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Sample records for volar side fingertips

  1. Modified cup flap for volar oblique fingertip amputations

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    Ahmadli, A.

    2016-02-01

    Full Text Available We describe a modified volar “V-Y cup” flap for volar fingertip defects that do not exceed more than half of the distal phalanx for better aesthetic and functional outcome. In seven cases out of eight, the flap was elevated with a subdermal pedicle, whereas in one case, the flap was elevated as an island on the bilateral neurovascular bundle. The fingertips have been evaluated for sensibility using standard tests, hook nail deformity and patient satisfaction. Seven flaps have survived completely. The flap with skeletonized bilateral digital neurovascular bundle has shown signs of venous insufficiency on the 5 postoperative day with consecutive necrosis. Suturing the distal edges of the flap in a “cupping” fashion provided a normal pulp contour. The modified flap can be used for defects as mentioned above. Subdermally dissected pedicle-based flap is safe and easy to elevate. The aesthetic and functional outcomes have been reported to be satisfactory.

  2. Fingertip Amputation Treatment: A Survey Study.

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    Miller, Andrew J; Rivlin, Michael; Kirkpatrick, William; Abboudi, Jack; Jones, Christopher

    2015-09-01

    Distal fingertip amputations are common injuries in work- and non-work-related accidents. There is a paucity of evidence to support use of any one treatment. We conducted a study to better understand how surgeon and patient factors influence the treatment preferences for distal fingertip amputations among a cross section of US and international hand surgeons. We sent a 16-question survey to the American Association for Hand Surgery and reciprocal international hand societies and analyzed the response data using a logistic regression model. We hypothesized that hand surgeons' treatment preferences would be varied and influenced by surgeon and patient demographics. One hundred ninety-eight hand surgeons (62% US, 38% international) responded to the survey. For each clinical scenario (Allen levels 2, 3, and 4 and volar oblique amputations), there were wide variations in treatment preferences. Wound care was less likely performed by surgeons with more than 30 years of experience or plastic surgery backgrounds. Replantation was less likely performed by US surgeons and private practice surgeons. Pedicle and homodigital flaps were more commonly performed internationally. Surgeons in practice for less than 5 years were more likely to perform skeletal shortening. For all levels and orientations of fingertip amputation queried, there is a wide range of treatment preferences. Our survey results highlight the need for a prospective randomized trial to elucidate the most effective treatments for fingertip amputations.

  3. Instrument for near infrared emission spectroscopic probing of human fingertips in vivo

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    Chaiken, J.; Deng, Bin; Bussjager, Rebecca J.; Shaheen, George; Rice, David; Stehlik, Dave; Fayos, John

    2010-03-01

    We present instrumentation for probing of volar side fingertip capillary beds with free space coupled near infrared light while collecting Raman, Rayleigh, and Mie scattered light as well as fluorescence. Fingertip skin capillary beds are highly vascularized relative to other tissues and present a desirable target for noninvasive probing of blood. But human hands and fingers in particular are also highly idiosyncratic body parts requiring specific apparatus to allow careful and methodical spectoscopic probing. The apparatus includes means for precise and reproducible placement of the tissues relative to the optical aperture. Appropriate means are provided for applying and maintaining pressure to keep surface tissues immobile during experiments while obtaining the desired blood content and flow. Soft matter, e.g., skin, extrudes into the aperture in response to any applied pressure, e.g., to keep the tissue in registration with the optical system, so the position, contact area, pressure, and force are continuously measured and recorded to produce feedback for an actuator applying force and to discern the compliance of the test subject. The compliance strongly affects the reliability of the measurement and human factors must be adequately managed in the case of in vivo probing. The apparatus produces reproducible observations and measurements that allow consistent probing of the tissues of a wide range of skin types.

  4. Pulp Rotation Flap for Lateral Oblique Fingertip Defects.

    Science.gov (United States)

    Ozturk, Muhammed Besir; Barutca, Seda Asfuroglu; Aksan, Tolga; Atik, Bekir

    2016-11-01

    Fingertip amputations are among the most common injuries seen in the hand. According to the geometry of the amputation, it may be classified as transverse or oblique (dorsal, volar, or lateral type). Although numerous repair techniques have been described in the literature, there are few alternatives suitable for lateral oblique type fingertip amputations. Between 2012 and 2016, we operated on 16 patients with simple rotation flap from the remaining part of the pulpa in a rotation and advancement manner for the reconstruction of lateral oblique type fingertip amputations. All but two of the flaps healed completely with full flap survival. Superficial distal flap necrosis was observed in two patients. They healed by secondary intention. No obvious hooked nail occurred in patients. Cold intolerance was observed in one patient; joint stiffness or hypersensitivity was not observed in any of the patients. Stiffness of the proximal interphalangeal joint did not occur. Two point discrimination test results were found to be normal. This technique is simple, rapid, and free from relatively major complications. This flap allows for anatomical reconstruction of the fingertip by using a similar tissue in cases of lateral oblique fingertip amputations, where only a few flap options can be successful.

  5. Receptive field characteristics under electrotactile stimulation of the fingertip.

    Science.gov (United States)

    Warren, Jay P; Bobich, Lisa R; Santello, Marco; Sweeney, James D; Tillery, Stephen I Helms

    2008-08-01

    Skin on human fingertips has high concentrations of mechanoreceptors, which are used to provide fine resolution tactile representations of our environment. Here, we explore the ability to discriminate electrotactile stimulation at four sites on the fingertip. Electrical stimulation was delivered to arrays of electrodes centered on the index fingertip (volar aspect). Accuracy of discrimination was tested by examining electrode size, interelectrode spacing, and stimulation frequency as primary factors. Electrical stimulation was delivered at 2 mA with the pulse width modulated to be at (or above) perceptual threshold at 25 and 75 Hz and an average pulse width of 1.03 ms (+/- 0.70 ms standard deviation). Discrimination of the stimulated locations under this stimulation paradigm was significantly above chance level in all cases. Subjects' ability to discriminate stimulus location was not significantly influenced by electrode size or stimulation frequency when considered as separate factors. However, increased electrode spacing significantly increased subjects' ability to discriminate the location of the stimulated electrode. Further analysis revealed that errors were only significantly reduced along the medial-lateral direction with increasing interelectrode spacing. These results suggest that the electrotactile stimulus localization on the fingertip has some directional dependency, in addition to its dependency on interelectrode spacing. The neural mechanisms underlying this phenomenon are discussed in relation to electrical stimulus transduction characteristics of tactile mechanoreceptors.

  6. Missed isolated volar dislocation of the scaphoid

    DEFF Research Database (Denmark)

    Kolby, Lise; Larsen, Søren; Jørring, Stig;

    2007-01-01

    A patient presented with volar dislocation of the scaphoid, the diagnosis of which had been missed for two weeks. He was treated with open reduction through a combined volar and dorsal approach with decompression of the median nerve, internal fixation, and a cast for eight weeks. One year postope...

  7. Scaphoid dislocation associated with axial carpal dissociation during volar flexion of the wrist: a case report.

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    Kanaya, Kohei; Wada, Takuro; Yamashita, Toshihiko

    2010-01-01

    We present the first report of a patient with an isolated scaphoid dislocation with axial carpal dissociation sustained during volar flexion of the wrist. The scaphoid was dislocated to the radial side of the radial styloid process and was slightly shifted to the dorsal side. It was shown that the position of the wrist played an irrelevant role for occurring scaphoid dislocation.

  8. Innervated Cross-Finger Pulp Flap for Reconstruction of the Fingertip

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    Nae-Ho Lee

    2012-11-01

    Full Text Available Background Fingertip injuries involving subtotal or total loss of the digital pulp are commontypes of hand injuries and require reconstruction that is able to provide stable padding andsensory recovery. There are various techniques used for reconstruction of fingertip injuries,but the most effective method is functionally and aesthetically controversial. Despite somedisadvantages, cross-finger pulp flap is a relatively simple procedure without significantcomplications or requiring special techniques.Methods This study included 90 patients with fingertip defects who underwent cross-fingerpulp flap between September 1998 and March 2010. In 69 cases, neurorrhaphy was performedbetween the pulp branch from the proper digital nerve and the recipient’s sensory nerve forgood sensibility of the injured fingertip. In order to evaluate the outcome of our surgicalmethod, we observed two-point discrimination in the early (3 months and late (12 to 40months postoperative periods.Results Most of the cases had cosmetically and functionally acceptable outcomes. The averagedefect size was 1.7×1.5 cm. Sensory return began 3 months after flap application. The twopointdiscrimination was measured at 4.6 mm (range, 3 to 6 mm in our method and 7.2 mm(range, 4 to 9 mm in non-innervated cross-finger pulp flaps.Conclusions The innervated cross-finger pulp flap is a safe and reliable procedure for lateraloblique, volar oblique, and transverse fingertip amputations. Our procedure is simple to performunder local anesthesia, and is able to provide both mechanical stability and sensory recovery.We recommend this method for reconstruction of fingertip injuries.

  9. Free toe pulp flap for finger pulp and volar defect reconstruction

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    Jyoshid R Balan

    2016-01-01

    Full Text Available Background: Fingertip injury requiring flap cover is very common in the modern era. The ideal cover should fulfill both functional and aesthetic improvement. Materials and Methods: From June 2015 to April 2016, we performed seven free toe pulp flaps for finger defect reconstruction. All patients were males. Five flaps were done in emergency post-traumatic cases, and two were done in elective set up. The cases included reconstruction of three thumbs, one index and one ring finger in an emergency set up and two ring fingers in the elective. Thumb reconstruction was done with great toe lateral pulp and the other digits reconstructed with second toe pulp flap. Follow-up evaluation included both functional and aesthetic assessment. Results: Five flaps survived completely, one suffered partial loss, and one flap failed completely. The median follow-up period was 9 months. The median duration of surgery was 255 min (range 210 to 300 min. The median two-point discrimination was 6.5 mm (range 4–8 mm. There was the return of temperature sensation in all patients; two had cold intolerance. The Semmes-Weinstein monofilament score varied from 3.61 to 5.07 (median filament index value 4.31/pressure value of 2 g/mm2. Three patients had delayed donor site wound healing. Conclusions: The free toe pulp flap is an efficient choice for fingertip and volar finger defects reconstruction with an excellent tissue match.

  10. Malignant tumors mimicking fingertip infections: Report of two consecutive cases

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    Berrak Aksam

    2014-12-01

    Full Text Available Malignant tumors in fingertips have similar findings with fingertip infections. Malignancies should be considered in patients with consistent swelling and erythema of the fingertip, and who exhibit resistance to infection treatments. In this study, two patients with malign fingertip tumors, who were treated under the misdiagnosis of fingertip infections, are presented. [Hand Microsurg 2014; 3(3.000: 80-82

  11. 计算机仿真技术在桡骨远端骨折掌侧锁定钢板放置定位的作用研究%The Computer Simulation Technology in the Research of Fracture of the Distal Radius Volar Locking Plates Positioned Side

    Institute of Scientific and Technical Information of China (English)

    詹祖锋; 刘晓霞; 胡军; 刘有余

    2015-01-01

    目的:观察探讨计算机仿真技术在桡骨远端骨折掌侧锁定钢板的放置定位的作用。方法:选取医院2013年2月-2014年7月收纳的98例桡骨远端骨折患者,按随机分配原则分为观察组和对照组,各49例。观察组桡骨远端骨折患者,应用计算机仿真技术MIMICS软件建模,测量桡骨和掌侧钢板定位,关节面边缘与掌侧钢板螺孔中心之间最佳长度,计算掌侧锁定钢板的放置定位的标准差及均值。对照组桡骨远端骨折患者,应用传统常规X射线及CT阅片计算桡骨和掌侧钢板定位。结果:两组桡骨远端骨折患者手术情况对比,观察组透视次数、手术时间均低于对照组,有明显差异,具有统计学意义(P<0.05)。结论:计算机仿真技术在桡骨远端骨折掌侧锁定钢板的放置定位的效果显著,较常规X片检查确定等方法更为精确合适计算桡骨远端骨折关节面边缘与螺孔中心之间的最佳距离,提高骨折固定的稳定性和适应性,减少治疗后透析后检查次数及时间。其临床选择优势较高,无严重不良反应,值得临床上进一步推广应用。%Objective: To observe the effect of computer simulation technology in the research of fracture of the distal radius volar locking plates positioned side. Methods:in our hospital from 2013 February-2014 year in July received 98 cases of distal radius fracture patients, randomly divided into observation group and control group, with 49 cases in each group, were observed in patients with fracture of the distal radius, the application of computer simulation technology MIMICS software modeling, measurement of radial and palmar plate location, edge of articular surface and power. The lateral plate screw center optimal length, calculation of positioning of volar locking plates and the standard deviation of the mean. The control group of patients with fracture of the distal radius, using

  12. Fingertip aura and interpersonal attraction.

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    Murstein, B I; Hadjolian, S E

    1977-06-01

    Concluding from our survey of the literature that fingertip auras (Kirlian effect) might be associated with interpersonal attraction, four hypotheses were advanced to test this assertion. It was hypothesized that individuals would respond with bigger auras to (1) opposite-sex photographers as compared to same-sex photographers, (2) to seductive opposite-sex photographers as opposed to normally behaving opposite-sex photographers, (3) to opposite-sex unknown peers as opposed to same-sex unknown peers, and (4) to liked as opposed to disliked same-sex persons. All hypotheses except (2) were supported. The second hypothesis was significant in a direction contrary to hypothesis. Fingertip auras are seen as a promising measurement device in the study of interpersonal attraction.

  13. Fingertip contact influences human postural control

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    Jeka, J. J.; Lackner, J. R.

    1994-01-01

    Touch and pressure stimulation of the body surface can strongly influence apparent body orientation, as well as the maintenance of upright posture during quiet stance. In the present study, we investigated the relationship between postural sway and contact forces at the fingertip while subjects touched a rigid metal bar. Subjects were tested in the tandem Romberg stance with eyes open or closed under three conditions of fingertip contact: no contact, touch contact (postural sway when compared to the no contact, eyes closed condition. Body sway and fingertip forces were essentially in phase with force contact, suggesting that fingertip contact forces are physically counteracting body sway. Time delays between body sway and fingertip forces were much larger with light touch contact, suggesting that the fingertip is providing information that allows anticipatory innervation of musculature to reduce body sway. The results are related to observations on precision grip as well as the somatosensory, proprioceptive, and motor mechanisms involved in the reduction of body sway.

  14. Adolescent Volar Barton Fracture with Open Physis treated with Volar Plating using Buttressing Principle

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    Shah H

    2015-07-01

    Full Text Available Objective: The objective of the study was to assess the outcome of Salter- Harris type III distal radius fracture fixed using the principle of buttressing and avoiding screw insertion through the physis. Materials and Method: Eight school going children in the age group of 11-16 years with volar Barton fractures were treated with a volar plate using the buttress principle without inserting screws in the distal fragment. Patients were evaluated over a period of 18 months. Clinical evaluation was done using the Green O’Brien criteria and radiological evaluation using the Sarmiento criteria. Results: The average union time was two months. All the patients had good to excellent functional outcome with full extension and flexion. Conclusion: Buttress plating of volar Barton fractures in the adolescent age group is an excellent technique to achieve satisfactory outcome without violation of the physis.

  15. Advantages of using volar vein repair in finger replantations.

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    Mersa, Berkan; Kabakas, Fatih; Pürisa, Hüsrev; Özçelik, Ismail Bülent; Yeşiloğlu, Nebil; Sezer, Ilker; Tunçer, Serdar

    2014-01-01

    Providing adequate venous outflow is essential in finger replantation surgeries. For a successful result, the quality and quantity of venous repairs should be adequate to drain arterial inflow. The digital dorsal venous plexus is a reliable source of material for venous repairs. Classically, volar digital veins have been used only when no other alternative was available. However, repairing volar veins to augment venous outflow has a number of technical advantages and gives a greater chance of survival. Increasing the repaired vein:artery ratio also increases the success of replantation. The volar skin, covering the volar vein, is less likely to be avulsed during injury and is also less likely to turn necrotic, than dorsal skin, after the replantation surgery. Primary repair of dorsal veins can be difficult due to tightness ensuing from arthrodesis of the underlying joint in flexion. In multiple finger replantations, repairing the volar veins after arterial repair and continuing to do so for each finger in the same way without changing the position of the hand and surgeon save time. In amputations with tissue loss, the size discrepancy is less for volar veins than for dorsal veins. We present the results of 366 finger replantations after volar vein repairs.

  16. Biomechanical Properties of 3-Dimensional Printed Volar Locking Distal Radius Plate: Comparison With Conventional Volar Locking Plate.

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    Kim, Sung-Jae; Jo, Young-Hoon; Choi, Wan-Sun; Lee, Chang-Hun; Lee, Bong-Gun; Kim, Joo-Hak; Lee, Kwang-Hyun

    2017-09-01

    This study evaluated the biomechanical properties of a new volar locking plate made by 3-dimensional printing using titanium alloy powder and 2 conventional volar locking plates under static and dynamic loading conditions that were designed to replicate those seen during fracture healing and early postoperative rehabilitation. For all plate designs, 12 fourth-generation synthetic composite radii were fitted with volar locking plates according to the manufacturers' technique after segmental osteotomy. Each specimen was first preloaded 10 N and then was loaded to 100 N, 200 N, and 300 N in phases at a rate of 2 N/s. Each construct was then dynamically loaded for 2,000 cycles of fatigue loading in each phase for a total 10,000 cycles. Finally, the constructs were loaded to a failure at a rate of 5 mm/min. All 3 plates showed increasing stiffness at higher loads. The 3-dimensional printed volar locking plate showed significantly higher stiffness at all dynamic loading tests compared with the 2 conventional volar locking plates. The 3-dimensional printed volar locking plate had the highest yield strength, which was significantly higher than those of 2 conventional volar locking plates. A 3-dimensional printed volar locking plate has similar stiffness to conventional plates in an experimental model of a severely comminuted distal radius fracture in which the anterior and posterior metaphyseal cortex are involved. These results support the potential clinical utility of 3-dimensional printed volar locking plates in which design can be modified according the fracture configuration and the anatomy of the radius. Copyright © 2017 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  17. Dermoscopic findings and histological correlation of the acral volar pigmented maculae in Laugier-Hunziker syndrome.

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    Sendagorta, Elena; Feito, Marta; Ramírez, Paloma; Gonzalez-Beato, María; Saida, Toshiaki; Pizarro, Angel

    2010-11-01

    Laugier-Hunziker syndrome (LHS) is an acquired, benign, macular hyperpigmentation of the lips and oral mucosa, often associated with pigmentation of the nails. Volar acral maculae on the palms and fingertips of patients affected by LHS are a typical feature of this rare entity. Dermoscopic examination of these maculae has been described in a previous report, in which authors found a parallel-furrow pattern. We describe two cases in which a parallel-ridge pattern (PRP) was found on the dermoscopic examination of the pigmented acral lesions. Histological examination showed increased melanin in basal keratinocytes, which was most prominent in those located at the crista intermedia profunda, that is, in the epidermal rete ridges underlying the surface ridges. In our study, dermoscopic features of the pigmented maculae found on LHS differed from those previously described. In addition, by means of this case report, the histological features of these lesions are described for the first time, showing an excellent correlation with dermoscopy. The reported cases prove that although the PRP is very specific of melanoma, it is also possible to find it in benign lesions. Therefore, we must be familiar with the differential diagnosis of PRP, and take into consideration the clinical context in which we find it. Further studies are needed to increase our knowledge on the histological and dermoscopic features of acral pigmented maculae of LHS.

  18. Analysis of laser speckle patterns from fingertips

    DEFF Research Database (Denmark)

    Iversen, Theis Faber Quist; Hanson, Steen Grüner

    2010-01-01

    from mobile phones to laptops and PDA´s. However, the dynamics of scattered light from live tissue must be taken into account when designing optical sensor systems for tracking e.g. fingertips in touch-applications. Especially, when using coherent light sources, the statistics of the speckle......The trend in human-machine interface technology is heading towards optical solutions for tracking and movement detection. Especially, interactive touch screens and pads, in which the movement of the user’s fingertips is detected and tracked, are of great commercial interest. The applications range......-pattern originating from the scattering structure is of critical importance for the sensor performance and has to be understood in details. We investigate theoretically and experimentally the characteristics of the dynamics of backscattered speckle pattern generated by a human fingertip and address the effects...

  19. Novel high resolution tactile robotic fingertips

    DEFF Research Database (Denmark)

    Drimus, Alin; Jankovics, Vince; Gorsic, Matija

    2014-01-01

    This paper describes a novel robotic fingertip based on piezoresistive rubber that can sense pressure tactile stimuli with a high spatial resolution over curved surfaces. The working principle is based on a three-layer sandwich structure (conductive electrodes on top and bottom and piezoresistive...... with specialized data acquisition electronics that acquire 500 frames per second provides rich information regarding contact force, shape and angle for bio- inspired robotic fingertips. Furthermore, a model of estimating the force of contact based on values of the cells is proposed....

  20. Fingertip Detection for Hand Pose Recognition

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    M.K. Bhuyan

    2012-03-01

    Full Text Available In this paper, a novel algorithm is proposed for fingertip detection and finger type recognition. The algorithm is applied for locating fingertips in hand region extracted by Bayesian rule based skincolor segmentation. Morphological operations are performed in the segmented hand region by observing key geometric features. A probabilistic modeling of the geometric features of finger movement has made the finger type recognition process significantly robust. Proposed method can be employed in a variety of applications like sign language recognition and human robot interactions.

  1. Isolated volar surgical approach for the treatment of perilunate and lunate dislocations

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    Hakan Basar

    2014-01-01

    Conclusion: The clinical and radiological results of the isolated volar surgical approach were satisfactory. The dorsal approach was not needed for reduction of dislocations during operations. Our results showed that an isolated volar approach was adequate.

  2. Si te sobreprotejo, no aprenderás a volar

    OpenAIRE

    Ortega Delgado, Juan Carlos; Enríquez Lara, Mónica Mercedes

    2013-01-01

    Tesis (Maestría en Educación desde la Diversidad). Universidad de Manizales. Facultad de Ciencias Sociales y Humanas, 2013 RESUMEN 1. Mónica Enríquez 2. Juan Carlos Ortega SI TE SOBREPROTEJO, NO APRENDERÁS A VOLAR El presente artículo se basa en la investigación denominada SI TE SOBREPROTEJO, NO APRENDERÁS A VOLAR, realizada acerca de la sobreprotección vista como otra forma de maltrato, la cual se ubica en el macroproyecto de Desarrollo Humano, Sujeto y diversidad, de...

  3. Si te sobreprotejo, no aprenderás a volar

    OpenAIRE

    Ortega Delgado, Juan Carlos; Enríquez Lara, Mónica Mercedes

    2013-01-01

    Tesis (Maestría en Educación desde la Diversidad). Universidad de Manizales. Facultad de Ciencias Sociales y Humanas, 2013 RESUMEN 1. Mónica Enríquez 2. Juan Carlos Ortega SI TE SOBREPROTEJO, NO APRENDERÁS A VOLAR El presente artículo se basa en la investigación denominada SI TE SOBREPROTEJO, NO APRENDERÁS A VOLAR, realizada acerca de la sobreprotección vista como otra forma de maltrato, la cual se ubica en el macroproyecto de Desarrollo Humano, Sujeto y diversidad, de...

  4. Sustainable Materials Management: At Your Fingertips

    Science.gov (United States)

    EPA recently announced the release of the beta version of EPA’s Materials Management Wizard web application (or “M-Wiz,” for short)—that puts that wealth of knowledge at your fingertips in a guided, easy-to-use format you can tailor to your specific needs.

  5. Analysis of laser speckle patterns from fingertips

    DEFF Research Database (Denmark)

    Iversen, Theis Faber Quist; Hanson, Steen Grüner

    2010-01-01

    The trend in human-machine interface technology is heading towards optical solutions for tracking and movement detection. Especially, interactive touch screens and pads, in which the movement of the user’s fingertips is detected and tracked, are of great commercial interest. The applications range...

  6. One size does not fit all: distal radioulnar joint dysfunction after volar locking plate fixation.

    Science.gov (United States)

    Jones, Christopher W; Lawson, Richard D

    2014-02-01

    Background Fractures of the distal radius are among the most common injuries treated by orthopedic surgeons worldwide. Failure to restore distal radius alignment can lead to fracture malunion and poor clinical outcomes, including distal radioulnar joint (DRUJ) instability and limitation of motion. Case Description We present a unique case of DRUJ dysfunction following volar plate fixation of bilateral distal radius fractures and analyze the biomechanical causes of this complication. As a result of a relatively excessive tilt of the precontoured locking plate (in comparison to the patient's particular anatomy), the fracture on one side was "over-reduced," disrupting the biomechanics of the DRUJ, causing a supination block. Clinical Relevance Volar locking plates are not a panacea to all distal radius fractures. Plate selection and fixation technique must include consideration of patient anatomy. Robust plates offer the advantage of providing rigid fixation but can be difficult to contour when reconstructing normal anatomy. Restoration of patient-specific anatomy is crucial to the management of distal radius fractures.

  7. Aesthetic fingertip reconstruction with partial second toe transfer

    Institute of Scientific and Technical Information of China (English)

    HUANG Dong; WANG Hong-gang; WU Wei-zhi; ZHANG Hui-ru; LIN Hao

    2011-01-01

    Background Fingertip defect significantly affects the appearance of the hand. The aim of this research was to evaluate the clinical effect of aesthetic fingertip reconstruction with partial second toe transfer.Methods Between July 2005 and December 2008, 17 patients underwent aesthetic fingertip reconstruction with partial second toe transfer. The mean size of fingertip defects was 0.7 cm (ranging from 0.5-1.1 cm). Anastomosis was performed between one dominant plantar digital artery and one proper digital artery, between two dorsal digital veins of the toe and two dorsal digital veins of the finger, respectively, for the reconstruction of blood supply to the reconstructed finger. Two plantar digital nerves of the toe were then sutured to two proper digital nerves of the finger for the restoration of fingertip sensation.Results All reconstructed fingers survived completely. The follow-up period ranged from 6 to 24 months, and the appearance of the reconstructed fingertip was similar to that of the normal fingertip. Two-point discrimination of the reconstructed fingertip was (7.8±1.3) mm. The recovered pinch strength of the reconstructed finger was about (89.0±5.1)% of that of the normal finger. Donor site healed well without complications.Conclusions Partial second toe transfer is an ideal aesthetic reconstruction method for fingertip defects; it can not only achieve a satisfactory appearance of the fingertip, but can also obtain excellent sensory and motor functions.

  8. Video-based Chinese Input System via Fingertip Tracking

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    Chih-Chang Yu

    2012-10-01

    Full Text Available In this paper, we propose a system to detect and track fingertips online and recognize Mandarin Phonetic Symbol (MPS for user-friendly Chinese input purposes. Using fingertips and cameras to replace pens and touch panels as input devices could reduce the cost and improve the ease-of-use and comfort of computer-human interface. In the proposed framework, particle filters with enhanced appearance models are applied for robust fingertip tracking. Afterwards, MPS combination recognition is performed on the tracked fingertip trajectories using Hidden Markov Models. In the proposed system, the fingertips of the users could be robustly tracked. Also, the challenges of entering, leaving and virtual strokes caused by video-based fingertip input can be overcome. Experimental results have shown the feasibility and effectiveness of the proposed work.

  9. Extended step-advancement flap for avulsed amputated fingertip--a new technique to preserve finger length: case series.

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    Hammouda, Atalla A; El-Khatib, Hamdy A; Al-Hetmi, Talal

    2011-01-01

    The conventional step-advancement flap does not restore fingertip length after avulsion amputation with projecting bone owing to the limited size of the distal triangular flap. To overcome this problem, the extended step advancement flap using the stepladder principle, described in this article, provides an extended distal triangular flap that can be wrapped around the projecting tip of the distal phalanx while avoiding longitudinal volar scarring. The purposes of this study were to present a modification of the original step-advancement technique and to report on results in 6 patients. Between 2007 and 2009, 6 men (mean age, 29 y; range, 18-45 y) presented with a large projecting tip of exposed bone of the distal phalanx after avulsion injury. All 6 had reconstruction using the described technique. After surgery, the finger was immobilized with a splint, followed by rehabilitation. During the follow-up of 9 to 12 months, we clinically assessed flap-site skin quality, scar contractures, and finger mobility. We measured the finger's range of motion with a goniometer. Sensibility was evaluated using the static 2-point discrimination test. The postoperative course was uneventful. All flaps survived completely, except one that had mild marginal necrosis. We observed near-total active range of motion in all patients. The average static 2-point discrimination was 4 mm with a range of 3 to 5 mm. All patients resumed normal daily activities after 8 weeks. The extended step-advancement flap is ideal for closure of challenging fingertip amputation wounds because it maintains length and minimizes scars while providing a well-padded, sensate tip. It is a viable alternative to replantation of the fingertip. Therapeutic IV. Copyright © 2011. Published by Elsevier Inc.

  10. Post-traumatic Raynaud's phenomenon following volar plate injury.

    Science.gov (United States)

    Chodakiewitz, Yosef G; Daniels, Alan H; Kamal, Robin N; Weiss, Arnold-Peter C

    2014-04-01

    Post-traumatic Raynaud's phenomenon following non-penetrating or non-repetitive injury is rare. We report a case of Raynaud's phenomenon occurring in a single digit 3 months following volar plate avulsion injury. Daily episodes of painless pallor of the digit occurred for 1 month upon any exposure to cold, resolving with warm water therapy. Symptoms resolved after the initiation of hand therapy, splinting, and range-of- motion exercises.

  11. Fingertip replantation: Technical considerations and outcome analysis of 24 consecutive fingertip replantations

    Directory of Open Access Journals (Sweden)

    H Venkatramani

    2011-01-01

    Full Text Available Fingertip amputations are one of the most common injuries faced in an emergency department. Finger tip replantation though technically possible, are not regularly done due to the presumed complexity of the procedure and doubts about the outcome. This article deals with our experience of 24 fingertip replantations in 24 patients done over a period of 8 years since the year 2000. Twenty-one fingertips survived. The most common affected digit in the series was thumb followed by index, middle, and ring. The overall success rate was 87%. Both arterial and venous repair were done in all cases. Replantation was not done if no suitable vein was found for anastomosis. Nine patients did not have nerve repair. Seven of them survived and all of them had satisfactory sensation when examined after 1 year. No patient suffered from cold intolerance. All patients were satisfied with the functional outcome and aesthetic appearance. This article highlights the technical considerations and the outcome of these fingertip replants.

  12. FLIPPS: fingertip sthnulation for improved Speechreading

    DEFF Research Database (Denmark)

    Bothe, Hans-Heinrich; Mohamad, Ali F.; Jensen, Martin R.

    2004-01-01

    FLIPPS is a new hand-hold tactile stimulation device developed for the improvement of speechreading conversation with or amongst hearing-impaired persons. It makes additional speech information available through multiple fingertip stimulation using power-balanced frequency bands for the vibrator...... stimulation. FLIPPS is battery-powered, so that it may be used in daily life conversation. The small size allows for pocket use. First field tests indicate the applicability of the device. At the moment, a prototype hardware realization is at hand, which allows for parameter optimization and for further field...

  13. Utah State Office of Education Fingertip Facts, 2013-14

    Science.gov (United States)

    Utah State Office of Education, 2014

    2014-01-01

    Fingertip Facts is a compendium of some of the most frequently requested data sets from the Utah State Office of Education. Data sets in this year's Fingertip Facts include: Core CRT Language Arts Testing, 2013; Core CRT Mathematics Testing, 2013; 2013 Public Education General Fund; 2012-13 Enrollment Demographics; Public Schools by Grade Level,…

  14. Utah State Office of Education Fingertip Facts, 2014-15

    Science.gov (United States)

    Utah State Office of Education, 2015

    2015-01-01

    Fingertip Facts is a compendium of some of the most frequently requested data sets from the Utah State Office of Education. Data sets in this year's Fingertip Facts include: SAGE Testing, 2014; 2013 Public Education General Fund; 2014-15 Public School Enrollment Demographics; Public Schools by Grade Level, 2013-14; Number of Licensed Educators;…

  15. Utah State Office of Education Fingertip Facts, 2012-13

    Science.gov (United States)

    Utah State Office of Education, 2013

    2013-01-01

    Fingertip Facts is a compendium of some of the most frequently requested data sets from the Utah State Office of Education. Data sets in this year's Fingertip Facts include: Core CRT Language Arts Testing, 2012; Core CRT Mathematics Testing, 2012; 2012 Public Education General Fund; 2011-2012 Enrollment Demographics; Public Schools by Grade Level,…

  16. Unstable Distal Radius Fractures Treated by Volar Locking Anatomical Plates

    Science.gov (United States)

    Jose, Anto; Deniese, Pascal Noel; Babu, Abey Thomas; Rengasamy, Kanagasabai; Najimudeen, Syed

    2017-01-01

    Introduction Fracture of the distal end of radius represents the most common fracture of the upper extremity accounting for 16-20% of all fractures. Plating is now emerging as the gold standard for management of distal radius fractures due to increased rate of complications such as malunion, subluxation/dislocation of distal radio-ulnar joint or late collapse of fracture. Procedures such as closed reduction and cast immobilization, ligamentotaxis with external fixator and percutaneous pin fixation are no longer acceptable. Aim The purpose of the study was to evaluate the functional and radiological outcome of unstable distal radius fractures treated with the volar locking plate. Materials and Methods We reviewed 53 patients from January 2011 to December 2015, treated for unstable distal radius fractures using a volar locking compression plate. Standard radiographic and clinical assessment after 12 months (range 12-16 months) were measured and final functional and radiological outcome were assessed using the Modified Mayo wrist scoring system and Sarmiento’s modification of Lindstorm criteria respectively. Results There were 42 males and 11 females with an average age of 39.12±31.78 years (18-71 years). At the end of 12 months, 36 patients had an excellent radiological outcome and 10 patients had good radiological outcome as per Sarmiento’s modification of Lindstorm criteria. Eleven patients had an excellent functional outcome and 26 patients had a good functional outcome as per modified Mayo wrist scoring system. There was one case of superficial wound infection which subsided with intravenous antibiotics. Conclusion The volar locking plate fixation helps in early mobilization of the wrist, restores anatomy, allows early return to function, prevents secondary loss of reduction and hence is an effective treatment for unstable fractures of the distal radius. PMID:28274009

  17. Ulno-volar bayonet hand: Its differential diagnosis from Madelung's deformity

    Energy Technology Data Exchange (ETDEWEB)

    Christ, F.

    1981-04-01

    The ulno-volar bayonet hand related to the mostly hereditary multiple exostoses is compared to Madelung's forearm deformity under clinical and roentgenological view in differential diagnosis. The ulno-volar bayonet hand is considerably more seldom, basing upon dysplasia of the lower part of the ulna, less inconvenient in function, and hardly tending to the development of early arthrosis.

  18. Galeazzi fracture with volar dislocation of the distal radioulnar joint.

    Science.gov (United States)

    Kim, Suezie; Ward, James P; Rettig, Michael E

    2012-11-01

    Galeazzi fracture dislocations are fractures of the distal one-third of the radial diaphysis with traumatic disruption of the distal radioulnar joint (DRUJ). This injury results in subluxation or dislocation of the ulnar head. We present a case of a Galeazzi fracture with a volar dislocation of the DRUJ. Open reduction of the DRUJ with Kirschner wire fixation in pronation was necessary to reduce the joint and maintain anatomic alignment. Repair of the triangular fibrocartilage complex was also necessary to maintain stability of the DRUJ.

  19. An Efficient Real Time Method of Fingertip Detection

    CERN Document Server

    Raheja, Jagdish Lal; Chaudhary, Ankit

    2011-01-01

    Fingertips detection has been used in many applications, and it is very popular and commonly used in the area of Human Computer Interaction these days. This paper presents a novel time efficient method that will lead to fingertip detection after cropping the irrelevant parts of input image. Binary silhouette of the input image is generated using HSV color space based skin filter and hand cropping done based on histogram of the hand image. The cropped image will be used to figure out the fingertips.

  20. Preliminary Study on SED Distribution of Tactile Sensation in Fingertip

    Directory of Open Access Journals (Sweden)

    Chen Huiling

    2016-01-01

    Full Text Available For investigating the effects of stimuli on the deformations within the soft tissues of fingertips and the dependence of the tactile sensation on the deformations under pressure, in this paper, a finite element model is developed, to simulate the procedure of a fingertip touching a sharp wedge. Characteristics of the strain energy density (SED distribution within the soft issues are analyzed. Simulation results show that the soft tissues of fingertips are very sensitive to stimuli, and the spatial distribution characteristics of strain energy density within soft tissues can best explain the evoked charging rate of mechanoreceptors.

  1. Mechanics of finger-tip electronics.

    Science.gov (United States)

    Su, Yewang; Li, Rui; Cheng, Huanyu; Ying, Ming; Bonifas, Andrew P; Hwang, Keh-Chih; Rogers, John A; Huang, Yonggang

    2013-10-28

    Tactile sensors and electrotactile stimulators can provide important links between humans and virtual environments, through the sensation of touch. Soft materials, such as low modulus silicones, are attractive as platforms and support matrices for arrays sensors and actuators that laminate directly onto the fingertips. Analytic models for the mechanics of three dimensional, form-fitting finger cuffs based on such designs are presented here, along with quantitative validation using the finite element method. The results indicate that the maximum strains in the silicone and the embedded devices are inversely proportional to the square root of radius of curvature of the cuff. These and other findings can be useful in formulating designs for these and related classes of body-worn, three dimensional devices.

  2. Development of a fingertip glove equipped with magnetic tracking sensors.

    Science.gov (United States)

    Fahn, Chin-Shyurng; Sun, Herman

    2010-01-01

    In this paper, we present the development of a data glove system based on fingertip tracking techniques. To track the fingertip position and orientation, a sensor module and two generator coils are attached on the fingertip and metacarpal of the corresponding finger. By tracking the fingertip, object manipulation tasks in a virtual environment or teleoperation system can be carried out more precisely, because fingertips are the foremost areas that reach the surface of an object in most of grasping processes. To calculate the bending angles of a finger, we also propose a method of constructing the shape of the finger. Since the coils are installed on the fingertips and metacarpals, there is no contact point between the sensors and finger joints. Hence, the shape of the sensors does not change as the fingers are bending, and both the quality of measurement and the lifetime of the sensors will not decrease in time. For the convenience of using this glove, a simple and efficient calibration process consisting of only one calibration gesture is also provided, so that all required parameters can be determined automatically. So far, the experimental results of the sensors performing linear movement and bending angle measurements are very satisfactory. It reveals that our data glove is available for a man-machine interface.

  3. Development of a Fingertip Glove Equipped with Magnetic Tracking Sensors

    Directory of Open Access Journals (Sweden)

    Chin-Shyurng Fahn

    2010-01-01

    Full Text Available In this paper, we present the development of a data glove system based on fingertip tracking techniques. To track the fingertip position and orientation, a sensor module and two generator coils are attached on the fingertip and metacarpal of the corresponding finger. By tracking the fingertip, object manipulation tasks in a virtual environment or teleoperation system can be carried out more precisely, because fingertips are the foremost areas that reach the surface of an object in most of grasping processes. To calculate the bending angles of a finger, we also propose a method of constructing the shape of the finger. Since the coils are installed on the fingertips and metacarpals, there is no contact point between the sensors and finger joints. Hence, the shape of the sensors does not change as the fingers are bending, and both the quality of measurement and the lifetime of the sensors will not decrease in time. For the convenience of using this glove, a simple and efficient calibration process consisting of only one calibration gesture is also provided, so that all required parameters can be determined automatically. So far, the experimental results of the sensors performing linear movement and bending angle measurements are very satisfactory. It reveals that our data glove is available for a man-machine interface.

  4. Partial squeeze film levitation modulates fingertip friction.

    Science.gov (United States)

    Wiertlewski, Michaël; Fenton Friesen, Rebecca; Colgate, J Edward

    2016-08-16

    When touched, a glass plate excited with ultrasonic transverse waves feels notably more slippery than it does at rest. To study this phenomenon, we use frustrated total internal reflection to image the asperities of the skin that are in intimate contact with a glass plate. We observed that the load at the interface is shared between the elastic compression of the asperities of the skin and a squeeze film of air. Stroboscopic investigation reveals that the time evolution of the interfacial gap is partially out of phase with the plate vibration. Taken together, these results suggest that the skin bounces against the vibrating plate but that the bounces are cushioned by a squeeze film of air that does not have time to escape the interfacial separation. This behavior results in dynamic levitation, in which the average number of asperities in intimate contact is reduced, thereby reducing friction. This improved understanding of the physics of friction reduction provides key guidelines for designing interfaces that can dynamically modulate friction with soft materials and biological tissues, such as human fingertips.

  5. Treatment of physeal fractures of the distal radius by volar intrafocal Kapandji method: surgical technique.

    Science.gov (United States)

    Rubin, Guy; Orbach, Hagay; Chezar, Avi; Rozen, Nimrod

    2017-01-01

    Distal radial physeal fractures with volar displacement are rare. Several methods of operative treatment include volar plate without inserting distal screws, percutaneous technique using two anterior skin incisions and reversed Kapandji technique with pins introduced through a posterior approach and locked at the anterior cortex of the fracture. We report three cases along with a literature review of the surgical techniques described in the past and a novel surgical technique for this uncommon fracture termed "Volar Kapandji". All patients had anatomic reduction at the last follow-up radiography, and all patients had a full range of motion and VAS 0 at the last follow-up. No complications were recorded. This case study presents the minimally invasive option for treating rare cases of physeal distal radius fractures with volar displacement. V.

  6. Bilateral V-Y rotation advancement flap for fingertip amputations.

    Science.gov (United States)

    Sungur, Nezih; Kankaya, Yüksel; Yıldız, Kaya; Dölen, Utku Can; Koçer, Uğur

    2012-03-01

    Fingertip amputation is the most common type of injury in the upper limb. Goals in fingertip amputation reconstruction are covering the defect, establishing maximum tactile gnosis, keeping the length of the finger, protecting the joint function, acquiring a well-padded pulp tissue, providing a bed for growing nail, obtaining a satisfactory cosmetic appearance and allowing the patient to return to work as soon as possible. Adjacent skin and soft tissue are the best covers for fingertip injuries. However, local homodigital flaps lack enough tissue to cover the defect. To solve this problem, we used V-Y rotation advancement flap bilaterally in fingertip amputations which meets all the reconstruction goals. Rotation besides advancement makes this flap more mobile and easier to cover larger defects in all amputation planes. Between 2007 and 2009, we performed bilateral V-Y rotation advancement flap on seven male patients' pulpa (average age, 37.6 years) whose fingertips were not replantable. Fourteen flaps were made on 7 fingers. There was neither total nor partial flap loss. Patients had neither cold intolerance nor scar hypersensitivity. Stiffness of the PIP joint did not occur. No obvious hooked nail occurred in patients who have remaining nail matrix. Because flaps contain neurovascular bundle, there was no difference in sensation and perfusion between the finger's pre-operative and post-operative status. The result was satisfactory with painless pinching. In addition to the various and versatile fingertip reconstruction methods, we want to present V-Y rotation advancement flap as a quick, reliable and aesthetic method.

  7. Temperature limit values for touching cold surfaces with the fingertip

    NARCIS (Netherlands)

    Geng, Q.; Holme, I.; Hartog, E.A. den; Havenith, G.; Jay, O.; Malchaires, J.; Piette, A.; Rintama, H.; Rissanen, S.

