34.7岁.在装配膝踝足矫形器前需进行多项康复治疗,包括肌肉力量、心肺功能、轮椅转移、日常活动能力(ADL)、膀胱训练等,装配矫形器后加强步态训练;分别于矫形器装配前及出院前进行限时的步行功能检查(包括6 min 步行评测和10 m步行时间评测)、步态分析及改良Barthel 指数(MBI)作为指标进行评定.结果 17 例患者在不使用矫形器的情况下均不能独立行

  3. Chronic stroke survivors achieve comparable outcomes following virtual task specific repetitive training guided by a wearable robotic orthosis (UL-EXO7) and actual task specific repetitive training guided by a physical therapist.

    Science.gov (United States)

    Byl, Nancy N; Abrams, Gary M; Pitsch, Erica; Fedulow, Irina; Kim, Hyunchul; Simkins, Matt; Nagarajan, Srikantan; Rosen, Jacob

    2013-01-01

    Survivors post stroke commonly have upper limb impairments. Patients can drive neural reorganization, brain recovery and return of function with task specific repetitive training (TSRT). Fifteen community independent stroke survivors (25-75 years, >6 months post stroke, Upper Limb Fugl Meyer [ULFM] scores 16-39) participated in this randomized feasibility study to compare outcomes of upper limb TSRT guided by a robotic orthosis (bilateral or unilateral) or a physical therapist. After 6 weeks of training (18 h), across all subjects, there were significant improvements in depression, flexibility, strength, tone, pain and voluntary movement (ULFM) (p shoulder and elbow without significant gains in fine motor hand control, activities of daily living or independence. PMID:23911077

  4. Construction features and application of a new wrist-hand orthosis%一种新型腕手矫形器的结构特点及其使用

    Institute of Scientific and Technical Information of China (English)

    冉春风

    2008-01-01

    AIM: To introduce a new kind of wrist-hand orthosis.METHODS: The major frame of wrist-hand orthosis is composed of dorsal carpal guard plate and carpal bracket; while, a U-shaped anterior bracket is fixed on the anterior side of the major frame. Ferrules of index finger, middle finger, fourth finger and little finger respectively connect to dorsal carpal guard plate of the major frame via elastic brace; ferrule of thumb is fixed on one side of ferrule of index finger by using steel wires; an abduct elastic sleeve is designed on the lateral dorsal carpal guard plate of ferrule of little finger by using steel wires. According to experimental demands, wrist with the palms upward or downward puts into the major frame, which is composed of dorsal carpal guard plate and carpal bracket. The hand is anterior to the major frame; ferrules are located over rolling sleeve by forward and fingers are located below the rolling sleeve by forward; ferrules are respectively rang the index, middle, fourth and little fingers; ferrule of thumb is rang the thumb. Continuously, wrist rotates based on orthopaedic demands to realize various orthopaedic functions.RESULTS: The wrist-hand orthosis is used to help the hand maintain extension after extensor tendon injury operation in order to restrict active areas of fingers and promote healing of injured side. On the other hand, this new orthosis is also used to help wrist joint and digital joint maintain flexion after extensor tendon injury operation in order to improve flexion and extension of wrist joint, enlarge active area of flexion of wrist joint, enlarge drifting active area of radialis of wrist joint, and increase muscle strength of radial flexor muscle, ulnar flexor muscle, extensor carpi radialis muscle, extensor carpi ulnaris muscle, extensor carpi ulnaris muscle, flexor carpi ulnaris muscle, extensor digitorum communis muscle, superficial flexor muscle and deep flexor muscle.CONCLUSION: The wrist-hand orthosis refers to protection

  5. Anatomic research on distally based compound flap pedicled with the nutrient vessels of cephalic vein%头静脉营养血管远端蒂复合瓣的解剖学研究

    Institute of Scientific and Technical Information of China (English)

    张发惠; 林松庆; 郑和平; 张国栋

    2006-01-01

    BACKGROUND: Distally based flap pedicled with the distal nutritional vessels in forearm is especially suitable for reconstructing the tissue defects in the distal end of hands, while high rotation point cannot satisfy the requirements of reconstructing the distal injuries or defects in hands, and severer lesion may even be caused in the donor site.OBJECTIVE: To study the anatomic proceeding of artery perforators in distal radial margin of forearms, so as to provide anatomic basis for the design of distally based compound flap pedicled with the nutrient vessel of cephalic vein in distal radial margin of forearms.DESIGN: Single sample experiment.SETTING: Center for Clinical Anatomy of the Department of Orthopedics,Fuzhou General Hospital of Chinese PLA of Nanjing Military Area Command.MATERIALS: The experiment was conducted in the Laboratory of Center for Clinical Anatomy of Department of Orthopedics, Fuzhou General Hospital of Chinese PLA of Nanjing Military Area Command between August and December 2004. The upper extremities of 30 cadavers injected with a mixture of red gelatin into the artery (provided by the Center for Clinical Anatomy of Department of Orthopedics, Fuzhou General Hospital of Chinese PLA of Nanjing Military Area Command) were adopted.METHODS: The vascular external diameter and distance were measured with sliding caliper and ruler with radial styloid process as the marker.MAIN OUTCOME MEASURES: ① The perforator artery in distal radial margin of forearms. ② The nutrient vessels of cephalic vein. ③ The relationship of blood supply between the nutrient vessels and vicinal bone and skin as well as the lateral antebrachial cutaneous nerve. ④ The superficial and deep communicating branches of cephalic vein.RESULTS: The perforator artery in distal radial margin of forearms derived from: 6-11 cutaneous branches of radial artery with external diameter of (0.7±0.3) mm; 2-6 cutaneous branches of superficial palma with the external diameter of (0.5±0

  6. Comparison of different orthosis for improving gait in patients with spinal cord injury%脊髓损伤患者E-MAG和落环锁式膝踝足矫形器的应用对比◆

    Institute of Scientific and Technical Information of China (English)

    吴强; 马宗浩; 何成奇

    2013-01-01

    BACKGROUND: Drop ring lock knee-ankle-foot orthosis has been widely used in patients with higher level spinal cord injury, with one primary limitation in ambulation being attributable to the absence of knee flexion in swing phase. As a result, an individual is forced to use compensatory upper body motions to advance the legs. At present, the research on the comparison between different knee-ankle-foot orthoses is rare. OBJECTIVE: To investigate and compare the clinical effect of E-MAG and drop ring lock knee-ankle-foot orthosis in the treatment of the patients with spinal cord injury. METHODS: With the approach of case crossover study, the application effect of drop ring lock knee-ankle-foot orthosis in combination with an E-MAG on a patient with a T10 spinal cord injury was observed. With the measurement of three-dimensional gait data, a comparison was made between the scenarios of having the knees locked during the entire gait cycle to that of al owing the knees to flex freely during the swing phase, yet stil be locked for stability during stance. RESULTS AND CONCLUSION: Qualitative observation and kinematic three-dimensional gait data demonstrated that this patient ambulated with a faster, more efficient gait pattern when using E-MAG. Despite having no voluntary control of knees, this orthotic option afforded the ability to walk safely and smoothly with both knees flexing during swing and knee lock in stance phase, and with less upper body compensation. Compared with drop ring lock knee-ankle-foot orthosis, E-MAG active orthosis contains stance phase control, so it has higher degree of acceptance and practicality%  背景:落环锁式膝踝足矫形器在较高位脊髓损伤患者中被广泛应用,但该矫形器在行走时有一个主要限制即摆动期膝关节锁定,导致患者在行走时需要通过上肢活动来补偿。目前有关不同矫形器治疗效果的对比鲜有研究。目的:探究并对比E-MAG活跃型矫形器和落环

  7. Ankle-foot orthosis improves walking ability of hemiplegic patients:a Meta-analysis%踝足矫形器改善偏瘫患者步行能力的荟萃分析

    Institute of Scientific and Technical Information of China (English)

    刘维红; 刘涛; 易莉; 付丽娜

    2014-01-01

    BACKGROUND:Studies have shown that ankle-foot orthosis can increase the feedback on the input information from receptors in the skin of the foot and leg to improve the ankle joint position sense, and promote brain function reorganization. OBJECTIVE:To systematical y evaluate the effect of ankle-foot orthosis on the improvement of walking in hemiplegic patients. METHODS:The Chinese Biomedical Literature Database, CNKI, WanFang Data and VIP database were searched for reports of randomized control ed trials of ankle-foot orthosis to improve walking ability in hemiplegic patients, from the date of establishment of each database to June 2013. The randomized control ed trials which met the criteria were included for the Meta-analysis. RESULTS AND CONCLUSION:A total of 9 randomized control ed trials involving 456 patients were included. Meta-analysis showed that, compared with conventional treatment and drug therapy, ankle foot orthosis via the continuous treatment shows certain advantages to improve lower extremity motor function in hemiplegic patients, life skil s and 10-meter maximum walking speed. Due to a limited number of included documents, the remaining indicators such as walking speed, stride difference and balance function were only for appropriate descriptive analysis. The results suggested that, by improving abnormal gait, walking speed, stride frequency, gait cycle, space asymmetry, ankle muscle spasms and balancing, the ankle-foot orthosis could achieve the goal of improving walking function. Ankle-foot orthoses could not be confirmed to exert the role in the fol owing indicators, including time asymmetry, double support phase prolongation and stride length. This evidence shows that ankle-foot orthoses in hemiplegic patients may promote recovery of motor function of the lower limbs and activities of daily living to a certain extent, but the more high-quality, multi-center randomized control ed trials with large samples are necessary.%背景:已有研究

  8. Operative design of primary total auricular reconstruction with cephalic SMAS island flaps%头部SMAS岛状瓣Ⅰ期全耳郭再造的手术设计

    Institute of Scientific and Technical Information of China (English)

    匡建国; 王乃佐; 楚建军

    2012-01-01

    Objective To investigate the feasibility of many kinds of designs with insular cephalic-SMAS flaps for covering auricular framework. Methods According to the template of tissue flaps drawn by CT and the blood supply of the cephalic-SMAS, the SMAS island flaps pedicled with the frontal and parietal branch of superficial temporal vessel and occipital branch of retro auricular vessel were designed for simulating primarily total auricular reconstruction on five cadaver specimens. Results (1) The SMAS island flaps designed by CT three-dimensional measurement method can be used for covering auricular framework well. (2) Ihree different kinds of SMAS island flaps were designed for covering auricular framework, and primary total auricular reconstructions were simulated. Conclusion (1) The SMAS island flaps designed by CT three-dimensional measurement method can meet requirements of covering auricular framework. (2) Two kinds of SMAS island flaps can be designed on the same side pedicled with the parietal (frontal) branch of superficial temporal vessels and occipital branch of retroauricular vessels, and that can offer multiple choices for covering auricular frameworks.%目的 探讨设计多种头部SMAS岛状瓣覆盖耳支架的可行性,为SMAS岛状瓣Ⅰ期全耳郭再造的手术设计提供理论依据.方法 依照CT三维测量法测算出耳支架覆盖组织瓣模板和头部SMAS的血供来源,在5例尸体标本上分别以颞浅血管顶支、颞浅血管额支和耳后血管枕支为蒂设计SMAS岛状瓣,模拟Ⅰ期全耳郭再造.结果 ①运用CT三维测量法设计的SMAS岛状瓣,可较好地覆盖耳郭支架.②设计出3种不同的SMAS岛状瓣覆盖耳支架,完成Ⅰ期全耳郭再造的手术模拟.结论 ①以CT三维测量法测算出的SMAS岛状瓣能够满足覆盖耳支架的要求.②在同侧分别以颞浅血管顶支(或额支)和耳后血管枕支为蒂,能够设计出两种SMAS岛状瓣,为耳支架的组织覆盖方法 提供多种选择.

  9. "降落伞式"缝合技术在鼻烟窝动静脉内瘘中的应用%The application of parachute-style running suture for radio-cephalic fistulae in anatomical snuff-box

    Institute of Scientific and Technical Information of China (English)

    周忠信; 刘正军

    2012-01-01

    目的 探讨"降落伞式"连续缝合技术(PSRS)在鼻烟窝桡动脉-头静脉内瘘(RCF)中的应用.方法 回顾性分析42例尿毒症患者PSRS行鼻烟窝RCF的资料.结果 左鼻烟窝造瘘36例,右鼻烟窝造瘘6例,手术时间45~120 min,出血5~30 mL.所有患者术后扪及震颤,39例术后5~6周经内瘘行透析,3例术后6周内瘘血流量低于220 mL/min,均为女性,其中2例为糖尿病肾病患者,1例为高血压肾病患者.结论 鼻烟窝内采用PSRS行RCF可确保吻合口的质量,大大降低吻合的难度,提高造瘘成功率.%Objective To explore the application of parachute-style running suture( PSRS ) during end-to-side anastomosis for radio-cephalic fistulae( RCF ) in anatomical snuff-box. Methods There were 42 cases of uremia who admitted the procedures of RCF with end-to-side anastomosis in anatomical snuff-box, and whose data were analyzed retrospectively. Results There were 36 cases who had RCF in left anatomical snuff-box, and 6 cases in right anatomical snuff-box. The operating time was 45120 minutes, and the bleeding volume was 530 mL. All patients were palpated tremor along cephalic veins after operation. 39 cases had routine dialysis from RCF 6 weeks after operations, and 3 cases whose RCF was dysfunctional, among whom 2 cases had diabetic nephropathy and 1 had hypertensive nephropathy. Conclusion It is favorable to have RCF in anatomical snuff-box with PSRS, which can decrease difficulty of anastomosis and improve the success of RCF.

  10. Evaluation of performance and personal satisfaction of the patient with spastic hand after using a volar dorsal orthosis Avaliação do desempenho e da satisfação pessoal do paciente com mão espástica após o uso da órtese dorsal volar

    Directory of Open Access Journals (Sweden)

    Danielle dos Santos Cutrim Garros

    2010-06-01

    Full Text Available The performance and the satisfaction of the patient were quantitatively compared with the use of the volar dorsal orthosis in order to position the spastic hand. Thirty patients wearing the orthosis for eight hours daily were evaluated by the Canadian Occupational Performance Measure and the box and blocks test, for a three-month period. Five activities were selected (among daily life activities, productive activities, and leisure activities by the patients, which were impaired by spasticity. There was an improvement related to performance after use of orthosis, with an average of 1.4±0.5 to 6.3±0.8 (pComparou-se quantitativamente o desempenho e a satisfação do paciente com o uso da órtese dorsal volar para posicionamento da mão espástica. Foram analisados 30 pacientes que fizeram uso da órtese por 8 horas diárias, avaliados por meio da Medida Canadense de Desempenho Ocupacional e teste caixa e blocos, no intervalo de 3 meses. Foram selecionadas 5 atividades (entre as atividades de vida diária, produtivas e de lazer pelos pacientes que estavam comprometidas pela espasticidade. Obteve-se melhora em relação ao desempenho após o uso da órtese, com média de 1,4±0,5 para 6,3±0,8 (p<0,01. Quanto à média da satisfação foi de 1,7±0,4 para 6,3±0,6 (p<0,01 com o uso da órtese. Nesta casuística, o uso da órtese de punho e dedos para espasticidade apresentou melhora no desempenho funcional e satisfação do paciente.

  11. 头先露胎儿脐带绕颈220例临床分析%Clinical analysis on 220 cases of foetus of cephalic presentation umbilical cord around neck

    Institute of Scientific and Technical Information of China (English)

    梁小玲; 张莹

    2012-01-01

    目的 探讨头位胎儿脐带绕颈在分娩过程中对胎儿、新生儿的影响及分娩方式的选择.方法 回顾性分析头先露胎儿脐带绕颈220例足月妊娠产妇的临床资料,随机抽取220例头位分娩无胎儿脐带绕颈足月妊娠产妇为对照组,对两组产程及其分娩情况作对比观察.结果 观察组胎儿窘迫、新生儿窒息及剖宫产率分别为18.5%,8.6%,49.6%,明显高于对照组的5.4%,1.8%,26.4%(均P<0.05).脐带绕颈1周胎儿窘迫、新生儿窒息发生率为12.6%,1.4%;绕颈2周为27.1%,17.0%;绕颈3周及以上为69.2%,53.8%;脐带绕颈周数与胎儿窘迫、新生儿窒息发生率成正比.结论 加强产前B超检查和监护,重视脐带绕颈这一因素,选择适当分娩方式,可降低胎儿窘迫和新生儿窒息发生率,对产前B超诊断胎儿脐带绕颈3周及以上者应及早选择剖宫产分娩.%Objective To study the influences of fetal umbilical cord around neck on foetus、newborn infants and the choices of delivery mode during delivery.Methods 220 cases of cephalic delivery pregnant women with fetus who had fetal umbilical cord around neck symptom and 220 cases of cephalic delivery pregnant women with fetus who didn't have fetal umbilical cord around neck symptom,were selected to make a contrast observation.Results The foetus who had fetal umbilical cord around neck symptom had higher rate of fetal distress and neonatal asphyxia.The maternal cesarean section would be much higher,too.The rate is 18.5%,8.6%,49.6% which were higher than the foetus who didn't have such kind of symptom,the rate is 5.4%,1.8 %,26.4% ( all P < 0.05 ).The rate of fetal distress and neonatal asphyxia was proportional to the number of circles around neck.One circle around neck is 12.6%,1.4% ;two circles around neck is 27.1%,17.0% ;three and more than 3 circles around neck is 69.2%,53.8%.Conclusion We should enhance perinatal B-mode ultrasonic

  12. 头位脐带绕颈不同分娩方式与新生儿窒息的关系%Different Delivery Modes of Nuchal Cord Cephalic Presentation and Asphyxia Neonatorum

    Institute of Scientific and Technical Information of China (English)

    邢玲玲

    2012-01-01

    目的 探讨不同分娩方式对头位脐带绕颈的处理对新生儿窒息的影响.方法 选择我院2009年9月至2011年9月单胎头位脐带绕颈足月妊娠产妇共280例,上述病例均无产科合并症、相关并发症.根据分娩方式不同分为阴道分娩组和剖宫产组.阴道分娩组均在局麻下行左侧会阴侧切分娩.剖宫产组均在持续硬膜外麻醉下实施剖宫产术.其中阴道分娩组160例;剖宫产组120例.观察脐带绕颈不同分娩方式对新生儿窒息及胎儿宫内窘迫发生的影响.结果 阴道分娩组胎儿宫内窘迫发生率显著高于剖宫产组,差异有统计学意义(P<0.05);阴道分娩组新生儿窒息发生率与剖宫产组比较,差异无统计学意义(P>0.05).结论 根据脐带绕颈情况选择合适的分娩方式,脐带绕颈1周妊娠病例可建议实施自然分娩,脐带绕颈>2周的可建议实施剖宫产进行分娩.%Objective To discuss the effect of different delivery modes for pregnancy with nuchal cord cephalic presentation on neonatal asphyxia. Methods 280 term pregnancy women( all without obstetric complications )with nuchal cord cephalic presentation from Sep. 2009 to Sep. 2011 were divided into vaginal delivery group and cesarean section group according to their delivery mode. Vaginal delivery group( n - 160 ) was performed left lateral episiotomy under local anesthesia,while cesarean section group( n - 120 )was performed under continuous epidural anesthesia. Effect of different modes of delivery on neonatal asphyxia and intrauterine fetal distress was observed. Results The incidence of fetal distress in vaginal delivery group was obviously higher than that in cesarean section group, the difference had statistical significance^ P 0.05 ). Conclusion The delivery mode can be chosen according to nuchal cord situations. Natural delivery can be chosen in case of 1 circle of nuchal cord, while cesarean section is suggested for the situation of > 2 circles.

  13. Influences of Reciprocating Gait Orthosis on Rehabilitation Effect of Patients with T1 Spinal Cord and Injury%往复式步行矫形器对胸1脊髓损伤患者康复疗效的影响

    Institute of Scientific and Technical Information of China (English)

    陈庆亮; 石芝喜; 王小燕

    2011-01-01

    Objective: to observe the influences of reciprocating gait orthosis on rehabilitation effect of patients with T1 spinal cord injury (SCI) .Methods: 18 cases with T1 SCI received rehabilitation therapy. Before assembling the reciprocating gait orthosis, and additional gait training after fixing orthosis.Modified Barthel Index (MBI) and Functional Independence Measure (FMI) were used to assess pre and post two- months training, and 6-min walking test and timed 10 meters walking test were used to assess. Results: The ADL ability of all eases improved obviously after equipping reciprocating ambulation orthosis, and the walking ability was also improved (P〈 0.05) .The mean timed 10 meters was (90.11±67.14) s, mean of 6- min walk test was (56.71±28.28) m, and 18 cases achieved domestic walking ability. Conclusion: the reciprocating gait orthosis combined with comprehensive rehabilitation therapy has better effect on walking ability and ADL of patients with T1 SCI, deserving the clinical expansion.%目的:观察装配往复式步行矫形器对胸1(T1)脊髓损伤(SCI)患者康复疗效的影响。方法:18例T1SCI后截瘫患者在配戴步行矫形器前进行强化康复治疗,矫形器配戴后配合步行等综合康复训练。配戴矫形器前和后2个月用改良Barthel指数(MBI)和功能独立性评测(EIM)进行评定,并测定6min步行距离和10m步行时间,再进行比较分析。结果:配戴往复式步行矫形器后综合康复训练2个月后和装配前相比,患者的ADL能力提高(P〈0.05),10m步行时间(90.11±67.14)s,6min步行距离(56.71±28.28)m,并且18例患者均达到室内实用性步行。结论:配戴往复式步行矫形器配合系统康复治疗对T1节段SCI患者步行能力及ADL有较好的康复效果,值得临床推广。

  14. Optimization on 135º Orthosis Bending and Springback of Q345 Steel Plate Based on Contrast Test%基于对比试验的Q345钢135º矫正法折弯及回弹优化

    Institute of Scientific and Technical Information of China (English)

    刘佳灏; 杜勇; 薛克敏; 张恒光; 田耀江; 姚嘉炜; 葛自良

    2015-01-01

    目的:针对自由回弹采用的补偿法寻找最优解过程繁杂,结果不稳定这一问题,寻找更为有效的折弯方式。方法利用Pearson相关系数和灰色系统理论,采用对比实验,以16 mm厚Q345钢为研究对象,选择凸模圆角、摩擦因数及矫正量为变量,回弹角与最大成形力为目标函数,求得工艺参数对回弹角的关联系数。再对优化的参数组合进行有限元模拟验证。结果矫正法回弹控制效果远远优于自由折弯模具的回弹控制效果。结论将优化获得的工艺参数进行有限元模拟验证,指导设计、试模,成形质量得到明显提高,对实际生产具有显著的指导意义。%This paper explored more effective bending method targeting at the problem of complex process and unstable results by the compensating method for calculation of the free springback. This paper adopted the comparison test using Pearson related coefficients and the gray system theory. The test took the Q345 steel of 16 mm thickness as the research subject to obtain the correlation coefficient of the processing parameters to the springback angle, taking punch radius, friction coefficient and rectification as the variables and springback angle and maximum forming force as the objective functions. The FEM simulation was used to verify the optimized parameter combination. The springback control effect by the orthosis method was much better than that by the free bending mold. The FEM verification showed the design and the die trial with the opti-mized processing parameters can improve the forming quality and had significant guidance for practical production.

  15. Effects of function improvement in acute knee- joint ligament injury between knee orthosis and dynamic action plaster immobilization%膝关节韧带损伤早期应用膝矫形器与动态石膏固定对膝关节功能恢复的影响

    Institute of Scientific and Technical Information of China (English)

    张毅; 黄东锋; 毛玉容; 伍丹

    2001-01-01

    Objective: To explore the different effect to function improvement of acute knee- joint ligament injure after rehabilitation therapy with hinge-locked knee orthosis or dynamic action plaster immobilization. Method: Orthosis or dynamic action plaster immobilization were used 4 weeks after acute injure in two groups. Rehabilitation therapy were arranged during immobilization and free periods, Function assessment comparison were conducted 3 months later. Result:ROM active and ROM passive were significantly different between the two groups (P<0.001, P<0.01 ). The Lysholmp scorings of the two groups were also significantly different (P<0.01). Couclusion: Dynamic action plaster immobilization could gently prevent contraction, but could not obviously improve muscle weakness and instability of the joint. Hinge-locked keen orthosis provided not only safe training within protective ROM. Stable immobilization could obviously improve ROM and function of the knee-joint.%目的:探讨膝韧带损伤急性期康复治疗中配置加锁膝关节绞链矫形器与动态石膏固定对膝关节功能恢复的不同影响。方法:两组伤后即分别配置矫形器与动态石膏固定4周,固定期间及拆除固定后进行康复治疗,3月后进行功能评估比较疗效。结果:矫形器组与动态石膏组膝关节主动ROM与被动ROM差异在统计学上有显著性(t值分别为4.59及3.23,P分别<0.001及<0.01),膝关节功能Lyshdmp评分差异在统计学上亦有显著性(t值为2.93,P<0.01)。结论:动态石膏固定在一定程度上可预防关节挛缩,但肌无力及关节不稳不能解除。加锁膝关节绞链矫形器配置有利于膝关节在保护范围内进行功能训练,有效地解决了制动与功能训练之间的矛盾,可显著改善膝关节ROM与综合功能。

  16. 3D gait analysis in modern traumatic patients of spinal cord injury with advanced reciprocating gait orthosis%现代战创伤致脊髓损伤患者的三维步态分析

    Institute of Scientific and Technical Information of China (English)

    孙嘉利; 单守勤; 黄美贤; 颜晗; 钟世镇

    2015-01-01

    目的 通过对现代战创伤致脊髓损伤(spinal cord injury,SCI)患者配戴改良往复式步行矫形器(Advanced reciprocating gait orthosis,ARGO)进行三维步态分析,比较分析SCI患者的脊髓损伤平面与其步行能力(下肢关节运动学、动力学及时空参数等)之间的关系,探讨重建SCI患者步行能力的方法.方法 选择在我院住院且配戴ARGO进行步行训练的完全性SCI患者15例,采用Vicon三维步态分析系统进行步态检测与分析.应用Spearman秩和相关性检验对SCI患者的不同脊髓损伤平面与其步态的运动学、动力学和时空参数之间的相关性进行统计学分析.结果 15例患者的步频和跨步长分别为(34.9± 1.97) step/min和(95.7±10.39) cm.髋关节摆动角度及髋关节伸展和屈曲时相的角速度分别为(45.28±4.84)°、(22.34±1.96)°/s和(121.35±10.54)°/s.SCI患者的步速(rs=0.914,P<0.001),跨步长(rs=0.926,P<0.001),助行架的压力均值(rs=-0.877,P=0.001),骨盆的旋转角度(rs=-0.926,P<0.001)和髋关节摆动角度(rs=0.963,P<0.01)与SCI平面之间均存在着显著的相关性.结论 骨盆的异常运动、髋关节摆动幅度的受限及上肢的过度负载是完全性SCI患者步行能力受限的主要原因.SCI患者应接受一些能够降低其过度生理负荷的康复训练方法,从而改善其重建的步行功能.

  17. Uso de órtese para abdução do polegar no desempenho funcional de criança portadora de paralisia cerebral: estudo de caso único Use of abduction thumb orthosis in functional performance of a child with cerebral palsy: a single-subject study

    Directory of Open Access Journals (Sweden)

    Adriana M. Valladão N. Rodrigues

    2007-12-01

    Full Text Available OBJETIVOS: documentar o impacto do uso da órtese de abdução do polegar no desempenho funcional de uma criança hemiparética com leve espasticidade. MÉTODOS: foi utilizado um desenho experimental de caso-único do tipo AB. A fase A consistiu na coleta de dados durante um período sem intervenção (condição controle. A fase B incluiu o uso de órtese de abdução do polegar como procedimento terapêutico associado ao atendimento de terapia ocupacional tradicional. A fase A teve a duração de seis semanas e a fase subseqüente de oito semanas. A criança foi avaliada semanalmente quanto à amplitude ativa de movimento de extensão e flexão de punho, abdução e oponência do polegar e quanto à função manual. A análise dos dados foi realizada através dos métodos estatísticos Celeration Line e Banda de Dois Desvios-Padrão, assim como da Análise Visual. RESULTADOS: a criança apresentou melhora significativa na amplitude de movimento do punho e polegar (ADM ativa. Com relação à função manual observou-se redução do tempo para realização das tarefas, porém não significativa, exceto para a tarefa de empilhar blocos. CONCLUSÕES: os resultados sugerem que o uso da órtese de abdução do polegar pode ser útil no tratamento de crianças com paralisia cerebral espástica para a melhoria da ADM ativa da mão, podendo ser utilizada como adjuvante a outras terapêuticas.OBJECTIVE: to investigate the impact of a thumb abduction orthosis on functional skills of a child with hemiparetic cerebral palsy and mild spasticity. METHODS: an AB single-subject design was used in this study. Baseline A consisted of data collected during a period without intervention (control conditions. The intervention phase B included the use of a thumb abduction orthosis in association with traditional occupational therapy. The baseline lasted six weeks and the intervention period eight weeks. Assessments were performed once a week throughout the study and

  18. Biomechanics Changes at Lower Limb Joints between Different Types of Ankle Foot Orthosis in Children with Cerebral Palsy%痉挛型脑瘫儿童佩戴不同类型踝足矫形器后下肢生物力学的变化

    Institute of Scientific and Technical Information of China (English)

    张旻; 冯美兰; 瞿佩玉

    2011-01-01

    Objective: To understand the kinematics and kinetics variables at lower limb joints between rigid ankle foot orthosis (RAFO) and dynamic ankle foot orthosis (DAFO) in children with spastic cerebral palsy (CP) in order to find a better design for the ankle foot orthosis (AFO) in future. Methods: Sixteen spastic cerebral palsy children (10 boys, 6 girls, aged from 4 to 8 years, average age=6.25± 1.18 years) were recruited from the Rehabilitation Department of Shanghai 6th People's Hospital (China). Kinematics parameters were measured by using Vicon threedimensional gait analysis system and the kinetics changes were examined by two Kislter force platforms at the same time under three conditions.. (1) RAFO, (2) DAFO and (3) Bare foot only. Results: Both RAFO and DAFO showed significantly larger stride length than the bare foot only (RAFO increased 0. 05 m and DAFO increased 0.07 m, P<0.05), and significantly higher dorsiflexion degrees were found in initial contact (RAFO increased 9°and DAFO increased 11.3°, P<0.05) and stance phase (RAFO increased 10° and DAFO increased 11°, P<0.05)under both two AFO conditions at same time. RAFO showed significantly smaller range of motion at ankle joint during walking that the dynamic ankle foot orthosis and bare foot only (7° decreased when compared to the DAFO and 8° decreased when compared to the bare foot condition, P<0. 05). Besides, DAFO showed significantly higher ankle plantarflexion degrees when compared to the RAFO (5. 5° increased, P<0. 05). Both two AFO conditions showed an obviously higher ankle plantar moment than bare foot condition (0. 33 Nm/kg increased in RAFO and 0.37 Nm/kg increased in DAFO, P<0. 05), and no other kinetic or kinematic differences were found in hip and knee joint under three conditions. Conclusion: Both two different AFO can help to improve the walking ability of CP children and offer a better foot position during walking. The DAFO showed a bigger range of motion and better

  19. 踝足矫形器对脑卒中后偏瘫患者步态稳定性恢复的影响%Effects of ankle-foot orthosis on gait stability and balance control in patients with hemiparetic stroke

    Institute of Scientific and Technical Information of China (English)

    徐光青; 兰月; 黄东锋; 陈正宏; 丁明晖

    2011-01-01

    目的 探讨佩戴踝足矫形器对脑卒中后偏瘫患者步态稳定性和平衡控制能力恢复的影响.方法 首次发病、慢性单侧偏瘫脑卒中患者25例.采用功能评定和运动解析系统评测佩戴踝足矫形器前后及4周随访时的平衡控制和步态时相参数.结果 对偏瘫患者佩戴踝足矫形器前、即刻和4周时最大步行速度[(27±11)m/min,(34±13)m/min,(39±10)m/min]、步行能力分级(4.2±0.6,4.3±0.5,4.7±0.5)、Berg平衡量表(48±4,48±4,50±4)、5次坐立试验(24.0±1.6,24.1±1.6,20.4±3.1)和步态不对称指数(0.197±0.035,0.169±0.026,0.135±0.027)进行重复测量方差分析,差异均有统计学意义(均P<0.01).佩戴即刻最大步行速度和步行能力分级提高,步态不对称指数减小,差异有统计学意义(P<0.05).使用4周后所以测量指标均有改善,差异具有显著统计学意义(P<0.01).结论 佩戴踝足矫形器后,步行能力和步态稳定性即刻就有明显改善;而经适应训练使用4周后,步行能力和步态稳定性继续提高,平衡控制能力也得到改善.%Objective To quantitatively analyze the effects of ankle-foot orthosis (AFO) on gait stability and explore its use for walking capacity, gait stability and balance control in post-stroke patients.Methods A total of 25 inpatients with prior chronic hemiparesis from stroke who could walk at least 10meters without assistance were recruited. The maximal walking speed and gait asymmetry index were examined by a motion analysis system. Functional balance was assessed by the Functional Ambulation Categories, Berg Balance Scale and Five-Times-Sit-to-Stand Test. Results AFO had positive effects on the hemiplegic gait parameters of improving walking speed, gait stability and functional balance ( P < 0. 01 ).Pair wise comparisons suggested that there were significant differences in the maximal walking speed,Functional Ambulation Categories and gait asymmetry index after an immediate use of

  20. Influence of an advanced reciprocating gait orthosis on walking function in complete spinal cord injury patients%改进型往复式步行矫形器对完全性脊髓损伤患者步行能力的影响

    Institute of Scientific and Technical Information of China (English)

    吴华; 顾旭东; 姚云海; 李岩; 张雄伟; 傅建明

    2009-01-01

    目的 探讨应用改进型往复式步行矫形器(ARGO)对完全性脊髓损伤患者步行能力的影响.方法 对12例T4~L1节段完全性脊髓损伤患者安装ARGO,安装前、后对患者进行系统的综合康复训练,训练后对患者进行限时的步行功能检查和评价,日常生活活动能力应用改良Barthel指数(MBI)及功能独立性评分法(FIM)进行综合评定.结果 患者经过安装ARGO训练后,步行能力明显改善,其MBI、FIM评分明显增加.结论 ARGO能帮助T4以下完全性脊髓损伤患者改善步行能力,提高日常生活质量.%Objective To explore the value of an advanced reciprocating gait orthosis (ARGO) combined with comprehensive rehabilitation treatment in rehabliltating complete spinal cord injury (SCI) patients. Methods Twelve patients with complete SCI at the T4~L2 level were fitted with an ARGO. Before and after fitting the ARGO,comprehensive rehabilitative excecises were conducted. After training, ambulation was evaluated, and competence in the activities of daily living was evaluated using the Barthel index and Functional Independence Measure. Results The patients' ambulation improved markedly after fitting the ARGO and training. Barthel index and FIM scres improved significantly. All 12 patients achieved therapeutic or functional ambulation. Conclusion With the aid of an ARGO, patients suffering from complete SCI below the T4 level can achieve functional walking and improve their quality of life.

  1. The therapeutic effects of Cheneau orthosis with different pressure areas on adolescent idiopathic scoliosis%舍努式矫形器压力面积对青少年特发性脊柱侧凸疗效的影响

    Institute of Scientific and Technical Information of China (English)

    李丹; 王楚怀; 赖建洋; 许轶

    2008-01-01

    目的 通过比较2组特发性脊柱侧凸患者穿戴不同压力面积舍努式矫形器后的疗效,以期为临床设计、制作舍努式矫形器提供参考资料.方法 选取T6以下椎体为顶椎的特发性脊柱侧凸青少年患者30例,将其随机分为A,B两组,分别穿戴跨度为3个椎体面积和5~6个椎体面积作为压力区域的舍努式矫形器,并测量装配前、后科布氏(Cobb)角和顶椎旋转角度以及穿戴矫形器后的疼痛指数.结果 A组患者Cobb角的矫正率为17%,B组患者Cobb角的矫正率为29%,组间差异具有统计学意义(P0.05);A组患者疼痛指数为5.00,B组为2.07,组间差异具有统计学意义(P0.05). Pain index was 5.00 in group A, and 2.07 in group B, which was statistically different (P<0.05). Conclusions Increasing pressure points' areas of Cheneau orthosis properly can improve more effectively the lateral curvature angle of the patients with adolescent idiopathic seoliosis.

  2. 序贯压力联合自制简易矫形器在儿童手部烧伤瘢痕挛缩康复期的应用%Study on the application of sequential pressure combined simple orthosis for rehabilitation of scar contracture in children with hand burn

    Institute of Scientific and Technical Information of China (English)

    潘南芳; 卓金; 王欣

    2016-01-01

    目的:探讨序贯压力联合自制简易矫形器在儿童手部烧伤瘢痕挛缩康复期的应用效果。方法手部烧伤瘢痕挛缩患儿120例根据随机抽签原则分为治疗组与对照组各60例,所有患者均采用统一的手术方案治疗,康复期对照组给予序贯压力康复,在此基础上治疗组加用积极自制简易矫形器进行康复,康复周期为8周。比较两组临床临床疗效、日常生活活动能力评分以及手指关节主动与被动活动度等情况。结果治疗组与对照组的康复优良率分别为95.0℅和78.3℅,治疗组的康复优良率明显高于对照组( P ﹤0.05)。康复后治疗组的进食与洗脸评分为12.51±2.16和12.52±2.93分,对照组为9.43±2.85分和8.52±3.17分,两组的进食与洗脸评分明显高于康复前( P ﹤0.05),且治疗组高于对照组,差异有统计学意义( P ﹤0.05)。康复后治疗组的手指关节主动与被动活动度为44.93±2.64°和42.26±2.37°,对照组为34.23±2.06°和33.21±2.01°,两组的手指关节主动与被动活动度都明显高于康复前( P ﹤0.05),且治疗组高于对照组,差异有统计学意义( P ﹤0.05)。结论序贯压力联合自制简易矫形器在儿童手部烧伤瘢痕挛缩康复期的应用能有效提高手部关节活动度,促进患儿日常生活行为能力的提高,从而改善总体康复效果。%Objective To explore the effect of application of sequential pressure combined simple orthosis for the rehabilitation of scar contracture in children with hand burn. Methods A total of 120 pediatric patients with scar contracture in hands caused by burn were equally di-vided into trial group and control group based on random draw principle,all patients were treated with uniform surgergical program,rehabilitation of patients in control group received sequential pressure for recovery,on this basis,patients in trial group were given with actively

  3. 改良腕手关节矫形器对脑卒中偏瘫患者腕手关节屈肌痉挛及运动功能的疗效%Effect of Modified Wrist-hand Orthosis on Spasm and Motor Function of Wrist and Hand in Hemiplegics post Stroke

    Institute of Scientific and Technical Information of China (English)

    叶大勇; 张希彬; 李宝

    2015-01-01

    Objective To investigate the effect of the modified wrist-hand orthosis on the spasm and function of wrist-hand in hemiple-gic patients. Methods 56 patients with hemiplegia after stroke were divided into observation group (n=28) and control group (n=28). All the patients received routine rehabilitation, including physical therapy, occupational therapy, and Hufschmidt therapy. The observation group wore modified wrist-hand orthosis 4-8 hours a day after the treatment, with interval of 15 min per 30-60 min. All the patients were assessed with modified Ashworth Scale (MAS), simple Fugl-Meyer Assessment (FMA) and active range of motion (AROM) of flexion, extension, ra-dial deviation and ulnar deviation of wrist before and 4 weeks, 8 weeks and 12 weeks after treatment. Results There was no significant im-provement in both groups 4 weeks after treatment, nor difference between groups. The scores of MAS and FMA improved 8 weeks after treatment in both groups (P<0.05), and improved more in the observation group than in the control group (P<0.01). While the AROMs im-proved in the observation groups (P<0.05), and the AROM of extension was more than that of the control group (P<0.01). 12 weeks after treatment, the scores of MAS and FMA improved further in the observation group (P<0.01), and improved more than those of the control group (P<0.01). The AROMs of flexion, extension and radial deviation improved more in the observation group than in the control group (P<0.05). Conclusion The modified wrist-hand orthosis can obviously relieve the spasm of wrist-hand flexor in patients with hemiplegia af-ter stroke, and promote the motor function.%目的:探讨改良腕手关节矫形器对偏瘫患者腕手关节屈肌痉挛及运动功能的疗效。方法脑卒中后偏瘫患者56例分为观察组与对照组各28例。两组均接受常规康复训练,包括运动疗法、作业疗法、痉挛肌电刺激疗法,观察组加用改良腕手关节矫形器,于每

  4. Experimental and computational analysis of composite ankle-foot orthosis

    Directory of Open Access Journals (Sweden)

    Dequan Zou, DSc

    2015-03-01

    Full Text Available Carbon fiber (CF ankle-foot orthoses (AFOs can improve gait by increasing ankle plantar-flexor power and improving plantar-flexor ankle joint moment and energy efficiency compared with posterior leaf spring AFOs made of thermoplastic. However, fabricating a CF AFO to optimize the performance of the individual user may require multiple AFOs and expensive fabrication costs. Finite element analysis (FEA models were developed to predict the mechanical behavior of AFOs in this study. Three AFOs, two made of CF composite material and one made of thermoplastic material, were fabricated and then mechanically tested to produce force-displacement data. The FEA models were validated by comparing model predictions with mechanical testing data performed under the same loading and boundary conditions. The actual mechanical testing demonstrated that CF performs better than thermoplastic. The simulation results showed that FEA models produced accurate predictions for both types of orthoses. The relative error of the energy return ratio predicted by the CF AFO FEA model developed in this study is less than 3%. We conclude that highly accurate FEA models will allow orthotists to improve CF AFO fabrication without wasting resources (time and money on trial and error fabrications that are expensive and do not consistently improve AFO and user performance.

  5. Experimental and computational analysis of composite ankle-foot orthosis.

    Science.gov (United States)

    Zou, Dequan; He, Tao; Dailey, Michael; Smith, Kirk E; Silva, Matthew J; Sinacore, David R; Mueller, Michael J; Hastings, Mary K

    2014-01-01

    Carbon fiber (CF) ankle-foot orthoses (AFOs) can improve gait by increasing ankle plantar-flexor power and improving plantar-flexor ankle joint moment and energy efficiency compared with posterior leaf spring AFOs made of thermoplastic. However, fabricating a CF AFO to optimize the performance of the individual user may require multiple AFOs and expensive fabrication costs. Finite element analysis (FEA) models were developed to predict the mechanical behavior of AFOs in this study. Three AFOs, two made of CF composite material and one made of thermoplastic material, were fabricated and then mechanically tested to produce force-displacement data. The FEA models were validated by comparing model predictions with mechanical testing data performed under the same loading and boundary conditions. The actual mechanical testing demonstrated that CF performs better than thermoplastic. The simulation results showed that FEA models produced accurate predictions for both types of orthoses. The relative error of the energy return ratio predicted by the CF AFO FEA model developed in this study is less than 3%. We conclude that highly accurate FEA models will allow orthotists to improve CF AFO fabrication without wasting resources (time and money) on trial and error fabrications that are expensive and do not consistently improve AFO and user performance. PMID:25856154

  6. Experimental and computational analysis of composite ankle-foot orthosis

    OpenAIRE

    Dequan Zou, DSc; Tao He, MS; Michael Dailey, MBA, CO; Kirk E. Smith, BS; Matthew J. Silva, PhD; David R. Sinacore, PhD, PT; Michael J. Mueller, PhD, PT; Mary K. Hastings, DPT, MSCI

    2015-01-01

    Carbon fiber (CF) ankle-foot orthoses (AFOs) can improve gait by increasing ankle plantar-flexor power and improving plantar-flexor ankle joint moment and energy efficiency compared with posterior leaf spring AFOs made of thermoplastic. However, fabricating a CF AFO to optimize the performance of the individual user may require multiple AFOs and expensive fabrication costs. Finite element analysis (FEA) models were developed to predict the mechanical behavior of AFOs in this study. Three AFOs...

  7. Plagiocephaly and brachycephaly treatment with cranial orthosis: a case report

    OpenAIRE

    Schreen, Gerd; Matarazzo, Carolina Gomes

    2013-01-01

    ABSTRACT The number of cranial deformities has increased considerably since international efforts of pediatricians to recommend parents putting their babies to sleep in the supine position as a strategy to reduce sudden death syndrome of the newborn. On the one hand, this program has demonstrated very efficient results at reducing deaths and, on the other hand, such recommendation has increased the incidence of cranial asymmetries. In addition, infants are kept too long in one position, much ...

  8. "A 'one-piece' gutter orthosis/strapping alternative".

    Science.gov (United States)

    Schoell, Christopher J

    2013-01-01

    Patients often have difficulty securing and positioning finger orthoses (splints). Using standard strapping materials molded directly into the orthotic device, this author describes an alternative strapping system for these small finger orthoses. -Victoria Priganc, PhD, OTR, CHT, CLT, Practice Forum Editor. PMID:22959536

  9. 21 CFR 888.3050 - Spinal interlaminal fixation orthosis.

    Science.gov (United States)

    2010-04-01

    ... compression or distraction rod. The device is implanted, usually across three adjacent vertebrae, to straighten and immobilize the spine to allow bone grafts to unite and fuse the vertebrae together. The...

  10. Experimental and computational analysis of composite ankle-foot orthosis.

    Science.gov (United States)

    Zou, Dequan; He, Tao; Dailey, Michael; Smith, Kirk E; Silva, Matthew J; Sinacore, David R; Mueller, Michael J; Hastings, Mary K

    2014-01-01

    Carbon fiber (CF) ankle-foot orthoses (AFOs) can improve gait by increasing ankle plantar-flexor power and improving plantar-flexor ankle joint moment and energy efficiency compared with posterior leaf spring AFOs made of thermoplastic. However, fabricating a CF AFO to optimize the performance of the individual user may require multiple AFOs and expensive fabrication costs. Finite element analysis (FEA) models were developed to predict the mechanical behavior of AFOs in this study. Three AFOs, two made of CF composite material and one made of thermoplastic material, were fabricated and then mechanically tested to produce force-displacement data. The FEA models were validated by comparing model predictions with mechanical testing data performed under the same loading and boundary conditions. The actual mechanical testing demonstrated that CF performs better than thermoplastic. The simulation results showed that FEA models produced accurate predictions for both types of orthoses. The relative error of the energy return ratio predicted by the CF AFO FEA model developed in this study is less than 3%. We conclude that highly accurate FEA models will allow orthotists to improve CF AFO fabrication without wasting resources (time and money) on trial and error fabrications that are expensive and do not consistently improve AFO and user performance.