    2006-01-01

    Objectives: At the request of the European Commission and in the framework of the European Machinery Directive, research was performed in five different laboratories to develop specifications for surface temperature limit values for the short-term accidental touching of the fingertip with cold

  8. Temperature limit values for touching cold surfaces with the fingertip

    NARCIS (Netherlands)

    Geng, Q.; Holme, I.; Hartog, E.A. den; Havenith, G.; Jay, O.; Malchaires, J.; Piette, A.; Rintama, H.; Rissanen, S.

    2006-01-01

    Objectives: At the request of the European Commission and in the framework of the European Machinery Directive, research was performed in five different laboratories to develop specifications for surface temperature limit values for the short-term accidental touching of the fingertip with cold surfa

  9. Interfacial pressure and shear sensor system for fingertip contact applications.

    Science.gov (United States)

    Valero, Maria; Hale, Nick; Tang, Jing; Jiang, Liudi; McGrath, Mike; Gao, Jianliang; Laszczak, Piotr; Moser, David

    2016-12-01

    This Letter presents a capacitive-based sensor system for fingertip contact applications. It is capable of simultaneously measuring normal (pressure) and tangential (shear) stresses at the interface between a fingertip and external objects. This could be potentially exploitable for applications in the fields of upper limb prosthetics, robotics, hand rehabilitation and so on. The system was calibrated and its performance was tested using a test machine. To do so, specific test protocols reproducing typical stress profiles in fingertip contact interactions were designed. Results show the system's capability to measure the applied pressure and stresses, respectively, with high linearity between the measured and applied stresses. Subsequently, as a case study, a 'press-drag-lift' based fingertip contact test was conducted by using a finger of a healthy subject. This was to provide an initial evaluation for real-life applications. The case study results indicate that both interface pressure and shear were indeed measured simultaneously, which aligns well with the designed finger test protocols. The potential applications for the sensor system and corresponding future works are also discussed.

  10. Internal fingerprint zone detection in optical coherence tomography fingertip scans

    CSIR Research Space (South Africa)

    Darlow, LN

    2015-04-01

    Full Text Available Optical coherence tomography (OCT) is a high-resolution imaging technology capable of capturing a three-dimensional (3-D) representation of fingertip skin. The papillary junction—a junction layer of skin containing the same topographical features...

  11. Modified anterograde pedicle advancement flap in fingertip injury.

    Science.gov (United States)

    Lee, S H; Jang, J H; Kim, J I; Cheon, S J

    2015-11-01

    Soft tissue reconstruction is needed to maintain the maximum length of the fingers in fingertip injury. The purpose of this study was to present an anterograde pedicle advancement flap technique, for the treatment of fingertip injuries, which involved a modification to the anterograde advancement flap by the dissection of the digital nerve and artery with a pedicle to advance the flap. This technique was used in 12 fingers in patients who had undergone soft tissue reconstruction of fingertip injuries between January 2012 and October 2013. The sizes of the flaps ranged from 8 × 7 mm to 14 × 10 mm. The mean length of advancement was 9.7 mm (range 7-13). The mean value of the static two-point discrimination test of the healed flaps was 5.1 mm (range 4-6) and the flaps survived in all the 12 cases. The modified anterograde pedicle advancement flap provides a reliable coverage of sensate soft tissue without bone shortening in fingertip injuries.Level II. © The Author(s) 2014.

  12. Second Toe Plantar Free Flap for Volar Tissue Defects of the Fingers

    Directory of Open Access Journals (Sweden)

    Yong Jin Cho

    2013-05-01

    Full Text Available BackgroundThe reconstruction of volar surface defects is difficult because of the special histologic nature of the tissue involved. The plantar surface is the most homologous in shape and function and could be considered the most ideal of reconstructive options in select cases of volar surface defects. In this paper, we evaluate a single institutional case series of volar tissue defects managed with second toe plantar free flaps.MethodsA single-institution retrospective review was performed on 12 cases of reconstruction using a second toe plantar free flap. The mean age was 33 years (range, 9 to 54 years with a male-to-female ratio of 5-to-1. The predominant mechanism was crush injury (8 cases followed by amputations (3 cases and a single case of burn injury. Half of the indications (6 cases were for soft-tissue defects with the other half for scar contracture.ResultsAll of the flaps survived through the follow-up period. Sensory recovery was related to the time interval between injury and reconstruction-with delayed operations portending worse outcomes. There were no postoperative complications in this series.ConclusionsFlexion contracture is the key functional deficit of volar tissue defects. The second toe plantar free flap is the singular flap whose histology most closely matches those of the original volar tissue. In our experience, this flap is the superior reconstructive option within the specific indications dictated by the defect size and location.

  13. Failure of volar locking plate fixation of an extraarticular distal radius fracture: A case report

    Directory of Open Access Journals (Sweden)

    Ozer Kagan

    2010-11-01

    Full Text Available Abstract Background Volar locking plates provide significant structural stability to the distal radius. Failure of a volar locked plating is a rarely reported complication in the literature. Case Presentation A 40 year-old, obese female patient who presented with a displaced extraarticular distal radius fracture, underwent open reduction and internal fixation of the fracture using a volar locking plate. Radiographs taken at 10 weeks postoperatively showed failure of fixation with breakage of the four distal locking screws. A hardware removal was performed at 6 months, and the patient was then lost to follow-up. She presented again at 18 months after the first surgery, with significant pain, and radiographic signs of a radial collapse and a fracture-nonunion. A total wrist fusion was performed as the method of choice at that point in time. Conclusion Volar locked plating represents the new "gold standard" of distal radius fracture fixation. However, despite the stability provided by locking plates, hardware failure may occur and lead to a cascade of complications which will ultimately require a wrist fusion, as outlined in this case report. Additional structural support by bone grafting may be needed in selected cases of volar locked plating, particularly in patients with a high risk of developing a fracture-nonunion.

  14. Retrospective comparison of percutaneous fixation and volar internal fixation of distal radius fractures.

    Science.gov (United States)

    Lozano-Calderón, Santiago A; Doornberg, Job N; Ring, David

    2008-06-01

    A change in the practice of a single surgeon provided an opportunity for retrospective comparison of comparable cohorts treated with percutaneous fixation (17 patients) or a volar plate and screws (23 patients) an average of 30 months after surgery. The final evaluation was performed according to the Gartland and Werley and Mayo rating systems and the DASH questionnaire. There were no significant differences on the average scores for the percutaneous and volar plating groups, respectively: Gartland and Werley, 4 vs 5; Mayo, 82 vs 83; and DASH score 13 for both cohorts. Motion, grip, and radiographical parameters were likewise comparable. Volar internal plate and screw fixation can achieve results comparable to percutaneous fixation techniques in the treatment of fractures of the distal radius.

  15. Treatment of distal clavicle fracture with distal radius volar locking compression plate

    Institute of Scientific and Technical Information of China (English)

    YU Chao; SUN Yue-hua; ZHAO Chang-qing; SHI Ding-wei; WANG You

    2009-01-01

    Objective: To observe the early clinical outcomes of the internal fixation with distal radius volar locking compression plate (LCP) in treatment of distal clavicle fracture.Methods: Six patients with unilateral distal clavicle fractures, identified as type Ⅱ according to Neer classification system, including 4 males and 2 females, were treated with open reduction and internal fixation using a distal radius volar LCP. Bone union was evaluated by routine X-ray radiography, and shoulder joint function were assessed by Constant score system.Results: All fractures achieved bone union at 6 to 8 weeks postoperatively, and Constant scores ranged from 95 to 100 at the postoperative 10 to 12 weeks.Conclusion: Fixation of distal clavicle fracture with distal radius volar LCP demonstrates excellent effects of bone union with rarely early complications, thus providing a new technique to treat distal clavicle fracture.

  16. Arthroscopic-Assisted Combined Dorsal and Volar Scapholunate Ligament Reconstruction with Tendon Graft for Chronic SL Instability.

    Science.gov (United States)

    Ho, Pak-Cheong; Wong, Clara Wing-Yee; Tse, Wing-Lim

    2015-11-01

    patients had no wrist pain, and six had some pain on either maximum exertion or at the extreme of motion. The average total pain score was 1.7/20 compared with the preoperative score of 8.3/20. The postoperative average total wrist performance score was 37.8/40, with an improvement of 35%. The average extension range improved for 13%, flexion range 16%, radial deviation 13%, and ulnar deviation 27%. Mean grip strength was 32.8 kg (120% of the preoperative status, 84% of the contralateral side). The average SL interval was 2.9 mm (range 1.6-5.5 mm). Recurrence of a DISI deformity was noted in four patients without symptoms. Ischemic change of proximal scaphoid was noted in one case without symptoms or progression. There were no major complications. All patients were satisfied with the procedure and outcome. Conclusion Our method of reconstructing both the dorsal and volar SL ligament, in a minimally invasive way, is a logical and effective technique to improve SL stability. The potential risk of ischemic necrosis of the carpal bone is minimized by preservation of the scaphoid blood supply, the small size of the bone tunnels created, and the inclusion of the capsule at the reconstruction site.

  17. Multiple volar dislocations of the carpometacarpal joints with an associated fracture of the first metacarpal base

    Institute of Scientific and Technical Information of China (English)

    Latif Zafar Jilani; Mazhar Abbas; Siddharth Goel; Mohammad Nasim Akhtar

    2014-01-01

    Multiple volar dislocations of carpometacarpal (CMC) joints are uncommon and have been reported rarely.A 25 years old male presented with injury to his left hand 6 days following a road traffic accident.Clinical examination revealed gross swelling of the hand and diffuse tenderness over the carpometacarpal area.His radiographs of the hand showed volar dislocation of the second,third and fourth CMC joints in association with an extra-articular fracture of the base of thumb metacarpal.He was treated by open reduction and percutaneous fixation using Kirschner wires.The functional results were excellent at one year follow-up.

  18. UBIQUITOUS PALM DISPLAY AND FINGERTIP TRACKER SYSTEM USING OPENCV

    Directory of Open Access Journals (Sweden)

    Sathish Sekar

    2014-01-01

    Full Text Available Ubiquitous Computing is the idea of embedding computation onto everyday objects of the environment we live in. It’s the approach towards making technology and computation available everywhere thereby making people interact with abundant information around them in a more natural and friendly manner. Our project, the palm display system is one such approach of using one’s palm as the graphical user interface enabling the user to interact with it using his/her fingertip. We have implemented this project using computer vision techniques. In this study, we describe the details of the palm display system and explain several issues regarding the challenges in implementation and show the result using a sample photo viewer application. The main idea behind the project is to detect the interaction using shadow based techniques without the use of a fingertip marker.

  19. Sensory and Emotional Perception of Wooden Surfaces through Fingertip Touch

    Science.gov (United States)

    Bhatta, Shiv R.; Tiippana, Kaisa; Vahtikari, Katja; Hughes, Mark; Kyttä, Marketta

    2017-01-01

    Previous studies on tactile experiences have investigated a wide range of material surfaces across various skin sites of the human body in self-touch or other touch modes. Here, we investigate whether the sensory and emotional aspects of touch are related when evaluating wooden surfaces using fingertips in the absence of other sensory modalities. Twenty participants evaluated eight different pine and oak wood surfaces, using sensory and emotional touch descriptors, through the lateral motion of active fingertip exploration. The data showed that natural and smooth wood surfaces were perceived more positively in emotional touch than coated surfaces. We highlight the importance of preserving the naturalness of the surface texture in the process of wood-surface treatment so as to improve positive touch experiences, as well as avoid negative ones. We argue that the results may offer possibilities in the design of wood-based interior products with a view to improving consumer touch experiences. PMID:28348541

  20. Vehicle fingertip reach controls--human factors recommendations.

    Science.gov (United States)

    Moussa-Hamouda, E; Mourant, R R

    1981-06-01

    Interviews were conducted with 405 drivers of cars equipped with fingertip reach controls. A high percentage of finding problems was reported when the horn was mounted on a stalk and also when the turn signal was on a right stalk. Drivers of configurations with two left stalks had a large percentage of inadvertent operation problems for the turn signal and for the headlight beam selector. A laboratory experiment was conducted to evaluate modes of operation for the wiper on/off, wiper speed and washer on/off functions. Subjects performed best when the wiper on/off and speed control were actuated by a rotating had switch. Subjects' reactions to stalk mounted controls were much faster than their reactions to dash mounted controls. Recommendations to eliminate finding and inadvertent operation problems associated with fingertip reach controls are given.

  1. Sensory outcome of fingertip replantations without nerve repair.

    Science.gov (United States)

    Ozcelik, Ismail Bulent; Tuncer, Serdar; Purisa, Husrev; Sezer, Ilker; Mersa, Berkan; Kabakas, Fatih; Celikdelen, Pinar

    2008-01-01

    The sensory recovery outcomes of fingertip replantations without nerve repair were retrospectively studied. Between 2000 and 2006, 112 fingertip replantations with only arterial repair were carried out in 98 patients. About 76 of the replants survived totally, with a success rate of 67.8%. Evaluation of sensory recovery was possible in 31 patients (38 replantations). Sensory evaluation was made with Semmes-Weinstein, static and dynamic two-point discrimination, and vibration sense tests. Fingertip atrophy, nail deformities, and return to work were also evaluated. According to the Semmes-Weinstein test, 29.0% (11/38) of the fingers had normal sense, 60.5% (23/38) had diminished light touch, 7.9% (3/38) had diminished protective sensation, and 2.6% (1/38) had loss of protective sensation. Mean static and dynamic two-point discriminations were 7.2 mm (3-11 mm), and 4.60 mm (3-6 mm), respectively. Vibratory testing revealed increased vibration in 42.1% of the fingers, decreased vibration in 36.8%, and equal vibration when compared with the non-injured fingers in 21.1%. Atrophy was present in 14 (36.8%) fingers and negatively affected the results. Nail deformities, cold intolerance, return to work, and the effect of sensory education were investigated. Comparison of crush and clean cut injuries did not yield any significant difference in any of the parameters. Patients who received sensory education had significantly better results in sensory testing. The results were classified as excellent, good, and poor based on results of two-point discrimination tests. The outcome was excellent in 18 fingers and good in 20 fingers. Overall, satisfactory sensory recovery was achieved in fingertip replantations without nerve repair.

  2. NLM Evidence-based Information At Your Fingertips - NMA

    Energy Technology Data Exchange (ETDEWEB)

    McMurray, L.

    2010-08-02

    The National Library of Medicine: Evidenced-Based Information at Your Fingertips workshop is designed specifically for physicians attending the Community Medicine and Public Health Section portion of the National Medical Association 2010 Annual Convention and Scientific Assembly. This course seeks to address the digital divide issue by teaching participants to use the NLM resources and to improve their ability to use health information echnology to treat their patients and develop strategies to eliminate race-based disparities in health.

  3. Electrotactile stimuli delivered across fingertips inducing the Cutaneous Rabbit Effect.

    Science.gov (United States)

    Warren, Jay P; Santello, Marco; Helms Tillery, Stephen I

    2010-10-01

    Previous studies have been unable to induce the Cutaneous Rabbit Effect (CRE) when the most likely perceived location of the illusory stimulus is on a non-continuous skin area. To determine whether the CRE could be elicited when each of the delivered stimuli were on non-continuous skin areas, we developed a new electrotactile stimulation paradigm attempting to induce the CRE across the fingertips. Though our stimulation paradigm differed from classic reduced CRE paradigms through the use of electrotactile stimuli, focusing the subject attention to a 'likely' illusory site, and the inclusion of a fourth stimulation site (two stimuli after the illusory stimulus), these factors were not the cause of the illusory effect we observed. Experiments conducted on the forearm validated that our paradigm elicited similar results to those reported in previous CRE studies that used either 3-stimulation-point mechanical or electrotactile stimuli with subject attention focused on the 'likely' illusory site. Across the fingertips, we observed an increase in stimulus mislocalization onto the middle fingertip, the 'likely' perceived location of the illusory stimuli, under Illusory Rabbit Trains compared to the Motion Bias Trains. Because the Motion Bias Trains should not induce a perceived location shift of the illusory stimulus but stimulates the adjacent digits in a similar way to the Illusory Rabbit Trains, differences observed between their mislocalization rates between these trains indicate that the CRE can be induced across the fingertips. These results provide the first evidence that the CRE can 'jump' when the stimuli occur across non-continuous skin areas.

  4. Radial ridge excision for symptomatic volar tendon subluxation following de Quervain's release.

    Science.gov (United States)

    Collins, Evan D

    2014-09-01

    Traditional surgical release to address de Quervain's stenosing tenosynovitis can lead to the rare complication of volar tendon subluxation. This study presents a surgical procedure, which entails excision of the radial ridge as an alternative treatment to relieve pain associated with symptomatic volar tendon subluxation following de Quervain's release. The procedure was performed on 6 patients complaining of painful volar tendon subluxation of abductor pollicis longus (APL) and extensor pollicis brevis (EPB), following a first dorsal compartment release and postoperative splinting. We opened the same incision sharply, with direct view of the tendons of the first dorsal compartment. The wrist was ranged through extension and flexion, and volar subluxation of the APL and EPB over the prominent radial ridge was confirmed. The bony portion of the radial ridge was excised and filed smooth. The periosteal flap is advanced over the ridge and sutured into place. The APL and EPB tendons were released from dorsal retractors. All patients reported relief upon follow-up. Excision of this ridge removes the obtrusive friction to the APL and EPB tendons, allowing them to glide painlessly over the radial styloid.

  5. Volar morphology of the distal radius in axial planes: a quantitative analysis.

    Science.gov (United States)

    Oura, Keiichiro; Oka, Kunihiro; Kawanishi, Yohei; Sugamoto, Kazuomi; Yoshikawa, Hideki; Murase, Tsuyoshi

    2015-04-01

    To investigate the cause of rupture of the flexor pollicis longus (FPL) after volar plate fixation of distal radius fractures, previous studies have examined the shape of the distal radius in the sagittal plane or in the lateral view. However, there are no reports on the anatomical shape of the volar surface concavity of the distal radius in the axial plane. We hypothesized that this concavity might contribute to the mismatch between the plate and the surface of the radius. To test this hypothesis, we constructed three-dimensional models of the radius and FPL based on computed tomography scans of 70 normal forearms. We analyzed axial cross-sectional views with 2 mm intervals. In all cases, the volar surface of the distal radius was concave in the axial plane. The concavity depth was maximum at 6 mm proximal to the palmar edge of the lunate fossa and progressively decreased toward the proximal radius. FPL was closest to the radius at 2 mm proximal to the palmar edge of the lunate fossa. The volar surface of the distal radius was externally rotated from proximal to distal. These results may help to develop new implants which fit better to the radius and decrease tendon irritation.

  6. Second Toe Plantar Free Flap for Volar Tissue Defects of the Fingers

    Directory of Open Access Journals (Sweden)

    Yong Jin Cho

    2013-05-01

    Full Text Available Background  The reconstruction of volar surface defects is difficult because of the specialhistologic nature ofthe tissue involved. The plantarsurface isthe most homologousin shapeand function and could be considered the mostideal ofreconstructive optionsin select casesof volar surface defects. In this paper, we evaluate a single institutional case series of volartissue defectsmanagedwith second toe plantarfree flaps.Methods  Asingle-institution retrospective reviewwas performed on 12 cases ofreconstructionusing a second toe plantar free flap. The mean age was 33 years (range, 9 to 54 years witha male-to-female ratio of 5-to-1. The predominant mechanism was crush injury (8 casesfollowed by amputations (3 cases and a single case of burn injury. Half of the indications (6caseswere forsoft-tissue defectswith the other halfforscar contracture.Results  All ofthe flapssurvived through the follow-up period. Sensory recoverywasrelatedto the time interval between injury and reconstruction−with delayed operations portendingworse outcomes. Therewere no postoperative complicationsin thisseries.Conclusions  Flexion contracture is the key functional deficit of volar tissue defects. Thesecond toe plantar free flap is the singular flap whose histology most closely matches thoseof the original volar tissue. In our experience, this flap is the superior reconstructive optionwithin the specific indications dictated by the defectsize and location.

  7. Comparison of the efficacy of single volar subcutaneous digital block and the dorsal two injections block.

    Science.gov (United States)

    Afridi, Riaz Ahmed Khan; Masood, Tariq; Ahmed, Ehtisham; Obaidullah, Abdul Majeed Jaffar; Alvi, Hamid Fazeel

    2014-01-01

    Digital nerve blocks are commonly used as effective techniques of anaesthesia to allow a variety of surgical procedures performed on digits. This study was conducted to compare the efficacy of volar subcutaneous single injection block and the traditional dorsal two injections digital block. This randomized controlled trial was conducted at Plastic and Reconstructive Surgery Department, Hayatabad Medical Complex Peshawar from December. 2009-10. A total of 126 patients with pathology distal to the first palmer digital crease divided into two equal groups. Group A received volar subcutaneous digital block while group B dorsal two injections block. Efficacy of digital block was measured in terms of time of onset of anaesthesia, which was the total time duration after administering local anaesthetic to loss of pinprick sensation and total duration of anaesthesia, which was defined as the time period from onset of block (loss of pinprick sensation) till the appearance of pain which required additional local anaesthetic or postoperative analgesia. A total of 126 patients were studied, 63 in each group. Of the total patients, 102 (81%) were male and 24 (19%) female with a mean age of 27 ± 4.2 years (range 17-60 years). The mean time of onset of anaesthesia from injection till the loss of pin prick sensation was 3.32 ± 0.42 minutes for volar single injection group and 4.53 minutes ± 0.57 minutes for dorsal two injections group (p = 0.049). Similarly the mean total duration of anaesthesia for the volar subcutaneous group was 271.9 ± 29.34 minutes while for the dorsal two injections group, it was 229.52 ± 28.82 minutes (p = 0.415). Single injection volar subcutaneous digital block provides faster onset of anaesthesia, produces predictable, consistent dense anaesthesia of all of the fingers with the help of single injection prick.

  8. A structural model of the forced compression of the fingertip pulp.

    Science.gov (United States)

    Serina, E R; Mockensturm, E; Mote, C D; Rempel, D

    1998-07-01

    The fingertip pulp modulates the force transmitted to the underlying musculoskeletal system during finger contact on external bodies. A model of the fingertip pulp is needed to represent the transmission of forces to the tendons, muscles, and bone during these contacts. In this study, a structural model of the in vivo human fingertip was developed that incorporates both the material inhomogeneity and geometry. Study objectives were to determine (1) if this fingertip model can predict the force-displacement and force contact area responses of the in vivo human fingertip during contact with a flat, rigid surface, and (2) if the stresses and strains predicted by this model are consistent with the tactile sensing functionality of the in vivo human fingertip. The in vivo fingertip pulp was modeled as an inflated, ellipsoidal membrane, containing an incompressible fluid, that is quasi-statically compressed against a flat, frictionless surface. The membrane was assigned properties of skin (Veronda and Westmann, 1970) and when inflated, possessed dimensions approximating those of a human fingertip. Finite deformation was allowed. The model was validated by the pulp force-displacement relationship obtained by Serina et al. (1997) and by measurements of the contact area when the fingertip was pressed against a rigid surface with contact forces between 0.25 and 7.0 N. Model predictions represent the experimental data sufficiently well, suggesting that geometry, inhomogeneous material structure, and initial skin tension appear to represent the nonlinear response of the in vivo human fingertip pulp under compression. The predicted response of the fingertip pulp is consistent with its functionality as a tactile sensor.

  9. The timing of neovascularization in fingertip replantation by external bleeding.

    Science.gov (United States)

    Han, Seung-Kyu; Chung, Heung-Soo; Kim, Woo-Kyung

    2002-09-15

    To overcome venous congestion in fingertip replantation with no venous anastomosis, the authors have used a salvage procedure that consists of continuous external bleeding through a stab incision on the paraungual area and dripping a heparinized saline solution at the incision site to maintain external bleeding. Because this method requires continuous bleeding for a certain period of time, it may be a great burden on the patient; therefore, it is most important to minimize the duration of bleeding. Many authors have studied the timing of the new venous channel formation of the flap. However, to our knowledge, a study on fingertip replantations has not yet been performed. From June of 1985 to November of 1999, the authors performed fingertip replantations on 144 fingers of 137 patients using our salvage procedure at Korea University Guro Hospital. Among the 144 fingers, 101 fingers of 96 patients were successfully transplanted, including those with partial necrosis. The authors reviewed the medical records of these 101 fingers retrospectively; they compared and analyzed the necessary duration of external bleeding according to sex, age, level of injury, cause of amputation, and the type of injury. The average period of the salvage procedure was 7.6 days. Regarding age, the shortest period (5.5 days) was required for patients younger than 10 years. On the basis of the types of injuries, the duration of bleeding was shortest for the guillotine injury group (5.9 days) compared with crush (8.2 days) or avulsion (8.0 days) injuries. Sex and level of injury did not make much difference in the duration of the procedure.

  10. Assessment, management and treatment of acute fingertip injuries.

    Science.gov (United States)

    Kearney, Anthony; Canty, Louise

    2016-06-01

    Fingertip injuries with nail bed trauma can require specialist hand surgery, depending on severity. However, most of these injuries can be managed in well-equipped emergency departments by emergency nurses with an in-depth knowledge and understanding of the anatomy and physiology of the fingernail and surrounding structures, assessment and examination, pain management and treatment. This article describes the surface and underlying anatomy and physiology of the nail, the most common mechanisms of injury, relevant diagnostic investigations, and initial assessment and management. It also discusses treatment options, referral pathways, and patient discharge advice.

  11. NLM Evidence-based Information at Your Fingertips - NBNA

    Energy Technology Data Exchange (ETDEWEB)

    Womble, R.

    2010-08-06

    The workshop titled, National Library of Medicine: Evidence-based Information At Your Fingertips, is a computer training class designed to meet the needs of nurses who require access to information on specific medical topics and on the adverse health effects of exposure to hazardous substances. The Specialized Information Services Division of the National Library of Medicine (NLM) is sponsoring this workshop for the National Black Nurses Association to increase the awareness of health professionals of the availability and value of the free NLM medical, environmental health, and toxicology databases.

  12. Comparison of three types of treatment modalities on the outcome of fingertip injuries

    NARCIS (Netherlands)

    van den Berg, Wiebren B.; Vergeer, Rob A.; van der Sluis, Corry K.; ten Duis, Henk-Jan; Werker, Paul M. N.

    2012-01-01

    BACKGROUND: In this retrospective study, we analyzed the outcomes of different types of treatment of fingertip injuries and compared them after a mean follow-up of 4.5 years. METHODS: A total of 53 patients (59 injuries) were included in this study. The fingertip injuries were classified according t

  13. Comparative analysis of Meissner's corpuscles in the fingertips of primates.

    Science.gov (United States)

    Verendeev, Andrey; Thomas, Christian; McFarlin, Shannon C; Hopkins, William D; Phillips, Kimberley A; Sherwood, Chet C

    2015-07-01

    Meissner's corpuscles (MCs) are tactile mechanoreceptors found in the glabrous skin of primates, including fingertips. These receptors are characterized by sensitivity to light touch, and therefore might be associated with the evolution of manipulative abilities of the hands in primates. We examined MCs in different primate species, including common marmoset (Callithrix jacchus, n = 5), baboon (Papio anubis, n = 2), rhesus macaque (Macaca mulatta, n = 3), chimpanzee (Pan troglodytes, n = 3), bonobo (Pan paniscus, n = 1) and human (Homo sapiens, n = 8). Fingertips of the first, second and fourth digits were collected from both hands of specimens, dissected and histologically stained using hematoxylin and eosin. The density (MCs per 1 mm(2) ) and the size (cross-sectional diameter of MCs) were quantified. Overall, there were no differences in the densities of MCs or their size among the digits or between the hands for any species examined. However, MCs varied across species. We found a trend for higher densities of MCs in macaques and humans compared with chimpanzees and bonobos; moreover, apes had larger MCs than monkeys. We further examined whether the density or size of MCs varied as a function of body mass, measures of dexterity and dietary frugivory. Among these variables, only body size accounted for a significant amount of variation in the size of MCs.

  14. A case of acute trans-scaphoid volar dislocation of the lunate into the distal forearm

    Institute of Scientific and Technical Information of China (English)

    Mohamed Al Khayarin; Mohamed Al Ateeq Al Dosari; Shibly Abdul Basith; Mohammed Waseemuddin

    2016-01-01

    Trans-scaphoid volar dislocation of the lunate with displacement into the distal forearm proximal to the radiocarpal joint is an extremely rare, high energy injury with extensive ligament disruption. They are unstable and require open reduction and internal fixation with repair of ligaments. They are associated with significant morbidity and loss of function. We report the case of a patient with this injury. Open reduction, internal fixation and ligament repair were done. The patient had a good functional outcome.

  15. Comparison of visual effects of immersion fluids for dermoscopic examination of acral volar melanocytic lesions

    Directory of Open Access Journals (Sweden)

    Tzu-Hsiu Chen

    2014-06-01

    Conclusion: The use of either mineral oil or ultrasound jelly as interface provides acceptable visual effects for the dermoscopic examination of acral volar melanocytic lesions. The use of the polarized light mode reduced the reflection and scattering of light, resulting in better visual effect than that achieved using the nonpolarized light mode. In the early diagnosis of acral melanoma, choosing the appropriate application of immersion fluid and observation mode yields the optimal visual effect.

  16. Multiple Volar Carpometacarpal Dislocations with Associated Carpal Tunnel Syndrome: A Case Report

    Directory of Open Access Journals (Sweden)

    C Fletcher

    2015-09-01

    Full Text Available We report a rare injury involving volar fracture dislocations of the second to fifth carpometacarpal dislocations. Carpometacarpal dislocations are usually dorsally displaced and most commonly only involve the fourth and fifth joints. An associated carpal tunnel syndrome adds another dimension to the complexity and rarity of the injury in this index case. A high index of clinical suspicion and subsequent emergent management is of utmost importance to treat this unusual combination of injuries in order to avoid significant morbidity.

  17. Modeling of time-dependent force response of fingertip to dynamic loading.

    Science.gov (United States)

    Wu, J Z; Dong, R G; Smutz, W P; Schopper, A W

    2003-03-01

    An extended exposure to repeated loading on fingertip has been associated to many vascular, sensorineural, and musculoskeletal disorders in the fingers, such as carpal tunnel syndrome, hand-arm vibration syndrome, and flexor tenosynovitis. A better understanding of the pathomechanics of these sensorineural and vascular diseases in fingers requires a formulation of a biomechanical model of the fingertips and analyses to predict the mechanical responses of the soft tissues to dynamic loading. In the present study, a model based on finite element techniques has been developed to simulate the mechanical responses of the fingertips to dynamic loading. The proposed model is two-dimensional and incorporates the essential anatomical structures of a finger: skin, subcutaneous tissue, bone, and nail. The skin tissue is assumed to be hyperelastic and viscoelastic. The subcutaneous tissue was considered to be a nonlinear, biphasic material composed of a hyperelastic solid and an invicid fluid, while its hydraulic permeability was considered to be deformation dependent. Two series of numerical tests were performed using the proposed finger tip model to: (a) simulate the responses of the fingertip to repeated loading, where the contact plate was assumed to be fixed, and the bone within the fingertip was subjected to a prescribed sinusoidal displacement in vertical direction; (b) simulate the force response of the fingertip in a single keystroke, where the keyboard was composed of a hard plastic keycap, a rigid support block, and a nonlinear spring. The time-dependent behavior of the fingertip under dynamic loading was derived. The model predictions of the time-histories of force response of the fingertip and the phenomenon of fingertip separation from the contacting plate during cyclic loading agree well with the reported experimental observations.

  18. Difference in cortical activation during use of volar and dorsal hand splints:a functional magnetic resonance imaging study

    Institute of Scientific and Technical Information of China (English)

    Sung Ho Jang; Woo Hyuk Jang

    2016-01-01

    There have been no studies reported on the difference in cortical activation during use of volar and dorsal hand splints. We attempted to investigate the difference in cortical activation in the somatosensory cortical area during use of volar and dorsal hand splints by functional magnetic resonance imaging (fMRI). We recruited eight healthy volunteers. fMRI was performed while subjects who were iftted with volar or dorsal hand splints performed grasp-release movements. Regions of interest were placed on the primary motor cortex (M1), primary somatosensory cortex (S1), posterior parietal cortex (PPC), and secondary somato-sensory cortex (S2). Results of group analysis of fMRI data showed that the total numbers of activated voxels in all ROIs were significantly higher during use of volar hand splint (3,376) compared with that (1,416) during use of dorsal hand splint. In each ROI, use of volar hand splint induced greater activation in all ROIs (M1:1,748, S1:1,455, PPC:23, and S2:150) compared with use of dorsal hand splint (M1:783, S1:625, PPC:0, and S2:8). The peak activated value was also higher during use of volar hand splint (t-value:17.29) compared with that during use of dorsal hand splint (t-value:13.11). Taken together, use of volar hand splint induced greater cortical activation relevant to somatosensory function than use of dorsal hand splint. This result would be important for the physiatrist and therapist to apply appropriate somatosensory input in patients with brain injury.

  19. Dynamic interaction of fingertip skin and pin of tactile device

    Science.gov (United States)

    Grigas, Vytautas; Tolocka, Rymantas T.; Ziliukas, Pranas

    2007-12-01

    The present paper deals with investigations performed with the aim to study transmitting tactile information into the area of mechanoreceptors of the fingertip skin segment and to estimate the dynamic properties and behavior of the skin by performing numerical analysis. A computational finite element model consisting of four main layers of skin was used for transient analysis of contact dynamic interaction when loading the skin by a moving pin, as well as for modal analysis of skin and analysis of skin stress-strain state under harmonic loading (a plane strain case was studied). Material properties of the skin were assumed as linear elastic because of a very small excitation signal level. The efficiency of the regime of the skin dynamic loading in terms of the tactile signal level was defined on the basis of the strain level in the dermis zone where mechanoreceptors are placed. The possibilities of using vibratory control signal were analyzed.

  20. Qualitative analysis fingertip patterns in ABO blood group

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    S. V. KShirsagar

    2013-05-01

    Full Text Available The inheritance of the dermatoglyphic patterns is polygenic. The genetic basis of the blood group is well established. The correlation between the dermatoglyphic patterns and the ABO blood group is studied by some workers in different populations. In the present study, the correlation between dermatoglyphics and ABO blood group is studied in the Marathwada Region of Maharashtra. The qualitative data included fingertip patterns and three indices. It was observed that, the Arch pattern is more common in blood group O both in male and female. Ulnar loop is most common in the blood group AB. Simple whorl and double loop whorl patterns are less frequent in blood group AB. Accidentals were not recorded in blood group A while blood group O show highest percentage of accidentals. Dankmeijer’s index was highest in blood group AB and lowest in blood group B.

  1. Biomechanical comparison of dorsal versus volar plate osteosynthesis for the dorsally unstable distal radius fracture%桡骨远端骨折掌侧与背侧接骨板固定的生物力学比较

    Institute of Scientific and Technical Information of China (English)

    邓芒; 付中国; 张殿英; 陈建海; 张培训; 姜保国

    2008-01-01

    Objective To compare the biomechanical stability of dorsal and volar plate osteosynthesis in the treatment of dorsally displaced distal radius fracture. Methods Six pairs cadaveric radius specimens were osteotomized at the distal region to make the dorsally displaced models, then the specimens were fixed by dorsal plate ostoosynthesis in one specimen (dorsal group) and by volar plate osteosynthesis in the other specimen of the same pair (volar group). Then all the specimens were placed in the Skimazu material testing machine for axial loading till failure. The load-displacement curves were recorded, peak load and energy absorbed by the specimen at the destroying point were gathered to assess the 2 methods of fixation. Statistic analysis was run to compare results of the two groups. Results Five pairs of specimens were bended toward the volar side under axial load, 1 pair of specimens were axially compacted. The mean peak load was (1 326.77±384.86) N for the dorsal group and (1 520.05±579.56) N for the volar group, respectively. The energy absorbed by the specimen at the destroying point was ( 8.21±3.74 ) J for the dorsal group and ( 10.04±3.62 ) J for the volar group respectively. Paired-samples t-test suggested no significant difference between the 2 groups ( P > 0.05 ). Conclusion Volar plate ostoosynthesis is the ideal choice for treatment of distal radius fracture.%目的 比较背侧移位桡骨远端骨折掌、背侧接骨板内固定后的生物力学性能,为桡骨远端骨折的治疗策略提供实验依据.方法 取6对12块人体桡骨远端标本,制作背侧移位桡骨远端骨折模型,配对标本一侧采用接骨板掌侧内固定,另一侧采用接骨板背侧内固定,固定完成后置于材料测试机上进行轴向压缩实验,实验模式为载荷破坏实验,记录载荷一位移曲线,获得标本破坏时的载荷和骨吸收的能量,实验结果进行统计学配对处理.结果 5对标本在轴向载荷

  2. Treatment of intra-articular distal radius fractures by the volar intrafocal Kapandji method: a case series.

    Science.gov (United States)

    Rubin, Guy; Chezar, Avi; Rinott, Micha; Bor, Noam; Rozen, Nimrod

    2013-06-01

    At present, the most common treatment for intra-articular fractures with a volar fragment is open reduction and internal fixation with a volar locking plate. This manuscript describes and evaluates the safety and efficacy of a modified Kapandji technique with insertion of a volar Kirschner wire for osteosynthesis of intra-articular distal radius fractures with a volar fragment. Four patients treated with the "volar Kapandji technique" completed follow-up of at least 12 (12 to 54) months. The mean age was 43 (23 to 53) years. The mean Disability of the Arm, Shoulder, and Hand score was 21.7 (0 to 41) and the mean Patient-Rated Wrist Evaluation score was 12.9 (0 to 25.8). The mean loss of flexion was 13.7 (0 to 30) degrees, the mean loss of extension was 10 (0 to 30) degrees, the mean loss of supination was 0 degrees, and the mean loss of pronation was 10 (0 to 20) degrees. There was no loss in dorsal angulation, radial inclination, or radial length compared with the other hand. No early or late complications were recorded.

  3. Composite graft including bone tissue: a case report of successful reattachment of multiple fingertip oblique amputation.

    Science.gov (United States)

    Lee, Kyung Suk; Lim, Yun sub; Choi, Jaehoon; Kim, Nam Gyun; Kim, Jun Sik

    2013-02-01

    A composite graft for reattachment of an amputated fingertip is a very controversial and challenging procedure. An osteocutaneous composite graft is rarely conducted and has a low success rate following fingertip amputation. A 21-year-old male patient was referred to our emergency clinic with dorsal oblique amputation of the middle, ring and small fingers of the left hand through the distal interphalangeal joint and middle phalanx. The amputated parts of the middle and ring fingers were reattached with osteocutaneous composite grafts. The amputated part of the small finger was revascularised to the ulnar palmar digital artery of the small finger. The composite grafts of the middle and ring fingers and the revascularised small finger survived completely. We suggest that careful patient selection will allow an osteocutaneous composite graft to become an acceptable method for the treatment of fingertip amputation. A large-scale study of osteocutaneous graft of amputated fingertips is required to improve the survival rate.

  4. Performance analysis of a hybrid fingerprint extracted from optical coherence tomography fingertip scans

    CSIR Research Space (South Africa)

    Darlow, Luke N

    2016-06-01

    Full Text Available International Conference on Biometrics (ICB), 13-16 June 2016, Halmstad, Sweden Performance analysis of a hybrid fingerprint extracted from optical coherence tomography fingertip scans Darlow LN Connan J Singh A ABSTRACT: The Hybrid fingerprint is a...

  5. Fingertip and Thumb Tip Wounds: Changing Algorithms for Sensation, Aesthetics, and Function.

    Science.gov (United States)

    Germann, Günter; Rudolf, Klaus D; Levin, Scott L; Hrabowski, Manuel

    2017-04-01

    Management of fingertip and thumb tip injuries has recently undergone substantial changes. The time-proven traditional armamentarium of local flaps has been expanded and replaced by a wide variety of flaps. Simultaneous with the development of new flaps, the conservative treatment of fingertip and thumb tip injuries with semiocclusive dressings has also become a more acceptable treatment for these injuries. The excellent results with respect to restoring contour, sensibility of the pulp, and aesthetics of the finger justify this more tedious and time-consuming treatment of fingertip and thumb tip injuries. This article gives an update of the most commonly used flaps and the semiocclusive dressing treatments of fingertip and thumb tip injuries. Copyright © 2017 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  6. Topical and systemic anticoagulation in the treatment of absent or compromised venous outflow in replanted fingertips.

    Science.gov (United States)

    Han, S K; Lee, B I; Kim, W K

    2000-07-01

    Adequate venous repair is not always possible in fingertip replantation. We have used topical and systemic anticoagulation for fingertip replantation to overcome venous congestion in cases without venous repair or in cases in which there is obstruction of a repaired vein. Our technique consists of continuous external bleeding via a stab incision on the paraungal area and dripping heparinized saline solution at the incision site to maintain external bleeding. From July 1985 to December 1993, 157 fingers in 140 patients with complete amputation of the fingertip were replanted at Korea University Guro Hospital. Of these, 74 fingers in 68 patients were managed by topical and systemic anticoagulation due to the impossibility of repair or obstruction of a repaired vein. The overall survival rate of the fingertip replantations was 76%; that of the topical and systemic anticoagulation group was 64%.

  7. Outcome of free digital artery perforator flap transfer for reconstruction of fingertip defects

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    Lei Zhu

    2014-01-01

    Full Text Available Background: Fingertip defect can be treated with many flaps such as random pattern abdominal flap, retrograde digital artery island flap, V-Y advancement flap, etc. However, swelling in the fingertip, dysfunction of sensation, flexion and extension contracture or injury in the hemi-artery of the finger usually occurs during the recovery phase. Recently, digital artery perforator flaps have been used for fingertip reconstructions. With the development of super microsurgery techniques, free flaps can be more effective for sensory recovery and durability of the fingertip. Materials and Methods: Six cases (six fingers of fingertip defects were treated with free digital artery perforator flaps of appropriate size and shape from the proximal phalanx. During surgery, the superficial veins at the edge of flap were used as reflux vessels and the branches of the intrinsic nerve and dorsal digital nerve toward the flap were used as sensory nerves. The proximal segment of the digital artery (cutaneous branches towards the flap was cut off to form the pedicled free flap. The fingertips were reconstructed with the free flap by anastomosing the cutaneous branches of digital artery in the flap with the distal branch or trunk of the digital artery, the flap nerve with the nerve stump and the veins of the flap with the digital artery accompanying veins or the superficial veins in the recipient site. Results: Six flaps survived with successful skin grafting. Patients were followed up for 6-9 months. The appearance and texture of the flaps was satisfactory. The feeling within the six fingers recovered to S4 level (BMRC scale and the two point discrimination was 3-8 mm. Conclusion: Free digital artery perforator flap is suitable for repairing fingertip defect, with good texture, fine fingertip sensation and without sacrificing the branch of the digital artery or nerve.

  8. Osteosynthesis with long volar locking plates for metaphyseal-diaphyseal fractures of the distal radius

    Institute of Scientific and Technical Information of China (English)

    Paritosh Gogna; Harpal Singh Selhi; Rohit Singla; Mukul Mohindra; Amit Batra; Reetadyuti Mukhopadhyay; Rajesh Rohilla

    2013-01-01

    Objective:Metaphyseal-diaphyseal fractures of the distal radius are a major treatment dilemma and orthopaedic surgeons have to pay due consideration to restoration of anatomy of distal radius together with rotation of the radial shaft and maintenance of radial bow and interosseous space.We performed this study to evaluate the clinic-radiological outcome of metaphyseal-diaphyseal fractures of the distal radius treated with long volar locking plates.Methods:This prospective study involved 27 patients (22 males and 5 females) with metaphyseal-diaphyseal fracture of the distal radius.Their mean age was (30.12±11.48) years (range 19-52 years) and the follow-up was 26.8 months (range 22-34 months).All patients underwent open reduction and internal fixation with a long volar locking plate.According to AO/OTA classification,there were 7 type A3,13 type C2 and 7 type C3 fractures.Subjective assessment was done based on the disabilities of the arm,shoulder and hand (DASH) questionnaire.Functional evaluation was done by measuring grip strength and range of motion around the wrist and the radiological determinants included radial angle,radial length,volar angle and ulnar variance.The final assessment was done according to Gartland and Werley scoring system.Results:Postoperative radiological parameters were well maintained throughout the trial,and there was significant improvement in the functional parameters from 6 weeks to final follow-up.The average DASH scores improved from 37.5 at 6 weeks to 4.2 at final follow-up.Final assessment using Gartland and Werley scoring system revealed 66.67%(n=l8) excellent and 33.33% (n=9) good results.There was one case of superficial infection which responded to antibiotics and another carpel tunnel syndrome which was managed conservatively.Conclusion:Volar locking plate fixation for metaphyseal-diaphyseal fractures of distal radius is associated with excellent to good functional outcome,early rehabilitation and minimal complications.

  9. Osteosynthesis with long volar locking plates for meta- physeal-diaphyseal fractures of the distal radius

    Directory of Open Access Journals (Sweden)

    Gogna Paritosh

    2013-12-01

    Full Text Available 【Abstract】Objective: Metaphyseal-diaphyseal fractures of the distal radius are a major treatment dilemma and orthopaedic surgeons have to pay due consideration to restoration of anatomy of distal radius together with ro- tation of the radial shaft and maintenance of radial bow and interosseous space. We performed this study to evaluate the clinic-radiological outcome of metaphyseal-diaphyseal fractures of the distal radius treated with long volar locking plates. Methods: This prospective study involved 27 pa- tients (22 males and 5 females with metaphyseal-diaphy- seal fracture of the distal radius. Their mean age was (30.12± 11.48 years (range 19-52 years and the follow-up was 26.8 months (range 22-34 months. All patients underwent open reduction and internal fixation with a long volar locking plate. According to AO/OTA classification, there were 7 type A3, 13 type C2 and 7 type C3 fractures. Subjective assessment was done based on the disabilities of the arm, shoulder and hand (DASH questionnaire. Functional evaluation was done by measuring grip strength and range of motion around the wrist and the radiological determinants included radial angle, radial length, volar angle and ulnar variance. The final as- sessment was done according to Gartland and Werley scor- ing system. Results: Postoperative radiological parameters were well maintained throughout the trial, and there was signifi- cant improvement in the functional parameters from 6 weeks to final follow-up. The average DASH scores improved from 37.5 at 6 weeks to 4.2 at final follow-up. Final assessment using Gartland and Werley scoring system revealed 66.67% (n=18 excellent and 33.33% (n=9 good results. There was one case of superficial infection which responded to antibi- otics and another carpel tunnel syndrome which was ma- naged conservatively. Conclusion: Volar locking plate fixation for metaphy- seal-diaphyseal fractures of distal radius is associated with excellent to good

  10. Effect of fixing distal radius fracture with volar locking palmar plates while preserving pronator quadratus

    Institute of Scientific and Technical Information of China (English)

    Fan Jian; Chen Kai; Zhu Hui; Jiang Bo; Yuan Feng; Zhu Xiaozhong; Mei Jiong

    2014-01-01

    Background L-shaped incision of pronator quadratus (PQ) muscle along its radial and distal borders was always taken for distal radius fractures reduction and internal fixation.Repair of the PQ muscle was always recommended at the end of operation for some instructive reasons.But repair of PQ is not satisfied because of poor quality of muscle and fascial tissues which may cause pain or impede forearm pronation and supination for post-operative scarring around PQ.Inserting the locking palmar plate to pass under the pronator quadratus muscle and the locking screws are inserted through miniincisions in pronator quadratus in some patients with distal radius fractures is a reasonable technique which can preserve the pronator quadratus.The purpose of this study was to evaluate and compare the clinical effects after volar plating of the distal radius fractures while preserving the pronator quadratus and pronator quadratus repair.Methods Between September 2010 and April 2012,65 patients (42 males and 23 females; aged 20-68 years and a mean age of 42.5 years) with distal radius fracture underwent open reduction and internal fixation using the volar locking palmar plates (Depuy or Smith companies).The patients were classified as 23A-2 through 23C-3 according to the Orthopaedic Trauma Association (OTA) classifications.All surgeries were completed by the same trained team.The volar locking palmar plates of distal radius performed with preserving pronator quadratus group involved 30 patients including 19 males and 11 females and performed with pronator quadratus repair group involved 35 patients including 23 males and 12 females.We compared the two groups for wrist pain,forearm range of motion,grip strength,pedoperative complications and wrist functional recovery score.Results The minimum follow-up for the whole cohort was one year.The differences between the two groups were significant with regard to wrist pain,forearm range of motion,grip strength and wrist function at 1,2,and

  11. Novel Fingertip Image-Based Heart Rate Detection Methods for a Smartphone

    Directory of Open Access Journals (Sweden)

    Rifat Zaman

    2017-02-01

    Full Text Available We hypothesize that our fingertip image-based heart rate detection methods using smartphone reliably detect the heart rhythm and rate of subjects. We propose fingertip curve line movement-based and fingertip image intensity-based detection methods, which both use the movement of successive fingertip images obtained from smartphone cameras. To investigate the performance of the proposed methods, heart rhythm and rate of the proposed methods are compared to those of the conventional method, which is based on average image pixel intensity. Using a smartphone, we collected 120 s pulsatile time series data from each recruited subject. The results show that the proposed fingertip curve line movement-based method detects heart rate with a maximum deviation of 0.0832 Hz and 0.124 Hz using time- and frequency-domain based estimation, respectively, compared to the conventional method. Moreover, another proposed fingertip image intensity-based method detects heart rate with a maximum deviation of 0.125 Hz and 0.03 Hz using time- and frequency-based estimation, respectively.

  12. Rasch-Built Measure of Pleasant Touch through Active Fingertip Exploration

    Science.gov (United States)

    Klöcker, Anne; Arnould, Carlyne; Penta, Massimo; Thonnard, Jean-Louis

    2012-01-01

    Background: Evidence suggests that somatic sensation has a modality for pleasant touch. Objective: To investigate pleasant touch at the fingertip level (i.e., glabrous skin site) through the elaboration of a linear unidimensional scale that measures (i) various materials according to the level of pleasantness they elicit through active fingertip explorations and (ii) subjects according to their pleasantness leniency levels. Subjects: We enrolled 198 healthy subjects without any neurological disease. Methods: Blindfolded subjects actively explored 48 materials with their index fingertips and reported the perceived pleasantness of each on a 4-level scale. The fingertip moisture levels on each subject were measured before the experimental session. Data were analyzed using the Rasch model. Results: We elaborated unidimensional linear scale that included 37 materials according to their pleasantness of touch. The pleasantness level of 21 materials was perceived differently, depending on the fingertip moisture levels of the subjects. Conclusion: Based on our findings, we formulated a Pleasant Touch Scale. Fingertip moisture levels appeared to be a major factor for (un)pleasant feelings during active exploration. PMID:22737122

  13. Volar dislocation of the index carpometacarpal joint in association with a Bennett's fracture of the thumb: a rare injury pattern.

    LENUS (Irish Health Repository)

    Dillon, J P

    2012-02-03

    We describe a case of volar dislocation of the index carpometacarpal (CMC) joint in association with a Bennett\\'s fracture of the thumb following a motorcycle accident. Volar dislocation of the index carpometacarpal joint is an exceedingly rare but easily missed injury, with only a few reported cases in the literature. This report highlights the importance of a true lateral radiograph and close scrutiny of the film to detect this injury. Closed reduction supplemented with Kirschner wire fixation restored normal anatomical relations and achieved an excellent clinical result.

  14. Biomechanical performance of variable and fixed angle locked volar plates for the dorsally comminuted distal radius.

    Science.gov (United States)

    Martineau, D; Shorez, J; Beran, C; Dass, A G; Atkinson, P

    2014-01-01

    The ideal treatment strategy for the dorsally comminuted distal radius fracture continues to evolve. Newer plate designs allow for variable axis screw placement while maintaining the advantages of locked technology. The purpose of this study is to compare the biomechanical properties of one variable axis plate with two traditional locked constructs. Simulated fractures were created via a distal 1 cm dorsal wedge osteotomy in radius bone analogs. The analogs were of low stiffness and rigidity to create a worst-case strength condition for the subject radius plates. This fracture-gap model was fixated using one of three different locked volar distal radius plates: a variable axis plate (Stryker VariAx) or fixed axis (DePuy DVR, Smith & Nephew Peri-Loc) designs. The constructs were then tested at physiologic loading levels in axial compression and bending (dorsal and volar) modes. Construct stiffness was assessed by fracture gap motion during the different loading conditions. As a within-study control, intact bone analogs were similarly tested. All plated constructs were significantly less stiff than the intact control bone models in all loading modes (pbending (pbending.

  15. Spatial localization of electrotactile stimuli on the fingertip in humans.

    Science.gov (United States)

    Bobich, L R; Warren, J P; Sweeney, J D; Tillery, S I Helms; Santello, M

    2007-12-01

    This study was designed to determine the extent to which sensations elicited by discrete electrotactile stimulation can be spatially localized, with a qualitative comparison to mechanical stimulation, in a 2 x 2 electrode array on the fingertip. Electrotactile stimulation was delivered in two modes: (1) same current to all locations (constant) or (2) current adjusted to perceptual threshold of each location (varied). For each stimulus location, subjects were asked to identify the location of the stimulus. Mechanical stimulation of the same locations on the fingerpad was delivered through von Frey hairs (0.07, 0.2 and 0.4 g). The percentage of accurate responses was computed for all stimulation modes. We found that the accuracy of discrimination of stimulus location in both the constant (46%) and varied (40%) electrotactile stimulation modes was significantly higher than chance level (25%; p < 0.01). Furthermore, subjects were significantly more accurate in discriminating electrotactile stimuli in the constant than in the varied mode (p < 0.05). We also found that the accuracy of spatial discrimination was dependent on stimulation site for mechanical, but not electrotactile stimulation. Finally, we found a significant difference in accuracy over the duration of the experiment only for mechanical modes, which may indicate that electrotactile stimuli are less biased over time. These results suggest that, although low in accuracy, human subjects are able to extract spatial information from electrotactile stimuli. Further research is needed to optimize the amount of the information that can be delivered through electrotactile stimulation.

  16. Identification of Atrial Fibrillation by Quantitative Analyses of Fingertip Photoplethysmogram

    Science.gov (United States)

    Tang, Sung-Chun; Huang, Pei-Wen; Hung, Chi-Sheng; Shan, Shih-Ming; Lin, Yen-Hung; Shieh, Jiann-Shing; Lai, Dar-Ming; Wu, An-Yeu; Jeng, Jiann-Shing

    2017-01-01

    Atrial fibrillation (AF) detection is crucial for stroke prevention. We investigated the potential of quantitative analyses of photoplethysmogram (PPG) waveforms to identify AF. Continuous electrocardiogram (EKG) and fingertip PPG were recorded simultaneously in acute stroke patients (n = 666) admitted to an intensive care unit. Each EKG was visually labeled as AF (n = 150, 22.5%) or non-AF. Linear and nonlinear features from the pulse interval (PIN) and peak amplitude (AMP) of PPG waveforms were extracted from the first 1, 2, and 10 min of data. Logistic regression analysis revealed six independent PPG features feasibly identifying AF rhythm, including three PIN-related (mean, mean of standard deviation, and sample entropy), and three AMP-related features (mean of the root mean square of the successive differences, sample entropy, and turning point ratio) (all p area under the receiver operating characteristic curve was 0.972 (95% confidence interval 0.951–0.989) vs. 0.949 (0.929–0.970), p < 0.001 and was comparable to that from the 10-min data [0.973 (0.953–0.993)] for AF identification. In summary, our study established the optimal PPG analytic program in reliably identifying AF rhythm. PMID:28367965

  17. A low cost grip transducer based instrument to quantify fingertip touch force.

    Science.gov (United States)

    Boukhenous, Samir; Attari, Mokhtar

    2007-01-01

    In this paper, a transducer based instrument for fingertip touch force is developed. As a diagnostic tool, the system was coupled with an EMG analog signal processor, which is considered as the main basis of evaluation for motor function impairment. A software program is developed to analyze EMG signal during fingertips effort to obtain valid characteristic parameters with spectral analysis. These parameters are associated with a low cost grip transducer based on Hall Effect component developed for the improvement of fingertip movement during holding objects or training exercises. Thus, the changes on each sensor signal can be detected and monitored with the software interface. The output signal and the EMG analog processor are feeding a high resolution data acquisition system of National Instrument. Preliminary experimental tests have been carried out for the fingertip force grasping according to the Adductor Pollicis muscle (AdP) for controlling the adductive motion of the thumb. The experimental results show that the changes of dynamic fingertip force affect the muscle.

  18. Digit forces bias sensorimotor transformations underlying control of fingertip position.

    Science.gov (United States)

    Shibata, Daisuke; Kappers, Astrid M L; Santello, Marco

    2014-01-01

    Humans are able to modulate digit forces as a function of position despite changes in digit placement that might occur from trial to trial or when changing grip type for object manipulation. Although this phenomenon is likely to rely on sensing the position of the digits relative to each other and the object, the underlying mechanisms remain unclear. To address this question, we asked subjects (n = 30) to match perceived vertical distance between the center of pressure (CoP) of the thumb and index finger pads (dy ) of the right hand ("reference" hand) using the same hand ("test" hand). The digits of reference hand were passively placed collinearly (dy = 0 mm). Subjects were then asked to exert different combinations of normal and tangential digit forces (Fn and Ftan , respectively) using the reference hand and then match the memorized dy using the test hand. The reference hand exerted Ftan of thumb and index finger in either same or opposite direction. We hypothesized that, when the tangential forces of the digits are produced in opposite directions, matching error (1) would be biased toward the directions of the tangential forces; and (2) would be greater when the remembered relative contact points are matched with negligible digit force production. For the test hand, digit forces were either negligible (0.5-1 N, 0 ± 0.25 N; Experiment 1) or the same as those exerted by the reference hand (Experiment 2).Matching error was biased towards the direction of digit tangential forces: thumb CoP was placed higher than the index finger CoP when thumb and index finger Ftan were directed upward and downward, respectively, and vice versa (p < 0.001). However, matching error was not dependent on whether the reference and test hand exerted similar or different forces. We propose that the expected sensory consequence of motor commands for tangential forces in opposite directions overrides estimation of fingertip position through haptic sensory feedback.

  19. Digit forces bias sensorimotor transformations underlying control of fingertip position

    Directory of Open Access Journals (Sweden)

    Daisuke eShibata

    2014-08-01

    Full Text Available Humans are able to modulate digit forces as a function of position despite changes in digit placement that might occur from trial to trial or when changing grip type for object manipulation. Although this phenomenon is likely to rely on sensing the position of the digits relative to each other and the object, the underlying mechanisms remain unclear. To address this question, we asked subjects (n = 30 to match perceived vertical distance between the center of pressure (CoP of the thumb and index finger pads (dy of the right hand (reference hand using the same hand (test hand. The digits of reference hand were passively placed collinearly (dy = 0 mm. Subjects were then asked to exert different combinations of normal and tangential digit forces (Fn and Ftan, respectively using the reference hand and then match the memorized dy using the test hand. The reference hand exerted Ftan of thumb and index finger in either same or opposite direction. We hypothesized that, when the tangential forces of the digits are produced in opposite directions, matching error (1 would be biased toward the directions of the tangential forces, and (2 would be greater when the remembered relative contact points are matched with negligible digit force production. For the test hand, digit forces were either negligible (0.5-1 N, 0 ± 0.25 N; Experiment 1 or the same as those exerted by the reference hand (Experiment 2. Matching error was biased towards the direction of digit tangential forces: thumb CoP was placed higher than the index finger CoP when thumb and index finger Ftan were directed upward and downward, respectively, and vice versa (p < 0.001. However, matching error was not dependent on whether the reference and test hand exerted similar or different forces. We propose that the expected sensory consequence of motor commands for tangential forces in opposite directions overrides estimation of fingertip position through haptic sensory feedback.

  20. RESEARCH ON BEHAVIORS OF ELECTRORHEOLOGICAL FLUID-BASED SEMIACTIVE ROBOT FINGERTIPS

    Institute of Scientific and Technical Information of China (English)

    1998-01-01

    A new design of robot gripper with electrorheological fluid (ERF) semiactive tips is described. There are two remarkable properties using this fingertip. One is the higher lifting capability at little grasp force, which can realize stable grasp. Another is the damping controllable which can be used for controlling contact forces. A viscoelastic-plastic model for normal direction of the fingertip is proposed to explore the contact behavior. The electric field strength is induced into the dynamic model of contact transition for simulations. The simulation results and conclusions are given.

  1. Repositioning and stabilization of the radial styloid process in comminuted fractures of the distal radius using a single approach: the radio-volar double plating technique

    OpenAIRE

    Jacobi Matthias; Wahl Peter; Kohut Georges

    2010-01-01

    Abstract Background A possible difficulty in intra-articular fracture of the distal radius is the displacement tendency of the radial styloid process due to the tension of the brachioradialis tendon. Methods Ten patients treated within one year for complex distal radius fractures by double-plating technique with a radial buttress plate and volar locking plate, through a single volar approach, were followed prospectively during 24 months. Outcome measures included radiographic follow-up, range...

  2. Unilateral non-traumatic radiocarpal volar dislocation in a child: A long-term evolution Luxación radiocarpiana volar atraumática unilateral en una niña: Evolución a largo plazo

    OpenAIRE

    S. García-Mata; A.M. Hidalgo-Ovejero

    2009-01-01

    We report an eight year-old female with trisomy 21 referred to our clinic for limitation of wrist mobility. The patient had been diagnosed and treated by polyarticular juvenile chronic arthritis for six months. Clinical and radiological study revealed volar radiocarpal dislocation of the left wrist. She was treated surgically by open reduction, temporary K-w fixation with six weeks of immobilization. The dislocation relapsed but the joint remained painless. One year later she had 5º of dorsal...

  3. Learning on the Fingertips: The Opportunities and Challenges of Educational Apps

    Science.gov (United States)

    Zhang, Jinlong; Liao, Boqin

    2015-01-01

    Today, using spare time to learn is the key demands of mobile education field. With the characteristics of portability, educational Apps highly fit for this kind of demands, and contribute to the learning style on the fingertip, it becoming the new growth direction and growing point of mobile education. The understanding of the present situation…

  4. Pre-shaping of the Fingertip of Robot Hand Covered with Net Structure Proximity Sensor

    Science.gov (United States)

    Suzuki, Kenji; Suzuki, Yosuke; Hasegawa, Hiroaki; Ming, Aiguo; Ishikawa, Masatoshi; Shimojo, Makoto

    To achieve skillful tasks with multi-fingered robot hands, many researchers have been working on sensor-based control of them. Vision sensors and tactile sensors are indispensable for the tasks, however, the correctness of the information from the vision sensors decreases as a robot hand approaches to a grasping object because of occlusion. This research aims to achieve seamless detection for reliable grasp by use of proximity sensors: correcting the positional error of the hand in vision-based approach, and contacting the fingertip in the posture for effective tactile sensing. In this paper, we propose a method for adjusting the posture of the fingertip to the surface of the object. The method applies “Net-Structure Proximity Sensor” on the fingertip, which can detect the postural error in the roll and pitch axes between the fingertip and the object surface. The experimental result shows that the postural error is corrected in the both axes even if the object dynamically rotates.

  5. Effects of Wrist Posture and Fingertip Force on Median Nerve Blood Flow Velocity

    Science.gov (United States)

    Wilson, Katherine E.; Tat, Jimmy

    2017-01-01

    Purpose. The purpose of this study was to assess nerve hypervascularization using high resolution ultrasonography to determine the effects of wrist posture and fingertip force on median nerve blood flow at the wrist in healthy participants and those experiencing carpal tunnel syndrome (CTS) symptoms. Methods. The median nerves of nine healthy participants and nine participants experiencing symptoms of CTS were evaluated using optimized ultrasonography in five wrist postures with and without a middle digit fingertip press (0, 6 N). Results. Both wrist posture and fingertip force had significant main effects on mean peak blood flow velocity. Blood flow velocity with a neutral wrist (2.87 cm/s) was significantly lower than flexed 30° (3.37 cm/s), flexed 15° (3.27 cm/s), and extended 30° (3.29 cm/s). Similarly, median nerve blood flow velocity was lower without force (2.81 cm/s) than with force (3.56 cm/s). A significant difference was not found between groups. Discussion. Vascular changes associated with CTS may be acutely induced by nonneutral wrist postures and fingertip force. This study represents an early evaluation of intraneural blood flow as a measure of nerve hypervascularization in response to occupational risk factors and advances our understanding of the vascular phenomena associated with peripheral nerve compression.

  6. Application of Orthodromic Island Flap Prosthetics of Homo-Digital Artery in Finger-Tip Defect

    Directory of Open Access Journals (Sweden)

    Daming Lu

    2014-03-01

    Full Text Available Objective: To investigate the clinical efficacy of orthodromic island flap prosthetics of homodigital artery on finger-tip defect. Methods: A total of 21 patients with finger-tip defect from December, 2010 to April, 2013 were given orthodromic island flap prosthetics of homo-digital artery, with the maximum and minimum sizes of flaps being 20 mm×22 mm and 10 mm×15 mm, respectively. Results: All patients with finger-tip defect survived from the flap surgery and the wounds were favorably healed. 3 - 12 months follow-up after operation, the flaps were observed with approving appearance, soft texture and favorable elasticity, with two-point discrimination being 6 - 8 mm. According to TAM detection of hand functions, flaps were excellent healed in 19 cases, good and fairish in 1 case respectively, with effective rate being 95.2%. Conclusion: Orthodromic island flap prosthetics of homo-digital artery is simple and safe in operation with satisfactory effcacy, being the most ideal method for the repair of finger-tip defect.

  7. Encoded and crossmodal thermal stimulation through a fingertip-sized haptic display

    Directory of Open Access Journals (Sweden)

    Simon eGallo

    2015-10-01

    Full Text Available Haptic displays aim at artificially creating tactile sensations by applying tactile features to the user’s skin. Although thermal perception is a haptic modality it has received scant attention possibly because humans process thermal properties of objects slower than other tactile properties. Yet, thermal feedback is important for material discrimination and has been used to convey thermally-encoded information in environments in which vibrotactile feedback might be masked by noise and/or movements. Moreover, the well-reported influence of temperature over tactile processing makes thermal displays good candidates for the development of crossmodal haptic interfaces, in which temperature is used to manipulate other sensations. Here, we present a thermal display able to render four individually-controlled temperatures at the user’s fingertip along with its technical characterization and psychophysical evaluation. Device performance was assessed in terms of accuracy and repeatability. In the psychophysical evaluation, we first show that the device can render perceivable temperature gradients at the level of the fingertip, thereby extending the concept of thermally-encoded information to fingertip-sized thermal displays. Secondly, we show that increasing temperature improves stiffness precision. Results show that neglected features of thermal feedback, i.e. encoded and crossmodal thermal stimulation, can be provided by fingertip-sized thermal displays to improve haptic manipulations.

  8. Effects of Wrist Posture and Fingertip Force on Median Nerve Blood Flow Velocity

    Directory of Open Access Journals (Sweden)

    Katherine E. Wilson

    2017-01-01

    Full Text Available Purpose. The purpose of this study was to assess nerve hypervascularization using high resolution ultrasonography to determine the effects of wrist posture and fingertip force on median nerve blood flow at the wrist in healthy participants and those experiencing carpal tunnel syndrome (CTS symptoms. Methods. The median nerves of nine healthy participants and nine participants experiencing symptoms of CTS were evaluated using optimized ultrasonography in five wrist postures with and without a middle digit fingertip press (0, 6 N. Results. Both wrist posture and fingertip force had significant main effects on mean peak blood flow velocity. Blood flow velocity with a neutral wrist (2.87 cm/s was significantly lower than flexed 30° (3.37 cm/s, flexed 15° (3.27 cm/s, and extended 30° (3.29 cm/s. Similarly, median nerve blood flow velocity was lower without force (2.81 cm/s than with force (3.56 cm/s. A significant difference was not found between groups. Discussion. Vascular changes associated with CTS may be acutely induced by nonneutral wrist postures and fingertip force. This study represents an early evaluation of intraneural blood flow as a measure of nerve hypervascularization in response to occupational risk factors and advances our understanding of the vascular phenomena associated with peripheral nerve compression.

  9. Partial fingertip necrosis following a digital surgical procedure in a patient with primary Raynaud's phenomenon.

    Science.gov (United States)

    Uygur, Safak; Tuncer, Serhan

    2014-12-01

    Raynaud's phenomenon is a common clinical disorder consisting of recurrent, long-lasting and episodic vasospasm of the fingers and toes often associated with exposure to cold. In this article, we present a case of partial fingertip necrosis following digital surgical procedure in a patient with primary Raynaud's phenomenon.

  10. Force response of the fingertip pulp to repeated compression--effects of loading rate, loading angle and anthropometry.

    Science.gov (United States)

    Serina, E R; Mote, C D; Rempel, D

    1997-10-01

    Repeated loading of the fingertips has been postulated to contribute to tendon and nerve disorders at the wrist during activities associated with prolonged fingertip loading such as typing. To fully understand the pathomechanics of these soft tissue disorders, the role of the fingertip pulp in attenuating the applied dynamic forces must be known. An experiment was conducted to characterize the response of the in vivo fingertip pulp under repeated, dynamic, compressive loadings, to identify factors that influence pulp dynamics, and to better understand the force modulation by the pulp. Twenty subjects tapped repeatedly on a flat plate with their left index finger, while the contact force and pulp displacement were measured simultaneously. Tapping trials were conducted at three fingertip contact angles from the horizontal plane (0 degree, 45 degrees, and 90 degrees) and five tapping rates (0.25, 0.5, 1, 2, and 3 Hz). The fingertip pulp responds as a viscoelastic material, exhibiting rate-dependence, hysteresis, and a nonlinear force-displacement relationship. The pulp was relatively compliant at forces less than 1 N, but stiffened rapidly with displacement at higher forces for all loading conditions. This suggests that high-frequency forces of a small magnitude (< 1 N) are attenuated by the nonlinearly stiffening pulp while these forces of larger magnitude are transmitted to the bone. Pulp response was significantly influenced by the angle of loading. Fingertip dimensions, gender, and subject age had little to no influence on pulp parameters.

  11. Introduction of an alternative standardized radiographic measurement method to evaluate volar angulation in subcapital fractures of the 5th metacarpal

    Energy Technology Data Exchange (ETDEWEB)

    Hoffelner, Thomas; Resch, Herbert; Moroder, Philipp; Korn, Gundobert; Steinhauer, Felix [University of Salzburg, Department of Traumatology and Sports Injuries, Salzburg (Austria); Atzwanger, Joerg [University of Salzburg, Department of Radiology, Salzburg (Austria); Minnich, Bernd [University of Salzburg, Department of Organismic Biology, Salzburg (Austria); Tauber, Mark [Shoulder and Elbow Surgery ATOS Clinic Munich, Munich (Germany)

    2012-10-15

    The purpose of the present study was to compare the intra- and interobserver reliability of two different measurement methods for volar angulation of the 5th metacarpal (MC) in an attempt to establish a new standard measurement method to reduce interobserver discrepancies for therapeutic decisions. Twenty patients with subcapital fractures of the 5th MC were radiologically investigated. Imaging consisted of a radiographs in antero-posterior and precise lateral view in addition to a CT scan of the 5th MC. Measurement of volar angulation was accomplished using the conventional and the shaft articular surface (SAS) method. The measurements of five investigators were exported to a spreadsheet for statistical analysis to evaluate the intra-and interobserver reliability. The conventional technique showed large differences among the investigators and poor interobserver reliability (W = 0.328 and 0.307) both at injury (p = 0.001) and at follow-up (p = 0.189). The intraobserver concordance of all investigators showed better results with the SAS than with the conventional technique. With the SAS technique, no statistically significant difference among the investigators could be detected at either the time of injury (p = 0.418) or at follow-up (p = 0.526) with excellent interobserver reliability (W = 0.051 and W = 0.041). Evaluation of volar angulation at follow-up using CT scans did not show any statistically significant difference between the techniques with better correlation among the observers with the SAS technique (p = 0.838). The interobserver correlation of volar angulation with lateral radiographs using the conventional technique was insufficient. Therefore, we recommend the use of the novel SAS technique as standardized measurement method which showed higher accuracy and interobserver reliability in order to facilitate the choice of adequate treatment option. (orig.)

  12. Accuracy of Handheld Point-of-Care Fingertip Lactate Measurement in the Emergency Department

    Directory of Open Access Journals (Sweden)

    Gaieski, David G

    2013-02-01

    Full Text Available Introduction: Early recognition of elevated lactate levels in sepsis may hasten the detection of those patients eligible for aggressive resuscitation. Point-of-care (POC testing is now increasingly available for use in the emergency department (ED. We examined the accuracy and time-saving effect of a handheld POC device for the measurement of fingertip and whole blood lactate as compared with reference laboratory testing in critically ill ED patients.Methods: A convenience sample of adult ED patients receiving serum lactate testing was prospectively enrolled at an urban, tertiary care US hospital. Consenting patients underwent fingertip POC lactate measurement with a portable device and simultaneous whole blood sampling for analysis by both the POC device and standard laboratory analyzer (‘‘reference method’’. Lactate measurements were compared by intraclass correlation (ICC and Bland and Altman plots. Differences in time to test result were compared by paired t test.Results: Twenty-four patients, 19 (79% with sepsis and 21 (88% with lactate levels below 4 mmol/L, were included from April 2005 to May 2005. Fingertip POC and whole blood POC lactate measurements each correlated tightly with the reference method (ICC ¼ 0.90 and ICC ¼ 0.92, respectively. Mean time between obtaining fingertip lactate samples and whole blood reference lactate samples was 8 6 13 minutes. Mean time between obtaining POC and reference laboratory lactate results was 65 minutes (95% confidence interval, 30–103.Conclusion: Fingertip POC lactate measurement is an accurate method to determine lactate levels in infected ED patients with normal or modestly elevated lactate values and significantly decreases time to test results. These findings should be verified in a larger, more critically ill, ED population. [West J Emerg Med. 2013;14(1:58-62.

  13. A Noninvasive Miniaturized-Wireless Laser-Doppler Fiber-Optic Sensor for Understanding Distal Fingertip Injuries in Astronauts

    Science.gov (United States)

    Ansari, Rafat R.; Jones, Jeffrey A.; Pollonini, Luca; Rodriquez, Mikael; Opperman, Roedolph; Hochstein, Jason

    2009-01-01

    During extra-vehicular activities (EVAs) or spacewalks astronauts over use their fingertips under pressure inside the confined spaces of gloves/space suits. The repetitive hand motion is a probable cause for discomfort and injuries to the fingertips. We describe a new wireless fiber-optic probe that can be integrated inside the astronaut glove for noninvasive blood perfusion measurements in distal fingertips. In this preliminary study, we present blood perfusion measurements while performing hand-grip exercises simulating the use of space tools.

  14. Number and locations of screw fixation for volar fixed-angle plating of distal radius fractures: biomechanical study.

    Science.gov (United States)

    Mehling, Isabella; Müller, Lars P; Delinsky, Katharina; Mehler, Dorothea; Burkhart, Klaus J; Rommens, Pol M

    2010-06-01

    To compare the biomechanical properties of different numbers and locations of screws in a multidirectional volar fixed-angle plate in a distal radius osteotomy cadaver model. We created an extra-articular fracture in 16 pairs of fresh-frozen human cadaver radiuses. The 32 specimens were randomized into 4 groups. All fractures were fixated with a multidirectional volar fixed-angle plate. We tested 4 different screw-placement options in the distal fragment. The distal fragment was fixed with 4 locking screws in the distal row of the plate in group a, and with 4 locking screws alternately in the distal and proximal rows in group b. In group c, 3 locking screws were used in the proximal row; in group d, 7 locking screws were used, filling all screw holes in the distal and proximal rows of the plate. The proximal fragment was fixed with 3 screws. The specimens were loaded with 80 N under dorsal and volar bending and with 250 N axial loading. Finally, load to failure tests were performed. Group d had the highest mean stiffness, 429 N/mm under axial compression, and was statistically significantly stiffer than the other groups. Group b had a mean stiffness of 208 N/mm, followed by group a, with 177 N/mm. Group c showed only a mean stiffness of 83 N/mm under axial compression. There were no statistically significant differences under dorsal and volar bending. In this model of distal radial fractures, there was a difference regarding the stiffness and the placement of screws in the distal rows of a volar fixed-angle plate. Inserting screws in all available holes in the distal fragment offered the highest stability. Using only the proximal row with 3 screws created an unstable situation. Based on these findings, we recommend placing at least 4 screws in the distal fragment and assigning at least 2 screws to the distal row of the multidirectional screw-holes. Copyright 2010 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  15. Computer-based classification of dermoscopy images of melanocytic lesions on acral volar skin.

    Science.gov (United States)

    Iyatomi, Hitoshi; Oka, Hiroshi; Celebi, M Emre; Ogawa, Koichi; Argenziano, Giuseppe; Soyer, H Peter; Koga, Hiroshi; Saida, Toshiaki; Ohara, Kuniaki; Tanaka, Masaru

    2008-08-01

    We describe a fully automated system for the classification of acral volar melanomas. We used a total of 213 acral dermoscopy images (176 nevi and 37 melanomas). Our automatic tumor area extraction algorithm successfully extracted the tumor in 199 cases (169 nevi and 30 melanomas), and we developed a diagnostic classifier using these images. Our linear classifier achieved a sensitivity (SE) of 100%, a specificity (SP) of 95.9%, and an area under the receiver operating characteristic curve (AUC) of 0.993 using a leave-one-out cross-validation strategy (81.1% SE, 92.1% SP; considering 14 unsuccessful extraction cases as false classification). In addition, we developed three pattern detectors for typical dermoscopic structures such as parallel ridge, parallel furrow, and fibrillar patterns. These also achieved good detection accuracy as indicated by their AUC values: 0.985, 0.931, and 0.890, respectively. The features used in the melanoma-nevus classifier and the parallel ridge detector have significant overlap.

  16. Rate of Improvement following Volar Plate Open Reduction and Internal Fixation of Distal Radius Fractures

    Directory of Open Access Journals (Sweden)

    Chris Dillingham

    2011-01-01

    Full Text Available Purpose. To determine recovery timeline of unstable distal radius fractures treated by open reduction and internal fixation with a locking volar plate. Methods. Data was collected prospectively on a consecutive series of twenty-seven patients during routine post-operative visits at 2 and 6 weeks, and 3, 6, 12 and 24 months. Range of motion measures and grip strength for both wrists were recorded. Results. Greatest gains were made within the first 3 months after surgery. Supination and pronation returned more quickly than flexion or extension, with supination and pronation both at 92% of the uninjured wrist at 3 months. Only flexion improved significantly between 3 and 6 months. All wrist motions showed some improvement until 1 year. Grip strength returned to 94% of the uninjured wrist by 12 months. Conclusions. Range of motion improvement will be greatest between 2 weeks and 3 months, with improvement continuing until 12 months. Grip strength should return to near normal by one year. Function and pain will improve, but not return to normal by the end of 12 months. Clinical Relevance. These results provide the surgeon with information that can be shared with patients on the anticipated timeline for normal recovery of function and strength.

  17. Double-dorsal versus single-volar digital subcutaneous anaesthetic injection for finger injuries in the emergency department: A randomised controlled trial.

    Science.gov (United States)

    Martin, Shane P; Chu, Kevin H; Mahmoud, Ibrahim; Greenslade, Jaimi H; Brown, Anthony F T

    2016-04-01

    The objective of this present study is to compare pain associated with the double-dorsal versus a single-volar subcutaneous injection in the provision of digital anaesthesia for finger injuries presenting to the ED. A randomised controlled trial from November 2012 to January 2014 at a single adult tertiary-referral hospital. ED patients with finger injuries requiring digital anaesthesia was randomised to either the double-dorsal or a single-volar subcutaneous injection technique. The primary outcome was patient reported injection pain measured on a 100 mm visual analogue scale with the assessor blinded to the injection technique. The secondary outcome was success of anaesthesia defined as ability to perform the assessment and treatment without further anaesthetic supplementation after 5 min. Eighty-six patients were enrolled. Median (IQR) age was 34 (24-47) years and 79% were men. The majority (66.3%) had distal phalanx injuries. Forty patients were randomised to the double-dorsal and 46 to a single-volar subcutaneous injection technique. The mean (standard deviation) pain score of the double-dorsal injection was 39.1 (24.2) and a single-volar injection was 37.3 (24.5) with a difference of 1.8 (95% CI -8.8 to 12.3). Digital anaesthesia was successful in 64.9% of the double-dorsal and 71.7% of the single-volar subcutaneous injections, a difference of 6.8% (95% CI -12.7 to 26.3). In ED patients with finger injuries requiring digital anaesthesia, both the double-dorsal or single-volar subcutaneous injection techniques have similar pain of injection and success rates of anaesthesia. Single-volar injection appears suitable alternative to the commonly performed double-dorsal injection in the ED. © 2016 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

  18. Osteotomias do rádio distal com uso de placa volar de ângulo fixo Osteotomy of the distal radius using a fixed-angle volar plate

    Directory of Open Access Journals (Sweden)

    Ricardo Kaempf de Oliveira

    2012-04-01

    Full Text Available OBJETIVO: A consolidação viciosa do rádio distal, por sequela de fratura, pode causar incapacidade funcional, levando o paciente a apresentar dor, perda de força e diminuição da mobilidade. Baseando-se nos excelentes resultados obtidos com o tratamento cirúrgico das fraturas instáveis do rádio distal com a utilização de abordagem volar e o uso de fixação rígida com a placa volar de ângulo fixo, começamos a utilizar o mesmo método para as osteotomias do rádio distal. MÉTODO: Foi realizada uma revisão retrospectiva e encontrou-se 20 pacientes, no período de fevereiro de 2002 a outubro 2009. O tempo de acompanhamento médio foi de 43,9 meses (variando de 12-96 meses. A indicação cirúrgica foi de dor persistente, deformidade e limitação funcional após fratura de deslocamento dorsal. RESULTADOS: A deformidade média pré-operatória foi de 27º de inclinação dorsal do rádio distal, 87º de angulação ulnar e 7,3 milímetros de encurtamento do rádio. Todas as osteotomias consolidaram e a média final de angulação volar do rádio distal foi de 6,2º, com 69,3º de angulação ulnar e um milímetro de encurtamento. A mobilidade média do punho aumentou em 19,9º na flexão e em 24º na extensão. No antebraço, a supinação média aumentou em 23,5º e em 21,7º na pronação. A força do punho aumentou de 13,4 para 34,5 libras. CONCLUSÃO: O uso da placa volar de ângulo fixo por abordagem volar para as osteotomias do rádio distal permite uma correção satisfatória das deformidades e elimina a necessidade de remoção do material de síntese por complicações nos tendões.OBJETIVE: Skewed consolidation of the distal radius, due to sequelae of fractures, may cause functional incapacity, thus leading such patients to present pain, loss of strength and diminished mobility. Based on the excellent results obtained from surgical treatment of unstable fractures of the distal radius through a volar approach and use of

  19. Foster replantation of fingertip using neighbouring digital artery in a young child.

    Science.gov (United States)

    Xu, Jing-Hong; Gao, Zheng-Jun; Yao, Jing-Ming; Tan, Wei-Qiang; Dawreeawo, Javed

    2010-06-01

    Reconstruction of an amputated fingertip in a young child demands special techniques for success. We report a 2.5-year-old female patient with an amputated left index fingertip with the vascular defect being too severe to perform the usual replantation. Comparing several methods, we used the neighbouring digital artery as the feeding artery to perform foster replantation. Finally, the patient was satisfied with the appearance and function of her fingers. The clinical case, techniques, results are described and discussed. We consider it a useful technique, especially for those with a rather severe vascular defect. A 2.5-year-old girl suffered a crush amputation of the left index fingertip. Only the flexor tendon of the amputated fingertip was connected to the proximal finger tissue and the blood supply was completely lost (Figure 1). The distal amputated fingertip was fixed using Kirschner wire under general anaesthesia. Then, microsurgery operation was carried out immediately to replant this amputated fingertip. Both ulnar and radial digital arteries were avulsed, while the dorsal vein was intact and the digital nerve was also surviving. The integrity of blood vessels was too traumatised to connect to the proximal part. In the case of the distal part of the ulnar artery of the injured index finger, the blood supply was established by anastomosing the distal end of the amputated tip and the radial artery of the middle finger, which was the feeding artery (Figure 2). A 11/0 nylon suture was used. The dorsal vein and digital nerve were repaired by means of microsurgical anastomosis. The wound was covered with the dorsal skin of the middle finger and the palmar skin of the index finger to form a skin pedicle, and then, immobility of the two fingers was maintained to prevent avulsion. The index tip obtained good blood supply and survived completely (Figure 3). Detachment of the index and middle finger was performed after 3 weeks, and both of the fingers showed good

  20. Comparative effectiveness of hand-cleansing agents for removing methicillin-resistant Staphylococcus aureus from experimentally contaminated fingertips.

    Science.gov (United States)

    Huang, Y; Oie, S; Kamiya, A

    1994-08-01

    Five subjects participated in a study of optimal conditions for removing methicillin-resistant Staphylococcus aureus from contaminated fingertips. Fingertips were contaminated experimentally and cleaned by various methods. Bacterial removal was measured as percentage and is given as mean +/- standard error of the mean. Rinsing the fingertips with tap water for 20 seconds and drying them with paper towels removed 95.2% +/- 1.6% of the contamination. Application of hand-cleansing agents to fingertips for 20 seconds, followed by a 20-second tap-water rinse and towel drying, removed bacteria as follows: povidone-iodine detergent, 99.2% +/- 0.4%; chlorhexidine detergent, 97.2% +/- 0.8%; and liquid soap, 96.1% +/- 1.1%. In a modification of the method, 80% ethyl alcohol applied to the fingertips for 20 seconds, followed by air drying for 40 seconds, removed 99.1% +/- 0.8% of the bacteria. Statistical analyses indicated that povidone-iodine and 80% ethyl alcohol were more effective than the other agents. Rinsing contaminated fingertips with tap water and towel drying them is sufficient to reduce contamination with methicillin-resistant S. aureus by 95%. Washing with povidone-iodine or 80% ethyl alcohol further reduces contamination by an additional 99%.

  1. Evaluation of touch-sensitive screen tablet terminal button size and spacing accounting for effect of fingertip contact angle.

    Science.gov (United States)

    Nishimura, T; Doi, K; Fujimoto, H

    2015-08-01

    Touch-sensitive screen terminals enabling intuitive operation are used as input interfaces in a wide range of fields. Tablet terminals are one of the most common devices with a touch-sensitive screen. They have a feature of good portability, enabling use under various conditions. On the other hand, they require a GUI designed to prevent decrease of usability under various conditions. For example, the angle of fingertip contact with the display changes according to finger posture during operation and how the case is held. When a human fingertip makes contact with an object, the contact area between the fingertip and contact object increases or decreases as the contact angle changes. A touch-sensitive screen detects positions using the change in capacitance of the area touched by the fingertip; hence, differences in contact area between the touch-sensitive screen and fingertip resulting from different forefinger angles during operation could possibly affect operability. However, this effect has never been studied. We therefore conducted an experiment to investigate the relationship between size/spacing and operability, while taking the effect of fingertip contact angle into account. As a result, we have been able to specify the button size and spacing conditions that enable accurate and fast operation regardless of the forefinger contact angle.