  11. 踝足矫形器联合肉毒毒素治疗痉挛型脑性瘫痪儿童尖足畸形的疗效观察%Ankle-foot orthosis combined with botulinum toxin type A injection in treating tip foot deformity in children with cerebral palsy

    Institute of Scientific and Technical Information of China (English)

    周陶成; 童光磊; 张敏; 李司南; 易昕; 陈露露; 温祖芳; 康倩倩; 陈婧

    2015-01-01

    目的 观察踝足矫形器(A FO)联合A型肉毒毒素(BTX-A)肌肉注射治疗痉挛型脑瘫患儿尖足的疗效.方法 痉挛型脑瘫患儿尖足畸形50例,采用随机数字表法将其分为对照组和观察组,每组25例,对照组患儿采用BTX-A肌肉注射与运动康复训练,观察组在对照组基础上加用AFO训练,与其运动康复训练同步.分别于治疗前、治疗后1、3和6个月,使用量角器测量踝关节的被动背屈角(APROM),改良Ashworth量表的评分(MAS)以及粗大运动功能量表(GMFM-88)的D区(站立)和E区(走跑跳)评分.结果 治疗前,观察组APROM、MAS和GMFM(D、E)分别为(109.25±12.38)°、(3.12±0.56)分和(55.32±11.23)分,与对照组[(107.11±13.44)°、(3.05±0.66)分和(56.21±10.81)分]比较,差异均无统计学意义(P>0.05).2组患儿的APROM、MAS和GMFM评分在治疗后1、3和6个月时与组内与治疗前比较,差异均有统计学意义(P<0.05);治疗后,观察组APROM、MAS和GMFM评分分别与对照组治疗比较,差异亦均有统计学意义(P<0.05).2组治疗后各时间点之间的评估指标比较,观察组差异均有统计学意义;对照组治疗后1个月与治疗后3个月比较,差异有统计学意义(P<0.05),治疗后3个月和治疗后6个月比较,差异无统计学意义(P>0.05).结论 AFO联合BTX-A疗法能进一步缓解痉挛型脑瘫患儿的下肢痉挛程度,减轻尖足异常姿势,维持时间更持久.%Objective To observe the clinical efficacy of ankle-foot orthosis (AFO) combined with botulinum toxin type A (BTX-A) injection in treating tip foot deformity in children with cerebral palsy (CP).Methods Fifty CP children with tip foot deformity were selected and randomly divided into a control group and an observation group according to a random number table.Both groups were given BTX-A injection, and the observation group was additionally treated with AFO.All children were assessed before, 1 month, 3 months and 6 months after the treatment

  12. Estimulación eléctrica invasiva de C2-C3 en el tratamiento del dolor cefálico y facial: Neuralgia occipital. Migraña transformada. Cefalea en racimos. Algias faciales C2-C3 Invasive Electrical Stimulation for the Treatment of Cephalic and Facial Pain: Occipital Neuralgia. Transformed Migraine. Cluster Headache. Facial Algias

    Directory of Open Access Journals (Sweden)

    M. D. Rodrigo

    2008-09-01

    localizado en la cara, refuerza el relevante interés terapéutico que tiene la hipotética conexión funcional trigémino cervical. Es necesario determinar como es esta conexión trigémino-cervical para poder definir que tipo de algia facial se puede beneficiar del tratamiento con estimulación eléctrica cervico-occipital. Recomendamos valorar el componente cervicogénico, en todas las algias faciales refractarias a tratamientos convencionales, con el bloqueo anestésico de nervios occipital mayor y menor. Esto puede ser de gran utilidad, de cara al tratamiento con la estimulación occipital, en pacientes con síndromes dolorosos severos, localizados en la zona facial, que ocasionan situaciones totalmente invalidantes.Introduction. The peripheral cervical-occipital extraspinal electrical stimulation with an implanted system, is a little aggressive technique that can achieve good results in patients with refractory neurophatic pain localized in the cephalic and facial región. Thirty four patients with long-evolving, persistent, severe, uncontrolled pain of different ethiologies, localized in the cervical facial región, for whom other therapy options were exhausted, were treated with unilateral or bilateral cervical occipital electrical stimulation in the pain unit of the Zaragoza Clinic Hospital. Material and Method. Thirty four patients were treated from June 2002 to February 2008, fourteen of which were diagnosed with transformed migraine; two suffered from cluster headache and eighteen had occipital and/or trigeminal neuralgia. Before the neurostimulation system was implanted, an occipital nerve block was performed with local anesthetic to establish the cervicogenic component in the pain. The surgical procedure was performed in two stages. The treatment effectiveness assessment was made on the basis of the variation of the following parameters before and after the implant: ongoing pain, pain during the crisis, number of crisis events, overnight rest, functioning

  13. Vasoactive intestinal peptide causes marked cephalic vasodilation, but does not induce migraine

    DEFF Research Database (Denmark)

    Rahmann, A.; Wienecke, T.; Hansen, J.M.;

    2008-01-01

    We hypothesized that intravenous infusion of the parasympathetic transmitter, vasoactive intestinal peptide (VIP), might induce migraine attacks in migraineurs. Twelve patients with migraine without aura were allocated to receive 8 pmol kg(-1) min(-1) VIP or placebo in a randomized, double...... significantly after VIP (45.9 +/- 13.9%). VIP mediates a marked dilation of cranial arteries, but does not trigger migraine attacks in migraineurs. These data provide further evidence against a purely vascular origin of migraine Udgivelsesdato: 2008/3...

  14. Neonatal injury at cephalic vaginal delivery: a retrospective analysis of extent of association with shoulder dystocia.

    Directory of Open Access Journals (Sweden)

    Cantekin Iskender

    Full Text Available PURPOSE: To describe the risk factors and labor characteristics of Clavicular fracture (CF and brachial plexus injury (BPI; and compare antenatal and labor characteristics and prognosis of obstetrical BPI associated with shoulder dystocia with obstetrical BPI not associated with shoulder dystocia. METHODS: This retrospective study consisted of women who gave birth to an infant with a fractured clavicle or BPI between January 2009 and June 2013. Antenatal and neonatal data were compared between groups. The control group (1300 was composed of the four singleton vaginal deliveries that immediately followed each birth injury. A multivariable logistic regression model, with backward elimination, was constructed in order to find independent risk factors associated with BPI and CF. A subgroup analysis involved comparison of features of BPI cases with or without associated shoulder dystocia. RESULTS: During the study period, the total number of vaginal deliveries was 44092. The rates of CF, BPI and shoulder dystocia during the study period were 0,6%, 0,16% and 0,29%, respectively. In the logistic regression model, shoulder dystocia, GDM, multiparity, gestational age >42 weeks, protracted labor, short second stage of labor and fetal birth weight greater than 4250 grams increased the risk of CF independently. Shoulder dystocia and protracted labor were independently associated with BPI when controlled for other factors. Among neonates with BPI whose injury was not associated with shoulder dystocia, five (12.2% sustained permanent injury, whereas one neonate (4.5% with BPI following shoulder dystocia sustained permanent injury (p = 0.34. CONCLUSION: BPI not associated with shoulder dystocia might have a higher rate of concomitant CF and permanent sequelae.

  15. The central projection of cephalic mechanosensory axons in the haematophagous bug Triatoma infestans

    Directory of Open Access Journals (Sweden)

    Insausti Teresita C

    2000-01-01

    Full Text Available The projections of mechanosensory hairs located on the dorsal and lateral head of the adult haematophagous bug Triatoma infestans were analyzed by means of cobalt filling. Axons run into the anterior and posterior tegumentary nerve and project through the brain to the ventral nerve cord. The fibres are small in diameter and run as a fascicle. Some branches run into suboesophageal and prothoracic centres; others run as far as to the mesothoracic ganglion. These sensory projections resemble that of wind-sensitive head hairs of the locust. The functional role of this sensory system in this species is discussed.

  16. Antennal and cephalic organelles in the social wasp Paravespula germanica (Hymenoptera, Vespinae): form and possible function.

    Science.gov (United States)

    Agmon, Ifaat; Plotkin, Marian; Ermakov, Natalya Y; Barkay, Zahava; Ishay, Jacob S

    2006-01-01

    This paper deals with hairs and organelles present on the head and antennae of the German wasp, Paravespula germanica, and their possible role in sensing the physical and chemical ambience, as well as in intercommunicating both while in flight outside or in the nest. Via scanning electron microscope photography, we detected on the frons plate of the wasp's head, hairs that were about 300 microm long and comprised the longest hairs on the body of the wasps. Additionally, the two antennae bore along their entire length photoreceptors, placoids, campaniforms, trichoids, and agmons. These organelles are located at high but variable density along the antennal segments. The paper provides the dimensions of each of the mentioned organelles, and discusses the possible functions of the organelles as well as of the hairs on the frons. Photographs taken via atomic force microscope reveal that the epicuticle of the antenna is of two typical shapes; one, bearing both longitudinal stripes as well as transverse bands that are about 1 mum in width, and a second granulated form. Conceivably, the wasp uses the various organelles mentioned to communicate with its mates that are some distance away, somewhat like the use of radar by humans.

  17. The role of plastic surgeon in complex cephalic malformations. Our experience.

    Science.gov (United States)

    Chiumariello, Stefano; Del Torto, Giuseppe; Guarro, Giuseppe; Alfano, Carmine

    2014-01-01

    Le malformazioni complesse del distretto cefalico comprendono tutta una serie di anomalie di sviluppo che oltre a presentare una notevole difficoltà classificativa e di inquadramento, comprendono forme che sono talora di stretta pertinenza specialistica. La correzione delle malformazioni craniofacciali fa ricorso ad una disciplina chirurgica particolarmente esigente, che deve associare una formazione chirurgica di base con un apprendimento delle tecniche specifiche per il territorio craniofacciale e una conoscenza della patologia malformativa. L’eziologia malformativa pone il chirurgo davanti a problemi specifici, dominati dallo sviluppo della tecnica chirurgica. Si stabilisce dunque un protocollo terapeutico dopo aver identificato la malformazione, stimato la gravità delle alterazioni tissutali e valutato la capacità di crescita dei territori interessati. E’ fondamentale, oltre che il rimodellamento della morfologia, il recupero delle funzioni ed il trattamento rieducativo. E’ quindi evidente che si tratta di una chirurgia di equipe che può portare risultati positivi solo se realizzata con fiducia reciproca tra i vari operatori.

  18. Low frequency oscillations in cephalic vessels assessed by near infrared spectroscopy

    DEFF Research Database (Denmark)

    Phillip, Dorte; Schytz, Henrik W; Selb, Juliette;

    2012-01-01

    BACKGROUND AND METHODS: Low frequency oscillations (LFO) of cerebral vessels are believed to reflect cerebral autoregulation. We investigated day-to-day and hemispheric variations in 0.1 Hz LFO with near infrared spectroscopy (NIRS) and transcranial Doppler (TCD) to determine phase shift and gain...

  19. The use of reciprocal orthosis in the medical rehabilitation of children with musculocutaneous diseases

    OpenAIRE

    Chernyshova, Irina; Shevchenko, Stanislav; Petrov, Volodymyr; Pivovarov, Victor

    2009-01-01

    The treatment of neuromuscular diseases is a global medical and social problem. The motor schedule for this category of patients is especially important. An apparatus, which provides a reciprocal gait with minimum energy consumption due to a “walking” gait-modelling device, was developed at the Ukrainian Research Institute of Prosthetics, Prosthesis Making and Working Capacity Restoration and passed clinical trials. The verticalization and the ability to move promoted improvement in the physi...

  20. Reliability of movement workspace measurements in a passive arm orthosis used in spinal cord injury rehabilitation

    Directory of Open Access Journals (Sweden)

    Rudhe Claudia

    2012-06-01

    Full Text Available Abstract Background Robotic and non-robotic training devices are increasingly being used in the rehabilitation of upper limb function in subjects with neurological disorders. As well as being used for training such devices can also provide ongoing assessments during the training sessions. Therefore, it is mandatory to understand the reliability and validity of such measurements when used in a clinical setting. The aim of this study was to evaluate the reliability of movement measures as assessed in the Armeo Spring system for the eventual application to the rehabilitation of patients suffering from cervical spinal cord injury (SCI. Methods Reliability (intra- and inter-rater reliability of the movement workspace (representing multiple ranges of movement and the influence of varying seating conditions (5 different chair conditions was assessed in twenty control subjects. In eight patients with cervical SCI the test-retest reliability (tested twice on the same day by the same rater was assessed as well as a correlation of the movement workspace to retrieve self-care items as scored by the spinal cord independence measure (SCIM 3. Results Analysis of workspace measures in control subjects revealed intra-class correlation coefficients (ICC ranging from 0.747 to 0.837 for the intra-rater reliability and from 0.661 to 0.855 for the inter-rater reliability. Test-retest analysis in SCI patients showed a similar high reliability with ICC = 0.858. Also the reliability of the movement workspace between different seating conditions was good with ICCs ranging from 0.844 to 0.915. The movement workspace correlated significantly with the SCIM3 self-care items (p  Conclusion The upper limb movement workspace measures assessed in the Armeo Spring device revealed fair to good clinical reliability. These findings suggest that measures retrieved from such a training device can be used to monitor changes in upper limb function over time. The correlation between the workspace measures and SCIM3 self-care items indicates that such measures might also be valuable to document the progress of clinical rehabilitation, however further detailed studies are required.

  1. Control Motion Approach of a Lower Limb Orthosis to Reduce Energy Consumption

    Directory of Open Access Journals (Sweden)

    Daniel Sanz-Merodio

    2012-12-01

    Full Text Available By analysing the dynamic principles of the human gait, an economic gait‐control analysis is performed, and passive elements are included to increase the energy efficiency in the motion control of active orthoses. Traditional orthoses use position patterns from the clinical gait analyses (CGAs of healthy people, which are then de‐normalized and adjusted to each user. These orthoses maintain a very rigid gait, and their energy cost is very high, reducing the autonomy of the user. First, to take advantage of the inherent dynamics of the legs, a state machine pattern with different gains in each state is applied to reduce the actuator energy consumption. Next, different passive elements, such as springs and brakes in the joints, are analysed to further reduce energy consumption. After an off‐line parameter optimization and a heuristic improvement with genetic algorithms, a reduction in energy consumption of 16.8% is obtained by applying a state machine control pattern, and a reduction of 18.9% is obtained by using passive elements. Finally, by combining both strategies, a more natural gait is obtained, and energy consumption is reduced by 24.6% compared with a pure CGA pattern.

  2. Inhibitory effect of BIBN4096BS on cephalic vasodilatation induced by CGRP or transcranial electrical stimulation in the rat

    DEFF Research Database (Denmark)

    Petersen, Kenneth A; Birk, Steffen; Doods, Henri;

    2004-01-01

    therapeutic principle. We used an improved closed cranial window model to measure changes of the middle meningeal artery (MMA) and cortical pial artery/arteriole diameter (PA) and changes in local cortical cerebral blood flow (LCBF(Flux)) in anaesthetised artificially ventilated rats. The ability of BIBN4096...... LCBF(Flux) was similar not prevented by the antagonist. We suggest that systemic BIBN4096BS exerts its inhibitory action mainly on large dural blood vessels (MMA)....

  3. Dietary restraint and responsiveness to sensory-based food cues as measured by cephalic phase salivation and sensory specific satiety.

    Science.gov (United States)

    Tepper, B J

    1992-08-01

    Responsiveness to sensory-based food cues was examined in restrained and unrestrained, normal-weight subjects identified with the Three-Factor Eating Questionnaire. Salivary flow rate was measured with no food present and while subjects viewed hot pizza. In the presence of food, restrained eaters had a mean salivary flow rate (0.388 g/min) greater than twice that of the unrestrained eaters (0.186 g/min). During sensory specific satiety testing, subjects tasted and rated the pleasantness of 9 foods, then received a meal of either cheese and crackers or cookies. Changes in pleasantness for the tasted foods were evaluated at 2, 20, and 40 min following the meal. Both restrained and unrestrained subjects displayed similar patterns of sensory specific satiety, i.e., the pleasantness foods which were eaten decreased relative to foods tasted but not eaten. These patterns were unaffected by the type of food consumed in the test meal. These data demonstrate that restrained eaters show moderately enhanced salivary responses but no changes in sensory-specific satiety to food stimuli, suggesting that heightened responsiveness to the sensory properties of foods may not be a generalized phenomenon in restrained eaters. PMID:1523258

  4. Does Maturity Affect Cephalic Perfusion and T/QRS Ratio during Prolonged Umbilical Cord Occlusion in Fetal Sheep?

    Directory of Open Access Journals (Sweden)

    Guido Wassink

    2014-01-01

    Full Text Available T/QRS ratio monitoring is used to help identify fetal asphyxia. However, immature animals have greater capacity to maintain blood pressure during severe asphyxia, raising the possibility that they may show an attenuated T/QRS increase during asphyxia. Chronically instrumented fetal sheep at 0.6 of gestation (0.6 GA; n = 12, 0.7 GA (n = 12, and 0.8 GA (n = 8 underwent complete umbilical cord occlusion for 30 min, 25 min, or 15 min, respectively. Cord occlusion was associated with progressive metabolic acidosis and initial hypertension followed by severe hypotension, with a more rapid fall in mean arterial blood pressure (MAP and carotid blood flow (CaBF with advancing gestation. T/QRS ratio rose after occlusion more rapidly at 0.8 GA than in immature fetuses, to a similar final peak at all ages, followed by a progressive fall that was slower at 0.8 GA than in the immature fetuses. The increase in T/QRS ratio correlated with initial hypertension at 0.8 GA (P<0.05, R2 = 0.38, and conversely, its fall correlated closely with falling MAP in all gestational groups (P<0.01, R2 = 0.67. In conclusion, elevation of the T/QRS ratio is an index of onset of severe asphyxia in the last third of gestation, but not of fetal compromise.

  5. Sumatriptan does not change calcitonin gene-related peptide in the cephalic and extracephalic circulation in healthy volunteers

    DEFF Research Database (Denmark)

    Hansen, Jakob Møller; Petersen, Jesper; Wienecke, Troels;

    2009-01-01

    -measure ANOVA showed no interaction between catheter and time of sampling and thus no significant difference in CGRP between the four catheters (P=0.75). CGRP did not change over time in the four compartments (P>0.05). The relative changes in CGRP between baseline and maximal sumatriptan concentration did...

  6. Reduction of cephalic arteriovenous shunting by ergotamine is not mediated by 5-HT1-like or 5-HT2 receptors.

    OpenAIRE

    Bom, A.H.; Heiligers, J. P.; Saxena, P R; Verdouw, P. D.

    1989-01-01

    1. The potent, antimigraine drug ergotamine has affinity for both 5-HT1 and 5-HT2 binding sites and constricts arteriovenous anastomoses. Since 5-HT also constricts arteriovenous anastomoses (mainly via 5-HT1-like receptors), this study investigates the involvement of 5-HT receptors in the ergotamine-induced reduction of arteriovenous shunting in the carotid circulation of the cat and pig. 2. In the cat, ergotamine (3, 10 and 30 micrograms kg-1, i.v.) reduced carotid blood flow, predominantly...

  7. CONTRIBUTIONS REFERRING TO A TERRITORIAL MODEL FOR DEVELOPMENT OF THE ECONOMY BASED ON KNOWLEGDE (METHODOLOGICAL FRAMEWORK)

    OpenAIRE

    Mihail Dumitrescu; Lavinia Ţoţan

    2007-01-01

    This paper presented a short evolution of the concepts until the knowledge economy. It is mentioned the filosofy of the research which containts: the objectives of the projects, the changes in the preparation levels of human resources, the evolution of informational processes. The model also containts the determination of the characterizing indicators for the knowledge economy at territorial level with the computing relations, and also the evaluation on statistical bases.

  8. Synthesis and Characterization of polyimide alignment films for LCDⅡ.Synthesis and charactenization of polyimide alignment film containting flexible linkage in the backbones%液晶显示器用聚酰亚胺取向膜的合成与性能研究Ⅱ.主链含柔性基团的聚酰亚胺液晶取向膜的合成与性能研究

    Institute of Scientific and Technical Information of China (English)

    刘金刚; 王强; 朱普坤; 李佐邦; 杨士勇

    2000-01-01

      在以前的工作中,对液晶显示器(LCD)用聚酰亚胺取向膜进行了分子设计,并在此基础上合成了一类双醚二胺单体。本文采用所合成的两种双醚二胺单体:4,4'-双(氨基苯氧基)二苯甲酮(BAPB)与单醚二酐:3,3',4,4'-二苯醚四羧酸二酐(ODPA)合成了一种主链含柔性基团(—O—)的有机可溶性聚酰亚胺(PI)。对其进行了热性能、电性能、电光性能等表征,证明所合成的PI对液晶分子具有较好的取向效果,具有一定的应用前景。%  The molecular structure of polyimide alignment layer for Liquid Crystal Display(LCD) was designed in our previous work. In this research, according to the result of the design, a kind of polyimide alignment layer was synthesized by using the synthesized double-ether diamine monomers: 4,4'-bis(aminophenoxy)benzophenone(BAPB), 4,4'-bis(aminophenoxy)propane(BAPP) and a single-ether dianhydride monomer: 3,3',4,4'-oxydiphthalic dianhydride(ODPA). Because of the ether bonds in the molecular chain, the synthesized polyimide could be solved in organic solvents. The thermal properties, electrical properties, electro-optical properties were characterized at the same time.

  9. Numerical and experimental investigation of the structural behavior of a carbon fiber reinforced ankle-foot orthosis.

    Science.gov (United States)

    Stier, Bertram; Simon, Jaan-Willem; Reese, Stefanie

    2015-05-01

    Ankle-foot orthoses (AFOs) are designed to enhance the gait function of individuals with motor impairments. Recent AFOs are often made of laminated composites due to their high stiffness and low density. Since the performance of AFO is primarily influenced by their structural stiffness, the investigation of the mechanical response is very important for the design. The aim of this paper is to present a three dimensional multi-scale structural analysis methodology to speed up the design process of AFO. The multi-scale modeling procedure was applied such that the intrinsic micro-structure of the fiber reinforced laminates could be taken into account. In particular, representative volume elements were used on the micro-scale, where fiber and matrix were treated separately, and on the textile scale of the woven structure. For the validation of this methodology, experimental data were generated using digital image correlation (DIC) measurements. Finally, the structural behavior of the whole AFO was predicted numerically for a specific loading scenario and compared with experimental results. It was shown that the proposed numerical multi-scale scheme is well suited for the prediction of the structural behavior of AFOs, validated by the comparison of local strain fields as well as the global force-displacement curves. PMID:25765189

  10. Intra-oral orthosis vs amitriptyline in chronic tension-type headache: a clinical and laser evoked potentials study

    Directory of Open Access Journals (Sweden)

    Sardaro Michele

    2006-05-01

    Full Text Available Abstract Background In the present study, we examined clinical and laser-evoked potentials (LEP features in two groups of chronic tension-type headache (CTTH patients treated with two different approaches: intra-oral appliance of prosthesis, aiming to reduce muscular tenderness, and 10 mg daily amitriptyline. Methods Eighteen patients with diagnosed CTTH participated in this open label, controlled study. A baseline evaluation was performed for clinical features, Total Tenderness Score (TTS and a topographic analysis of LEPs obtained manually and the pericranial points stimulation in all patients vs. healthy subjects. Thereafter, patients were randomly assigned to a two-month treatment by either amitriptyline or intra-oral appliance. Results and discussion Both the intra-oral appliance and amitriptyline significantly reduced headache frequency. The TTS was significantly reduced in the group treated with the appliance. The amplitude of P2 response elicited by stimulation of pericranial zones showed a reduction after amitriptyline treatment. Both therapies were effective in reducing headache severity, the appliance with a prevalent action on the pericranial muscular tenderness, amitriptyline reducing the activity of the central cortical structures subtending pain elaboration Conclusion The results of this study may suggest that in CTTH both the interventions at the peripheral and central levels improve the outcome of headache.

  11. 蜱媒脑炎自然疫源探究%A study on natural source of tick-borne cephalitis

    Institute of Scientific and Technical Information of China (English)

    陈国仕

    2004-01-01

    蜱媒脑炎包含森林脑炎(远东亚型)、西方蜱媒脑炎(中欧亚型)及双波脑膜脑炎。它们是虫媒病毒(Arboviruses)中黄病毒科(Flaviviridae)黄病毒属(Flavivirus)蜱媒脑炎群(tickborne encephalitis complex)中抗原上极其近似的森林脑炎病毒(Encephalophilus silvestris Zil’ber,1937年)、西方蜱媒脑炎病毒(Encephalophilus occidentalis Zil’ber,1945年)及双波脑膜

  12. Role of BKCa channels in cephalic vasodilation induced by CGRP, NO and transcranial electrical stimulation in the rat

    DEFF Research Database (Denmark)

    Gozalov, A.; Jansen-Olesen, I.; Klærke, Dan Arne;

    2007-01-01

    by the NO donor glyceryltrinitrate (GTN) or by CGRP is partially mediated via large conductance calcium-activated potassium (BK(Ca)) channels. The effects of the BK(Ca) channel selective inhibitor iberiotoxin on dural and pial vasodilation induced by CGRP, GTN and endogenously released CGRP by transcranial...... electrical stimulation (TES) were examined. Iberiotoxin significantly attenuated GTN-induced dural and pial artery dilation in vivo and in vitro, but had no effect on vasodilation induced by CGRP and TES. Our results show that GTN- but not CGRP-induced dural and pial vasodilation involves opening of BK...

  13. Role of KATP channels in cephalic vasodilatation induced by calcitonin gene-related peptide, nitric oxide, and transcranial electrical stimulation in the rat

    DEFF Research Database (Denmark)

    Gozalov, Aydin; Jansen-Olesen, Inger; Klærke, Dan Arne;

    2008-01-01

    in migraine pathogenesis. We hypothesized that vasodilatation induced by CGRP and the NO donor glyceryltrinitrate (GTN) is mediated via K(ATP) channels. METHODS: We examined the effects of the K(ATP) channel inhibitor glibenclamide on dural and pial vasodilatation induced by CGRP, NO, and endogenously....... In anesthetized rats glibenclamide significantly attenuated CGRP induced dural and TES induced dural/pial artery dilatation (P = .001; P = .001; P = .005), but had no effect on dural/pial vasodilatation induced by GTN. In vitro glibenclamide failed to significantly inhibit CGRP- and GTN-induced vasodilatation....... CONCLUSIONS: These results show that a K(ATP) channel blocker in vivo but not in vitro inhibits CGRP, but not GTN-induced dilatation of dural and pial arteries, a mechanism thought to be important in migraine....

  14. Purely cutaneous sclerosing IgG4-related disease of the cephalic region: case report and a mini-review of the clinical and pathological aspects.

    Science.gov (United States)

    Muscardin, Luca; Paolino, Giovanni; Panetta, Chiara; Donati, Pietro

    2016-06-01

    IgG4-related disease is a recently defined emerging entity. Many different organs may be affected by this disease: pancreas, salivary and lacrimal glands, liver, peritoneum and lung. Also the skin may be affected, as secondary localization, while as primary cutaneous localization it has been rarely described. A male patient presented at our Institute with a two-year history of sclerosing erythematous nodules of the scalp. Histological examination showed a T-lymphocyte (CD3+) infiltrate with interspersed plasmacytoid cells and the interposition of a fibrosclerotic tissue. We found numerous IgG4+ cells at the periphery of the nodular structures, while the serum levels of IgG4 and the remaining blood chemistry analysis were normal. Only a few cases of primitive cutaneous pseudo-lymphomatous IgG4-related disease have been described in the literature. Our case showed the same clinical and histologic features of those previously described; the etiology of IgG4-related diseases remains to be elucidated. PMID:26340764

  15. Use of External Cephalic Version and Amnioreduction in the Delivery of a Fetal Demise with Macrocephaly Secondary to Massive Intracranial Teratoma

    OpenAIRE

    Blitz, Matthew J.; Elizabeth Greeley; Hima Tam Tam; Burton Rochelson

    2015-01-01

    Introduction - Congenital intracranial tumors are rare and often incidentally diagnosed on routine ultrasound. We report a case of a fetal demise with a massive intracranial teratoma at 25 weeks of gestation and the management of her delivery in the setting of macrocephaly, breech presentation, and polyhydramnios. Case - A 31-year-old G3P1011 woman at 25 weeks' gestation presented with a recent fetal demise and a fetal intracranial tumor first identified at 16 weeks' gestational age. The ...

  16. Using an electrohydraulic ankle foot orthosis to study modifications in feedforward control during locomotor adaptation to force fields applied in stance

    Directory of Open Access Journals (Sweden)

    Bouyer Laurent J

    2009-06-01

    Full Text Available Abstract Background Adapting to external forces during walking has been proposed as a tool to improve locomotion after central nervous system injury. However, sensorimotor integration during walking varies according to the timing in the gait cycle, suggesting that adaptation may also depend on gait phases. In this study, an ElectroHydraulic AFO (EHO was used to apply forces specifically during mid-stance and push-off to evaluate if feedforward movement control can be adapted in these 2 gait phases. Methods Eleven healthy subjects walked on a treadmill before (3 min, during (5 min and after (5 min exposure to 2 force fields applied by the EHO (mid-stance/push-off; ~10 Nm, towards dorsiflexion. To evaluate modifications in feedforward control, strides with no force field ('catch strides' were unexpectedly inserted during the force field walking period. Results When initially exposed to a mid-stance force field (FF20%, subjects showed a significant increase in ankle dorsiflexion velocity. Catches applied early into the FF20% were similar to baseline (P > 0.99. Subjects gradually adapted by returning ankle velocity to baseline over ~50 strides. Catches applied thereafter showed decreased ankle velocity where the force field was normally applied, indicating the presence of feedforward adaptation. When initially exposed to a push-off force field (FF50%, plantarflexion velocity was reduced in the zone of force field application. No adaptation occurred over the 5 min exposure. Catch strides kinematics remained similar to control at all times, suggesting no feedforward adaptation. As a control, force fields assisting plantarflexion (-3.5 to -9.5 Nm were applied and increased ankle plantarflexion during push-off, confirming that the lack of kinematic changes during FF50% catch strides were not simply due to a large ankle impedance. Conclusion Together these results show that ankle exoskeletons such as the EHO can be used to study phase-specific adaptive control of the ankle during locomotion. Our data suggest that, for short duration exposure, a feedforward modification in torque output occurs during mid-stance but not during push-off. These findings are important for the design of novel rehabilitation methods, as they suggest that the ability to use resistive force fields for training may depend on targeted gait phases.

  17. Effect of peroneal electrical stimulation versus an ankle-foot orthosis on obstacle avoidance ability in people with stroke-related foot drop.

    NARCIS (Netherlands)

    Swigchem, R. van; Duijnhoven, H.J.R. van; Boer, J. den; Geurts, A.C.H.; Weerdesteijn, V.G.

    2012-01-01

    BACKGROUND: Walking ability of people with foot drop in the chronic phase after stroke is better with functional electrical stimulation (FES) of the peroneal nerve than without an orthotic device. However, the literature is not conclusive on whether peroneal FES also is better than an ankle-foot ort

  18. The effect of varying the plantarflexion resistance of an ankle-foot orthosis on knee joint kinematics in patients with stroke.

    Science.gov (United States)

    Kobayashi, Toshiki; Leung, Aaron K L; Akazawa, Yasushi; Hutchins, Stephen W

    2013-03-01

    Ankle-foot orthoses (AFOs) can improve gait in patients with hemiplegia. However, it is anecdotally known that excessive plantarflexion resistance of an AFO could induce undesired knee flexion at early stance. The aim of this study was to systematically investigate the effect of varying the degrees of plantarflexion resistance of an AFO on knee flexion angles at early stance in five subjects with chronic stroke who demonstrated two clear knee flexion peaks at early stance and swing. Each subject wore an experimental AFO constructed with an oil-damper type ankle joint and was instructed to walk at their self-selected walking speed under five plantarflexion resistance conditions. The sagittal plane ankle and knee joint kinematics and gait speed were analyzed using a 3-D Motion Analysis System. A number of significant differences (Pknee flexion angles at early stance amongst different plantarflexion resistance conditions were revealed. The knee flexion angle was 23.80 (3.25) degrees under the free hinge joint condition (condition 1), while that was 26.09 (3.79) degrees under the largest resistance condition (condition 5). It was therefore demonstrated that increasing the plantarflexion resistance of an AFO would induce more knee flexion at early stance phase in patients with stroke.

  19. The Effects of Varying Ankle Foot Orthosis Stiffness on Gait in Children with Spastic Cerebral Palsy Who Walk with Excessive Knee Flexion.

    Directory of Open Access Journals (Sweden)

    Yvette L Kerkum

    Full Text Available Rigid Ankle-Foot Orthoses (AFOs are commonly prescribed to counteract excessive knee flexion during the stance phase of gait in children with cerebral palsy (CP. While rigid AFOs may normalize knee kinematics and kinetics effectively, it has the disadvantage of impeding push-off power. A spring-like AFO may enhance push-off power, which may come at the cost of reducing the knee flexion less effectively. Optimizing this trade-off between enhancing push-off power and normalizing knee flexion in stance is expected to maximize gait efficiency. This study investigated the effects of varying AFO stiffness on gait biomechanics and efficiency in children with CP who walk with excessive knee flexion in stance. Fifteen children with spastic CP (11 boys, 10±2 years were prescribed with a ventral shell spring-hinged AFO (vAFO. The hinge was set into a rigid, or spring-like setting, using both a stiff and flexible performance. At baseline (i.e. shoes-only and for each vAFO, a 3D-gait analysis and 6-minute walk test with breath-gas analysis were performed at comfortable speed. Lower limb joint kinematics and kinetics were calculated. From the 6-minute walk test, walking speed and the net energy cost were determined. A generalized estimation equation (p<0.05 was used to analyze the effects of different conditions. Compared to shoes-only, all vAFOs improved the knee angle and net moment similarly. Ankle power generation and work were preserved only by the spring-like vAFOs. All vAFOs decreased the net energy cost compared to shoes-only, but no differences were found between vAFOs, showing that the effects of spring-like vAFOs to promote push-off power did not lead to greater reductions in walking energy cost. These findings suggest that, in this specific group of children with spastic CP, the vAFO stiffness that maximizes gait efficiency is primarily determined by its effect on knee kinematics and kinetics rather than by its effect on push-off power.Dutch Trial Register NTR3418.

  20. Podnikatelský plán soukromého zařízení pro děti předškolního věku

    OpenAIRE

    Němečková, Klára

    2008-01-01

    My work judges the business plan of private créche for children to free years old. The first part of my work mens revers with business plan, with its requirements, with its containt and with requirements for establishment of company in this sector. Practical part concretes business plan and judges its chance for a success.

  1. The Effects of a Token Economy System on the Inappropriate Verbalizations of Emotional Support Students.

    Science.gov (United States)

    Stover, Karen

    This paper reports on the application of a token economy approach to increase on-task behavior and decrease inappropriate "call-outs" of nine seventh and eighth grade Caucasian male students in a self-containted emotional support classroom. The program included a behavioral contract, token economy "bucks" kept in a classroom bank, and a list of 12…

  2. Effect of toe-spread-out exercise on hallux valgus angle and cross-sectional area of abductor hallucis muscle in subjects with hallux valgus

    OpenAIRE

    Kim, Moon-Hwan; Yi, Chung-hwi; Weon, Jong-hyuck; Cynn, Heon-Seock; Jung, Do-Young; Kwon, Oh-yun

    2015-01-01

    [Purpose] This study investigated whether the toe-spread-out exercise affects the hallux valgus angle, the cross-sectional area of the abductor hallucis muscle, and the hallux valgus angle during active abduction. [Subjects and Methods] Twenty-four subjects with hallux valgus were randomly assigned to orthosis and orthosis plus toe-spread-out exercise groups. The orthosis group wore the orthosis for 8 weeks, while the orthosis plus toe-spread-out group also performed the toe-spread-out exerci...

  3. Estimating Ground Inclination Using Strain Sensors with Fourier Series Representation

    OpenAIRE

    Ulf Holmberg; Wolfgang Svensson

    2010-01-01

    An embedded measurement system for foot orthosis during gait is proposed. Strain gauge sensors were mounted on a foot orthosis to give information about strain in the sagittal plane. The ankle angle of the orthosis was fixed and strain characteristics were therefore changed when walking on slopes. With a Fourier series representation of the strain during a gait cycle, ground angle at different walking speeds and inclinations could be estimated with similar accuracy as previous studies using k...

  4. Uso y lectura turística de los grandes conjuntos arqueológicos. Reflexiones a partir del Estudio de Público de Medina Azahara / Madinat al-Zahra (Córdoba)

    OpenAIRE

    María García Hernández; Manuel de la Calle Vaquero

    2010-01-01

    Heritage managers have realized a great effort in order to prepare archaeological sites for the public visit. In a context of rapid growth of the tourist cultural flows, many of the archaeological elements have been incorporated as tourist resources to the strategies of socioeconomic local development. Nevertheless visitor studies has been one of the aspects least treated in Spain though it is one of the most important parts of projects of museology. This paper containts a few reflections on ...

  5. Vliv genotypu na obsah rutinu v rostlinách rodu \\kur{(Fagopyrum)}

    OpenAIRE

    Králová, Martina

    2008-01-01

    The bachelor work is focused on evaluation of the influence of buckwheat species and variety on rutin containt in particular plant parts, on the total rutin yield per hectare production and on comparison varietal differences between both species, common buckwheat \\kur{(Fagopyrum)}esculentum)} Moench) and tartary buckwheat \\kur{(Fagopyrum tataricum)}. Rutin is a flavonol (quercetin-3-O- rutinosid) which is also called P vitamin. As well as it is known as the permeability factor or factor allow...

  6. Effect of wearing a dorsiflexion assist orthosis on mobility, perceived fatigue and exertion during the six-minute walk test in people with multiple sclerosis: a randomised cross-over protocol

    OpenAIRE

    McLoughlin James; Barr Christopher; Sturnieks Daina; Lord Stephen; Crotty Maria

    2012-01-01

    Abstract Background Fatigue in combination with gait and balance impairments can severely limit daily activities in people with multiple sclerosis (PWMS). Generalised fatigue has a major impact on walking ability, with moderately disabled PWMS experiencing difficulty in walking extended distances. Localised motor fatigue in the ankle dorsiflexors can lead to foot drop, further reducing functional ambulation. The aim of this study is to evaluate the effect of a simple dynamic dorsiflexion assi...

  7. Treatment of Idiopathic Scoliosis by Orthosis Combinated with Orthopedic Gymnastics%矫形支具配合矫正体操对特发性脊柱侧弯的作用

    Institute of Scientific and Technical Information of China (English)

    范亚蓓; 王彤; 王红星; 王春兰; 赵勇; 李涛; 钱开林

    2007-01-01

    目的:探讨脊柱矫形器配合矫正体操治疗特发性脊柱侧弯患者的疗效.方法:40例特发性脊柱侧弯患儿.均每天穿戴矫形支具时间23h并配合脊柱矫正体操练习,要求达到凸侧肌肉收缩,凹侧肌肉牵伸,每次30min,每天1-2次.穿戴期间定期X线片检查脊柱Cobb角.结果:1年后随访,40例患儿中33例能坚持穿戴矫形支具和进行矫正体操练习;胸椎、腰椎Cobb 角与治疗前比较均降低(P<0.05).单弧侧弯治疗的效果比双弧更明显(P<0.05).结论:矫形支具配合矫正体操治疗能矫正脊柱侧弯畸形,是治疗特发性脊柱侧弯的一种有价值的方法.

  8. Towards compliant and wearable robotic orthoses: A review of current and emerging actuator technologies.

    Science.gov (United States)

    Veale, Allan Joshua; Xie, Shane Quan

    2016-04-01

    Robotic orthoses, or exoskeletons, have the potential to provide effective rehabilitation while overcoming the availability and cost constraints of therapists. However, current orthosis actuation systems use components designed for industrial applications, not specifically for interacting with humans. This can limit orthoses' capabilities and, if their users' needs are not adequately considered, contribute to their abandonment. Here, a user centered review is presented on: requirements for orthosis actuators; the electric, hydraulic, and pneumatic actuators currently used in orthoses and their advantages and limitations; the potential of new actuator technologies, including smart materials, to actuate orthoses; and the future of orthosis actuator research. PMID:26923385

  9. Somatic effects in man due to chronic radiation exposure: Health effects from fallout and radioactive contamination

    International Nuclear Information System (INIS)

    The detailed review containts a short introduction and the following chapters: 1. Background of nuclear technology with special emphasis on the production and toxicity of nuclear fuels; 2. The nuclear power industry (mainly dealing with the growth of the industry and the Chernobyl accident); 3. The use of nuclear weapons and their effects; 4. Health studies of populations around the Rocky Flats nuclear plant, the Windscale nuclear plant and the Savannah River nuclear installation; 5. Health studies of populations exposed to radioactive clouds and plumes, residing in a contaminated environment and ingesting food and water containing fallout radionuclides. (MG)

  10. Estimulación eléctrica invasiva de C2-C3 en el tratamiento del dolor cefálico y facial: Neuralgia occipital. Migraña transformada. Cefalea en racimos. Algias faciales C2-C3 Invasive Electrical Stimulation for the Treatment of Cephalic and Facial Pain: Occipital Neuralgia. Transformed Migraine. Cluster Headache. Facial Algias

    OpenAIRE

    M. D. Rodrigo; Quero, J; P. Cía; R. Escartín; P. Acín; C. Bono; C. Polo

    2008-01-01

    Introducción. La estimulación eléctrica extraespinal periférica cervico-occipital, llevada a cabo con un sistema implantado, es una técnica quirúrgica poco cruenta que puede proporcionar buenos resultados en pacientes con dolor neuropático refractario localizado en región cefálica y facial. Presentamos treinta y cuatro pacientes con dolor cervico-facial de larga evolución, persitente, severo, no controlado, de diferentes etiologías, en los que se habían agotado otras posibilidades terapéutica...

  11. Comparison of owner satisfaction between stifle joint orthoses and tibial plateau leveling osteotomy for the management of cranial cruciate ligament disease in dogs.

    Science.gov (United States)

    Hart, Juliette L; May, Kimberly D; Kieves, Nina R; Mich, Patrice M; Goh, Clara S S; Palmer, Ross H; Duerr, Felix M

    2016-08-15

    OBJECTIVE To compare owner satisfaction between custom-made stifle joint orthoses and tibial plateau leveling osteotomy (TPLO) for the management of medium- and large-breed dogs with cranial cruciate ligament disease (CCLD). DESIGN Owner survey. SAMPLE 819 and 203 owners of dogs with CCLD that were managed with a custom-made stifle joint orthosis or TPLO, respectively. PROCEDURES Client databases of an orthosis provider and veterinary teaching hospital were reviewed to identify potential survey respondents. An online survey was developed to evaluate owner-reported outcomes, complications, and satisfaction associated with the nonsurgical (orthosis group) and surgical (TPLO group) interventions. Survey responses were compared between groups. RESULTS The response rate was 25% (203/819) and 37% (76/203) for the orthosis and TPLO groups, respectively. The proportion of owners who reported that their dogs had mild or no lameness and rated the intervention as excellent, very good, or good was significantly greater for the TPLO group than for the orthosis group. However, ≥ 85% of respondents in both groups reported that they would choose the selected treatment again. Of 151 respondents from the orthosis group, 70 (46%) reported skin lesions associated with the device, 16 (11%) reported that the dog subsequently underwent surgery, and 10 (7%) reported that the dog never tolerated the device. CONCLUSIONS AND CLINICAL RELEVANCE Results indicated high owner satisfaction rates for both interventions. Owners considering nonsurgical management with an orthosis should be advised about potential complications such as persistent lameness, skin lesions, patient intolerance of the device, and the need for subsequent surgery. PMID:27479283

  12. Application of Prosthesis and Orthosis and Physical Therapy for Walking Ability in Meningomyelocele: A Case Reported%假肢矫形器结合功能训练改善脊髓脊膜膨出患者的步行能力1例

    Institute of Scientific and Technical Information of China (English)

    裴倩; 曹学军; 姚中思; 胡中华; 庄建龙; 张倩

    2008-01-01

    目的 探讨假肢矫形器结合功能训练在提高脊髓脊膜膨出患者步行能力中的应用.方法 个案报道.结果 和结论经过装配假肢矫形器和3周的物理治疗,患者从双手扶手杖行走提高到扶单侧手杖步行1000 m,速度达36 m/min.

  13. Application of self-made controlled orthosis in prosthesis of patients with hand flexor tendon injury of the second area%自制控制性支具在手Ⅱ区屈肌腱损伤修复术后中的应用

    Institute of Scientific and Technical Information of China (English)

    娄湘红; 李萍; 曹群秀; 陈振兵

    2007-01-01

    @@ 手Ⅱ区屈肌腱损伤修复术后常规石膏固定3周,3周后石膏拆除才进行功能锻炼,常有并发症发生,最多见的是肌腱粘连,往往需做粘连松解术,而且术后极易发生再次粘连,又需要重新手术,给病人带来身心痛苦和经济上的困扰,如果早期锻炼又容易造成肌腱断裂.

  14. The Research of the Functions in the Cerebral Palsy Children Walking level Improvement by Combining the Kneeling Posture Control Training with the Application of Ankle foot Orthosis%跪位姿势控制训练结合应用踝足矫形器在提高脑瘫儿步行水平中的作用研究

    Institute of Scientific and Technical Information of China (English)

    林国良

    2014-01-01

    Objective:To study the cerebral palsy children's kneeling posture control ability improved through rehabilitation therapy , and the function of combined application of ankle foot orthoses in improving the walking level of cerebral palsy children .Methods:The 50 cases of children with cerebral palsy received and cured during 2011 .09-2013 .07 were selected and randomly divided into treatment group and control group .On the basis of routine rehabilitation therapy , the treatment group more focused on kneeling posture control train-ing and wore ankle foot orthoses ( AFO);while the control group was treated with routine rehabilitation therapy , the kneeling posture con-trol ability was assessed by C -zone of the gross motor function measure ( GMFM) , and walking level was evaluated with Gillette function-al walking measure .Results:In the control group , 2 cases were off on midway , so a total of 48 cases of children entered into the result a-nalysis .Results:showed that , after treatment , GMFM C-zone grade of the treatment group was significantly higher than that before treat -ment (P<0.01), and after treatment, GMFM C-zone grade of the treatment group was notably better than that of control group (P<0. 01);Gillette functional walking measure walking level grading assessment showed that : After treatment, the walking level of treatment group was remarkably better than that of control group (P<0.05).Conclusions:Kneeling posture control ability (hip joint motor control) and the stability of the ankle foot control play a very important role in cerebral palsy children walking , and the role of these two aspects mainly lies in maintaining the stability of gravity center in walking , only on the basis of which , can the gait be improved , and can walking level be enhanced .%目的:研究经过康复治疗改善脑瘫( cerebral palsy )患儿的跪位姿势控制能力并结合应用踝足矫形器在提高脑瘫儿步行水平中所起的作用。方法:选择2011年9月~2013年7月收治的脑瘫患儿50例,随机分为治疗组和对照组,治疗组在常规康复治疗的基础上,重点强化跪位姿势控制训练并佩戴踝足矫形器( ankle foot orthoses , AFO),对照组常规康复治疗,跪位姿势控制能力采用粗大运动功能量表( gross motor function measure ,GMFM)的C区评定,步行水平采用Gillette功能性步行量表评定。结果:对照组中途脱落2例,共有48例患儿进入结果分析。结果表明治疗组治疗后GMFM C区评分显著高于治疗前(P<0.01),并且治疗后治疗组GMFM C区评分显著优于对照组(P<0.01);Gillette功能性步行量表步行水平分级评定显示:治疗后治疗组步行水平显著优于对照组(P<0.05)。结论:跪位姿势控制能力(髋关节运动控制)、踝足控制的稳定性在脑瘫儿步行中的作用非常重要,这2方面的作用主要在于维系步行中控制重心的稳定,在此基础上步态才能改善,步行水平才能提高。

  15. An EMG-Controlled SMA Device for the Rehabilitation of the Ankle Joint in Post-Acute Stroke

    Science.gov (United States)

    Pittaccio, S.; Viscuso, S.

    2011-07-01

    The capacity of flexing one's ankle is an indispensible segment of gait re-learning, as imbalance, wrong compensatory use of other joints and risk of falling may depend on the so-called drop-foot. The rehabilitation of ankle dorsiflexion may be achieved through active exercising of the relevant musculature (especially tibialis anterior, TA). This can be troublesome for patients affected by weakness and flaccid paresis. Thus, as needs evolve during patient's improvements, a therapeutic device should be able to guide and sustain gradual recovery by providing commensurate aid. This includes exploiting even initial attempts at voluntary motion and turns those into effective workout. An active orthosis powered by two rotary actuators containing NiTi wire was designed to obtain ankle dorsiflexion. A computer routine that analyzes the electromyographic (sEMG) signal from TA muscle is used to control the orthosis and trigger its activation. The software also provides instructions and feed-back for the patient. Tests on the orthosis proved that it can produce strokes up to 36° against resisting torques exceeding 180 Ncm. Three healthy subjects were able to control the orthosis by modulating their TA sEMG activity. The movement produced in the preliminary tests is interesting for lower limb rehabilitation, and will be further improved by optimizing body-orthosis interface. It is hoped that this device will enhance early rehabilitation and recovery of ankle mobility in stroke patients.

  16. Couple Control Model Implementation on Antagonistic Mono- and Bi-Articular Actuators

    CERN Document Server

    Prattico, Flavio; Yamamoto, Shin-ichiroh

    2014-01-01

    Recently, robot assisted therapy devices are increasingly used for spinal cord injury (SCI) rehabilitation in assisting handicapped patients to regain their impaired movements. Assistive robotic systems may not be able to cure or fully compensate impairments, but it should be able to assist certain impaired functions and ease movements. In this study, a couple control model for lower-limb orthosis of a body weight support gait training system is proposed. The developed leg orthosis implements the use of pneumatic artificial muscle as an actuation system. The pneumatic muscle was arranged antagonistically to form two pair of mono-articular muscles (i.e., hip and knee joints), and a pair of bi-articular actuators (i.e., rectus femoris and hamstring). The results of the proposed couple control model showed that, it was able to simultaneously control the antagonistic mono- and bi-articular actuators and sufficiently performed walking motion of the leg orthosis.