  2. Quantifying feedforward control: a linear scaling model for fingertip forces and object weight

    Science.gov (United States)

    Lu, Ying; Bilaloglu, Seda; Aluru, Viswanath

    2015-01-01

    The ability to predict the optimal fingertip forces according to object properties before the object is lifted is known as feedforward control, and it is thought to occur due to the formation of internal representations of the object's properties. The control of fingertip forces to objects of different weights has been studied extensively by using a custom-made grip device instrumented with force sensors. Feedforward control is measured by the rate of change of the vertical (load) force before the object is lifted. However, the precise relationship between the rate of change of load force and object weight and how it varies across healthy individuals in a population is not clearly understood. Using sets of 10 different weights, we have shown that there is a log-linear relationship between the fingertip load force rates and weight among neurologically intact individuals. We found that after one practice lift, as the weight increased, the peak load force rate (PLFR) increased by a fixed percentage, and this proportionality was common among the healthy subjects. However, at any given weight, the level of PLFR varied across individuals and was related to the efficiency of the muscles involved in lifting the object, in this case the wrist and finger extensor muscles. These results quantify feedforward control during grasp and lift among healthy individuals and provide new benchmarks to interpret data from neurologically impaired populations as well as a means to assess the effect of interventions on restoration of feedforward control and its relationship to muscular control. PMID:25878151

  3. A Finite Element Modeling Study on the Fingertip Deformation under Pressure Stimulation

    Directory of Open Access Journals (Sweden)

    Chen Huiling

    2016-01-01

    Full Text Available Pressure stimulus causes skin deformation and tactile sensation on the fingertip. Both theoretical approach and experimental technique may be used to investigate the relationship between the deformation and the sensation. Building an appropriate skin model is the most important step for further theoretical and experimental analysis. In this paper, a two dimensional (2D fingertip biomechanical model employing finite element (FE method is proposed based on the physiological structure of skin. With biomechanical and electrophysiological simulations, the predicted distributions of the strain energy density (SED and the stress/strain are obtained. The relation between the predicted biomechanical responses of the subcutaneous tissue and the discharged rate reported in the literatures are investigated. The results show that the soft tissues of fingertips are very sensitive to the external stimulus, and the spatial distribution characteristics of SED within soft tissues can explain the evoked charging rate of mechanoreceptors effectively. The simulation data of the proposed FE model is highly consistent with the verified data.

  4. Dynamic optimal grasping of a circular object with gravity using robotic soft-fingertips

    Directory of Open Access Journals (Sweden)

    García-Rodríguez Rodolfo

    2016-06-01

    Full Text Available Object manipulation usually requires dexterity, encoded as the ability to roll, which is very difficult to achieve with robotic hands based on point contact models (subject to holonomic constraints. As an alternative for dexterous manipulation, deformable contact with hemispherical shape fingertips has been proposed to yield naturally a rolling constraint. It entails dexterity at the expense of dealing with normal and tangential forces, as well as more elaborated models and control schemes. Furthermore, the essential feature of the quality of grasp can be addressed with this type of robot hands, but it has been overlooked for deformable contact. In this paper, a passivity-based controller that considers an optimal grasping measure is proposed for robotic hands with hemispherical deformable fingertips, to manipulate circular dynamic objects. Optimal grasping that minimizes the contact wrenches is achieved through fingertip rolling until normal forces pass through the center of mass of the object, aligning the relative angle between these normal forces. The case of a circular object is developed in detail, though our proposal can be extended to objects with an arbitrary shape that admit a local decomposition by a circular curvature. Simulation and experimental results show convergence under various conditions, wherein rolling and tangent forces become instrumental to achieve such a quality of grasp.

  5. Tactile perception: do distinct subpopulations explain differences in mislocalization rates of stimuli across fingertips?

    Science.gov (United States)

    Warren, Jay P; Tillery, Stephen I Helms

    2011-11-07

    In a previous study we were able to demonstrate that the Cutaneous Rabbit Effect (CRE) could be induced across fingertips using a form of the reduced rabbit paradigm and electrotactile stimuli. The CRE, as used here, is an illusory phenomenon where two stimuli are rapidly at a site and then a stimulus is presented to a nearby site. The perception of the second of the stimuli is not at its presented location but at a site between the first and last stimuli. In this experiment, though the overall population did perceive the mislocalized stimuli as the CRE would predict, some subjects were very infrequently observed to mislocalize stimuli due to the CRE or other effects. Here we further examine this phenomena, attempting to identify whether a subpopulation exists that rarely mislocalizes stimuli on their fingertips. To test for this subpopulation, we reexamined the collected data from the previously published experiment and other unpublished data relating to that study. By examining these data for rates of mislocalization utilizing our previous metric we identified that there is a perceptual subpopulation that very infrequently misidentifies the location of a fingertip stimulus.

  6. [Three cases of chronic volar dislocation of the distal radioulnar joint that were treated with the Sauvé-Kapandji procedure].

    Science.gov (United States)

    Saito, Jun; Sakai, Akinori; Okimoto, Nobukazu; Ohshige, Toshihisa; Murakami, Taizou; Nakamura, Toshitaka

    2003-06-01

    Three cases of chronic volar dislocation of the distal radioulnar joint were treated with the Sauvé-Kapandji procedure. All patients were in their twenties. They visited our clinic complaining limitation of forearm wrist rotation and pain around the wrist for more than 6 weeks after an injury. Radiograph and CT scan revealed chronic volar dislocation of the distal radioulnar joint. Closed reduction failed. The Sauvé-Kapandji procedure was required to prevent the distal radioulnar joint from becoming unstable after open reduction. Range of motion of the injured wrist improved greatly, pain disappeared and they were able to return to sports after the operation and rehabilitation. Therefore, the Sauvé-Kapandji procedure is effective in curing chronic volar dislocation of the distal radioulnar joint.

  7. Follow-up of volar plate interposition arthroplasty (Tupper) of the metacarpophalangeal joints in rheumatoid hands: preliminary findings

    DEFF Research Database (Denmark)

    Gøtze, J P; Jensen, Claus Hjorth

    2000-01-01

    We present the results of a three-year follow-up study of 59 interposition volar plate arthroplasties (Tupper) on metacarpophalangeal joints in 13 patients with erosive rheumatoid arthritis. The median age at the time of operation was 60 years (range 45-77). All patients reported lasting pain...... relief at rest. Improvement of hand function was, however, less satisfactory as both grip and pinch strength were compromised in all patients. Seven patients were satisfied with the outcome whereas six complained of stiffness in the operated joints. All but one patient concluded that they would have...

  8. Comparative clinical study of locking screws versus smooth locking pegs in volar plating of distal radius fractures.

    Science.gov (United States)

    Boretto, J G; Pacher, N; Giunta, D; Gallucci, G L; Alfie, V; De Carli, P

    2014-09-01

    The present study was performed to test the null hypothesis on no difference in stability of fixation after volar plating of intra-articular distal radius fractures (AO C2-C3) with either locking smooth pegs or locking screws in a clinical setting. A retrospective evaluation included adult patients with C2-C3 AO fractures treated with a volar plate with locking smooth pegs or locking screws. Radiographic assessment was performed to evaluate extra- and intra-articular parameters in the early postoperative period and after bone union. Twenty-seven consecutive patients were included. Thirteen cases had fixation with locking screws and 14 had fixation with locking smooth pegs. Both groups had bone fragment displacement after fixation. However, there were no significant differences between the groups either in extra- or intra-articular parameters defined by Kreder et al. (1996). Our study shows that, in a clinical setting, there is no difference in stability fixation between locking screws or smooth locking pegs in C2-C3 distal radius fractures.

  9. [Postoperative morbidity in surgically treated extension fractures of the distal radius. A comparative study of dorsal and volar approach].

    Science.gov (United States)

    Zettl, R P; Ruchholtz, S; Taeger, G; Obertacke, U; Nast-Kolb, D

    2001-08-01

    The aim of this study was to investigate perioperative morbidity in operative interventions in distal radiusfractures, comparing the operative approach from volar and dorsal. Only problems, resulting from the operative approach towards the distal aspect of the radius, were examined. In a Case-Control-Study, we investigated patients with operative by plate-osteosynthesis treated distal radius-extensions-fractures. During 3 years we investigated 92 patients. 49 were operated with a volar approach, and after changing the operative management, consecutive 43 patients with a dorsal approach to the distal radius. Indications for operative treatment were not changed. The approach to the distal aspect of the radius corresponded to the recent guidelines. Further perioperative procedures were identical, including procedures in anesthesiology. Datas of patients have been investigated for epidemiology, kind of operations, point of time in treatment, duration of operation, X-Ray, immobilisation and time of inhospital stay as well as all documented complications. It has been shown, that in respect of all criterias, concerning length of operation (106 vs. 83 min), intraoperative X-Ray (3.0 vs. 1.65 min) as well as postoperative immobilisation (33 vs. 25 days), and documented incidences of complications like secondary wound-healing (19/49 vs. 0/43) or nerval irritations (13/49 vs. 1/43), the dorsal osteosynthesis is definitively to be favored.

  10. Microsurgical management of complex fingertip injuries: comparison to conventional skin grafting.

    Science.gov (United States)

    Rose, E H; Norris, M S; Kowalski, T A

    1988-01-01

    In selected cases of severe fingertip injuries, an aggressive approach using microvascular and microneural techniques can yield functional results equal or superior to conventional methods of treatment in less severe injuries. A series of 20 patients were treated microsurgically from 1983 to 1986 for severe acute distal finger injuries or their early sequelae--five distal replantations, eight neurovascular free tissue transfers, and nine distal neurorrhaphies/nerve grafts with or without vascular conduit. Concurrently, 33 simpler tip avulsions were treated with full-thickness skin grafts for comparison. In the microsurgical series, one replant and the distal 1 cm of a free toe flap necrosed. Replants averaged two-point discrimination of 9.8 mm and pulp pinch 65 percent of normal; free toe transfers, two-point of 6 mm, pulp pinch 58 percent; distal nerve reconstruction, two-point 6 mm. Operating time per digit averaged 5.0 hours for replants, 4.3 hours for toe flaps, and 1.5 hours for nerve repair/grafts. All patients returned to full pre-injury employment within six months. None required revisional surgery for dysesthetic fingertips. In the conventional skin graft series, greater than six months follow-up is available in 17 patients. Average two-point was 7 mm (range: 3 to greater than 15 mm) and pulp pinch 83 percent of normal. There were seven poor results with cold intolerance, numbness, and paresthesias, three of which required revisional surgery. The data suggest that microsurgical management of fingertip injuries achieves results comparable to skin grafts, despite the greater complexity of the initial injury. This approach has resulted in fewer secondary tip revisions. Operative times are acceptable. Parameters of sensory return are similar, although pulp pinch is slightly less. Disability times are comparable to the average in major pulp losses. Of importance, final permanent partial factors of disability are diminished in rating, due to retained digital

  11. Cutaneous Feedback of Fingertip Deformation and Vibration for Palpation in Robotic Surgery.

    Science.gov (United States)

    Pacchierotti, Claudio; Prattichizzo, Domenico; Kuchenbecker, Katherine J

    2016-02-01

    Despite its expected clinical benefits, current teleoperated surgical robots do not provide the surgeon with haptic feedback largely because grounded forces can destabilize the system's closed-loop controller. This paper presents an alternative approach that enables the surgeon to feel fingertip contact deformations and vibrations while guaranteeing the teleoperator's stability. We implemented our cutaneous feedback solution on an Intuitive Surgical da Vinci Standard robot by mounting a SynTouch BioTac tactile sensor to the distal end of a surgical instrument and a custom cutaneous display to the corresponding master controller. As the user probes the remote environment, the contact deformations, dc pressure, and ac pressure (vibrations) sensed by the BioTac are directly mapped to input commands for the cutaneous device's motors using a model-free algorithm based on look-up tables. The cutaneous display continually moves, tilts, and vibrates a flat plate at the operator's fingertip to optimally reproduce the tactile sensations experienced by the BioTac. We tested the proposed approach by having eighteen subjects use the augmented da Vinci robot to palpate a heart model with no haptic feedback, only deformation feedback, and deformation plus vibration feedback. Fingertip deformation feedback significantly improved palpation performance by reducing the task completion time, the pressure exerted on the heart model, and the subject's absolute error in detecting the orientation of the embedded plastic stick. Vibration feedback significantly improved palpation performance only for the seven subjects who dragged the BioTac across the model, rather than pressing straight into it.

  12. Volar lunate dislocation associated with a Salter-Harris Type III fracture of the distal radial epiphysis in an 8 year-old child.

    Science.gov (United States)

    Sharma, H; Azzopardi, T; Sibinski, M; Wilson, N

    2007-02-01

    Carpal fracture-dislocations in children are extremely rare injuries and are easily missed or misdiagnosed. An 8 year-old boy who presented with a volar lunate dislocation associated with a Salter Harris Type III injury of the distal radial epiphysis is reported. Open reduction without internal fixation followed by plaster immobilisation achieved good short-term results.

  13. Reconstructions of fingertip and polydigital crush injuries with island and random flaps:a case report

    Institute of Scientific and Technical Information of China (English)

    Krishnakumar Subbaraman; SUN Bing-wei; TAI Ning-zheng; SHEN Jun

    2010-01-01

    @@ A 42-year-old male labourer working in a harbor injured both his hands in a steel rolling device. In the left non-dominant hand the index finger, middle finger and ring finger had crush injury. The right dominant hand had a crush amputation of the tip of the middle finger. In the left hand the ring finger was severely crushed and was not amenable to salvage. The index finger and middle finger was also crushed and had comminuted fractures up to the middle phalanx which was diagnosed by a plain X-ray. The little finger sustained minor soft tissue loss in the fingertip.

  14. Unilateral non-traumatic radiocarpal volar dislocation in a child: A long-term evolution Luxación radiocarpiana volar atraumática unilateral en una niña: Evolución a largo plazo

    Directory of Open Access Journals (Sweden)

    S. García-Mata

    2009-04-01

    Full Text Available We report an eight year-old female with trisomy 21 referred to our clinic for limitation of wrist mobility. The patient had been diagnosed and treated by polyarticular juvenile chronic arthritis for six months. Clinical and radiological study revealed volar radiocarpal dislocation of the left wrist. She was treated surgically by open reduction, temporary K-w fixation with six weeks of immobilization. The dislocation relapsed but the joint remained painless. One year later she had 5º of dorsal flexion and 25º of volar flexion and absence of pain. In spite of this situation the family said that the girl lived normal life without any limitation because of her condition, refusing further treatment. Eight years later the girl remains asymptomatic and does a normal life without limitation because of her condition. The patient and her family refused any treatment. Based in the failure of surgical treatment performed in our case we think that abstention could be the most reasonable option, mainly in the immature patients.Presentamos el caso de una niña de ocho años con trisomía 21 que fue remitida a nuestra consulta por limitación de la movilidad de la muñeca izquierda. La paciente había sido diagnosticada y tratada por artritis crónica juvenil poliarticular durante seis meses. El estudio clínico y radiológico mostraba una luxación radiocarpiana volar de la muñeca izquierda. Se le efectuó reducción abierta y fijación temporal mediante agujas de Kirschner, con seis semanas de inmovilización. La luxación recidivó, pero la articulación permanecía indolora. Un año más tarde presentaba 5º de flexión dorsal y 25º de flexión volar con ausencia de dolor. A pesar de esa situación, la familia manifestaba que la niña realizaba una vida normal, sin ninguna limitación para su condición, rehusando cualquier tratamiento posterior. Ocho años más tarde, la paciente permanecía asintomática, realizando una vida normal sin limitaciones

  15. Efficacy of radial styloid targeting screws in volar plate fixation of intra-articular distal radial fractures: a biomechanical study in a cadaver fracture model

    Directory of Open Access Journals (Sweden)

    Yamashita Toshihiko

    2010-12-01

    Full Text Available Abstract Background The locking screws target the radial styloid, theoretically provide greater stability against radial styloid fragment. However, it is unknown whether the radial styloid locking screws increased the stability of the volar plating system fixation along the entire distal radius or not. In this study, we evaluated the stability of the volar plating system fixation with or without the radial styloid screws using a biomechanical study in a cadaver fracture model. Methods Six matched pairs of fresh-frozen human cadaver wrists complete from the proximal forearm to the metacarpal bones were prepared to simulate standardized 3-part intra-articular and severe comminuted fractures. Specimens were fixed using the volar plating system with or without 2 radial styloid screws. Each specimen was loaded at a constant rate of 20 mm/min to failure. Load data was recorded and, ultimate strength and change in gap between distal and proximal fragments were measured. Data for ultimate strength and screw failure after failure loading were compared between the 2 groups. Results The average ultimate strength at failure of the volar plate fixation with radial styloid screws (913.5 ± 157.1 N was significantly higher than that without them (682.2 ± 118.6 N. After failure loading, the average change in gap between the ulnar and proximal fragment was greater than that between the radial and proximal fragment. The number of bent or broken screws in ulnar fragment was higher than that in radial fragment. The number of specimens with bent or broken screws in cases with radial styloid screws was fewer than that in the fixation without radial styloid screws group. Conclusion The ulnar fragment is more intensively stressed than the radial fragment under axial loading of distal radius at full wrist extension. The radial styloid screws were effective in stable volar plate fixation of distal radial fractures.

  16. A non-invasive miniaturized-wireless laser-Doppler fiber optic sensor for understanding distal fingertip injuries in astronauts

    Science.gov (United States)

    Ansari, Rafat R.; Jones, Jeffrey A.; Pollonini, Luca; Rodriguez, Mikael; Opperman, Roedolph; Hochstein, Jason

    2009-02-01

    During extra-vehicular activities (EVAs) or space walks astronauts over use their fingertips under pressure inside the confined spaces of gloves/space-suite. The repetitive hand motion is a probable cause for discomfort and injuries to the finger-tips. We describe a new wireless fiber-optic probe that can be integrated inside the astronaut glove for non-invasive blood perfusion measurements in distal finger tips. In this preliminary study, we present blood perfusion measurements while performing hand-grip exercises simulating the use of space tools.

  17. Treatment of Fingertip Amputation in Adults by Palmar Pocketing of the Amputated Part

    Directory of Open Access Journals (Sweden)

    Mi Sun Jung

    2012-07-01

    Full Text Available Background First suggested by Brent in 1979, the pocket principle is an alternative methodfor patients for whom a microsurgical replantation is not feasible. We report the successfulresults of a modified palmar pocket method in adults.Methods Between 2004 and 2008, we treated 10 patients by nonmicrosurgical replantationusing palmar pocketing. All patients were adults who sustained a complete fingertip amputationfrom the tip to lunula in a digits. In all of these patients, the amputation occurred due to a crushor avulsion-type injury, and a microsurgical replantation was not feasible. We used the palmarpocketing method following a composite graft in these patients and prepared the pocket in thesubcutaneous layer of the ipsilateral palm.Results Of a total of 10 cases, nine had complete survival of the replantation and one had20% partial necrosis. All of the cases were managed to conserve the fingernails, which led toacceptable cosmetic results.Conclusions A composite graft and palmar pocketing in adult cases of fingertip injuryconstitute a simple, reliable operation for digital amputation extending from the tip to thelunula. These methods had satisfactory results.

  18. Longterm treatment with endothelin receptor antagonist bosentan and iloprost improves fingertip blood perfusion in systemic sclerosis.

    Science.gov (United States)

    Cutolo, Maurizio; Ruaro, Barbara; Pizzorni, Carmen; Ravera, Francesca; Smith, Vanessa; Zampogna, Giuseppe; Paolino, Sabrina; Seriolo, Bruno; Cimmino, Marco; Sulli, Alberto

    2014-05-01

    To evaluate the longterm effects of endothelin-1 (ET-1) antagonism on peripheral blood perfusion (PBP) in patients with systemic sclerosis (SSc). Twenty-six patients with SSc already receiving cyclic intravenous iloprost (ILO) for severe Raynaud phenomenon were enrolled. Thirteen patients continued the treatment for a further 3 years (ILO group) and 13 patients, because of the appearance of digital ulcers, received in addition bosentan (BOS; 125 mg twice/day) for 3 years (ILO + BOS group). Both PBP at fingertips and nailfold microangiopathy were evaluated yearly by laser Doppler flowmetry and nailfold videocapillaroscopy, respectively. A progressive significant increase of PBP was observed in the ILO + BOS group during the 3 followup years (p = 0.0007, p = 0.0002, p = 0.01, respectively). In contrast, an insignificant progressive decrease of PBP was observed in the ILO group. Difference of perfusion between the PBP evaluations at basal temperature and at 36 °C (to test capillary dilation capacity), was found progressively decreased during the 3-year followup only in the ILO group (p = 0.05, p = 0.26, p = 0.09, respectively). A progressive increase of nailfold capillary number was observed only in the ILO + BOS group after 2 and 3 years of followup (p = 0.05). Longterm treatment of SSc patients with ET-1 antagonism, in combination with ILO, seems to increase fingertip blood perfusion, as well as both capillary dilation capacity and number.

  19. Wearable Haptic Systems for the Fingertip and the Hand: Taxonomy, Review, and Perspectives.

    Science.gov (United States)

    Pacchierotti, Claudio; Sinclair, Stephen; Solazzi, Massimiliano; Frisoli, Antonio; Hayward, Vincent; Prattichizzo, Domenico

    2017-05-09

    In the last decade, we have witnessed a drastic change in the form factor of audio and vision technologies, from heavy and grounded machines to lightweight devices that naturally fit our bodies. However, only recently, haptic systems have started to be designed with wearability in mind. The wearability of haptic systems enables novel forms of communication, cooperation, and integration between humans and machines. Wearable haptic interfaces are capable of communicating with the human wearers during their interaction with the environment they share, in a natural and yet private way. This paper presents a taxonomy and review of wearable haptic systems for the fingertip and the hand, focusing on those systems directly addressing wearability challenges. The paper also discusses the main technological and design challenges for the development of wearable haptic interfaces, and it reports on the future perspectives of the field. Finally, the paper includes two tables summarizing the characteristics and features of the most representative wearable haptic systems for the fingertip and the hand.

  20. Towards wearability in fingertip haptics: a 3-DoF wearable device for cutaneous force feedback.

    Science.gov (United States)

    Prattichizzo, Domenico; Chinello, Francesco; Pacchierotti, Claudio; Malvezzi, Monica

    2013-01-01

    Wearability will significantly increase the use of haptics in everyday life, as has already happened for audio and video technologies. The literature on wearable haptics is mainly focused on vibrotactile stimulation, and only recently, wearable devices conveying richer stimuli, like force vectors, have been proposed. This paper introduces design guidelines for wearable haptics and presents a novel 3-DoF wearable haptic interface able to apply force vectors directly to the fingertip. It consists of two platforms: a static one, placed on the back of the finger, and a mobile one, responsible for applying forces at the finger pad. The structure of the device resembles that of parallel robots, where the fingertip is placed in between the static and the moving platforms. This work presents the design of the wearable display, along with the quasi-static modeling of the relationship between the applied forces and the platform's orientation and displacement. The device can exert up to 1.5 N, with a maximum platform inclination of 30 degree. To validate the device and verify its effectiveness, a curvature discrimination experiment was carried out: employing the wearable device together with a popular haptic interface improved the performance with respect of employing the haptic interface alone.

  1. Effect of skin hydration on the dynamics of fingertip gripping contact

    Science.gov (United States)

    André, T.; Lévesque, V.; Hayward, V.; Lefèvre, P.; Thonnard, J.-L.

    2011-01-01

    The dynamics of fingertip contact manifest themselves in the complex skin movements observed during the transition from a stuck state to a fully developed slip. While investigating this transition, we found that it depended on skin hydration. To quantify this dependency, we asked subjects to slide their index fingertip on a glass surface while keeping the normal component of the interaction force constant with the help of visual feedback. Skin deformation inside the contact region was imaged with an optical apparatus that allowed us to quantify the relative sizes of the slipping and sticking regions. The ratio of the stuck skin area to the total contact area decreased linearly from 1 to 0 when the tangential force component increased from 0 to a maximum. The slope of this relationship was inversely correlated to the normal force component. The skin hydration level dramatically affected the dynamics of the contact encapsulated in the course of evolution from sticking to slipping. The specific effect was to reduce the tendency of a contact to slip, regardless of the variations of the coefficient of friction. Since grips were more unstable under dry skin conditions, our results suggest that the nervous system responds to dry skin by exaggerated grip forces that cannot be simply explained by a change in the coefficient of friction. PMID:21490002

  2. Anticipatory control of motion-to-force transitions with the fingertips adapts optimally to task difficulty.

    Science.gov (United States)

    Cianchetti, Flor A; Valero-Cuevas, Francisco J

    2010-01-01

    Moving our fingertips toward objects to produce well-directed forces immediately upon contact is fundamental to dexterous manipulation. This apparently simple motion-to-force transition in fact involves a time-critical, predictive switch in control strategy. Given that dexterous manipulation must accommodate multiple mechanical conditions, we investigated whether and how this transition adapts to task difficulty. Eight adults (19-39 yr) produced ramps of isometric vertical fingertip force against a rigid surface immediately following a tapping motion. By changing target surface friction and size, we defined an easier (sandpaper, 11 mm diam) versus a more difficult (polished steel, 5 mm diam) task. As in prior work, we assembled fine-wire electromyograms from all seven muscles of the index finger into a seven-dimensional vector defining the full muscle coordination pattern-and quantified its temporal evolution as its alignment with a reference coordination pattern vector for steady-state force production. As predicted by numerical optimizations to neuromuscular delays, our empirical and sigmoidal nonlinear regression analyses show that the coordination pattern transitions begin sooner for the more difficult tasks than for the easier tasks ( approximately 120 ms, P 0.7 in most cases). Importantly, the force vector following contact had smaller directional error (P optimization to counteract neuromuscular delays and noise to enable this fundamental element of dexterous manipulation.

  3. Haptic exploration of fingertip-sized geometric features using a multimodal tactile sensor

    Science.gov (United States)

    Ponce Wong, Ruben D.; Hellman, Randall B.; Santos, Veronica J.

    2014-06-01

    Haptic perception remains a grand challenge for artificial hands. Dexterous manipulators could be enhanced by "haptic intelligence" that enables identification of objects and their features via touch alone. Haptic perception of local shape would be useful when vision is obstructed or when proprioceptive feedback is inadequate, as observed in this study. In this work, a robot hand outfitted with a deformable, bladder-type, multimodal tactile sensor was used to replay four human-inspired haptic "exploratory procedures" on fingertip-sized geometric features. The geometric features varied by type (bump, pit), curvature (planar, conical, spherical), and footprint dimension (1.25 - 20 mm). Tactile signals generated by active fingertip motions were used to extract key parameters for use as inputs to supervised learning models. A support vector classifier estimated order of curvature while support vector regression models estimated footprint dimension once curvature had been estimated. A distal-proximal stroke (along the long axis of the finger) enabled estimation of order of curvature with an accuracy of 97%. Best-performing, curvature-specific, support vector regression models yielded R2 values of at least 0.95. While a radial-ulnar stroke (along the short axis of the finger) was most helpful for estimating feature type and size for planar features, a rolling motion was most helpful for conical and spherical features. The ability to haptically perceive local shape could be used to advance robot autonomy and provide haptic feedback to human teleoperators of devices ranging from bomb defusal robots to neuroprostheses.

  4. Venous and fingertip blood to calculate plasma volume shift following exercise.

    Science.gov (United States)

    Knowlton, R G; Brown, D D; Hetzler, R K; Sikora, L M

    1990-12-01

    This study determined whether fingertip blood samples used to calculate percentage change in calculated plasma volume following exercise were in agreement with values obtained from venous blood samples. Twenty-five subjects engaged in two cycle ergometer exercises at 100 and 200 W, with percentage plasma volume shift (% PVS) determined after each from venous (VB) and fingertip (FT) blood. Values for % PVS were FT -6.25% compared with VB -8.04% (P less than 0.05), with the correlation between the two methods at r = 0.88. The following equation was established: corrected FT % PVS = (0.8662 * FT) - 2.625; SEE = 2.60%. In order to cross-validate this equation, fifteen additional subjects submitted to VB and FT. Corrected FT % PVS using the established equation resulted in a mean value of 9.53 compared with 10.53% for actual VB % PVS. Although these means were not significantly different, there was approximately a 25% chance that the corrected FT % PVS would be more than one standard error of estimate from the regression line. It was concluded that FT underestimates VB % PVS. However, when limited to group data, FT can be corrected to favorably represent VB % PVS following moderate to heavy cycle ergometer exercise.

  5. Evaluation of performance and personal satisfaction of the patient with spastic hand after using a volar dorsal orthosis.

    Science.gov (United States)

    Garros, Danielle dos Santos Cutrim; Gagliardi, Rubens José; Guzzo, Regina Aparecida Rossetto

    2010-06-01

    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 + or - 0.5 to 6.3 + or - 0.8 (pPatient satisfaction average after wearing the orthosis was of 1.7 + or - 0.4 to 6.3 + or - 0.6 (ppatient satisfaction.

  6. Microbial DNA fingerprinting of human fingerprints: dynamic colonization of fingertip microflora challenges human host inferences for forensic purposes

    NARCIS (Netherlands)

    Tims, S.; Wamel, van W.; Endtz, H.P.; Belkum, van A.; Kayser, M.

    2010-01-01

    Human fingertip microflora is transferred to touched objects and may provide forensically relevant information on individual hosts, such as on geographic origins, if endogenous microbial skin species/strains would be retrievable from physical fingerprints and would carry geographically restricted DN

  7. Microbial DNA fingerprinting of human fingerprints: dynamic colonization of fingertip microflora challenges human host inferences for forensic purposes

    NARCIS (Netherlands)

    S. Tims (Sebastian); W.J.B. van Wamel (Willem); H.P. Endtz (Hubert); A.F. van Belkum (Alex); M.H. Kayser (Manfred)

    2009-01-01

    textabstractHuman fingertip microflora is transferred to touched objects and may provide forensically relevant information on individual hosts, such as on geographic origins, if endogenous microbial skin species/strains would be retrievable from physical fingerprints and would carry geographically r

  8. Microbial DNA fingerprinting of human fingerprints : dynamic colonization of fingertip microflora challenges human host inferences for forensic purposes

    NARCIS (Netherlands)

    Tims, Sebastian; van Wamel, Willem; Endtz, Hubert P.; van Belkum, Alex; Kayser, Manfred

    2010-01-01

    Human fingertip microflora is transferred to touched objects and may provide forensically relevant information on individual hosts, such as on geographic origins, if endogenous microbial skin species/strains would be retrievable from physical fingerprints and would carry geographically restricted DN

  9. Effects of different computer typing speeds on acceleration and peak contact pressure of the fingertips during computer typing.

    Science.gov (United States)

    Yoo, Won-Gyu

    2015-01-01

    [Purpose] This study showed the effects of different computer typing speeds on acceleration and peak contact pressure of the fingertips during computer typing. [Subjects] Twenty-one male computer workers voluntarily consented to participate in this study. They consisted of 7 workers who could type 200-300 characteristics/minute, 7 workers who could type 300-400 characteristics/minute, and 7 workers who could type 400-500 chracteristics/minute. [Methods] This study was used to measure the acceleration and peak contact pressure of the fingertips for different typing speed groups using an accelerometer and CONFORMat system. [Results] The fingertip contact pressure was increased in the high typing speed group compared with the low and medium typing speed groups. The fingertip acceleration was increased in the high typing speed group compared with the low and medium typing speed groups. [Conclusion] The results of the present study indicate that a fast typing speed cause continuous pressure stress to be applied to the fingers, thereby creating pain in the fingers.

  10. In vivo microcirculation imaging of the sub surface fingertip using correlation mapping optical coherence tomography (cmOCT)

    Science.gov (United States)

    Dsouza, Roshan I.; Zam, Azhar; Subhash, Hrebesh M.; Larin, Kirill V.; Leahy, Martin

    2013-02-01

    We describe a novel application of correlation mapping optical coherence tomography (cmOCT) for sub-surface fingerprint biometric identification. Fingerprint biometrics including automated fingerprint identification systems, are commonly used to recognise the fingerprint, since they constitute simple, effective and valuable physical evidence. Spoofing of biometric fingerprint devices can be easily done because of the limited information obtained from the surface topography. In order to overcome this limitation a potentially more secure source of information is required for biometric identification applications. In this study, we retrieve the microcirculation map of the subsurface fingertip by use of the cmOCT technique. To increase probing depth of the sub surface microcirculation, an optical clearing agent composed of 75% glycerol in aqueous solution was applied topically and kept in contact for 15 min. OCT intensity images were acquired from commercial research grade swept source OCT system (model OCT1300SS, Thorlabs Inc. USA). A 3D OCT scan of the fingertip was acquired over an area of 5x5 mm using 1024x1024 A-scans in approximately 70 s. The resulting volume was then processed using the cmOCT technique with a 7x7 kernel to provide a microcirculation map. We believe these results will demonstrate an enhanced security level over artificial fingertips. To the best of our knowledge, this is the first demonstration of imaging microcirculation map of the subsurface fingertip.

  11. Fingertip force planning during grasp is disrupted by impaired sensorimotor integration in children with hemiplegic cerebral palsy

    NARCIS (Netherlands)

    Gordon, A.M.; Charles, J.; Steenbergen, B.

    2006-01-01

    In the present study we examine the ability of children with hemiplegic cerebral palsy (CP) to use anticipatory control of fingertip forces during grasping, and whether anticipatory control is facilitated by lifts with the contralateral hand. Eight children with CP (age 4-13) were asked to perform s

  12. Fingertip Injuries

    Science.gov (United States)

    ... Gardening Safety Turkey Carving Removing a Ring Español Artritis de la base del pulgar Dedo en gatillo ... Gardening Safety Turkey Carving Removing a Ring Español Artritis de la base del pulgar Dedo en gatillo ...

  13. Quantification of Subjective Scaling of Friction Using a Fingertip Biomechanical Model

    Directory of Open Access Journals (Sweden)

    Mohammad Abdolvahab

    2012-01-01

    Full Text Available Subjective scaling of friction is important in many applications in haptic technology. A nonhomogeneous biomechanical finite element model of fingertip is proposed in order to predict neural response of sensitive mechanoreceptors to frictional stimuli (Slowly Adapting SAII receptors under the glabrous skin. In a guided psychophysical experiment, ten human subjects were asked to scale several standard surfaces based on the perception of their frictional properties. Contact forces deployed during the exploratory time of one of the participants were captured in order to estimate required parameters for the model of contact in the simulation procedure. Consequently, the strain energy density at the location of a selective mechanoreceptor in the finite element model as a measure of discharge rate of the neural unit was compared to the subject’s perceptual evaluation of the relevant stimuli. It was observed that the subject’s scores correlate with the discharge rate of the given receptor.

  14. Real-time remote control of artificial cilia actuation using fingertip drawing for efficient micromixing.

    Science.gov (United States)

    Chen, Chia-Yuan; Yao, Chih-Yuan; Lin, Cheng-Yi; Hung, Shih-Hsuan

    2014-10-01

    Low-efficiency diffusion mechanism poses a significant barrier to the enhancement of micromixing efficiency in microfluidics. Actuating artificial cilia to increase the contact area of two flow streams during micromixing provides a promising alternative to enhance the mixing performance. Real-time adjustment of beating behavior in artificial cilia is necessary to accommodate various biological/chemical reagents with different hydrodynamic properties that are processed in a single microfluidic platform during micromixing. Equipping the microfluidic device with a self-troubleshooting feature for the end user, such as a bubble removal function during the process of multiple chemical solution injections, is also essential for robust micromixing. To meet these requirements, we initiated a new beating control concept by controlling the beating behavior of the artificial cilia through remote and simultaneous actuation of human fingertip drawing. A series of micromixing test cases under extreme flow conditions (Re technical difficulties encountered during micromixing operations.

  15. TO COMPARE FUNCTIONAL OUTCOME, COMPLICATIONS & RESULTS OF OPEN REDUCTION & INTERNAL FIXATION WITH CLOSED REDUCTION & EXTERNAL FIXATION IN VOLAR DISPLACED DISTAL RADIAL FRACTURE

    Directory of Open Access Journals (Sweden)

    Ketan Gupta

    2015-02-01

    Full Text Available Distal radius fractures account for 17% of all fractures in adults. The fracture of the lower end of radius crush the mechanical foundation of man‟s most elegant tool, the hand. No other fracture has a greater potential to devastate hand function. Today, o pen reduction of the fracture with internal fixation and closed reduction of the fracture with external fixation, forms the mainstay of the treatment of an uncomplicated distal end radius fracture in a patient unless specifically contraindicated. AIMS AND OBJECTIVES: To compare functional outcome, complications & results of two commonly used surgical methods; Open reduction & internal fixation with volar placed buttress plate and Closed reduction & external fixation with „Jess fixator‟ and internal fixation with „k - wire‟ in volar displaced distal radial fractures. MATERIALS AND METHODS : Total 30 cases were included in the study. 15 patients were treated with Open reduction & internal fixation with volar placed buttress plate and 15 were treated with Closed r eduction & external fixation with „Jess fixator‟ and internal fixation with „k - wire‟ in volar displaced distal radial fractures. Patients were followed up at regular intervals and Anatomical and functional outcomes were evaluated in all the patients. RESUL TS: Patients treated with Open reduction & internal fixation, 8 showed excellent results, 5 good and 2 fair results. Patients treated with closed reduction and external fixation 4 showed excellent results, 5 good, 4 fair and 2 showed poor results. CONCLUSI ON: O.R.I.F is generally preferred modality gives better results in terms of functional recovery and decrease morbidity to patient

  16. Treatment of the distal fracture in radioulna based on the volar wrist dual channel approach and postoperative X-ray diagnosis.

    Science.gov (United States)

    Li, Zheng; Zhang, Zhenwei; Yu, Shaoxiao; Bai, Yinwei; Lin, Huixin; Zeng, Jinhao; Ye, Xuelang; Xu, Dachuan

    2015-12-01

    The fracture of the distal ulna and radius is a kind of fracture that results in high morbidity and occurrence rate and contributes to about one-sixth of the entire body's fracture. In this study, we implemented the improved palmar wrist surgery by a volar wrist dual channel approach. Between 2011 and 2014, we have treated 67 distal radius fracture patients. We divided them into two parts randomly, and treat them by the Carpometacarpal direct approach solution and dual wrist palmar surgical approach solution respectively. After the surgery, the differences in the incidence of median nerve irritation are significant (P dual wrist palmar surgical approach solution are much less than that as compared to the Carpometacarpal direct approach solution (P dual wrist palmar surgical approach can lead to a successful treatment of the distal radius fractures volar distal radial ulnar by reducing the blind exposure problem. As such, the surgeon can complete treatment of fractures of the region under direct vision during operation. Furthermore, reducing the median nerve in the carpal tunnel and the structure of the stretch can decrease the incidence of postoperative complications. Postoperative X-ray diagnosis is then performed to examine the patients' recovery and assist in clinical follow-up. Our study proves that the volar wrist dual channel approach can be successfully achieved by a surface incision surgical implementation of the dual channel, and gives rise to a minimally invasive operation.

  17. Repairing of fingertip defect with topographical anterograde flap pedicled with digital artery trunk or branch%带指掌侧固有动脉或其分支局部顺行皮瓣修复指端缺损

    Institute of Scientific and Technical Information of China (English)

    林宏伟; 吴杰; 江标; 连素文; 邹育才; 肖瑛; 赵资坚; 林丽贤

    2015-01-01

    branch flaps and 5 digital artery V-Y flaps occurred arterial crisis, 9 digital artery dorsal branch flaps and 5 digital artery volar branch flaps occurred venous crisis within 24 hours of the surgery. Based on the reasons which caused cyclic crisis, such as removing some stitches around and/or in the pedicle of the flap, small incision bleeding, flap massage, changing finger position, braking and so on were used. 4 flaps survived and 8 partial necrosis occurred due to arterial crisis. 8 flaps survived and 6 partial necrosis occurred because of venous crisis. There were 57 in 62 fingers (91.9%) with skin grafts at the donor sites survived completely. 99 fingers in 67 cases were followed-up from 3 to 12 months, average 5.5 months. The color, texture and contour of the flaps were good. There were no bulkiness, no painful scar, no tenderness and no ankylosis. Tow-point discrimination was 8 to 12 mm. Joint movement of the fingers were normal. The patients could adapt to normal work and life. They were satisfied with the exterior and the sensation of the fingertip post-operatively. Based on the upper limb functional assessment criteria issued by the Chinese Medical Association Hand Surgery Society, the results were rated as excellent in 63 fingers, good in 20 finger and fair in 16 finger. The overall satisfactory rate was 83.8%. Conclusion Repairing of fingertip defect with topographical anterograde flap pedicled with digital artery trunk or branch, the surgery operation is simple and safe, does not need complex microsurgical technique. It does little harm to the donor. That is to say, it is an effective, scientific and reliable method worthy of clinical application.

  18. Estilo de afrontamiento y resultados del tratamiento de exposición en sujetos con fobia a volar

    Directory of Open Access Journals (Sweden)

    Jordi Miró

    2003-01-01

    Full Text Available El objetivo de este trabajo cuasi-experimental es doble. Por una parte, se trata de estudiar si el estilo de afrontamiento de los pacientes (buscadores y evitadores de información; monitoring y blunting está relacionado con los efectos de la terapia de exposición; por otra, examinar si este estilo está relacionado con sesgos de atención. Aplicamos el CAFFT (Computer Assisted Fear of Flying Treatment, esto es, un programa de exposición asistido por ordenador, a una muestra de 17 personas con miedo a volar en avión. Para la evaluación del estilo de afrontamiento empleamos la versión española de la Miller Behavioural Style Scale, mientras que los sesgos de atención fueron valorados mediante el test Stroop . Los resultados muestran que el tratamiento fue efectivo, y si bien no detectan relación con el estilo de afrontamiento, se observa que el estilo de búsqueda de información (por ejemplo, monitoring está asociado con mayores trastornos antes del tratamiento, aunque éstos desaparecen tras el mismo. Nuestros datos también muestran una relación estadísticamente significativa entre sesgo de atención y estilo de afrontamiento.

  19. ¿Caos en el electrocardiograma de estudiantes con miedo a volar? Un análisis de no linealidad

    Directory of Open Access Journals (Sweden)

    Jordi Llabrés

    2005-01-01

    Full Text Available La Teoría del Caos proporciona una nueva forma de analizar las respuestas psicofisiológicas asociadas a los trastornos de ansiedad. Pero para poder aplicar los métodos de análisis no lineal de esta relativamente reciente teoría, primero es necesario comprobar la existencia de algún tipo de no linealidad que justifique su uso. En este estudio experimental se analiza, mediante el procedimiento de los datos vicarios, la no linealidad de las señales generadas por el sistema cardiovascular (ECG de estudiantes con y sin miedo a volar, en diferentes condiciones de estimulación. Los errores de predicción de las series vicarias fueron siempre mayores que los de las correspondientes series empíricas (p < 0,05, demostrándose así que las señales ECG, en todos los sujetos y en todas las condiciones, presentan propiedades no lineales y que por tanto resulta adecuado analizarlas desde planteamientos no lineales para obtener conocimiento acerca de su complejidad, entropía, regularidad, etc.

  20. In vivo forces generated by finger flexor muscles do not depend on the rate of fingertip loading during an isometric task.

    Science.gov (United States)

    Kursa, Katarzyna; Diao, Edward; Lattanza, Lisa; Rempel, David

    2005-11-01

    Risk factors for activity-related tendon disorders of the hand include applied force, duration, and rate of loading. Understanding the relationship between external loading conditions and internal tendon forces can elucidate their role in injury and rehabilitation. The goal of this investigation is to determine whether the rate of force applied at the fingertip affects in vivo forces in the flexor digitorum profundus (FDP) tendon and the flexor digitorum superficialis (FDS) tendon during an isometric task. Tendon forces, recorded with buckle force transducers, and fingertip forces were simultaneously measured during open carpal tunnel surgery as subjects (N=15) increased their fingertip force from 0 to 15N in 1, 3, and 10s. The rates of 1.5, 5, and 15N/s did not significantly affect FDP or FDS tendon to fingertip force ratios. For the same applied fingertip force, the FDP tendon generated more force than the FDS. The mean FDP to fingertip ratio was 2.4+/-0.7 while the FDS to tip ratio averaged 1.5+/-1.0 (pfinger muscles in order to stabilize the finger and control joint torques at the force rates studied. Therefore, for this task, no additional increase in muscle force was observed at higher rates. These findings suggest that for high precision, isometric pinch maneuvers under static finger conditions, tendon forces are independent of loading rate.

  1. Microbial DNA fingerprinting of human fingerprints: dynamic colonization of fingertip microflora challenges human host inferences for forensic purposes

    OpenAIRE

    Tims, S.; Wamel, van, JJ Jos; Endtz, H. P.; Belkum, van, A.; Kayser, M

    2009-01-01

    Human fingertip microflora is transferred to touched objects and may provide forensically relevant information on individual hosts, such as on geographic origins, if endogenous microbial skin species/strains would be retrievable from physical fingerprints and would carry geographically restricted DNA diversity. We tested the suitability of physical fingerprints for revealing human host information, with geographic inference as example, via microbial DNA fingerprinting. We showed that the tran...

  2. Rhinovirus contamination of surfaces in homes of adults with natural colds: transfer of virus to fingertips during normal daily activities.

    Science.gov (United States)

    Winther, B; McCue, K; Ashe, K; Rubino, J; Hendley, J O

    2011-05-01

    Multiple surfaces contaminated with rhinovirus were detected in hotel rooms by reverse transcriptase-polymerase chain reaction (RT-PCR) following occupancy by a cold sufferer. Whether infectious rhinovirus contaminates surfaces in homes and is transferred from surfaces to fingertips through normal activities is not known. Nasal secretions from 30 subjects with new colds were tested for rhinovirus genome by RT-PCR; infectious rhinovirus was sought with tissue cultures. Each subject identified 10 sites in their home touched during the preceding 24 hr. Samples from sites were tested for rhinovirus by RT-PCR and cell culture. Later, each subject's mucus (stored at -70°C) was deposited on surfaces for testing transfer to fingertips through daily life activities such as flipping a light switch, touching the telephone keypad, and holding the telephone handset. Nasal secretions from 16/30 subjects were positive for rhinovirus by RT-PCR; 66 (41%) of 160 surfaces in homes were positive. Contaminated surfaces included doorknobs (6 positive/18 tested), refrigerator door handles (8/14), TV remote controls (5/10), and bathroom faucets (8/10). Five (19%) of 26 RT-PCR positive sites from culture positive subjects were positive in cell culture. Nasal mucus from six culture positive subjects was deposited on objects. Infectious rhinovirus was detected on 22% of fingertips following contact with objects contaminated for 1 hr; transfer dropped to 3% after 24 hr of contamination, and 0% after 48 hr. Infectious rhinovirus found on surfaces in homes of people with colds can be transferred to fingertips, but infectivity of virus in mucus declines by 24 hr after deposition.

  3. Control of fingertip forces in young and older adults pressing against fixed low- and high-friction surfaces.

    Directory of Open Access Journals (Sweden)

    Kevin G Keenan

    Full Text Available Mobile computing devices (e.g., smartphones and tablets that have low-friction surfaces require well-directed fingertip forces of sufficient and precise magnitudes for proper use. Although general impairments in manual dexterity are well-documented in older adults, it is unclear how these sensorimotor impairments influence the ability of older adults to dexterously manipulate fixed, low-friction surfaces in particular. 21 young and 18 older (65+ yrs adults produced maximal voluntary contractions (MVCs and steady submaximal forces (2.5 and 10% MVC with the fingertip of the index finger. A Teflon covered custom-molded splint was placed on the fingertip. A three-axis force sensor was covered with either Teflon or sandpaper to create low- and high-friction surfaces, respectively. Maximal downward forces (F(z were similar (p = .135 for young and older adults, and decreased by 15% (p<.001 while pressing on Teflon compared to sandpaper. Fluctuations in F(z during the submaximal force-matching tasks were 2.45× greater (p<.001 for older adults than in young adults, and reached a maximum when older adults pressed against the Teflon surface while receiving visual feedback. These age-associated changes in motor performance are explained, in part, by altered muscle activity from three hand muscles and out-of-plane forces. Quantifying the ability to produce steady fingertip forces against low-friction surfaces may be a better indicator of impairment and disability than the current practice of evaluating maximal forces with pinch meters. These age-associated impairments in dexterity while interacting with low-friction surfaces may limit the use of the current generation of computing interfaces by older adults.

  4. HapTip: Displaying Haptic Shear Forces at the Fingertips for Multi-Finger Interaction in Virtual Environments

    Directory of Open Access Journals (Sweden)

    Adrien eGirard

    2016-04-01

    Full Text Available The fingertips are one of the most important and sensitive parts of our body.They are the first stimulated areas of the hand when we interact with our environment.Providing haptic feedback to the fingertips in virtual reality could thus drastically improve perception and interaction with virtual environments.In this paper, we present a modular approach called HapTip to display such haptic sensations at the level of the fingertips.This approach relies on a wearable and compact haptic device able to simulate 2 Degree of Freedom (DoF shear forces on the fingertip with a displacement range of +/- 2 mm. Several modules can be added and used jointly in order to address multi-finger and/or bimanual scenarios in virtual environments.For that purpose, we introduce several haptic rendering techniques to cover different cases of 3D interaction such as touching a rough virtual surface, or feeling the inertia or weight of a virtual object.In order to illustrate the possibilities offered by HapTip, we provide four use cases focused on touching or grasping virtual objects.To validate the efficiency of our approach, we also conducted experiments to assess the tactile perception obtained with HapTip.Our results show that participants can successfully discriminate the directions of the 2 DoF stimulation of our haptic device.We found also that participants could well perceive different weights of virtual objects simulated using two HapTip devices. We believe that HapTip could be used in numerous applications in virtual reality for which 3D manipulation and tactile sensations are often crucial, such as in virtual prototyping or virtual training.

  5. Microbial DNA fingerprinting of human fingerprints: dynamic colonization of fingertip microflora challenges human host inferences for forensic purposes.

    Science.gov (United States)

    Tims, Sebastian; van Wamel, Willem; Endtz, Hubert P; van Belkum, Alex; Kayser, Manfred

    2010-09-01

    Human fingertip microflora is transferred to touched objects and may provide forensically relevant information on individual hosts, such as on geographic origins, if endogenous microbial skin species/strains would be retrievable from physical fingerprints and would carry geographically restricted DNA diversity. We tested the suitability of physical fingerprints for revealing human host information, with geographic inference as example, via microbial DNA fingerprinting. We showed that the transient exogenous fingertip microflora is frequently different from the resident endogenous bacteria of the same individuals. In only 54% of the experiments, the DNA analysis of the transient fingertip microflora allowed the detection of defined, but often not the major, elements of the resident microflora. Although we found microbial persistency in certain individuals, time-wise variation of transient and resident microflora within individuals was also observed when resampling fingerprints after 3 weeks. While microbial species differed considerably in their frequency spectrum between fingerprint samples from volunteers in Europe and southern Asia, there was no clear geographic distinction between Staphylococcus strains in a cluster analysis, although bacterial genotypes did not overlap between both continental regions. Our results, though limited in quantity, clearly demonstrate that the dynamic fingerprint microflora challenges human host inferences for forensic purposes including geographic ones. Overall, our results suggest that human fingerprint microflora is too dynamic to allow for forensic marker developments for retrieving human information.

  6. Selective use of visual information signaling objects' center of mass for anticipatory control of manipulative fingertip forces.

    Science.gov (United States)

    Salimi, Iran; Frazier, Wendy; Reilmann, Ralf; Gordon, Andrew M

    2003-05-01

    The present study examines whether visual information indicating the center of mass (CM) of an object can be used for the appropriate scaling of fingertip forces at each digit during precision grip. In separate experiments subjects lifted an object with various types of visual cues concerning the CM location several times and then rotated and lifted it again to determine whether the visual cues signaling the new location of the CM could be used to appropriately scale the fingertip forces. Specifically, subjects had either no visual cues, visual instructional cues (i.e., an indicator) or visual geometric cues where the longer axis of the object indicated the CM. When no visual cues were provided, subjects were unable to appropriately scale the load forces at each digit following rotation despite their knowledge of the new weight distribution. When visual cues regarding the CM location were provided, the nature of the visual cues determined their effectiveness in retrieval of internal representations underlying the anticipatory scaling of fingertip forces. Specifically, when subjects were provided with visual instructional information, they were unable to appropriately scale the forces. More appropriate scaling of the load forces occurred when the visual cues were ecologically meaningful, i.e., when the shape of the object indicated the CM location. We suggest that visual instructional cues do not have access to the implicit processes underlying dynamic force control, whereas visual geometric cues can be used for the retrieval of the internal representation related to CM for appropriate partitioning of the forces in each digit.

  7. ThimbleSense: a fingertip-wearable tactile sensor for grasp analysis.

    Science.gov (United States)

    Battaglia, Edoardo; Bianchi, Matteo; Altobelli, Alessandro; Grioli, Giorgio; Catalano, Manuel; Serio, Alessandro; Santello, Marco; Bicchi, Antonio

    2015-10-08

    Accurate measurement of contact forces between hand and grasped objects is crucial to study sensorimotor control during grasp and manipulation. In this work we introduce ThimbleSense, a prototype of individual-digit wearable force/torque sensor based on the principle of intrinsic tactile sensing. By exploiting the integration of this approach with an active marker-based motion capture system, the proposed device simultaneously measures absolute position and orientation of the fingertip, which in turn yields measurements of contacts and force components expressed in a global reference frame. The main advantage of this approach with respect to more conventional solutions is its versatility. Specifically, ThimbleSense can be used to study grasping and manipulation of a wide variety of objects, while still retaining complete force/torque measurements. Nevertheless, validation of the proposed device is a necessary step before it can be used for experimental purposes. In this work we present the results of a series of experiments designed to validate the accuracy of ThimbleSense measurements and evaluate the effects of distortion of tactile afferent inputs caused by the device's rigid shells on grasp forces.

  8. Discrimination of real and virtual surfaces with sinusoidal and triangular gratings using the fingertip and stylus.

    Science.gov (United States)

    Kocsis, M B; Cholewiak, S A; Traylor, R M; Adelstein, B D; Hirleman, E Daniel; Tan, H Z

    2013-01-01

    Two-interval two-alternative forced-choice discrimination experiments were conducted separately for sinusoidal and triangular textured surface gratings from which amplitude (i.e., height) discrimination thresholds were estimated. Participants (group sizes: n = 4 to 7) explored one of these texture types either by fingertip on real gratings (Finger real), by stylus on real gratings (Stylus real), or by stylus on virtual gratings (Stylus virtual). The real gratings were fabricated from stainless steel by an electrical discharge machining process while the virtual gratings were rendered via a programmable force-feedback device. All gratings had a 2.5-mm spatial period. On each trial, participants compared test gratings with 55, 60, 65, or 70 μm amplitudes against a 50-μm reference. The results indicate that discrimination thresholds did not differ significantly between sinusoidal and triangular gratings. With sinusoidal and triangular data combined, the average (mean + standard error) for the Stylus-real threshold (2.5 ± 0.2 μm) was significantly smaller (p <; 0.01) than that for the Stylus-virtual condition (4.9 ± 0.2 μm). Differences between the Finger-real threshold (3.8 ± 0.2 μm) and those from the other two conditions were not statistically significant. Further studies are needed to better understand the differences in perceptual cues resulting from interactions with real and virtual gratings.

  9. Sanshool on The Fingertip Interferes with Vibration Detection in a Rapidly-Adapting (RA) Tactile Channel

    Science.gov (United States)

    Kuroki, Scinob; Hagura, Nobuhiro; Nishida, Shin’ya; Haggard, Patrick; Watanabe, Junji

    2016-01-01

    An Asian spice, Szechuan pepper (sanshool), is well known for the tingling sensation it induces on the mouth and on the lips. Electrophysiological studies have revealed that its active ingredient can induce firing of mechanoreceptor fibres that typically respond to mechanical vibration. Moreover, a human behavioral study has reported that the perceived frequency of sanshool-induced tingling matches with the preferred frequency range of the tactile rapidly adapting (RA) channel, suggesting the contribution of sanshool-induced RA channel firing to its unique perceptual experience. However, since the RA channel may not be the only channel activated by sanshool, there could be a possibility that the sanshool tingling percept may be caused in whole or in part by other sensory channels. Here, by using a perceptual interference paradigm, we show that the sanshool-induced RA input indeed contributes to the human tactile processing. The absolute detection thresholds for vibrotactile input were measured with and without sanshool application on the fingertip. Sanshool significantly impaired detection of vibrations at 30 Hz (RA channel dominant frequency), but did not impair detection of higher frequency vibrations at 240 Hz (Pacinian-corpuscle (PC) channel dominant frequency) or lower frequency vibrations at 1 Hz (slowly adapting 1 (SA1) channel dominant frequency). These results show that the sanshool induces a peripheral RA channel activation that is relevant for tactile perception. This anomalous activation of RA channels may contribute to the unique tingling experience of sanshool. PMID:27935970

  10. Outcomes and financial implications of intra-articular distal radius fractures: a comparative study of open reduction internal fixation (ORIF) with volar locking plates versus nonoperative management.

    Science.gov (United States)

    Toon, Dong Hao; Premchand, Rex Antony Xavier; Sim, Jane; Vaikunthan, Rajaratnam

    2017-02-02

    To evaluate the functional and radiographic outcomes, as well as the treatment costs, of closed displaced intra-articular distal radius fractures treated with either open reduction internal fixation (ORIF) with volar locking plates or nonoperative treatment with plaster cast immobilisation. A total of 60 patients (32 receiving ORIF, 28 receiving nonoperative treatment) with closed intra-articular distal radius fractures were included. The mean age was 52.1 and 57.4, respectively. Functional and radiographic assessments were carried out at 12 months post-injury. Patients' treatment costs, median salaries and lengths of medical leave were obtained. DASH and MAYO wrist score in the ORIF group did not differ significantly from those in the nonoperative group. Apart from superior ulnar deviation in the ORIF group (p = 0.0096), differences in the range of motion of the injured wrists were not significant. Similarly, there were no significant differences in grip strength and visual analog scale for pain. Volar tilt (p = 0.0399), radial height (p = 0.0087), radial inclination (p = 0.0051) and articular step-off (p = 0.0002) were all significantly superior in the ORIF group. There was a 37-fold difference in mean treatment costs between ORIF (SGD 7951.23) and nonoperative treatment (SGD 230.52). Our study shows no difference in overall functional outcomes at 12 months for closed displaced intra-articular distal radius fractures treated with either ORIF with volar locking plates or plaster cast immobilisation, and this is independent of radiographic outcome. A longer follow-up, nevertheless, is needed to determine whether the development of post-traumatic arthritis will have an effect on function. The vast difference in treatment costs should be taken into consideration when deciding on the treatment option. Level 3.

  11. Fuel economy and exhaust emissions characteristics of diesel vehicles: Test results of a prototype Chrysler Volare, 225 CID (3.7-liter) automobile

    Science.gov (United States)

    Walter, R. A.

    1982-01-01

    The results obtained from fuel economy and emission tests conducted on a prototype Chrysler Volare diesel vehicle are documented. The vehicle was tested on a chassis dynamometer over selected drive cycles and steady-state conditions. The fuel used, was a DOE/BETC referee fuel. Particulate emission rates were calculated from dilution tunnel measurements and large volume particulate samples were collected for biological and chemical analysis. The vehicle obtained 32.7 mpg for the FTP urban cycle and 48.8 mpg for the highway cycle. The emissions rates were 0.42/1.58/1.17/0.28 g/mile of HC, CO, NOx and particulates respectively.

  12. Smart structure with elastomeric contact surface for prosthetic fingertip sensitivity development

    Science.gov (United States)

    Gu, Chunxin; Liu, Weiting; Yu, Ping; Cheng, Xiaoying; Fu, Xin

    2017-09-01

    Current flexible/compliant tactile sensors suffer from low sensitivity and high hysteresis introduced by the essential viscosity characteristic of soft material, either used as compliant sensing element or as flexible coverage. To overcome these disadvantages, this paper focuses on developing a tactile sensor with a smart hybrid structure to obtain comprehensive properties in terms of size, compliance, robustness and pressure sensing ability so as to meet the requirements of limited space applications such as prosthetic fingertips. Employing micro-fabricated tiny silicon-based pressure die as the sensing element, it is easy to have both small size and good mechanical performance. To protect it from potential damage and maintain the compliant surface, a rigid base and a soft layer form a sealed chamber and encapsulate the fixed die together with fluid. The fluid serves as highly efficient pressure propagation media of mechanical stimulus from the compliant skin to the pressure die without any hazard impacting the vulnerable connecting wires. To understand the pressure transmission mechanism, a simplified and concise analytic model of a spring system is proposed. Using easy fabrication technologies, a prototype of a 3 × 3 sensor array with total dimensions of 14 mm × 14 mm × 6.5 mm was developed. Based on the quasi-linear relationship between fluid volume and pressure, finite element modeling was developed to analyze the chamber deformation and pressure output of the sensor cell. Experimental tests of the sensor prototype were implemented. The results showed that the sensor cell had good sensing performance with sensitivity of 19.9 mV N-1, linearity of 0.998, repeatability error of 3.41%, and hysteresis error of 3.34%. The force sensing range was from 5 mN to 1.6 N.

  13. Assessment of stress reactions of recruits based on quantitative analysis of the characteristics of fingertip photoplethysmographic

    Directory of Open Access Journals (Sweden)

    Li-jun XIAO

    2011-09-01

    Full Text Available Objective To investigate the feasibility of stress assessment based on specific quantification techniques and analysis of stress status with photoplethysmographic(PPG signals.Methods The PPG signals were stratified and randomly sampled from 58 recruits before and after stress induced by International Affective Pictures Systems(IAPS images of negative emotion.The signals were collected and processed in a tool called HC2180-D,an enhanced solution of a blood flow monitoring system,through which the characteristic parameters of pulsatile waveform were derived as components of bioinformation for quantitative and comparative study.A concise mental rating scale,the "brief profile of mood state"(BPOMS,was used as criterion.Results As the characteristic parameter and biomarker were derived,significant increases in values were observed in both the vasoconstriction/vasodilation fraction(CDF and the ordinate of the area under the pulse contour of the vasoconstriction phase(Y2 when the recruits were shown IAPS images of negative emotion(P 0.05 were shown.The values of both the CDF and the Y2 were positively correlated in mid-range to tension,depression,and anger(P < 0.05,and in low-range to fatigue and confusion(P < 0.05.The values were negatively correlated in mid-range with vigor(P < 0.05.Conclusion The characteristic parameter and biomarker derived from the pulsatile waveform obtained at the fingertip are highly sensitive and can be utilized as measures in the quantitative assessment of stress response among recruits.

  14. SA-I Mechanoreceptor Position in Fingertip Skin May Impact Sensitivity to Edge Stimuli

    Directory of Open Access Journals (Sweden)

    Gregory J. Gerling

    2010-01-01

    Full Text Available Background: The skin plays a role in conditioning mechanical indentation into distributions of stress/strain that mechanoreceptors convert into neural signals. Solid mechanics methods have modelled the skin to predict the in vivo neural response from mechanoreceptors. Despite their promise, current models cannot explain the role that anatomical positioning and receptor organ morphology play in producing differences in neural response. This work hypothesises that the skin's intermediate ridges may help explain, in part, the sensitivity of slowly adapting type I (SA-I mechanoreceptors to edge stimuli. Method: Two finite-element models of the fingertip were built, validated and used to analyse the functionality of the intermediate ridges. One of the two-dimensional, cross-sectional models included intermediate ridges, while the other did not. The analysis sought to determine if intermediate ridges (1 increase the magnitude of strain energy density (SED near the SA-I location and (2 help differentiate one 2.0-mm indenter from two 0.5-mm wide indenters with a 1.0-mm gap. Results: Higher concentrations of SED were found near the tips of the intermediate ridges, the anatomical location that coincides with the SA-I receptors. This first result suggested that the location of the SA-Is in the stiffer epidermal tissue helps magnify their response to edge stimuli. The second result was that both models were equally capable of predicting the spatial structure within the in vivo neural responses, and therefore the addition of intermediate ridges did not help in differentiating the indenters. Conclusion: The finding, a 15%–35% increase in response when the sampling point lies within the stiffer tissue at the same depth, seeks to inform the positioning of force sensors in robotic skin substrates.

  15. Towards Humanlike Social Touch for Sociable Robotics and Prosthetics: Comparisons on the Compliance, Conformance and Hysteresis of Synthetic and Human Fingertip Skins

    CERN Document Server

    Cabibihan, John-John; Jomaa, Moez; Benallal, Ahmed; Carrozza, Maria Chiara

    2009-01-01

    The artificial hands for sociable robotics and prosthetics are expected to be touched by other people. Because the skin is the main interface during the contact, a need arises to duplicate humanlike characteristics for artificial skins for safety and social acceptance. Towards the goal of replicating humanlike social touch, this paper compares the skin compliance, conformance and hysteresis of typical robotic and prosthetic skin materials, such as silicone and polyurethane, with the published biomechanical behaviour of the human fingertip. The objective was achieved through materials characterization, finite element (FE) modeling and validation experiments. Our initial attempt showed that the selected types of silicone and polyurethane materials did not exhibit the same qualities as the human fingertip skin. However, the methodologies described herein can be used to evaluate other materials, their possible combinations or other fingertip design configurations

  16. The Template for Assessing Climate Change Impacts and Management Options (TACCIMO): Science at Your Fingertips

    Science.gov (United States)

    Jennings, L. N.; Treasure, E.; Moore Myers, J.; McNulty, S.

    2012-12-01

    There is an ever-increasing volume of useful scientific knowledge about climate change effects and management options for natural ecosystems. Agencies such as the USDA Forest Service have been charged with the need to evaluate this body of knowledge and if necessary adapt to the impacts of climate change in their forest planning and management. However, the combined volume of existing information and rate of development of new information, lack of climate change specialists, and limited technology transfer mechanisms make efficient access and use difficult. The Template for Assessing Climate Change Impacts and Management Options (TACCIMO) addresses this difficulty through its publically accessible web-based tool that puts current and concise climate change science at the fingertips of forest planners and managers. A collaborative product of the USDA Forest Service Research Stations and the National Forest System, TACCIMO integrates peer-reviewed research with management and planning options through search and reporting tools that connect land managers with information they can trust. TACCIMO highlights elements from the wealth of climate change science with attention to what natural resource planners and managers need through a searchable repository of over 4,000 effects of climate change and close to 1,000 adaptive management options, all excerpted from a growing body of peer-reviewed scientific literature. A geospatial mapping application provides downscaled climate data for the nation and other spatially explicit models relevant to evaluating climate change impacts on forests. Report generators assist users in capturing outputs specific to a given location and resource area in a consistent and organized manner. For USDA Forest Service users, science findings can be readily linked with management conditions and capabilities from national forest management plans. The development of TACCIMO was guided by interactions with natural resource professionals, resulting

  17. Libertad para volar

    OpenAIRE

    Loureiro, Olalla

    2008-01-01

    La formación, el empleo y la arquitectura sin barreras son aspectos esenciales para la integración del colectivo de personas con discapacidad. Sin embargo, la independencia y la normalización son un grado más en la lucha por la igualdad de trato y es ahí donde entran en juego factores como el ocio y el tiempo libre.

  18. Libertad para volar

    OpenAIRE

    Loureiro, Olalla

    2008-01-01

    La formación, el empleo y la arquitectura sin barreras son aspectos esenciales para la integración del colectivo de personas con discapacidad. Sin embargo, la independencia y la normalización son un grado más en la lucha por la igualdad de trato y es ahí donde entran en juego factores como el ocio y el tiempo libre.

  19. Resting and Postexercise Heart Rate Detection From Fingertip and Facial Photoplethysmography Using a Smartphone Camera: A Validation Study

    Science.gov (United States)

    Chan, Christy KY; Li, Christien KH; To, Olivia TL; Lai, William HS; Tse, Gary; Poh, Yukkee C; Poh, Ming-Zher

    2017-01-01

    Background Modern smartphones allow measurement of heart rate (HR) by detecting pulsatile photoplethysmographic (PPG) signals with built-in cameras from the fingertips or the face, without physical contact, by extracting subtle beat-to-beat variations of skin color. Objective The objective of our study was to evaluate the accuracy of HR measurements at rest and after exercise using a smartphone-based PPG detection app. Methods A total of 40 healthy participants (20 men; mean age 24.7, SD 5.2 years; von Luschan skin color range 14-27) underwent treadmill exercise using the Bruce protocol. We recorded simultaneous PPG signals for each participant by having them (1) facing the front camera and (2) placing their index fingertip over an iPhone’s back camera. We analyzed the PPG signals from the Cardiio-Heart Rate Monitor + 7 Minute Workout (Cardiio) smartphone app for HR measurements compared with a continuous 12-lead electrocardiogram (ECG) as the reference. Recordings of 20 seconds’ duration each were acquired at rest, and immediately after moderate- (50%-70% maximum HR) and vigorous- (70%-85% maximum HR) intensity exercise, and repeated successively until return to resting HR. We used Bland-Altman plots to examine agreement between ECG and PPG-estimated HR. The accuracy criterion was root mean square error (RMSE) ≤5 beats/min or ≤10%, whichever was greater, according to the American National Standards Institute/Association for the Advancement of Medical Instrumentation EC-13 standard. Results We analyzed a total of 631 fingertip and 626 facial PPG measurements. Fingertip PPG-estimated HRs were strongly correlated with resting ECG HR (r=.997, RMSE=1.03 beats/min or 1.40%), postmoderate-intensity exercise (r=.994, RMSE=2.15 beats/min or 2.53%), and postvigorous-intensity exercise HR (r=.995, RMSE=2.01 beats/min or 1.93%). The correlation of facial PPG-estimated HR was stronger with resting ECG HR (r=.997, RMSE=1.02 beats/min or 1.44%) than with postmoderate

  20. Treatment of obsolete volar dislocation of the distal radioulnar joint by Sauvé-Kapandji procedure%Sauvé-Kapandji术治疗陈旧性下尺桡关节掌侧脱位

    Institute of Scientific and Technical Information of China (English)

    王谦; 王建东; 高伟; 李凡; 汪方; 王秋根; 黄建华

    2014-01-01

    Objective To evaluate the Sauvé-Kapandji procedure in the treatment of obsolete volar dislocation of the distal radiounlar joint (DRUJ).Methods From March 2008 to March 2012,we treated 3 patients with obsolete DRUJ volar dislocation using the Sauvé-Kapandji procedure.They were 2 men and one woman,with an average age of 45 years (from 31 to 45 years).They all presented with limited rotation of the wrist and pain.The surgical protocol was developed after the diagnosis was confirmed by X-ray and 3D-CT scan before operation.The clinical outcomes were assessed postoperatively by visual analogue scale (VAS) score,range of motion (ROM) of the wrist,grip strength,Disabilities of the Arm,Shoulder and Hanl (DASH) and Mayo scores.Results The 3 patients were followed up for 1.5 to 3.0 years (2.3 years on average).Their dislocation was corrected with no occurrence of instability of the proximal ulna.The VAS score decreased from preoperative 5.3 points to postoperative 2.0 points.The wrist flexion increased from preoperative 29.3° to postoperative 60.7°,the wrist extension from preoperative 26.0° to postoperative 53.7°,the radial deviation from preoperative 11.7° to postoperative 19.0°,the ulnar deviation from preoperative 7.0° to postoperative 17.7°,the DASH score from preoperative 33 points to postoperative 73 points,the Mayo score from preoperative 41 points to postoperative 82 points,and the grip strength from preoperative 29.3 % to postoperative 72.7% of the healthy side.Conclusion Sauvé-Kapandji procedure is a fine treatment of DRUJ volar dislocation,because it leads to satisfactory clinical outcomes in addition to preservation of the ulnar head and triangular fibrocartilage complex.%目的 探讨应用Sauvé-Kapandji术治疗陈旧性下尺桡关节(DRUJ)掌侧脱位的疗效.方法 回顾性分析2008年3月至2012年3月采用Sauvé-Kapandji术治疗的3例陈旧性DRUJ掌侧脱位患者资料,男2例,女1例;平均年龄45岁(35 ~51岁).3例患者均

  1. Ineffectiveness of handwashing with lotion soap to remove nosocomial bacterial pathogens persisting on fingertips: a major link in their intrahospital spread.

    Science.gov (United States)

    Bottone, Edward J; Cheng, Mark; Hymes, Saul

    2004-03-01

    The effectiveness of five 30-second handwashes with a non-antiseptic lotion soap to remove nosocomial pathogens (10(8) CFU) applied to fingertips was studied. CFU for all species dropped rapidly after the first handwash; persistence (10 to 15 CFU) was maintained thereafter. Wiping hands with an antiseptic (70% isopropyl or 10% povidone-iodine) sponge removed persisters.

  2. Side Effects (Management)

    Science.gov (United States)

    ... cancer care is relieving side effects, called symptom management, palliative care, or supportive care. It is important ... treat them. To learn about the symptoms and management of the long-term side effects of cancer ...

  3. The amplitude of interlimb cutaneous reflexes in the leg is influenced by fingertip touch and vision during treadmill locomotion.

    Science.gov (United States)

    Forero, Juan; Misiaszek, John E

    2015-06-01

    Light touch at the fingertip has been shown to influence postural control during standing and walking. Interlimb cutaneous reflexes have been proposed to provide a neural link between the upper and lower limbs to assist in interlimb coordination during activities such as walking. In this study, we tested the hypothesis that cutaneous sensory pathways linking the arm and leg will be facilitated if subjects use light touch to assist with postural control during treadmill walking. To test this, interlimb cutaneous reflexes from the median nerve, serving the skin contact region, and radial nerve, serving an irrelevant sensory territory, were tested in the legs of subjects walking on treadmill in an unstable environment. Interlimb cutaneous reflexes were tested while subjects (a) touched or (b) did not touch a stable contact with their fingertip, and while the eyes were either (c) open or (d) closed. Reflexes arising from both nerves were facilitated when vision was removed that was then ameliorated when touch was provided. These changes in reflex amplitude during the eyes closed conditions were mirrored by changes in background muscle activity. We suggest that this facilitation of interlimb reflexes from both nerves arises from a generalized increase in excitability related to the postural anxiety of walking on a treadmill with the eyes closed, which is then restored by the provision of light touch. However, the influence of touch when the eyes were open differed depending upon the nerve stimulated. Radial nerve reflexes in the legs were suppressed when touch was provided, mirroring a suppression in the background muscle activity. In contrast, median nerve reflexes in the leg were larger when touch was provided with the eyes open, despite a suppression of background muscle activity. This nerve-specific effect of touch on the amplitude of the interlimb cutaneous reflexes suggests that touch sensory information from the median nerve was facilitated when that input was

  4. Priming Hand Motor Training with Repetitive Stimulation of the Fingertips; Performance Gain and Functional Imaging of Training Effects.

    Science.gov (United States)

    Lotze, Martin; Ladda, Aija Marie; Roschka, Sybille; Platz, Thomas; Dinse, Hubert R

    Application of repetitive electrical stimulation (rES) of the fingers has been shown to improve tactile perception and sensorimotor performance in healthy individuals. To increase motor performance by priming the effects of active motor training (arm ability training; AAT) using rES. We compared the performance gain for the training increase of the averaged AAT tasks of both hands in two groups of strongly right-handed healthy volunteers. Functional Magnetic Resonance Imaging (fMRI) before and after AAT was assessed using three tasks for each hand separately: finger sequence tapping, visually guided grip force modulation, and writing. Performance during fMRI was controlled for preciseness and frequency. A total of 30 participants underwent a two-week unilateral left hand AAT, 15 participants with 20 minutes of rES priming of all fingertips of the trained hand, and 15 participants without rES priming. rES-primed AAT improved the trained left-hand performance across all training tasks on average by 32.9%, non-primed AAT improved by 29.5%. This gain in AAT performance with rES priming was predominantly driven by an increased finger tapping velocity. Functional imaging showed comparable changes for both training groups over time. Across all participants, improved AAT performance was associated with a higher contralateral primary somatosensory cortex (S1) fMRI activation magnitude during the grip force modulation task. This study highlights the importance of S1 for hand motor training gain. In addition, it suggests the usage of rES of the fingertips for priming active hand motor training. Copyright © 2016 Elsevier Inc. All rights reserved.

  5. Osteosíntesis percutánea con placas volares bloqueadas en fracturas metafisarias distales de radio Descripción de la técnica y resultados preliminares. [Percutaneous volar locked plate fixation in metaphyseal fractures of distal radius: technical description and preliminary results].

    Directory of Open Access Journals (Sweden)

    Natalia del Milagro Gutierrez Olivera

    2016-05-01

    Full Text Available Objetivo Evaluar resultados objetivos y subjetivos obtenidos luego de realizar osteosíntesis con placas en T bloqueadas volares, colocadas con técnica mínimamente invasiva, en fracturas del radio distal con extensión metafisaria. Material y Métodos Evaluación retrospectiva de seis pacientes adultos que presentaron fracturas inestables de radio distal, extra-articulares o articulares parciales, con extensión  metafisaria, tratadas quirúrgicamente con placas en T largas de compresión bloqueadas volares, mediante  técnica mínimamente invasiva, entre 2007 y  2012. Edad promedio 40,6 años. Todas las fracturas fueron cerradas, clasificadas como tipo 23A3 (n: 5 y 23B1 (n: 1 según el Sistema AO/ASIF. Se realizó reducción indirecta de la fractura, bajo visión radioscópica, a través de dos pequeñas incisiones se deslizó en forma percutánea una placa bloqueada volar en T. Se analizaron  parámetros radiológicos (angulación volar, inclinación radial y altura radial, el rango de movimiento y la fuerza. Los resultados subjetivos fueron evaluados usando la Escala de DASH y la Escala Visual Análoga. Resultados Tiempo de consolidaron promedio de 2,3 meses. Los resultados radiográficos no mostraron diferencias significativas entre el primer y el último control radiográfico al año de seguimiento. Flexión y extensión promedio 70° y 60°, pronación y supinación 79° y 80° respectivamente. Fuerza de prensión promedio 78,4%. El score de DASH 19,84 puntos y el EVA 1,5 puntos. Conclusión Las técnicas mínimamente invasivas reducen el daño quirúrgico y complicaciones. Son una opción en pacientes con daño severo de partes blandas, conminución metafisaria y trauma de alta energía. Pequeñas incisiones alejadas del sitio de fractura respetan los tejidos blandos y la biología ósea, contribuyendo a lograr la consolidación. La colocación de placas volares bloqueadas percutáneas es un procedimiento técnicamente demandante

  6. 缝合神经的指固有动脉背支血管链皮瓣修复指远端皮肤缺损%Repair of fingertip defect with proper digital artery lateral cutaneous branch-chain flap accompanied with dorsal digital nerve or dorsal branch of proper digital nerve coaptation

    Institute of Scientific and Technical Information of China (English)

    孙涛; 魏鹏; 周丹亚; 胡瑞斌; 滕晓峰; 陈宏

    2011-01-01

    Objective To explore the effect of using proper digital artery lateral cutaneous branch-chain flap with dorsal digital nerves or dorsal branch of proper digital nerye for repairing of fingertip defect.Methods From December 2008 to November 2009, 24 cases (26 digits) of fingertip defect were treated with proper digital artery lateral cutaneous branch-chain flap.The flap was designed on the lateral side of the proximal phalanx of the injured finger with its long axis running on the lateral midline of the finger.The vascular pedicle was 0.8 to 1.0 cm wide.The pivot point was at the distal 1/3 of the middle phalanx upon which the flap was reversed to repair the defect of the fingertip.The dorsal digital nerve or dorsal branch of proper digital nerve was included in the flap and coapted with the nerve in the wound to reconstruct sensation of the injured finger.Results All 26 flaps survived.Postoperative follow-up period was 6 to 8 months.All these flaps recovered with satisfying and quality, excellent sensation with 4 to 8 mm two-point discrimination.ROM of the interphalangeal joint of the injured finger was good.Conclusion Proper digital artery lateral cutaneous branchchain flap transfer with nerve coaptation is an ideal method for repairing fingertip defect.The surgery is simple.Reliable blood supply can be achieved without sacrificing the proper digital artery.Coaptation of the nerve restores sensation at the fingertip.There is minor donor site damage and very few complications.%目的 探讨缝合神经的指固有动脉背支血管链皮瓣修复指远端皮肤缺损的疗效.方法 2008年12月至2009年11月,对24例26指指远端皮肤缺损患者,以指固有动脉背侧支形成的血管链为血供,于近节指体侧方设计皮瓣,皮瓣轴线为指体侧方中线,皮瓣蒂宽0.8~1.0cm,皮瓣转折点为中节指体中远端,逆行转移修复指远端皮肤缺损,皮瓣携带指固有神经背侧支或指背神经与创面指神经断端进行缝合

  7. Single-sided NMR

    CERN Document Server

    Casanova, Federico; Blümich, Bernhard

    2011-01-01

    Single-Sided NMR describes the design of the first functioning single-sided tomograph, the related measurement methods, and a number of applications. One of the key advantages to this method is the speed at which the images are obtained.

  8. One-sided arguments

    NARCIS (Netherlands)

    van Laar, J.A.

    2007-01-01

    When is an argument to be called one-sided? When is putting forward such an argument fallacious? How can we develop a model for critical discussion, such that a fallaciously one-sided argument corresponds to a violation of a discussion rule? These issues are dealt with within 'the limits of the dial

  9. 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.

  10. Side Effects of Chemotherapy

    Science.gov (United States)

    ... Jacket Fashion Show Contact Us Side Effects of Chemotherapy Each of the chemotherapy drugs available today works in a slightly different ... few rules of thumb when it comes to chemotherapy that should always be kept in mind. Ignore ...

  11. [Psychoanalysis and Side Effect].

    Science.gov (United States)

    Shirahase, Joichiro

    2015-01-01

    A study of psychoanalysis from the perspective of side effects reveals that its history was a succession of measures to deal with its own side effects. This, however, does not merely suggest that, as a treatment method, psychoanalysis is incomplete and weak: rather, its history is a record of the growth and development of psychoanalysis that discovered therapeutic significance from phenomena that were initially regarded as side effects, made use of these discoveries, and elaborated them as a treatment method. The approach of research seen during the course of these developments is linked to the basic therapeutic approach of psychoanalysis. A therapist therefore does not draw conclusions about a patient's words and behaviors from a single aspect, but continues to make efforts to actively discover a variety of meanings and values from them, and to make the patient's life richer and more productive. This therapeutic approach is undoubtedly one of the unique aspects of psychoanalysis. I discuss the issue of psychoanalysis and side effects with the aim of clarifying this unique characteristic of psychoanalysis. The phenomenon called resistance inevitably emerges during the process of psychoanalytic treatment. Resistance can not only obstruct the progress of therapy; it also carries the risk of causing a variety of disadvantages to the patient. It can therefore be seen as an adverse effect. However, if we re-examine this phenomenon from the perspective of transference, we find that resistance is in fact a crucial tool in psychoanalysis, and included in its main effect, rather than a side effect. From the perspective of minimizing the character of resistance as a side effect and maximizing its character as a main effect, I have reviewed logical organization, dynamic evaluation, the structuring of treatment, the therapist's attitudes, and the training of therapists. I conclude by stating that psychoanalysis has aspects that do not match the perspective known as a side

  12. Earth science big data at users' fingertips: the EarthServer Science Gateway Mobile

    Science.gov (United States)

    Barbera, Roberto; Bruno, Riccardo; Calanducci, Antonio; Fargetta, Marco; Pappalardo, Marco; Rundo, Francesco

    2014-05-01

    The EarthServer project (www.earthserver.eu), funded by the European Commission under its Seventh Framework Program, aims at establishing open access and ad-hoc analytics on extreme-size Earth Science data, based on and extending leading-edge Array Database technology. The core idea is to use database query languages as client/server interface to achieve barrier-free "mix & match" access to multi-source, any-size, multi-dimensional space-time data -- in short: "Big Earth Data Analytics" - based on the open standards of the Open Geospatial Consortium Web Coverage Processing Service (OGC WCPS) and the W3C XQuery. EarthServer combines both, thereby achieving a tight data/metadata integration. Further, the rasdaman Array Database System (www.rasdaman.com) is extended with further space-time coverage data types. On server side, highly effective optimizations - such as parallel and distributed query processing - ensure scalability to Exabyte volumes. In this contribution we will report on the EarthServer Science Gateway Mobile, an app for both iOS and Android-based devices that allows users to seamlessly access some of the EarthServer applications using SAML-based federated authentication and fine-grained authorisation mechanisms.

  13. PELE web server: atomistic study of biomolecular systems at your fingertips.

    Science.gov (United States)

    Madadkar-Sobhani, Armin; Guallar, Victor

    2013-07-01

    PELE, Protein Energy Landscape Exploration, our novel technology based on protein structure prediction algorithms and a Monte Carlo sampling, is capable of modelling the all-atom protein-ligand dynamical interactions in an efficient and fast manner, with two orders of magnitude reduced computational cost when compared with traditional molecular dynamics techniques. PELE's heuristic approach generates trial moves based on protein and ligand perturbations followed by side chain sampling and global/local minimization. The collection of accepted steps forms a stochastic trajectory. Furthermore, several processors may be run in parallel towards a collective goal or defining several independent trajectories; the whole procedure has been parallelized using the Message Passing Interface. Here, we introduce the PELE web server, designed to make the whole process of running simulations easier and more practical by minimizing input file demand, providing user-friendly interface and producing abstract outputs (e.g. interactive graphs and tables). The web server has been implemented in C++ using Wt (http://www.webtoolkit.eu) and MySQL (http://www.mysql.com). The PELE web server, accessible at http://pele.bsc.es, is free and open to all users with no login requirement.

  14. Working the Dark Side

    DEFF Research Database (Denmark)

    Bjering, Jens Christian Borrebye

    A few days after the terror attacks of 9/11, then Vice President Dick Cheney appeared on television with a call for “working the dark side.” While still unclear what this expression entailed at the time, Cheney's comment appears in retrospect to almost have been prophetic for the years to come....... By analyzing official reports and testimonies from soldiers partaking in the War On Terror, the dissertation's second part—dark arts—focuses on the transformation of the dark side into a productive space in which “information” and the hunt for said information overshadowed all legal, ethical, or political...

  15. Working the Dark Side

    DEFF Research Database (Denmark)

    Bjering, Jens Christian Borrebye

    half—dark side—documents the making and nature of the dark side by analyzing a series of legal memos from the Department of Justice's Office of Legal Council and from the White House and concludes by relating its findings to traditional ideas about emergency action, national security, and torture....... By analyzing official reports and testimonies from soldiers partaking in the War On Terror, the dissertation's second part—dark arts—focuses on the transformation of the dark side into a productive space in which “information” and the hunt for said information overshadowed all legal, ethical, or political...