  17. Effects of rearfoot-controlling orthotic treatment on dorsiflexion of the hallux in feet with abnormal subtalar pronation: a preliminary report.

    Science.gov (United States)

    Munuera, Pedro V; Domínguez, Gabriel; Palomo, Inmaculada C; Lafuente, Guillermo

    2006-01-01

    The aim of this study was to determine whether the treatment of abnormal subtalar pronation restores functional (as opposed to structural) limited dorsiflexion of the first metatarsophalangeal joint (functional hallux limitus). We studied 16 feet of eight individuals with abnormal subtalar pronation. Orthoses were made for all of the feet, and hallux dorsiflexion was measured during weightbearing. Each patient was unshod without the orthosis, unshod with the orthosis fitted on the same day, and unshod with the orthosis fitted approximately 5 months later. The results suggest that in functional hallux limitus caused by abnormal subtalar pronation, hallux dorsiflexion will gradually be restored by the use of foot orthoses to control the abnormal subtalar pronation. PMID:16868319

  18. Augmenting Locomotion in an Anthropomorphic System

    Directory of Open Access Journals (Sweden)

    Derek Wight

    2005-02-01

    Full Text Available A powered orthosis has applications ranging from assisting the elderly to augmenting astronauts. An assistive control scheme is developed that uses the force from a slave actuator to augment the force of a master actuator. This can be used to augment a closed-loop control scheme applied to the master actuator. Initially, actuator augmentation is explored both theoretically and experimentally using a simple mechanical system. The control scheme is then applied to a scale model of human lower limbs on a stationary bicycle to investigate the feasibility of a powered orthosis using pneumatic muscle actuators.

  19. Pathology-designed custom molded foot orthoses.

    Science.gov (United States)

    Rosenbloom, Kevin B

    2011-01-01

    Treating patients with custom foot orthoses for common pathologies is a rewarding experience when the proper steps are taken during foot casting and custom-orthosis prescription writing. This article describes successful methods for orthoses casting and prescription writing for custom-molded orthoses for Achilles tendonitis, pes planus, hallux limitus, plantar fasciitis/heel spurs, lateral ankle instability, metatarsalgia, and pes cavus. In addition, a summary of orthotic laboratory instructions for each pathology-designed custom orthosis is provided, which should be considered by orthotic laboratories. PMID:21276525

  20. Investigation on Reaction Synthesis of Sialon Multiphase Refractory from Clay and Additive TiO2

    Institute of Scientific and Technical Information of China (English)

    XULihua; QIANYangbo; 等

    2001-01-01

    Sialon multiphase composites containting titanium-carbon or titanium-nitrogen have been synthesized from clay nd additive titania through different sintering processes,The experimental results indicated that there was a great change of crystal phase in the similar-composition specimens singtering in air ,nitrogen and bedding protecive poder respectively,determined by XRD analysis,The subsequent evidences were also supplied by SEM.The improvement in mehanical properties of multiphase refracto-ries was observed as the amount of titania changing from 0 to 16%,The main causes maybe come from the excellent properties of high hardness and in-situ strengthening effects of the in-situ formed secondary phase,TiC or TiN.

  1. Optimum design of steel structures

    CERN Document Server

    Farkas, József

    2013-01-01

    This book helps designers and manufacturers to select and develop the most suitable and competitive steel structures, which are safe, fit for production and economic. An optimum design system is used to find the best characteristics of structural models, which guarantee the fulfilment of design and fabrication requirements and minimize the cost function. Realistic numerical models are used as main components of industrial steel structures. Chapter 1 containts some experiences with the optimum design of steel structures Chapter 2 treats some newer mathematical optimization methods. Chapter 3 gives formulae for fabrication times and costs. Chapters 4 deals with beams and columns. Summarizes the Eurocode rules for design. Chapter 5 deals with the design of tubular trusses. Chapter 6 gives the design of frame structures and fire-resistant design rules for a frame. In Chapters 7 some minimum cost design problems of stiffened and cellular plates and shells are worked out for cases of different stiffenings and loads...

  2. Four new species of free-living marine nematodes of the family Desmodoridae (Nematoda: Desmodorida) and a redescription of Desmodora nini (Inglis, 1963) from the continental shelf off northeastern Brazil.

    Science.gov (United States)

    Larrazábal-Filho, Alexandre L; Silva, Maria Cristina Da; Esteves, André M

    2015-09-24

    Four new species of marine nematodes were collected from the continental shelf of the Potiguar Basin in northeastern Brazil. Zalonema vicentei sp. n. and Zalonema mariae sp. n. are characterized by having multispiral fovea amphidialis, lateral alae and ventral ala. These features also are found in Pseudochromadora, Desmodorella and Psammonema. They differ in the cephalic arrangement, and shape of the cephalic capsule and the fovea amphidialis. Croconema fortis sp. n. resembles Desmodora in the shape of the fovea amphidialis and cephalic capsule, but differs in the number of subcephalic setae and ornamentation on the cuticule. Desmodora paraconica sp. n. is characterized by the loop-shaped fovea amphidialis and the long conical-cylindrical tail. This species is similar to the genus Bolbonema, but differs in having the cephalic setae anterior to the fovea amphidialis. Desmodora nini is redescribed, to record details lacking in the original description.

  3. Morfologia externa do adulto de Hemiargus hanno (Stoll (Lepidoptera, Lycaenidae, Polyommatinae, Polyommatini: I. cabeça Adult exoskeletal morphology of Hemiargus hanno (Stoll (Lepidoptera, Lycaenidac, Polyommatinae, Polyommatini: I. head morphology

    Directory of Open Access Journals (Sweden)

    Marcelo Duarte

    2001-03-01

    Full Text Available This is the first of a series of contributions concerning exoskeletal morphology of neotropical lycaenid butterflies (blues and hairstreaks. The cephalic capsule morphology of Hemiargus hanno (Stoll, 1790 is herein presented with drawings and SEM photographs.

  4. Abnormal formation and communication of external jugular vein

    OpenAIRE

    Nayak SB; KV S

    2008-01-01

    Knowledge of variations in the origin, course and termination of external jugular vein may be important for surgeons, radiologists, and plastic surgeons. In this report, we present a variation in the origin of the external jugular vein and its abnormal communication with the cephalic vein. The external jugular vein was formed by the union of facial and retromandibular veins. Its course and termination were normal but it communicated with the cephalic vein through a large communicating vein, w...

  5. Functional electrical stimulation-assisted walking for persons with incomplete spinal injuries

    DEFF Research Database (Denmark)

    Ladouceur, M.; Barbeau, H.

    2000-01-01

    This study investigated the changes in maximal overground walking speed (MOWS) that occurred during; walking training with a functional electrical stimulation (FES) orthosis by chronic spinal cord injured persons with incomplete motor function loss. The average walking: speed over a distance of 10...

  6. 21 CFR 890.3025 - Prosthetic and orthotic accessory.

    Science.gov (United States)

    2010-04-01

    ... intended for medical purposes to support, protect, or aid in the use of a cast, orthosis (brace), or prosthesis. Examples of prosthetic and orthotic accessories include the following: A pelvic support band and belt, a cast shoe, a cast bandage, a limb cover, a prosthesis alignment device, a postsurgical pylon,...

  7. Functional outcome after peroneal nerve injury

    NARCIS (Netherlands)

    de Bruijn, I.; Geertzen, J.H.; Dijkstra, P.U.

    2007-01-01

    The objective of this study was to describe muscle strength, ankle-foot orthosis (AFO) use, walking ability, participation and quality of life in patients with peroneal nerve injury. A historic cohort study (n = 27) was performed with a median follow-up time of 61 months (inter quartile range 37-91)

  8. Comparative trials on hybrid walking systems for people with paraplegia: An analysis of study methodology

    NARCIS (Netherlands)

    IJzerman, M.J.; Baardman, G.; Hermens, H.J.; Veltink, P.H.; Boom, H.B.K.; Zilvold, G.

    1999-01-01

    A new orthosis (SEPRIX) which combines user friendliness with low energy cost of walking has been developed and will be subject to a clinical comparison with conventional hip-knee-ankle-foot orthoses. In designing such comparative trials it was considered it may be worthwhile to use previous clinica

  9. Human Walk Modeled by PCPG to Control a Lower Limb Neuroprosthesis by High-Level Commands

    Directory of Open Access Journals (Sweden)

    Matthieu Duvinage

    2012-06-01

    Full Text Available Current active leg prostheses do not integrate the most recent advances in Brain-Computer Interfaces (BCI and bipedal robotics. Moreover, their actuators are seldom driven by the subject’s intention. This paper aims at showing a summary of our current results in the field of human gait rehabilitation. In a first prototype, the main focus was on people suffering from foot drop problems, i.e. people who are unable to lift their feet. However, current work is focusing on a full active ankle orthosis. The approach is threefold: a BCI system, a gait model and an orthosis. Thanks to the BCI system, patients are able to generate high-level commands. Typically, a command could represent a speed modification. Then, a gait model based on a programmable central pattern generator is used to generate the adequate kinematics. Finally, the orthosis is tracking this kinematics when the foot is in the air, whereas, the orthosis is mimicking a spring when the foot is on the ground.

  10. Alternative venous outflow vessels in microvascular breast reconstruction.

    Science.gov (United States)

    Mehrara, Babak J; Santoro, Timothy; Smith, Andrew; Arcilla, Eric A; Watson, James P; Shaw, William W; Da Lio, Andrew L

    2003-08-01

    The lack of adequate recipient vessels often complicates microvascular breast reconstruction in patients who have previously undergone mastectomy and irradiation. In addition, significant size mismatch, particularly in the outflow veins, is an important contributor to vessel thrombosis and flap failure. The purpose of this study was to review the authors' experience with alternative venous outflow vessels for microvascular breast reconstruction. In a retrospective analysis of 1278 microvascular breast reconstructions performed over a 10-year period, the authors identified all patients in whom the external jugular or cephalic veins were used as the outflow vessels. Patient demographics, flap choice, the reasons for the use of alternative venous drainage vessels, and the incidence of microsurgical complications were analyzed. The external jugular was used in 23 flaps performed in procedures with 22 patients. The superior gluteal and transverse rectus abdominis musculocutaneous (TRAM) flaps were used in the majority of the cases in which the external jugular vein was used (72 percent gluteal, 20 percent TRAM flap). The need for alternative venous outflow vessels was usually due to a significant vessel size mismatch between the superior gluteal and internal mammary veins (74 percent). For three of the external jugular vein flaps (13 percent), the vein was used for salvage after the primary draining vein thrombosed, and two of three flaps in these cases were eventually salvaged. In three patients, the external jugular vein thrombosed, resulting in two flap losses, while the third was salvaged using the cephalic vein. A total of two flaps were lost in the external jugular vein group. The cephalic vein was used in 11 flaps (TRAM, 64.3 percent; superior gluteal, 35.7 percent) performed in 11 patients. In five patients (54.5 percent), the cephalic vein was used to salvage a flap after the primary draining vein thrombosed; the procedure was successful in four cases. In three

  11. Revision of Ilyphagus Chamberlin, 1919 (Polychaeta, Flabelligeridae

    Directory of Open Access Journals (Sweden)

    Sergio Salazar-Vallejo

    2012-05-01

    Full Text Available Ilyphagus Chamberlin, 1919 includes abyssal, fragile benthic species. Most species have large cephalic cages but chaetae are brittle and easily lost which may explain why the original definition included species with a cephalic cage or without it. The type species, I. bythincola Chamberlin, 1919, together with another species (I. pluto Chamberlin, 1919 were described as lacking a cephalic cage whereas a third species (I. ascendens Chamberlin, 1919 was described with one. To clarify this situation, all available type and non-type materials were studied. Ilyphagus is redefined to include species with digitiform bodies, abundant filiform papillae and a thin body wall; their neurochaetae are thick, anchylosed aristate spines, and all species have a cephalic cage (in the type species the presence of a cage is inferred from the remaining chaetal scars. Ilyphagus pluto, which also lacks a a cephalic cage is determined here to be a holothurian. The redefined genus contains I. bythincola (incl. I. ascendens, I. coronatus Monro, 1939, I. hirsutus Monro, 1937, and I. wyvillei (McIntosh, 1885.

  12. Using a Caesarean Section Classification System based on characteristics of the population as a way of monitoring obstetric practice

    Directory of Open Access Journals (Sweden)

    Milanez Helaine M

    2010-06-01

    Full Text Available Abstract Objective to compare the distribution of caesarean rates in the Robson's 10 groups classification in order to see if any change occurred after the implementation of an audit and feedback intervention. Design: cross sectional, before and after an audit and feedback study. Setting: a university hospital in Brazil. Methods clinical records of all births during two three months-periods were evaluated. Each case of CS was classified into one of ten mutually exclusive categories according to obstetric characteristics. The proportion of CS in each group was compared in both periods. Results total number of deliveries and the high rate of CS were similar in both periods. Group 3 (multiparous excluding previous CS, single, cephalic, ≥ 37 weeks, spontaneous labour accounted for the largest proportion of deliveries, 28.5 and 26.8% in both periods. Group 1 (nulliparous, single, cephalic, ≥ 37 weeks, spontaneous labour was the second largest one, while Group 5 (previous caesarean section, single, cephalic, and ≥ 37 weeks was the third but the largest contributor to CS, accounting for 16.6 and 14.9% among all deliveries in both periods. Groups 2 (nulliparous, single, cephalic, ≥ 37 weeks, induction or CS before labour and 4 (multiparous excluding previous CS, single, cephalic, ≥ 37 weeks, induction or CS before labour were less prevalent, however had higher rates of CS. Only in Group 10 (All single, cephalic, ≤ 36 weeks, including previous CS, there was a significant decrease of CS rate from 70.5 to 42.6% between periods. Conclusion Robson's classification did not identify any significant change in the pattern of CS rates with the audit and feedback process, but showed to be useful for comparing trends among similar obstetric populations.

  13. Spring-Assisted Cranioplasty for Bicoronal Synostosis

    DEFF Research Database (Denmark)

    Tovetjärn, Robert; Maltese, Giovanni; Kölby, Lars;

    2012-01-01

    were identified. Sixteen patients had syndromic bicoronal synostosis, and 2 had nonsyndromic bicoronal synostosis. Cephalic index was obtained from three-dimensional computed tomography scans, and photographs were analyzed for aesthetic evaluation. RESULTS: The preoperative calvarial shape was...... hyperbrachycephalic in all subjects. Postoperatively, the calvarial shape was, in general, much closer to the norm. The reduction in the mean cephalic index from the preoperative stage (94) to the 3-year follow-up (82) was statistically significant (P <0.0001). The mean duration of surgery was 155 (SD, 32) minutes...

  14. Acupuncture and/or sweeping of the fetal membranes before induction of labor

    DEFF Research Database (Denmark)

    Andersen, Bodil Birgitte; Knudsen, Birthe; Lyndrup, Jens;

    2013-01-01

    AIMS: To evaluate the efficacy of acupuncture, and sweeping of the fetal membranes, as methods for induction of labor. METHODS: Four hundred and seven pregnant women with normal singleton pregnancies and cephalic presentations were randomized at three delivery wards in Denmark at day 290 of gesta......AIMS: To evaluate the efficacy of acupuncture, and sweeping of the fetal membranes, as methods for induction of labor. METHODS: Four hundred and seven pregnant women with normal singleton pregnancies and cephalic presentations were randomized at three delivery wards in Denmark at day 290...

  15. Bra.Di.P.O. and P.I.G.R.O.: Innovative Devices for Motor Learning Programs

    Directory of Open Access Journals (Sweden)

    Guido Belforte

    2014-01-01

    Full Text Available Two mechatronics prototypes, useful for robotic neurotreatments and new clinical trainings, are here presented. P.I.G.R.O. (pneumatic interactive gait rehabilitation orthosis is an active exoskeleton with an electropneumatic control. It imposes movements on lower limbs in order to produce in the patient’s brain proper motor cortex activation. Bra.Di.P.O. (brain discovery pneumatic orthosis is an MR-compatible device, designed to improve fMRI (functional magnetic resonance imaging analysis. The two devices are presented together because both are involved in the study of new robotic treatments of patients affected by ictus or brain stroke or in some motor learning experimental investigations carried out on healthy subjects.

  16. Robotic Assistance of Human Motion using Active-backdrivability on a Geared Electromagnetic Motor

    Directory of Open Access Journals (Sweden)

    Mario Jorge Claros

    2016-03-01

    bandwidth and also providing controllable assistance and resistance forces to the user’s movements, without the use of any biological signal. Validation of the proposed approach is shown by the construction of a powered orthosis for the knee, used to test the system’s performance under real human motion conditions. The proposed system was tested on one healthy subject by measuring electromyographic levels both with and without the orthosis, under controlled flexion and extension cycles. Experimental results demonstrate the effectiveness of the proposed approach in detecting the user’s intentions regarding motion, reducing and increasing muscular activity when configured for assistance and resistance, respectively, and also increasing the transparency of the actuation system when perfect tracking of the limbs is needed.

  17. Proprioceptive feedback and brain computer interface (BCI based neuroprostheses.

    Directory of Open Access Journals (Sweden)

    Ander Ramos-Murguialday

    Full Text Available Brain computer interface (BCI technology has been proposed for motor neurorehabilitation, motor replacement and assistive technologies. It is an open question whether proprioceptive feedback affects the regulation of brain oscillations and therefore BCI control. We developed a BCI coupled on-line with a robotic hand exoskeleton for flexing and extending the fingers. 24 healthy participants performed five different tasks of closing and opening the hand: (1 motor imagery of the hand movement without any overt movement and without feedback, (2 motor imagery with movement as online feedback (participants see and feel their hand, with the exoskeleton moving according to their brain signals, (3 passive (the orthosis passively opens and closes the hand without imagery and (4 active (overt movement of the hand and rest. Performance was defined as the difference in power of the sensorimotor rhythm during motor task and rest and calculated offline for different tasks. Participants were divided in three groups depending on the feedback receiving during task 2 (the other tasks were the same for all participants. Group 1 (n = 9 received contingent positive feedback (participants' sensorimotor rhythm (SMR desynchronization was directly linked to hand orthosis movements, group 2 (n = 8 contingent "negative" feedback (participants' sensorimotor rhythm synchronization was directly linked to hand orthosis movements and group 3 (n = 7 sham feedback (no link between brain oscillations and orthosis movements. We observed that proprioceptive feedback (feeling and seeing hand movements improved BCI performance significantly. Furthermore, in the contingent positive group only a significant motor learning effect was observed enhancing SMR desynchronization during motor imagery without feedback in time. Furthermore, we observed a significantly stronger SMR desynchronization in the contingent positive group compared to the other groups during active and

  18. A novel way of treating mallet finger injuries.

    Science.gov (United States)

    Devan, Dershnee

    2014-01-01

    Standard treatment protocols following a mallet finger injury involve lengthy periods of immobilization in an effort to ensure the terminal extensor tendon is able to maintain the distal interphalangeal joint in extension. This author describes a technique that utilizes a combination of an orthosis and kinesiotape, thereby creating a treatment protocol that shortens the immobilization phase for these patients. - Victoria Priganc, PhD, OTR, CHT, CLT, Practice Forum Editor. PMID:24725609

  19. Self-adjusting orthoses design

    OpenAIRE

    Prates, A

    2014-01-01

    This paper proposes an approach to the development of a customized 3D printed multi-material cervical orthosis that combines new production techniques with smart materials and biomimetic structures. It suggests a lightweight, waterproof, ventilated, hygienic and comfortable orthoses designed specifically for each patient in collaboration with doctors, additive manufacturing specialists and designers. The combination of innovative production techniques with smart materials can gene...

  20. The Magnitude of Errors Associated in Measuring the Loads Applied on an Assistive Device While Walking

    OpenAIRE

    Karimi, Mohammad Taghi; Jamshidi, Nima

    2012-01-01

    Measurement of the loads exerted on the limb is a fundamental part of designing of an assistive device, which has been done by using strain gauges or a transducer. Although calculation of loads applied on an orthosis coefficients achieved from calibration is a standard way, most of researchers determined the loads based on available equations. Therefore, the aim of this research is finding the accuracy of this method with respect to calibration. Some strain gauges were attached on the lateral...

  1. An Alternate Conservative Management of Shoulder Dislocations and Subluxations

    OpenAIRE

    Sawa, Thomas M.

    1992-01-01

    This paper presents clinical observations/results of the application of an alternate method to traditional conservative management of subluxations and dislocations of the glenohumeral joint on major junior hockey players. The proposed program involves three stages: 1) rest and nutrition, 2) interferential current and faradic muscle stimulation, and 3) a traditional progressive-resistance weight-training program in conjunction with a specially designed orthosis. Current scientific theory on so...

  2. The HEPHAISTOS study: compliance and adherence with a novel orthotic device for calf muscle unloading

    OpenAIRE

    Weber, Tobias; Ducos, Michel; Yang, Pengfei; Jos, Dennis; Frings-Meuthen, Petra; Brüggemann, Gert-Peter; Bloch, W; Rittweger, Jörn

    2013-01-01

    The present manuscript seeks to discuss methodological aspects regarding the application of the novel unloading orthosis 'HEPHAISTOS' that has been specifically developed to study physiological effects of muscular unloading without altering the impact of gravitational loading. The 'HEPHAISTOS' has been applied in an ambulatory clinical interventional study. During gait, the 'HEPHAISTOS' significantly reduces activation and force production of calf muscles while it completely retains body mass...

  3. Three dimensional analysis of brace biomechanical efficacy for patients with AIS

    DEFF Research Database (Denmark)

    Lebel, David E; Al-Aubaidi, Zaid; Shin, Eyun-Jung;

    2013-01-01

    Corrective three dimensional (3D) effect of different braces is debatable. We evaluated differences in in-brace radiographic correction comparing a custom thoracic-lumbo-sacral-orthosis (TLSO) (T) brace to a Chêneau type TLSO (C) brace using 3D EOS reconstruction technology. Our primary research ...... question was the 3D effect of brace on the spine and in particularly the apical vertebra rotation (AVR)....

  4. Effects of Functional Electrical Stimulation on Gait Function and Quality of Life for People with Multiple Sclerosis Taking Dalfampridine

    OpenAIRE

    Mayer, Lori; Warring, Tina; Agrella, Stephanie; Rogers, Helen L.; Fox, Edward J.

    2015-01-01

    Background: Multiple sclerosis (MS) can adversely affect gait, causing gait slowing, loss of balance, decreased functional mobility, and gait deficits, such as footdrop. Current treatments for gait dysfunction due to MS are pharmacologic, using dalfampridine, or orthotic, using an ankle-foot orthosis. Functional electrical stimulation (FES) to the fibular nerve stimulates active dorsiflexion and provides an alternative treatment for gait dysfunction caused by footdrop. The objective of this s...

  5. Effect of a 2-Week Trial of Functional Electrical Stimulation on Gait Function and Quality of Life in People with Multiple Sclerosis

    OpenAIRE

    Downing, Abbey; Van Ryn, David; Fecko, Anne; Aiken, Christopher; McGowan, Sean; Sawers, Sarah; McInerny, Thomas; Moore, Katie; Passariello, Louis; Rogers, Helen

    2014-01-01

    Background: Footdrop is a common gait deviation in people with multiple sclerosis (MS) leading to impaired gait and balance as well as decreased functional mobility. Functional electrical stimulation (FES) provides an alternative to the current standard of care for footdrop, an ankle-foot orthosis (AFO). FES stimulates the peroneal nerve and activates the dorsiflexor muscles, producing an active toe clearance and a more normal gait. This study was undertaken to determine the effects of a 2-we...

  6. Aplication of breathable and odorless lining to orthopaedic shoes

    OpenAIRE

    Peixoto, Joaquim Jorge Gomes; Souto, A. Pedro; Flores, Paulo

    2011-01-01

    The main purpose of this work is to apply new materials and new finishing to improve comfort in orthopaedic footwear associated with orthosis. This desideratum will be reached through the selection and application of advanced materials, such, breathables membranes and fabric finished with anti-fungal and anti-bacteria treatments. In this work, water vapor permeability was evaluated to determine the transport property of water vapor produced by transpiration of the skin. A new lining with brea...

  7. Effects of Aircast brace and elastic bandage on physical performance of athletes after ankle injuries

    OpenAIRE

    Gunay, Sevtap; Karaduman, Ayse; Ozturk, Burcu Bahar

    2014-01-01

    Objective: The aim of this study was to evaluate the effect of using Aircast® orthosis and elastic bandage application on the physical performance of athletes with ankle injuries. Methods: The study included 60 elite male football players with ankle injuries. Ankle range of motion on the sagittal and frontal plane was measured. One maximum repetition test for the tibialis anterior, tibialis posterior and peroneal muscles; fingertip rise test, single- and double-feet vertical jump tests and...

  8. [Survey of carbon fiber reinforced plastic orthoses and occupational and medical problems based on a questionnaire administered to companies involved in the manufacture of prosthetics and orthotics].

    Science.gov (United States)

    Kaneshiro, Yuko; Furuta, Nami; Makino, Kenichiro; Wada, Futoshi; Hachisuka, Kenji

    2011-09-01

    We surveyed carbon fiber reinforced plastic orthoses (carbon orthoses) and their associated occupational and medical problems based on a questionnaire sent to 310 companies which were members of the Japan Orthotics and Prosthetics Association. Of all the companies, 232 responded: 77 of the 232 companies dealt with ready-made carbon orthoses, 52 dealt with fabricated custom-made orthoses, and 155 did not dealt with carbon orthoses. Although the total number of custom-made carbon ortheses in Japan was 829/ 5 years, there was a difference by region, and one company fabricated only 12 (per 5 years) custom-made carbon orthoses on average. The advantages of the carbon orthosis were the fact that it was "light weight", "well-fitted", had a "good appearance", and "excellent durability", while the disadvantages were that it was "expensive", "high cost of production", of "black color", and required a "longer time for completion", and "higher fabrication techniques". From the standpoint of industrial medicine, "scattering of fine fragments of carbon fibers", "itching on the skin" and "health hazards" were indicated in companies that manufacture the orthosis. In order to make the carbon orthosis more popular, it is necessary to develop a new carbon material that is easier to fabricate at a lower cost, to improve the fabrication technique, and to resolve the occupational and medical problems.

  9. The Effect of Foot Orthoses on Energy Consumption in Runners with Flat Feet

    Directory of Open Access Journals (Sweden)

    Farzad Farmani

    2010-01-01

    Full Text Available Introduction Foot orthosis is used as protective treatment in people with flatfoot. This study aimed at assessing the effects of Foot orthosis on energy consumption in 20 runners with flat feet.Methods: In this study a treadmill and a Quark b2 were used to measure oxygen consumption. For each patient, a pair of foot orthosis with the appropriate size was prepared. The maximum running Heart rate, vo2 max and vo2 of the subjects were measured and calculated with and without foot orthoses. The data were compared through paired T-test.Results: In this study, after using the foot orthoses, the mean VO2 (ML/M, theVO2 max (ML/M for each Kg of body weight and the maximum heart rate respectively reduced from 4504.6 to 4488.3, from 63.6 to 63.4 and from 168.7 to 168.0, all of which indicating a significant observed reduction (P<0.05.Conclusion: Foot support devices (orthoses result in realignment of lower extremity joints in patients with flat feet, thus length- tension relationship of muscles improve. This prevents muscle fatigue in long- distance running. Finally, when suitable foot orthoses was applied energy consumption during running decreased.

  10. Wearable Monitoring Devices for Assistive Technology: Case Studies in Post-Polio Syndrome

    Directory of Open Access Journals (Sweden)

    Giuseppe Andreoni

    2014-01-01

    Full Text Available The correct choice and customization of an orthosis are crucial to obtain the best comfort and efficiency. This study explored the feasibility of a multivariate quantitative assessment of the functional efficiency of lower limb orthosis through a novel wearable system. Gait basographic parameters and energetic indexes were analysed during a Six-Minute Walking Test (6-MWT through a cost-effective, non-invasive polygraph device, with a multichannel wireless transmission, that carried out electro-cardiograph (ECG; impedance-cardiograph (ICG; and lower-limb accelerations detection. Four subjects affected by Post-Polio Syndrome (PPS were recruited. The wearable device and the semi-automatic post-processing software provided a novel set of objective data to assess the overall efficiency of the patient-orthosis system. Despite the small number of examined subjects, the results obtained with this new approach encourage the application of the method thus enlarging the dataset to validate this promising protocol and measuring system in supporting clinical decisions and out of a laboratory environment.

  11. The use of upper limb orthoses in patients with rheumatoid arthritis: a literature review in the field of occupational therapy

    Directory of Open Access Journals (Sweden)

    Talita Silvério de Souza Silva

    2015-09-01

    Full Text Available Introduction: Rheumatoid arthritis is a chronic systemic disease that most often affects smaller joints such as hands and wrists. It may cause deformities that jeopardize hand function, thus impacting the subject occupational performance. In order to assist the hand function restoration, occupational therapists often use orthosis to improve autonomy and/or independence to perform daily activities in patients with rheumatoid arthritis. Objective: This study aimed to identify the upper limb’s orthoses used in patients with rheumatoid arthritis, who were assisted by the Occupational Therapy, featuring the population, the type of research and the outcomes obtained. Method: This study is literature review and its selection criteria consists of publications in English, Spanish and Portuguese published within the last ten years, divided between experimental, observational and case studies, all with diagnosis of rheumatoid arthritis and assisted by an occupational therapist. Twelve articles were selected for review. Findings: The literature review points out the benefits achieved through the use of the orthosis to manual dexterity, grip strength, pain relief and aspects related to comfort and patient satisfaction. Conclusion: In this context, the orthosis appears as an important assistive technology resource to keep function and restore compromised activities.

  12. EFEKTIVITAS NIRA AREN SEBAGAI BAHAN PENGEMBANG ADONAN ROTI

    Directory of Open Access Journals (Sweden)

    Mody Lempang

    2013-12-01

    Full Text Available Fermentation is a natural process that happen in fresh-sweet sap of aren trees (Arenga pinnata Merr., because many kinds of microorganism stay and life in this substance e.g. bakteria (Acetobacter acetic and yeast (Saccharomyces tuac. Species of yeast from genus of Saccharomyses, e.g. Saccharomyses serivisae is wellknown as microorganism that can ferment sugar (glucose into alchohol and CO2. This natural process as well happen in aren sap, so that this substance potencially using as a swollen agent of bread or cake dough. This research objective is to recognize the effectiveness of aren sap as a swollen agent of bread dough. Fermentation duration of bread dough was one hour by using swollen agent of fresh, 10 hours old and 20 hours old of aren sap. Daily yield of sap tapped from aren trees in Maros district, South Sulawesi province was 7 litre (4-5 litre collected in the morning and 2-3 litre colected in the afternoon. Aren sap containt some of nutritions e.g. carbohydrate, protein, fat, vitamin C and mineral. Sweet taste of aren sap caused by it’s charbohydrate content of 11.18%. The effectiveness of aren sap as a swollen agent of bread dough is lower than instant (commercial yeast. The older of aren sap the lower of it’s effectiveness as a swollen agent of dough and kuality of bread yield.    Keywords : Sap, Arenga pinnata, swollen agent, bread dough

  13. Management of prelabor rupture of membranes at term. A randomized study

    DEFF Research Database (Denmark)

    Sperling, Lene; Schantz, A L; Wåhlin, A;

    1993-01-01

    women with singleton pregnancies, cephalic presentations, gestational age of 36 completed weeks or more were allocated at random to induction with oxytocin either 6 hours after PROM (n = 62) (early) or 24 hours (n = 62) (late). Those eligible, but not participating in the study, totalled 238 women. MAIN...

  14. Appetite suppression through smelling of dark chocolate correlates with changes in ghrelin in young women

    DEFF Research Database (Denmark)

    Massolt, Elske T; van Haard, Paul M; Rehfeld, Jens F;

    2010-01-01

    Cephalic effects on appetite are mediated by vagal tone and altered gastrointestinal hormones. The objective of this study is to explore the relationship between appetite and levels of gastrointestinal hormones after smelling chocolate and after melt-and-swallow 30 g chocolate (1.059 oz, 85% cocoa...

  15. Evolutionarily conserved requirement of Cdx for post-occipital tissue emergence

    NARCIS (Netherlands)

    van Rooijen, C.; Simmini, S.; Bialecka, M.; Neijts, R.; van de Ven, C.; Beck, F.; Deschamps, J.

    2012-01-01

    Mouse Cdx genes are involved in axial patterning and partial Cdx mutants exhibit posterior embryonic defects. We found that mouse embryos in which all three Cdx genes are inactivated fail to generate any axial tissue beyond the cephalic and occipital primordia. Anterior axial tissues are laid down a

  16. Chondroitin sulphate-mediated fusion of brain neural folds in rat embryos.

    Science.gov (United States)

    Alonso, M I; Moro, J A; Martín, C; de la Mano, A; Carnicero, E; Martínez-Alvarez, C; Navarro, N; Cordero, J; Gato, A

    2009-01-01

    Previous studies have demonstrated that during neural fold fusion in different species, an apical extracellular material rich in glycoconjugates is involved. However, the composition and the biological role of this material remain undetermined. In this paper, we show that this extracellular matrix in rat increases notably prior to contact between the neural folds, suggesting the dynamic behaviour of the secretory process. Immunostaining has allowed us to demonstrate that this extracellular matrix contains chondroitin sulphate proteoglycan (CSPG), with a spatio-temporal distribution pattern, suggesting a direct relationship with the process of adhesion. The degree of CSPG involvement in cephalic neural fold fusion in rat embryos was determined by treatment with specific glycosidases.In vitro rat embryo culture and microinjection techniques were employed to carry out selective digestion, with chondroitinase AC, of the CSPG on the apical surface of the neural folds; this was done immediately prior to the bonding of the cephalic neural folds. In all the treated embryos, cephalic defects of neural fold fusion could be detected. These results show that CSPG plays an important role in the fusion of the cephalic neural folds in rat embryos, which implies that this proteoglycan could be involved in cellular recognition and adhesion. PMID:18836253

  17. Revealing Maximal Diameter of Upper Limb Superficial Vein with an Elevated Environmental Temperature.

    Science.gov (United States)

    Irfan, Hira; Ooi, Guo Shen; Kyin, May M; Ho, Pei

    2016-01-01

    Ultrasonography is the primary tool for preoperative analysis of vein morphology for fistula creation in patients with end-stage renal disease. This study examines the effect of environmental temperature on the superficial vein size. Superficial veins of thirteen healthy volunteers were marked at three sites: cephalic vein in left lateral arm near cubital fossa, cephalic vein in left forearm at wrist, and basilic vein in left medial arm near cubital fossa. Mean diameters were recorded using ultrasound probe at 26°C and 43°C. Body temperature was increased using a Bair Hugger blanket. Mean values from the two temperatures were analyzed using paired sample t-test. All three superficial vein sites displayed statistically significant increase in diameter when the temperature was increased from 26°C to 43°C. Paired t-test showed p values of 0.001 for cephalic vein at wrist, 0.01 for cephalic vein near cubital fossa, and 0.01 for basilic vein near cubital fossa. This study proved that environmental temperature exerts a statistically significant effect on vein size measured by ultrasound during preoperative assessment for vascular access. Not to the extent of 43°C, the authors would recommend setting the room temperature higher during ultrasound vascular assessment to avoid underestimating the superficial vein size. PMID:27597987

  18. Functional magnetic resonance imaging of human hypothalamic responses to sweet taste and calories

    NARCIS (Netherlands)

    Smeets, P.A.M.; Graaf, de C.; Stafleu, A.; Osch, M.J.P.; Grond, van der J.

    2005-01-01

    BACKGROUND: Evidence exists that beverages do not trigger appropriate anticipatory physiologic responses, such as cephalic phase insulin release. Therefore, it is of interest to elucidate the food properties necessary for triggering adaptive responses. Previously, we found a prolonged dose-dependent

  19. Functional magnetic resonance imaging of human hypothalamic responses to sweet taste and calories

    NARCIS (Netherlands)

    Smeets, P.A.M.; Graaf, C. de; Stafleu, A.; Osch, M.J.P. van; Grond, J. van der

    2005-01-01

    Background: Evidence exists that beverages do not trigger appropriate anticipatory physiologic responses, such as cephalic phase insulin release. Therefore, it is of interest to elucidate the food properties necessary for triggering adaptive responses. Previously, we found a prolonged dose-dependent

  20. Moxibustion did not have an effect in a randomised clinical trial for version of breech position

    DEFF Research Database (Denmark)

    Bue, Linda; Lauszus, Finn Friis

    2016-01-01

    INTRODUCTION: In Chinese traditional medicine, the stimulation of acupuncture point no. 67 - the bladder meridian - is recommended to favour cephalic version in case of foetal breech presentation. The point can be stimulated by an acupuncture needle, ginger application, fingertip pressure, laser...

  1. Functional and molecular characterization of prostaglandin E2 dilatory receptors in the rat craniovascular system in relevance to migraine

    DEFF Research Database (Denmark)

    Myren, Maja; Baun, Michael; Ploug, Kenneth Beri;

    2010-01-01

    Migraine pain is thought to involve an increase in trigeminal nerve terminal activity around large cerebral and meningeal arteries, leading to vasodilatation. Because prostaglandin E(2) (PGE(2)) is elevated in cephalic venous blood during migraine attacks, and is also capable of inducing headache...

  2. The cholinomimetic agent carbachol induces headache in healthy subjects

    DEFF Research Database (Denmark)

    Schytz, H W; Wienecke, Troels; Oturai, P S;

    2009-01-01

    The parasympathetic nervous system is likely to be involved in migraine pathogenesis. We hypothesized that the cholinomimetic agonist carbachol would induce headache and vasodilation of cephalic and radial arteries. Carbachol (3 microg/kg) or placebo was randomly infused into 12 healthy subjects ...

  3. Description of Pseudacrobeles (Bunobus) arboricola sp. n. (Rhabditida: Cephalobidae) from rotting wood in Roztochya, Ukraine

    NARCIS (Netherlands)

    Holovachov, O.V.; Boström, S.

    2006-01-01

    Pseudacrobeles (Bunobus) arboricola sp. n., a new species of free-living nematodes from rotting wood in Ukraineis described. It is characterised by the absence of labial and cephalic probolae, presence of bar-shaped cheilorhabdia, low corpus-isthmus ratio (1.5-2.3), excretory pore anterior to corpus

  4. Appetite suppression through smelling of dark chocolate correlates with changes in ghrelin in young women

    NARCIS (Netherlands)

    Massolt, Elske T.; van Haard, Paul M.; Rehfeld, Jens F.; Posthuma, Eduardus F.; van der Veer, Eveline; Schweitzer, Dave H.

    2010-01-01

    Cephalic effects on appetite are mediated by vagal tone and altered gastrointestinal hormones. The objective of this study is to explore the relationship between appetite and levels of gastrointestinal hormones after smelling chocolate and after melt-and-swallow 30 g chocolate (1.059 oz, 85% cocoa,

  5. New genus, three new and two known species of the family Onchulidae Andrassy, 1964 with notes on systematics and biology of the family

    NARCIS (Netherlands)

    Holovachov, O.V.; Winiszewska, G.; Sturhan, D.; Esquivel, A.; Wu, J.

    2008-01-01

    Tobrilonchulus novaezelandiae gen. n., sp. n. from New Zealand is particularly characterized by outer labial and cephalic sensilla arranged at the same level; stoma with one minute dorsal tooth, two ventrosublateral denticles and two drop-shaped sclerotizations; presence of gubernaculum; and long fl

  6. Morphogenesis defects are associated with abnormal nervous system regeneration following roboA RNAi in planarians.

    Science.gov (United States)

    Cebrià, Francesc; Newmark, Phillip A

    2007-03-01

    The process by which the proper pattern is restored to newly formed tissues during metazoan regeneration remains an open question. Here, we provide evidence that the nervous system plays a role in regulating morphogenesis during anterior regeneration in the planarian Schmidtea mediterranea. RNA interference (RNAi) knockdown of a planarian ortholog of the axon-guidance receptor roundabout (robo) leads to unexpected phenotypes during anterior regeneration, including the development of a supernumerary pharynx (the feeding organ of the animal) and the production of ectopic, dorsal outgrowths with cephalic identity. We show that Smed-roboA RNAi knockdown disrupts nervous system structure during cephalic regeneration: the newly regenerated brain and ventral nerve cords do not re-establish proper connections. These neural defects precede, and are correlated with, the development of ectopic structures. We propose that, in the absence of proper connectivity between the cephalic ganglia and the ventral nerve cords, neurally derived signals promote the differentiation of pharyngeal and cephalic structures. Together with previous studies on regeneration in annelids and amphibians, these results suggest a conserved role of the nervous system in pattern formation during blastema-based regeneration. PMID:17251262

  7. Environ: E00260 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available E00260 Stephaura cepharantha Hayata extraction alkaloid Crude drug Isotetrandrine [...CPD:C17060], Cycleanine [CPD:C17387], Cepharanthine [CPD:C09391], Berbamine [CPD:C09357] Stephania cephalant...ha [TAX:152367] Menispermaceae (moonseed family) Stephania cephalantha Crude drugs [BR:br08305] Dicot plants...: others Menispermaceae (moonseed family) E00260 Stephaura cepharantha Hayata extraction alkaloid ...

  8. Preliminary images from an adaptive imaging system

    NARCIS (Netherlands)

    J.A. Griffiths; M.G. Metaxas; S. Pani; H. Schulerud; C. Esbrand; G.J. Royle; B. Price; T. Rokvic; R. Longo; A. Asimidis; E. Bletsas; D. Cavouras; A. Fant; P. Gasiorek; H. Georgiou; G. Hall; J. Jones; J. Leaver; G. Li; D. Machin; N. Manthos; J. Matheson; M. Noy; J.M. Østby; F. Psomadellis; P.F. van der Stelt; S. Theodoridis; F. Triantis; R. Turchetta; C. Venanzi; R.D. Speller

    2008-01-01

    I-ImaS (Intelligent Imaging Sensors) is a European project aiming to produce real-time adaptive X-ray imaging systems using Monolithic Active Pixel Sensors (MAPS) to create images with maximum diagnostic information within given dose constraints. Initial systems concentrate on mammography and cephal

  9. A new Benthopelagic species of Heterokrohnia (Chaetognatha) from the North Atlantic Ocean

    NARCIS (Netherlands)

    Casanova, Jean-Paul; Chidgey, Kathleen

    1990-01-01

    A new species of Heterokrohnia, H. mirabiloides, is described from the “Discovery” collections made in the North-East Atlantic. It differs from the two other species of the “mirabilis” group mainly in the cephalic armature, particularly the posterior teeth which are much less numerous and bent at ri

  10. Indicators for intervention during the expulsive second-stage arrest of labour

    NARCIS (Netherlands)

    E. Leushuis; M. Tromp; A.C.J. Ravelli; A.M. van Huis; B.W. Mol; G.H.A. Visser; J.A.M. van der Post

    2009-01-01

    Objective To identify antepartum and intrapartum indicators of obstetric interventions during the expulsive second-stage arrest of labour. Design Retrospective cohort study. Setting The Netherlands. Population A cohort of 389 086 women with singleton, cephalic, term, live-birth deliveries from 2002

  11. SpineCor treatment for Juvenile Idiopathic Scoliosis: SOSORT award 2010 winner

    Directory of Open Access Journals (Sweden)

    Circo Alin B

    2010-11-01

    Full Text Available Introduction Juvenile idiopathic scoliosis is a condition used to describe patients who are least 4 years of age but younger than 10 when the deformity is first identified. In these patients, the condition is usually progressive and those that are diagnosed at five years or younger have a high chance of progression to a large curve, with additional pulmonary and cardiac complications. The main form of conservative treatment for juvenile scoliosis is the use of a bracing system. This prospective interventional study was conducted to evaluate the effectiveness of the Dynamic SpineCor orthosis for juvenile idiopathic scoliosis as well as to evaluate the stability of the spine after the weaning point. Material and Methods For this study, 150 juvenile patients were treated by the SpineCor orthosis between 1993 and 2009. Of these, 67 patients had a definite outcome and 83 are still actively being treated. To determine the effectiveness of the brace the OUTCOME criteria recommended by the SRS was used. Results The results from our study showed that of the 67 patients with a definite outcome, 32.9% corrected their Cobb angle by at least 5° and 10.5% had a stabilization of their Cobb angle. Within the patients with a definite outcome, 37.3% of patients where recommended for surgery before authorized end of treatment. For this group of patients, surgery was postponed. Looking at the stability of the curves 2 years after the end of the treatment, we found 12.5% of the patients continued their correction without the brace being used and 71.4% remained stable. Discussion From our study we can clearly see that the effectiveness of the SpineCor orthosis in obtaining and maintaining the neuromuscular integration of the corrective movement can be achieved effectively for juvenile patients. Over 75% of all patients that finished the treatment had remained stable with a few continuing to correct their Cobb angle after the use of the SpineCor orthosis was

  12. Immediate effects of unilateral restricted ankle motion on gait kinematics in healthy subjects.

    Science.gov (United States)

    Romkes, Jacqueline; Schweizer, Katrin

    2015-03-01

    Correcting a pathological toe walking gait pattern can be achieved by restricting excessive plantarflexion during the swing phase of gait. A common conservative treatment measure is providing the patient with an ankle-foot-orthosis on the affected lower leg. This study examined the lower body gait kinematics and temporal-spatial parameters of fifteen healthy adults when walking freely and with unilateral restricted ankle motion. The latter was achieved by fitting an ankle-foot-orthosis. Specific hip and knee kinematic parameters and temporal-spatial parameters were investigated. Differences between the two conditions were calculated by paired Student's t-tests and 95% confidence intervals. Unilateral restricted ankle motion influenced kinematics mainly in the swing phase. Hip and knee peak flexion in the swing phase were increased on the restricted side (hip: 49.2° (SD 4.2°), knee: 75.9° (SD 6.1°)) compared to walking freely (hip: 43.3° (SD 4.5°), knee: 66.7° (SD 5.3°)). Peak hip flexion occurred earlier in the swing phase in the restricted condition (85% (SD 2%)) compared to the free-walking condition (96% (SD 5%)). For these parameters, the confidence intervals were different, indicating clinical relevance. Walking with unilateral restricted ankle motion had a negative effect on walking velocity, cadence, step time, and step length. The confidence intervals, however, overlapped. These results might be a reaction to unusual sensory feedback from the feet with the ankle-foot-orthosis or due to increased hip flexor activity compensating for the reduced function of the plantarflexors. The evaluation of the immediate changes in unilateral restricted ankle motion in individuals with healthy gaits can contribute to a more complete understanding on this topic. PMID:25800648

  13. Design and preliminary testing of the RIC hybrid knee prosthesis.

    Science.gov (United States)

    Lenzi, T; Sensinger, J; Lipsey, J; Hargrove, L; Kuiken, T

    2015-08-01

    We present a novel hybrid knee prosthesis that uses a motor, transmission and control system only for active dynamics tasks, while relying on a spring/damper system for passive dynamics activities. Active dynamics tasks require higher torque, lower speed, and occur less frequently than passive dynamic activities. By designing the actuation system around active tasks alone, we achieved a lightweight design (1.7 Kg w/o battery) without sacrificing peak torque (85Nm repetitive). Preliminary tests performed by an able-bodied person using a bypass orthosis show that the hybrid knee can support reciprocal stairs ambulation with low electrical energy consumption.

  14. Prediction of Lower Extremity Movement by Cyclograms

    Directory of Open Access Journals (Sweden)

    P. Kutilek

    2012-01-01

    Full Text Available Human gait is nowadays undergoing extensive analysis. Predictions of leg movements can be used for orthosis and prosthesis programming, and also for rehabilitation. Our work focuses on predicting human gait with the use of angle-angle diagrams, also called cyclograms. In conjunction with artificial intelligence, cyclograms offer a wide area of medical applications. We have identified cyclogram characteristics such as the slope and the area of the cyclogram for a neural network learning algorithm. Neural networks learned by cyclograms offer wide applications in prosthesis control systems.