  16. Tangential View and Intraoperative Three-Dimensional Fluoroscopy for the Detection of Screw-Misplacements in Volar Plating of Distal Radius Fractures

    Directory of Open Access Journals (Sweden)

    Rausch

    2015-06-01

    Full Text Available Background Volar locking plate fixation has become the gold standard in the treatment of unstable distal radius fractures. Juxta-articular screws should be placed as close as possible to the subchondral zone, in an optimized length to buttress the articular surface and address the contralateral cortical bone. On the other hand, intra-articular screw misplacements will promote osteoarthritis, while the penetration of the contralateral bone surface may result in tendon irritations and ruptures. The intraoperative control of fracture reduction and implant positioning is limited in the common postero-anterior and true lateral two-dimensional (2D-fluoroscopic views. Therefore, additional 2D-fluoroscopic views in different projections and intraoperative three-dimensional (3D fluoroscopy were recently reported. Nevertheless, their utility has issued controversies. Objectives The following questions should be answered in this study; 1 Are the additional tangential view and the intraoperative 3D fluoroscopy useful in the clinical routine to detect persistent fracture dislocations and screw misplacements, to prevent revision surgery? 2 Which is the most dangerous plate hole for screw misplacement? Patients and Methods A total of 48 patients (36 females and 13 males with 49 unstable distal radius fractures (22 x 23 A; 2 x 23 B, and 25 x 23 C were treated with a 2.4 mm variable angle LCP Two-Column volar distal radius plate (Synthes GmbH, Oberdorf, Switzerland during a 10-month period. After final fixation, according to the manufactures' technique guide and control of implant placement in the two common perpendicular 2D-fluoroscopic images (postero-anterior and true lateral, an additional tangential view and intraoperative 3D fluoroscopic scan were performed to control the anatomic fracture reduction and screw placements. Intraoperative revision rates due to screw misplacements (intra-articular or overlength were evaluated. Additionally, the number of

  17. Four Sided Seal Tester

    Science.gov (United States)

    2009-07-01

    The Center for Advanced Food Technology School of Enviromental and Biological Sciences New Brunswick, NJ 08903 FTR 216 Defense Logistics Agency...specification for four sided seal tester as function of confinement plate distance” The following modifications were issued :  Jul 18, 2007 0013/01

  18. Colorectal cancers choosing sides

    NARCIS (Netherlands)

    Albuquerque, Cristina; Bakker, Elvira R. M.; van Veelen, Wendy; Smits, Ron

    2011-01-01

    In contrast to the majority of sporadic colorectal cancer which predominantly occur in the distal colon, most mismatch repair deficient tumours arise at the proximal side. At present, these regional preferences have not been explained properly. Recently, we have screened colorectal tumours for mutat

  19. Side effects of ergotamine

    NARCIS (Netherlands)

    Meyler, WJ

    1996-01-01

    Ergotamine has been used for many years in the treatment of migraine, although there is Little formal clinical evidence that it is significantly more efficacious than placebo. A number of side effects associated with ergotamine have been reported in the literature, including myocardial infarction, i

  20. Finger and fingertip detection for hand gesture recognition system%手势识别系统中手指及指尖检测方法

    Institute of Scientific and Technical Information of China (English)

    曾维

    2013-01-01

    为了满足手势识别系统中手势的识别与理解的需要,提出了一种快速、鲁棒的手指及指尖检测方法.首先根据肤色在颜色空间中的聚类特性,初步分离出感兴趣的手势部分.然后在此基础上,通过手轮廓边缘曲率特征法结合用于检测平行线的环形算子,实现指尖和手指的快速精确检测.实验结果表明,该方法能有效的检测出指尖、手指,并为进一步在手势识别系统中应用打下基础.%In order to meet the demand of hand gesture recognition system,a fast robust hand segmentation and fingertip detection method is proposed in the present article. First, the gesture part of interest is separated primarily according to the clustering property of skin color space. And then,by applying contour curvature method in combination with ring operator used for detecting parallel line,high-level feature of the gesture,i. e. .fingertip and finger,is extracted. Experiments show that the method is capable of effectively detecting fingertip and finger,and is capable of being applied in the gesture recognition system. And lay the foundation for further application in hand gesture recognition system.

  1. Robotic compliant fingertips possessing strain typed tactile sensor%具有应变式触觉传感器的机器人柔顺指端

    Institute of Scientific and Technical Information of China (English)

    戴士杰; 岳宏; 王仲民; 李德仲

    2001-01-01

    Aimed at the operation of grasping a uniform sectioned and even massed bar by a robot situated in gravitational field this paper put forward a kind of structure of robot′s compliant fingertips,possessing strain typed tactile sensor.In the gripper of robot's parallel grasping the perception on length and mass of an object is realized by utilizing metal elastic sheet as elastic element and using strain slice as tactile sensor.The electrorheologic fluids are sealed in the fingertips to achieve soft and hard grasping.Moreover,the sensory principle of grasping system is being discussed emphatically.The experimental results indicated that the fingertips of this kind of robot possess good discriminative ability and stable grasping capability.%针对机器人抓握处于重力场中的等截面均质杆件操作,提出一种具有应变式触觉传感器的机器人柔顺指端的结构。在机器人平行抓握手爪中,利用金属弹性薄板做弹性元件,应变片做触觉敏感单元,实现对物体的长度和质量的感知;在指端的表面封装电流变流体实现软/硬抓握。另外,着重讨论了抓握系统的传感原理。试验表明,这种机器人指端具有良好的识别能力和稳定抓握能力。

  2. Microsurgical repairment of finger-tip defection%指端缺损的显微外科修复

    Institute of Scientific and Technical Information of China (English)

    王保山; 郑晓菊

    2009-01-01

    Objective To investigate the methods to repair the defection of finger tip.Methods During Feb.2004 to July 2008,in 98 cases,23 fingers were reconstructed with 2nd toe transfer which was reformed with digital flap or trilobed flap from 2nd toe,33 fingers were coverd with wrap around flap or half wrap around flap from great toe,or combined wrap around flap from great with pulp flap from 2nd toe,28fingers were repaired with fabular flap from great toe combined with tibial flap from 2nd flap,and 27 fingers were repaired with nail flap or enlarged nail flap from great toe. Results Vessel articulo took place in 5 cases,and all cases recovered with wonderful outward appearance Conclusion Microsurgical technic is an ideal method to repair the finger-tip defection.%目的 探讨手指远端各种缺损的修复方法. 方法 采用第二足趾趾动脉旋转"三叶皮瓣"修饰性再造23指:用(拇)甲瓣、半(拇)甲瓣、(拇)趾与第二足趾组织瓦合修复拇手指脱套伤33指;用(拇)趾腓侧及第二足趾胫侧皮瓣修复指腹缺损28指;(拇)趾趾甲或近侧带部分皮瓣修复指甲皮肤缺损27指.结果 临床修复98例111指,除5例出现血管危象,及时处理后恢复外,其它均一期成活,外形美观.结论 用显微外科技术修复拇手指远端的缺损,是理想的方法,达到了缺什么、补什么的理想目的 .

  3. Putting the Side first

    Energy Technology Data Exchange (ETDEWEB)

    1994-02-01

    SIDE Minerals is a relative newcomer to the South African mining industry. It combines coal and anthracite mining and has base and precious metal interests. Side Minerals has offices in Boksburg from where its mining operations in Delmas, Witbank and Carolina in the Eastern Transvaal, and Newcastle in Natal are controlled. Lakeside Colliery at Witbank -a mine with a life expectancy of 15 years - is both an underground and opencast operation with an annual production capacity of 1,2 Mt of high, medium and low grade coal. Opencast extraction there is by the strip mining method. This is done on contract by Concor Mining Opencast Division, a member of the Concor Holding Group. A high wall face provides entry to the underground operations. Eastside Colliery at Carolina, which has the capacity to produce 480 000 tons of coal a year, is currently an opencast operation with underground mining scheduled to begin during 1994. Westside Colliery near Delmas is on a care and maintenance basis, but it has the capacity to produce 600 000 tons of low grade phosphorous coal which is required by the ferro-alloy and steel industries. 2 figs.

  4. At Your Fingertips

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Biometric technology is helping to streng then China’s banking security you are at the ATM machine.You have your credit card ready,but can’t remember the password.You have several credit cards,and it is always

  5. History at your fingertips

    CERN Document Server

    2003-01-01

    Would you have liked to meet Victor Weisskopf, Niels Bohr or Robert Oppenheimer? Do you wish you had visited the famous Gargamelle or UA1 experiments? Well, you still can... at least on video. Thanks to the ETT Division's Document Handling (DH) Group, you now have access to the Audiovisual Service's amazing archives, where you can meet the leading figures and relive the main events in the Laboratory's history. All this without even having to leave your office. The DH Group has launched a new on-line catalogue comprising a selection of the Audiovisual Service's collection. These films were digitised from the original D3, Numatic or VHS tapes, and you can watch them from your work station. The desire to make the Laboratory's historical visual resources available to as many users as possible had already led to the creation in 1997 of an on-line catalogue of photographs covering the period from 1951 to the present day. (See http://weblib.cern.ch/Photos/). The new video catalogue provides you with the rare opport...

  6. Probiotics: Safety and Side Effects

    Science.gov (United States)

    ... of this page please turn JavaScript on. Feature: Probiotics Safety and Side Effects Past Issues / Winter 2016 ... Says About the Safety and Side Effects of Probiotics Whether probiotics are likely to be safe for ...

  7. HIV Medicines and Side Effects

    Science.gov (United States)

    Side Effects of HIV Medicines HIV Medicines and Side Effects (Last updated 1/17/2017; last reviewed 1/17/2017) Key Points HIV medicines help people with ... will depend on a person’s individual needs. Can HIV medicines cause side effects? HIV medicines help people ...

  8. Versatilidad del colgajo en hacha para reconstrucción de lesiones en punta de dedo Versatility of the hatchet flap for reconstruction of fingertip injuries

    Directory of Open Access Journals (Sweden)

    A. Fernández García

    2008-09-01

    Full Text Available El colgajo en hacha descrito por Emmet, ha sido recientemente aplicado por Tuncali et al. en amputaciones de punta de dedo. Este sencillo colgajo triangular puede ser utilizado tanto en amputaciones transversas como oblicuas. El objetivo del estudio es presentar nuestra experiencia con este versátil colgajo en la reconstrucción de punta de dedo. Incluimos en el estudio 5 pacientes que completaron un periodo de seguimiento de un año. El nivel de amputación fue considerado de acuerdo con la clasificación de Ishikawa. Los pacientes fueron preguntados por la existencia de intolerancia al frío, hipersensibilidad y dolor. Empleamos diferentes diseños del colgajo en hacha que se aplicaron en pacientes pediátricos y adultos con amputaciones múltiples, lesiones del primer dedo del pie o de la mano, de dedos largos y en reconstrucciones con doble colgajo. La media de tamaño del defecto fue 2,2 x 1,4 cm. En todos los pacientes el colgajo aportó almohadillado protector y resultados estéticos. Se observó rigidez articular en un paciente debido a la combinación con un colgajo de dedo cruzado. El objetivo de toda reconstrucción de punta de dedo es proveer cobertura pulpar suficiente al hueso para evitar inestabilidad y pérdida de sensibilidad como consecuencia de la reconstrucción. El colgajo en hacha es una opción versátil y segura para la reconstrucción de punta de dedo. Los diferentes diseños pueden ser usados conforme a nuestras necesidades.The hatchet flap described by Emmet, has been recently applied by Tuncali et al. in fingertip amputations. This single triangular flap can be used in different types of injuries, as transverse and lateral oblique amputations. The aim of our study was to present the authors´ experience with this versatile flap in fingertip reconstruction. Five patients who have completed their 1-year follow-up period were included in the study. The level of amputation was categorized according Ishikawa

  9. 机器人指端应变式触觉传感器%The Robotic Fingertip Tactile Sensor Based on Strain-gauge

    Institute of Scientific and Technical Information of China (English)

    戴士杰; 岳宏; 李慨; 李铁军

    2001-01-01

    叙述了机器人指端应变式触觉传感器的原理、分类和发展,介绍几种典型 的机器人指端应变式触觉传感器,同时提出一种新型的机器人指端应变式触觉传 感器,并对其工作原理进行详细说明.在传感器结构设计中采用合理结构,使被 抓物体的横截面尺寸不受弹性薄板薄板尺寸限制;当超过测量范围时,保证金属 薄板不受破坏,同时实现了柔顺抓握.%The principle、classification and development of robotic fin gertip tactile sensor which use strain-gauge is discussed in details. Several typical robotic fingertip tactile sensors based on strain-gaug e is introduced, meanwhile a new kind robotic fingertip tactile sensor based on strain-gauge is presented, and its work principle is explain ed thoroughly.Using proper construction,the size of the object's cros s section,which is grasped bu the gripper, isn't limited by the size o f the taetile thin metal plate; if the object overweight,then the thin metal plate is insured against damage,meauwhile,the more stable and c ompliant grasp can be realized

  10. Volar locking compression plate combined with artificial bone grafting for treatment of comminuted distal radial fracture%掌侧锁定加压接骨板结合人工骨植骨治疗桡骨远端骨折

    Institute of Scientific and Technical Information of China (English)

    周凯龙; 王培吉

    2014-01-01

    目的 探讨应用掌侧锁定加压接骨板(LCP)结合人工骨植骨治疗桡骨远端粉碎性骨折的临床疗效.方法 2011年1月至2013年8月期间在我院行掌侧LCP结合人工骨植骨,治疗A3、C2、C3型桡骨远端粉碎性骨折45例.术前及术后测量掌倾角、尺偏角、桡骨轴向短缩及关节面台阶程度.结果 所有患者均获得6~18个月的随访,平均12个月,骨折均获得骨性愈合,人工骨无不良反应;各影像学数据较术前均有明显改善;按Gartland-Werley评分标准评定,A3型优良率为94.4%、C2型优良率为87.5%、C3型优良率为81.8%.结论 应用掌侧LCP结合人工骨植骨治疗A3、C2、C3型桡骨远端粉碎性骨折,能够恢复桡骨长度,获得坚强内固定.%Objective To investigate the clinical results of the application of volar locking compression plate combined with artificial bone grafting in the treatment of comminuted distal radial fractures.Methods From January 2011 to August 2013,45 cases of type A3,type C2 and type C3 comminuted distal radial fractures were treated with volar locking compression plate combined with artificial bone grafting.All the cases were closed fractures with radial shortening or articular surface collapse.Volar tilt angle,radial inclination angle,axial shortening of the radius and extent of joint surface step deformity were measured both pre and post operatively.Results All the patients were follow-up for 6 to 18 months,with an average of 12 months.Bone union was noted in all the cases.There was no adverse reaction to the artificial bone grafts.Radiographic parameters were significantly improved.The clinical results were evaluated using the Gartland-Werley wrist score and rated as excellent and good in 94.4% of type A3 fractures,87.5% of type C2 fractures,and 81.8% of type C3 fractures.Conclusion Applying volar locking compression plate combined with artificial bone grafting can achieve rigid fixation and restore radial length in

  11. 掌侧入路与背侧入路对腕舟骨骨折愈合率的影响%Effect of volar approach versus dorsal approach on the healing rate of scaphoid bone fractures

    Institute of Scientific and Technical Information of China (English)

    喻永新; 尚如国

    2014-01-01

    目的:探讨掌侧入路与背侧入路对腕舟骨骨折愈合率的影响。方法:中文数据库以“腕舟骨骨折”与“掌侧入路”和“背侧入路”的布尔逻辑搭配结果作为检索词,英文数据库以“scaphoid fractures”与“dorsal”、“volar”及“palmar”的布尔逻辑搭配结果作为检索词。用计算机检索中国知网、万方学术期刊数据库、维普中文期刊数据库、中国生物医学文献服务系统、中国生物医学期刊网引文数据库、Pubmed及Sciencedirect数据库建库至2013年11月收录的所有相关文献。利用Revman5.2统计软件进行统计分析。结果:共纳入9篇文献,涉及435例患者,其中随机对照实验2篇,非随机对照实验7篇;中文文献4篇,外文文献5篇。漏斗图显示文献不存在发表偏倚。掌侧入路组与背侧入路组总的骨折愈合率比较,差异无统计学意义[Z=149,P=0.140;OR=0.420,95%CI(0.140,1.310)];掌侧入路组术后6~8个月的骨折愈合率优于背侧入路组[Z=2.840,P=0.004;OR=6.930,95%CI(1.820,26.320)]。掌侧入路组与背侧入路组术后并发症发生率比较,差异无统计学意义[Z=0.590,P=0.560;OR=0.760,95%CI(0.310,1.890)]。掌侧入路组与背侧入路组术后腕部活动功能比较,差异无统计学意义[Z=0.990,P=0.320;OR=1.900,95%CI(-1.840,5.840)]。结论:掌侧入路与背侧入路治疗腕舟骨骨折对骨折愈合率的影响没有差异,但经掌侧入路固定的患者骨折愈合更快。%Objective:To explore the effect of volar approach versus dorsal approach on the healing rate of scaphoid bone fractures. Methods:The Boolean logical combination of Scaphoid fractures,Dorsal,Volar and Palmar were used as index terms.All the literatures of controlled trial included from database establishing to November 2013 were retrieved from

  12. Three sided complex adaptative systems

    CERN Document Server

    D'Hulst, R

    1999-01-01

    We introduce two three sided adaptative systems as toy models to mimic the exchange of commodities between buyers and sellers. These models are simple extensions of the minority game, exhibiting similar behaviour as well as some new features. The main difference between our two models is that in the first the three sides are equivalent while in the second, one choice appears as a compromise between the two other sides. Both models are investigated numerically and compared with the original minority game.

  13. The Dark Side of Creativity

    Science.gov (United States)

    Cropley, David H., Ed.; Cropley, Arthur J., Ed.; Kaufman, James C., Ed.; Runco, Mark A., Ed.

    2010-01-01

    With few exceptions, scholarship on creativity has focused on its positive aspects while largely ignoring its dark side. This includes not only creativity deliberately aimed at hurting others, such as crime or terrorism, or at gaining unfair advantages, but also the accidental negative side effects of well-intentioned acts. This book brings…

  14. Managing Chemotherapy Side Effects: Diarrhea

    Science.gov (United States)

    ... such as Pedialyte ® ••Tea (without caffeine) ••Water ••Applesauce ••Bananas ••Crackers ••Cream of wheat or rice cereal ••Eggs •• ... has a series of 18 Chemotherapy Side Effects Sheets at: www.cancer.gov/chemo-side-effects

  15. Blind loop perforation after side-to-side ileocolonic anastomosis

    Institute of Scientific and Technical Information of China (English)

    Raffaele; Dalla; Valle; Roberto; Zinicola; Maurizio; Iaria

    2014-01-01

    Blind loop syndrome after side-to-side ileocolonic anas-tomosis is a well-recognized entity even though its in-cidence and complication rates are not clearly defined. The inevitable dilation of the ileal cul-de-sac leads to stasis and bacterial overgrowth which eventually leads to mucosal ulceration and even full-thickness perfora-tion. Blind loop syndrome may be an underestimated complication in the setting of digestive surgery. It should always be taken into account in cases of acute abdomen in patients who previously underwent right hemicolectomy. We herein report 3 patients who were diagnosed with perforative blind loop syndrome a few years after standard right hemicolectomy followed by a side-to-side ileocolonic anastomosis.

  16. Blind loop perforation after side-to-side ileocolonic anastomosis.

    Science.gov (United States)

    Valle, Raffaele Dalla; Zinicola, Roberto; Iaria, Maurizio

    2014-08-27

    Blind loop syndrome after side-to-side ileocolonic anastomosis is a well-recognized entity even though its incidence and complication rates are not clearly defined. The inevitable dilation of the ileal cul-de-sac leads to stasis and bacterial overgrowth which eventually leads to mucosal ulceration and even full-thickness perforation. Blind loop syndrome may be an underestimated complication in the setting of digestive surgery. It should always be taken into account in cases of acute abdomen in patients who previously underwent right hemicolectomy. We herein report 3 patients who were diagnosed with perforative blind loop syndrome a few years after standard right hemicolectomy followed by a side-to-side ileocolonic anastomosis.

  17. Two-Sided Tests and One-Sided Confidence Bounds

    OpenAIRE

    1994-01-01

    Based on the duality between tests and confidence sets we introduce a new method to derive one-sided confidence bounds following the rejection of a null hypothesis with two-sided alternatives. This method imputes that the experimenter is only interested in confidence bounds if the null hypothesis is rejected. Furthermore, we suppose that he is only interested in the direction and a lower confidence bound concerning the distance of the true parameter value to the parameter values in the null h...

  18. The DarkSide project

    Energy Technology Data Exchange (ETDEWEB)

    Agnes, P.; Agostino, L.; Albuquerque, Ivone Freire Da Mota; Alexander, Thomas R.; Alton, A.; Arisaka, K.; Back, Henning O.; Baldin, B.; Biery, K.; Bonfini, G.; Bossa, M.; Bottino, Bianca; Brigatti, A.; Brodsky, J.; Budano, F.; Bussino, Severino; Cadeddu, Matteo; Cadonati, L.; Cadoni, M.; Calaprice, F.; Canci, N.; Candela, A.; Cao, H.; Cariello, M.; Carlini, Macro; Catalanotti, Sergio; Cavalcante, P.; Chepurnov, A.; Cocco, A. G.; Covone, G.; Crippa, L.; D' Angelo, D.; D' Incecco, M.; Davini, S.; De Cecco, Sandro; De Deo, M.; De Vincenzi, Mario; Derbin, A.; Devoto, A.; Di Eusanio, F.; Di Pietro, Giuseppe; Edkins, E.; Empl, Anton; Fan, A.; Fiorillo, G.; Fomenko, K.; Forster, G.; Franco, D.; Gabriele, F.; Galbiati, C.; Giganti, C.; Goretti, A.; Granato, Francesco; Grandi, L.; Gromov, M.; Guan, M. Y.; Guardincerri, Y.; Hackett, B.; Herner, K.; Hungerford, Edward; Ianni, Al.; Ianni, An.; James, I.; Jollet, C.; Keeter, K.; Kendziora, C.; Kobychev, V.; Koh, G.; Korablev, D.; Korga, G.; Kubankin, Alexander; Li, X.; Lissia, M.; Lombardi, P.; Luitz, S.; Ma, Y. Q.; Machulin, I.; Mandarano, A.; Mari, S. M.; Maricic, J.; Marini, L.; Martoff, J.; Meregaglia, A.; Meyers, P. D.; Miletic, T.; Milincic, R.; Montanari, D.; Monte, Alissa; Montuschi, M.; Monzani, M. E.; Mosteiro, P.; Mount, B.; Muratova, V.; Musico, P.; Napolitano, James; Nelson, A.; Odrowski, S.; Orsini, M.; Ortica, F.; Pagani, L.; Pallavicini, Marco; Pantic, E.; Parmeggiano, S.; Pelczar, K.; Pelliccia, N.; Perasso, S.; Pocar, A.; Pordes, S.; Pugachev, D.; Qian, H.; Randle, K.; Ranucci, Gioacchino; Razeto, A.; Reinhold, B.; Renshaw, Andrew; Romani, A.; Rossi, B.; Rossi, N.; Rountree, S. D.; Sablone, D.; Saggese, P.; Saldanha, R.; Sands, W.; Sangiorgio, Samuele; Savarese, Claudio; Segreto, E.; Semenov, D.; Shields, E.; Singh, Parth; Skorokhvatov, Mikhail; Smirnov, Oleg; Sotnikov, Albert; Stanford, Chris; Suvorov, Yura; Tartaglia, Roberto; Tatarowicz, John; Testera, Gemma; Tonazzo, Alessandra; Trinchese, P.; Unzhakov, Eugenii; Vishneva, Alina; Vogelaar, R. B.; Wada, Masayuki; Walker, Susan E.; Wang, H.; Wang, Y.; Watson, A. W.; Westerdale, S.; Wilhelmi, James; Wojcik, M.; Xiang, Xin; Xu, Jingke; Yang, C. G.; Yoo, J.; Zavatarelli, Sandra; Zec, Adam; Zhong, W. L.; Zhu, Chengliang; Zuzel, G.

    2016-02-01

    DarkSide is a graded experimental project based on radiopure argon, and is now, and will be, used in direct dark matter searches. The present DarkSide-50 detector, operating at the Gran Sasso National Laboratory, is a dual-phase, 50 kg, liquid argon time-projection-chamber surrounded by an active liquid scintillator veto. It is designed to be background free in 3 years of operation. DS-50 performances, when filled with atmospheric argon, are reported. However DS-50 filled with underground argon, shows impressive reduction of the 39Ar isotope. The application of this powerful technology in a future generation of the DarkSide program is discussed.

  19. Coping – Late Side Effects

    Science.gov (United States)

    Cancer treatment can cause late side effects that may not show up for months or years after treatment. These late effects may include heart and lung problems, bone loss, eye and hearing changes, lymphedema, and other problems

  20. Managing Chemotherapy Side Effects: Constipation

    Science.gov (United States)

    N ational C ancer I nstitute Managing Chemotherapy Side Effects Constipation Take these steps: Eat high-fiber foods such as: ● ● Whole-grain breads and cereals ● ● Fruits and vegetables ● ● Nuts and seeds ...

  1. Novel side branch ostial stent.

    Science.gov (United States)

    Chen, Shao-Liang; Lv, Shu-Zheng; Kwan, Tak W

    2009-04-01

    Bifurcation lesions are technically challenging and plagued by a high incidence of restenosis, especially at the side branch orifice, which results in a more frequent need for revascularization during the follow-up period. This report discusses two clinical experiences with a novel side branch ostial stent, the BIGUARD stent, designed for the treatment of bifurcation lesions; procedural success with no in-hospital complications was observed in types IVb and Ia lesions.

  2. Population-Based Screening for Selective Immunoglobulin A (IgA) Deficiency in Lithuanian Children Using a Rapid Antibody-Based Fingertip Test.

    Science.gov (United States)

    Urbonas, Vaidotas; Sadauskaite, Jolita; Cerkauskiene, Rimante; Kaminskas, Arvydas; Mäki, Markku; Kurppa, Kalle

    2016-12-06

    BACKGROUND Selective immunoglobulin A (IgA) deficiency is the most common inherited immunodeficiency disorder worldwide. An early diagnosis is advocated because of the increased risk of infections, autoimmune diseases, and allergic reactions. We investigated the usefulness of a rapid point-of-care test in detecting for IgA deficiency in a population with a previously unknown prevalence. MATERIAL AND METHODS Altogether, 1000 children aged 11-13 years from randomly selected Lithuanian schools were enrolled. A point-of-care test with a fingertip sample was used to screen for the presence of IgA deficiency in children whose parents gave consent. Those with suspected IgA deficiency were referred to hospital for further clinical examination and confirmation of the diagnosis. In addition, their medical histories were compared with those of 30 age- and sex-matched healthy controls. RESULTS IgA deficiency was suspected in one girl and in three boys on the basis of the rapid test, and the diagnosis was confirmed for all four cases (prevalence 0.4%, 95% confidence interval 0.16-1.02%). There was no difference in disease history or complications between IgA-deficient children and healthy controls. CONCLUSIONS The rapid antibody test is a practical and accurate method to diagnose selective IgA deficiency in children. The prevalence of IgA deficiency among Lithuanian schoolchildren is 1:250.

  3. The Moon's near side megabasin and far side bulge

    CERN Document Server

    Byrne, Charles

    2013-01-01

    Since Luna and Lunar Orbiter photographed the far side of the Moon, the mysterious dichotomy between the face of the Moon as we see it from Earth and the side of the Moon that is hidden has puzzled lunar scientists. As we learned more from the Apollo sample return missions and later robotic satellites, the puzzle literally deepened, showing asymmetry of the crust and mantle, all the way to the core of the Moon. This book summarizes the author’s successful search for an ancient impact feature, the Near Side Megabasin of the Moon and the extensions to impact theory needed to find it. The implications of this ancient event are developed to answer many of the questions about the history of the Moon.

  4. Wake flow behind two side-by-side square cylinders

    Energy Technology Data Exchange (ETDEWEB)

    Yen, Shun C., E-mail: scyen@mail.ntou.edu.t [Department of Mechanical and Mechatronic Engineering, National Taiwan Ocean University, Keelung 202, Taiwan (China); Liu, Jung H. [Department of Mechanical and Mechatronic Engineering, National Taiwan Ocean University, Keelung 202, Taiwan (China)

    2011-02-15

    This study investigates the flow structures, form drag coefficients and vortex-shedding characteristics behind a single-square cylinder and two side-by-side cylinders in an open-loop wind tunnel. The Reynolds number (Re) and gap ratio (g*) are 2262 < Re < 28,000 and 0 {<=} g* {<=} 12, respectively. The flow patterns around the square cylinders are determined using the smoke-wire scheme. Experimental results indicate that the flow structures behind two side-by-side square cylinders are classified into three modes -single mode, gap-flow mode and couple vortex-shedding. The gap-flow mode displays anti-phase vortex shedding induced from the interference between the two square cylinders. However, the couple vortex-shedding mode exhibits in-phase vortex shedding that is caused by the independent flow behavior behind each square cylinder. The surface-pressure profile, form drag coefficient for each square cylinder (C{sub D}-bar) and vortex-shedding frequency were measured and calculated using a pressure transducer and a hot-wire anemometer. For two side-by-side cylinder configurations, the maximum C{sub D}-bar of 2.24 occurs in the single mode, while the minimum C{sub D}-bar of 1.68 occurs in the gap-flow mode. Additionally, the C{sub D}-bar in the coupled vortex-shedding mode is intermediate and approximately equal to that of a single (isolated) square cylinder. Moreover, the single mode has the highest Strouhal number (St) and the gap-flow mode has the lowest St.

  5. Brushless machine having ferromagnetic side plates and side magnets

    Science.gov (United States)

    Hsu, John S

    2012-10-23

    An apparatus is provided having a cylindrical stator and a rotor that is spaced from a stator to define an annular primary air gap that receives AC flux from the stator. The rotor has a plurality of longitudinal pole portions disposed parallel to the axis of rotation and alternating in polarity around a circumference of the rotor. Each longitudinal pole portion includes portions of permanent magnet (PM) material and at least one of the longitudinal pole portions has a first end and an opposing second end and a side magnet is disposed adjacent the first end and a side pole is disposed adjacent the second end.

  6. Social identity performance : Extending the strategic side of SIDE

    NARCIS (Netherlands)

    Klein, Olivier; Spears, Russell; Reicher, Stephen

    This article extends the social identity model of deindividuation effects (SIDE) by considering the various ways in which relations of visibility to an audience can affect the public expression of identity-relevant norms (identity performance). It is suggested that social identity performance can

  7. Side Effects of Side Effects Information in Drug Information Leaflets.

    Science.gov (United States)

    Maat, H. Pander; Klaassen, R.

    1994-01-01

    Describes a study in which drug information leaflets given to patients were improved in two ways, first by adding a short introductory paragraph on the nature of side effects generally, and second by adjusting frequency descriptors to more accurately reflect pretesting of the drug. Explains that participants in the study were less likely to…

  8. Running away from side effects

    DEFF Research Database (Denmark)

    Casla, S; Hojman, P; Márquez-Rodas, I

    2015-01-01

    be an integrative complementary intervention to improve physiological, physical and psychological factors that affect survival and quality of life of these patients. For that reason, the main objective of this review is to provide a general overview of exercise benefits in breast cancer patients and recommendations......The number of breast cancer survivors increases every year, thanks to the development of new treatments and screening techniques. However, patients present with numerous side effects that may affect their quality of life. Exercise has been demonstrated to reduce some of these side effects......, but in spite of this, few breast cancer patients know and follow the exercise recommendations needed to remain healthy. In this review, we describe the different breast cancer treatments and the related side effects and implications of exercise in relation to these. We propose that exercise could...

  9. A Typology of Multi-sided Platforms

    DEFF Research Database (Denmark)

    Staykova, Kalina Stefanova; Damsgaard, Jan

    2015-01-01

    which evolved several steps into being multi-sided (Facebook). Our analysis shows a structural difference between one-sided, two-sided and multi-sided platforms and that platforms consist of a core and potentially also a periphery. The sides of a platform and the ties which connect them can be arranged...

  10. Dark Side of the Universe

    CERN Document Server

    2016-01-01

    The Dark Side of the Universe (DSU) workshops bring together a wide range of theorists and experimentalists to discuss current ideas on models of the dark side, and relate them to current and future experiments. This year's DSU will take place in the colorful Norwegian city of Bergen. Topics include dark matter, dark energy, cosmology, and physics beyond the standard model. One of the goals of the workshop is to expose in particular students and young researchers to the fascinating topics of dark matter and dark energy, and to provide them with the opportunity to meet some of the best researchers in these areas .

  11. The Dark Side of Management

    DEFF Research Database (Denmark)

    Hanlon, Gerard; Dunne, Stephen; Johnsen, Christian Garmann

    2017-01-01

    Towards the end of 2015, the ephemera collective organised, chaired and participated within two separate Q+A panels celebrating the launch of Gerard Hanlon’s The dark side of management: A secret history of management theory. The events took place in The University of Leicester’s School of Manage......Towards the end of 2015, the ephemera collective organised, chaired and participated within two separate Q+A panels celebrating the launch of Gerard Hanlon’s The dark side of management: A secret history of management theory. The events took place in The University of Leicester’s School...

  12. Use of the radial groove view intra-operatively to prevent damage to the extensor pollicis longus tendon by protruding screws during volar plating of a distal radial fracture.

    Science.gov (United States)

    Lee, S K; Bae, K W; Choy, W S

    2013-10-01

    The aims of this study were to assess the efficacy of a newly designed radiological technique (the radial groove view) for the detection of protrusion of screws in the groove for the extensor pollicis longus tendon (EPL) during plating of distal radial fractures. We also aimed to determine the optimum position of the forearm to obtain this view. We initially analysed the anatomy of the EPL groove by performing three-dimensional CT on 51 normal forearms. The mean horizontal angle of the groove was 17.8° (14° to 23°). We found that the ideal position of the fluoroscopic beam to obtain this view was 20° in the horizontal plane and 5° in the sagittal plane. We then intra-operatively assessed the use of the radial groove view for detecting protrusion of screws in the EPL groove in 93 fractures that were treated by volar plating. A total of 13 protruding screws were detected. They were changed to shorter screws and these patients underwent CT scans of the wrist immediately post-operatively. There remained one screw that was protruding. These findings suggest that the use of the radial groove view intra-operatively is a good method of assessing the possible protrusion of screws into the groove of EPL when plating a fracture of the distal radius.

  13. Side-View Face Recognition

    NARCIS (Netherlands)

    Santemiz, Pinar; Spreeuwers, Luuk J.; Veldhuis, Raymond N.J.; Biggelaar , van den Olivier

    2011-01-01

    As a widely used biometrics, face recognition has many advantages such as being non-intrusive, natural and passive. On the other hand, in real-life scenarios with uncontrolled environment, pose variation up to side-view positions makes face recognition a challenging work. In this paper we discuss th

  14. The DarkSide Program

    Directory of Open Access Journals (Sweden)

    Rossi B.

    2016-01-01

    Full Text Available DarkSide-50 at Gran Sasso underground laboratory (LNGS, Italy, is a direct dark matter search experiment based on a liquid argon TPC. DS-50 has completed its first dark matter run using atmospheric argon as target. The detector performances and the results of the first physics run are presented in this proceeding.

  15. The Human Side of Libraries.

    Science.gov (United States)

    Surace, Cecily J.

    This paper discusses current trends in personnel management, with emphasis on performance standards and employee evaluation. Advances in personnel management from the scientific management theory to the application of the "human side of enterprise" approach should be reflected in how library managers review personnel and operate their libraries.…

  16. The Dark Side of Management

    DEFF Research Database (Denmark)

    Hanlon, Gerard; Dunne, Stephen; Johnsen, Christian Garmann

    2017-01-01

    Towards the end of 2015, the ephemera collective organised, chaired and participated within two separate Q+A panels celebrating the launch of Gerard Hanlon’s The dark side of management: A secret history of management theory. The events took place in The University of Leicester’s School...... of Management and Copenhagen Business School’s Management, Politics and Philosophy Department. Each of the events were recorded, transcribed, edited and amalgamated into the following feature....

  17. Metabolic Side Effects of Lithium

    Directory of Open Access Journals (Sweden)

    M. Cagdas Eker

    2010-04-01

    Full Text Available Lithium is an alkaline ion being used since 19th century. After its widespread use in psychiatric disorders, observed side effects caused skepticism about its therapeutic efficacy. Despite several disadvantages, lithium is one of the indispensible drugs used in affective disorders, especially in bipolar disorder. It became a necessity for physicians to recognize its side effects since lithium is still accepted as a gold standard in the treatment of bipolar disorder. Adverse effects of chronic administration of lithium on several organ systems are widely known. In this article metabolic effects of lithium on thyroid and parathyroid glands, body mass index and kidneys will be discussed along with their mechanisms, clinical findings, possible risk factors and treatment. One of the most common side effect of lithium is hypothyroidism. It has the same clinical and biochemical properties as primary hypothyroidism and observed as subclinical hypothyroidism in the first place. Hypothyroidism, even its subclinical form, may be associated with non-response or inadequate response and is indicated as a risk factor for development of rapid cycling bipolar disorder. Therefore, hypothyroidism should be screened no matter how severe it is and should be treated with thyroid hormone in the presence of clinical hypothyroidism. Weight gain due to lithium administration disturbs the compliance to treatment and negatively affects the course of the illness. Increased risk for diabetes, hypertension, ischemic heart disease and stroke because of weight gain constitute other centers of problem. Indeed, it is of importance to determine the risk factors before treatment, to follow up the weight, to re-organize nutritional habits and to schedule exercises. Another frequent problematic side effect of lithium treatment is renal dysfunction which clinically present as nephrogenic diabetes insipidus with the common symptoms of polyuria and polydipsia. Nephrogenic diabetes

  18. Flapping propulsion with side-by-side pitching foils

    Science.gov (United States)

    Huera-Huarte, Francisco

    2016-11-01

    Fish schools are one of the most common types of collective behaviour observed in nature. One of the reasons why fish swim in groups, is to reduce the cost of transport of the school. In this work we explore the propulsive performance of two foils flapping in a symmetric configuration, i.e. with an out-of-phase flapping motion. Direct thrust measurements and Particle Image Velocimetry (PIV) allowed a detailed examination of the forces and the wake generated by the system, for different kinematics (swept angles and frequencies) and shaft separations. For certain specific cases, volumetric PIV shows major differences on how the different structures in the wake of the system evolve, depending on the imposed kinematics and the side-by-side separation between the foils. Results obtained will be compared against data produced with isolated flapping foils with similar imposed kinematics, with the aim to better understand the interactions between both and the performance of the system as a whole. The author would like to acknowledge the financial support provided by the Spanish Ministerio de Economia y competitividad (MINECO) through Grant DPI2015-71645-P.

  19. UK DRAFFT - A randomised controlled trial of percutaneous fixation with kirschner wires versus volar locking-plate fixation in the treatment of adult patients with a dorsally displaced fracture of the distal radius

    Directory of Open Access Journals (Sweden)

    Brown Jaclyn

    2011-09-01

    Full Text Available Abstract Background Fractures of the distal radius are extremely common injuries in adults. However, the optimal management remains controversial. In general, fractures of the distal radius are treated non-operatively if the bone fragments can be held in anatomical alignment by a plaster cast or orthotic. However, if this is not possible, then operative fixation is required. There are several operative options but the two most common in the UK, are Kirschner-wire fixation (K-wires and volar plate fixation using fixed-angle screws (locking-plates. The primary aim of this trial is to determine if there is a difference in the Patient-Reported Wrist Evaluation one year following K-wire fixation versus locking-plate fixation for adult patients with a dorsally-displaced fracture of the distal radius. Methods/design All adult patients with an acute, dorsally-displaced fracture of the distal radius, requiring operative fixation are potentially eligible to take part in this study. A total of 390 consenting patients will be randomly allocated to either K-wire fixation or locking-plate fixation. The surgery will be performed in trauma units across the UK using the preferred technique of the treating surgeon. Data regarding wrist function, quality of life, complications and costs will be collected at six weeks and three, six and twelve months following the injury. The primary outcome measure will be wrist function with a parallel economic analysis. Discussion This pragmatic, multi-centre trial is due to deliver results in December 2013. Trial registration Current Controlled Trials ISRCTN31379280 UKCRN portfolio ID 8956

  20. Lighter side of adaptive optics

    CERN Document Server

    Tyson, Robert K

    2009-01-01

    Adaptive optics has been under development for well over 40 years. It is an indisputable necessity for all major ground-based astronomical telescopes and is the foundation for laser and wavefront sensor design. Lighter Side of Adaptive Optics is a nontechnical explanation of optics, the atmosphere, and the technology for ""untwinkling"" the stars. While interweaving a fictional romantic relationship as an analogy to adaptive optics, and inserting satire, humor, and philosophical rants, Tyson makes a difficult scientific topic understandable. The ""why"" and ""how"" of adaptive optics has never

  1. [The human side of business].

    Science.gov (United States)

    Gutiérrez, M

    1989-06-01

    This article condenses some psychological and social concepts that should be understood in order to undertake any type of enterprise. This is fundamental factor in dental practice. An aid is hereby presented for the dentist to understand and apply this type of insights, which are usually kept apart from a technical activity such as odontology. Success of an enterprise depends on the quality of services rendered (in a service institution) as well as on concurrence of the different factors making up the enterprise; in this respect, the human side is a vital essence of our structure.

  2. Demand Side Bidding. Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Spahn, Andrew

    2003-12-31

    This document sets forth the final report for a financial assistance award for the National Association of Regulatory Utility Commissioners (NARUC) to enhance coordination between the building operators and power system operators in terms of demand-side responses to Location Based Marginal Pricing (LBMP). Potential benefits of this project include improved power system reliability, enhanced environmental quality, mitigation of high locational prices within congested areas, and the reduction of market barriers for demand-side market participants. NARUC, led by its Committee on Energy Resources and the Environment (ERE), actively works to promote the development and use of energy efficiency and clean distributive energy policies within the framework of a dynamic regulatory environment. Electric industry restructuring, energy shortages in California, and energy market transformation intensifies the need for reliable information and strategies regarding electric reliability policy and practice. NARUC promotes clean distributive generation and increased energy efficiency in the context of the energy sector restructuring process. NARUC, through ERE's Subcommittee on Energy Efficiency, strives to improve energy efficiency by creating working markets. Market transformation seeks opportunities where small amounts of investment can create sustainable markets for more efficient products, services, and design practices.

  3. Shortest Paths With Side Sensors

    CERN Document Server

    Salaris, Paolo; Bicchi, Antonio

    2011-01-01

    We present a complete characterization of shortest paths to a goal position for a vehicle with unicycle kinematics and a limited range sensor, constantly keeping a given landmark in sight. Previous work on this subject studied the optimal paths in case of a frontal, symmetrically limited Field--Of--View (FOV). In this paper we provide a generalization to the case of arbitrary FOVs, including the case that the direction of motion is not an axis of symmetry for the FOV, and even that it is not contained in the FOV. The provided solution is of particular relevance to applications using side-scanning, such as e.g. in underwater sonar-based surveying and navigation.

  4. The dark side of technology

    CERN Document Server

    Townsend, Peter

    2016-01-01

    Technological progress comes with a dark side where good ideas and intentions produce undesirable results (extreme downsides include atomic and biological weapons). The many and various unexpected outcomes of technology span humorous to bizarre, to situations that threaten human survival. Development can be positive for some, but negative and isolating for others (e.g. older or poorer people). Progress is often transient, as faster electronics and computers dramatically shorten retention time of data, knowledge, and information loss (e.g. even photos may be unreadable within a generation). Progress and globalization are also destroying past languages and cultures. Advances cut across all areas of science and life, and the scope is vast from biology, medicine, agriculture, transport, electronics, computers, long-range communications, to a global economy. Reliance on technology causes unexpected technology-driven vulnerability to natural events (e.g. intense sunspot activity) that could annihilate advanced soci...

  5. Enter the DarkSide

    Science.gov (United States)

    Davini, Stefano

    2014-04-01

    A wide range of astrophysical measurements evidence that the stars and gas in all galaxies are immersed in a much larger cloud of non-luminous and non-baryonic dark matter. The nature of the dark matter is still totally unknown, and the resolution of the dark matter puzzle is of fundamental importance to cosmology, astrophysics, and elementary particle physics. One of the major lines of researches directing their efforts at detection of dark matter is direct searches of Weakly Interacting Massive Particles (WIMPs) with detectors operated in deep underground laboratories. The new generation of direct searches of WIMPs promises to probe the most interesting region of parameters for the dark matter candidates. I will review and describe the DarkSide-50 underground Argon detector at Laboratori Nazionali del Gran Sasso.

  6. 49 CFR 238.217 - Side structure.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Side structure. 238.217 Section 238.217 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION... Equipment § 238.217 Side structure. Each passenger car shall comply with the following: (a) Side posts...

  7. Fascinating Rhythms Played on Fingertips

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    Zhao Cong, a young pipa (four-stringedChinese lute) performer with the China CentralTraditional Music Ensemble, was born into a familyof musicians. She developed an extraordinaryinterest in this ancient Chinese instrument in herchildhood. When her parents asked 7-year-old

  8. Magnet levitation at your fingertips

    Science.gov (United States)

    Geim, A. K.; Simon, M. D.; Boamfa, M. I.; Heflinger, L. O.

    1999-07-01

    The stable levitation of magnets is forbidden by Earnshaw's theorem, which states that no stationary object made of magnets in a fixed configuration can be held in stable equilibrium by any combination of static magnetic or gravitational forces. Earnshaw's theorem can be viewed as a consequence of the Maxwell equations, which do not allow the magnitude of a magnetic field in a free space to possess a maximum, as required for stable equilibrium. Diamagnets (which respond to magnetic fields with mild repulsion) are known to flout the theorem, as their negative susceptibility results in the requirement of a minimum rather than a maximum in the field's magnitude. Nevertheless, levitation of a magnet without using superconductors is widely thought to be impossible. We find that the stable levitation of a magnet can be achieved using the feeble diamagnetism of materials that are normally perceived as being non-magnetic, so that even human fingers can keep a magnet hovering in mid-air without touching it.

  9. Distributed video coding with multiple side information

    DEFF Research Database (Denmark)

    Huang, Xin; Brites, C.; Ascenso, J.

    2009-01-01

    Distributed Video Coding (DVC) is a new video coding paradigm which mainly exploits the source statistics at the decoder based on the availability of some decoder side information. The quality of the side information has a major impact on the DVC rate-distortion (RD) performance in the same way...... the quality of the predictions had a major impact in predictive video coding. In this paper, a DVC solution exploiting multiple side information is proposed; the multiple side information is generated by frame interpolation and frame extrapolation targeting to improve the side information of a single...

  10. Car Side Structure Crashworthiness in Pole and Moving Deformable Barrier Side Impacts

    Institute of Scientific and Technical Information of China (English)

    WANG Dazhi; DONG Guang; ZHANG Jinhuan; HUANG Shilin

    2006-01-01

    To clearly understand passenger car structure's crashworthiness in typical side impacts of pole and moving deformable barrier (MDB) impact modes, which could assist the establishment of Chinese vehicle side impact safety regulations, a full midsized car finite element model, calibrated by pole side impact test, was built and the pole side impact according to European New Car Assessment Program (EuroNCAP) and the MDB side impact according to ECE R95 regulations were simulated with LS-DYNA. The accelerations and the structure deformations from simulations were compared. It can be concluded that the pole side impact focuses primarily on side structure crashworthiness as a result of large intrusions, while the MDB side impact focuses primarily on full side structure crashworthiness. Accordingly, occupant protection strategies focus on different aspects to improve side impact safety. In the pole side impact the objective is to maintain the passenger compartment and protect the passenger's head from impacting the pole, while in the MDB side impact the objective is to protect the full human body. In the design of the car side structures, at least these two tests should be considered for assessing their side impact crashworthiness. Conducting these two side impact tests as certified tests provides insights into car safety during side impacts.

  11. Retrograde Island Fascia Refers to Clinical Analysis With Fingertip Defect Back Flap%逆行岛状筋膜蒂指背皮瓣修复同指指端缺损的临床分析

    Institute of Scientific and Technical Information of China (English)

    邝靖

    2015-01-01

    Objective To apply the same finger dorsal island fasciocutaneous pedicle flap technique clinical effects of treatment for patients suffering from diseases of the implementation of fingertip defect research.Methods In our hospital from2012 August to 2014 August suffering from fingertip defect disease 90 patients were randomly divided into control and treatment groups, with an average 45 cases in each group. Abdominal pedicle flap technique using the control group for patients with treatment; using the same means of retrograde dorsal fascia island flap technique in patients treated with the implementation of treatment.Results The number of adverse reactions in the perioperative treatment of surgical repair; hand function in patients treated with normal time and defect treatment plan to implement total time was significantly shorter than the control group; fingertip defect disease treatment is better than the control group; the results significantly less than the control group.Conclusion The same refers to the dorsal fascia retrograde island flap technique for patients suffering from diseases of fingertip defect implementation of clinical treatment effect is very obvious.%目的:对应用同指逆行岛状筋膜蒂指背皮瓣修复技术对患有指端缺损疾病的患者实施治疗的临床效果进行研究。方法选择在该院2012年8月—2014年8月就诊的患有指端缺损疾病的患者90例,随机分为对照组和治疗组,平均每组45例。采用腹部带蒂皮瓣技术对对照组患者实施治疗;采用同指逆行岛状筋膜蒂指背皮瓣修复技术对治疗组患者实施治疗。结果治疗组患者手部功能恢复正常时间(50.24±7.68)d和缺损修复治疗计划实施总时间(12.25±3.44)d明显短于对照组(74.92±10.64)、(17.59±4.51)d;指端缺损疾病治疗效果(总有效率93.4%)明显优于对照组(总有效率75.6%);在手术修复治疗的围术期出现不良反应的人数(1

  12. Locked volar distal radioulnar joint dislocation

    Directory of Open Access Journals (Sweden)

    Fadi Bouri

    2016-01-01

    The importance of this case is to raise the awareness among physicians in treating these kind of injuries by careful assessment of the patient and radiographs, and to consider pronator quadratus as an important cause for the blockade to reduction.

  13. Physiological and skill demands of 'on-side' and 'off-side' games.

    Science.gov (United States)

    Gabbett, Tim J; Jenkins, David G; Abernethy, Bruce

    2010-11-01

    This study investigated the physiological and skill demands of 'on-side' and 'off-side' games in elite rugby league players. Sixteen male rugby league players participated in 'on-side' and 'off-side' games. Both small-sided games were played in a 40- × 40-m playing area. The 'off-side' game permitted players to have 3 'plays' while in possession of the ball. Players were permitted to pass backward or forward (to an 'off-side' player). The 'on-side' game also permitted players to have 3 'plays' while in possession of the ball. However, players were only permitted to pass backward to players in an 'on-side' position. Heart rate and movement patterns (via global positioning system) were recorded continuously throughout both games. Data were collected on the distance covered, number of high-acceleration and velocity efforts, and recovery between efforts. Video footage was also taken to track the performance of the players. Post hoc inspection of the footage was undertaken to count the number of possessions and the number and quality of disposals. In comparison to 'on-side' games, 'off-side' games had a greater number of involvements ("touches"), passes, and effective passes. However, the cognitive demands of 'on-side' games were greater than 'off-side' games. 'Off-side' games resulted in a greater total distance covered, greater distance covered in mild and moderate accelerations, and greater distance covered in low, moderate, and high-velocity efforts. There were also a greater number of short duration recovery periods between efforts in 'off-side' games. The results of this study demonstrate that 'off-side' games provide greater physiological and skill demands than 'on-side' games. 'Off-side' games may provide a practical alternative to 'on-side' games for the development of skill and fitness in elite rugby league players.

  14. Sexual side effects induced by psychotropic drugs

    DEFF Research Database (Denmark)

    Kristensen, Ellids

    2002-01-01

    with no or very few sexual side effects have begun to emerge. The treatment of sexual side effects induced by psychotropic drugs may consist of: modified sexual habits, reduction in dosage, switching to another medication, possibly in combination with different psychotropic agents, other varieties......The majority of psychotropic drugs entail sexual side effects. The sexual side effects may reduce quality of life and may give rise to non-compliance. For example, 30-60 per cent of patients treated with antidepressants are known to develop a sexual dysfunction. However, some psychotropic drugs...

  15. Right-sided diverticulitis mimics appendicitis.

    Science.gov (United States)

    Gilmore, Thomas; Jordan, Charlton; Edelstein, Elisabeth

    2013-01-01

    Right-sided diverticulitis is a rare source of right lower quadrant pain in Western society; however, it is quite common in Asian societies. Right-sided diverticulitis presents very similarly to appendicitis, with right lower quadrant pain, fever, nausea, and laboratory abnormalities, and is often seen in young patients. In this report, we present a case of right-sided diverticulitis. We review right-sided diverticulitis' diagnosis and management. It is important to diagnose right-sided diverticulitis because it is a good mimic of appendicitis and ideally should be diagnosed before a patient has unnecessary surgery. A 26-year-old Asian woman presented for evaluation of right lower quadrant pain and fever. She was initially thought to have appendicitis clinically, but had right-sided diverticulitis diagnosed by computed tomography (CT) scan. She was admitted and received intravenous antibiotics and bowel rest. Her right-sided diverticulitis resolved in 3 days. Severe right lower quadrant pain in young patients of Asian descent can be right-sided diverticulitis. Right-sided diverticulitis is a benign condition managed medically that mimics appendicitis. CT imaging seems to be the best way to avoid unnecessary surgery. Copyright © 2013 Elsevier Inc. All rights reserved.

  16. Identifying Cross-Sided Liquidity Externalities

    NARCIS (Netherlands)

    J.A. Skjeltorp (Johannes); E. Sojli (Elvira); W.W. Tham (Wing Wah)

    2013-01-01

    markdownabstract__Abstract__ We study the relevance of the cross-sided externality between liquidity makers and takers from the two-sided market perspective. We use exogenous changes in the make/take fee structure, minimum tick-size and technological shocks for liquidity takers and makers, as exper

  17. European side markers effect on traffic safety

    NARCIS (Netherlands)

    Roelfsema, A.; Theeuwes, J.; Alferdinck, J.W.A.M

    1999-01-01

    In 1993 new European legislation regarding side-markers for passenger cars became effective. Volvo requested the TNO-Human Factors Research Institute (HFRI) to investigate the possible safety benefit of this European side-markers configuration. A test panel at TNO- HFRI was used to determine the dif

  18. 7 CFR 29.6035 - Side.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 2 2010-01-01 2010-01-01 false Side. 29.6035 Section 29.6035 Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing... INSPECTION Standards Definitions § 29.6035 Side. A certain phase of quality as contrasted with some...

  19. Managing Chemotherapy Side Effects: Nausea and Vomiting

    Science.gov (United States)

    ... boiled, without the skin ••White rice ••White toast ••Bananas ••Canned fruit such as applesauce, peaches, and pears •• ... has a series of 18 Chemotherapy Side Effects Sheets at: www.cancer.gov/chemo-side-effects

  20. Back-side readout semiconductor photomultiplier

    Science.gov (United States)

    Choong, Woon-Seng; Holland, Stephen E

    2014-05-20

    This disclosure provides systems, methods, and apparatus related to semiconductor photomultipliers. In one aspect, a device includes a p-type semiconductor substrate, the p-type semiconductor substrate having a first side and a second side, the first side of the p-type semiconductor substrate defining a recess, and the second side of the p-type semiconductor substrate being doped with n-type ions. A conductive material is disposed in the recess. A p-type epitaxial layer is disposed on the second side of the p-type semiconductor substrate. The p-type epitaxial layer includes a first region proximate the p-type semiconductor substrate, the first region being implanted with p-type ions at a higher doping level than the p-type epitaxial layer, and a second region disposed on the first region, the second region being doped with p-type ions at a higher doping level than the first region.

  1. A Typology of Multi-sided Platforms

    DEFF Research Database (Denmark)

    Staykova, Kalina Stefanova; Damsgaard, Jan

    2015-01-01

    exemplary cases which allow us to illustrate the platform heterogeneity and to support new MSPs typology. As examples we include a physical two-sided platform (Gatwick Airport) that adds a third side, a digital one-sided platform transformed into being two-sided (Pingit) and a digital one-sided platform......In this paper we address how the composition of a platform impacts the platform’s business model. By platform’s business model we mean platform features, platform architecture and platform governance. To this end, we construct the Platform Business Model Framework. We apply the framework to three...... in several configurations. The particular platform architecture can explain the difficulties in designing a viable business models for platforms....

  2. Side-to-side anastomosis using 4 interrupted sutures in small coronary arteries.

    Science.gov (United States)

    Kawahito, Koji; Muraoka, Arata; Misawa, Yoshio

    2014-01-01

    Side-to-side anastomosis in sequential bypass grafting of coronary arteries 1.0 mm in diameter or smaller, requires delicate surgical techniques with a high degree of technical difficulty. However, using only 4 interrupted sutures, we have performed side-to-side anastomosis in sequential grafting without difficulty in a short operative duration. We applied this technique in 58 distal anastomosis procedures, achieving an early angiographic graft patency rate of 100%.

  3. Footballers' movement behaviour during 2-, 3-, 4- and 5-a-side small-sided games

    NARCIS (Netherlands)

    Aguiar, Marco; Goncalves, Bruno; Botelho, Goreti; Lemmink, Koen; Sampaio, Jaime

    2015-01-01

    The aim of this study was to compare footballers' movement behaviour during 2-, 3-, 4- and 5-a-side small-sided games. Ten young professional players (age=18.0 +/- 0.67years) participated in 3 bouts of each small-sided games for 6min with 1min of active rest between bouts. Positional data were colle

  4. Decision making in right-sided diverticulitis

    Institute of Scientific and Technical Information of China (English)

    Li-Rung Shyung; Shee-Chan Lin; Shou-Chuan Shih; Chin-Roa Kao; Sun-Yen Chou

    2003-01-01

    AIM: To evaluate systematically our nine-year experience in treating right-sided diverticulitis of the colon, and to explore its clinical and radiological relationship.METHODS: The clinical and radiological data of 40 patients with colonic diverticulitis treated in Mackay Memorial Hospital,Taipei, from 1993 through 2002 were reviewed retrospectively.RESULTS: The average age of the patients with right-sided diverticulitis was 53.1 years, which was 11.6 years younger than that of the patients with left-sided diverticulitis. The preoperative diagnosis of appendicitis was made in 8 of 13 right-sided diverticulitis patients. Nine (69 %) had right lower quadrant abdominal pain for more than 48 hours, and ten patients (77 %) presented with fever. CT findings suggesting acute right-sided diverticulitis including thickening of the intestinal wall and pericolonic inflammation were present in five patients.CONCLUSION: Right-sided diverticulitis is easily confused with acute appendicitis because it occurs at a somewhat younger age than that in left-sided diverticulitis. Barium enema and CT are helpful for the early diagnosis of rightsided diverticulitis. While clearly not required in the majority of patients with right lower quadrant abdominal pain, barium enema and CT may be helpful in making the decision with a clinical history or physical examinations atypical of acute appendicitis.

  5. Assessment of fingertip's microcirculation changes in patients with systemic sclerosis by E-flow imaging%E-flow显像评价系统性硬化病患者指端微循环变化

    Institute of Scientific and Technical Information of China (English)

    张军辉; 李媛; 曹礼庭; 顾鹏; 张青; 张敏惠; 魏锦; 罗文峰

    2011-01-01

    目的 探讨高频超声结合E-flow显像评价系统性硬化病(systemic sclerosis,SSc)患者指端微循环病变的临床价值.方法 SSc患者 24 例,正常对照组 29 例,均行高频超声检查并结合E-flow显像,观察各组受试者左右手中指末节指端血管分布特征、走行,测量指掌侧固有动脉、指腹动脉及甲床动脉收缩期峰值流速(PSV)、舒张末期流速(EDV)、平均血流速度(MV)、阻力指数(RI)及搏动指数(PI).结果 对照组末节指端血流信号丰富,可清晰显示指掌侧固有动脉、指腹动脉、甲床动脉及其细小分支;SSc末节指端血流显示欠清晰,连续性欠佳,血流分布明显减少.与对照组相比,SSc组中指末端指掌侧固有动脉、指腹动脉及甲床动脉PSV、EDV、MV均减低(P<0.01),而RI及PI增高(P<0.05).对照组左右侧指端动脉血流参数无明显差异(P>0.05),而SSc组左侧指掌侧固有动脉PSV、EDV及MV指标较右侧增高,差异均有统计学意义(P<0.05).结论 高频超声结合E-flow显像可敏感、准确地反映SSc患者的指端微循环变化,为临床评价SSc患者微血管病变情况提供了新方法.%Objective To investigate the clinical value of high frequency ultrasonography with E-flow imaging in the evaluation of fingertip's microcirculation changes in patients with systemic sclerosis(SSc).Methods Twenty-four SSc patients and 29 healthy subjects were involved.High frequency ultrasonography with E-flow imaging was used to observe the configuration and distribution of digital arteries in the last segment of left and right middle finger.Peak systolic velocity (PSV),end diastolic velocity (EDV),mean velocity(MV),vascular resistance index (RI) and pulsatility index(PI) of digital palmar propria arteries,nail bed arteries and finger ventral arteries were measured.Results In control group,rich blood supply was revealed within the fingertips.Digital palmar propria arteries,nail bed arteries and finger ventral

  6. Effect of knee joint angle on side-to-side strength ratios.

    Science.gov (United States)

    Krishnan, Chandramouli; Williams, Glenn N

    2014-10-01

    Isometric knee extensor and flexor strength are typically tested at different joint angles due to the differences in length-tension relationships of the quadriceps and hamstring muscles. The efficiency of strength testing can be improved if the same angle can be used to test both the knee extensor and flexor muscle groups. The aim of this study was to determine an optimal angle for isometric knee strength testing by examining the effect of knee angle on side-to-side peak torque ratios. Eighteen active young people (9 males and 9 females) participated in this study. Knee extensor and knee flexor strength were tested on both sides at 30°, 60°, and 90° of knee flexion. The effect of knee flexion angle on side-to-side peak torque ratios, raw torque values, and side-to-side flexor-to-extensor torque ratios were assessed. Side-to-side knee extensor peak torque ratios and knee flexor-to-extensor torque ratios differed significantly by knee flexion angle (p = 0.024 and p = 0.011, respectively), but side-to-side knee flexor peak torque ratios did not differ significantly (p = 0.311). When considering both side-to-side peak torque ratios and flexor-to-extensor torque ratios, the values were more symmetrical (i.e., closer to 100%) only at 60° of knee flexion. Our results indicate that both the knee flexors and the knee extensors can be tested clinically at 60° of knee flexion. Our results also indicate that the hamstrings can be tested at any of the 3 angles if the examiner is interested in side-to-side ratios rather than raw torque values. These results may facilitate more efficient and flexible clinical knee strength testing.

  7. Lymphedema as a Cancer Treatment Side Effect

    Science.gov (United States)

    ... Navigating Cancer Care > Side Effects > Lymphedema Request Permissions Lymphedema Approved by the Cancer.Net Editorial Board , 05/ ... years after cancer treatment has ended. Symptoms of lymphedema People with lymphedema in their arm or leg ...

  8. Possible Side-Effects from Vaccines

    Science.gov (United States)

    ... her at risk of contracting a potentially deadly disease. Adenovirus vaccine side-effects What are the risks from Adenovirus vaccine? A vaccine, like any medicine, could cause a serious reaction. But the risk ...

  9. Back-Side Readout Silicon Photomultiplier

    Science.gov (United States)

    Choong, Woon-Seng; Holland, Stephen E.

    2012-01-01

    We present a novel structure for the back-side readout silicon photomultipler (SiPM). Current SiPMs are front-illuminated structures with front-side readout, which have relatively small geometric fill factor leading to degradation in their photon detection efficiency (PDE). Back-side readout devices will provide an advantageous solution to achieve high PDE. We designed and investigated a novel structure that would allow back-side readout while creating a region of high electric field optimized for avalanche breakdown. In addition, this structure has relatively high fill factor and also allow direct coupling of individual micro-cell of the SiPM to application-specific integrated circuits. We will discuss the performance that can be attained with this structure through device simulation and the process flow that can be used to fabricate this structure through process simulation. PMID:23564969

  10. Side- ja turvanguamet / Indrek Süld

    Index Scriptorium Estoniae

    Süld, Indrek

    2004-01-01

    Ilmunud ka: 2003 : annual report : [Eesti Raudtee]. - Tallinn, 2004, lk. 34-35; 2003 : godovoi ottshjot : [Eesti Raudtee]. - Tallinn, 2004, lk. 34-35. Ülevaade AS-i Eesti Raudtee side- ja turvanguameti tegevusest 2003. aastal. Skeem

  11. Managing Chemotherapy Side Effects: Memory Changes

    Science.gov (United States)

    N ational C ancer I nstitute Managing Chemotherapy Side Effects Memory Changes What is causing these changes? Your doctor will work to find out what is causing these problems. They may be caused by ...

  12. Side- ja turvanguamet / Indrek Süld

    Index Scriptorium Estoniae

    Süld, Indrek

    2004-01-01

    Ilmunud ka: 2003 : annual report : [Eesti Raudtee]. - Tallinn, 2004, lk. 34-35; 2003 : godovoi ottshjot : [Eesti Raudtee]. - Tallinn, 2004, lk. 34-35. Ülevaade AS-i Eesti Raudtee side- ja turvanguameti tegevusest 2003. aastal. Skeem

  13. Side Effects - Memory or Concentration Problems

    Science.gov (United States)

    Cancer treatments, such as chemo, may cause difficulty thinking, concentrating, or other cognitive problems. Learn about steps people with cancer can take to manage these side effects. See a list of helpful questions for families to ask the doctor.

  14. Side Stream Filtration for Cooling Towers

    Energy Technology Data Exchange (ETDEWEB)

    None

    2012-10-20

    This technology evaluation assesses side stream filtration options for cooling towers, with an objective to assess key attributes that optimize energy and water savings along with providing information on specific technology and implementation options. This information can be used to assist Federal sites to determine which options may be most appropriate for their applications. This evaluation provides an overview of the characterization of side stream filtration technology, describes typical applications, and details specific types of filtration technology.

  15. Hematological Side Effects of Atypical Antipsychotic Drugs

    Directory of Open Access Journals (Sweden)

    Serap Erdogan

    2009-10-01

    Full Text Available Atypical antipsychotics cause less frequently extrapyramidal system symptoms, neuroleptic malignant syndrome and hyperprolactinemia than typical antipsychotics. However hematological side effects such as leukopenia and neutropenia could occur during treatment with atypical antipsychotics. These side effects could lead to life threatening situations and the mortality rate due to drug related agranulocytosis is about 5-10%. There are several hypothesis describing the mechanisms underlying drug induced leukopenia and/or neutropenia such as direct toxic effects of these drugs upon the bone marrow or myeloid precursors, immunologic destruction of the granulocytes or supression of the granulopoiesis. Clozapine is the antipsychotic agent which has been most commonly associated with agranulocytosis. A nitrenium ion which is formed by the bioactivation of clozapine is thought to have an important role in the pathophysiogy of this adverse effect. Aside from clozapine, there are several case reports reporting an association between olanzapine, quetiapine, risperidone, ziprasidone, aripiprazole and leukopenia. We did not find any study or case report presenting amisulpride or sulpride related hematological side effects in our literature search. Patients who had hematological side effects during their previous antipsychotic drug treatments and who had lower baseline blood leukocyte counts, have higher risk to develop leukopenia or neutropenia during their current antipsychotic treatment. Once leukopenia and neutropenia develops, drugs thought to be responsible for this side effect should be discontinued or dosages should be lowered. In some cases iniatition of lithium or G-CSF (granulocyte colony-stimulating factor therapy may be helpful in normalizing blood cell counts. Clinicans should avoid any combination of drugs known to cause hematological side effects. Besides during antipsychotic treatment, infection symptoms such as fever, cough, sore throat or

  16. Temporomandibular disorders: the habitual chewing side syndrome.

    Directory of Open Access Journals (Sweden)

    Urbano Santana-Mora

    Full Text Available BACKGROUND: Temporomandibular disorders are the most common cause of chronic orofacial pain, but, except where they occur subsequent to trauma, their cause remains unknown. This cross-sectional study assessed chewing function (habitual chewing side and the differences of the chewing side and condylar path and lateral anterior guidance angles in participants with chronic unilateral temporomandibular disorder. This is the preliminary report of a randomized trial that aimed to test the effect of a new occlusal adjustment therapy. METHODS: The masticatory function of 21 randomly selected completely dentate participants with chronic temporomandibular disorders (all but one with unilateral symptoms was assessed by observing them eat almonds, inspecting the lateral horizontal movement of the jaw, with kinesiography, and by means of interview. The condylar path in the sagittal plane and the lateral anterior guidance angles with respect to the Frankfort horizontal plane in the frontal plane were measured on both sides in each individual. RESULTS: Sixteen of 20 participants with unilateral symptoms chewed on the affected side; the concordance (Fisher's exact test, P = .003 and the concordance-symmetry level (Kappa coefficient κ = 0.689; 95% confidence interval [CI], 0.38 to 0.99; P = .002 were significant. The mean condylar path angle was steeper (53.47(10.88 degrees versus 46.16(7.25 degrees; P = .001, and the mean lateral anterior guidance angle was flatter (41.63(13.35 degrees versus 48.32(9.53 degrees P = .036 on the symptomatic side. DISCUSSION: The results of this study support the use of a new term based on etiology, "habitual chewing side syndrome", instead of the nonspecific symptom-based "temporomandibular joint disorders"; this denomination is characterized in adults by a steeper condylar path, flatter lateral anterior guidance, and habitual chewing on the symptomatic side.

  17. Experimental study on the near wake behind two side-by-side cylinders of unequal diameters

    Science.gov (United States)

    Gao, Yangyang; Yu, Dingyong; Tan, Soonkeat; Wang, Xikun; Hao, Zhiyong

    2010-10-01

    The wake structure behind two side-by-side circular cylinders with unequal diameter was investigated using the particle image velocimetry (PIV) technique. This investigation focused on the asymmetrical flow within the subcritical Reynolds number regime. A comparison between the time-averaged mean flow field of one cylinder and that of two side-by-side cylinders of unequal diameter was made for elucidating the mean flow characteristics attributable to the latter. The distribution of mean velocity behind two side-by-side unequal cylinders was distinctly different from that behind one cylinder, and an asymmetric combination was observed behind the two cylinders. The present paper also presents the authors' interpretation of the generation mechanism of gap flow deflection based on the instantaneous vorticity contours and velocity distribution. The effect of Reynolds number on flow structure was studied by analyzing the mean velocity distribution and time-averaged wake structures. The results showed that vortex formation length decreases with Reynolds number.

  18. [Side Effects of Occupational Group Therapy].

    Science.gov (United States)

    Flöge, B; Fay, D; Jöbges, M; Linden, M; Muschalla, B

    2016-12-01

    Background: Occupational therapy is an important co-therapy in psychiatric therapy. It is a common belief that no risks are associated with occupational therapy. Negative effects caused by group therapy, especially occupational therapy, have not been in the focus of research yet. In this study we want to illustrate possible types and intensities of group side effects through occupational therapy. Patients and Methods: Patients of an inpatient rehabilitation facility filled out the Adverse Treatment Reaction Group Checklist. The checklist contains 47 items divided in six dimensions: group size, content, group participants, group outcome and global. The self-rating used a 5-point likert scale (0 = not at all; 4 = very much, extremely stressful) and gives information about types and intensities of the side effects. Results: 88.9 % of 45 patients reported negative effects of occupational group therapy. 28.9 % of the patients rated the side effect as at least severe. Discussion: Occupational therapy is associated with side effects as every other group therapy. Possible side effects caused by group therapy should be considered while planning and implementing occupational therapy. © Georg Thieme Verlag KG Stuttgart · New York.

  19. DarkSide search for dark matter

    Energy Technology Data Exchange (ETDEWEB)

    Alexander, T.; Alton, D.; Arisaka, K.; Back, H. O.; Beltrame, P.; Benziger, J.; Bonfini, G.; Brigatti, A.; Brodsky, J.; Bussino, S.; Cadonati, L.; Calaprice, F.; Candela, A.; Cao, H.; Cavalcante, P.; Chepurnov, A.; Chidzik, S.; Cocco, A. G.; Condon, C.; D' Angelo, D.; Davini, S.; Vincenzi, M. De; Haas, E. De; Derbin, A.; Pietro, G. Di; Dratchnev, I.; Durben, D.; Empl, A.; Etenko, A.; Fan, A.; Fiorillo, G.; Franco, D.; Fomenko, K.; Forster, G.; Gabriele, F.; Galbiati, C.; Gazzana, S.; Ghiano, C.; Goretti, A.; Grandi, L.; Gromov, M.; Guan, M.; Guo, C.; Guray, G.; Hungerford, E. V.; Ianni, Al; Ianni, An; Joliet, C.; Kayunov, A.; Keeter, K.; Kendziora, C.; Kidner, S.; Klemmer, R.; Kobychev, V.; Koh, G.; Komor, M.; Korablev, D.; Korga, G.; Li, P.; Loer, B.; Lombardi, P.; Love, C.; Ludhova, L.; Luitz, S.; Lukyanchenko, L.; Lund, A.; Lung, K.; Ma, Y.; Machulin, I.; Mari, S.; Maricic, J.; Martoff, C. J.; Meregaglia, A.; Meroni, E.; Meyers, P.; Mohayai, T.; Montanari, D.; Montuschi, M.; Monzani, M. E.; Mosteiro, P.; Mount, B.; Muratova, V.; Nelson, A.; Nemtzow, A.; Nurakhov, N.; Orsini, M.; Ortica, F.; Pallavicini, M.; Pantic, E.; Parmeggiano, S.; Parsells, R.; Pelliccia, N.; Perasso, L.; Perasso, S.; Perfetto, F.; Pinsky, L.; Pocar, A.; Pordes, S.; Randle, K.; Ranucci, G.; Razeto, A.; Romani, A.; Rossi, B.; Rossi, N.; Rountree, S. D.; Saggese, P.; Saldanha, R.; Salvo, C.; Sands, W.; Seigar, M.; Semenov, D.; Shields, E.; Skorokhvatov, M.; Smirnov, O.; Sotnikov, A.; Sukhotin, S.; Suvarov, Y.; Tartaglia, R.; Tatarowicz, J.; Testera, G.; Thompson, J.; Tonazzo, A.; Unzhakov, E.; Vogelaar, R. B.; Wang, H.; Westerdale, S.; Wojcik, M.; Wright, A.; Xu, J.; Yang, C.; Zavatarelli, S.; Zehfus, M.; Zhong, W.; Zuzel, G.

    2013-11-22

    The DarkSide staged program utilizes a two-phase time projection chamber (TPC) with liquid argon as the target material for the scattering of dark matter particles. Efficient background reduction is achieved using low radioactivity underground argon as well as several experimental handles such as pulse shape, ratio of ionization over scintillation signal, 3D event reconstruction, and active neutron and muon vetos. The DarkSide-10 prototype detector has proven high scintillation light yield, which is a particularly important parameter as it sets the energy threshold for the pulse shape discrimination technique. The DarkSide-50 detector system, currently in commissioning phase at the Gran Sasso Underground Laboratory, will reach a sensitivity to dark matter spin-independent scattering cross section of 10-45 cm2 within 3 years of operation.

  20. Neglected Side Effects After Radical Prostatectomy

    DEFF Research Database (Denmark)

    Frey, Anders Ullmann; Sønksen, Jens; Fode, Mikkel

    2014-01-01

    INTRODUCTION: A series of previously neglected sexually related side effects to radical prostatectomy (RP) has been identified over the recent years. These include orgasm-associated incontinence (OAI), urinary incontinence in relation to sexual stimulation (UISS), altered perception of orgasm....... Alterations of orgasmic function are experienced by approximately 80% after RP. Erectile dysfunction seems to play an important role in waning orgasmic function. OAP is only experienced by a subset of the patients with reported rates varying between 3% and 19%. Sparing of the tips of the seminal vesicles has...... been shown to double the risk of OAP. PS occurs in 15-68% of RP patients. Nerve sparing and preservation of erectile function may help preserve penile length. With regard to all side effects, studies indicate that they are reduced over time. CONCLUSIONS: The sexually related side effects summarized...

  1. Communication technologies for demand side management

    Energy Technology Data Exchange (ETDEWEB)

    Uuspaeae, P. [VTT Energy, Espoo (Finland)

    1998-08-01

    The scope of this research is data communications for electric utilities, specifically for the purposes of Demand Side Management (DSM). Demand Side Management has the objective to change the customer`s end use of energy in a manner that benefits both the customer and the utility. For example, peak demand may be reduced, and the peak demand may be relocated to off peak periods. Thus additional investments in generation and network may be avoided. A number of Demand Side Management functions can be implemented if a communication system is available between the Electric Utility and the Customer. The total communication capacity that is needed, will depend on several factors, such as the functions that are chosen for DSM, and on the number and type of customers. Some functions may be handled with one-way communications, while some other functions need to have two-way communication

  2. Areeda-turner in two-sided markets

    NARCIS (Netherlands)

    Behringer, S.; Filistrucchi, L.

    2015-01-01

    We extend the Areeda–Turner rule to two-sided markets. We show that a two-sided monopolist may find it short-run profit-maximizing to charge a price below marginal cost on one side of the market. Hence showing that the price is below marginal cost on one side of a two-sided market cannot be consider

  3. Areeda-turner in two-sided markets

    NARCIS (Netherlands)

    Behringer, S.; Filistrucchi, L.

    2015-01-01

    We extend the Areeda–Turner rule to two-sided markets. We show that a two-sided monopolist may find it short-run profit-maximizing to charge a price below marginal cost on one side of the market. Hence showing that the price is below marginal cost on one side of a two-sided market cannot be

  4. Areeda-turner in two-sided markets

    NARCIS (Netherlands)

    Behringer, S.; Filistrucchi, L.

    2015-01-01

    We extend the Areeda–Turner rule to two-sided markets. We show that a two-sided monopolist may find it short-run profit-maximizing to charge a price below marginal cost on one side of the market. Hence showing that the price is below marginal cost on one side of a two-sided market cannot be consider

  5. 掌侧LCP结合Kapandji技术治疗背侧不稳定桡骨远端关节内骨折初步报道%Volar LCP fixation combined with Kapandji technique for dorsal unstable inter-articular distal radial fractures

    Institute of Scientific and Technical Information of China (English)

    邓迎生; 王秋根; 邓洪漪; 张秋林; 纪方; 李伟; 云雄

    2009-01-01

    Objective To explore the method and evaluate the effect of volar LCP fixation combined with Kapandji technique for dorsal unstable inter-articular distal radial fractures.nethods Forty-three patients(male 17 and female 26,aged 42 to 65 years with the mean of 57 years)with dorsal unstable inter-articular distal radial fractures were treated with volar LCP combined with Kapandij techniques.There were 26 cases for fype C1,16 cases for type C2 and 1 case for tvpe C3 according to AO/ASIF classification criteria of fractures.To modify again Sarmiento scale(modified by Stewart first),and the parameters of imageology of the fractures were estimated,while the wrist function through Gartland-Werley functional assessment system.The effects were evaluated through comparing the volar tilt.radial inclination,articular set-off,radial shortening and wrist funetion.Results All the patients were followed up from 16 to 47 months (average 27 months)postoperatively,and the volar tilt increased from -19.3°±11.2° to 8.1°±3.2°,radial inclination increased from -13.6°±4.1° to 18.0°±8.2°,the radial shortening decreased from(6.2±2.8)mm to(0.2±0.2)mm,and articular set-off decreased from(5.5±4.3)mm to(0.1±0.2)mm.Postoperatively,34 patients achieved excellent and 9 good according to the twice modified Sarmiento scale io the radiologieal manifestation and 18 patients displayed excellent and 22 good with 3 fair according to Gartland-Werley functional assessment system.Conclusion Volar LCP fixation comlfined with Kapandji technique is a safe and effective method for treating the unstable distal radial fractures of type C,which can prevent reduction lost,reduce need for hone grafting.provide for early Wrist motion and avoid tendon irritation.%目的 探讨掌侧锁定加压钢板(locking compression plate,LCP)结合Kapandji技术治疗背侧不稳定桡骨远端关节内骨折的方法 及疗效.方法 背侧不稳定桡骨远端关节内骨折患者43例,男17例,女26例;年龄42

  6. Update on side effects from common vaccines.

    Science.gov (United States)

    Song, Benjamin J; Katial, Rohit K

    2004-11-01

    Vaccines have had a tremendous impact on public health by reducing morbidity and mortality from a variety of virulent pathogens. However, unintended side effects continue to pose a potential risk that may outweigh the vaccine's protective attributes. In this review, we discuss recent articles and controversies pertaining to vaccine-associated adverse events. Included in the discussion are influenza, hepatitis B, measles-mumps-rubella, diphtheria-tetanus-pertussis, polio, Haemophilus influenzae type b, and rotavirus vaccines. The importance and contribution of vaccine constituents (such as thimerosal) to side effects is also reviewed.

  7. Left-sided omental torsion: CT appearance

    Energy Technology Data Exchange (ETDEWEB)

    Aoun, N.; Haddad-Zebouni, S.; Slaba, S.; Ghossain, M. [Hotel-Dieu de France Hospital, Beirut (Lebanon). Dept. of Radiology; Noun, R. [Hotel-Dieu de France Hospital, Beirut (Lebanon). Dept. of General Surgery

    2001-01-01

    A 34-year-old male presented with exquisite left flank pain. Computed tomography showed a hyperdense vascular structure surrounded by whirling linear streaks situated in the greater omentum under the splenic flexure of the colon. Omental stranding extended caudally into the pelvis where part of the inflamed omentum entered a left inguinal hernia sac. Surgery revealed left-sided torsion of the greater omentum. Left-sided omental torsion is infrequent and pre-operative diagnosis is rarely established. The CT findings of an omental fatty mass with a whirling pattern is characteristic of omental torsion. Preoperative diagnosis is important because conservative management has been suggested. (orig.)

  8. Water Quality Performance of Three Side-by-Side Permeable Pavement Surface Materials: Three Year Update

    Science.gov (United States)

    Communities are increasingly installing structural low impact development (LID) practices to mange stormwater and reduce pollutant loads associated with stormwater runoff. Permeable pavement is a LID practice that has limited research on working-scale, side-by-side performance o...

  9. Functionally Graded Ceramics Fabricated with Side-by-Side Tape Casting for Use in Magnetic Refrigeration

    DEFF Research Database (Denmark)

    Bulatova, Regina; Bahl, Christian; Andersen, Kjeld Bøhm

    2015-01-01

    Functionally graded ceramic tapes have been fabricated by a side-by-side tape casting technique. This study shows the possibility and describes the main principles of adjacent coflow of slurries resulting in formation of thin plates of graded ceramic material. Results showed that the small...

  10. Classification of gap flow regimes in two side-by-side circular cylinders

    CSIR Research Space (South Africa)

    Atkins

    2014-02-01

    Full Text Available The behavior of the flow around two circular cylinders arranged in a side-by-side configuration strongly depends on the transverse center-to-center gap spacing ratio (T/D) where D is the cylinder diameter. Based on the observed wake structure [13...

  11. Illinois Early Childhood Program Standards Matrix. (A Side-by-Side Comparison).

    Science.gov (United States)

    Illinois State Dept. of Human Services, East St. Louis. Head Start State Collaboration Office.

    This document contains a matrix offering a side-by-side comparison of almost 40 criteria among 7 sets of early childhood program standards. The standards are: (1) Head Start Program Performance Standards; (2) Illinois Department of Children and Family Services Child Care Licensing Standards; (3) Illinois Department of Human Services (IDHS) Center…

  12. Computer-mediated communication as a channel for social resistance : The strategic side of SIDE

    NARCIS (Netherlands)

    Spears, R; Lea, M; Corneliussen, RA; Postmes, T; Ter Haar, W

    2002-01-01

    In two studies, the authors tested predictions derived from the social identity model of deindividuation effects (SIDE) concerning the potential of computer-mediated communication (CMC) to serve as a means to resist powerful out-groups. Earlier research using the SIDE model indicates that the anonym

  13. Harmonizing the European Side Impact Dummy

    NARCIS (Netherlands)

    Ratingen, M.R. van; Waagmeester, C.D.; Twisk, D.R.; Wismans, J.

    2000-01-01

    A major problem in side impact protection is the specification of the dummy used in the compliance tests, which is both a standardization and a technical problem. Currently, Europe and Japan use the EUROSID-1 dummy while the US.SID is used in North America. ISO initiated the WorldSID project to

  14. Photon side-bands in mesoscopics

    DEFF Research Database (Denmark)

    Jauho, Antti-Pekka

    1998-01-01

    This paper reviews several applications of photonic side bands, used by Buttiker and Landauer (Phys. Rev. Lett. 49, 1739 (1982)) in their theory of traversal time in tunneling, in transport and optics of mesoscopic systems. Topics include generalizations of the transmission theory of transport...

  15. Demand Side Management for Multiple Devices

    NARCIS (Netherlands)

    Molderink, Albert; Bakker, Vincent; Smit, Gerard J.M.

    2013-01-01

    Steering a heterogeneous set of devices in a Smart Grid using cost functions: Demand Side Management (DSM) is an important element in smart grids. DSM is already in operation for large consumers, but thorough research is required into DSM on a building level within the distribution grid.

  16. On one-sided torsion pair

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Motivated by the concept of a torsion pair in a pre-triangulated category induced by Beligiannis and Reiten, the notion of a left (right) torsion pair in the left (right) triangulated category is introduced and investigated. We provide new connections between different aspects of torsion pairs in one-sided triangulated categories, pre-triangulated categories, stable categories and derived categories.

  17. Evaluation of an immunosuppressant side effect instrument.

    Science.gov (United States)

    Winsett, Rebecca P; Arheart, Kris; Stratta, Robert J; Alloway, Rita; Wicks, Mona N; Gaber, A Osama; Hathaway, Donna K

    2004-09-01

    Clinicians continue to be compelled to evaluate the impact of immunosuppressive medication side effects on the quality of life of transplant recipients. We Were asked to develop an instrument to measure side effects in immunosuppressed transplant recipients. To construct an instrument that measures the impact and severity of side effects of immunosuppressive medications used in transplantation and to assess the reliability and validity of the newly developed instrument called the Memphis Survey. The instrument was constructed by a panel of physicians, nurses, and pharmacists with experience in treating transplant recipients. A small group of kidney transplant recipients (n= 13) provided pilot data for refining and testing the instrument. A national sample of kidney, liver, and heart transplant recipients (n = 505) provided data that were used to further develop the instrument. Factor analysis was used to determine the psychological dimensions underlying the instrument and to guide the construction of scales from the survey items. The instrument scales were then computed from the dataset of 505 transplant recipients to quantify the impact of immunosuppressant side effects on the quality of life of transplant recipients. Analyses showed the final instrument scales to be valid and reliable. Exploratory analysis suggests the need for further testing of the instrument to determine gender differences.