  15. The rehabilitative approach in rheumatoid arthritis

    Directory of Open Access Journals (Sweden)

    N. Pappone

    2011-09-01

    Full Text Available The rehabilitative approach for the patient with rheumatoid arthritis should be early, global and complementary to an early pharmacological therapy, in the context of a multidisciplinary approach, that should include physicians with different specialties and other health professionals. Evaluation scales assessing disability and quality of life are necessary for the rehabilitative approach. These can be classified in 2 groups: specific tools and generic tools, each evaluating different components of the health status. After the evaluation and the definition of the aims of the rehabilitation, a rehabilitative project, potentially including physical therapies, therapeutic exercises, occupational therapy and orthosis should be defined.

  16. Danish obstetricians' personal preference and general attitude to elective cesarean section on maternal request: a nation-wide postal survey

    DEFF Research Database (Denmark)

    2004-01-01

    OBJECTIVE: To assess Danish obstetricians' and gynecologists' personal preference and general attitude towards elective cesarean section on maternal request in uncomplicated single cephalic pregnancies at term. DESIGN: Nation-wide anonymous postal questionnaire. POPULATION: Four hundred and fifty......-five obstetricians and gynecologists identified in the records of the Danish Society of Obstetrics and Gynecology from January 2000. MAIN OUTCOME MEASURES: Personal preference on the mode of delivery and general attitude towards elective cesarean section on maternal request in an uncomplicated single cephalic...... reasons given for preferring abdominal deliveries was the risk to the fetus, risks of perineal injury, and urinary and anal incontinence. Of Danish specialists in obstetrics and gynecology, 37.6% agreed with a woman's right to have an elective cesarean section on maternal request without any medical...

  17. Can classic metaphyseal lesions follow uncomplicated caesarean section?

    Energy Technology Data Exchange (ETDEWEB)

    O' Connell, AnnaMarie [Children' s University Hospital, Radiology Department, Dublin 1 (Ireland); Donoghue, Veronica B. [Children' s University Hospital, Radiology Department, Dublin 1 (Ireland); National Maternity Hospital, Radiology Department, Dublin (Ireland)

    2007-05-15

    Classic metaphyseal lesion (CML) is the term given to a fracture that most often occurs in the posteromedial aspect of the distal femur, proximal tibia, distal tibia, and proximal humerus in infants; this finding is strongly associated with non-accidental injury. To demonstrate that the CML may occur following simple lower segment caesarean section (LSCS). A review of 22 years of an obstetric practice that delivers 8,500 babies per year. We identified three neonates born by elective LSCS, each with distal femoral metaphyseal fractures on postpartum radiographs. All caesarean sections were elective and uncomplicated. External cephalic version was not employed preoperatively. Postpartum radiographs demonstrated a fracture of the distal femoral metaphysis in each neonate, typical of a CML. We propose that a CML can occur in the setting of a simple, elective and uncomplicated LSCS where no external cephalic version is employed. (orig.)

  18. Calicobenedenia Polyprioni n. gen., n. sp. (Monogenoidea: Capsalidae) from the external surfaces of wreckfish, Polyprion americanus (Teleostei: Polyprionidae), in the north Atlantic.

    Science.gov (United States)

    Kritsky, D C; Fennessy, C J

    1999-04-01

    Calicobenedenia polyprioni n. sp. (Capsalidae) is described from the external surfaces (skin and eye) of wreckfish, Polyprion americanus (Teleostei, Perciformes, Polyprionidae), from the north Atlantic Ocean. The monotypic Calicobenedenia n. gen. is proposed for this species and is characterized, in part, by its members possessing an aseptate haptor armed with 14 submarginal hooks and 1 pair of anchors, a common genital pore opening marginally immediately posterior to the left cephalic lobe, 2 testes juxtaposed near the body midlength, and by lacking cephalic suckers or adhesive discs, accessory haptoral sclerites, and a uterine valve. The new genus most closely resembles Entobdella, which differs from Calicobenedenia by having an aseptate haptor armed with 14 submarginal hooks, 2 pairs of anchors, and a pair of accessary sclerites. PMID:10219294

  19. Further description of Aspidodera raillieti (Nematoda: Aspidoderidae) from Didelphis marsupialis (Mammalia: Didelphidae) by light and scanning electron microscopy.

    Science.gov (United States)

    Chagas-Moutinho, V A; Oliveira-Menezes, A; Cárdenas, M Q; Lanfredi, R M

    2007-10-01

    Nematodes of the family Aspidoderidae (Nematoda: Heterakoidea) Freitas 1956 are widely distributed from Americas. The species of the genus Aspidodera Railliet and Henry 1912 are parasites of mammals of the orders Edentata, Marsupialia, and Rodentia. In the present work, Aspidodera raillieti (L. Travassos, Mem Inst Oswaldo Cruz 5(3):271-318, 1913), collected from the large intestine of Didelphis marsupialis (Mammalia: Didelphidae) from Valle del Cauca, Colombia, is redescribed. The association of light and scanning electron microscopy (SEM) allowed a detailed analysis of the morphology and ultrastructure of this nematode. Some taxonomic features, such as cephalic region, topography of the cuticle, sucker, spicules, posterior end of males, localization of vulva, the anus, and posterior end of females were observed. Important structures such as amphid, details of cephalic region, phasmid, and number and localization of caudal papillae are documented by SEM, for the first time adding characters to identify this species. Colombia is a new geographical record for A. raillieti.

  20. Further description of Aspidodera raillieti (Nematoda: Aspidoderidae) from Didelphis marsupialis (Mammalia: Didelphidae) by light and scanning electron microscopy.

    Science.gov (United States)

    Chagas-Moutinho, V A; Oliveira-Menezes, A; Cárdenas, M Q; Lanfredi, R M

    2007-10-01

    Nematodes of the family Aspidoderidae (Nematoda: Heterakoidea) Freitas 1956 are widely distributed from Americas. The species of the genus Aspidodera Railliet and Henry 1912 are parasites of mammals of the orders Edentata, Marsupialia, and Rodentia. In the present work, Aspidodera raillieti (L. Travassos, Mem Inst Oswaldo Cruz 5(3):271-318, 1913), collected from the large intestine of Didelphis marsupialis (Mammalia: Didelphidae) from Valle del Cauca, Colombia, is redescribed. The association of light and scanning electron microscopy (SEM) allowed a detailed analysis of the morphology and ultrastructure of this nematode. Some taxonomic features, such as cephalic region, topography of the cuticle, sucker, spicules, posterior end of males, localization of vulva, the anus, and posterior end of females were observed. Important structures such as amphid, details of cephalic region, phasmid, and number and localization of caudal papillae are documented by SEM, for the first time adding characters to identify this species. Colombia is a new geographical record for A. raillieti. PMID:17622560

  1. Dracunculus mulbus n. sp. (Nematoda: Spirurida) from the water python Liasis fuscus (Serpentes: Boidae) in northern Australia.

    Science.gov (United States)

    Jones, Hugh I; Mulder, Eridani

    2007-03-01

    A new species of Dracunculus Reichard, 1759 (Nematoda: Spirurida) is described from the tissues surrounding organs in the body-cavity of the water python Liasis fuscus Peters in northern Australia. One to 14 worms were recovered from 22% (27/120) of pythons examined. Males were located principally around the lungs, liver and heart of the hosts, and females were recovered from peritoneal tissue surrounding the intestines and lining the body-cavity. This species differs from previously described species of Dracunculus in the position of the papillae at the posterior end in males, and in the possession of thick, narrow caudal alae. Submedian cephalic papillae are single in both sexes. Dorsal and ventral anterior cephalic papillae are absent in males. This is the first report of a species of Dracunculus from the Australian region.

  2. Pseudolella major sp. nov. (Axonolaimidae, Nematoda) from the intertidal zone of the East China Sea

    Science.gov (United States)

    Wang, Chunming; Huang, Yong

    2016-03-01

    A new species of free-living nematode, Pseudolella major sp. nov. is described from the intertidal mudflats of Ximen Island in the East China Sea. Pseudolella major sp. nov. is characterized as follows: body length ~1 300 μm; short cephalic setae, 2-3 μm long; amphidial fovea loop-shaped with elongated ventral branch; ventral branch 50-60 μm long and extending past the base of buccal cavity; buccal cavity cylindrical with arching or spherical base; three heavy outwardly-curving odontia with blunt tips located at anterior of buccal cavity; pharynx short with posterior bulb; ventral gland cell elongate oval-shaped, located posterior to pharyngo-intestinal junction; excretory pore situated at the level of the middle of buccal cavity; tail conical to cylindrical; spicules arched, with double-cephalate proximal end; gubernaculum with a strong dorsal caudal apophysis.

  3. The effect of anaerobic fermentation processing of cattle waste for biogas as a renewable energy resources on the number of contaminant microorganism

    Science.gov (United States)

    Kurnani, Tb. Benito A.; Hidayati, Yuli Astuti; Marlina, Eulis Tanti; Harlia, Ellin

    2016-02-01

    Beef cattle waste has a positive potential that can be exploited, as well as a negative potential that must be controlled so as not to pollute the environment. Beef cattle waste can be processed into an alternative energy, namely biogas. Anaerobic treatment of livestock waste to produce gas can be a solution in providing optional energy, while the resulted sludge as the fermentation residue can be used as organic fertilizer for crops. However, this sludge may containt patogenic microorganism that will damage human and environmet healt. Therefor, this study was aimed to know the potency of beef cattle waste to produce biogas and the decrease of the microorganism's number by using fixed dome digester. Beef cattle waste was processed into biogas using fixed dome digester with a capacity of 12 m3. Biogas composition was measured using Gas Cromatografi, will microorganism species was identified using Total plate Count Methode. The result of this study shows that the produced biogas contains of 75.77% Mol (CH4), 13.28% Mol (N), and 6.96% Mol (CO2). Furthermor, this study show that the anaerobic fermrntation process is capable of reducing microorganisms that could potentially pollute the environment. The number of Escherichia coli and Samonella sp. were waste before, and after anaerobic fermentation was merely Eimeria sp.. The process also reduced the yeast of 86.11%. The remaining yeast after fermentation was Candida sp. Finally, about 93.7% of endoparasites was reduced by this process. In this case, every trematode and cestoda were 100% reduced, while the nematode only 75%. Reducing some microorganisms that have the potential to pollute the environment signifies sludge anaerobic fermentation residue is safe to be applied as organic fertilizer for crops.

  4. The effect of anaerobic fermentation processing of cattle waste for biogas as a renewable energy resources on the number of contaminant microorganism

    Science.gov (United States)

    Kurnani, Tb. Benito A.; Hidayati, Yuli Astuti; Marlina, Eulis Tanti; Harlia, Ellin

    2016-02-01

    Beef cattle waste has a positive potential that can be exploited, as well as a negative potential that must be controlled so as not to pollute the environment. Beef cattle waste can be processed into an alternative energy, namely biogas. Anaerobic treatment of livestock waste to produce gas can be a solution in providing optional energy, while the resulted sludge as the fermentation residue can be used as organic fertilizer for crops. However, this sludge may containt patogenic microorganism that will damage human and environmet healt. Therefor, this study was aimed to know the potency of beef cattle waste to produce biogas and the decrease of the microorganism's number by using fixed dome digester. Beef cattle waste was processed into biogas using fixed dome digester with a capacity of 12 m3. Biogas composition was measured using Gas Cromatografi, will microorganism species was identified using Total plate Count Methode. The result of this study shows that the produced biogas contains of 75.77% Mol (CH4), 13.28% Mol (N), and 6.96% Mol (CO2). Furthermor, this study show that the anaerobic fermrntation process is capable of reducing microorganisms that could potentially pollute the environment. The number of Escherichia coli and Samonella sp. were cattle waste before, and after anaerobic fermentation was merely Eimeria sp.. The process also reduced the yeast of 86.11%. The remaining yeast after fermentation was Candida sp. Finally, about 93.7% of endoparasites was reduced by this process. In this case, every trematode and cestoda were 100% reduced, while the nematode only 75%. Reducing some microorganisms that have the potential to pollute the environment signifies sludge anaerobic fermentation residue is safe to be applied as organic fertilizer for crops.

  5. Decohesion Kinetics of PEDOT:PSS Conducting Polymer Films

    KAUST Repository

    Dupont, Stephanie R.

    2013-10-17

    The highly conductive polymer PEDOT:PSS is a widely used hole transport layer and transparent electrode in organic electronic devices. To date, the mechanical and fracture properties of this conductive polymer layer are not well understood. Notably, the decohesion rate of the PEDOT:PSS layer and its sensitivity to moist environments has not been reported, which is central in determining the lifetimes of organic electronic devices. Here, it is demonstrated that the decohesion rate is highly sensitive to the ambient moisture content, temperature, and mechanical stress. The kinetic mechanisms are elucidated using atomistic bond rupture models and the decohesion process is shown to be facilitated by a chemical reaction between water molecules from the environment and strained hydrogen bonds. Hydrogen bonds are the predominant bonding mechanism between individual PEDOT:PSS grains within the layer and cause a significant loss in cohesion when they are broken. Understanding the decohesion kinetics and mechanisms in these films is essential for the mechanical integrity of devices containing PEDOT:PSS layers and yields general guidelines for the design of more reliable organic electronic devices. Decohesion rate in PEDOT:PSS conducting films is studied under varied environmental conditions. The moisture content in the environment is the most important factor accelerating the decohesion in the PEDOT:PSS layer, which is detrimental for device reliability. The findings on the decohesion rate and mechanisms, elucidated by atomic kinetic models, are essential for the design of more reliable organic electronic devices containting PEDOT:PSS layers. © 2013 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  6. Larval development, sensory mechanisms and physiological adaptions in acorn barnacles with special reference to Balanus amphitrite

    Digital Repository Service at National Institute of Oceanography (India)

    Anil, A.C.; Khandeparker, L.; Desai, D.V.; Baragi, L.V.; Gaonkar, C.

    . The cyprid has a well-developed brain and a large investment in cephalic sense organs, whereas the brain is greatly reduced in the naupliar stages and almost completely absent in the adult barnacle (Walley, 1969; Harrison and Sandeman, 1999). Further... within the brain, could provide a relatively sophisticated level of neural processing by the nervous system of cyprid (Harrison and Sandeman, 1999). Cyprids show a photokinetic response to light intensity as well as a phototactic response to light...

  7. Methodology for a global bicycle real world accidents reconstruction

    OpenAIRE

    Bourdet, Nicolas; Deck, Caroline; Serre, Thierry; Perrin, Christophe; LLARI, Maxime; Willinger, Rémy

    2012-01-01

    The use of the bicycle on a large scale encouraged in the context to develop an eco friendly environment is facing today on a range of barriers. One of these barriers identified by researchers and governments is observed to include ‘road safety’. Hence, it is necessary to set up a protection system for bicyclists especially for the cephalic segment. Currently only few studies are available concerning the head impact loading in case of real accidents. Therefore, the objective of th...

  8. In-depth real-world bicycle accident reconstructions

    OpenAIRE

    Bourdet, Nicolas; Deck, Caroline; Serre, Thierry; Perrin, Christophe; LLARI, Maxime; Willinger, Rémy

    2013-01-01

    Use of bicycles on a large scale, encouraged in the context to develop an eco-friendly environment, is facing today a range of barriers. One of these barriers identified by researchers and governments is observed to include ‘road safety’. Hence, it is necessary to set up a protection system for bicyclists especially for the cephalic segment. Currently only few studies are available concerning the head impact loading in case of real accidents. Therefore, the objective of this work ...

  9. Adenoma seroso oligoquístico do pâncreas - a propósito de um caso clínico

    OpenAIRE

    Almeida, N; Alves, S.; I. Borges; C. Gregório; Gomes, D.; F. Portela; Sérgio, M

    2006-01-01

    We present the case of a fifty years old patient who was first seen in the Emergency Service with a three month history of epigastric pain, without previous pancreatitis or alcohol consumption. The abdominal ultrasound has shown a cystic lesion of the pancreas confirmed by CT scan. However, its ethiology was not determined even after ultrasound guided aspiration of the cyst fluid. The patient was submitted to cephalic pancreatoduodenectomy (Whipple's resection) after a...

  10. Chiral recognition of pinacidil and its 3-pyridyl isomer by canine cardiac and smooth muscle: Antagonism by sulfonylureas

    International Nuclear Information System (INIS)

    Pinacidil, a potassium channel opener (PCO), relaxes vascular smooth muscle by increasing potassium ion membrane conductance, thereby causing membrane hyperpolarization. PCOs also act on cardiac muscle to decrease action potential duration (APD) selectively. To examine the enantiomeric selectivity of pinacidil, the stereoisomers of pinacidil (a 4-pyridylcyanoguanidine) and its 3-pyridyl isomer (LY222675) were synthesized and studied in canine Purkinje fibers and cephalic veins. The (-)-enantiomers of both pinacidil and LY222675 were more potent in relaxing phenylephrine-contracted cephalic veins and decreasing APD than were their corresponding (+)-enantiomers. The EC50 values for (-)-pinacidil and (-)-LY222675 in relaxing cephalic veins were 0.44 and 0.09 microM, respectively. In decreasing APD, the EC50 values were 3.2 microM for (-)-pinacidil and 0.43 microM for (-)-LY222675. The eudismic ratio was greater for the 3-pyridyl isomer than for pinacidil in both cardiac (71 vs. 22) and vascular (53 vs. 17) tissues. (-)-LY222675 and (-)-pinacidil (0.1-30 microM) also increased 86Rb efflux from cephalic veins to a greater extent than did their respective optical antipodes. The antidiabetic sulfonylurea, glyburide (1-30 microM), shifted the vascular concentration-response curve of (-)-pinacidil to the right by a similar extent at each inhibitor concentration. Glipizide also antagonized the response to (-)-pinacidil, but was about 1/10 as potent with a maximal shift occurring at 10 and 30 microM. Glyburide antagonized the vascular relaxant effects of 0.3 microM (-)-LY222675 (EC50, 2.3 microM) and reversed the decrease in APD caused by 3 microM (-)-LY222675 (EC50, 1.9 microM). Nitroprusside did not alter 86Rb efflux, and vascular relaxation induced by sodium nitroprusside was unaffected by sulfonylureas

  11. Epidural labour analgesia using Bupivacaine and Clonidine

    OpenAIRE

    Syal, K; R K Dogra; A Ohri; Chauhan, G.; Goel, A.

    2011-01-01

    Background: To compare the effects of addition of Clonidine (60 μg) to Epidural Bupivacaine (0.125%) for labour analgesia, with regard to duration of analgesia, duration of labour, ambulation, incidence of instrumentation and caesarean section, foetal outcome, patient satisfaction and side effects. Patients & Methods: On demand, epidural labour analgesia was given to 50 nulliparous healthy term parturients (cephalic presentation), divided in two groups randomly. Group I received bupivacain...

  12. 头静脉修剪高位重建动静脉内瘘11例

    Institute of Scientific and Technical Information of China (English)

    陆猛桂

    2013-01-01

    目的:观察头静脉修剪高位重建动静脉内瘘的结果。方法:11例慢性肾脏病5期维持血液透析伴动静脉内瘘血栓形成的患者。首次建立动静脉内瘘采用的是头静脉及桡动脉端侧吻合,使用时间为6-24个月。再次手术、切除头静脉血栓部分血管,近端与桡动脉高位重新予端侧吻合。结果:手术均取得成功,随访6-12个月,内瘘均通畅,无血栓形成。结论:头静脉修剪高位重建动静脉内瘘可行,值得推广应用。%Objective:To observe the cephalic vein reconstruction trim high arteriovenous fistula results. Methods:11 patients with chronic kidney disease with five hemodialysis arteriovenous fistula thrombosis patients. First created arteriovenous fistula is used cephalic vein and radial artery end to side anastomosis, the use of time is 6-24 months. Reoperation, removal of part of the cephalic vein thrombosis of blood vessels, and the radial artery proximal to the high re-side anastomosis. The results were successful surgery, fol ow-up 6-12 months, fistula were patent, without thrombosis. Conclusion:trim high cephalic vein arteriovenous fistula reconstruction feasible, should be widely applied.

  13. Hepatogastrostomy by EUS for malignant afferent loop obstruction after duodenopancreatectomy

    OpenAIRE

    Ratone, Jean-Philippe; Caillol, Fabrice; Bories, Erwan; Pesenti, Christian; Godat, Sebastien; Giovannini, Marc

    2015-01-01

    One of the most difficult biliary drainages is the recurrence and stenosis on afferent loop after surgery. We report an original case of hepaticogastrostomy (HGE) in a patient who had malignant stenosis of afferent loop after cephalic duodenopancreatectomy (CDP). After failure of the gastrointestinal stent, two metal self-expandable stents were placed by endoscopic ultrasound (EUS) after puncture of the dilated left hepatic duct. On clinical improvement and disappearance of jaundice, palliati...

  14. POINT OF MAXIMUM WIDTH: A NEW MEASURE FOR ANTHROPOMETRIC OUTCOMES IN PATIENTS WITH SAGITTAL SYNOSTOSIS

    OpenAIRE

    Gangopadhyay, Noopur; Shah, Manjool; Skolnick, Gary B; Patel, Kamlesh B; Naidoo, Sybill D.; Woo, Albert S.

    2014-01-01

    The aesthetic success of sagittal synostosis reconstruction is measured by cephalic index (CI). This limited measure does not fully account for the abnormal head shape in sagittal synostosis. In this retrospective study, we investigate a new objective measure, point of maximum width (PMW) of the skull from a vertex view, to determine where the head is widest for children with sagittal synostosis as compared to normal controls. Preoperative CT scans of 27 children with sagittal synostosis and ...

  15. Descrição de uma nova espécie de Micrurus do Estado de Roraima, Brasil (Serpentes, Elapidae

    Directory of Open Access Journals (Sweden)

    Carvalho Celso Morato de

    2002-01-01

    Full Text Available Micrurus pacaraimae, sp. n., from Vila Pacaraima, Roraima, Brasil/Venezuela border (04°31'N, 61°09'W, is characterized by: 201 ventrals; 43 subcaudals; no supra-anal tubercles; anal divided; black cephalic cap in contact with the nuchal black ring on the posterior margin of the parietals; throat white; black and red single rings on body and tail.

  16. Estudio de las visitas de las moscas de las flores (Diptera: Syrphidae) and Salvia bogotensis (Lamiaceae) en el Jardín Botánico José Celestino Mutis Bogotá (Colombia)

    OpenAIRE

    Zamora Carrillo, Mónica; Amat García, Germán D.; Fernández Alonso, José Luis

    2011-01-01

    [EN]The objective of this research was to describe the biological interaction between Salvia bogotensis (Lamiaceae) and the flower flies (Diptera:Syrphidae) in an urban setting, the Jardín Botánico “José Celestino Mutis” (Bogotá DC). After verifying the existence of the entomofilia syndrome were studied namely: floral morphology, taxonomic composition, richness and abundance of syrphid species identified as flower visitors and the cephalic and oral morphometry. S. bogotensis presents entomoph...

  17. Foams Stabilized by Tricationic Amphiphilic Surfactants

    OpenAIRE

    Heerschap, Seth; Marafino, John N.; McKenna, Kristin; Caran, Kevin L.; Feitosa, Klebert

    2015-01-01

    The unique surface properties of amphiphilic molecules have made them widely used in applications where foaming, emulsifying or coating processes are needed. Novel surfactant architectures with multi-cephalic and multi-tailed molecules have reportedly enhanced their anti-bacterial activity in connection with tail length and the nature of the head group, but their ability to produce and stabilize foam is mostly unknown. Here we report on experiments with tris-cationic, triple-headed, double- a...

  18. Intrapartum fetal monitoring by ST-analysis of the fetal ECG

    OpenAIRE

    Westerhuis, M.E.M.H.

    2010-01-01

    Objective Intrapartum fetal monitoring aims to identify fetuses at risk for neonatal and long-term injury due to asphyxia. To serve this purpose, cardiotocography (CTG) combined with ST-analysis of the fetal electrocardiogram (ECG), which is a relatively new method, may be used. The main aim of this thesis was to quantify the (cost) effectiveness of intrapartum fetal monitoring by ST-analysis of the fetal ECG in women with a singleton term pregnancy in cephalic position. Methods Several studi...

  19. Cross-phylum functional equivalence of Otx genes and the origin of brain patterning

    OpenAIRE

    Adachi, Yoshitsugu

    2004-01-01

    Molecular mechanisms of cephalic development is an intriguing question in evolutionary and developmental biology. Otx gene plays important roles in animal brain and head development and Otx genes are found in all major animal groups: cnidarians, lophotrochozoans, ecdysozoans, anddeuterostomes. Ascidians, positioned near the origin of the phylum Chordata, share a conserved set of anteroposterior patterning genes withthat of vertebrates. Here I report the cross-phylum regulatory potential of th...

  20. Plasticity of Ectomesenchymal Stem Cells and its Ability of Producing Tissue Engineering Tooth by Recombining with Dental Epithelial Cells

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    1 IntroductionRecently, it has been found that human dental pulp stem cells could generate dentin-pulp complex-like structures in nude mice, but studies on tissue engineering tooth-like structures by cultured human dental epithelial and mesenchymal stem cells are still reported rarely. Ectomesenchyme is an unique structure of vertebrates embryo compose of postmigratory cephalic neural crest cells (NCC) and its derivatives. The aim of the present study was to identify and isolate the ectomesenchymal stem cel...

  1. Sports practice is related to parasympathetic activity in adolescents

    OpenAIRE

    Suziane Ungari Cayres; Luiz Carlos Marques Vanderlei; Aristides Machado Rodrigues; Silva, Manuel João Coelho e; Jamile Sanches Codogno; Maurício Fregonesi Barbosa; Rômulo Araújo Fernandes

    2015-01-01

    OBJECTIVE: To analyze the relationship among sports practice, physical education class, habitual physical activity and cardiovascular risk in adolescents. METHODS: Cross-sectional study with 120 schoolchildren (mean: 11.7±0.7 years old), with no regular use of medicines. Sports practice and physical education classes were assessed through face-to-face interview, while habitual physical activity was assessed by pedometers. Bodyweight, height and height-cephalic trunk were used to estimate matu...

  2. Genetic Characterization of Atypical Mansonella (Mansonella) ozzardi Microfilariae in Human Blood Samples from Northeastern Peru

    OpenAIRE

    Marcos, Luis A.; Arrospide, Nancy; Recuenco, Sergio; Cabezas, Cesar; Gary J Weil; Fischer, Peter U.

    2012-01-01

    DNA sequence comparisons are useful for characterizing proposed new parasite species or strains. Microfilariae with an atypical arrangement of nuclei behind the cephalic space have been recently described in human blood samples from the Amazon region of Peru. Three blood specimens containing atypical microfilariae were genetically characterized using three DNA markers (5S ribosomal DNA, 12S ribosomal DNA, and cytochrome oxidase I). All atypical microfilariae were clustered into the Mansonella...

  3. Rhipidocotyle gibsoni n. sp. from a Brazilian Freshwater Fish and Rhipidocotyle froesi n.sp. for r. baculum (linton, 1905 of Eckmann (1932 (Bucephalidae; Digenea

    Directory of Open Access Journals (Sweden)

    Anna Kohn

    1994-12-01

    Full Text Available Rhipidocotyle gibsoni n.sp. is described from Acestrorhynchus lacustris from Paraná River, brazil. It is most closely related to r. froesi n. sp. and to R. eckmanni in the shape of the cephalic hood, differing in the extent of the uterus, in the position of the vitelline follicles and in that the host is a freshwater fish. Rhipidocotyle froesi n. sp. is proposed for the marine specimens described by Eckmann (1932 as R. baculum (Linton, 1905.

  4. Functional magnetic resonance imaging of human hypothalamic responses to sweet taste and calories

    OpenAIRE

    Smeets, P.A.M.; Graaf, de, Joost; Stafleu, A.; van Osch, M. J. P.; Grond, van der, J.

    2005-01-01

    BACKGROUND: Evidence exists that beverages do not trigger appropriate anticipatory physiologic responses, such as cephalic phase insulin release. Therefore, it is of interest to elucidate the food properties necessary for triggering adaptive responses. Previously, we found a prolonged dose-dependent decrease in the hypothalamic functional magnetic resonance imaging signal after ingestion of a glucose solution. OBJECTIVES: The aims of the present study were to measure the effects of sweet tast...

  5. Seven new and four known species of the genus Acantholaimus (Nematoda: Chromadoridae) from the abyssal manganese nodule field (Clarion-Clipperton Fracture Zone, North-Eastern Tropical Pacific)

    Science.gov (United States)

    Miljutina, Maria A.; Miljutin, Dmitry M.

    2012-09-01

    The descriptions of seven new and supplemental descriptions of four known species of the genus Acantholaimus (Nematoda: Chromadoridae) from about 5,000 m depth in the abyssal manganese nodule field of the French Claim of the Clarion-Clipperton Fracture Zone (north-eastern tropical Pacific) are given. A. arthrochaeta sp. n. differs from other Acantholaimus species in having jointed cephalic setae. A. barbatus sp. n. is characterized by long cephalic setae and the presence of numerous somatic setae at the level of the pharynx. A. cornutus sp. n. possesses strong onchia and rugae and short cephalic setae. A. robustus sp. n. is characterized by a very large body size, two very large onchia, strongly developed rugae, and cervical setae grouped in threes. A. sieglerae sp. n. is a comparatively small species, though with very large onchia. A. tchesunovi sp. n. can be differentiated from the other species by the lateral differentiation of the body cuticle, consisting of 6-7 longitudinal rows of pores. A. veitkoehlerae sp. n. has a narrow elongate anterior end, two cervical setae, and strong onchia. A. angustus and A. occultus were found about 5,200 km from their type localities in the Peru Basin, south-east Pacific. A. iubilus and A. maks were previously found in different parts of the Atlantic and in the Peru Basin.

  6. Development of Onchocerca volvulus (Filarioidea: Onchocercidae) in the West African black fly Simulium yahense (Diptera: Simuliidae) in Liberia.

    Science.gov (United States)

    Trpis, M; Wergin, W P; Murphy, C A

    2001-12-01

    Simulium yahense black flies infected with microfilaria of Onchocerca volvulus were kept in a defined insectary environment in Liberia, West Africa. A daily sample of infected flies was dissected for larvae developing in the thoracic muscles and examined for growth in stadial development. Microfilariae ingested by black flies transformed to the L1 larval stage without molting. Successive larval development included molting to the L2 stage and, finally, to the L3 stage, which was infective in humans. The cephalic cap, consisting of a laterally located hook and central stoma, occurs in the first larval stage. The caudal appendix and the laterally located anal opening are apparent in the L1 larva. In the L2 stage, the cephalic cap is lost and the large circular stoma becomes surrounded with elevated flaps. The caudal appendix was lost after larvae molted to the L3 stage, and in its place, 3 terminal papillae developed. Sense organs, such as 2 opposing phasmids and 8 papillae that were arranged into 2 circles, developed in the cephalic region of the L3 larva. The evidence of pathological consequences due to the presence of the L3 larva in the fly host are illustrated and discussed. PMID:11780809

  7. [Tumors of the vaterian region indications, findings and prognosis : about 49 cases].

    Science.gov (United States)

    Beyrouti, Mohamed Issam; Beyrouti, Ramez; Louhichi, Skander; Ben Amar, Mohamed; Gargouri, Faouzi; Frikha, Foued; Bouaziz, Mounir; Karoui, Abdelhamid; Boudawara, Tahia; Krichen, Mohamed Salah; Sellami, Abdelhafidh

    2006-04-01

    This retrospective study is about 49 cases of tumors of the vaterian region collected between 1976 and 2001. Tumors of the vaterian region represented 7% of the bilio-pancreatic tumors. The study was about 18 women and 31 men, with sex-ratio of 1.7. The mean age was 61 years. Treatment was surgical : cephalic duodeno-pancreatectomy (28 patients) or ampullectomy (5 patients). Rate of tumor resectability was 69.4%. Bilio-digestive derivation was practiced on 13 patients and therapeutic abstention was decided for 3 patients. Age over 65 years, rate of bilirubine superior to 120 mmol/l and surgery done in emergency were elements of bad prognosis that increased post-operative mortality of following cephalic duodeno-pancreatectomy. Global mortality and morbidity were respectively 16% and 24%. Factors of poor prognosis were essentially: Tumor of large size, infiltration of the surrounding structures and tumor with metastases. The survival after bilio-digestive derivation didn't pass the 8 months. Five year survivals cephalic duodeno-pancréatectomy represented 20%. It depended on the degree of the local invasion. This 5 years survival rate to was 85% for stage I (classification of Martin) and 10% for stage IV.

  8. 3D MODELLING OF PROPHYLACTIC FOOTWEAR FOR A HIGH ARCHED FOOT

    Directory of Open Access Journals (Sweden)

    COSTEA Mariana

    2016-05-01

    Full Text Available This article approaches the methodology of designing customized footwear for high arched foot. The authors propose to reconsider the classical structure of footwear bottom components for people with high arched foot and recommend incorporating custom components, with the role of compensation or adjustment. This study continues the authors’ research, starting from a foot’s 3D shape obtained by 3D scanning, the anthropometrical and biomechanical parameters, shoe lasts’ 3D modelling and continuing with 3D footwear design. Including customized orthosis can help to stop the evolution of abnormalities, diminishes sensations of pain during walking and improves performance in various physical activities carried out during the day, walking, running, and standing. The prophylactic footwear has to meet four main requirements: to protect the foot and ankle during walking and static; to ensure the normal resistance systems (bones, muscle and joint of the foot; to prevent the installation of irreversible structural changes by reducing stress on the foot; to contribute to increased performance in conducting regular physical activity. It is presented the steps of modelling an orthosis, a virtual simulation of its cutting process, followed by the integration and development of the insole, filling and sole for a customized shoe. Delcam Crispin CAD system and its applications for orthopaedics are used to design the bottom components of prophylactic footwear for a high arched foot.

  9. A method for early detection of the initiation of sit-to-stand posture transitions.

    Science.gov (United States)

    Doulah, Abul; Shen, Xiangrong; Sazonov, Edward

    2016-04-01

    A powered lower extremity orthotic brace can potentially be used to assist frail elderly during daily activities. This paper presents a method for an early detection of the initiation of sit-to-stand (SiSt) posture transition that can be used in the control of the powered orthosis. Unlike the methods used in prosthetic devices that rely on surface electromyography (EMG), the proposed method uses only sensors embedded into the orthosis brace attached to the limb. The method was developed and validated using data from a human study with 10 individuals. Each human trial included different sets of sitting, standing and walking activities originating from various initial postures. Features from the sensor signal were extracted and aggregated in lagged epochs to incorporate the time history. Principal component analysis (PCA) was used to reduce the feature set. The principal components were then used in a leave-one-out manner to train a linear support vector machine (SVM) classifier to perform early detection of the SiSt posture transition. The proposed method achieved the sensitivity of 100% and the specificity 92.94% of trials without false positives. The average detection time (DT) of 0.1341  ±  0.3310 s following the start of transition demonstrated early recognition of the initiation of SiSt transition.

  10. Rat hindlimb joint immobilization with acrylic resin orthoses

    Directory of Open Access Journals (Sweden)

    C.A. da Silva

    2006-07-01

    Full Text Available The objective of the present study was to propose an orthosis of light material that would be functional for the animal and that would maintain only the ankle joint immobilized. Male Wistar rats (3 to 4 months old, 250-300 g were divided into 2 groups (N = 6: control and immobilized for 7 days. Rats were anesthetized with sodium pentobarbital (40 mg/kg weight and the left hindlimb was immobilized with the orthoses composed of acrylic resin model, abdominal belt and lateral supports. The following analyses were performed: glycogen content of the soleus, extensor digitorum longus, white gastrocnemius, red gastrocnemius, and tibialis anterior muscles by the phenol sulfuric method, and the weight, fiber area and intramuscular connective tissue of the soleus by the planimetric system. Data were analyzed statistically by the Kolmogorov-Smirnov, Student t and Wilcoxon tests. Immobilization decreased glycogen in all muscles (P < 0.05; soleus: 31.6%, white gastrocnemius: 56.6%, red gastrocnemius: 39%, extensor digitorum longus: 41.7%, tibialis anterior: 45.2% in addition to reducing soleus weight by 34% (P < 0.05. Furthermore, immobilization promoted reduction of the fiber area (43%, P < 0.05 and increased the connective tissue (200%, P < 0.05. The orthosis model was efficient comparing with another alternative immobilization model, like plaster casts, in promoting skeletal muscle alterations, indicating that it could be used as a new model in other studies related to muscle disuse.

  11. Efficacy of a hybrid assistive limb in post-stroke hemiplegic patients: a preliminary report

    Directory of Open Access Journals (Sweden)

    Takeda Koji

    2011-09-01

    Full Text Available Abstract Background Robotic devices are expected to be widely used in various applications including support for the independent mobility of the elderly with muscle weakness and people with impaired motor function as well as support for nursing care that involves heavy laborious work. We evaluated the effects of a hybrid assistive limb robot suit on the gait of stroke patients undergoing rehabilitation. Methods The study group comprised 16 stroke patients with severe hemiplegia. All patients underwent gait training. Four patients required assistance, and 12 needed supervision while walking. The stride length, walking speed and physiological cost index on wearing the hybrid assistive limb suit and a knee-ankle-foot orthosis were compared. Results The hybrid assistive limb suit increased the stride length and walking speed in 4 of 16 patients. The patients whose walking speed decreased on wearing the hybrid assistive limb suit either had not received sufficient gait training or had an established gait pattern with a knee-ankle-foot orthosis using a quad cane. The physiological cost index increased after wearing the hybrid assistive limb suit in 12 patients, but removal of the suit led to a decrease in the physiological cost index values to equivalent levels prior to the use of the suit. Conclusions Although the hybrid assistive limb suit is not useful for all hemiplegic patients, it may increase the walking speed and affect the walking ability. Further investigation would clarify its indication for the possibility of gait training.

  12. Foot trajectory approximation using the pendulum model of walking.

    Science.gov (United States)

    Fang, Juan; Vuckovic, Aleksandra; Galen, Sujay; Conway, Bernard A; Hunt, Kenneth J

    2014-01-01

    Generating a natural foot trajectory is an important objective in robotic systems for rehabilitation of walking. Human walking has pendular properties, so the pendulum model of walking has been used in bipedal robots which produce rhythmic gait patterns. Whether natural foot trajectories can be produced by the pendulum model needs to be addressed as a first step towards applying the pendulum concept in gait orthosis design. This study investigated circle approximation of the foot trajectories, with focus on the geometry of the pendulum model of walking. Three able-bodied subjects walked overground at various speeds, and foot trajectories relative to the hip were analysed. Four circle approximation approaches were developed, and best-fit circle algorithms were derived to fit the trajectories of the ankle, heel and toe. The study confirmed that the ankle and heel trajectories during stance and the toe trajectory in both the stance and the swing phases during walking at various speeds could be well modelled by a rigid pendulum. All the pendulum models were centred around the hip with pendular lengths approximately equal to the segment distances from the hip. This observation provides a new approach for using the pendulum model of walking in gait orthosis design.

  13. Design of a knee and leg muscle exerciser for paraplegics using a shape memory alloy rotary joint actuator

    Science.gov (United States)

    Wang, Guoping; Shahinpoor, Mohsen

    1998-07-01

    This paper presents a design of an active knee and leg muscle exerciser using a shape memory alloy (SMA) rotary joint actuator. This active exerciser is designed for a paraplegic to exercise his or her knee and leg muscles. The exerciser is composed of a lower extremity orthosis or a knee brace, an SMA rotary joint actuator, and an electronic control unit. The lower extremity orthosis and knee brace are commercially available. The analysis model of the SMA rotary joint actuator is introduced and the design formulas are derived. A quasi-static analysis of the SMA rotary joint actuator is assumed in this design. The actuating component of the SMA rotary joint actuator is a bundle of lengthy SMA wires which are wrapped on several wrapping pulleys. A constant force spring is incorporated in this actuator to provide the SMA wires with a bias force to maintain a recoverable initial position of the actuator. A prototype of the active knee and leg muscle exerciser is designed, and an electronic control unit in the prototype provides users with a means of adjusting forward rotation speed and cycle time of the exerciser.

  14. Visualisation to enhance biomechanical tuning of ankle-foot orthoses (AFOs in stroke: study protocol for a randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Carse Bruce

    2011-12-01

    Full Text Available Abstract Background There are a number of gaps in the evidence base for the use of ankle-foot orthoses for stroke patients. Three dimensional motion analysis offers an ideal method for objectively obtaining biomechanical gait data from stroke patients, however there are a number of major barriers to its use in routine clinical practice. One significant problem is the way in which the biomechanical data generated by these systems is presented. Through the careful design of bespoke biomechanical visualisation software it may be possible to present such data in novel ways to improve clinical decision making, track progress and increase patient understanding in the context of ankle-foot orthosis tuning. Methods A single-blind randomised controlled trial will be used to compare the use of biomechanical visualisation software in ankle-foot orthosis tuning against standard care (tuning using observation alone. Participants (n = 70 will have experienced a recent hemiplegia (1-12 months and will be identified by their care team as being suitable candidates for a rigid ankle-foot orthosis. The primary outcome measure will be walking velocity. Secondary outcome measures include; lower limb joint kinematics (thigh and shank global orientations & kinetics (knee and hip flexion/extension moments, ground reaction force FZ2 peak magnitude, step length, symmetry ratio based on step length, Modified Ashworth Scale, Modified Rivermead Mobility Index and EuroQol (EQ-5D. Additional qualitative measures will also be taken from participants (patients and clinicians at the beginning and end of their participation in the study. The main aim of the study is to determine whether or not the visualisation of biomechanical data can be used to improve the outcomes of tuning ankle-foot orthoses for stroke patients. Discussion In addition to answering the primary research question the broad range of measures that will be taken during this study are likely to contribute to a

  15. Design of splints based on the NiTi alloy for the correction of joint deformities in the fingers

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    Puértolas Sergio

    2010-09-01

    Full Text Available Abstract Background The proximal interphalange joint (PIP is fundamental for the functional nature of the hand. The contracture in flexion of the PIP, secondary to traumatisms or illnesses leads to an important functional loss. The use of correcting splints is the common procedure for treating this problem. Its functioning is based on the application of a small load and a prolonged stress which can be dynamic, static progressive or static serial. It is important that the therapist has a splint available which can release a constant and sufficient force to correct the contracture in flexion. Nowadays NiTi is commonly used in bio-engineering, due to its superelastical characteristics. The experience of the authors in the design of other devices based on the NiTi alloy, makes it possible to carry out a new design in this work - the production of a finger splint for the treatment of the contracture in flexion of the PIP joint. Methods Commercial orthosis have been characterized using a universal INSTRON 5565 machine. A computational simulation of the proposed design has been conducted, reproducing its performance and using a model "ad hoc" for the NiTi material. Once the parameters have been adjusted, the design is validated using the same type of test as those carried out on commercial orthosis. Results and Discussion For commercial splint the recovering force falls to excessively low values as the angle increases. Angle curves for different lengths and thicknesses of the proposed design have been obtained, with a practically constant recovering force value over a wide range of angles that vary between 30° and 150° in every case. Then the whole treatment is possible with only one splint, and without the need of progressive replacements as the joint recovers. Conclusions A new model of splint based on NiTi alloy has been designed, simulated and tested comparing its behaviour with two of the most regularly used splints. Its uses is recommended

  16. Comparison of the effect of posterior lumbar interbody fusion with pedicle screw fixation and interspinous fixation on the stiffness of adjacent segments

    Institute of Scientific and Technical Information of China (English)

    LI Chun-de; SUN Hao-lin; LU Hong-zhang

    2013-01-01

    Background Adjacent segment degeneration could seriously affect the long-term prognosis of lumbar fusion.Dynamicfixation such as the interspinous fixation,which is characterized by retaining the motion function of the spinal segment,has obtained satisfactory short-term effects in the clinical setting.But there are few reports about the biomechanicalexperiments on whether dynamic fixation could prevent adjacent segment degeneration.Methods The surgical segments of all 23 patients were L4/5.Thirteen patients with disc herniation of L4/5 underwentWallis implantation surgery,and 10 patients with spinal stenosis of L4/5 underwent posterior lumbar interbody fusion(PLIF).L3-S1 segmental stiffness and displacement were measured by a spine stiffness gauge (SSG) device duringsurgery when the vertebral plate was exposed or during spinal decompression or internal fixation.Five fresh,frozencadavers were used in the self control experiment,which was carried out in four steps:exposure of the vertebral plate,decompression of the spinal canal,implantation of a Wallis fixing device,and PLIF of L4/5 after removing the Wallis fixingdevice.Then,L3-S1 segment stiffness was measured by an SSG device.Results The experiments showed that the average stiffness of the L4/5 segment was (37.1±8.9) N/mm after exposure of the vertebral plate,while after spinal decompression,the average stiffness fell to (26.2±7.1) N/mm,decreasing by 25.8% (P <0.05).For the adjacent segments L3/4 and L5/S1,their stiffness showed no significant difference between the L4/5 segment decompression and the exposure of the vertebral plate (P >0.05).After Wallis implantation of L4/5,the stiffness of the cephalic adjacent segment L3/4 was (45.8±10.7) N/mm,which was 20.5% more than that after the exposure of the vertebral plate (P <0.05); after L4/5 PLIF surgery,the stiffness of L3/4 was (35.3±10.7) N/mm and was decreased by 12.4% more than that after the exposure of the vertebral plate (P <0.05).The

  17. Lateral decubitus for treating pertrochanteric fractures using cephalomedullary nails

    Directory of Open Access Journals (Sweden)

    Elton João Nunes de Oliveira

    2015-08-01

    Full Text Available ABSTRACTOBJECTIVE: To perform a retrospective radiographic evaluation on the fracture reduction and implant position in the femoral head among patients with pertrochanteric fractures who had been treated using a cephalomedullary nail in lateral decubitus; and to assess factors that might interfere with the quality of the fracture reduction and with the implant position in using this technique. METHODS: Nineteen patients with a diagnosis of pertrochanteric fractures of the femur who had been treated using cephalomedullary nails in lateral decubitus were evaluated. For outpatient radiographic evaluations, we used the anteroposterior view of the pelvis and lateral view of the side affected. We measured the cervicodiaphyseal angle, tip-apex distance (TAD, spatial position of the cephalic element in relation to the head, and the bispinal diameter. To make an anthropometric assessment, we used the body mass index. Two groups of patients were created: one in which all the criteria were normal (TAD ≤25 mm, cervicodiaphyseal angle between 130° and 135° and cephalic implant position in the femoral head in the central-central quadrant; and another group presenting alterations in some of the criteria for best prognosis. RESULTS: Female patients predominated (57.9% and the mean age was 60 years. Seven patients presented a central-central cephalic implant position. One patient present a cervicodiaphyseal angle >135° and the maximum TAD was 32 mm; consequently, 12 patients presented some altered criteria (63.2%. None of the characteristics evaluated differed between the patients with all their criteria normal and those with some altered criteria, or showed any statistically significant association among them ( p> 0.05. CONCLUSION: The technique described here enabled good reduction and good positioning of the implant, independent of the anthropometric indices and type of fracture.

  18. Sonic hedgehog is a chemotactic neural crest cell guide that is perturbed by ethanol exposure.

    Science.gov (United States)

    Tolosa, Ezequiel J; Fernández-Zapico, Martín E; Battiato, Natalia L; Rovasio, Roberto A

    2016-01-01

    Our aim was to understand the involvement of Sonic hedgehog (Shh) morphogen in the oriented distribution of neural crest cells (NCCs) toward the optic vesicle and to look for potential disorders of this guiding mechanism after ethanol exposure. In vitro directional analysis showed the chemotactic response of NCCs up Shh gradients and to notochord co-cultures (Shh source) or to their conditioned medium, a response inhibited by anti-Shh antibody, receptor inhibitor cyclopamine and anti-Smo morpholino (MO). Expression of the Ptch-Smo receptor complex on in vitro NCCs was also shown. In whole embryos, the expression of Shh mRNA and protein was seen in the ocular region, and of Ptch, Smo and Gli/Sufu system on cephalic NCCs. Anti-Smo MO or Ptch-mutated plasmid (Ptch1(Δloop2)) impaired cephalic NCC migration/distribution, with fewer cells invading the optic region and with higher cell density at the homolateral mesencephalic level. Beads embedded with cyclopamine (Smo-blocking) or Shh (ectopic signal) supported the role of Shh as an in vivo guide molecule for cephalic NCCs. Ethanol exposure perturbed in vitro and in vivo NCC migration. Early stage embryos treated with ethanol, in a model reproducing Fetal Alcohol Syndrome, showed later disruptions of craniofacial development associated with abnormal in situ expression of Shh morphogen. The results show the Shh/Ptch/Smo-dependent migration of NCCs toward the optic vesicle, with the support of specific inactivation with genetic and pharmacological tools. They also help to understand mechanisms of accurate distribution of embryonic cells and of their perturbation by a commonly consumed teratogen, and demonstrate, in addition to its other known developmental functions, a new biological activity of cellular guidance for Shh. PMID:26979762

  19. TINGKAT KANDUNGAN UNSUR RADIOAKTIF AIR SUNGAI AYUNG DI DENPASAR BALI

    Directory of Open Access Journals (Sweden)

    Dewa Nyoman Alit Ardana

    2012-11-01

    Full Text Available Ayung river is one of the longest rivers in Bali. The upstream of the river is in regency of Bangli, Badung, Buleleng, Tabananand downstream is located in Padang Galak beach, East Denpasar Sub-regency. As the sample of the study, the water of the river wastaken from the stream entering the city of Denpasar. The sample was taken in five different points and for each point was taken twice. Thefirst was taken at 5 p.m, and the second was at 6 a.m. This study aims at finding out the rate of radioactive content of Ayung river water inthe city of Denpasar.The water sample was analyzed in Radiometry Analysis Group of Radiation Physics and environmental research centre andNuclear Technique Development, Jalan Taman Sari 71 Bandung – 40132. The process of counting was conducted in this place in order toknow the rate of the element activities and then identification of elements contens in the sample. The result of the counting and identifyingwas compered with standard grade of radioactivity in the area.The element of identification result and the amount of activity rate found showed that the element were natural radioactiveelements, the content: 40K (Kalium-40, 234Th (Thorium-234, 233Th (Thorium-233, 228Ac (Actinium-288, 114mIn (Indium-114m. Thehighest activity of radioactive elements in each sample point: in E2 point content element 40K with the activity 2.08 Bq/lt, in point A1 234Thwith the activity 16.34 Bq/lt, in point E1 containts 233Th with activity 598.29 Bq/lt, in point E1 and E2 contain 228Ac with the activity939.63 Bq/lt. The height of activity value of the counting and identifying elements was still under the rate of the highest level.The result of the study showed that radioactive elements 40K had the tendency of increasing radioactivity. The same thinghappened to 233Th at the peak of energi 185.00 keV. The content of its radioactive tends to exist in each point of sample point and theactivity tends to increase. Though the rate of

  20. [Study on the Effects of Ginsenoside Rb1 on DPPC Bilayers by Using Thermo-Raman Spectrum and DSC].

    Science.gov (United States)

    Hui, Ge; Liu, Wei; Zhang, Jing-zhou; Zhou, Tie-li; Wang, Si-ming; Zhao, Yu; Zhao, Bing

    2015-08-01

    concentration of ginsenoside Rb1, the pre-transition temperature of DPPC bilayers dropped immediately with small amount of the Rb1 drug when the containtion was only 5 mol% and the whole system has been destructed at the same time, the main phase transition peak showed as a new little shoulder seam, however, both pre- and main transition peak disappeared completely until the drug concentration increased to 20 mol%, the phase transition temperature of DPPC has been reduced significantly, and the fluidity of bilayers has been increased. Both experiments indicated that the strong effects of ginsenoside Rb1 on DPPC.

  1. A congenital malformation of the systemic heart complex in Sepia officinalis L. (Cephalopoda)

    Science.gov (United States)

    Schipp, R.; von Boletzky, S.; Jakobs, P.; Labourg, P. J.

    1998-03-01

    In semi-adult Sepia officinalis L. (Cephalopoda) from the Bay of Arcachon (France) a congenital malformation of the systemic heart is described by macro-and microscopical methods. It concerns an atypical doubling of the site of insertion at the cephalic aorta at the apical ventricle. Its comparison with the paired anlagen of the systemic heart complex in normal embryogenesis and the central circulatory system of Nautilus gives rise to interpret it as a form of atavism. The possible causal role of mutagenic antifoulings is discussed.

  2. Binding sites of mosquitocidal toxins of Pseudomonas fluorescens and Bacillus subtilis on pupae and larvae of Culex quinquefasciatus.

    Science.gov (United States)

    Mary, K Athisaya; Paily, K P; Hoti, S L; Balaraman, K

    2015-01-01

    Two of the potential bacterial isolates, viz., Pseudomonas fluorescens (VCRC B-426) and Bacillus subtilis (VCRC B-471) whose toxins kill the mosquito pupae/larvae have been identified at our center. As the mode of action of these bacteria are not known, an attempt was made to find out the binding sites of the toxic proteins through immunological methods. Antibodies were raised in BALB/c mice and egg yolk system of chicken layers against the mosquitocidal proteins. The antibodies showed specific binding on to the cephalic and thoracic cuticle of the pupae as well as the paddles of the larvae, indicating the binding of the mosquitocidal proteins. PMID:24624898

  3. Allometric growth of larvae of Spodoptera eridania (Cramer, 1782) (Lepidoptera: Noctuidae)

    OpenAIRE

    Iannacone, J.; Alvariño, L.

    2007-01-01

    Allometric growth of Spodoptera eridania (Cramer, 1782) was studied, during one generation, under temperature and humid conditions that fluctuated between 22±3ºC y 73±6%, respectively. Every one of the six larval instars (LI) was lengthened total lengthen (TL) (mm) and diameter of cephalic capsule (CC) (mm). CC and TL presented a coefficient of variation means (CV %) of 15.59±8.87% and 16.57±3.98%, respectively. Larvae growth rate mean was 1.58±0.27 (1.25 to 1.95). Percentage o...

  4. Brugia lepori sp. n. (Filarioidea: Onchocercidae) from rabbits (Sylvilagus aquaticus, S. floridanus) in Louisiana.

    Science.gov (United States)

    Eberhard, M L

    1984-08-01

    Brugia lepori sp. n., a filarial nematode from the abdominal lymphatics and subcutaneous tissues of rabbits (Sylvilagus aquaticus, S. floridanus), from St. Tammany Parish, Louisiana, is described. Brugia lepori is of moderate size (males 12 to 19 mm, females 39 to 45 mm) and within the genus most closely resembles Brugia beaveri of the raccoon, from which it can be distinguished by its larger size, smaller spicules, and smaller microfilaria which has a shorter cephalic space. Brugia lepori is only the second species of Brugia described from North America and the third species reported from the Western Hemisphere. PMID:6502360

  5. Co-occurrence of Pain Symptoms and Somatosensory Sensitivity in Burning Mouth Syndrome: A Systematic Review

    Science.gov (United States)

    Moisset, Xavier; Calbacho, Valentina; Torres, Pilar; Gremeau-Richard, Christelle; Dallel, Radhouane

    2016-01-01

    Background Burning mouth syndrome (BMS) is a chronic and spontaneous oral pain with burning quality in the tongue or other oral mucosa without any identifiable oral lesion or laboratory finding. Pathogenesis and etiology of BMS are still unknown. However, BMS has been associated with other chronic pain syndromes including other idiopathic orofacial pain, the dynias group and the family of central sensitivity syndromes. This would imply that BMS shares common mechanisms with other cephalic and/or extracephalic chronic pains. The primary aim of this systematic review was to determine whether BMS is actually associated with other pain syndromes, and to analyze cephalic and extracephalic somatosensory sensitivity in these patients. Methods This report followed the PRISMA Statement. An electronic search was performed until January 2015 in PubMed, Cochrane library, Wiley and ScienceDirect. Searched terms included “burning mouth syndrome OR stomatodynia OR glossodynia OR burning tongue OR oral burning”. Studies were selected according to predefined inclusion criteria (report of an association between BMS and other pain(s) symptoms or of cutaneous cephalic and/or extracephalic quantitative sensory testing in BMS patients), and a descriptive analysis conducted. Results The search retrieved 1512 reports. Out of these, twelve articles met criteria for co-occurring pain symptoms and nine studies for quantitative sensory testing (QST) in BMS patients. The analysis reveals that in BMS patients co-occurring pain symptoms are rare, assessed by only 0.8% (12 of 1512) of the retrieved studies. BMS was associated with headaches, TMD, atypical facial pain, trigeminal neuralgia, post-herpetic facial pain, back pain, fibromyalgia, joint pain, abdominal pain, rectal pain or vulvodynia. However, the prevalence of pain symptoms in BMS patients is not different from that in the age-matched general population. QST studies reveal no or inconsistent evidence of abnormal cutaneous cephalic

  6. New cave-dwelling species of Tomoceridae from China, with a study on the pattern of mesothoracic bothriotricha in Tomocerinae (Collembola, Entomobryomorpha).

    Science.gov (United States)

    Yu, Daoyuan; Yan, Qibao; Liu, Manqiang

    2016-01-01

    Two new troglobitic species of Tomoceridae are described from Guizhou and Guangxi provinces, China. Tomocerus tiani sp. n. resembles Tomocerus kinoshitai Yosii, 1954, Tomocerus caecus Yu & Deharveng, 2015 and Tomocerus similis Chen & Ma, 1997 but differs from them mainly in the body colour, the cephalic chaetotaxy and the number of manubrial pseudopores. Monodontocerus cinereus sp. n. is similar to Monodontocerus mulunensis Yu, Deharveng & Zhang, 2014 but is different from the latter in the body colour, the length of antennae, the number of ungual teeth and the chaetotaxy on Abd. III and Abd. IV. Special remarks are made on the mesothoracic bothriotricha in Tomocerinae. PMID:27110179

  7. A new genus of Entomobryinae (Collembola, Entomobryidae) from Brazilian Amazon with body scales and dental spines.

    Science.gov (United States)

    Cipola, Nikolas Gioia; Morais, José Wellington De; Bellini, Bruno Cavalcante

    2016-01-01

    A new monotypic genus of Entomobryinae from Brazilian Amazon is described and illustrated. Amazhomidia gen. nov. is similar to other genera of the subfamily, especially to Sinhomidia Zhang, in presence of apically pointed scales on body dorsally and spines on dens. It differs from all other genera of Entomobryinae by the combination of: bifurcate prelabral chaetae, cephalic groove with scale-like chaetae and two transverse rows macrochaetae present on anterior central region of the abdominal IV segment. Amazhomidia ducke sp. nov., the type species of the new genus is described. An identification key to the genera of Entomobryidae with scales and dental spines is also provided. PMID:27394776

  8. Drug: D07650 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available osporin, cephalosporinase-resistant Same as: C08114 ATC code: J01DD13 Semisynthetic cephalosporin...: broad spectrum cephalosporin penicillin binding proteins inhibitor ko00550 Peptidoglycan bio...IINFECTIVES FOR SYSTEMIC USE J01 ANTIBACTERIALS FOR SYSTEMIC USE J01D OTHER BETA-LACTAM ANTIBACTERIALS J01DD Third-generation cephalo...D07650 Drug Cefpodoxime (INN); CPDX; Epoxim (TN) C15H17N5O6S2 427.062 427.4554 D07650.gif Antibiotic, cephal...sporins J01DD13 Cefpodoxime D07650 Cefpodoxime (INN) USP drug classification [BR:br

  9. Appetite suppression through smelling of dark chocolate correlates with changes in ghrelin in young women

    DEFF Research Database (Denmark)

    Massolt, Elske T; van Haard, Paul M; Rehfeld, Jens F;

    2010-01-01

    Cephalic effects on appetite are mediated by vagal tone and altered gastrointestinal hormones. The objective of this study is to explore the relationship between appetite and levels of gastrointestinal hormones after smelling chocolate and after melt-and-swallow 30 g chocolate (1.059 oz, 85% cocoa......, 12.5 g of sugar per 100g product). Twelve female residents (BMI between 18 and 25 kg/m(2)) all participated in two 60-minute study sessions. In the first session, all 12 women ate chocolate; for the second session, they were randomized either to smell chocolate (n=6) or to serve as a control (no...

  10. One new species of free-living marine nematodes (Enoplida, Anticomidae, Cephalanticoma) from the Huanghai Sea

    Institute of Scientific and Technical Information of China (English)

    HUANG Yong; ZHANG Zhinan

    2007-01-01

    One new species of free-living marine nematodes Cephalanticoma filicaudata sp. nov. from the Huanghai Sea, China is described and illustrated. Cephalanticoma filicaudata sp. nov. is characterized by well developed cephalic capsule, three teeth at the anterior of oesophagus, excretory pore opens posterior to cervical setae, only two cervical setae per file, body length longer than 5 200 μm, tail long and no ventral-lateral seta between the supplement and the cloacal opening. Types are deposited in the College of Marine Life Sciences, Ocean University of China.

  11. Successful treatment of a patient with an infected urachal remnant via single-incision laparoscopic surgery: Report of a case.

    Science.gov (United States)

    Nakamura, Hiroyuki; Oshita, Akihiko; Imamura, Yuji; Sasaki, Masaru; Kohyama, Mohei; Tazaki, Tatsuya; Sugiyama, Yoichi; Daimaru, Yutaka; Nakamitsu, Atsushi

    2016-02-01

    We report on a case of an infected urachal remnant successfully treated via a single-incisional laparoscopic technique. An 18-year-old woman was diagnosed with an infected urachal remnant. The center of the umbilicus was pulled and inverted from the skin, and the cephalic side of the urachus was dissected from the umbilicus. A single-incision laparoscopic technique employing ultrasonic coagulating shears was used to dissect the urachal remnant from the stump of the umbilicus to the caudal end. Single-incision laparoscopic excision of the urachal remnant can be used successfully as a minimally invasive technique with optimal cosmetic outcomes. PMID:26781536

  12. Social allostasis: anticipatory regulation of the internal milieu

    Directory of Open Access Journals (Sweden)

    Jay eSchulkin

    2011-01-01

    Full Text Available Social regulation of the internal milieu is a fundamental behavioral adaptation. Cephalic capabilityis reflected by anticipatory behaviors to serve systemic physiological regulation. Homeostaticregulation, a dominant perspective, reflects reactive responses; allostatic regulation, thephysiology of change, emphasizes longer-term anticipatory, and feedforward systems. Steroids,such as cortisol, and peptides such as corticotrophin releasing hormone are but one exampleof such anticipatory regulatory systems. The concept of allostasis is in part to take accountof anticipatory control amidst diverse forms of adaptation underlying this regulatory adaptationthat supports social contact and internal milieu.

  13. The tantulocarid genus Arcticotantalus removed from Basipodellidae into Deoterthridae (Crustacea

    DEFF Research Database (Denmark)

    Knudsen, Steen Wilhelm; Kirkegaard, Maja; Olesen, JØrgen

    2009-01-01

    sediments. A total of 44 individuals were found, and 38 were examined by use of LM and SEM; these represented different stages of the life cycle: tantulus larvae, developing males, parthenogenetic females, and what may be only the third record of a developing sexual female. Arcticotantulus kristenseni...... is tentatively placed in Deoterthridae based on the mode of formation of the male trunk sac, the pattern of ornamentation on the tergites and cephalic shield, and the number of setae on the thoracopods and caudal rami. It is suggested that the genus Arcticotantulus Kornev, Tchesunov & Rybnikov, 2004 is removed...

  14. Effect of osteoporosis and intervertebral disc degeneration on endplate cartilage injury in rats

    Institute of Scientific and Technical Information of China (English)

    Lei Wang; Wei Cui; Jean Pierre Kalala; Tom Van Hoof; Bao-Ge Liu

    2014-01-01

    Objective:To investigate the effect of osteoporosis and intervertebral disc degeneration on the endplate cartilage injury in rats.Methods:A total of48 femaleSpragueDawley rats(3 months) were randomly divided intoGroupsA,B,C andD with12 rats in each group.Osteoporosis and intervertebral disc degeneration composite model, simple degeneration model and simple osteoporosis model were prepared inGroupsA,B andC respectively.After modeling, four rats of each group at12th,18th and24th week were sacrificed.Intervertebral height of cervical vertebra C6/C7 was measured.Micro-CT was used to image the endplate of cephalic and caudal cartilage atC6/C7 intervertebral disc.Abraded area rate ofC6 caudal andC7 cephalic cartilage endplate was calculated, and thenC6/C7 intervertebral disc was routinely embedded and sectioned, stained with safraninO to observe histological changes microscopically.Results:At12,18 and 24 weeks, intervertebral disc height ofC6/C7 were(0.58±0.09) mm,(0.53±0.04) mm and(0.04±0.06) mm inGroupA rats,(0.55±0.05) mm,(0.52±0.07) mm and(0.07±0.05) mm inGroupB rats.At24th week, intervertebral disc height ofGroupA rats was significantly lower than that ofGroupB rats (P0.05).At12 and18 weeks, the abraded rate ofC6 caudal andC7 cephalic cartilage endplate inGroupA rats were significantly higher than that inGroupsB,C andD rats(P0.05).Microscopic observation ofCT showed that ventral defects inC6 caudal orC7 cephalic cartilage endplate inGroupsA andB appeared after12 weeks of modeling;obvious cracks were found in front of theC6 andC7 vertebral body, and cartilage defect shown the trend of "repairing" at18 and24 weeks after modeling.Conclusions:Intervertebral disc degeneration and osteoporosis can cause damage to the cartilage endplate.Co-existence of these two factors can induce more serious damage to the endplate, which has possitive correlation with intervertebral disc degeneration.Osteoporosis plays a certain role in intervertebral disc degeneration process, and

  15. Multilocular True Ulnar Artery Aneurysm in a Pediatric Patient.

    Science.gov (United States)

    Stalder, Mark W; Sanders, Christopher; Lago, Mary; Hilaire, Hugo St

    2016-01-01

    Ulnar artery aneurysms are an exceedingly rare entity in the pediatric population and have no consistent etiologic mechanism. We present the case of a 15-year-old male with a multilocular ulnar artery aneurysm in the setting of no antecedent history of trauma, no identifiable connective tissue disorders, and no other apparent etiological factors. Furthermore, the patient's arterial palmar arch system was absent. The aneurysm was resected, and arterial reconstruction was successfully performed via open surgical approach with cephalic vein interposition graft. We believe this treatment modality should be considered as the primary approach in all of these pediatric cases in consideration of the possible pitfalls of less comprehensive measures.

  16. An adult case of polysplenia syndrome associated with sinus node dysfunction, dextrocardia, and systemic venous anomalies.

    Science.gov (United States)

    Fukuda, Kentaro; Onda, Toshihito; Kimura, Yuki; Miura, Seiji; Matsumori, Rie; Masaki, Yoshiyuki; Nishino, Akihisa; Inoue, Kenji; Fujiwara, Yasumasa; Sumiyoshi, Masataka

    2015-01-01

    A 54-year-old woman was referred to our hospital for symptomatic sinus bradyarrhythmia with a sinus pause of 8 seconds. She was diagnosed with dextrocardia during childhood and discovered to have heterotaxy syndrome when she had an appendectomy during her teenager years. Chest and abdominal examinations by computed tomography showed multiple spleens located on the right side and abnormal drainages of the superior and inferior vena cava. Left isomerism was diagnosed by bilaterally bilobed lungs. Because of a patent bilateral superior vena cava, pacemaker leads were implanted using the right cephalic vein approach. Her fainting symptoms disappeared after pacemaker implantation.

  17. Description and molecular characterisation of Cloacina johnstoni sp. nov. (Nematoda: Strongyloidea) from the wallaroo, Macropus robustus (Marsupialia: Macropodidae) and relationships with the synhospitalic species C. macropodis.

    Science.gov (United States)

    Shuttleworth, Mary; Jabbar, Abdul; Beveridge, Ian

    2016-09-01

    Cloacina johnstoni sp. nov. (Nematoda: Strongyloidea) is described from the sacculated forestomach of the wallaroo, Macropus robustus (Marsupialia: Macropodidae) from Australia. It resembles the synhospitalic species Cloacina macropodis but differs from it principally in the shape of the cephalic papillae. The two species are also distinguishable based on differences in the first and second internal transcribed spacers (ITS) of nuclear ribosomal DNA (rDNA). Cloacina johnstoni commonly co-occurs in the same individual host as C. macropodis but has a more restricted geographical distribution. PMID:27169862

  18. Neoparaseuratum travasssosi, n. g., n. sp. (Nematoda: Quimperiidae, a new parasite from thorny catfish Pterododas granulosus in Brazil

    Directory of Open Access Journals (Sweden)

    F. Moravec

    1992-01-01

    Full Text Available A new nematode genus and species. Neoparaseuratum travassosi n. g., n. sp., is described from the intestine of the freshwater thorny catfish, Pterodoras granulosus (Valenciennes, from the Paraná River, Brazil. This seuratoid nematode species represents a new genus of the family Quimperiidae, being characterized mainly by the presence of numerous narrow longitudinal bands of inflated cuticle extending along the cephalic region of the body, small deirids, postoesophageal position of the excretory pore, relatively short (0.159-0.303 mm, equal spicules and a gubernaculum, the absence of caudal alae and preanal sucker in the male, and by some other features.

  19. Taste processing in Drosophila larvae

    Directory of Open Access Journals (Sweden)

    Anthi A. Apostolopoulou

    2015-10-01

    Full Text Available The sense of taste allows animals to detect chemical substances in their environment to initiate appropriate behaviors: to find food or a mate, to avoid hostile environments and predators. Drosophila larvae are a promising model organism to study gustation. Their simple nervous system triggers stereotypic behavioral responses, and the coding of taste can be studied by genetic tools at the single cell level. This review briefly summarizes recent progress on how taste information is sensed and processed by larval cephalic and pharyngeal sense organs. The focus lies on several studies, which revealed cellular and molecular mechanisms required to process sugar, salt, and bitter substances.

  20. Case Report: Prune perineum syndrome: a rare case with an unfavourable outcome [version 2; referees: 1 approved, 2 approved with reservations

    OpenAIRE

    Roberto I. Lopes; Francisco T. Dénes; Messi, Gustavo B.; Marcos G. Machado

    2016-01-01

    Prune perineum syndrome (PPS) is a rare anomaly, with only two previous case reports, both dying in the perinatal period. We report the first case of PPS that reached childhood. The patient presented with a hypoplastic genitalia and bilateral cryptorchidism. There was no evidence of an anal orifice. A significant prune-like mass was observed, extending from the perineum to both gluteal regions and to a cephalic mid-line bony prominence, with a 1cm central orifice that discharged urine. MRI co...

  1. Postoperative stabilization and intrusion of midface osteotomies with high-pull headgear.

    Science.gov (United States)

    Davis, W H; Suckiel, J M; Kaminishi, R M; Patakas, B M; Parsch, N E

    1977-09-01

    The two cases presented here illustrate advantageous uses of orthopedic-type craniomandibular headgear. Both cases demonstrate the use of headgear for postoperative cephalad movement of the maxilla. In Case 1 the use of headgear accomplished 6 mm. of anterior maxillary cephalad movement and 3.5 mm. of posterior maxillary cephalad movement. In Case 2 the use of postoperative headgear accomplished 8 mm. of anterior maxillary cephaled movement and 6.25 mm. of posterior maxillary cephalad movement. Table I indicates the duration of intermaxillary immobilization and the ensuing time that the cranial traction appliance was used. Fig. 10 illustrates the profile changes for Cases 1 and 2.

  2. Investigation of carbachol and PACAP38 in a human model of migraine

    DEFF Research Database (Denmark)

    Schytz, Henrik Winther

    2011-01-01

    The parasympathetic signalling molecules acetylcholine, pituitary adenylate cyclase activating peptide-38 (PACAP38) and vasoactive intestinal peptide (VIP) may be released from parasympathetic fibres and activate sensory nerve fibres during migraine attacks. Recently, it was shown that VIP does...... in migraine patients as well as sustained dilatation of cephalic vessels. In study IV VIP and PACAP38 evoked skin pain, central sensitization, neurogenic inflammation and mast cell degranulation, but VIP showed to be more potent than PACAP38 in inducing neurogenic inflammation and mast cell degranulation...

  3. Description of Marylynnia puncticaudata n. sp. (Nematoda, Cyatholaimidae from Bizerte Lagoon, Tunisia

    Directory of Open Access Journals (Sweden)

    Boufahja, F.

    2014-12-01

    Full Text Available A new free–living marine nematode species of Cyatholaimidae, Marylynnia puncticaudata n. sp. from Bizerte Lagoon (Tunisia is morphologically described. Males are characterized by a slightly larger body than females, a cephalic ring followed by ten subcephalic setae, modified cuticular punctuation, caudal lateral differentiation of large dots, and strongly cuticularized gubernaculum with a unique shape and bidenticulated distal half. The cuticle ornamentation of females is similar to the males. However, their caudal lateral differentiation is composed of smaller and more spaced dots. An updated morphological key to species of Marylynnia is given.

  4. Place of radiotherapy in head and neck paraganglioma: about a series of 30 patients treated at the Bordeaux university hospital centre between 1987 and 2010; Place de la radiotherapie des paragangliomes de la tete et du cou: a propos d'une serie de 30 patients traites au centre hospitalier universitaire de Bordeaux entre 1987 et 2010

    Energy Technology Data Exchange (ETDEWEB)

    Galland-Girodet, S.; Darrouzet, V.; Maire, J.P.; De-Mones-del-Pujol, E.; Demeaux, H.; Digue, L.; Benech, J.; Protat, B.; Trouette, R.; Aymeri, H. [Service de radiotherapie, CHU de Bordeaux, Bordeaux (France)

    2011-10-15

    The authors report a study which aimed at revealing the long term effect of radiations on the tumour para-ganglionic tissue, at assessing the efficiency and the role of radiotherapy in taking into care of cervical-cephalic paraganglioma, and at assessing the post-therapeutic quality of life. The study is based on a retrospective analysis of 30 patients treated by irradiation, and the analysis is performed in terms of treatment type, received dose, response to radiotherapy, survival rate, tumour control. Short communication

  5. A new Benthopelagic species of Heterokrohnia (Chaetognatha) from the North Atlantic Ocean

    OpenAIRE

    Casanova, Jean-Paul; Chidgey, Kathleen

    1990-01-01

    A new species of Heterokrohnia, H. mirabiloides, is described from the “Discovery” collections made in the North-East Atlantic. It differs from the two other species of the “mirabilis” group mainly in the cephalic armature, particularly the posterior teeth which are much less numerous and bent at rigth-angle. Although H. mirabiloides is benthopelagic as are all the Heterokrohnia species, most specimens have been caught using benthic sampling gear (31 out of 33 specimens). On the other hand H....

  6. All That Glitters is Not Gold: All Unilateral Oedema is Not DVT.

    Science.gov (United States)

    Jayaram, Ashwal Adamane; Ramachandran, Padmakumar; Devasiya, Tom; Kumeri, Abdul Razak Uddina; Pai, Umesh

    2016-07-01

    Innominate vein stenosis or thrombotic occlusion can occur in dialysis patients. Central vein stenosis is a common problem in patients on dialysis. Placement of a central vein catheter for dialysis access increases the risk of central vein stenosis. Central vein stenosis sometimes can jeopardize the arteriovenous fistula and arteriovenous graft in the ipsilateral extremity unless recognized early and treated. We describe three patients with left innominate vein stenosis who were known case of chronic kidney disease on haemodialysis and had a left brachio-cephalic fistula and presented with unilateral facial and upper limb oedema. PMID:27630890

  7. [A comparative study of excretory and sensory apparatus of two cercariae of Diplodiscus parasites of European and African Amphibians (Trematoda, Diploidiscidae) (author's transl)].

    Science.gov (United States)

    Bayssade-Dufour, C; Albaret, J L; Grabda-Kazubska, B; Kulo, S D

    1978-01-01

    The comparative study of the excretory system provides new data on the number of flame cells of two cercariae of Diplodiscus from Poland and Togo but does not allow to distinguish them. On the other hand, the comparison of the superficial sensory apparatus shows significant differences. The cercariae from Togo differ from these of Poland by a much lower number of all the cephalic papillae and papillae of cycle Cv, a higher number of acetabular papillae, and the presence of 9 to 12 pairs of dorsal papillae in the median part of the tail. Therefore the African Diplodicus is not D. subclavatus. We identify it as D. fischthalicus. PMID:754617

  8. Genetic characterization of atypical Mansonella (Mansonella) ozzardi microfilariae in human blood samples from northeastern Peru.

    Science.gov (United States)

    Marcos, Luis A; Arrospide, Nancy; Recuenco, Sergio; Cabezas, Cesar; Weil, Gary J; Fischer, Peter U

    2012-09-01

    DNA sequence comparisons are useful for characterizing proposed new parasite species or strains. Microfilariae with an atypical arrangement of nuclei behind the cephalic space have been recently described in human blood samples from the Amazon region of Peru. Three blood specimens containing atypical microfilariae were genetically characterized using three DNA markers (5S ribosomal DNA, 12S ribosomal DNA, and cytochrome oxidase I). All atypical microfilariae were clustered into the Mansonella group and indistinguishable from M. ozzardi based on these DNA markers. PMID:22826497

  9. A new species of Carnoya Gilson, 1898 (Rhigonematida: Carnoyidae) parasite of a spirobolid (Diplopoda: Spirobolida) from Cuba.

    Science.gov (United States)

    Rodríguez, Nayla García; Rodríguez, Jans Morffe

    2014-05-15

    Carnoya isabelica n. sp. is described parasitizing Nesobolus piedra from Eastern Cuba. The new species is characterized by the presence of 13 copulatory papillae in males (the post-cloacal arranged in two trios, with two lateral papillae and one median papilla that can be laterally displaced), the presence of collars of spines in the both sexes and females with 23-25 collars of spines, cephalic end not swollen and lateral alae extending from the end of spines to the base of the tail. SEM images of both sexes are given.

  10. Pseudascarophis brasiliensis sp. nov. (Nematoda: Cystidicolidae parasitic in the Bermuda chub Kyphosus sectatrix (Perciformes: Kyphosidae from southeastern Brazil

    Directory of Open Access Journals (Sweden)

    Felipe Bisaggio Pereira

    2013-06-01

    Full Text Available A new species of Pseudascarophis (Nematoda: Cystidicolidae found in the stomach of Kyphosus sectatrix (Linnaeus (Kyphosidae, off Rio de Janeiro, Brazil, is described. The new species can be differentiated from the other congeners by the presence of lateral alae, distinct but inconspicuous cephalic papillae at the anterior end, three pairs of precloacal and one pair of adcloacal papillae in males, egg morphology and morphometry of glandular oesophagus and spicules. Pseudascarophis tropica is transferred to Ascarophis as Ascarophis tropica (Solov'eva comb. n. due to its ambiguous diagnosis.

  11. A special adapted retractor for the mini-sternotomy approach.

    Science.gov (United States)

    Massetti, M; Babatasi, G; Bhoyroo, S; Le Page, O; Khayat, A

    1999-07-01

    Minimally invasive cardiac operations are now possible through different approaches. To provide the best exposure and sufficient space to manipulate the heart, a special adapted thoracic retractor has been developed for the ministernotomy approach. It is universally adjustable and provides excellent and consistent exposure especially below the incision edges. The retractor has the further advantage of a very low profile on the surgeon's side and at the cephalic and caudal extremes of the operative field, which permits the greatest possible access through a limited access. We have successfully used this retractor in more than 180 patients. A less invasive median sternotomy through a 6-9-cm incision has been our original approach.

  12. The effects of total contact insole with forefoot medial posting on rearfoot movement and foot pressure distributions in patients with flexible flatfoot.

    Science.gov (United States)

    Tang, Simon Fuk-Tan; Chen, Chien-Hung; Wu, Chih-Kuan; Hong, Wei-Hsien; Chen, Kuan-Jung; Chen, Chih-Kuang

    2015-02-01

    The purpose of this study is to evaluate the therapeutic effect of total contact insole with forefoot medial posting (TCIFMP) orthosis in patients with flexible flatfoot. The TCIFMP insole was custom- mode, made from semi-rigid plastazote and PPT. Using the gait analysis and the plantar-pressure measure systems, we investigate rearfoot motion and plantar pressure redistribution in these patients. The results of this study showed that the excessive valgus movement of the rearfoot can be reduced significantly by the TCIFMP insole in these patients. Besides, there were significant decreases in the peak pressure under the toe, lateral metatarsal, lateral foot and heel areas. Therefore, we suggested that the TCIFMP insole is an effective orthotic device for rearfoot motion control, plantar pressure reduction and re-distribution in patients with flexible flatfoot. PMID:25683316

  13. Technologies for Medical Sciences

    CERN Document Server

    Tavares, João; Barbosa, Marcos; Slade, AP

    2012-01-01

    This book presents novel and advanced technologies for medical sciences in order to solidify knowledge in the related fields and define their key stakeholders.   The fifteen papers included in this book were written by invited experts of international stature and address important technologies for medical sciences, including: computational modeling and simulation, image processing and analysis, medical imaging, human motion and posture, tissue engineering, design and development medical devices, and mechanic biology. Different applications are treated in such diverse fields as biomechanical studies, prosthesis and orthosis, medical diagnosis, sport, and virtual reality.   This book is of interest to researchers, students and manufacturers from  a wide range of disciplines related to bioengineering, biomechanics, computational mechanics, computational vision, human motion, mathematics, medical devices, medical image, medicine and physics.

  14. Error signals driving locomotor adaptation

    DEFF Research Database (Denmark)

    Choi, Julia T; Jensen, Peter; Nielsen, Jens Bo;

    2016-01-01

    perturbations. Forces were applied to the ankle joint during the early swing phase using an electrohydraulic ankle-foot orthosis. Repetitive 80 Hz electrical stimulation was applied to disrupt cutaneous feedback from the superficial peroneal nerve (foot dorsum) and medial plantar nerve (foot sole) during...... walking (Choi et al. 2013). Sensory tests were performed to measure cutaneous touch threshold and perceptual threshold of force perturbations. Ankle movement were measured while subjects walked on the treadmill over three periods: baseline (1 min), adaptation (1 min) and post-adaptation (3 min). Subjects...... (n = 10) showed increased touch thresholds measured with Von Frey monofilaments and increased force perception thresholds with stimulation. Stimulation reduced the magnitude of walking adaptation to force perturbation. In addition, we compared the effects of interrupting cutaneous feedback using...

  15. Plantar fasciitis

    Directory of Open Access Journals (Sweden)

    Mohammad Ali Tahririan

    2012-01-01

    Full Text Available Heel pain, mostly caused by plantar fasciitis (PF, is a common complaint of many patients who requiring professional orthopedic care and are mostly suffering from chronic pain beneath their heels. The present article reviews studies done by preeminent practitioners related to the anatomy of plantar fasciitis and their histo-pathological features, factors associated with PF, clinical features, imaging studies, differential diagnoses, and diverse treatment modalities for treatment of PF, with special emphasis on non-surgical treatment. Anti-inflammatory agents, plantar stretching, and orthosis proved to have highest priority; corticosteroid injection, night splints and extracorporeal shock wave therapy were of next priority, in patients with PF. In patients resistant to the mentioned treatments surgical intervention should be considered.

  16. The effects of total contact insole with forefoot medial posting on rearfoot movement and foot pressure distributions in patients with flexible flatfoot.

    Science.gov (United States)

    Tang, Simon Fuk-Tan; Chen, Chien-Hung; Wu, Chih-Kuan; Hong, Wei-Hsien; Chen, Kuan-Jung; Chen, Chih-Kuang

    2015-02-01

    The purpose of this study is to evaluate the therapeutic effect of total contact insole with forefoot medial posting (TCIFMP) orthosis in patients with flexible flatfoot. The TCIFMP insole was custom- mode, made from semi-rigid plastazote and PPT. Using the gait analysis and the plantar-pressure measure systems, we investigate rearfoot motion and plantar pressure redistribution in these patients. The results of this study showed that the excessive valgus movement of the rearfoot can be reduced significantly by the TCIFMP insole in these patients. Besides, there were significant decreases in the peak pressure under the toe, lateral metatarsal, lateral foot and heel areas. Therefore, we suggested that the TCIFMP insole is an effective orthotic device for rearfoot motion control, plantar pressure reduction and re-distribution in patients with flexible flatfoot.

  17. Estudo da impressão plantar obtida durante o teste de Jack em crianças Footprint study in children during the Jack test

    Directory of Open Access Journals (Sweden)

    José Antonio Pinto

    2011-01-01

    Full Text Available OBJETIVO: Avaliar as impressões plantares durante o teste de Jack em crianças quantificando e observando os resultados numa faixa etária crítica para a formação do arco plantar. MÉTODO: Avaliamos 60 crianças brancas (120 pés sendo 35 meninos e 25 meninas com idades entre 2 e 5 anos, sem queixas ortopédicas. Simulamos o teste de Jack com uma órtese em cunha de 45º apoiada sob o hálux. Obtivemos impressões em apoio monopodálico bilateralmente utilizando um pedígrafo. O exame dividiu-se em duas etapas: com e sem o uso da órtese. A metodologia de Valenti e Volpon foi utilizada para mensurar as impressões plantares e os dados obtidos foram analisados estatisticamente. RESULTADOS: Os valores dos índices de Valenti e Volpon diminuiram quando a órtese foi utilizada. A diferença entre os índices com ou sem órtese diminuiu gradualmente com a progressão etária. CONCLUSÕES: É possível quantificar o teste de Jack pelwas impressões plantares pelo método de Valenti e Volpon. A variação do seu formato apresentou tendência a ser menor a partir dos 4 anos. O teste de Jack perdeu gradativamente a capacidade de modificar a impressão plantar com a idade, diminuindo sua acuidade como parâmetro de bom prognóstico na formação do arco longitudinal medial. Nível de Evidência: Nível IV, estudo descritivo observacional.OBJECTIVE: To assess the plantar impressions obtained in children during the Jack test, with the aim of quantifying and analyzing their variability in the critical period for plantar foot arch formation. METHOD: A hundred and twenty feet from 60 healthy White children, recruited in an outpatient pediatric clinic, were examined. Our sample included 35 boys and 25 girls, ranging from 2 to 5 years. The Jack test was simulated using a 45o wedge-shaped orthosis applied to the hallux. Bilateral plantar impressions were acquired in the alternate single-foot standing position using a pedigraph. Two plantar impressions were

  18. Prosthetic ambulation in a paraplegic patient with a transfemoral amputation and radial nerve palsy.

    Science.gov (United States)

    Shin, J C; Park, C; Kim, D Y; Choi, Y S; Kim, Y K; Seong, Y J

    2000-08-01

    Great importance and caution should be placed on prosthetic fitting for a paraplegic patient with an anesthetic residual limb if functional ambulation is to be achieved. The combination of paraplegia with a transfemoral amputation and radial nerve palsy is a complex injury that makes the rehabilitation process difficult. This article describes a case of L2 paraplegia with a transfemoral amputation and radial nerve palsy on the right side. Following the rehabilitation course, the patient independently walked using a walker at indoor level with a transfemoral prosthesis with ischial containment socket, polycentric knee assembly, endoskeletal shank and multiaxis foot assembly and a knee ankle foot orthosis on the sound side. The difficulties of fitting a functional prosthesis to an insensate limb and the rehabilitation stages leading to functional ambulation are reviewed. PMID:10992814

  19. Slow walking model for children with multiple disabilities via an application of humanoid robot

    Science.gov (United States)

    Wang, ZeFeng; Peyrodie, Laurent; Cao, Hua; Agnani, Olivier; Watelain, Eric; Wang, HaoPing

    2016-02-01

    Walk training research with children having multiple disabilities is presented. Orthosis aid in walking for children with multiple disabilities such as Cerebral Palsy continues to be a clinical and technological challenge. In order to reduce pain and improve treatment strategies, an intermediate structure - humanoid robot NAO - is proposed as an assay platform to study walking training models, to be transferred to future special exoskeletons for children. A suitable and stable walking model is proposed for walk training. It would be simulated and tested on NAO. This comparative study of zero moment point (ZMP) supports polygons and energy consumption validates the model as more stable than the conventional NAO. Accordingly direction variation of the center of mass and the slopes of linear regression knee/ankle angles, the Slow Walk model faithfully emulates the gait pattern of children.

  20. Electrical Resistivity-Based Study of Self-Sensing Properties for Shape Memory Alloy-Actuated Artificial Muscle

    Directory of Open Access Journals (Sweden)

    Jian-Ying Zhu

    2013-09-01

    Full Text Available Shape memory alloy (SMA has great potential to develop light and compact artificial muscle (AM due to its muscle-like high power-to-weight ratio, flexibility and silent operation properties. In this paper, SMA self-sensing properties are explored and modeled in depth to imitate the integrated muscle-like functions of actuating and self-sensing for SMA-AM based on the investigation of SMA electrical resistivity (ER. Firstly, an ER transformation kinetics model is proposed based on the simulation of SMA differential scanning calorimetry (DSC curves. Then a series of thermal-electrical-mechanical experiments are carried out to verify the validity of the ER model, whereby the SMA-AM self-sensing function is well established under different stress conditions. Finally the self-sensing capability is further demonstrated by its application to a novel SMA-AM-actuated active ankle-foot orthosis (AAFO.

  1. Tiny hydraulics for powered orthotics.

    Science.gov (United States)

    Durfee, William; Xia, Jicheng; Hsiao-Wecksler, Elizabeth

    2011-01-01

    Untethered, powered orthotics require an actuation system with power supply and control, transmission line and actuator. Fluid power has unmatched force-to-weight and power-to-weight compared to electromechanical systems, but it is unclear if those same advantages hold for small systems in the 10 to 100 W range. A systems analysis approach suggests that a fluid power system will be lighter than an electromechanical system with the same output power and efficiency if the fluid power is run at pressures over about 200 psi. A theoretical analysis of small bore cylinders suggests that eliminating the piston seal will result in a higher efficiency actuator if the clearance gap is small. A demonstration, battery powered electrohydraulic actuator assembled from off-the-shelf components had the force and power suited to a powered ankle orthosis, but is too large and too heavy, suggesting the need to develop custom components. PMID:22275671

  2. Semi-rigid brace and taping decrease variability of the ankle joint position sense

    Directory of Open Access Journals (Sweden)

    Márcia Barbanera

    2014-12-01

    Full Text Available The present study investigated the effect of taping and the semi-rigid ankle brace on ankle joint position sense. Sixteen healthy women (20.8 ± 2.3 years old actively placed the ankle in a target position. The experimental conditions were: 1 wearing no orthosis device, 2 using semi-rigid brace, and 3 wearing ankle taping. Absolute error (AE and variable error (VE were calculated to obtain the joint position sense. We found an interaction effect between condition and target angle at 15o of plantar flexion for the variable VE, which showed smaller errors during the use of taping and semi-rigid brace. In conclusion, the use of ankle joint orthoses, whether taping or semi-rigid brace, decrease the variability of the position sense at 15o of plantar flexion, potentially decreasing ankle sprains occurrence.

  3. Ankle and subtalar synovitis in a ball-and-socket ankle joint causing posterolateral painful coarse crepitus: a case report.

    Science.gov (United States)

    Fan, Ka Yuk; Lui, Tun Hing

    2014-01-01

    A 17-year-old girl with bilateral ball-and-socket ankles reported left medial heel pain. Her left heel had gone into a varus position on tiptoeing, and a painful clunk had occurred when returning to normal standing. The clunk persisted after physiotherapy and treatment with an orthosis. Subtalar arthroscopy and peroneal tendoscopy showed mild diffuse synovitis of the ankle joint, especially over the posterior capsule, and a patch of inflamed and fibrotic synovium at the posterolateral corner of the subtalar joint. The clunk subsided immediately after arthroscopic synovectomy and had not recurred during 5 years of follow-up. We found no other reported cases of ankle and subtalar synovitis occurring in patients with a ball-and-socket ankle joint. PMID:25179452

  4. [Static metatarsalgia].

    Science.gov (United States)

    Eulry, F

    1997-01-01

    Static metatarsalgia involves pain of non-inflammatory origin in the region of the metatarsal heads. It is caused by a functional disorder or anatomic derangement of the architecture over the ball of the foot, whether congenital or acquired, evident or not. Clinical examination, including of the shoe and of the plantar orthosis, distinguishes five types of anomalies: 1. horizontal malalignment of the metatarsal heads with insufficiency at the first metatarsal-phalangeal joint, dominated by hallux valgus, and involvement of the second metatarsal bone, sometimes favouring Freiberg's disease; 2. vertical malalignment, with a hollow anterior foot, sometimes complicated by Morton's neuroma; 3. a combination of these two anomalies, easily diagnosed but less easily treated; 4. possible enlargement of the first metatarsal-phalangeal joint (hallux rigidus, sesamoid pathology); 5. no patent architectural anomalies, but stress fractures or bone insufficiency fractures of the metatarsals. Only clinical examination can orient complementary strategy and examinations. PMID:9035541

  5. Biomedical technology transfer. Applications of NASA science and technology

    Science.gov (United States)

    Harrison, D. C.

    1980-01-01

    Ongoing projects described address: (1) intracranial pressure monitoring; (2) versatile portable speech prosthesis; (3) cardiovascular magnetic measurements; (4) improved EMG biotelemetry for pediatrics; (5) ultrasonic kidney stone disintegration; (6) pediatric roentgen densitometry; (7) X-ray spatial frequency multiplexing; (8) mechanical impedance determination of bone strength; (9) visual-to-tactile mobility aid for the blind; (10) Purkinje image eyetracker and stabilized photocoalqulator; (11) neurological applications of NASA-SRI eyetracker; (12) ICU synthesized speech alarm; (13) NANOPHOR: microelectrophoresis instrument; (14) WRISTCOM: tactile communication system for the deaf-blind; (15) medical applications of NASA liquid-circulating garments; and (16) hip prosthesis with biotelemetry. Potential transfer projects include a person-portable versatile speech prosthesis, a critical care transport sytem, a clinical information system for cardiology, a programmable biofeedback orthosis for scoliosis a pediatric long-bone reconstruction, and spinal immobilization apparatus.

  6. Internal Models Support Specific Gaits in Orthotic Devices

    DEFF Research Database (Denmark)

    Matthias Braun, Jan; Wörgötter, Florentin; Manoonpong, Poramate

    2014-01-01

    Patients use orthoses and prosthesis for the lower limbs to support and enable movements, they can not or only with difficulties perform themselves. Because traditional devices support only a limited set of movements, patients are restricted in their mobility. A possible approach to overcome...... such limitations is to supply the patient—via the orthosis—with situation-dependent gait models. To achieve this, we present a method for gait recognition using model invalidation. We show that these models are capable to predict the individual patient's movements and supply the correct gait. We investigate...... the system's accuracy and robustness on a Knee-Ankle-Foot-Orthosis, introducing behaviour changes depending on the patient's current walking situation. We conclude that the here presented model-based support of different gaits has the power to enhance the patient's mobility....

  7. Long term curative effects of postoperative rehabilitation after posterior spinal fusion on congenital scoliosis%先天性脊柱侧弯后路融合术后康复的远期疗效 .

    Institute of Scientific and Technical Information of China (English)

    雷伟; 黄耀添; 赵黎; 崔庚; 袁志; 韩利华; 杜俊杰

    2002-01-01

    Objective To review our experience on correction of low grade and medium congenital scoliosis by posterior spinal fusion. Method During 1978~ 1998, 56 patients with low grade and medium congenital scoliosis were treated by posterior spinal fusion with autologous bone、 xenogenic bone and recombining xenogenic bone in our department. Preoperative Cobb angles of all patients were less than 40 degrees. Result The study covered 50 patients with minimum follow up period from surgery of 2 years ( mean 9.5 years, ranging from 2~ 22 years ). All patients have got satisfactory fusion, and the Cobb angels of all patients after operation have no increase with the increase of age. Conclusion Posterior spinal fusion in treatment of low grade and medium congenital scoliosis is easy to do, safe and less injury and cost. The follow up results are satisfying. It is necessary and important to use orthosis and doing orthopedic exercise to consolidate and improve the curative effect after operation.

  8. Sensor-based hip control with hybrid neuroprosthesis for walking in paraplegia

    Directory of Open Access Journals (Sweden)

    Curtis S. To, PhD

    2014-03-01

    Full Text Available The objectives of this study were to test whether a hybrid neuroprosthesis (HNP with an exoskeletal variable-­constraint hip mechanism (VCHM combined with a functional neuromuscular stimulation (FNS controller can maintain upright posture with less upper-limb support and improve gait speed as compared with walking with either an isocentric reciprocating gait orthosis (IRGO or FNS only. The results show that walking with the HNP significantly reduced forward lean in FNS-only walking and the maximum upper-limb forces by 42% and 19% as compared with the IRGO and FNS-only gait, respectively. Walking speed increased significantly with VCHM as compared with 1:1 reciprocal coupling and by 15% when using the sensor-based FNS controller as compared with HNP with fixed baseline stimulation without the controller active.

  9. Relationship Between Bone Mineral Density and Functional Parameters of Paraplegic Patients in Short-Term After Spinal Cord Injury-Original Investigation

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    Duygu Geler Külcü

    2008-12-01

    Full Text Available Aim: To determine the relationship between bone mineralization and functional activity level of paraplegic patients in short-term after spinal cord injury (SCI. Material and Methods: Thirty paraplegic patients and twentynine healthy controls were admitted to this study. Bone mineral density (BMD and Z-scores, together with serum calcium, phosphorus, alkaline phosphatase, parathyroid hormone and 25-hydroxyvitamin-D levels, urinary calcium and deoxypyridinoline excretion were measured. All patients underwent a rehabilitation program including range of motion and progressive resistance exercises, upper body ergometry exercises, standing training with long leg orthosis, wheelchair ambulation or walking either by orthosis or walking aids five times/week during hospitalization. Results: There was no difference between the groups regarding BMD values and Z-scores. Mean serum calcium and parathyroid hormone levels were lower (p=0.016 and p<0.001, respectively, serum phosphorus and alkaline phosphatase levels were higher (p<0.001 and p=0.049, respectively in the paraplegics as compared to the controls. Positive correlations were found between the radius BMD values and total duration of upper body ergometry exercise (r=0.550, p=0.027 and wheelchair use (r=0.622, p=0.010 and also between the femur BMD values and total duration of therapeutic standing (r=0.351, p=0.039. There was an inverse relationship between the femur BMD values and total duration of immobilization (r= -0.404, p= 0.033. Conclusion: Early rehabilitation interventions may prevent bone demineralization. Paraplegic patients should be followed and evaluated also in long term for the increased risk of osteoporosis. (From the World of Osteoporosis 2008;14: 57-61

  10. Examination of the torque required to passively palmar abduct the thumb CMC joint in a pediatric population with hemiplegia and stroke.

    Science.gov (United States)

    Stirling, Leia; Ahmad, Mona Qureshi; Kelty-Stephen, Damian; Correia, Annette

    2015-12-16

    Many activities of daily living involve precision grasping and bimanual manipulation, such as putting toothpaste on a toothbrush or feeding oneself. However, children afflicted by stroke, cerebral palsy, or traumatic brain injury may have lost or never had the ability to actively and accurately control the thumb. To translate insights from adult rehabilitation robotics to innovative therapies for hand rehabilitation in pediatric care, specifically for thumb deformities, an understanding of the torque needed to abduct the thumb to assist grasping tasks is required. Participants (n=16, 10 female, 13.2±3.1 years) had an upper extremity evaluation and measures were made of their passive range of motion, anthropometrics, and torques to abduct the thumb for both their affected and non-affected sides. Torque measures were made using a custom wrist orthosis that was adjusted for each participant. The torque to achieve maximum abduction was 1.47±0.61inlb for the non-affected side and 1.51±0.68inlb for the affected side, with a maximum recorded value of 4.87inlb. The overall maximum applied torque was observed during adduction and was 5.10inlb. We saw variation in the applied torque, which could have been due to the applied torques by the Occupational Therapist or the participant actively assisting or resisting the motion rather than remaining passive. We expect similar muscle and participant variation to exist with an assistive device. Thus, the data presented here can be used to inform the specifications for the development of an assistive thumb orthosis for children with "thumb-in-palm" deformity. PMID:26542786

  11. Foot orthoses and gait: a systematic review and meta-analysis of literature pertaining to potential mechanisms.

    Science.gov (United States)

    Mills, Kathryn; Blanch, Peter; Chapman, Andrew R; McPoil, Thomas G; Vicenzino, Bill

    2010-11-01

    This article systematically reviews the available literature to improve our understanding of the physiological basis for orthoses under the kinematic, shock attenuation and neuromotor control paradigms. The propositions made under these three paradigms have not been systematically reviewed collectively, and as such, there is no single-point synthesis of this clinically relevant body of evidence and somewhat disparate findings. Our comprehensive search strategy yielded 22 papers. Under each paradigm, the role of orthoses with different design features including combinations of posting, moulding and density was analysed. Where possible, data have been pooled to provide an increased level of confidence in findings. The main findings in the kinematic paradigm were that posted non-moulded orthoses systematically reduced peak rearfoot eversion (2.12° (95% CI 0.72 to 3.53)) and tibial internal rotation (1.33° (0.12 to 2.53)) in non-injured cohorts. In the shock attenuation paradigm, it was found that non-posted moulded and posted moulded orthoses produced large reductions in loading rate and vertical impact force when compared with a control and to a posted non-moulded orthosis. The neuromotor control paradigm seems to be the least conclusive in its outcome. Based on our review, this paper concludes with rudimentary guidelines for the prescription of orthosis, that sports medicine practitioners may use in their clinical decision-making process. The need for further research focusing on the role of injury, particularly in neuromotor control modification and long-term adaptation to orthoses, was highlighted. PMID:19996330

  12. Influence of virtual reality soccer game on walking performance in robotic assisted gait training for children

    Directory of Open Access Journals (Sweden)

    Zimmerli Lukas

    2010-04-01

    Full Text Available Abstract Background Virtual reality (VR offers powerful therapy options within a functional, purposeful and motivating context. Several studies have shown that patients' motivation plays a crucial role in determining therapy outcome. However, few studies have demonstrated the potential of VR in pediatric rehabilitation. Therefore, we developed a VR-based soccer scenario, which provided interactive elements to engage patients during robotic assisted treadmill training (RAGT. The aim of this study was to compare the immediate effect of different supportive conditions (VR versus non-VR conditions on motor output in patients and healthy control children during training with the driven gait orthosis Lokomat®. Methods A total of 18 children (ten patients with different neurological gait disorders, eight healthy controls took part in this study. They were instructed to walk on the Lokomat in four different, randomly-presented conditions: (1 walk normally without supporting assistance, (2 with therapists' instructions to promote active participation, (3 with VR as a motivating tool to walk actively and (4 with the VR tool combined with therapists' instructions. The Lokomat gait orthosis is equipped with sensors at hip and knee joint to measure man-machine interaction forces. Additionally, subjects' acceptance of the RAGT with VR was assessed using a questionnaire. Results The mixed ANOVA revealed significant main effects for the factor CONDITIONS (p Conclusions The VR scenario used here induces an immediate effect on motor output to a similar degree as the effect resulting from verbal instructions by the therapists. Further research needs to focus on the implementation of interactive design elements, which keep motivation high across and beyond RAGT sessions, especially in pediatric rehabilitation.

  13. Validation of Ponseti method for clubfoot deformity correction

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    Sanjiv Kumar

    2015-06-01

    Full Text Available Background: Idiopathic Congenital Talipes Equino-Varus (CTEV is a complex deformity of foot that is difficult to treat. The goal of treatment is to gain a functional, pain free, plantigrade foot, with good mobility and without callosities. Currently, the most accepted and popular method is the Ponseti method which allows correction of all components of CTEV by manipulation and serial casting without any major surgical intervention. This prospective study was done in a tertiary care centre to statistically assess the efficacy of Ponseti method. Methods: We treated 150 children (210 feet with idiopathic clubfoot deformity, using Ponseti technique. The severity of foot deformities were assessed by Pirani scoring system and were also recorded clinically, radiologically and podographically. The changes in the mean Catterall-Pirani scores at different follow ups were evaluated statistically. Results: The mean number of casts that were applied to obtain correction was 7.86 (range 5 to 11 casts. Percutaneous tendoachilles tenotomy was done in 70% of feet. All children were given foot abduction orthosis after the correction. The results were graded according to Ponseti and Smoley criteria. Good results were obtained in 83% of feet, acceptable results in 7% of feet and poor results in 10% of cases. Statistically significant correction was achieved in manipulation and casting stage which was maintained during bracing phase. The recurrences of the deformity were primarily due to poor compliance in the use of orthosis in post correction phase. Conclusion: The Ponseti method of correction is a safe and effective treatment for congenital idiopathic clubfoot and radically decreases the need for extensive corrective surgery. Non-compliance with orthotics is the main factor causing relapse of the deformity. [Int J Res Med Sci 2015; 3(3.000: 650-655

  14. The effect of different depths of medial heel skive on plantar pressures

    Directory of Open Access Journals (Sweden)

    Bonanno Daniel R

    2012-08-01

    Full Text Available Abstract Background Foot orthoses are often used to treat lower limb injuries associated with excessive pronation. There are many orthotic modifications available for this purpose, with one being the medial heel skive. However, empirical evidence for the mechanical effects of the medial heel skive modification is limited. This study aimed to evaluate the effect that different depths of medial heel skive have on plantar pressures. Methods Thirty healthy adults (mean age 24 years, range 18–46 with a flat-arched or pronated foot posture and no current foot pain or deformity participated in this study. Using the in-shoe pedar-X® system, plantar pressure data were collected for the rearfoot, midfoot and forefoot while participants walked along an 8 metre walkway wearing a standardised shoe. Experimental conditions included a customised foot orthosis with the following 4 orthotic modifications: (i no medial heel skive, (ii a 2 mm medial heel skive, (iii a 4 mm medial heel skive and (iv a 6 mm medial heel skive. Results Compared to the foot orthosis with no medial heel skive, statistically significant increases in peak pressure were observed at the medial rearfoot – there was a 15% increase (p = 0.001 with the 4 mm skive and a 29% increase (p  Conclusions This study found that a medial heel skive of 4 mm or 6 mm increases peak pressure under the medial rearfoot in asymptomatic adults with a flat-arched or pronated foot posture. Plantar pressures at the midfoot and forefoot were not altered by a medial heel skive of 2, 4 or 6 mm. These findings provide some evidence for the effects of the medial heel skive orthotic modification.

  15. Examination of the torque required to passively palmar abduct the thumb CMC joint in a pediatric population with hemiplegia and stroke.

    Science.gov (United States)

    Stirling, Leia; Ahmad, Mona Qureshi; Kelty-Stephen, Damian; Correia, Annette

    2015-12-16

    Many activities of daily living involve precision grasping and bimanual manipulation, such as putting toothpaste on a toothbrush or feeding oneself. However, children afflicted by stroke, cerebral palsy, or traumatic brain injury may have lost or never had the ability to actively and accurately control the thumb. To translate insights from adult rehabilitation robotics to innovative therapies for hand rehabilitation in pediatric care, specifically for thumb deformities, an understanding of the torque needed to abduct the thumb to assist grasping tasks is required. Participants (n=16, 10 female, 13.2±3.1 years) had an upper extremity evaluation and measures were made of their passive range of motion, anthropometrics, and torques to abduct the thumb for both their affected and non-affected sides. Torque measures were made using a custom wrist orthosis that was adjusted for each participant. The torque to achieve maximum abduction was 1.47±0.61inlb for the non-affected side and 1.51±0.68inlb for the affected side, with a maximum recorded value of 4.87inlb. The overall maximum applied torque was observed during adduction and was 5.10inlb. We saw variation in the applied torque, which could have been due to the applied torques by the Occupational Therapist or the participant actively assisting or resisting the motion rather than remaining passive. We expect similar muscle and participant variation to exist with an assistive device. Thus, the data presented here can be used to inform the specifications for the development of an assistive thumb orthosis for children with "thumb-in-palm" deformity.

  16. Idiopathic scoliosis

    Directory of Open Access Journals (Sweden)

    Jandrić Slavica

    2012-01-01

    Full Text Available Introduction. Idiopathic scoliosis is a structural and lateral curvature of the spine for which a currently recognizable cause has not been found and there is no basic evidence for physical and radiographic pathology. Complications. Scoliosis could be a cause of the back pain, deformities, respiratory and cardiology problems. There is a higher risk for decreasing of bone mineral density. Diagnosis and Management. Physical examination, radiography and stereophotogrametry are used in diagnostics of idiopathic scoliosis. The management of idiopathic scoliosis can be conservative or operative. The main forms of conservative management are: therapy exercises, electrical stimulation and spinal orthosis. The primary aim of scoliosis management is to stop curvature progression. The improvement of pulmonary function (vital capacity and treatment of pain are also of major importance. The guidelines for Conservative Management of Scoliosis. The International Society on Scoliosis Orthopaedic and Rehabilitation Treatment gave the guidelines for conservative management of scoliosis. Conservative management of scoliosis includes: a Lyonaise, Side-Shift, Dobosiewicz, Schroth and other kinesitherapy methods, b scoliosis intensive rehabilitation which appears to be effective with respect to many signs and symptoms of scoliosis and with respect to impeding curvature progression and c brace treatment, which has been found to be effective in preventing curvature progression and thus in altering the natural history of idiopathic scoliosis. Conclusion. The International Society has given the standards for kinesitherapy, intensive rehabilitation and spinal orthosis in clinical practice and clinical investigations. Surgical procedures can improve curves in the frontal plane, but have important limitations in maintaining fixation and achieving correction in other planes.

  17. Obstetric Risk factors for Low Birth Weight amongst Full Term Babies Born at a Tertiary Care Hospital of Belgaum District, South India

    Directory of Open Access Journals (Sweden)

    Damaru Prasad Paneru, Vijaya A Naik, B R Nilgar, Mahesh D Mallapur

    2014-01-01

    Full Text Available Introduction: Low Birth Weight is a multifaceted socio- medical and public health problem, especially in developing countries where Intrauterine Growth Retardation remains major manifestation. This study was carried out to identify obstetric risk factors for Low Birth Weight amongst full term babies born at a tertiary care hospital. Methodology: This was the retrospective record-based study, carried out at the Dr P.K Charitable Hospital of Belgaum district, South India. Records of all consecutive full term (?37 weeks of gestation singleton live births occurring during the period from 1st April–September 31, 2012 was examined to obtain relevant information. Results: A total of 1299 women delivered singleton live births at full term during the stipulated time period. Mean maternal age was 23.28±3.39 years, 53% were primi-gravida and 48.8% were high risk pregnancy. Low birth weight (LBW was prevalent amongst 19.3% new born. Among the independent significant factors associated with the LBW, primigravida, hypertensive mothers, non cephalic presentation, female baby had 1.31, 1.96, 2.89 and 1.33 times higher odds of delivering/having LBW as against multigravida, normotensive mothers, cephalic presentation and male baby respectively. Conclusions: Primigravida, hypertensive disorders during pregnancy, fetal presentation at delivery and sex of the new born were significantly associated with the LBW. Early identification, monitoring and management of hypertensive disorders during pregnancy eventually reduce the LBWs attributable to hypertension.

  18. Conservation, Innovation, and Bias: Embryonic Segment Boundaries Position Posterior, but Not Anterior, Head Horns in Adult Beetles.

    Science.gov (United States)

    Busey, Hannah A; Zattara, Eduardo E; Moczek, Armin P

    2016-07-01

    The integration of form and function of novel traits is a fundamental process during the developmental evolution of complex organisms, yet how novel traits and trait functions integrate into preexisting contexts remains poorly understood. Here, we explore the mechanisms by which the adult insect head has been able to integrate novel traits and features during its ontogeny, focusing on the cephalic horns of Onthophagus beetles. Specifically, using a microablation approach we investigate how different regions of the dorsal head of adult horned beetles relate to their larval and embryonic counterparts and test whether deeply conserved regional boundaries that establish the embryonic head might also facilitate or bias the positioning of cephalic horns along the dorsal adult head. We find that paired posterior horns-the most widespread horn type within the genus-are positioned along a border homologous to the embryonic clypeolabral (CL)-ocular boundary, and that this placement constitutes the ancestral form of horn positioning. In contrast, we observed that the phylogenetically much rarer anterior horns are positioned by larval head regions contained firmly within the CL segment and away from any major preexisting larval head landmarks or boundaries. Lastly, we describe the unexpected finding that ablations at medial head regions can result in ectopic outgrowths bearing terminal structures resembling the more anterior clypeal ridge. We discuss our results in the light of the developmental genetic mechanisms of head formation in holometabolous insects and the role of co-option in innovation and bias in developmental evolution.

  19. Gene Expression Changes in Venous Segment of Overflow Arteriovenous Fistula

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    Yasuhiro Hashimoto

    2013-01-01

    Full Text Available Aim. The objective of this study was to characterize coordinated molecular changes in the structure and composition of the walls of venous segments of arteriovenous (AV fistulas evoked by overflow. Methods. Venous tissue samples were collected from 6 hemodialysis patients with AV fistulas exposed to overflow and from the normal cephalic veins of 4 other hemodialysis patients. Total RNA was extracted from the venous tissue samples, and gene expression between the 2 groups was compared using Whole Human Genome DNA microarray 44 K. Microarray data were analyzed by GeneSpring GX software and Ingenuity Pathway Analysis. Results. The cDNA microarray analysis identified 397 upregulated genes and 456 downregulated genes. Gene ontology analysis with GeneSpring GX software revealed that biological developmental processes and glycosaminoglycan binding were the most upregulated. In addition, most upregulation occurred extracellularly. In the pathway analysis, the TGF beta signaling pathway, cytokines and inflammatory response pathway, hypertrophy model, and the myometrial relaxation and contraction pathway were significantly upregulated compared with the control cephalic vein. Conclusion. Combining microarray results and pathway information available via the Internet provided biological insight into the structure and composition of the venous wall of overflow AV fistulas.

  20. Elbow arteriovenous fistulas for chronic haemodialysis.

    Science.gov (United States)

    Elcheroth, J; de Pauw, L; Kinnaert, P

    1994-07-01

    Arteriovenous fistulas (AVFs) were created at the elbow, rather than using prosthetic grafts, when forearm vessels were inadequate. A total of 272 such fistulas were constructed: 49 between the brachial artery and a forearm vein, 91 between the brachial artery and the elbow perforating vein, 52 between the brachial artery and the cephalic vein and 80 between the brachial artery and the basilic vein. In each case the vein was sutured end to side to the artery. The immediate failure rate was 11.8 per cent. The 1- and 4-year cumulative patency rates were 68.7 and 51.2 per cent for brachial artery-forearm vein AVFs, 80.3 and 68.0 per cent for those between the brachial artery and the elbow perforator, 74.1 and 61.3 per cent for brachial artery-cephalic vein fistulas, and 76.7 and 49.2 per cent for those between the brachial artery and the basilic vein. The elbow AVF is a reliable means of establishing vascular access for haemodialysis. PMID:7922091

  1. Pupillary behaviour in relation to wavelength and age

    Directory of Open Access Journals (Sweden)

    Luis-Lucio Lobato Rincón

    2014-04-01

    Full Text Available Pupil light reflex can be used as a non-invasive ocular predictor of cephalic autonomic nervous system integrity. Spectral sensitivity of the pupil´s response to light has, for some time, been an interesting issue. It has generally, however, only been investigated with the use of white light and studies with monochromatic wavelengths are scarce. This study investigates the effects of wavelength and age within three parameters of the pupil light reflex (amplitude of response, latency, and velocity of constriction in a large sample of younger and older adults (N=97, in mesopic conditions. Subjects were exposed to a single light stimulus at four different wavelengths: white (5600 ºK, blue (450 nm, green (510 nm and red (600 nm. Data was analysed appropriately, and, when applicable, using the General Linear Model (GLM, Randomised Complete Block Design (RCBD, Student´s t test and/or ANCOVA. Across all subjects, pupillary response to light had the greatest amplitude and shortest latency in white and green light conditions. In regards to age, older subjects (46-78 years showed an increased latency in white light and decreased velocity of constriction in green light compared to younger subjects (18-45 years old. This study provides data patterns on parameters of wavelength-dependent pupil reflexes to light in adults and it contributes to the large body of pupillometric research. It is hoped that this study will add to the overall evaluation of cephalic autonomic nervous system integrity.

  2. A new species of Parodontophora (Nematoda: Axonolaimidae) from the intertidal zone of the East China Sea

    Science.gov (United States)

    Wang, Haixia; Huang, Yong

    2016-02-01

    This study described a new species of free-living nematode discovered in the intertidal mudflat of Ximen Island, East China Sea. The new species, designated Parodontophora longiamphidata sp. nov., was characterized by a cylindrical body with tapering extremeties; cuticle smooth without somatic setae; four short cephalic setae; cylindrical buccal cavity with six clawlike teeth at the top of stoma; pharynx cylindrical with widened base; amphidial fovea crook-shaped with elongated scalariform branch extending past level of base of pharynx and ventral gland; ventral gland cell long-oval shaped located posterior to pharyngo-intestinal junction; excretory pore at level of middle of buccal cavity; tail conico-cylindrical with enlarged tip; three caudal gland cells, male spicules arched with cephalic proximal end and tapered distal end; gubernaculum with dorso-caudal apophysis; female with two opposed outstretched ovaries; and vulva at slightly post-midpoint of body length. This new species was close to P. wuleidaowanensis Zhang, 2005 and P. polita Gerlach, 1955 in terms of long amphidial fovea branch. The newly found species was easily distinguishable from the two documented; its amphidial fovea branch (255-290 µm versus 72-106 and 125-150 µm) was obviously longer. Key to the Parodontophora species with a longer amphidial fovea branch was given.

  3. Orthodenticle is required for the development of olfactory projection neurons and local interneurons in Drosophila

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    Sonia Sen

    2014-07-01

    Full Text Available The accurate wiring of nervous systems involves precise control over cellular processes like cell division, cell fate specification, and targeting of neurons. The nervous system of Drosophila melanogaster is an excellent model to understand these processes. Drosophila neurons are generated by stem cell like precursors called neuroblasts that are formed and specified in a highly stereotypical manner along the neuroectoderm. This stereotypy has been attributed, in part, to the expression and function of transcription factors that act as intrinsic cell fate determinants in the neuroblasts and their progeny during embryogenesis. Here we focus on the lateral neuroblast lineage, ALl1, of the antennal lobe and show that the transcription factor-encoding cephalic gap gene orthodenticle is required in this lineage during postembryonic brain development. We use immunolabelling to demonstrate that Otd is expressed in the neuroblast of this lineage during postembryonic larval stages. Subsequently, we use MARCM clonal mutational methods to show that the majority of the postembryonic neuronal progeny in the ALl1 lineage undergoes apoptosis in the absence of orthodenticle. Moreover, we demonstrate that the neurons that survive in the orthodenticle loss-of-function condition display severe targeting defects in both the proximal (dendritic and distal (axonal neurites. These findings indicate that the cephalic gap gene orthodenticle acts as an important intrinsic determinant in the ALl1 neuroblast lineage and, hence, could be a member of a putative combinatorial code involved in specifying the fate and identity of cells in this lineage.

  4. Local increase level of chondroitin sulfate induces changes in the rhombencephalic neural crest migration.

    Science.gov (United States)

    Moro Balbás, J A; Gato, A; Alonso, M; Barbosa, E

    1998-03-01

    Numerous studies suggest that chondroitin sulfate proteoglycan (CSPG) inhibits neural crest cells (NCC) migration at the trunk level. However, its action on the cephalic neural crest is not clear. To determine this action, we have microinjected 0.5 nl of different concentrations of chondroitin sulfate (CS) at the anterior rhombencephalon level in 9 stage chick embryos, as well as subgerminally administering beta-D-xyloside to 8 stage chick embryos. Beta-D-xyloside disrupts CSPG synthesis, producing an increase in CS free chains in several embryonal anlages. Chondroitin sulfate microinjected embryos and beta-D xyloside treated embryos were reincubated until attaining 12 stage. Results obtained for both experimental groups were similar. Immunoreactivity with HNK-1 antibody revealed that NCC did not migrate, remaining near the rhombencephalon dorsal wall; in addition, several NCC did not separate from the neural fold, becoming invaginated towards the rhombencephalon cavity. Our findings indicate that an increase in CS free chains in cephalic neural crest migratory routes not only disrupts their migration, but also impedes delamination and detachment of the rhombencephalic neuroepithelium NCC. These data suggest that the inhibitory action upon the neural crest migration attributed to CSPG may rest on its glycosaminoglycan (GAG). We cannot, however, rule out the possibility that increases in other GAGs apart from CS, may produce similar effects on neural crest migration. PMID:9551866

  5. In vivo venous assessment of red blood cell aggregate sizes in diabetic patients with a quantitative cellular ultrasound imaging method: proof of concept.

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    Julien Tripette

    Full Text Available Diabetic patients present higher level of red blood cell (RBC aggregation contributing to the development of vascular complications. While it has been suggested that this hematology/rheology parameter could bring additional prognostic information for the management of those patients, RBC aggregation screening is not included as a clinical practice. Most medical centers are not equipped to measure properly this parameter, although sedimentation tests can bring some indication. Here, we aimed at evaluating the feasibility of using ultrasound to assess in-vivo hyper-aggregation in type 2 diabetic patients.Seventeen diabetic patients and 15 control subjects underwent ultrasound measurements of RBC aggregation in both cephalic and great saphenous veins. Non-invasive in-vivo ultrasound measurements were performed using a newly developed cellular imaging technique, the structure factor size and attenuation estimator (SFSAE. Comparisons with an ex-vivo gold standard rheometry technique were done, along with measurements of pro-aggregating plasma molecule concentrations.In-vivo RBC aggregation was significantly higher in diabetic patients compared with controls for cephalic vein measurements, while a trend (p = 0.055 was noticed in the great saphenous vein. SFSAE measurements were correlated with gold standard in-vitro measures, fibrinogen and C-reactive protein plasma concentrations.RBC aggregation can be measured in-vivo in diabetic patients using ultrasound. Prospective studies are needed to determine whether the SFSAE method could help clinicians in the early management of vascular complications in this patient population.

  6. The reverse abdominal reduction and the 'waistcoating' procedure for the correction of the fixated Pfannenstiel incision.

    Science.gov (United States)

    Harrison, Douglas H

    2016-05-01

    The principles of a standard abdominal reduction are well understood; this technique has been used for many years. However, a reverse abdominal reduction may be considered in some cases, for example, continued weight loss, and thus skin redundancy on the upper abdomen in patients who have already undergone abdominal reduction and upper abdomen improvement in patients requiring a mastopexy or breast reduction simultaneously. Reverse abdominal reduction is rarely mentioned in the medical literature, but it can prove successful; although the scar across the lower sternum has often been considered to be unsatisfactory, often it does not prove to be so. Thus, this procedure can be proven to be successful in suitable cases. Secondly, the Pfannenstiel incision, if not satisfactorily repaired in the first instance, can become fixated to the abdominal wall; this fixation along with the inevitable migration of skin and fat at its cephalic edge causes a rather displeasing contour defect when wearing tight-fitting swimwear. The principle of the waistcoating procedure is essentially to chamfer the fat cephalically; this procedure is employed for removing the Pfannenstiel scar from the abdominal wall. The principle is simple and effective and can be applied in cases with fixated scars. These two aforementioned principles are not commonly used, but they can prove particularly effective in suitable cases. We illustrate the principles.

  7. 胸腰段陈旧性压缩性骨折患者椎体变形与相邻椎间盘退变的相关性%Correlation of vertebral body deformity and adjacent disc degeneration in patients with old thoracolumbar compression fractures

    Institute of Scientific and Technical Information of China (English)

    崔运能; 李绍林; 赵银霞; 岑黄

    2015-01-01

    Objective To assess the correlation between vertebral body deformity and degeneration of the adjacent intervertebral discs in patients with old thoracolumbar compression fractures. Methods Seventy-one patients who had been conservatively treated after single segment thoracolumbar compression fractures between April, 2011 and May, 2014 were enrolled in this study. Both radiographic and magnetic resonance (MR) images of the thoracolumbar segment were obtained. The involved vertebral body deformity was rated on radiography according to the Genant criterion, and the degeneration of the adjacent cephalic and caudal discs was assessed on MR images using the Oner and Pfirrmann classification schemes, respectively. The relationship between vertebral body deformity and adjacent disc changes was assessed using correlation analysis, and the changes in the adjacent cranial and caudal discs was compared. Results The Genant classification of the involved vertebral bodies was moderately correlated with Oner morphological scores (r=0.48, P0.05). The Oner classification of the adjacent cephalic discs was higher than that of the adjacent caudal discs (P0.05),变形椎体相邻头侧的椎间盘Oner分度较相邻尾侧椎间盘高(P0.05)。结论胸腰段椎体压缩性骨折主要影响相邻头侧椎间盘的形态,两者严重程度相一致,而相邻尾侧椎间盘不受影响。

  8. A new species of Torrestrongylus (Trichostrongylidae, Anoplostrongylinae) from Macrotus waterhousii (Chiroptera: Phyllostomidae) in Central Mexico

    Science.gov (United States)

    Caspeta-Mandujano, Juan Manuel; Peralta-Rodríguez, Jorge Luis; Galindo-García, María Guadalupe; Jiménez, Francisco Agustín

    2015-01-01

    A new species of nematode, Torrestrongylus tetradorsalis n. sp., is described herein, based on specimens recovered from the small intestine of the leaf-nosed bat, Macrotus waterhousii, from the Biosphere Reserve “Sierra de Huautla” in the state of Morelos, Mexico. The new species is included in Torrestrongylus because it features a bursa of the type 3 – 2, a divided cephalic vesicle with an anterior half in the shape of an umbrella, and a posterior widened half. The new species can be distinguished from the only other congener T. torrei Pérez-Vigueras, 1935 by four key features: first, by the absence of cervical alae in both males and females; second, by the relatively longer second half of the cephalic cap; third, by the configuration of the dorsal ray, that does not have a medial terminal ray, and finally, by the structure of the spicules. This is the second species in the genus, previously known from bats of the families Phyllostomidae and Molossidae in Cuba, and now in Mexico. PMID:26514594

  9. A survey of the southernmost representatives of the tricolor species group, genus Phalotris (Serpentes, Colubridae

    Directory of Open Access Journals (Sweden)

    Geraldo C. Leynaud

    2005-12-01

    Full Text Available Colubrid snakes of the South American genus Phalotris are difficult to detect because of their secretive habits, and thus they are poorly represented in collections. The species Phalotris cuyanus and P. tricolor, the southernmost representatives of the tricolor species group, were studied to determine the limits of intraspecific variation of P. cuyanus and to consolidate the taxonomic relationship between both species, the phenetically and geographically closest members in the group. The distribution of selected external characters (cephalic, ventral and subcaudal scales, coloration pattern, width of white and black collars, and hemipenis morphology were analyzed. Comparative data on the other members of the group, P. mertensi and P. matogrossensis, are briefly discussed. Males of P. cuyanus have a higher number of ventral scales than males of P. tricolor (mean of 220.3 vs. 204.6. Cephalic melanism varies among individuals and does not have discriminant orgeographic value for this species group. The white nuchal collar may partially cover the parietal scales in the four species. The black collar is moderately narrow in P. cuyanus, but it can be up to 12 scales wide in P. tricolor. Vertebral dotting is neither constant nor exclusive of any species. The four species of the group are wellcharacterized by combinations of character states for each one. We suggest considering to P. cuyanus as an evolutionary species typical of the Monte biogeographic province.

  10. [Neurocristopathies of the human nasofrontal bud. Ethmoidal syndromes (hypo- and hyper-septoethmoidism) (author's transl)].

    Science.gov (United States)

    Couly, G

    1981-01-01

    Knowledge of human brain development biology has increased rapidly over the last decade due to fundamental acquisitions in the fields of organogenesis, fetal development, and post-natal growth. The role of the neural crests during cephalic organogenesis, recently studied by Mme Nicole Le Douarin, has given new biological dimensions to the head : it is an organic complex, globally neural in character, and of encephalofacial territorialization. The cervicocephalic region derives this original segmentation from the migratory property of this contingent of the neural crests. In this perspective, the nasofrontal bud is therefore an embryonic cephalic segment, in which appears the pro-encephalon, the eyes, the olfactory bulb, and the median facial zones (bone, cartilage, teeth). Any morphogenetic anomaly in this original craniofacial segment creates associated malformation of the brain, the base of the skull, and the face (eyes and olfactory bulbs) : the neurocristopathies. In this respect, and from the semiological point of view, the face is the "predicate" of the brain. A new classification of these malformations is proposed, based on the clinical study of the ethmoid, a cartilaginous median organ which is accessible clinically. Epigenesis lasts for 18 months in this organ, which forms a part of the face and the neurocranium, and which is known to play a "motor" morphogenetic role on the osteomembranous face : the ethmoidal syndromes (hypo- and hyper-septoethmoidism). Future reports will discuss the neurocristopathies of the branchial arches. PMID:6944757

  11. New Aspidoderidae species parasite of Didelphis aurita (Mammalia: Didelphidae): a light and scanning electron microscopy approach.

    Science.gov (United States)

    Chagas-Moutinho, V A; Sant'anna, V; Oliveira-Menezes, A; De Souza, W

    2014-02-01

    Nematodes of the family Aspidoderidae (Nematoda: Heterakoidea) Skrjabin and Schikobalova, 1947, are widely distributed in the Americas. The family Aspidoderidae includes the subfamilies Aspidoderinae Skrjabin and Schikobalova, 1947, and Lauroiinae Skrjabin and Schikobalova, 1951. These two subfamilies are delineated by the presence or absence of cephalic cordons at the anterior region. The nematodes in the subfamily Aspidoderinae, which includes the genus AspidoderaRailliet and Henry, 1912, are represented by nematodes with anterior cephalic cordons at the anterior end. The nematodes of the genus AspidoderaRailliet and Henry, 1912, are found in the cecum and large intestine of mammals of the orders Edentata, Marsupialia and Rodentia. Species within this genus have many morphological similarities. The use of scanning electron microscopy allows the specific characterization of the species within this genus. In the present work, we describe a new species of Aspidodera parasite of the large intestine of Didelphis aurita (Mammalia: Didelphidae) Wied-Neuwied, 1826, collected from Cachoeiras de Macacu, Rio de Janeiro. The combination of light and scanning electron microscopy allowed us a detailed analysis of this nematode. PMID:24129095

  12. Revision of Cervonema Wieser, 1954 and Laimella Cobb, 1920 (Nematoda: Comesomatidae) with descriptions of two species from East Sea, Korea.

    Science.gov (United States)

    Hong, Jung-Ho; Tchesunov, Alexei V; Lee, Wonchoel

    2016-01-01

    One new and one known species of the family Comesomatidae Filiepjev, 1918 were collected from marine sediments in the East Sea, Korea. Cervonema donghaensis sp. nov. is related to C. proximamphidum Tchesunov, 2000 and C. chilensis Chen & Vincx, 2000 but differs from them by the presence of the gubernaculum and by having outer labial setae and cephalic setae of unequal length. It differs from C. proximamphidum by having a rather shorter tail and the shape of the posterior widening of the pharynx, which has distinct muscular striation. Cervonema donghaensis sp. nov. differs from C. chilensis in body length, higher de Man's ratio c, and having a shorter cylindrical portion of the tail. Cervonema deltensis Hope & Zhang 1995 is considered as a junior synonym of C. tenuicauda (Schuurmans Stekhoven, 1950) Wieser, 1954. Specimens of Laimella filipjevi Jensen, 1979 from East Sea, Korea largely agree with the original description of Jensen (1979) of nematodes from the Western Baltic Sea, except for slight differences in length of cephalic setae and spicules. It also coincides well with the redescription of L. filipjevi by Tchesunov (2000) based on specimens from the White Sea. Pictorial keys for the identification of valid species in the genera Cervonema Wieser, 1954 and Laimella Cobb, 1920 are given. PMID:27394589

  13. Revision of the genus Campylaimus (Diplopeltidae, Nematoda) with description of four new species from the Sea of Japan.

    Science.gov (United States)

    Fadeeva, Natalia; Mordukhovich, Vladimir; Zograf, Julia

    2016-01-01

    Four new Campylaimus species are described from the deep-sea sediments of the Sea of Japan at depths of about 500‒3400 m. Campylaimus orientalis sp. nov. is characterized by having a body of moderate length, clearly annulated cuticle, a small rhomboid mouth opening which is displaced on the dorsal side of body, a gap between the unequal limbs of the amphid, prominent narrow longitudinal alae and cephalated spicules. Campylaimus minutus sp. nov. is characterized by having a cylindrical body, very weak annulations, amphids with a short dorsal limb (25-44% of pharynx length) and a ventral limb completely fused with lateral alae of equal width; and lateral alae extending from the base of the amphid to the tail tip. Campylaimus amphidialis sp. nov. is characterized by having the combination of a very long amphidial fovea occupying nearly the entire length of the pharynx; and a well defined boundary between the ventral amphid limb and lateral alae. The distinctive feature of Campylaimus pulcher sp. nov. is the elongated loop-shaped amphid with nearly equal parallel limbs and prominent narrow longitudinal alae; and cephalated spicules without a gubernaculum. The diagnosis of the genus Campylaimus is emended and an identification key to species, based mainly on form and length of amphidial fovea, width of lateral alae, and copulatory apparatus is given. The genus Campylaimus now includes nineteen valid species. Two species are considered as species inquirendae, mainly because of incomplete descriptions. PMID:27394815

  14. The kinematics of swimming and relocation jumps in copepod nauplii

    DEFF Research Database (Denmark)

    Borg, Marc Andersen; Bruno, Eleonora; Kiørboe, Thomas

    2012-01-01

    Copepod nauplii move in a world dominated by viscosity. Their swimming-by-jumping propulsion mode, with alternating power and recovery strokes of three pairs of cephalic appendages, is fundamentally different from the way other microplankters move. Protozoans move using cilia or flagella, and cop......Copepod nauplii move in a world dominated by viscosity. Their swimming-by-jumping propulsion mode, with alternating power and recovery strokes of three pairs of cephalic appendages, is fundamentally different from the way other microplankters move. Protozoans move using cilia or flagella......, and copepodites are equipped with highly specialized swimming legs. In some species the nauplius may also propel itself more slowly through the water by beating and rotating the appendages in a different, more complex pattern. We use high-speed video to describe jumping and swimming in nauplii of three species...... larger copepodites. A slow-swimming mode is only displayed by T. longicornis. In this mode, beating of the appendages results in the creation of a strong feeding current that is about 10 times faster than the average translation speed of the nauplius. The nauplius is thus essentially hovering when...

  15. Structure and expression of three Emx genes in the dogfish Scyliorhinus canicula: functional and evolutionary implications.

    Science.gov (United States)

    Derobert, Y; Plouhinec, J L; Sauka-Spengler, T; Le Mentec, C; Baratte, B; Jaillard, D; Mazan, S

    2002-07-15

    We report the characterization of three Emx genes in a chondrichthyan, the dogfish Scyliorhinus canicula. Comparisons of these genes with their osteichthyan counterparts indicate that the gnathostome Emx genes belong to three distinct orthology classes, each containing one of the dogfish genes and either the tetrapod Emx1 genes (Emx1 class), the osteichthyan Emx2 genes (Emx2 class) or the zebrafish Emx1 gene (Emx3 class). While the three classes could be retrieved from the pufferfish genome data, no indication of an Emx3-related gene in tetrapods could be found in the databases, suggesting that this class may have been lost in this taxon. Expression pattern comparisons of the three dogfish Emx genes and their osteichthyan counterparts indicate that not only telencephalic, but also diencephalic Emx expression territories are highly conserved among gnathostomes. In particular, all gnathostomes share an early, dynamic phase of Emx expression, spanning presumptive dorsal diencephalic territories, which involves Emx3 in the dogfish, but another orthology class, Emx2, in tetrapods. In addition, the dogfish Emx2 gene shows a highly specific expression domain in the cephalic paraxial mesoderm from the end of gastrulation and throughout neurulation, which suggests a role in the segmentation of the cephalic mesoderm.

  16. A new genus of Cystidicolid nematode from the stomach of Galaxias maculatus (Osmeriformes: Galaxiidae) in Patagonia (Argentina).

    Science.gov (United States)

    Brugni, Norma L; Viozzi, Gustavo P; Fernández, María V; Vega, Rocío M

    2009-02-01

    During a parasitological survey of Galaxias maculatus (Jenyns) from Patagonian Andean Lakes, specimens of a new species of nematode were collected from the stomach of fish and studied by light and scanning electron microscopy. This species is described as the only member of a newly proposed genus of Cystidicolidae by having oral opening dorsoventrally elongated, 2 lateral pseudolabia, 4 cephalic papillae, stoma (vestibule) elongated, esophagus divided into anterior muscular and posterior glandular sections, and caudal alae in males. Placonema n. gen. (Habronematoidea, Cystidicolidae) is characterized by the combination of the following features: oral opening dorsoventrally elongated demarcated by 4 sclerotized plates and 2 well-developed pseudolabia projected to the buccal cavity, each pseudolabium with conspicuous, conical, anterior protuberances. Four cephalic papillae and deirids simple. Male with caudal alae, area rugosa absent, 4 pairs of preanal papillae, unpaired papilla present on anterior cloacal lip, and 6 pairs of postanal papillae. Larvigerous eggs without filaments. Placonema pataguense n. gen. n. sp. infects the stomach of G. maculatus from Lake Patagua (Patagonia, Argentina) and is the first species of Cystidicolidae described from G. maculatus. PMID:18652524

  17. A Computational Approach to Model Vascular Adaptation During Chronic Hemodialysis: Shape Optimization as a Substitute for Growth Modeling

    Science.gov (United States)

    Mahmoudzadeh Akherat, S. M. Javid; Boghosian, Michael; Cassel, Kevin; Hammes, Mary

    2015-11-01

    End-stage-renal disease patients depend on successful long-term hemodialysis via vascular access, commonly facilitated via a Brachiocephalic Fistula (BCF). The primary cause of BCF failure is Cephalic Arch Stenosis (CAS). It is believed that low Wall Shear Stress (WSS) regions, which occur because of the high flow rates through the natural bend in the cephalic vein, create hemodynamic circumstances that trigger the onset and development of Intimal Hyperplasia (IH) and subsequent CAS. IH is hypothesized to be a natural effort to reshape the vessel, aiming to bring the WSS values back to a physiologically acceptable range. We seek to explore the correlation between regions of low WSS and subsequent IH and CAS in patient-specific geometries. By utilizing a shape optimization framework, a method is proposed to predict cardiovascular adaptation that could potentially be an alternative to vascular growth and remodeling. Based on an objective functional that seeks to alter the vessel shape in such a way as to readjust the WSS to be within the normal physiological range, CFD and shape optimization are then coupled to investigate whether the optimal shape evolution is correlated with actual patient-specific geometries thereafter. Supported by the National Institute of Diabetes and Digestive and Kidney Diseases of the National Institutes of Health (R01 DK90769).

  18. Interinstitutional Variation of Caesarean Delivery Rates According to Indications in Selected Obstetric Populations: A Prospective Multicenter Study

    Directory of Open Access Journals (Sweden)

    Gianpaolo Maso

    2013-01-01

    Full Text Available The aim of the study was to identify which groups of women contribute to interinstitutional variation of caesarean delivery (CD rates and which are the reasons for this variation. In this regard, 15,726 deliveries from 11 regional centers were evaluated using the 10-group classification system. Standardized indications for CD in each group were used. Spearman’s correlation coefficient was used to calculate (1 relationship between institutional CD rates and relative sizes/CD rates in each of the ten groups/centers; (2 correlation between institutional CD rates and indications for CD in each of the ten groups/centers. Overall CD rates correlated with both CD rates in spontaneous and induced labouring nulliparous women with a single cephalic pregnancy at term (P=0.005. Variation of CD rates was also dependent on relative size and CD rates in multiparous women with previous CD, single cephalic pregnancy at term (P<0.001. As for the indications, “cardiotocographic anomalies” and “failure to progress” in the group of nulliparous women in spontaneous labour and “one previous CD” in multiparous women previous CD correlated significantly with institutional CD rates (P=0.021, P=0.005, and P<0.001, resp.. These results supported the conclusion that only selected indications in specific obstetric groups accounted for interinstitutional variation of CD rates.

  19. Two new genera and five new species of Selachinematidae (Nematoda, Chromadorida from the continental slope of New Zealand

    Directory of Open Access Journals (Sweden)

    Daniel Leduc

    2013-11-01

    Full Text Available Two new genera and five new species of Selachinematidae are described from the New Zealand upper continental slope (350-1240 m depth. Synonchiella rotundicauda sp. nov. is characterised by cephalic setae 0.25 cbd long, mandibles each with two pairs of hooks and two wing-like projections laterally, eight cup-shaped pre-cloacal supplements and short rounded tail. Pseudocheironchus gen. nov. is similar to Cheironchus, but differs from the latter in having a cuticle without lateral differentiation, cephalic setae only slightly longer than the outer labial sensillae, and a posterior buccal cavity with three equal mandibles. Pseudocheironchus ingluviosus gen. et sp. nov. is characterised by mandibles with eight blunt teeth, multispiral amphideal fovea with five turns, and a short rounded tail. Males of this new species with 17-19 cup-shaped pre-cloacal supplements. Males of the genus Cobbionema are described for the first time; C. trigamma sp. nov. is characterised by four long cephalic setae and six smaller outer labial setae in one circle, six rhabdions surrounding the anterior buccal cavity, each with two pairs of pointed projections at their posterior extremities, posterior buccal cavity widening posteriorly, with three pairs of rhabdions fused posteriorly and widening anteriorly, males with two testes pointing anteriorly and with reflexed posterior testis, and no pre-cloacal supplements. Gammanema agglutinans sp. nov. is characterised by a short, stout body often covered in adhering mucus and detritus, cuticle with minute spines, leaf-shaped somatic setae with ducts, sexual dimorphism in the shape of the amphideal fovea (loop-shaped in males and spiral in females, posterior buccal cavity with three pairs of broad, column-shaped rhabdions fused anteriorly, intestine cells with orange-brown granules, and small tubular pre-cloacal supplements. Bendiella gen. nov. is most similar to Halichoanolaimus, but differs from the latter, and all other genera

  20. Efeitos do uso de órtese na mobilidade funcional de crianças com paralisia cerebral The effects of the use of orthoses on the functional mobility of children with cerebral palsy

    Directory of Open Access Journals (Sweden)

    VCR Cury

    2006-01-01

    Full Text Available Objetivo:Comparar o desempenho motor de crianças com paralisia cerebral (PC em duas condições: com órtese e sem órtese. Métodos:Vinte crianças PC foram avaliadas utilizando-se o teste Gross Motor Function Measure (GMFM, a versão modificada da avaliação da marcha Physicians Rating Scale (PRS e entrevista com os pais para avaliar o uso de órteses na rotina diária. Resultados:O teste ANOVA que foi utilizado para avaliar o efeito do uso órtese na mobilidade das crianças revelou médias significantemente superiores na condição com órtese durante o desempenho motor grosso e na marcha. Entrevistas informaram que o uso de órteses estava inserido na rotina diária e os pais demonstraram percepção positiva com relação ao uso desse dispositivo. Conclusão: As órteses promoveram o desempenho de tarefas motoras da rotina diária de crianças com PC, podendo orientar os processos de avaliação e de intervenção dos profissionais que trabalham com essa clientela.Objective:To compare the motor performance of children with cerebral palsy (CP under two conditions: with and without orthoses. Method:Twenty children with CP were evaluated using the Gross Motor Function Measure test (GMFM, a modified version of the Physicians Rating Scale (PRS locomotion assessment, and an interview with their parents to evaluate the use of orthoses in their daily routine. Results:The ANOVA test was used to evaluate the effect of orthosis use on the children's mobility, and it revealed that, when orthosis was used, the means for gross motor function and gait assessments were significantly higher. The interviews confirmed that the use of orthoses was included in the daily routine, and the parents demonstrated positive perceptions regarding the use of such devices. Conclusion: Orthoses improved the performance of routine daily motor tasks among the children with CP, and this finding may serve to guide the assessment and intervention processes of professionals

  1. EFFICACY OF SUBLINGUAL MISOPROSTOL VERSUS OXYTOCIN DRIP FOR INDUCTION AND AUGMENTATION OF LABOUR IN PROM

    Directory of Open Access Journals (Sweden)

    Rekha

    2013-01-01

    Full Text Available ABSTRACT: OBJECTIVES : To evaluate efficacy of sublingual misoprostol ver sus oxytocin drip for induction and augmentation of labor in prelabor rupture of membranes. METHODS : The study included 200 pregnant women with singleton ter m pregnancy with cephalic presentation, leaking per vaginum and no contraindications to vagi nal delivery. They were randomised in two groups, 100 in sublingual misoprostol group and 100 f or oxytocin drip group. Induction delivery interval, mode of delivery, incidence of o perative interference and maternal and fetal outcome were noted and analysed. RESULTS : Mean induction delivery interval was 8 hrs in misoprostol group and 15 hrs in oxytocin group. Mode o f delivery was vaginal in 99% in misoprostol group but 80% in oxytocin group. Sublingua l misoprostol was associated with less meconium passage (1% compared to 20% in oxytocin gro up. CONCLUSION : Sublingual misoprostol is a good alternative to oxytocin drip fo r induction and augmentation of labour in women with PROM.

  2. Allometric growth of larvae of Spodoptera eridania (Cramer, 1782 (Lepidoptera: Noctuidae

    Directory of Open Access Journals (Sweden)

    Iannacone, J.

    2007-07-01

    Full Text Available Allometric growth of Spodoptera eridania (Cramer, 1782 was studied, during one generation, under temperature and humid conditions that fluctuated between 22±3ºC y 73±6%, respectively. Every one of the six larval instars (LI was lengthened total lengthen (TL (mm and diameter of cephalic capsule (CC (mm. CC and TL presented a coefficient of variation means (CV % of 15.59±8.87% and 16.57±3.98%, respectively. Larvae growth rate mean was 1.58±0.27 (1.25 to 1.95. Percentage of CC showed a light negative allometric with relation to TL, and between LI and %CC of S. eridania.

  3. Arvustused / Jan Berkovitch

    Index Scriptorium Estoniae

    Berkovitch, Jan

    2007-01-01

    Heliplaatidest: Municipal Waste "The Art Of Partying", Fueled By Fire "Spread The Fire", Apocryphal Voice "Stilltrapped", Amorphis "Silent Waters", As I Lay Dying "An Ocean Between Us", Baroness "Red Album", Behemoth "The Apostasy", Beherit "H418ov21.C / Electric Doom Synthesis", Cephalic Carnage "Xenosapien", Beneath The Massacre "Mechanics Of Dysfunction", Crionics "Neuthrone", Depressed Mode "Ghosts Of Devotion", Down "III - Over The Under", Drudkh "Estrangement", Einstürzende Neubauten "Alles Wieder Offen", Entombed "Serpent Saints - The Ten Amendments", Fall Of The Leafe "Aerolithe", Helena Nova "Vaenlasega voodis", King Diamond "Give Me Your Soul... Please!", Manes "How The World Came To An End", Must Missa "Martyr Of Wrath", Mustasch "Latest Version Of Truth", Nile "Ithyphallic", Pig Destroyer "Phantom Limb", Reverend Bizarre "Ill: So Long Suckers", Terhen "Eyes Unfolded", Throne Of Katarsis "An Eternal Dark Horizon", Tulus "Biography Obscene", Turbonegro "Retox", Weedeater "God Luck and Good Speed", Vreid "I Krig

  4. The orb-weaving spider genus Chrysometa in Uruguay: distribution and description of a new species (Araneae, Tetragnathidae).

    Science.gov (United States)

    Simó, Miguel; Álvarez, Luis; Laborda, Álvaro

    2016-01-01

    The spider genus Chrysometa Simon, 1895 comprises 138 species of small (3-5 mm) Neotropical orb-weavers spiders (Nogueira et al. 2011; World Spider Catalogue 2015) mainly associated with arboreal vegetation from intermediate to low altitude forests (Levi 1986). Males of Chrysometa differ from other tetragnathids by having the palpal tibial length approximately as long as its widest point; paracymbium articulated and with several apophyses located at both ends; male cephalic region narrower than in the female and having cymbial ectobasal and ectomedian processes. Females are diagnosed by having femora without trichobothria; abdomen covered with silver guanine patches; a flat epigynum and also by their fertilization ducts originating anteriorly and crossing over the spermathecae (Levi 1986; Alvarez-Padilla & Hormiga 2011). PMID:27395900

  5. Descriptions of four larval forms of Nilodosis Kieffer from East Asia

    Directory of Open Access Journals (Sweden)

    Hongqu Tang

    2012-10-01

    Full Text Available Larval material putatively assigned to the genus Nilodosis Kieffer from Korea, China and Japan has been compared. The results show that the Japanese larval form has the club- to balloon-shaped cephalic setae S7 and S9 in common with the Korean larval form, but it can be separated from the latter by the shape of the inner mandibular teeth and the premandibular teeth. The larval forms from China (Guangdong and Yunnan apparently consist of two independent species. It is most likely that there will be more species in this genus found in Asia. Larvae are mud-sandy bottom-dwellers that can occur in the littoral of lakes and the potamal of larger rivers, up to a maximum depth of 5 meters. The specific larval characters show that it probably is a semi-psammorheophilic predator. doi: 10.5324/fn.v31i0.1406.Published online: 17 October 2012. 

  6. Redescription of Dicranocentrus heloisae Arlé & Mendonça, 1982 (Collembola: Entomobryidae

    Directory of Open Access Journals (Sweden)

    Thiago Xisto

    2014-10-01

    Full Text Available Dicranocentrus heloisae Arlé & Mendonça 1982 is redescribed based on specimens collected from its type locality, “Parque Nacional da Tijuca”, Rio de Janeiro municipality, State of Rio de Janeiro. The presence of 6+6 macrochaetae S, 1+1 macrochaeta P, and absence of macrochaetae A1 and Ps dorsally on head, puts Dicranocentrus heloisae in the gracilis-group sensu Mari-Mutt (1979. This species is easily indentified mainly due to general color pattern of pale yellow on body with bluish to blackish pigmentation on head. Taxonomic characteristics not illustrated in the original description are given (dorsal cephalic chaetotaxy, sensory organ of the third antennal segment, eyes, labrum, maxillary palp, outer labial papilla, labial triangle, trochanteral organ, femur, tibiotarsus, unguis, ventral tube and tenaculum. New records from other localities in Brazil are provided. A neotype for Dicranocentrus heloisae is designated.

  7. Congenital seminal vesicle cyst accompanying with ipsilateral renal agenesis in an adolescent patient: A pediatric radiologist approach to Zinner’s syndrome

    Directory of Open Access Journals (Sweden)

    Mehmet Burak Özkan

    2015-12-01

    Full Text Available A fifteen-year-old boy who had complaints of left sided pelvic pain with known ipsilateral left renal agenesia was referred to pediatric radiology department. Incidentally, his sonography examination revealed a dilated tubular structure located in the retro-vesicular region from cephalic to prostate. Contrast enhanced pelvic MRI showed a huge seminal vesicle cyst which is over 6 cm without a mass effect near the aspect border of the prostate and bladder. The patient was diagnosed with Zinner syndrome. The patient doesn’t have new complaint with no definite increase in the diameter of the cyst. In this case presentation we are discussing the Zinner syndrome’s imaging findings from a pediatric radiologist approach with a brief review of the literature.

  8. New troglomorphic species of Tomocerus with well-developed postantennal organs (Collembola: Tomoceridae).

    Science.gov (United States)

    Yu, Daoyuan; Li, Youbang

    2016-01-01

    Three new troglobitic species of Tomocerus are described from the southwestern karsts of China. All of them have well developed postantennal organs. Tomocerus dong sp. nov. is similar to Tomocerus postantennalis Yu, Zhang & Deharveng and Tomocerus deharvengi sp. nov., but is different from them mainly in the number of prelabral chaetae and the dorsal body chaetotaxy. T. deharvengi sp. nov. is very similar to T. postantennalis but differs from the latter in the cephalic chaetotaxy, the number of manubrial pseudopores and the number of dental spines. T. cthulhu sp. nov. is peculiar for the multi-furcated vesicles of ventral tube, and is different from the three aforementioned species mainly in the dorsal body chaetotaxy. The position of the new species and the relationships between them are discussed. PMID:27615979

  9. New troglomorphic species of Tomocerus with well-developed postantennal organs (Collembola: Tomoceridae).

    Science.gov (United States)

    Yu, Daoyuan; Li, Youbang

    2016-09-09

    Three new troglobitic species of Tomocerus are described from the southwestern karsts of China. All of them have well developed postantennal organs. Tomocerus dong sp. nov. is similar to Tomocerus postantennalis Yu, Zhang & Deharveng and Tomocerus deharvengi sp. nov., but is different from them mainly in the number of prelabral chaetae and the dorsal body chaetotaxy. T. deharvengi sp. nov. is very similar to T. postantennalis but differs from the latter in the cephalic chaetotaxy, the number of manubrial pseudopores and the number of dental spines. T. cthulhu sp. nov. is peculiar for the multi-furcated vesicles of ventral tube, and is different from the three aforementioned species mainly in the dorsal body chaetotaxy. The position of the new species and the relationships between them are discussed.

  10. Surgical treatment of chronic pancreatitis. Twenty-two years' experience.

    Science.gov (United States)

    Traverso, L W; Tompkins, R K; Urrea, P T; Longmire, W P

    1979-01-01

    Seventy-four patients underwent operation for chronic pancreatitis during a 22 year period at UCLA Hospital. Follow-up data obtained for 60% of these patients an average of 3.2 years postoperation were analyzed by computer for statistically significant benefit between paired operation combinations and the variables of pain relief, stool habits, alcohol use, readmission for pancreatitis, and narcotic use. The combined group of total and cephalic pancreaticoduodenectomy proved more effective with respect to pain relief and readmission (p less than 0.05) than the group that had pseudocyst drainage. The comparison of groups that underwent resection or ductal drainage showed no statistical differences for the above variables. Regardless of type of operation, if the patient had evidence of pancreatic calcifications and had abstained from alcohol postoperatively, the likelihood of a return to normal activity was more favorable (p less than 0.05). PMID:485605

  11. The Effect of Temperature and Laboratory Rearing Conditions on the Development of Dermestes maculatus (Coleoptera: Dermestidae).

    Science.gov (United States)

    Zanetti, Noelia I; Visciarelli, Elena C; Centeno, Néstor D

    2016-03-01

    Experiments were conducted to study the life cycle of Dermestes maculatus and to establish the total developmental time and the developmental time of immature stages, in relation with six different temperatures. We also analyzed the variations in size, morphology, and other indicators of temporal variation during life cycle of D. maculatus, in relation with temperature. One hundred larvae were selected per experiment, reared individually. The remaining larvae were reared to evaluate and establish temporal variations among the instars (length, cephalic width, and dry weight). In all trials, survivorship was greater than 50% and seven larval instars were found. Data of the average developmental time of immature stages and of the total cycle, at different temperatures, are provided. This is of relevance when estimating particularly, a minimum PMI. No relation between morphometric parameters and temperature was found, suggesting that other random factors may have been involved. Thus, this indicates that the method of isomegalen diagrams could not be used for calculating PMI. PMID:26477981

  12. Evolutionary Theology and Bioethics

    Directory of Open Access Journals (Sweden)

    Alexander Georgievich Yushchenko

    2016-03-01

    Full Text Available The essential theses of evolutional theology are set forth here, which assume biological evolution to be either a technology of the Creator or His own evolution towards understanding His own intentions and attributes. The paradigm of evolutional Christianity is reviwed along with the position and the role of humans in the psychophysical megasynthesis of the Universe and the attibutes of religious and scientifically-atheistic world-view. Biological evolution is interpreted as an ascending row of divine embodiments in biological organisms culminated in the most cephalized  living forms:  human being (terrestrial form and higher dolphins (water form. The establishment of communication between these living forms is considered a necessary stage of integration of Noospheric consciousness. It is suggested to use the ethics of the Creator’s attitude to human beings, as a basis of bio-ethical attitude of humans to animals, especially to higher ones possessing advanced intellect and soul.

  13. Relações cranioencefálicas das veias de Trolard e de Labbé: aplicações neurocirúrgicas Cranioencephalic relationships between Trolard and Labbé veins: neurosurgical applications

    Directory of Open Access Journals (Sweden)

    Sebastião Gusmão

    2001-03-01

    Full Text Available Realizamos estudo anatômico das veias anastomóticas de Trolard e de Labbé em sete segmentos cefálicos com o objetivo de precisar o trajeto e as referências que facilitem a preservação destes vasos durante o procedimento cirúrgico. Estudamos também as relações da veia de Trolard com a área motora.We accomplished an anatomic study of the anastomotic veins of Trolard and Labbé in seven human cephalic segments with the objective to accurate its stretch and references to facilitate its preservation during surgical procedure. The relationship between the Trolard vein and motor cortex was also studied.

  14. Three-dimensional structure of brain tissue at submicrometer resolution

    International Nuclear Information System (INIS)

    Biological objects are composed of submicrometer structures such as cells and organelles that are essential for their functions. Here, we report on three-dimensional X-ray visualization of cells and organelles at resolutions up to 100 nm by imaging microtomography (micro-CT) equipped with Fresnel zone plate optics. Human cerebral tissue, fruit fly cephalic ganglia, and Escherichia coli bacteria labeled with high atomic-number elements were embedded in epoxy resin and subjected to X-ray microtomography at the BL37XU and BL47XU beamlines of the SPring-8 synchrotron radiation facility. The obtained results indicated that soft tissue structures can be visualized with the imaging microtomography

  15. Biological Activities of Royal Jelly - Review

    Directory of Open Access Journals (Sweden)

    Crenguţa I. Pavel

    2011-10-01

    Full Text Available Royal jelly is a secretion product of the cephalic glands of nurse bees that has been used for centuries for itsextraordinary properties and health effects. This bibliographic study aims to review many of the scientific findingsand research that prove many of the remarkable various actions, effects and some uses of royal jelly. There are takeninto consideration numerous biological properties and effects of royal jelly: antioxidant, neurotrophic, hipoglicemiant, hipocholesterolemiant and hepatoprotective, hypotensive and blood pressure regulatory, antitumor, antibiotic, anti-inflammatory, immunomodulatory and anti-allergic, general tonic and antiaging. Royal jelly is one ofthe most studied bee products, but there still remains much to reveal about its biochemistry and biological activity infuture research for our health and life benefit.

  16. Plasticity of Ectomesenchymal Stem Cells and its Ability of Producing Tissue Engineering Tooth by Recombining with Dental Epithelial Cells

    Institute of Scientific and Technical Information of China (English)

    Yan JIN; Liu-Yu BAO; Yi-Jing WANG; Hui-Xia HE

    2005-01-01

    @@ 1 Introduction Recently, it has been found that human dental pulp stem cells could generate dentin-pulp complex-like structures in nude mice, but studies on tissue engineering tooth-like structures by cultured human dental epithelial and mesenchymal stem cells are still reported rarely. Ectomesenchyme is an unique structure of vertebrates embryo compose of postmigratory cephalic neural crest cells(NCC) and its derivatives. The aim of the present study was to identify and isolate the ectomesenchymal stem cells(EMSC) and to demonstrate that EMSCs have the ability of plasticity both in vivo and in vitro. The further interesting was to evaluate the role of EMSC in producing of a tissue engineering tooth together with odontogenic epithelium.

  17. Secrets of safe laparoscopic surgery: Anaesthetic and surgical considerations

    Directory of Open Access Journals (Sweden)

    Srivastava Arati

    2010-01-01

    Full Text Available In recent years, laparoscopic surgery has gained popularity in clinical practice. The key element in laparoscopic surgery is creation of pneumoperitoneum and carbon dioxide is commonly used for insufflation. This pneumoperitoneum perils the normal cardiopulmonary system to a considerable extent. Every laparoscopic surgeon should understand the consequences of pneumoperitoneum; so that its untoward effects can be averted. Pneumoperitoneum increases pressure on diaphragm, leading to its cephalic displacement and thereby decreasing venous return, which can be aggravated by the position of patient during surgery. There is no absolute contraindication of laparoscopic surgery, though we can anticipate some problems in conditions like obesity, pregnancy and previous abdominal surgery. This review discusses some aspects of the pathophysiology of carbon dioxide induced pneumoperitoneum, its consequences as well as strategies to counteract them. Also, we propose certain guidelines for safe laparoscopic surgery.

  18. On the growth and regeneration of the exoskeleton in early jawless vertebrates (Osteostraci, Agnatha).

    Science.gov (United States)

    Afanassieva, O B

    2016-01-01

    Based on the study of sculpture of the cephalic shield and histological structure of the exoskeleton in Reticulaspis menneri Afanassieva et Karatajute -Talimaa (Osteostraci, Agnatha) from the Lower Devonian of the Severnaya Zemlya Archipelago, it has been established that, in the ontogeny of the form under study, dentin generation of the exoskeleton may have developed repeatedly, depending on the requirements of the organism. It is established for the first time that, on the shield surface of osteostracans, dentin structures of various types (tubercles, ridges, networks) could be formed both primarily and in subsequent generations with the growth of the exoskeleton. Injury of the integument and, hence, changes in mechanical tension in covering tissues caused activation of the formation of subsequent generations (of dentin) in the areas involved in reparative regeneration of the shield. PMID:27021367

  19. Dactylogyrus fraternus Wagener, 1909 (Monogenea: Dactylogyridae Parasitic on Alburnus alburnus (Cyprinidae from Turkey

    Directory of Open Access Journals (Sweden)

    Mustafa KOYUN

    2010-12-01

    Full Text Available Dactylogyrus species are a group of monogenean gill parasites that are highly specific to freshwater fishes; represents the most dominant genus among the Monogenea with regard to host distribution and location. They were sampled 14 species from more than 27 host collected in Turkey. Among these dactylogyrid parasites, Dactylogyrus fraternus could be described and illustrated from specimens collected from gills of a cyprinid fish, bleak Alburnus alburnus, in Enne Dam reservoir from Kutahya, Turkey. Diagnostic characters of this species are the tegument of trunk showing annulations, except on the cephalic region, and copulatory complex comprising sclerotized, basal part broad, the tube which is long and hard. The purpose of the present study was to determine, on the whole, the body structure of the Dactylogyrus fraternus in bleak.

  20. Walker-Warburg syndrome: a report of 3 cases.

    Science.gov (United States)

    Denis, D; Gambarelli, D; Luciani, A; Aymé, S; Philip, N; Saracco, J B

    1993-01-01

    Walker-Warburg syndrome is a congenital malformation syndrome of unknown etiology which is characterized by fatal neurological lesions. It was first described by Walker in 1942 as involving agyria, hydrocephalus and eye malformations. Its etiology has been discussed in all of the articles on the subject in the literature, but the majority of the authors describe it as an autosomal recessive syndrome. Ultrasonography plays a key role in detecting a cephalic anomaly by prenatal diagnosis as in our 2 cases. The aim of this article is to report 3 new cases of Walker-Warburg syndrome in two families. Knowledge of this syndrome emphasizes both the need for ultrasonographic observation and genetic counselling for families at risk.

  1. Congestive heart failure from suspected ductal closure in utero.

    Science.gov (United States)

    Arcilla, R A; Thilenius, O G; Ranniger, K

    1969-07-01

    This is the 1st case report of a ductal closure occurring during fetal growth. The case was a spontaneous delivery in cephalic presentation from a 31-year-old gravida 3, para 3 Black woman who had been treated with isoniazid and spreptomycin up to 2 months before her delivery. Gestational age was 37 weeks when the fetus was delivered weighing 3.15 kgm. The cord had been wrapped around the fetus's neck, and breathing was delayed 2 minutes. In the nursery, the baby's general condition was poor, and congestive heart failure was diagnosed. The newborn had trieuspid insufficiency, severe heart failure, and acidosis at birth. These disappeared the next day. Hemodynamic studies when the baby was 4 hours old showed a large cone-shaped ductus arteriousus extending from the pulmonary artery but ending blindly at the aortic end.

  2. Three-dimensional structure of brain tissue at submicrometer resolution

    Energy Technology Data Exchange (ETDEWEB)

    Saiga, Rino; Mizutani, Ryuta, E-mail: ryuta@tokai-u.jp [Department of Applied Biochemistry, Tokai University, Hiratsuka, Kanagawa 259-1292 (Japan); Inomoto, Chie; Takekoshi, Susumu; Nakamura, Naoya; Tsuboi, Akio; Osawa, Motoki [Tokai University School of Medicine, Isehara, Kanagawa 259-1193 (Japan); Arai, Makoto; Oshima, Kenichi; Itokawa, Masanari [Tokyo Metropolitan Institute of Medical Science, Setagaya, Tokyo 156-8506 (Japan); Uesugi, Kentaro; Takeuchi, Akihisa; Terada, Yasuko; Suzuki, Yoshio [Japan Synchrotron Radiation Research Institute (JASRI/SPring-8), Sayo, Hyogo 679-5198 (Japan)

    2016-01-28

    Biological objects are composed of submicrometer structures such as cells and organelles that are essential for their functions. Here, we report on three-dimensional X-ray visualization of cells and organelles at resolutions up to 100 nm by imaging microtomography (micro-CT) equipped with Fresnel zone plate optics. Human cerebral tissue, fruit fly cephalic ganglia, and Escherichia coli bacteria labeled with high atomic-number elements were embedded in epoxy resin and subjected to X-ray microtomography at the BL37XU and BL47XU beamlines of the SPring-8 synchrotron radiation facility. The obtained results indicated that soft tissue structures can be visualized with the imaging microtomography.

  3. Evemphyron sinense, a new genus and species infesting legume seedpods in China (Coleoptera, Attelabidae, Rhynchitinae)

    Science.gov (United States)

    Lv, Xiangyang; Alonso-Zarazaga, Miguel A.; Xiao, Zhishu; Wang, Zhiliang; Zhang, Runzhi

    2016-01-01

    Abstract A new genus Evemphyron Alonso-Zarazaga, Lv & Wang, gen. n., belonging to Attelabidae Rhynchitinae, is described. Its single species, Evemphyron sinense Alonso-Zarazaga, Lv & Wang, sp. n., was reared from larvae found inside seed pods of the legume Callerya dielsiana (Fabaceae, Millettieae) in Sichuan Province (China). The species is figured and placed in the Deporaini because of the presence of minute labial palpi, the strongly crescentic apex of the postmentum, and the apodemes of male IX sternite and female VIII sternite curved sinistro-anterially near their cephalic end. It shows 3-segmented labial palpi and male sex patches on the procoxae, characters that suggest a basal position in the tribe. PMID:27408602

  4. LRP2 is an auxiliary SHH receptor required to condition the forebrain ventral midline for inductive signals.

    Science.gov (United States)

    Christ, Annabel; Christa, Anna; Kur, Esther; Lioubinski, Oleg; Bachmann, Sebastian; Willnow, Thomas E; Hammes, Annette

    2012-02-14

    Sonic hedgehog (SHH) is a regulator of forebrain development that acts through its receptor, patched 1. However, little is known about cellular mechanisms at neurulation, whereby SHH from the prechordal plate governs specification of the rostral diencephalon ventral midline (RDVM), a major forebrain organizer. We identified LRP2, a member of the LDL receptor gene family, as a component of the SHH signaling machinery in the RDVM. LRP2 acts as an apical SHH-binding protein that sequesters SHH in its target field and controls internalization and cellular trafficking of SHH/patched 1 complexes. Lack of LRP2 in mice and in cephalic explants results in failure to respond to SHH, despite functional expression of patched 1 and smoothened, whereas overexpression of LRP2 variants in cells increases SHH signaling capacity. Our data identify a critical role for LRP2 in SHH signaling and reveal the molecular mechanism underlying forebrain anomalies in mice and patients with Lrp2 defects.

  5. A new species of Holocephalus Hope from Paraguay (Coleoptera: Scarabaeidae: Scarabaeinae: Dichotomiini s. str.).

    Science.gov (United States)

    Nunes, Rafael V; Vaz-de-Mello, Fernando Z

    2016-01-01

    It came to us from Svatopluk Pokorný a single Scarabaeinae specimen from Paraguay which we promptly diagnosed as belonging to the genus Holocephalus Hope, mainly due to the shape of first labial palpomere, head, cephalic carina, pronotum and other secondary charateristics (Smith & Génier 2001, Vaz-de-Mello et al. 2011). Comparisons with the diagnosis provided in the very fine and comprehensive revision of the genus (Smith & Génier 2001) and with specimens deposited at CEMT (Cuiabá-MT, Brazil) allowed us to confirm that this exemplar belongs to a new species of Holocephalus, which is described here. Besides providing illustrated description and diagnosis of the sixth discovered species of the genus, we differentiate it in a Holocephalus key adapted from Smith & Génier (2001) and also provide additional geographical records for other species in the genus. PMID:27395726

  6. A PROGRAMMED LABOUR - PROTOCOL

    Directory of Open Access Journals (Sweden)

    Savita

    2014-12-01

    Full Text Available A Prospective randomized Clinical study of outcome of labour following. “A Programmed labour. Protocol” was done at Department of OBG, MRMC Gulbarga. The Protocol was aimed with dual. Objective of Providing Pain relief during labour and teaching the goal of safe motherhood by optimizing objective outcome. AIMS AND OBJECTIVES: Shortening of duration of labour. Effect of labour analgesia. Monitoring of the events during labour. Lowering the incidence of operative deliveries. METHODS: 100 cases primi pregnant women admitted in labour room are randomly selected. It is designed to apply to low risk primi parous, singleton cephalic presentation without evidence of CPD and spontaneous onset of labour. RESULTS: Shortened duration of all the stages of Labour, especially significant reduction in duration of active phase of labour. CONCLUSION: The programmed labour is simple easy and effective method for painless and safe delivery.

  7. Arterial responses during migraine headache

    DEFF Research Database (Denmark)

    Iversen, Helle Klingenberg; Nielsen, T H; Olesen, J;

    1990-01-01

    The superficial temporal artery has been thought to be the main focus of pain during migraine attacks, but its diameter has never been measured directly. The use of a new, high-resolution ultrasound machine to measure arterial size in 25 migraine patients with unilateral head pain showed...... that the lumen was wider on the painful than on the non-painful side during a migraine attack. The diameters of both radial arteries and the temporal artery on the non-painful side were smaller during than between attacks. The generalised vasoconstriction was not shared by the temporal artery on the affected...... side, which suggests a local vasodilatory response. The findings suggest that cephalic arteries may play a role in migraine pathogenesis....

  8. Sphenopalatine ganglion neuromodulation in migraine

    DEFF Research Database (Denmark)

    Khan, Sabrina; Schoenen, Jean; Ashina, Messoud

    2014-01-01

    OBJECTIVE: The objective of this article is to review the prospect of treating migraine with sphenopalatine ganglion (SPG) neurostimulation. BACKGROUND: Fuelled by preliminary studies showing a beneficial effect in cluster headache patients, the potential of treating migraine with neurostimulation...... has gained increasing interest within recent years, as current treatment strategies often fail to provide adequate relief from this debilitating headache. Common migraine symptoms include lacrimation, nasal congestion, and conjunctival injection, all parasympathetic manifestations. In addition......, studies have suggested that parasympathetic activity may also contribute to the pain of migraineurs. The SPG is the largest extracranial parasympathetic ganglion of the head, innervating the meninges, lacrimal gland, nasal mucosa, and conjunctiva, all structures involved in migraine with cephalic...

  9. Taxonomic status and morphological variation of Hydrodynastes bicinctus (Hermann, 1804) (Serpentes: Dipsadidae).

    Science.gov (United States)

    Murta-Fonseca, Roberta A; Franco, Francisco L; Fernandes, Daniel Silva

    2015-01-01

    Hydrodynastes bicinctus was described with no type material or locality and it has two subspecies currently recognized that are not taxonomically well defined. We tested the validity of the two subspecies through meristic, morphometric, and color pattern characters. Two apparently distinct color patterns of H. bicinctus were noticed, one from the Cerrado open formations and the other from the Amazon rainforest. These aforementioned patterns, however, exhibited a high degree of geographic overlap and many specimens showed a blended pattern. Based on these results we propose synonymizing H. bicinctus schultzi with the nominal taxon. Furthermore, we designate a neotype for the species, present data on geographic distribution, and provide morphological descriptions of the hemipenis, cephalic glands, and skull.

  10. Delayed migraine-like headache in healthy volunteers after a combination of acetazolamide and glyceryl trinitrate

    DEFF Research Database (Denmark)

    Daugaard, D.; Iversen, H. K.; Olesen, Jes;

    2009-01-01

    Glyceryl trinitrate (GTN) is a pro-drug dissociating nitric oxide throughout the body. It dilates cephalic arteries without increasing cerebral blood flow (CBF). GTN induces headache in healthy volunteers and migraine attacks in migraineurs. Acetazolamide (Az) increases CBF but does not dilate...... cerebral arteries. The hypothesis tested here was that Az, by dilating cerebral arterioles but not arteries and thereby decreasing pulsatile stretching of the wall of the large arteries and their perivascular sensory nerves, would reduce or prevent the GTN-induced headache We tested this hypothesis in 14...... healthy volunteers. In a randomized, double-blind, cross-over study, they were pretreated with Az or placebo followed on both study days by a GTN infusion of 0.5 mu g kg-1 min-1 for 20 min. Headache was scored on a verbal rating scale and a headache diary was kept for 12 h. Mean blood velocity...

  11. Molecular and pathological characterization of Fusarium solani species complex infection in the head and lateral line system of Sphyrna lewini.

    Science.gov (United States)

    Pirarat, Nopadon; Sahatrakul, Komsil; Lacharoje, Sitthichok; Lombardini, Eric; Chansue, Nantarika; Techangamsuwan, Somporn

    2016-08-01

    A severe fungal infection affecting the head and lateral line system was diagnosed in 7 captive scalloped hammerhead sharks Sphyrna lewini in an aquarium in Thailand. Extensive and severe necrotizing cellulitis was consistently observed microscopically along the cephalic and lateral line canals in conjunction with positive fungal cultures for Fusarium sp. Molecular phylogenetic analysis was performed from 3 isolates based on the nucleotide sequences containing internally transcribed spacer (ITS) and a portion of 5.8S and 28S rDNA. The fungus was highly homologous (100%) and closely related to F. solani species complex 2 (FSSC 2), which belongs to Clade 3 of the FSSC. Our results illustrate the histopathological findings and expand upon our knowledge of the prevalence of invasive fusariosis in the head and lateral line system of hammerhead sharks. PMID:27503915

  12. Two new species of nematode (Oxyurida, Hystrignathidae parasites of Passalus interstitialis Escholtz, 1829 (Coleoptera, Passalidae from Cuba and a new locality for Longior similis Morffe, Garcia & Ventosa, 2009

    Directory of Open Access Journals (Sweden)

    Jans Rodríguez

    2010-06-01

    Full Text Available Two new species of hystrignathids (Oxyurida: Hystrignathidae are described as parasites of Passalus interstitialis Escholtz, 1829 from Cuba. Hystrignathus splendidus sp. n. differs from H. inflatus Travassos & Kloss, 1957 bythe eggs ridged, a stouter body and a shorter tail, and from H. tarda (Artigas, 1928 by its eggs being ridged and larger. Lepidonema magnum sp. n. can be differentiated from L. brasiliensis Travassos & Kloss, 1957 by the extension of the lateral alae, length of the first cephalic annule and the stouter body. It differs from L. teresae Garcia, Ventosa & Morffe, 2009 by the esophagus and tail being comparatively shorter. L. bifurcata Cobb, 1898 differs from the new species bythe tail tip bifurcated. L. caracae Kloss, 1962 has more extended lateral alae and a shorter esophagus. Keys to the Cuban species of Hystrignathus and Lepidonema are given. Longior similis Morffe, Garcia & Ventosa, 2009 is recorded from El Pan de Matanzas, Matanzas Province, Cuba.

  13. Unusual case of persistent Horner's syndrome following epidural anaesthesia and caesarean section.

    Science.gov (United States)

    Goel, Shubhra; Burkat, Cat Nguyen

    2011-01-01

    This is a rare case of persistent Horner's syndrome following epidural anesthesia and Caesarean section. A 33-year-old female presented with persistent ptosis and miosis following epidural anesthesia and Caesarian section several months prior. Magnetic resonance imaging (MRI)/magnetic resonance angiography (MRA) of head, neck, and chest were unremarkable. Medline search using terms Horner's, epidural, spinal anesthesia, delivery, childbirth, Caesarian, and pregnancy identified 31 articles describing Horner's syndrome in obstetric epidural anesthesia, of which 11 were following Caesarean section. The increased incidence of Horner's syndrome in the setting of epidural anesthesia in pregnancy may be related to epidural venous engorgement and cephalic spread of the local anaesthetic, with disruption in the oculosympathetic pathway. It is important to include recent epidural anesthesia within the differential diagnosis of acute Horner's syndrome in a postpartum female. Rarely, the ptosis may be permanent and require surgical intervention.

  14. Homeostasis in Primates in the Hyperdynamic Environment. [circadian timekeeping and effects of lower body positive pressure on sleep

    Science.gov (United States)

    Fuller, C. A.

    1985-01-01

    The influence of chronic centrifugation upon the homestatic regulation of the circadian timekeeping system was examined. The interactions of body temperature regulation and the behavioral state of arousal were studied by evaluating the influence of cephalic fluid shifts induced by lower body positive air pressure (LBPP), upon these systems. The small diurnal squirrel monkey (Saimiri sciureus) was used as the non-human primate model. Results show that the circadian timekeeping system of these primates is functional in the hyperdynamic environment, however, some of its components appear to be regulated at different homeostatic levels. The LBPP resulted in an approximate 0.7 C decrease in DBT (p 0.01). However, although on video some animals appeared drowsy during LBPP, sleep recording revealed no significant changes in state of arousal. Thus, the physiological mechanisms underlying this lowering of body temperature can be independent of the arousal state.

  15. Coynema gen. n., a new genus of nematode (Thelastomatoidea, Hystrignathidae parasites of Passalidae (Coleoptera from Cuba

    Directory of Open Access Journals (Sweden)

    Jans Rodríguez

    2011-01-01

    Full Text Available The new genus Coynema gen. n. is described as parasite of the two passalid beetles from Cuba: Passalus interstitialis Escholtz, 1829 (type host and P. pertyi Kaup, 1869. Females are characterized by the shape of their cephalic end, cervical cuticle unarmed, a sub-cylindrical procorpus with its base abruptly dilated, fore region of intestine dilated as a sac-like structure, genital system didelphic-amphidelphic and eggs markedly ovoid and smooth-shelled. Males have a digestive system similar to females, tail sharply pointed, bearing a Y-like thickening of the dorsal cuticle. They also present a big, median, mammiform pre-cloacal papillae and a pair of small, sub-dorsal pre-cloacal papillae anterior to the cuticular thickening of the tail.

  16. One new and three known species of Geocenamus Thorne & Malek, 1968 (Nematoda: Merliniidae) from Iran.

    Science.gov (United States)

    Ghaderi, Reza; Karegar, Akbar

    2016-01-01

    Soil samples collected from different plants and localities in Iran yielded one new and three known species of the genus Geocenamus with tessellated cuticle. Geocenamus conicaudatus n. sp. is characterised by a hemispherical cephalic region, set-off from the rest of body by a constriction, a slender stylet 17-20 µm long with laterally directed knobs, coarsely annulated cuticle with 32-34 longitudinal striae and a conical tail with smooth, finely rounded terminus. Morphological and molecular studies on the populations of G. paniculoides and G. tartuensis indicated that G. paniculoides may be considered as a valid species. Intraspecific variability of some characters of 30 Iranian populations of G. rugosus were studied. An identification key to 32 valid species of the genus Geocenamus is given. PMID:27395998

  17. New Record of Schistorophus cirripedesmi (Nematoda: Acuariidae) from a Bar-Tailed Godwit, Limosa lapponica baueri (Charadriformes: Scolopacidae) in Korea.

    Science.gov (United States)

    Choe, Seongjun; Kim, Hyun; Lim, Junsik; Lee, Dongmin; Park, Hansol; Jeon, Hyeong-Kyu; Kim, Heejong; Kim, Youngjun; Eom, Keeseon S

    2016-06-01

    In July 2014, a nematode species, Schistorophus cirripedesmi Rhizhikov and Khokhlova, 1964, was recovered from a bar-tailed godwit, Limosa lapponica baueri that was stored in a -20˚C freezer in the Chungnam Wild Animal Rescue Center. The bird was collected in 2012 from the coastal region of Pyeongtaek-si (City), Gyeonggi-do (Province) in the Republic of Korea, although the exact date is not clear. At necropsy, 9 nematodes were found in the gizzard of the bird. The parasites had 4 horn-like cephalic cuticular ornamentations. After morphometric comparison and morphological observations, including scanning electron microscopy, the nematodes were identified as S. cirripedesmi. This is the first description of a nematode species in a shorebird in Korea. This is also the first time this genus and species have been found in Korea. PMID:27417093

  18. Perception gustative des lipides alimentaires : paradigme et paradoxes

    Directory of Open Access Journals (Sweden)

    Gaillard Dany

    2008-01-01

    Full Text Available Origin of spontaneous fat preference in mammals remains elusive. It is clearly a multimodal system resulting from the integration of orosensory and post-ingestive signals. For a long time, dietary lipids were thought to be only sensed in the oral cavity through their textural and olfactory cues. Recent data strongly suggest that the sense of taste also plays a significant role in the preference for lipid-rich foods and in lipid-mediated induction of cephalic phase of the digestion in rodents and in humans. Molecular and physiological mechanisms of this new paradigm become known. Some of these data were not fully expected and might be considered, as first sight, as paradoxical. The « fatty taste » paradigm and paradoxes are analyzed in this minireview.

  19. [Sesamoid osteoopathy of the foot].

    Science.gov (United States)

    Szántó, D; Szücs, G; Tamási, L; Fazekas, K; Lukács, K; Flórián, A

    1996-12-01

    Taking parts of sesamoids in several arthroosteopathies of 160 males and 156 females in the retrospective study were investigated. On the comparative dorsi-plantar, oblique, inversion and eversion pedal plain films could demonstrate bony hypotrophy and hypertrophy of sesamoids in 124 (39.55%) of 316 subjects. Until the dorsi-plantar radiographs were obtained with 15 degrees cephalic tube angulation, then the oblique, inversion and eversion ones were unangled. Radiographically the sesamoid osteopathies were divided into mild (grade 1, 36 of 124 cases), moderate (grade 2, 44 of 124 cases) and severe (grade 3, 44 of 124 cases) forms. The affictions involved the constant sesamoid bones of forefeet (1st and 5th metatarsophalangeal joints) exclusively. Sesamoid osteopathy was clinically specified by the serious locomotive pain of ball of the feet as well unfavourable chances against conservative treatment. PMID:9679599

  20. Nematodes of armadillos in Paraguay: a description of a new species Aspidodera esperanzae (Nematoda: Aspidoderidae).

    Science.gov (United States)

    Fujita, O; Abe, N; Oku, Y; Sanabria, L; Inchaustti, A; Kamiya, M

    1995-12-01

    Twelve species of nematodes comprising 9 genera were recovered from the gastrointestinal tract of 2 Euphractus sexcinctus and 2 Dasypus novemcinctus captured in the Department of San Pedro, Paraguay. All armadillos were infected with 1 or more species of nematode. The following nematodes were recovered: Mazzia mazzia, Spirura guianensis, Trichohelix tuberculata, Ancylostoma sp., Moennigia complexus, Moennigia pintoi, Ascaris dasypodina, Cruzia tentaculata, Aspidodera fasciata, Aspidodera scoleciformis, Aspidodera esperanzae n. sp., and Heterakinae gen. sp. This report describes a new species of the Aspidodera nematode, Aspidodera esperanzae n. sp., the first species to be reported bearing cephalic cordons made up of 7 longitudinal loops in the subfamily of Aspidoderinae. This study also documents a new host record for S. guianensis and shows a new geographical distribution in Paraguay for M. mazzia, S. guianensis, T. tuberculata, M. complexus, and M. pintoi.

  1. Herpetofauna of the Quaternary sand dunes of the Middle Rio São Francisco, Bahia, Brazil. VIII. Amphisbaena arda sp. nov., a fulliginosa-like checkered patterned Amphisbaena (Squamata: Amphisbaenidae.

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    Miguel Trefaut Rodrigues

    2002-01-01

    Full Text Available Amphisbaena arda sp. nov. is described based on a specimen obtained at Mocambo do Vento, on the left bank of the São Francisco river, Bahia state, Brazil. A. arda is a medium size amphisbaenian with a checkered black and white color pattern similar to the one present in the fuliginosa group but differing from that by having a lighter pigmentation, an uniformly white ventral surface, and by several other important morphological characters. A. arda is similar to Amphisbaena vermicularis in meristic characters currently used to assist amphisbaenian identification but can be separated from it by its color pattern, its flatter cephalic shields, and by the more ventral position of the nostril.

  2. Unusual case of persistent Horner′s syndrome following epidural anaesthesia and caesarean section

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    Shubhra Goel

    2011-01-01

    Full Text Available This is a rare case of persistent Horner′s syndrome following epidural anesthesia and Caesarean section. A 33-year-old female presented with persistent ptosis and miosis following epidural anesthesia and Caesarian section several months prior. Magnetic resonance imaging (MRI/magnetic resonance angiography (MRA of head, neck, and chest were unremarkable. Medline search using terms Horner′s, epidural, spinal anesthesia, delivery, childbirth, Caesarian, and pregnancy identified 31 articles describing Horner′s syndrome in obstetric epidural anesthesia, of which 11 were following Caesarean section. The increased incidence of Horner′s syndrome in the setting of epidural anesthesia in pregnancy may be related to epidural venous engorgement and cephalic spread of the local anaesthetic, with disruption in the oculosympathetic pathway. It is important to include recent epidural anesthesia within the differential diagnosis of acute Horner′s syndrome in a postpartum female. Rarely, the ptosis may be permanent and require surgical intervention.

  3. Psilorhynchus tysoni, a new species of torrent minnow from the Salween River drainage, western Thailand (Teleostei: Psilorhynchidae).

    Science.gov (United States)

    Conway, Kevin W; Pinion, Amanda K

    2016-01-01

    Psilorhynchus tysoni, new species, is described on the basis of 10 specimens, 23.3-53.8 mm SL from the Mae Nam Moei and Hue Mae Song Rivers, in the Salween River drainage in western Thailand. It belongs to the P. nudithoracicus species group and can be distinguished from other members of this group by a combination of characters, including features of body and fin coloration, head shape, and caudal fin-ray, vertebrae, and cephalic lateral-line canal pore counts. Phylogenetic analyses of a mitochondrial DNA data set (comprising 642 bp of cytochrome c oxidase subunit 1 and 1140 bp of cytochrome b) for 12 species of Psilorhynchus and one outgroup taxon resulted in phylogenetic hypotheses in which P. tysoni is a member of a clade equivalent to the P. nudithoracicus species group. Within this group P. tysoni is placed as the sister taxon of a putatively undescribed species of Psilorhynchus from Myanmar. PMID:27395735

  4. UNE COLORATION SIMPLE ET RAPIDE DU FROTTIS DU SPERME

    Institute of Scientific and Technical Information of China (English)

    杨建华; 朱继业

    2003-01-01

    Objective To introduce a rapid simple staining method for sperm morphology.MethodsLiquified semen was on the glass, fixed by methanol, treated with phosphonic acid buffer, stained by A,B staining solution separately, and rinsed by running water.ResultsAfter staining,the whole spermatozoid was very clear. The cephalic zone of spermatozoid head, acrosome area, was colored pink; its caudal zone colored violet red or violet blue. The body and tail of spermatozoid colored pink or light blue. Normal and abnormal morphology of spermatozoid could be differentiated easily. The sloughed spermatogenic cells and white blood cells could be differentiated also.ConclusionThis rapid staining method of semen smear can produce the same effect of other usual staining method , but the staining time is shorter and the procedure is simpler.

  5. The first report of Hepatozoon sp. (Apicomplexa: Hepatozoidae) in neotropical felids from Brazil.

    Science.gov (United States)

    Metzger, Betina; dos Santos Paduan, Karina; Rubini, Adriano Stefani; de Oliveira, Tadeu Gomes; Pereira, Cristiane; O'Dwyer, Lucia Helena

    2008-03-25

    In order to investigate the occurrence of Hepatozoon infection in Neotropical felids from Brazil, blood from the jugular or cephalic vein was taken from 29 non-domestic felids including ocelot (Leopardus pardalis), little spotted cat (Leopardus tigrinus), margay (Leopardus wiedii), and jaguarondi (Puma yagouaroundi) from the Northeast region of Brazil. Hepatozoon infection was confirmed by light microscopy and molecular techniques. The results showed five naturally infected felids. Partial sequences of the 18S rRNA gene of the Hepatozoon sp. from these felids were further analyzed. Sequences revealed that the isolates found are closely related to Hepatozoon sp. from domestic cats in Spain. Hepatozoon species from Neotropical felids were identified molecularly and characterized for the first time. This is also the first report of Hepatozoon infection in a little spotted cat. PMID:18243562

  6. An atypical microfilaria in blood samples from inhabitants of Brazilian Amazon.

    Science.gov (United States)

    Adami, Y L; Moraes, M A P; Lanfredi, R M; Maia-Herzog, M

    2008-12-01

    An unidentified microfilaria sharing characteristics with Mansonella ozzardi and Onchocerca volvulus was detected in blood samples from seven human volunteers, inhabitants of a community in the border of Amazonas and Acre State. They were detected during epidemiological studies carried out in some communities along Antimary, Acre, and Purus Rivers in the Brazilian Amazon. The most striking difference was presented in the shape of the cephalic space from this microfilaria which was different from those of M. ozzardi and with similarities to O. volvulus in this region, but no remarkable differences were observed at the caudal region. More accurate studies are being carried out in order to provide additional data and supporting evidences before establishment of a new species can be done. PMID:18779979

  7. Prolonged second stage of labor is associated with low Apgar score.

    Science.gov (United States)

    Altman, Maria; Sandström, Anna; Petersson, Gunnar; Frisell, Thomas; Cnattingius, Sven; Stephansson, Olof

    2015-11-01

    There is no consensus on the effects of a prolonged second stage of labor on neonatal outcomes. In this large Swedish population-based cohort study, our objective was to investigate prolonged second stage and risk of low Apgar score at 5 min. All nulliparous women (n = 32,796) delivering a live born singleton infant in cephalic presentation at ≥37 completed weeks after spontaneous onset of labor between 2008 and 2012 in the counties of Stockholm and Gotland were included. Data were obtained from computerized records. Exposure was time from fully retracted cervix until delivery. Logistic regression analyses were used to estimate crude and adjusted odds ratios (ORs) with 95% confidence intervals (CIs). Adjustments were made for maternal age, height, BMI, smoking, sex, gestational age, sex-specific birth weight for gestational age and head circumference. Epidural analgesia was included in a second model. The primary outcome measure was Apgar score at 5 min Apgar score Apgar score Apgar score.

  8. An Fgf-Shh signaling hierarchy regulates early specification of the zebrafish skull

    Science.gov (United States)

    McCarthy, Neil; Sidik, Alfire; Bertrand, Julien Y.; Eberhart, Johann K.

    2016-01-01

    The neurocranium generates most of the craniofacial skeleton and consists of prechordal and postchordal regions. Although development of the prechordal is well studied, little is known of the postchordal region. Here we characterize a signaling hierarchy necessary for postchordal neurocranial development involving Fibroblast growth factor (Fgf) signaling for early specification of mesodermally-derived progenitor cells. The expression of hyaluron synthetase 2 (has2) in the cephalic mesoderm requires Fgf signaling and Has2 function, in turn, is required for postchordal neurocranial development. While Hedgehog (Hh)-deficient embryos also lack a postchordal neurocranium, this appears primarily due to a later defect in chondrocyte differentiation. Inhibitor studies demonstrate that postchordal neurocranial development requires early Fgf and later Hh signaling. Collectively, our results provide a mechanistic understanding of early postchordal neurocranial development and demonstrate a hierarchy of signaling between Fgf and Hh in the development of this structure. PMID:27060628

  9. Duodenopancreatectomia e hemicolectomia direita em monobloco para tratamento de câncer de cólon direito localmente avançado En bloc pancreaticoduodenectomy and right hemicolectomy for locally advanced right colon cancer treatment

    Directory of Open Access Journals (Sweden)

    Alexandre Cruz Henriques

    2010-06-01

    Full Text Available This article reports the case of a patient whit a diagnosis of diarrhea and weight loss. Subsidiary exams showed ulcerovegetant lesion in the second duodenal portion and duodenocolic fistula. An exploratory laparotomy was performed and a neoplasic lesion in the hepatic angle of the colon was observed invading the second duodenal portion. The patient then underwent a cephalic gastroduodenopancreatectomy associated with en bloc right hemicolectomy and improved well in the postoperative period. Currently, 48 months after the surgery, he does not present any signs of the disease dissemination or recurrence. The consulted literature recommends that multivisceral resection must be considered if the patient is clinically able to undergo major surgery and does not present any signs of neoplasic dissemination, since the postoperative survival time is considerably longer in the resected group and some of these patients even achieve cure.

  10. Effects of selection for cooperation and attention in dogs

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    Miklósi Ádám

    2009-07-01

    Full Text Available Abstract Background It has been suggested that the functional similarities in the socio-cognitive behaviour of dogs and humans emerged as a consequence of comparable environmental selection pressures. Here we use a novel approach to account for the facilitating effect of domestication in dogs and reveal that selection for two factors under genetic influence (visual cooperation and focused attention may have led independently to increased comprehension of human communicational cues. Method In Study 1, we observed the performance of three groups of dogs in utilizing the human pointing gesture in a two-way object choice test. We compared breeds selected to work while visually separated from human partners (N = 30, 21 breeds, clustered as independent worker group, with those selected to work in close cooperation and continuous visual contact with human partners (N = 30, 22 breeds, clustered as cooperative worker group, and with a group of mongrels (N = 30. Secondly, it has been reported that, in dogs, selective breeding to produce an abnormal shortening of the skull is associated with a more pronounced area centralis (location of greatest visual acuity. In Study 2, breeds with high cephalic index and more frontally placed eyes (brachycephalic breeds, N = 25, 14 breeds were compared with breeds with low cephalic index and laterally placed eyes (dolichocephalic breeds, N = 25, 14 breeds. Results In Study 1, cooperative workers were significantly more successful in utilizing the human pointing gesture than both the independent workers and the mongrels. In study 2, we found that brachycephalic dogs performed significantly better than dolichocephalic breeds. Discussion After controlling for environmental factors, we have provided evidence that at least two independent phenotypic traits with certain genetic variability affect the ability of dogs to rely on human visual cues. This finding should caution researchers against making simple generalizations

  11. Investigation of micronuclei and other nuclear abnormalities in peripheral blood and kidney of marine fish treated with crude oil

    Energy Technology Data Exchange (ETDEWEB)

    Barsiene, Janina [Institute of Ecology of Vilnius University, Akademijos 2, 08412 Vilnius (Lithuania)]. E-mail: janbar@ekoi.lt; Dedonyte, Veronika [Institute of Ecology of Vilnius University, Akademijos 2, 08412 Vilnius (Lithuania); Department of Botany and Genetics, Vilnius University, Ciurlionio 21, 03101 Vilnius (Lithuania); Rybakovas, Aleksandras [Institute of Ecology of Vilnius University, Akademijos 2, 08412 Vilnius (Lithuania); Andreikenaite, Laura [Institute of Ecology of Vilnius University, Akademijos 2, 08412 Vilnius (Lithuania); Andersen, Odd Ketil [IRIS, International Research Institute of Stavanger AS, Mekjarvik 12, N-4070 Randaberg (Norway)

    2006-06-01

    The induction of micronuclei and other nuclear abnormalities (nuclear buds, bi-nucleated and fragmented-apoptotic cells) was analyzed in the erythrocytes of peripheral blood and cephalic kidney of turbot (Scophthalmus maximus) and Atlantic cod (Gadus morua), treated with crude oil (Statfjord B, Norway) and with nonylphenol. Significant increase in MN was observed in turbot kidney and blood after exposure to 30 ppb of nonylphenol, 0.5 ppm of oil, and after co-exposure to 0.5 ppm of oil spiked with additional mixture of alkylphenols and PAHs (P varied between 0.0054 and <0.0001). The induction of micronuclei was observed only in cod kidney after exposure to spiked oil (P = 0.0317). Significant inter-specific differences after the exposure to 0.5 ppm of oil (P = 0.0385) and after treatment with spiked oil (P = 0.0067) were observed. In turbot cephalic kidney, the elevated levels of bi-nucleated cells were observed in all treatment groups (P values varied in a range from 0.05 to 0.0025) while the increase in cells with nuclear buds was noted after the exposure to 0.5 ppm of oil (P = 0.05). The fragmented-apoptotic cells appeared after the exposure to nonylphenol (P = 0.0039) and to spiked oil (P < 0.0001). In turbot blood, only the significant induction in nuclear buds was detected. Statistically significant inter-tissue differences were found only in the induction of fragmented-apoptotic cells after the exposure to nonylphenol and to spiked oil.

  12. Ultrastructure analysis of the immature stages of Ravinia belforti (Diptera: Sarcophagidae), a species of medical-veterinary and forensic importance, by scanning electron microscopy.

    Science.gov (United States)

    da-Silva-Xavier, Alexandre; de Carvalho Queiroz, Margareth Maria

    2016-07-01

    The postmortem interval is related to the age of immature species of flies found on corpses and can be estimated using data available in the literature on the biology of the species. The flesh fly Ravinia belforti is a carrier of enteric pathogens that can affect human and animal health as well as being of forensic importance. As the morphology of many immature Sarcophagidae is unknown, these immature forms must be collected and characterized after the emergence of the adult male. Here we describe and analyze the morphological characteristics of the larvae stages L1, L2, L3 and the puparium of R. belforti by scanning electron microscopy (SEM). Ten specimens of each stage were analyzed. Larvae of R. belforti follow the typical muscoid vermiform pattern with 12 segments. The anterior region is pointed, while the posterior region is thicker. The spines of the cephalic collar are flattened and with double, triple or quadruple points, different from the spines along the body that only have a single point. In L2, the anterior spiracle is present with a varying number of papillae (16-22), differing from other species. The posterior spiracles are located within the peritreme. The spiracular cavity is internalized in the posterior region, following the pattern that differs Sarcophagidae from other families. L3 features more visible and developed spines around the cephalic collar, getting thicker and denser near to the first thoracic segment. Puparium is similar to other species of Sarcophagidae. This paper presents important data on this family which has both health and forensic importance. Furthermore, R. belforti shows significant differences from other species of Sarcophagidae. PMID:27072901

  13. Studies on ascaridid, oxyurid and enoplid nematodes (Nematoda) from fishes of the Okavango River, Botswana.

    Science.gov (United States)

    Moravec, Frantisek; Van As, Liesl L

    2015-07-22

    Based on light and scanning electron microscopical studies, eight species (five adult and three larval) of nematodes belonging to the Ascaridida, Oxyurida and Enoplida were collected from fishes of the Okavango River, Botswana, namely Falcaustra similis Moravec et Van As, 2004, Atractidae gen. sp. (only female) (both Cosmocercoidea), Cucullanus sp. (only female) (Seuratoidea), Cithariniella longicaudata sp. n., Synodontisia annulata sp. n. (both Oxyuroidea), Contracaecum sp. third-stage larvae, third-stage larvae of Galeiceps sp. (both Ascaridoidea) and Eustrongylides sp. fourth-stage larvae (Dioctophymatoidea). The new species Citharinella longicaudata (type host Schilbe intermedius Rüppel) is mainly characterised by the shape and size of cephalic papillae and the spicule 108 µm long, and Synodontisia annulata (type host S. intermedius) by the shape of cephalic papillae, body length of gravid females (4.88-5.33 mm) and a short spicule (66 µm long). The female specimen of Cucullanus sp. from Tilapia sparmanni Smith markedly differs from congeners parasitising inland fishes in Africa by the elongate pseudobuccal capsule and by the excretory pore far posterior to the oesophago-intestinal junction; apparently, it belongs to an undescribed species. Galeiceps larvae parasitising fishes are described for the first time. Cithariniella gonzalezi Van Waerebeke, Chabaud, Bain et Georges, 1988 is considered a junior synonym of C. khalili Petter, Vassiliadès et Troncy, 1972, and the previous records of Cithariniella citharini Khalil, 1964 from Synodontis spp. in Egypt concern, in fact, Cithariniella khalili Petter, Vassiliadès et Troncy, 1972. The specimens of Cithariniella reported by Koubková et al. (2010) from Paradistichodus dimidiatus (Pellegrin) in Senegal and misidentified as C. gonzalesi Van Waerebeke, Chabaud, Bain et Georges, 1988 are considered to represent a new species, C. koubkovae sp. n.; this is established by reference to the description and drawings

  14. New deep-sea large free-living nematodes from macrobenthos in the Kuril-Kamchatka Trench (the North-Western Pacific)

    Science.gov (United States)

    Fadeeva, Natalia; Mordukhovich, Vladimir; Zograf, Julia

    2015-01-01

    The composition of deep-sea nematode assemblages of the North-Western (NW) Pacific is poorly-studied. According to the available literature data more than 700 valid species of nematodes were reported from the depth of 400 m and deeper, out of that only 6 species were registered in the NW Pacific: 2 species from the coast of the Japanese Islands and 4 from the Sea of Japan. Ecological studies of the deep-sea nematode communities of this region are scanty and represent very scarce and fragmentary information. The first recent study of free-living nematodes collected from the abyssal plain adjacent to the Kuril-Kamchatka Trench has revealed more than 50 species of nematodes in macrobenthic samples. Families Anticomidae, Comesomatidae, Desmodoridae, Leptosomatidae, Oncholaimidae, Oxystominidae, Phanodermatidae, Siphonolaimidae and Thoracostomopsidae were the most abundant and diverse. Such taxonomic composition differs greatly from previously described meiobenthical nematode communities of NW Pacific and even World Ocean and similar to macrofaunal nematode assemblages of the Atlantic and Arctic regions. Several genera of nematodes can be considered as new records for the NW Pacific region. Micoletzkyia kamchatika sp. nov., Metaphanoderma improvisa sp. nov., and Phylloncholaimus palmaris sp. nov. are described from the Kuril-Kamchatka Trench. Micoletzkyia kamchatika sp. nov. is particularly characterized by a developed cuticular cephalic capsule underlying amphids, relatively small amphids, and the shape of the gubernaculum. Metaphanoderma improvisa sp. nov. is particularly characterized by a developed cuticular cephalic capsule, relatively large amphids, and the absence of pigmented eye spots. Phylloncholaimus palmaris sp. nov. is similar to the type species in many measurements but may be differentiated from that by the smaller amphid, shape of spicules and gubernaculums and by large precloacal papillae with four setae.

  15. The influence of anthropometric factors on postural balance: the relationship between body composition and posturographic measurements in young adults

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    Angélica Castilho Alonso

    2012-12-01

    Full Text Available OBJECTIVE: The aim of the present study was to evaluate the influence of anthropometric characteristics and gender on postural balance in adults. One hundred individuals were examined (50 males, 50 females; age range 20-40 years. METHODS: The following body composition measurements were collected (using bone densitometry measurements: fat percentage (% fat, tissue (g, fat (g, lean mass (g, bone mineral content (g, and bone mineral density (g/cm2. In addition, the following anthropometric measurements were collected: body mass (kg, height (cm, length of the trunk-cephalic region (cm, length of the lower limbs (cm and length of the upper limbs (cm. The following indices were calculated: body mass index (kg/m², waist-hip ratio and the support base (cm². Also, a postural balance test was performed using posturography variables with open and closed eyes. RESULTS: The analysis revealed poor correlations between postural balance and the anthropometric variables. A multiple linear regression analysis demonstrated that the whole group (female and male height explained 12% of the medial-lateral displacement, 10% of the speed of oscillation, and 11% of the displacement area. The length of the trunk-cephalic length explained 6% of the displacement in the anteroposterior direction. With eyes closed, the support base and height explained 18% of the medial displacement, and the lateral height explained 10% of the displacement speed and 5% of the scroll area. CONCLUSION: Measured using posturography, the postural balance was only slightly influenced by the anthropometric variables, both with open and closed eyes. Height was the anthropometric variable that most influenced postural balance, both in the whole group and separately for each gender. Postural balance was more influenced by anthropometric factors in males than females.

  16. Receptor systems mediating c-fos expression within trigeminal nucleus caudalis in animal models of migraine.

    Science.gov (United States)

    Mitsikostas, D D; Sanchez del Rio, M

    2001-03-01

    In intracranial structures unmyelinated C- and Adelta-fibers of the trigeminal nerve transmit pain stimuli from meninges to the trigeminal nucleus caudalis (Sp5C). Peripheral nerve endings surround meningeal vessels (the so-called trigeminovascular system) and contain vasoactive neuropeptides (calcitonin gene-related peptide, substance P and neurokinin A). Activation of the trigeminovascular system promotes a meningeal sterile inflammatory response through the release of neuropeptides by peripheral endings. Orthodromic conduction along trigeminovascular fibers transmits information centrally with induction of immediate early c-fos gene within post-synaptic Sp5C neurons, as a marker of neuronal activity within central nociceptive pathways. In laboratory animals the system is activated by either electrical stimulation of the TG, chemical stimulation of the meninges, electrical or mechanical stimulation of the superior sagittal sinus or by induction of cortical spreading depression. All these techniques induce c-fos within Sp5C and are used as a rodent/feline model of vascular headache in humans. Up-to-date there is evidence that at least ten receptors (5-HT(1B), 5-HT(1D), 5-HT(lF), 5-HT(2B), NK-1, GABA(A), NMDA, AMPA, class III metabotropic glutamate receptors, and opioids mu receptors) modulate c-fos expression within Sp5C. These receptors represent potential targets for anti-migraine drugs as shown by triptans (5-HT(1B/1D/1F)) and ergot alkaloids (5-HT(1A1B/1D/1F)). This review discusses the importance of c-fos expression within Sp5C as a marker of cephalic nociception, the different cephalic pain models that induce c-fos within Sp5C, the receptors involved and their potential role as targets for anti-migraine drugs.

  17. Torquatoides trogoni n. sp. and Excisa ramphastina n. sp. (Nematoda: Habronematoidea: Habronematidae) in birds from the area de Conservacion Guanacaste, Costa Rica.

    Science.gov (United States)

    Zhang, Luping; Brooks, Daniel R

    2004-06-01

    Two new species of habronematid nematodes are described in birds from the Area de Conservacion Guanacaste, Costa Rica. Torquatoides trogoni n. sp., in Trogon massena, can be distinguished from T. torquata, T. bengalensis, and T. crotophaga in lacking lateral alae. Among species lacking lateral alae, the new species differs from T. balanocephala in having 14 versus 8-10 cephalic cuticular plaques, 21-22 versus 13-17 pairs of preanal papillae, and a beak-shaped versus U-shaped gubernaculum. The new species differs from T. singhi in body length, in having 21-22 versus 10 pairs of precloacal papillae, longer spicules, and larger eggs. The new species differs from T. crotophaga, the only other species known from Central America, in lacking lateral alae, and having 14 versus 6 cephalic cuticular plaques, 21-22 versus 17 pairs of precloacal and 3 versus 2 pairs of postcloacal papillae, and a gubernaculum. Excisa ramphastina n. sp., in Ramphastos sulfuratus, can be distinguished from E. excisa, E. biloba, E. buckleyi, E. dentifera, and E. khalili in having 1 lateral ala versus none, cervical papillae anterior versus posterior to the nerve ring, and asymmetrical caudal alae. Excisa ramphastina is similar to E. curvata in having cervical papillae anterior to the nerve ring but differs in having 1 lateral ala versus none, asymmetrical caudal alae, an average spicule ratio of 1:4.4 versus 1:3.3, and 4 versus 2 pairs of sessile papillae. The new species differs from E. columbi in having 1 versus 2 lateral alae, in the length of the spicules, in having a different spicule ratio, and in the numbers of sessile papillae.

  18. Structure of the female gonoduct of the viviparous teleost Poecilia reticulata (Poeciliidae) during nongestation and gestation stages.

    Science.gov (United States)

    Campuzano-Caballero, Juan Carlos; Uribe, Mari Carmen

    2014-03-01

    Female teleosts do not have oviducts because Müllerian ducts do not develop. Instead, the caudal region of the ovary, the gonoduct, connects to the exterior. Because of the lack of oviducts in viviparous teleosts, the embryos develop in the ovary, as an intraovarian gestation, unique in vertebrates. This is the first study to address the histology of the gonoduct in a viviparous teleost. The gonoduct of Poecilia reticulata was analyzed during previtellogenesis, vitellogenesis, and gestation. The gonoduct lacks germinal cells. From deep to superficial, the wall has simple cuboidal or columnar epithelium, loose connective tissue, longitudinal layer of smooth muscle, and visceral peritoneum. Cells of the immune system occur in the lumen and in the mucosa. The gonoduct was divided in three regions: 1) cephalic, 2) middle, and 3) caudal. At the initial part of each region, thin mucosal folds extend into the lumen. The cephalic region forms a tubular structure with light and irregular folds. The middle region has a wider lumen and is more irregular due to ventral invaginations and irregular and short mucosal folds; beneath the epithelium there are melano-macrophage centers. The caudal region is delimited from the middle region by folds; however, they are thinner than these of the other regions. Ventral invaginations form exocrine glands, and the smooth muscle is thicker than in the other regions. During gestation, cells of the immune system are abundant; melano-macrophage centers become larger and the glands exhibit desquamated cells. These observations suggest roles of the gonoduct in reducing the diameter of the lumen; receiving sperm during vitellogenesis; producing secretions, more abundant during vitellogenesis; and in immunological activity throughout the reproductive cycle. The ciliated epithelium and the thick muscle of the caudal region may be involved during birth.

  19. Biology and life table of Dirphia araucariae (Lepidoptera: Saturniidae: A herbivore of potentially high impact on Araucaria angustifolia

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    Mauricio M. Zenker

    2013-04-01

    Full Text Available The life-history and biology of Dirphia araucariae Jones, 1908, including its life fertility table, are here described. Moths were reared in the laboratory under controlled conditions on their host plant, Araucaria angustifolia (Bertoloni O. Kuntze - Araucariaceae. We describe several life-history traits of the species, namely: developmental period, survival rate, growth rate, fertility, fecundity, sex ratio, cephalic capsule width, and pupal weight. Mean duration of life stages were: egg = 26.78 days; larva = 61.78 days; prepupa = 6.85 days; pupa = 62.46 days; adult = 8.37 days. We found statistically significant differences between sexes for adult, larval and pupal stage duration; larval stage was longer in females while pupal stage was longer in males. The survival rate of each life stage was: egg = 96.18%; larva = 95.38%; prepupa = 83.87%; pupa = 100%. The larvae developed through six instars and the mean growth rate was 1.418. The width of male and female cephalic capsules were different in last three instars, even though the total mean width between sexes was not different. Pupal mean weight ranged from 2.40 g to 4.79 g, with females being heavier than males. Fertility ranged from 66.78% to 100%, and the total fecundity was 358.45 eggs/female, including both laid eggs and eggs held in the abdomen. The sex ratio was 0.50 ± 0.05. The estimated biotic potential was 48731.08 specimens/female/year. We found the following values for the fertility life table: (Ro = 117.21 females; (T = 162.75 days; (r m = 0.21; (l = 1.23. Considering the biological parameters evaluated in this study, we conclude that D. araucariae is not able to cause primary damage in A. angustifolia forests, although further studies are needed to understand the reasons for occasional population outbreaks.

  20. Descompensación distal postoperatoria (D.D.P. en curvas lenke 1a tratadas con tornillos pediculares: una revisión de 63 casos Descompensação distal pós-operatória (DDP em curvaturas lenke 1a tratadas com parafusos pediculares: análise de 63 casos Postoperative distal decompensation (PDD in lenke 1a curvatures treated with pedicular screws: analysis of 63 cases

    Directory of Open Access Journals (Sweden)

    Norberto Ventura

    2012-06-01

    central vertical até o sacro (LVS era superior a 10 mm de "distância vertebral" (DV. RESULTADOS: 8 casos (12,7% desenvolveram DDP. O sinal de Risser foi 0 em 2 pacientes (25% e 1 em 2 pacientes (25%. Relação VDI/VD: 4 pacientes (50% mesmo nível (VD +0, 4 pacientes (50% nível caudal (VD +1; relação VDI/VE: 5 pacientes (62,5% 2 níveis cefálicos (VE -2, 3 pacientes (37,5% 1 nível cefálico (VE -1; relação VDI/DV: 5 pacientes (62,5% um nível cefálico DV (-1, 3 pacientes mesmo nível (DV +0. CONCLUSÕES: Risco de descompensação distal pós-operatória:VDI mesmo nível VD (VD +0, 2 níveis cefálicos VE (VE -2, 1 nível cefálico DV (DV -1. Estratégia cirúrgica nas curvaturas Lenke 1A: VDI: 1/2 níveis caudal até VD (VD +1/+2, um nível cefálico até VE (VE -1, mesmo nível DV (DV +0.OBJECTIVE: To identify risk factors for postoperative distal decompensation (PDD and safe surgical strategy in curvatures Lenke type 1A, treated with pedicle screws. METHOD: Retrospective radiographic study of 63 patients with scoliosis Lenke 1A, with follow-up of at least one year. The parameters evaluated were age, sex, degrees of Cobb's angle, Risser sign, relationship of distal instrumented vertebra (DIV to the distal vertebra (DV of the curvature, to the stable vertebra (SV and to the vertebra which distance to the central vertical line to the sacrum (VLS was greater than 10 mm of "vertebral distance" (VD. RESULTS: 8 cases (12.7% developed DDP. The Risser sign was 0 in 2 patients (25% and 1 in 2 patients (25%. DIV/DV relationship: 4 patients (50% same level (DV +0, 4 patients (50% caudal level (DV +1; DIV/SV ratio: 5 patients (62.5% 2 cephalic levels (VD -2, 3 patients (37.5% 1 cephalic level (SV -1; DIV/VD relationship: 5 patients (62.5% 1 cephalic level (VD -1, 3 patients the same level (VD +0. CONCLUSIONS: Risk of postoperative distal decompensation: DIV same level DV (DV +0, 2 cephalic levels SV (SV -2, 1 cephalic level VD (VD -1. Surgical strategy in Lenke 1A

  1. Resistive flex sensors: a survey

    Science.gov (United States)

    Saggio, Giovanni; Riillo, Francesco; Sbernini, Laura; Quitadamo, Lucia Rita

    2016-01-01

    Resistive flex sensors can be used to measure bending or flexing with relatively little effort and a relatively low budget. Their lightness, compactness, robustness, measurement effectiveness and low power consumption make these sensors useful for manifold applications in diverse fields. Here, we provide a comprehensive survey of resistive flex sensors, taking into account their working principles, manufacturing aspects, electrical characteristics and equivalent models, useful front-end conditioning circuitry, and physic-bio-chemical aspects. Particular effort is devoted to reporting on and analyzing several applications of resistive flex sensors, related to the measurement of body position and motion, and to the implementation of artificial devices. In relation to the human body, we consider the utilization of resistive flex sensors for the measurement of physical activity and for the development of interaction/interface devices driven by human gestures. Concerning artificial devices, we deal with applications related to the automotive field, robots, orthosis and prosthesis, musical instruments and measuring tools. The presented literature is collected from different sources, including bibliographic databases, company press releases, patents, master’s theses and PhD theses.

  2. Effects of supramalleolar orthoses on postural stability in children with Down syndrome.

    Science.gov (United States)

    Martin, Kathy

    2004-06-01

    This study explored the effects of a flexible supramalleolar orthosis (SMO), indicated to decrease pronation associated with hypotonia, on postural stability in children with Down syndrome. Seventeen children with Down syndrome (nine males, eight females; mean age 5 years 10 months, SD 17.2 months; range 3 years 6 months to 8 years) were tested three times in a 10-week period (weeks 1, 3, and 10) using the Standing and the Walking, Running, and Jumping dimensions of the Gross Motor Function Measure (GMFM), and the Balance subtest of the Bruininks-Oseretsky Test of Motor Proficiency (BOTMP). Range of motion measurements were used to explore the influence of joint laxity. Significant improvement was found with SMOs compared with shoes only in the Standing dimension (p=0.001) and the Walking, Running, and Jumping dimension (p=0.0001) of the GMFM, both at the time of fitting (week 3) and after 7 weeks of wearing SMOs (week 10). For the BOTMP Balance subtest, significant improvement (p=0.027) was seen only at the end of the 7-week study period. Amount of joint laxity did not influence response to orthotic intervention. This study showed that young children with Down syndrome showed immediate and longer-term (after 7 weeks of use) improvement in postural stability with the use of flexible SMOs.

  3. A robotic gait training system integrating split-belt treadmill, footprint sensing and synchronous EEG recording for neuro-motor recovery.

    Science.gov (United States)

    Liu, Yi-Hung; Zhang, Bo; Liu, Quanquan; Hsu, Wei-Chun; Hsiao, Yu-Tsung; Su, Jui-Yiao; Kobayashi, Yo; Fujie, Masakatsu G

    2015-08-01

    This paper presents a robotic gait training system for neuro-motor rehabilitation of hemiplegic stroke survivors. The system is composed of a treadmill consisting of two separated belts, footprint array sensor attached below each belt for gait data acquisition, and an electroencephalography (EEG) device for monitoring brain activities during gait training. The split belt treadmill allow physical therapists to set different treadmill belt velocities to modify physical workload of the patients during walking, thus being able to better improve the symmetry of gait phases between affected and unaffected (sound) legs in comparison with conventional treadmills where there is only one single belt. In contrast to in-shoe pressure sensors, the under-belt footprint sensor array designed in this study not only reduces the preparation complexity of gait training but also collects more gait data for motion analysis. Recorded EEG is segmented synchronously with gait-related events. The processed EEG data can be used for monitoring brain-activities during gait training, providing a neurological approach for motion assessment. One subject with simulated stroke using an ankle-foot orthosis participated in this study. Preliminary results indicate the feasibility of the proposed system to improve gait function and monitor neuro-motor recovery.

  4. Real-time gait event detection for transfemoral amputees during ramp ascending and descending.

    Science.gov (United States)

    Maqbool, H F; Husman, M A B; Awad, M I; Abouhossein, A; Dehghani-Sanij, A A

    2015-01-01

    Events and phases detection of the human gait are vital for controlling prosthesis, orthosis and functional electrical stimulation (FES) systems. Wearable sensors are inexpensive, portable and have fast processing capability. They are frequently used to assess spatio-temporal, kinematic and kinetic parameters of the human gait which in turn provide more details about the human voluntary control and ampute-eprosthesis interaction. This paper presents a reliable real-time gait event detection algorithm based on simple heuristics approach, applicable to signals from tri-axial gyroscope for lower limb amputees during ramp ascending and descending. Experimental validation is done by comparing the results of gyroscope signal with footswitches. For healthy subjects, the mean difference between events detected by gyroscope and footswitches is 14 ms and 10.5 ms for initial contact (IC) whereas for toe off (TO) it is -5 ms and -25 ms for ramp up and down respectively. For transfemoral amputee, the error is slightly higher either due to the placement of footswitches underneath the foot or the lack of proper knee flexion and ankle plantarflexion/dorsiflexion during ramp up and down. Finally, repeatability tests showed promising results.

  5. Treatment of a High-Risk Diabetic Patient with Peripheral Vascular Disease and Osteomyelitis.

    Science.gov (United States)

    Allen, Latricia L; Kalmar, Garrett; Driver, Vickie R

    2016-06-01

    We report a case of calcaneal osteomyelitis that was surgically resected from a patient with diabetes and peripheral vascular disease. A 91-year-old male with history of type 2 diabetes, peripheral vascular disease, balloon angioplasty, and recent (2 months ago) stent of the superficial femoral artery presented to the emergency department with a left heel wound infection probed to bone. The patient reported having been on intravenous Zosyn for several months via an outside infectious disease provider for clinical suspicion of osteomyelitis, but noted no improvement. This report includes information regarding the clinical examination and imaging findings, which were used to assess this high-risk patient. Our patient underwent a partial calcanectomy and completed a 6-week course of intravenous antibiotics. The purpose of this case report is to illustrate limb preservation in a high-risk patient with compromised vascular supply who underwent a partial calcanectomy for treatment of calcaneal osteomyelitis. The patient underwent surgical resection of the calcaneus without complications and healed unremarkably with the ability to ambulate while wearing an ankle foot orthosis with a custom shoe. This report was authorized for publication as an educational report to contribute to generalizable knowledge and does not include any patient health information. PMID:27423990

  6. Applications of Shape Memory Alloys for Neurology and Neuromuscular Rehabilitation

    Directory of Open Access Journals (Sweden)

    Simone Pittaccio

    2015-05-01

    Full Text Available Shape memory alloys (SMAs are a very promising class of metallic materials that display interesting nonlinear properties, such as pseudoelasticity (PE, shape memory effect (SME and damping capacity, due to high mechanical hysteresis and internal friction. Our group has applied SMA in the field of neuromuscular rehabilitation, designing some new devices based on the mentioned SMA properties: in particular, a new type of orthosis for spastic limb repositioning, which allows residual voluntary movement of the impaired limb and has no predetermined final target position, but follows and supports muscular elongation in a dynamic and compliant way. Considering patients in the sub-acute phase after a neurological lesion, and possibly bedridden, the paper presents a mobiliser for the ankle joint, which is designed exploiting the SME to provide passive exercise to the paretic lower limb. Two different SMA-based applications in the field of neuroscience are then presented, a guide and a limb mobiliser specially designed to be compatible with diagnostic instrumentations that impose rigid constraints in terms of electromagnetic compatibility and noise distortion. Finally, the paper discusses possible uses of these materials in the treatment of movement disorders, such as dystonia or hyperkinesia, where their dynamic characteristics can be advantageous.

  7. Manufacture of Passive Dynamic ankle-foot orthoses using selective laser sintering.

    Science.gov (United States)

    Faustini, Mario C; Neptune, Richard R; Crawford, Richard H; Stanhope, Steven J

    2008-02-01

    Ankle-foot orthosis (AFO) designs vary in size, shape, and functional characteristics depending on the desired clinical application. Passive Dynamic (PD) Response ankle-foot orthoses (PD-AFOs) constitute a design that seeks to improve walking ability for persons with various neuromuscular disorders by passively (like a spring) providing variable levels of support during the stance phase of gait. Current PD-AFO manufacturing technology is either labor intensive or not well suited for the detailed refinement of PD-AFO bending stiffness characteristics. The primary objective of this study was to explore the feasibility of using a rapid freeform prototyping technique, selective laser sintering (SLS), as a PD-AFO manufacturing process. Feasibility was determined by replicating the shape and functional characteristics of a carbon fiber AFO (CF-AFO). The study showed that a SLS-based framework is ideally suited for this application. A second objective was to determine the optimal SLS material for PD-AFOs to store and release elastic energy; considering minimizing energy dissipation through internal friction is a desired material characteristic. This study compared the mechanical damping of the CF-AFO to PD-AFOs manufactured by SLS using three different materials. Mechanical damping evaluation ranked the materials as Rilsan D80 (best), followed by DuraForm PA and DuraForm GF. In addition, Rilsan D80 was the only SLS material able to withstand large deformations. PMID:18270017

  8. Surface electrical stimulation for foot drop: Control aspects and walking performance

    Directory of Open Access Journals (Sweden)

    Stein Richard B.

    2008-01-01

    Full Text Available Use of electrical stimulation to correct foot drop in hemiplegia was proposed over 40 years ago. Recently, improved control strategies have been developed and implemented in commercially available devices. In this article we review the control methods that have been used and present some results from a multi-center clinical trial. A foot-drop stimulator improves the gait pattern and results in an immediate increase in walking speed. In this sense it acts like an ankle-foot orthosis and this immediate increase will be referred to as an orthotic effect. Prolonged use of a foot drop stimulator over a period of months results in further, large increases in walking speed both with the stimulator on and off. Evidence indicates that a part of this increase results from daily use that strengthens residual cortico-spinal connections. Therefore the improvement over time will be referred to as a therapeutic effect. We found that people with non-progressive and progressive conditions of the central nervous system have an orthotic benefit, as well as a therapeutic up to 3 months of use. In generally non-progressive conditions such as stroke, further therapeutic increases are seen up to at least 11 months of use. In disorders such as multiple sclerosis, the progression of the disease eventually overcomes the early therapeutic effects. In conclusion, many individuals can benefit from commercially available foot-drop stimulators with improved control strategies and cosmetic design.

  9. Simple finite element models for use in the design of therapeutic footwear.

    Science.gov (United States)

    Spirka, Thomas A; Erdemir, Ahmet; Ewers Spaulding, Susan; Yamane, Ann; Telfer, Scott; Cavanagh, Peter R

    2014-09-22

    Therapeutic footwear is frequently prescribed in cases of rheumatoid arthritis and diabetes to relieve or redistribute high plantar pressures in the region of the metatarsal heads. Few guidelines exist as to how these interventions should be designed and what effect such interventions actually have on the plantar pressure distribution. Finite element analysis has the potential to assist in the design process by refining a given intervention or identifying an optimal intervention without having to actually build and test each condition. However, complete and detailed foot models based on medical image segmentation have proven time consuming to build and computationally expensive to solve, hindering their utility in practice. Therefore, the goal of the current work was to determine if a simplified patient-specific model could be used to assist in the design of foot orthoses to reduce the plantar pressure in the metatarsal head region. The approach is illustrated by a case study of a diabetic patient experiencing high pressures and pain over the fifth metatarsal head. The simple foot model was initially calibrated by adjusting the individual loads on the metatarsals to approximate measured peak plantar pressure distributions in the barefoot condition to within 3%. This loading was used in various shod conditions to identify an effective orthosis. Model results for metatarsal pads were considerably higher than measured values but predictions for uniform surfaces were generally within 16% of measured values. The approach enabled virtual prototyping of the orthoses, identifying the most favorable approach to redistribute the patient's plantar pressures.

  10. Trainer variability during step training after spinal cord injury: Implications for robotic gait-training device design

    Directory of Open Access Journals (Sweden)

    Jose A. Galvez, PhD

    2011-02-01

    Full Text Available Robotic devices are being developed to automate repetitive aspects of walking retraining after neurological injuries, in part because they might improve the consistency and quality of training. However, it is unclear how inconsistent manual training actually is or whether stepping quality depends strongly on the trainers' manual skill. The objective of this study was to quantify trainer variability of manual skill during step training using body-weight support on a treadmill and assess factors of trainer skill. We attached a sensorized orthosis to one leg of each patient with spinal cord injury and measured the shank kinematics and forces exerted by different trainers during six training sessions. An expert trainer rated the trainers' skill level based on videotape recordings. Between-trainer force variability was substantial, about two times greater than within-trainer variability. Trainer skill rating correlated strongly with two gait features: better knee extension during stance and fewer episodes of toe dragging. Better knee extension correlated directly with larger knee horizontal assistance force, but better toe clearance did not correlate with larger ankle push-up force; rather, it correlated with better knee and hip extension. These results are useful to inform robotic gait-training design.

  11. MotionTherapy@Home - First results of a clinical study with a novel robotic device for automated locomotion therapy at home.

    Science.gov (United States)

    Rupp, Rüdiger; Plewa, Harry; Schuld, Christian; Gerner, Hans Jürgen; Hofer, Eberhard P; Knestel, Markus

    2011-02-01

    In incomplete spinal cord injured subjects, task-oriented training regimes are applied for enhancement of neuroplasticity to improve gait capacity. However, a sufficient training intensity can only be achieved during the inpatient phase, which is getting shorter and shorter due to economic restrictions. In the clinical environment, complex and expensive robotic devices have been introduced to maintain the duration and the intensity of the training, but up to now only a few exist for continuation of automated locomotion training at home. For continuation of the automated locomotion training at home prototypes of the compact, pneumatically driven orthosis MoreGait have been realized, which generate the key afferent stimuli for activation of the spinal gait pattern generator. Artificial pneumatic muscles with excellent weight-to-force ratio and safety characteristics have been integrated as joint actuators. Additionally, a Stimulative Shoe for generation of the appropriate foot loading pattern has been developed without the need for verticalization of the user. The first results of the pilot study in eight chronic incomplete spinal cord injured subjects indicate that the home-based therapy is safe and feasible. The therapy related improvements of the walking capacity are in the range of locomotion robots used in clinical settings.

  12. Hallux valgus-a case for a physiotherapist or only for a surgeon? Literature review.

    Science.gov (United States)

    Mortka, Kamila; Lisiński, Przemysław

    2015-10-01

    [Purpose] Hallux valgus is one of the most common deformations of the human foot, and it causes great difficulties for the patients. The aim of this paper was to review available medical literature in search of evidence which would justify implementation of physiotherapy, based on its effectiveness for patients with hallux valgus. [Subjects and Methods] The following databases were searched for applicable papers: PubMed, Google Scholar, Clinical Key and UpToDate. Full-text articles from the last 15 years were subjected to a review, which ultimately selected seven papers about hallux valgus therapy published over the past 12 years. These studies were grouped according to their design and level of evidence and classified depending on whether they concerned physiotherapy as postoperative therapy or as the only treatment. [Results] The studies included in the present analysis used the following interventions for patients with hallux valgus: exercise, manual therapy, gait training, taping and orthosis. All the studies showed beneficial effects and the most frequently observed results were reductions in pain and improvements in function. [Conclusion] The evidence found in the reviewed materials clearly indicates that patients with hallux valgus should not only be subject to surgical procedures but also undergo physiotherapeutic treatment.

  13. AAU-BOT1: A Platform for Studying Dynamic, Life-Like Walking

    Directory of Open Access Journals (Sweden)

    Mads Sølver Svendsen

    2009-01-01

    Full Text Available This paper describes the development of the humanoid robot AAU-BOT1. The purpose of the robot is to investigate human-like walking and in this connection, test prosthetic limbs. AAU-BOT1 has been designed with modularity in mind making it possible to replace, e.g. the lower leg to test transfemoral or transtibial prosthesis or orthosis. Recorded motion data from a male test person, along with approximated inertial and mass properties, were used to determine necessary joint torques in human walking which was used as design parameters for the robot. The robot has 19 degrees of freedom (DoF, 17 actuated and 2 unactuated acting as passive toe joints. The project was granted 60,000 Euro, and to keep development costs below this, the development and instrumentation was carried out by three groups of master students from the Department of Mechanical Engineering (ME and the Department of Electronic Systems at Aalborg University and supported by the Department of Health Sciences and Technology (HST. To further reduce the cost, the robot uses off-the-shelf hardware which also reduced the time from idea to practical implementation. The result is a low-cost humanoid robot fully assembled and equipped with sensors ready to take its first steps.

  14. Effect of Custom-Molded Foot Orthoses on Foot Pain and Balance in Children With Symptomatic Flexible Flat Feet

    Science.gov (United States)

    Lee, Hong-Jae; Lim, Kil-Byung; Yoo, JeeHyun; Yun, Hyun-Ju; Jeong, Tae-Ho

    2015-01-01

    Objective To evaluate the effect of custom-molded foot orthoses on foot pain and balance in children with symptomatic flexible flat foot 1 month and 3 months after fitting foot orthosis. Method A total of 24 children over 6 years old with flexible flat feet and foot pain for at least 6 months were recruited for this study. Their resting calcaneal stance position and calcaneal pitch angle were measured. Individual custom-molded rigid foot orthoses were prescribed using inverted orthotic technique to control foot overpronation. Pain questionnaire was used to obtain pain sites, degree, and frequency. Balancing ability was determined using computerized posturography. These evaluations were performed prior to custom-molded foot orthoses, 1 month, and 3 months after fitting foot orthoses. Result Of 24 children with symptomatic flexible flat feet recruited for this study, 20 completed the study. Significant (p<0.001) improvements in pain degree and frequency were noted after 1 and 3 months of custom-molded foot orthoses. In addition, significant (p<0.05) improvement in balancing ability was found after 3 months of custom-molded foot orthoses. Conclusion Short-term use of custom-molded foot orthoses significantly improved foot pain and balancing ability in children with symptomatic flexible flat foot. PMID:26798604

  15. Potential of modeling and simulations of bioengineered devices: Endoprostheses, prostheses and orthoses.

    Science.gov (United States)

    Ginestra, Paola Serena; Ceretti, Elisabetta; Fiorentino, Antonio

    2016-07-01

    Modeling and simulation of prosthetic devices are the new tools investigated for the production of total customized prostheses. Computational simulations are used to evaluate the geometrical and material designs of a device while assessing its mechanical behavior. Data acquisition through magnetic resonance imaging, computed tomography or laser scanning is the first step that gives information about the human anatomical structures; a file format has to be elaborated through computer-aided design software. Computer-aided design tools can be used to develop a device that respects the design requirements as, for instance, the human anatomy. Moreover, through finite element analysis software and the knowledge of loads and conditions the prostheses are supposed to face in vivo, it is possible to simulate, analyze and predict the mechanical behavior of the prosthesis and its effects on the surrounding tissues. Moreover, the simulations are useful to eventually improve the design (as geometry, materials, features) before the actual production of the device. This article presents an extensive analysis on the use of finite element modeling for the design, testing and development of prosthesis and orthosis devices. PMID:27095509

  16. Analysis of fracture healing in osteopenic bone caused by disuse: experimental study.

    Science.gov (United States)

    Paiva, A G; Yanagihara, G R; Macedo, A P; Ramos, J; Issa, J P M; Shimano, A C

    2016-03-01

    Osteoporosis has become a serious global public health issue. Hence, osteoporotic fracture healing has been investigated in several previous studies because there is still controversy over the effect osteoporosis has on the healing process. The current study aimed to analyze two different periods of bone healing in normal and osteopenic rats. Sixty, 7-week-old female Wistar rats were randomly divided into four groups: unrestricted and immobilized for 2 weeks after osteotomy (OU2), suspended and immobilized for 2 weeks after osteotomy (OS2), unrestricted and immobilized for 6 weeks after osteotomy (OU6), and suspended and immobilized for 6 weeks after osteotomy (OS6). Osteotomy was performed in the middle third of the right tibia 21 days after tail suspension, when the osteopenic condition was already set. The fractured limb was then immobilized by orthosis. Tibias were collected 2 and 6 weeks after osteotomy, and were analyzed by bone densitometry, mechanical testing, and histomorphometry. Bone mineral density values from bony calluses were significantly lower in the 2-week post-osteotomy groups compared with the 6-week post-osteotomy groups (multivariate general linear model analysis, Pbones 6 weeks after osteotomy compared with 2 weeks after osteotomy (multivariate general linear model analysis, Pbone healing. Results showed that osteopenia did not influence the bone healing process, and that time was an independent determinant factor regardless of whether the fracture was osteopenic. This suggests that the body is able to compensate for the negative effects of suspension.

  17. Reinforcement learning of self-regulated sensorimotor β-oscillations improves motor performance.

    Science.gov (United States)

    Naros, G; Naros, I; Grimm, F; Ziemann, U; Gharabaghi, A

    2016-07-01

    Self-regulation of sensorimotor oscillations is currently researched in neurorehabilitation, e.g. for priming subsequent physiotherapy in stroke patients, and may be modulated by neurofeedback or transcranial brain stimulation. It has still to be demonstrated, however, whether and under which training conditions such brain self-regulation could also result in motor gains. Thirty-two right-handed, healthy subjects participated in a three-day intervention during which they performed 462 trials of kinesthetic motor-imagery while a brain-robot interface (BRI) turned event-related β-band desynchronization of the left sensorimotor cortex into the opening of the right hand by a robotic orthosis. Different training conditions were compared in a parallel-group design: (i) adaptive classifier thresholding and contingent feedback, (ii) adaptive classifier thresholding and non-contingent feedback, (iii) non-adaptive classifier thresholding and contingent feedback, and (iv) non-adaptive classifier thresholding and non-contingent feedback. We studied the task-related cortical physiology with electroencephalography and the behavioral performance in a subsequent isometric motor task. Contingent neurofeedback and adaptive classifier thresholding were critical for learning brain self-regulation which, in turn, led to behavioral gains after the intervention. The acquired skill for sustained sensorimotor β-desynchronization correlated significantly with subsequent motor improvement. Operant learning of brain self-regulation with a BRI may offer a therapeutic perspective for severely affected stroke patients lacking residual hand function. PMID:27046109

  18. The effects of biomechanical foot orthoses on the gait patterns of patients with malalignment syndrome as determined by three dimensional gait analysis

    Science.gov (United States)

    Kim, Soo-Hyun; Ahn, Sang-Ho; Jung, Gil-Su; Kim, Jin-Hyun; Cho, Yun-Woo

    2016-01-01

    [Purpose] The biomechanical effects of foot orthoses on malalignment syndrome have not been fully clarified. This experimental investigation was conducted to evaluate the effects of orthoses on the gait patterns of patients with malalignment syndrome. [Subjects and Methods] Ten patients with malalignment syndrome were recruited. For each participant, kinematic and kinetic data were collected under three test conditions: walking barefoot, walking with flat insoles in shoes, and walking with a biomechanical foot orthosis (BFO) in shoes. Gait patterns were analyzed using a motion analysis system. [Results] Spatiotemporal data showed the step and stride lengths when wearing shoes with flat insoles or BFO were significantly greater than when barefoot, and that the walking speed when wearing shoes with BFO was significantly faster than when walking barefoot or with shoes with flat insoles. Kinetic data, showed peak pelvic tilt and obliquity angle were significantly greater when wearing BFO in shoes than when barefoot, and that peak hip flexion/extension angle and peak knee flexion/extension and rotation angles were significantly greater when wearing BFO and flat insoles in shoes than when barefoot. [Conclusion] BFOs can correct pelvic asymmetry while walking. PMID:27190451

  19. Novel fully integrated computer system for custom footwear: from 3D digitization to manufacturing

    Science.gov (United States)

    Houle, Pascal-Simon; Beaulieu, Eric; Liu, Zhaoheng

    1998-03-01

    This paper presents a recently developed custom footwear system, which integrates 3D digitization technology, range image fusion techniques, a 3D graphical environment for corrective actions, parametric curved surface representation and computer numerical control (CNC) machining. In this system, a support designed with the help of biomechanics experts can stabilize the foot in a correct and neutral position. The foot surface is then captured by a 3D camera using active ranging techniques. A software using a library of documented foot pathologies suggests corrective actions on the orthosis. Three kinds of deformations can be achieved. The first method uses previously scanned pad surfaces by our 3D scanner, which can be easily mapped onto the foot surface to locally modify the surface shape. The second kind of deformation is construction of B-Spline surfaces by manipulating control points and modifying knot vectors in a 3D graphical environment to build desired deformation. The last one is a manual electronic 3D pen, which may be of different shapes and sizes, and has an adjustable 'pressure' information. All applied deformations should respect a G1 surface continuity, which ensure that the surface can accustom a foot. Once the surface modification process is completed, the resulting data is sent to manufacturing software for CNC machining.

  20. Delayed gait recovery in a stroke patient.

    Science.gov (United States)

    Seo, Jeong Pyo; Lee, Mi Young; Kwon, Yong Hyun; Jang, Sung Ho

    2013-06-01

    We report on a stroke patient who showed delayed gait recovery between 8 and 11 months after the onset of intracerebral hemorrhage. This 32-year-old female patient underwent craniotomy and drainage for right intracerebral hemorrhage due to rupture of an arteriovenous malformation. Brain MR images revealed a large leukomalactic lesion in the right fronto-parietal cortex. Diffusion tensor tractography at 8 months after onset revealed that the right corticospinal tract was severely injured. At this time, the patient could not stand or walk despite undergoing rehabilitation from 2 months after onset. It was believed that severe spasticity of the left leg and right ankle was largely responsible, and thus, antispastic drugs, antispastic procedures (alcohol neurolysis of the motor branch of the tibial nerve and an intramuscular alcohol wash of both tibialis posterior muscles) and physical therapy were tried to control the spasticity. These measures relieved the severe spasticity, with the result that the patient was able to stand at 3 months. In addition, the improvements in sensorimotor function, visuospatial function, and cognition also seemed to contribute to gait recovery. As a result, she gained the ability to walk independently on even floor with a left ankle foot orthosis at 11 months after onset. This case illustrates that clinicians should attempt to find the cause of gait inability and to initiate intensive rehabilitation in stroke patients who cannot walk at 3-6 months after onset. PMID:25206447