  18. The Dark Side of Bank Wholesale Funding

    NARCIS (Netherlands)

    Huang, R.; Ratnovksi, L.

    2009-01-01

    Commercial banks increasingly use short-term wholesale funds to supplement traditional retail deposits. Existing literature mainly points to the "bright side" of wholesale funding: sophisticated financiers can monitor banks, disciplining bad ones but refinancing solvent ones. This paper models a "da

  19. Hallucinatory Side Effects of ADHD Drugs

    Directory of Open Access Journals (Sweden)

    J Gordon Millichap

    2009-04-01

    Full Text Available Clinical trial and postmarketing surveillance data for drugs used in treatment of attention deficit hyperactivity disorder were analyzed to determine the frequency of hallucinations and other psychotic side effects, in a study at the US Food and Drug Administration, and Department of Health and Human Services, Maryland.

  20. Compressive video sensing with side information.

    Science.gov (United States)

    Yuan, Xin; Sun, Yangyang; Pang, Shuo

    2017-04-01

    Our temporally compressive imaging system reconstructs a high-speed image sequence from a single, coded snapshot. The reconstruction quality, similar to that of other compressive sensing systems, often depends on the structure of the measurement, as well as the choice of regularization. In this paper, we report a compressive video system that also captures the side information to aid in the reconstruction of high-speed scenes. The integration of the side information not only improves the quality of reconstruction, but also reduces the dependence of the reconstruction on regularization. We have implemented a system prototype that splits the field of view of a single camera into two channels: one channel captures the coded, low-frame-rate measurement for high-speed video reconstruction, and the other channel captures a direct measurement without coding as the side information. A joint reconstruction model is developed to recover the high-speed videos from the two channels. By analyzing both the experimental and the simulation results, the reconstructions with side information have demonstrated superior performances in terms of both the peak signal-to-noise ratio and structural similarity.

  1. Struck by a lance through his side

    DEFF Research Database (Denmark)

    Leth, Peter Mygind; Boldsen, Jesper Lier

    2010-01-01

    The Danish King Canute the Saint was killed in St Alban church in Odense July 1086. According to a legend the king was kneeling in prayers when a lance thrust to his side killed him. Our re-examination of the skeleton presumed to belong to Canute showed a slimly build man with an approximate stat...

  2. Solar cell with back side contacts

    Energy Technology Data Exchange (ETDEWEB)

    Nielson, Gregory N; Okandan, Murat; Cruz-Campa, Jose Luis; Resnick, Paul J; Wanlass, Mark Woodbury; Clews, Peggy J

    2013-12-24

    A III-V solar cell is described herein that includes all back side contacts. Additionally, the positive and negative electrical contacts contact compoud semiconductor layers of the solar cell other than the absorbing layer of the solar cell. That is, the positive and negative electrical contacts contact passivating layers of the solar cell.

  3. Solar cell with back side contacts

    Science.gov (United States)

    Nielson, Gregory N; Okandan, Murat; Cruz-Campa, Jose Luis; Resnick, Paul J; Wanlass, Mark Woodbury; Clews, Peggy J

    2013-12-24

    A III-V solar cell is described herein that includes all back side contacts. Additionally, the positive and negative electrical contacts contact compoud semiconductor layers of the solar cell other than the absorbing layer of the solar cell. That is, the positive and negative electrical contacts contact passivating layers of the solar cell.

  4. Protection of the side of the head.

    Science.gov (United States)

    Gilchrist, A; Mills, N J

    1996-07-01

    The side of the head is a frequent impact site for pedal cyclists, motorcyclists, and industrial workers. It is vulnerable to impact, yet many helmet standards do not have impact tests at the side of the helmet. Laboratory impact tests should reproduce the phenomena in real impacts, but usually they do not allow the headform to rotate, or ignore the effect of the neck on the motion of the head. The authors designed a linkage, simulating the flexibility of the neck, for use with anthropomorphic dummies in helmet testing. Impacts at the side of the helmet, normal to the helmet surface, were made with flat and hemispherical strikers. Head rotation during impacts caused the impact site to move, in some cases to below the level protected by the helmet. The peak angular head acceleration correlated with the peak linear accelerations. Neck flexibility means that helmets can protect the head from higher kinetic energy impacts than those specified in standards using immovable headforms or impact anvils. The load spreading efficiency of polypropylene foam, used in soft shell bicycle helmets, is better than that of polystyrene foam. The authors conclude that the side of the head can be protected by a suitable helmet design.

  5. The Social Side Effects of Acetaminophen

    Science.gov (United States)

    Mischkowski, Dominik

    About 23% of all adults in the US take acetaminophen during an average week (Kaufman, Kelly, Rosenberg, Anderson, & Mitchell, 2002) because acetaminophen is an effective physical painkiller and easily accessible over the counter. The physiological side effects of acetaminophen are well documented and generally mild when acetaminophen is consumed in the appropriate dosage. In contrast, the psychological and social side effects of acetaminophen are largely unknown. Recent functional neuroimaging research suggests that the experience of physical pain is fundamentally related to the experience of empathy for the pain of other people, indicating that pharmacologically reducing responsiveness to physical pain also reduces cognitive, affective, and behavioral responsiveness to the pain of others. I tested this hypothesis across three double-blind between-subjects drug intervention studies. Two experiments showed that acetaminophen had moderate effects on empathic affect, specifically personal distress and empathic concern, and a small effect on empathic cognition, specifically perceived pain, when facing physical and social pain of others. The same two experiments and a third experiment also showed that acetaminophen can increase the willingness to inflict pain on other people, i.e., actual aggressive behavior. This effect was especially pronounced among people low in dispositional empathic concern. Together, these findings suggest that the physical pain system is more involved in the regulation of social cognition, affect, and behavior than previously assumed and that the experience of physical pain and responsiveness to the pain of others share a common neurochemical basis. Furthermore, these findings suggest that acetaminophen has unappreciated but serious social side effects, and that these side effects may depend on psychological characteristics of the drug consumer. This idea is consistent with recent theory and research on the context-dependency of neurochemical

  6. Medicated Janus fibers fabricated using a Teflon-coated side-by-side spinneret.

    Science.gov (United States)

    Yu, Deng-Guang; Yang, Chen; Jin, Miao; Williams, Gareth R; Zou, Hua; Wang, Xia; Bligh, S W Annie

    2016-02-01

    A family of medicated Janus fibers that provides highly tunable biphasic drug release was fabricated using a side-by-side electrospinning process employing a Teflon-coated parallel spinneret. The coated spinneret facilitated the formation of a Janus Taylor cone and in turn high quality integrated Janus structures, which could not be reliably obtained without the Teflon coating. The fibers prepared had one side consisting of polyvinylpyrrolidone (PVP) K60 and ketoprofen, and the other of ethyl cellulose (EC) and ketoprofen. To modulate and tune drug release, PVP K10 was doped into the EC side in some cases. The fibers were linear and had flat morphologies with an indent in the center. They provide biphasic drug release, with the PVP K60 side dissolving very rapidly to deliver a loading dose of the active ingredient, and the EC side resulting in sustained release of the remaining ketoprofen. The addition of PVP K10 to the EC side was able to accelerate the second stage of release; variation in the dopant amount permitted the release rate and extent this phase to be precisely tuned. These results offer the potential to rationally design systems with highly controllable drug release profiles, which can complement natural biological rhythms and deliver maximum therapeutic effects.

  7. Efficacy of side air bags in reducing driver deaths in driver-side collisions.

    Science.gov (United States)

    Braver, Elisa R; Kyrychenko, Sergey Y

    2004-03-15

    Side air bags, a relatively new technology designed to protect the head and/or torso in side-impact collisions, are becoming increasingly common in automobiles. Their efficacy in preventing US driver deaths among cars struck on the near (driver's) side was examined using data from the Fatality Analysis Reporting System and the General Estimates System. Risk ratios for driver death per nearside collision during 1999-2001 were computed for head/torso and torso-only side air bags in cars from model years 1997-2002, relative to cars without side air bags. Confounding was addressed by adjusting nearside risk ratios for front- and rear-impact mortality, which is unaffected by side air bags. Risk ratios were 0.55 (95% confidence interval: 0.43, 0.71) for head/torso air bags and 0.89 (95% confidence interval: 0.79, 1.01) for torso-only air bags. Risk was reduced when cars with head/torso air bags were struck by cars/minivans (significant) or pickup trucks/sport utility vehicles (nonsignificant). Risk was reduced in two-vehicle collisions and among male drivers and drivers aged 16-64 years. Protective effects associated with torso-only air bags were observed in single-vehicle crashes and among male and 16- to 64-year-old drivers. Head/torso side air bags appear to be very effective in reducing nearside driver deaths, whereas torso-only air bags appear less protective.

  8. Server-side Statistics Scripting in PHP

    Directory of Open Access Journals (Sweden)

    Jan de Leeuw

    1997-06-01

    Full Text Available On the UCLA Statistics WWW server there are a large number of demos and calculators that can be used in statistics teaching and research. Some of these demos require substantial amounts of computation, others mainly use graphics. These calculators and demos are implemented in various different ways, reflecting developments in WWW based computing. As usual, one of the main choices is between doing the work on the client-side (i.e. in the browser or on the server-side (i.e. on our WWW server. Obviously, client-side computation puts fewer demands on the server. On the other hand, it requires that the client downloads Java applets, or installs plugins and/or helpers. If JavaScript is used, client-side computations will generally be slow. We also have to assume that the client is installed properly, and has the required capabilities. Requiring too much on the client-side has caused browsing machines such as Netscape Communicator to grow beyond all reasonable bounds, both in size and RAM requirements. Moreover requiring Java and JavaScript rules out such excellent browsers as Lynx or Emacs W3. For server-side computing, we can configure the server and its resources ourselves, and we need not worry about browser capabilities and configuration. Nothing needs to be downloaded, except the usual HTML pages and graphics. In the same way as on the client side, there is a scripting solution, where code is interpreted, or a ob ject-code solution using compiled code. For the server-side scripting, we use embedded languages, such as PHP/FI. The scripts in the HTML pages are interpreted by a CGI program, and the output of the CGI program is send to the clients. Of course the CGI program is compiled, but the statistics procedures will usually be interpreted, because PHP/FI does not have the appropriate functions in its scripting language. This will tend to be slow, because embedded languages do not deal efficiently with loops and similar constructs. Thus a first

  9. Scrutable Mobile Client-side Personalization

    Directory of Open Access Journals (Sweden)

    Muhammad Asif

    2015-04-01

    Full Text Available Personalization has become an essential feature of mobile services of different domains. On the other hand, users have conflicting needs of personalized experience and privacy. This leads to the question of how to maximize the user’s experience of personalized mobile services while keeping privacy. One possible solution is to provide user’s control of their personal data by keeping their user model on their personal mobile devices. In this way, a user can scrutinize the data while sharing with service providers depending on her/his requirements. The client-side personalization approach can shift the control of privacy to the users and can involve them in personalization process. Transparency and user control can increase the user’s trust. In this paper, we have proposed a solution with the objective of scrutable client-side personalization while keeping the user in control of both privacy and personalization process.

  10. Side Chain Cyclized Aromatic Amino Acids

    DEFF Research Database (Denmark)

    Van der Poorten, Olivier; Knuhtsen, Astrid; Sejer Pedersen, Daniel

    2016-01-01

    Constraining the conformation of flexible peptides is a proven strategy to increase potency, selectivity, and metabolic stability. The focus has mostly been on constraining the backbone dihedral angles; however, the correct orientation of the amino acid side chains (χ-space) that constitute...... the peptide pharmacophore is equally important. Control of χ-space utilizes conformationally constrained amino acids that favor, disfavor, or exclude the gauche (-), the gauche (+), or the trans conformation. In this review we focus on cyclic aromatic amino acids in which the side chain is connected...... to the peptide backbone to provide control of χ(1)- and χ(2)-space. The manifold applications for cyclized analogues of the aromatic amino acids Phe, Tyr, Trp, and His within peptide medicinal chemistry are showcased herein with examples of enzyme inhibitors and ligands for G protein-coupled receptors....

  11. Client-side Skype forensics: an overview

    Science.gov (United States)

    Meißner, Tina; Kröger, Knut; Creutzburg, Reiner

    2013-03-01

    IT security and computer forensics are important components in the information technology. In the present study, a client-side Skype forensics is performed. It is designed to explain which kind of user data are stored on a computer and which tools allow the extraction of those data for a forensic investigation. There are described both methods - a manual analysis and an analysis with (mainly) open source tools, respectively.

  12. The Dark Side of the Moon

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    A combo photo released by the China National Space Administration(CNSA)on December 11 shows a crater on the dark side of the moon.This image was reportedly taken by Chang’e-1, the country’s first lunar probe,on December 4. On December 12,a grand ceremony was held in Beijing to celebrate the success of the first stage of China’s lunar probe program.President Hu Jintao announced on the occasion that the

  13. Integrated double-sided silicon microstrip detectors

    Directory of Open Access Journals (Sweden)

    Perevertailo V. L.

    2011-11-01

    Full Text Available The problems of design, technology and manufacturing double-sided silicon microstrip detectors using standard equipment production line in mass production of silicon integrated circuits are considered. The design of prototype high-energy particles detector for experiment ALICE (CERN is presented. The parameters of fabricated detectors are comparable with those of similar foreign detectors, but they are distinguished by lesser cost.

  14. Methylphenidate Abuse and Psychiatric Side Effects

    OpenAIRE

    Morton, W. Alexander; Stockton, Gwendolyn G.

    2000-01-01

    Methylphenidate is a central nervous system stimulant drug that has become the primary drug of choice in treating attention-deficit/hyperactivity disorder in children. Side effects are usually mild and are generally well tolerated by patients. Along with increases in prescribing frequency, the potential for abuse has increased. Intranasal abuse produces effects rapidly that are similar to the effects of cocaine in both onset and type. The clinical picture of stimulant abuse produces a wide ar...

  15. Side abutment pressure distribution by field measurement

    Institute of Scientific and Technical Information of China (English)

    WANG Lian-guo; SONG Yang; HE Xing-hua; ZHANG Jian

    2008-01-01

    Given the 7123 working face in the Qidong Coal Mine of the Wanbei Mining Group, nine dynamic roof monitors were installed in the crossheading to measure the amount and velocity of roof convergence in different positions and at different times and three steel bored stress sensors were installed in the return airway to measure rock stress at depth. On the basis of this arrangement, the rule of change of the distribution of the side abutment pressure with the advance of the working face and movement of overlying strata was studied. The rule of change and the stability of rock stress at depth were measured. Secondly, the affected area and stability time of the side abutment pressure were also studied. The results show that: 1) During working, the face advanced distance was from 157 m to 99 m, the process was not effected by mining induced pressure. When the distance was 82 m, the position of peak stress was 5 m away from the coal wall. When the distance was 37 m, the position of peak stress away from the coal wall was about 15 m to 20 m and finally reached a steady state; 2) the time and the range of the peak of side rock pressure obtained from stress sensors were consistent with the results from the dynamic roof monitors; 3) the position of the peak pressure was 25 m away from the coal wall.

  16. Opiates and elderly: Use and side effects

    Directory of Open Access Journals (Sweden)

    Diane L Chau

    2008-06-01

    Full Text Available Diane L Chau1, Vanessa Walker2, Latha Pai3, Lwin M Cho4University of Nevada School of Medicine, Reno, NV, USA 1Division Geriatric Medicine, 2Internal Medicine, 3Psychiatry, 4Geriatric Medicine, Sierra Nevada Healthcare System, Veterans Affairs Medical Center, Reno, NV, USAAbstract: The evaluation of pain and the subsequent issue of pain control is a clinical challenge that all healthcare providers face. Pain in the elderly population is especially difficult given the myriad of physiological, pharmacological, and psychological aspects of caring for the geriatric patient. Opiates are the mainstay of pain treatment throughout all age groups but special attention must be paid to the efficacy and side effects of these powerful drugs when prescribing to a population with impaired metabolism, excretion and physical reserve. In a random chart review of 300 US veterans, 44% of those receiving an analgesic also received opioids. The increasing use of opiates for pain management by healthcare practitioners requires that those prescribing opioids be aware of the special considerations for treating the elderly. This article will address the precautions one must take when using opiates in the geriatric population, as well as the side effects and ways to minimize them.Keywords: opiates, pain, elderly, side effects

  17. Side-information Scalable Source Coding

    CERN Document Server

    Tian, Chao

    2007-01-01

    The problem of side-information scalable (SI-scalable) source coding is considered in this work, where the encoder constructs a progressive description, such that the receiver with high quality side information will be able to truncate the bitstream and reconstruct in the rate distortion sense, while the receiver with low quality side information will have to receive further data in order to decode. We provide inner and outer bounds for general discrete memoryless sources. The achievable region is shown to be tight for the case that either of the decoders requires a lossless reconstruction, as well as the case with degraded deterministic distortion measures. Furthermore we show that the gap between the achievable region and the outer bounds can be bounded by a constant when square error distortion measure is used. The notion of perfectly scalable coding is introduced as both the stages operate on the Wyner-Ziv bound, and necessary and sufficient conditions are given for sources satisfying a mild support condi...

  18. Safety Assessment for a Side-by-side Offloading Mooring System

    Institute of Scientific and Technical Information of China (English)

    Liping Sun; Qiang He; Shangmao Ai

    2011-01-01

    In order to improve the safety properties of an offloading system with side-by-side (SBS) mooring in which the FPSO is moored by a yoke system in the field of BZ25-1,it is necessary to analyze those properties.According to the experience of similar projects,tow strategies of different offloading arrangements were discussed by using the 3-D radiation/diffraction theory and quasi-static time domain method to assess their respective safety properties.Through the safety assessment analysis of different arrangement comparisons,various ways to improve the safety properties of offloading systems with side-by-side mooring were verified by analyzing the tension in the mooring lines and the fender deflection.Through comparison it can be concluded that by enlarging the key factors properly,including the size of the fenders and the hawsers as well as the number of hawsers,a better satiety performance can be achieved.

  19. Aerodynamic drag from two tubes in side-by-side arrangement for different tube shapes

    Directory of Open Access Journals (Sweden)

    Олександр Михайлович Терех

    2016-06-01

    Full Text Available Experimental investigations of aerodynamic drag from two tubes in side-by-side arrangement for different tube shapes in the range of Reynolds numbers from 4000 to16000 are performed. Comparison of experimental data is executed. It is set, that the tubes of drop-shaped form have less aerodynamic drag and the tubes of flat-oval and dumb-bell forms have greater drag as compared to drag of circular tubes

  20. Left-Sided Patent Ductus Arteriosus in a Right-Sided Aortic Arch

    Directory of Open Access Journals (Sweden)

    Ming-Yen Ng

    2014-01-01

    Full Text Available We present a 31-year-old female with repaired tetralogy of Fallot (TOF and right-sided aortic arch (RAA with left-sided patent ductus arteriosus (PDA originating from the left brachiocephalic artery. This is a rare finding but most common site for a PDA in TOF and a RAA. To the best of our knowledge, this is the first demonstration of this rare finding on MRI in the literature.

  1. Stabilization of Gob-Side Entry with an Artificial Side for Sustaining Mining Work

    Directory of Open Access Journals (Sweden)

    Hong-sheng Wang

    2016-07-01

    Full Text Available A concrete artificial side (AS is introduced to stabilize a gob-side entry (GSE. To evaluate the stability of the AS, a uniaxial compression failure experiment was conducted with large and small-scale specimens. The distribution characteristics of the shear stress were obtained from a numerical simulation. Based on the failure characteristics and the variation of the shear stress, a failure criterion was determined and implemented in the strengthening method for the artificial side. In an experimental test, the distribution pattern of the maximum shear stress showed an X shape, which contributed to the failure shape of the specimen. The shear stress distribution and failure shape are induced by a combination of two sets of shear stresses, which implies that failure of the AS follows the twin shear strength theory. The use of anchor bolts, bolts, and anchor bars enhances the shear strength of the artificial side. When this side is stable, the components can constrain the lateral deformation as well as improve the internal friction angle and cohesion. When the AS is damaged, the components prevent the sliding of broken blocks along the shear failure plane and improve the residual strength of the artificial side. When reinforced with an anchor bar, the AS is still stable even after mining operations for three years.

  2. Angle Specific Analysis of Side-to-Side Asymmetry in the Shoulder Rotators

    Directory of Open Access Journals (Sweden)

    Cassio V. Ruas

    2015-08-01

    Full Text Available Although side-to-side asymmetry of the shoulder rotators calculated by independent peak torque (IPT has been used for interpretation of injury risks in athletes, it may not measure strength through the entire range of motion (ROM tested. The aim of this study was to compare side-to-side asymmetry of the shoulder rotators between independent peak torque (IPT and ten-degree angle specific torque (AST. Twenty healthy adult males (24.65 ± 2.4 years performed concentric and eccentric internal rotation (IR and external rotation (ER of the preferred and non-preferred arms on an isokinetic dynamometer at 60°/s through 150° of total ROM. The total ROM was divided into 14 ten-degree angles of the physiological ROM from −90° of ER to 60° of IR. Concentric and eccentric IR IPT (10.5% ± 8.7% and 12.1% ± 7.2% and ER IPT (13.6% ± 9.8% and 8.7% ± 5.6% were significantly less than AST at several angles (p < 0.05. IPT might lead to erroneous interpretations of side-to-side asymmetry in the shoulder rotators and does not represent the entire ROM tested. This information could be used to prescribe strength exercises to enhance overhead performance and reduce risk of shoulder injuries.

  3. Experimental study on the near wake behind two side-by-side cylinders of unequal diameters

    Energy Technology Data Exchange (ETDEWEB)

    Gao Yangyang; Yu Dingyong [College of Engineering, Ocean University of China, Qingdao 266100 (China); Tan, Soonkeat [School of Civil and Environmental Engineering, Nanyang Technological University, Singapore 639798 (Singapore); Wang Xikun [Maritime Research Center, Nanyang Technological University, Singapore 639798 (Singapore); Hao Zhiyong, E-mail: gaoyangyangouc@163.co [Shanghai Maritime University, Shanghai 200135 (China)

    2010-10-15

    The wake structure behind two side-by-side circular cylinders with unequal diameter was investigated using the particle image velocimetry (PIV) technique. This investigation focused on the asymmetrical flow within the subcritical Reynolds number regime. A comparison between the time-averaged mean flow field of one cylinder and that of two side-by-side cylinders of unequal diameter was made for elucidating the mean flow characteristics attributable to the latter. The distribution of mean velocity behind two side-by-side unequal cylinders was distinctly different from that behind one cylinder, and an asymmetric combination was observed behind the two cylinders. The present paper also presents the authors' interpretation of the generation mechanism of gap flow deflection based on the instantaneous vorticity contours and velocity distribution. The effect of Reynolds number on flow structure was studied by analyzing the mean velocity distribution and time-averaged wake structures. The results showed that vortex formation length decreases with Reynolds number.

  4. 解剖型桡骨掌侧锁定接骨板固定术治疗不稳定性桡骨远端骨折的疗效%Curative efficacy of unstable distal radius fracture treated by anatomic volar locking plate

    Institute of Scientific and Technical Information of China (English)

    纪斌; 曹成福; 成翔宇; 唐桐生; 樊海峰; 庞金辉

    2013-01-01

    目的 探讨解剖型桡骨掌侧锁定接骨板固定术治疗不稳定性桡骨远端骨折的疗效.方法 2010年7月-2012年6月,上海中医院大学附属普陀医院共收治67例不稳定性桡骨远端骨折患者,根据Müller AO分型,A3型11例、B2型4例、B3型2例、C1型15例、C2型23例、C3型12例.所有患者均采用切开复位后行解剖型桡骨掌侧锁定接骨板内固定术,术后定期随访.术后6个月采用Stewart改良的Sarmiento系统和Dienst标准对骨折复位情况和患腕关节功能进行评估.结果 所有患者均获随访,随访时间6~18个月,平均随访时间为(12.6±3.2)个月.X线片显示所有骨折均愈合,平均愈合时间为(8.7±2.4)周.术后6个月,经X线片测量桡骨茎突高度为(10.3±2.1) mm、掌倾角为(8.5±4.2)°、尺偏角为(21.1±4.9)°,均基本恢复正常;采用Stewart改良的Sarmiento系统评估显示复位优良率为95.5%(64/67),采用Dienst标准评估患侧腕关节功能的优良率为92.5%(62/67).结论 采用切开复位后行解剖型桡骨掌侧锁定接骨板内固定术治疗不稳定性桡骨远端骨折可获得较理想的疗效.%Objective To evaluate the radiologic and functional outcomes of internal fixation for unstable distal radius fractures with anatomic volar locking plate.Methods From July 2010 to June 2012,67 patients underwent open reduction and internal fixation with anatomic volar locking plate.These comminuted distal radius fractures included 11 type A3,4 type B2,2 type B3,15 type C1,23 type C2,and 12 type C3,according to the AO/ASIF classification.Fracture reduction and wrist joint function were assessed by Sarmiento criteria modified by Stewart and Dienst scale at 6 months after operation.Results All patients were followed up for (12.6 ±3.2) months (range,6-18 months).X-ray showed that all fractures were healed after (8.7 ± 2.4) weeks.The average height of radial malleolus was (10.3 ± 2.1) mm,the volar inclined angel was (8.5± 4.2)

  5. [Side effects of third generation progestins].

    Science.gov (United States)

    Sitruk-Ware, R

    1993-04-01

    A large number of publications on oral contraceptives (OC) can be found in the medical literature. These reports deal not only with mode of action or efficacy of OCs but also with side effects. Adverse drug reactions (ADR) are not accepted nor acceptable from a population of young women free of disease who expect from their mode of contraception to be fully efficient and devoid from side effects. In most instances, side effects observed with OCs as well as their efficacy are related to the total dose of steroïds contained in the combination, to the balance between the estrogen and the progestin content and to the specific characteristics of the molecules. Cardiovascular morbidity and mortality reported in OC users have been related firstly to the ethinylestradiol (EE) and as a first step, the estrogen dose has been reduced in the OCs synthesized in the 70s. Later on, cardiovascular risk has been correlated to lipid profile changes and progestins with androgenic properties have been made responsible for cardiovascular events reported in OC users. In order to minimize the incidence of ADRs and to induce beneficial changes in lipid patterns, new progestational molecules devoid of androgenic properties have been recently synthesized. Three compounds called "third generation" progestins, derived from levonorgestrel are presently available in Europe. These three gonane progestins demonstrate affinity for the androgenic receptor, but when administered together with EE do not oppose the estrogenic effect observed on protein markers such as the Sex Hormone Binding Globulin (SHBG) or the High Density Lipoprotein (HDL).(ABSTRACT TRUNCATED AT 250 WORDS)

  6. The dark side of food addiction.

    Science.gov (United States)

    Parylak, Sarah L; Koob, George F; Zorrilla, Eric P

    2011-07-25

    In drug addiction, the transition from casual drug use to dependence has been linked to a shift away from positive reinforcement and toward negative reinforcement. That is, drugs ultimately are relied on to prevent or relieve negative states that otherwise result from abstinence (e.g., withdrawal) or from adverse environmental circumstances (e.g., stress). Recent work has suggested that this "dark side" shift also is a key in the development of food addiction. Initially, palatable food consumption has both positively reinforcing, pleasurable effects and negatively reinforcing, "comforting" effects that can acutely normalize organism responses to stress. Repeated, intermittent intake of palatable food may instead amplify brain stress circuitry and downregulate brain reward pathways such that continued intake becomes obligatory to prevent negative emotional states via negative reinforcement. Stress, anxiety and depressed mood have shown high comorbidity with and the potential to trigger bouts of addiction-like eating behavior in humans. Animal models indicate that repeated, intermittent access to palatable foods can lead to emotional and somatic signs of withdrawal when the food is no longer available, tolerance and dampening of brain reward circuitry, compulsive seeking of palatable food despite potentially aversive consequences, and relapse to palatable food-seeking in response to anxiogenic-like stimuli. The neurocircuitry identified to date in the "dark" side of food addiction qualitatively resembles that associated with drug and alcohol dependence. The present review summarizes Bart Hoebel's groundbreaking conceptual and empirical contributions to understanding the role of the "dark side" in food addiction along with related work of those that have followed him.

  7. Side chain polysiloxanes with phthalocyanine moieties

    Directory of Open Access Journals (Sweden)

    T. Ganicz

    2012-05-01

    Full Text Available Side chain polysiloxane with 5-(pentyloxy-3-methyloxy-9,10,16,17,23,24-hexakis(octenyloxyphthalocyanine moieties is synthesized by hydrosilylation reaction. The phase behavior and thermooptical properties of the polysiloxane and starting 2-(pent-4-enyloxy-3-methyloxy-9,10,16,17,23,24-hexakis(octenyloxyphthalocyanine is examined by POM (Polarizing optical microscopy, TOA (thermooptical analysis, DSC (differential scanning calorimetry, AFM (atomic force microscopy and SAXS (small angle X-ray scattering studies. The effect of the attachment of phthalocyanine to polysiloxane chains over phase transitions and phase morphology is discussed in details.

  8. The Other Side of GDP Growth

    Institute of Scientific and Technical Information of China (English)

    Zhan Yong; Cai Fang

    2011-01-01

    @@ THE rise of China's GDP ranking has not only led the world to rediscover China, but also reminded China to examine its own development.Both sides of the issue should be considered. On the one hand, China topping Japan [the world's previous second largest economy] in terms of GDP marks the rising of Chinas economic status, which is a milestone in the modern world economic history since Japan replaced the former Federal Republic of Germany as the world's second largest economy in 1968.

  9. Right-Sided Sigmoid Diverticular Perforation

    Directory of Open Access Journals (Sweden)

    Andrew Little

    2012-04-01

    Full Text Available Diverticulosis is a common disorder among geriatric patients, of whom 10% to 25% go on to develop diverticulitis. Known complications of diverticulitis include formation of phlegmon, fistula, bowel obstruction, bleeding, perforation, and colonic abscess. A less common complication is perforation with formation of an extra-abdominal necrotizing abscess. This case is a report of an 83-year-old female who presented to the emergency department with a necrotizing abdominal wall abscess secondary to right-sided diverticular microperforation. [West J Emerg Med. 2012;13(1:103–105.

  10. Illegal immigration: a supply side analysis.

    Science.gov (United States)

    Bandyopadhyay, S; Bandyopadhyay, S C

    1998-12-01

    "This paper analyzes the supply-side determinants of illegal immigration using a three-sector general equilibrium model of the source country. Agricultural liberalization raises illegal immigration while liberalization of the high tech sector reduces it. In contrast, capital mobility in the source country renders trade policy ineffective for controlling illegal immigration. Paradoxically, increased enforcement (by the host country) may raise source country unskilled wages, although illegal immigration falls. Finally, under capital mobility, a rise in the source country restrictions on capital inflow raises the level of illegal immigration and reduces the effectiveness of border enforcement efforts by the host country."

  11. Cardiologic side effects of psychotropic drugs

    Institute of Scientific and Technical Information of China (English)

    Giuseppe Marano; Gianandrea Traversi; Enrico Romagnoli; Valeria Catalano; Marzia Lotrionte; Antonio Abbate; Giuseppe Biondi-Zoccai; Marianna Mazza

    2011-01-01

    Psychotropic drugs can produce cardiovascular side effects associated with a degree of cardiotoxicity.The coexistence of a heart disease complicates the management of mental illness,can contribute to a reduced quality of life and a worse illness course.The co-occurrence of psychiatric disorders in cardiac patients might affect the clinical outcome and morbidity.Moreover,the complex underlying mechanism that links these two conditions remains unclear.This paper discusses the known cardiovascular complications of psychotropic drugs and analyzes the important implications of antidepressive treatment in patients with previous cardiac history.

  12. Industrial demand side management status report - synopsis

    Energy Technology Data Exchange (ETDEWEB)

    Hopkins, M.E.F.; Conger, R.L.; Foley, T.J. [and others

    1996-05-01

    Industrial demand side management (DSM) programs, though not as developed or widely implemented as residential and commercial programs, hold the promise of significant energy savings-savings that will benefit industrial firms, utilities and the environment. This paper is a synopsis of a larger research report, Industrial Demand Side Management: A Status Report, prepared for the U.S. Department of Energy. The report provides an overview of and rationale for DSM programs. Benefits and barriers are described, and data from the Manufacturing Energy Consumption Survey are used to estimate potential electricity savings from industrial energy efficiency measures. Overcoming difficulties to effective program implementation is worthwhile, since rough estimates indicate a substantial potential for electricity savings. The report categorizes types of DSM programs, presents several examples of each type, and explores elements of successful programs. Two in-depth case studies (of Boise Cascade and of Eli Lilly and Company) illustrate two types of effective DSM programs. Interviews with staff from state public utility commissions indicate the current thinking about the status and future of industrial DSM programs. Finally, the research report also includes a comprehensive bibliography, a description of technical assistance programs, and an example of a methodology for evaluating potential or actual savings from projects.

  13. Industrial demand side management status report: Synopsis

    Energy Technology Data Exchange (ETDEWEB)

    Hopkins, M.E.F.; Conger, R.L.; Foley, T.J.; Parker, J.W.; Placet, M.; Sandahl, L.J.; Spanner, G.E.; Woodruff, M.G.; Norland, D.

    1995-08-01

    Industrial demand side management (DSM) programs, though not as developed or widely implemented as residential and commercial programs, hold the promise of significant energy savings-savings that will benefit industrial firms, utilities and the environment. This paper is a synopsis of a larger research report, Industrial Demand Side Management. A Status Report, prepared for the US Department of Energy. The report provides an overview of and rationale for DSM programs. Benefits and barriers are described, and data from the Manufacturing Energy Consumption Survey are used to estimate potential electricity savings from industrial energy efficiency measures. Overcoming difficulties to effective program implementation is worthwhile, since rough estimates indicate a substantial potential for electricity savings. The report categorizes types of DSM programs, presents several examples of each type, and explores elements of successful programs. Two in-depth case studies (of Boise Cascade and of Eli Lilly and Company) illustrate two types of effective DSM programs. Interviews with staff from state public utility commissions indicate the current thinking about the status and future of industrial DSM programs. Finally, the research report also includes a comprehensive bibliography, a description of technical assistance programs, and an example of a methodology for evaluating potential or actual savings from projects.

  14. THE TWO SIDES OF MONEY LAUNDERING

    Directory of Open Access Journals (Sweden)

    Corina – Maria ENE

    2014-12-01

    Full Text Available The mainly goal of money laundering is to carry out more and more illegal economic transactions or activities to produce individual or groups gains and then to legitimate them. Money laundering converts illicit source of money generated by criminal activities in order to hide the connection between money and their original illegal activities. This is one of money laundering side. The second side implies corruption. While money laundering is a passing channel for illicit funds due to its criminal origin source, such funds may derive from corruption offences. All corruption’s forms represent the most important illicit funds branches for money laundering process. Corrupt people methods used to exploit the national and international financial system reflect the relationship between those two criminal activities. Criminals achieve their personal interests by hiding their corruption proceeds and transfer these gains to official economies. Corruption spread in any society entails money laundering spread, and the converse, too. There is a quite “indecent” relationship between money laundering and corruption. This paper tries to identify the multiple connections between the two phenomenons showing the negative impacts these criminal behaviours are having on the national and international economy. We conclude by highlighting the necessity of a multidisciplinary approach in order to fight against money laundering and corruption by integrating these problem frameworks at national level. International community must focus their resources on money laundering and corruption risks areas and maximize their response impact.

  15. Side-Chain-Induced Rigid Backbone Organization of Polymer Semiconductors through Semifluoroalkyl Side Chains.

    Science.gov (United States)

    Kang, Boseok; Kim, Ran; Lee, Seon Baek; Kwon, Soon-Ki; Kim, Yun-Hi; Cho, Kilwon

    2016-03-23

    While high-mobility p-type conjugated polymers have been widely reported, high-mobility n-type conjugated polymers are still rare. In the present work, we designed semifluorinated alkyl side chains and introduced them into naphthalene diimide-based polymers (PNDIF-T2 and PNDIF-TVT). We found that the strong self-organization of these side chains induced a high degree of order in the attached polymer backbones by forming a superstructure composed of "backbone crystals" and "side-chain crystals". This phenomenon was shown to greatly enhance the ordering along the backbone direction, and the resulting polymers thus exhibited unipolar n-channel transport in field-effect transistors with remarkably high electron mobility values of up to 6.50 cm(2) V(-1) s(-1) and with a high on-off current ratio of 10(5).

  16. Analysis of wave resonant effects in-between offshore vessels arranged side-by-side

    OpenAIRE

    Dinoi, Pasquale

    2016-01-01

    La predicción de la interacción hidrodinámica entre dos cuerpos flotantes en la configuración side-by-side (lado-a-lado) se ha convertido en un importante y complicado problema en los últimos años. Esta situación es relevante cuando se trata de tomar decisiones sobre la viabilidad de una serie de operaciones offshore, principalmente relacionadas con el proceso de transferencia de carga líquida entre dos cascos. Esta tesis se profundiza en algunos aspectos hidrodinámico relevantes que surgen c...

  17. The Variation of Interface Formation with Slurry Viscosity Change in Side-By-Side Tape Casting

    DEFF Research Database (Denmark)

    Bulatova, Regina; Jabbari, Masoud; Andersen, Kjeld Bøhm;

    Homogenous and flexible adjacently graded tapes were produced by casting the organic-based slurries simultaneously. To develop side-by-side tape casing (SBSTC), the material optimization, modernization of the doctor blade design, and parameters control of such processes as casting, drying, de......-bindering and sintering were studied. Solvent and binder concentrations were varied in order to optimize co-casting flow, as well as the drying and sintering shrinkage. Tapes were evaluated in terms of rheological behavior of the slurries, the green and sintered tape microstructure, the quality of the interface area...

  18. Narrating narcolepsy--centering a side effect.

    Science.gov (United States)

    Lundgren, Britta

    2015-01-01

    The mass-vaccination with Pandemrix was the most important preventive measure in Sweden during the A(H1N1) influenza pandemic of 2009-2010, and covered 60% of the population. From 2010, an increased incidence of the neurological disease narcolepsy was reported, and an association with Pandemrix was affirmed for more than 200 children and young adults. The parental experience of this side effect provided a starting point for a collectively shaped critical narrative to be acted out in public, but also personalized narratives of continual learning about the disease and its consequences. This didactic functionality resulted in active meaning-making practices about how to handle the aftermath--using dark humor, cognitive tricks, and making themselves and their children's bodies both objects and subjects of knowledge. Using material from interviews with parents, this mixing of knowledge work and political work, and the potential for reflective consciousness, is discussed.

  19. Grammars with two-sided contexts

    Directory of Open Access Journals (Sweden)

    Mikhail Barash

    2014-05-01

    Full Text Available In a recent paper (M. Barash, A. Okhotin, "Defining contexts in context-free grammars", LATA 2012, the authors introduced an extension of the context-free grammars equipped with an operator for referring to the left context of the substring being defined. This paper proposes a more general model, in which context specifications may be two-sided, that is, both the left and the right contexts can be specified by the corresponding operators. The paper gives the definitions and establishes the basic theory of such grammars, leading to a normal form and a parsing algorithm working in time O(n^4, where n is the length of the input string.

  20. Industrial demand side management: A status report

    Energy Technology Data Exchange (ETDEWEB)

    Hopkins, M.F.; Conger, R.L.; Foley, T.J. [and others

    1995-05-01

    This report provides an overview of and rationale for industrial demand side management (DSM) programs. Benefits and barriers are described, and data from the Manufacturing Energy Consumption Survey are used to estimate potential energy savings in kilowatt hours. The report presents types and examples of programs and explores elements of successful programs. Two in-depth case studies (from Boise Cascade and Eli Lilly and Company) illustrate two types of effective DSM programs. Interviews with staff from state public utility commissions indicate the current thinking about the status and future of industrial DSM programs. A comprehensive bibliography is included, technical assistance programs are listed and described, and a methodology for evaluating potential or actual savings from projects is delineated.

  1. Constraining the dark side with observations

    Energy Technology Data Exchange (ETDEWEB)

    Diez-Tejedor, Alberto [Dpto. de Fisica Teorica, Universidad del PaIs Vasco, Apdo. 644, 48080, Bilbao (Spain)

    2007-05-15

    The main purpose of this talk is to use the observational evidences pointing out to the existence of a dark side in the universe in order to infer some of the properties of the unseen material. We will work within the Unified Dark Matter models, in which both, Dark Matter and Dark Energy appear as the result of one unknown component. By modeling effectively this component with a classical scalar field minimally coupled to gravity, we will use the observations to constrain the form of the dark action. Using the flat rotation curves of spiral galaxies we will see that we are restringed to the use of purely kinetic actions, previously studied in cosmology by Scherrer. Finally we arrive to a simple action which fits both cosmological and astrophysical observations.

  2. Pathologic overproduction: the bad side of adenosine.

    Science.gov (United States)

    Borea, Pier Andrea; Gessi, Stefania; Merighi, Stefania; Vincenzi, Fabrizio; Varani, Katia

    2017-03-02

    Adenosine is an endogenous ubiquitous purine nucleoside, increased by hypoxia, ischemia and tissue damage that mediates a number of physiopathological effects by interacting with four G-protein-coupled receptors, identified as A1 , A2A , A2B , and A3 . Physiological and acutely-increased adenosine is associated with beneficial effects mostly including vasodilation and decrease of inflammation. In contrast chronic overproduction of adenosine occurs in important pathological states, where long lasting increases in the nucleoside levels are responsible for the bad side of adenosine associated with chronic inflammation, fibrosis and organ damage. In this review we describe and critically discuss the pathologic overproduction of adenosine analysing when, where and how adenosine exerts its detrimental effects through the body.

  3. Development of Crashworthy Bottom and Side Structures

    DEFF Research Database (Denmark)

    Naar, H.; Kujala, P.; Simonsen, Bo Cerup;

    2002-01-01

    structures. The first structure is a conventional double bottom. In the second structure (presently protected through a patent) the bottom plating is stiffened with hat-profiles instead of bulb profiles. In the third structure the outer shell is an all-steel sandwich panel. In the fourth structure the bottom......The purpose of this work is to compare the resistance to damage of various types of double bottom structures in a stranding event. The results can also be interpreted as the crashworthiness of side structures penetrated by a striking vessel in a collision event. The comparative analyses are made...... by use of a commercial, explicit finite element program. The ship bottom is loaded with a conical indenter with a rounded tip, which is forced laterally into the structures in different positions. The aim is to compare resistance forces, energy absorption and penetration to fracture for four different...

  4. Esomeprazole induced galactorrhea: a novel side effect.

    Science.gov (United States)

    Pipaliya, Nirav; Solanke, Dattatray; Rathi, Chetan; Patel, Ruchir; Ingle, Meghraj; Sawant, Prabha

    2016-02-01

    Proton pump inhibitors (PPIs) are one of the most frequently prescribed medications across the globe. Esomeprazole is the S-isomer of omeprazole, and it is currently the most widely prescribed PPI. The safety profile of esomeprazole is extremely favorable with only minor side effects, like headache and diarrhea, that are encountered in day to day practice. We report a case of a young female with symptoms of gastroesophageal reflux disease who developed galactorrhea after starting esomeprazole therapy. Resolution of galactorrhea after stopping the drug and self-rechallenge by the patient herself with reappearance of galactorrhea confirmed the culprit to be esomeprazole only. We postulate that esomeprazole may have a mild inhibitory effect on CYP3A4, which leads to decreased metabolism of estrogen, thereby increasing serum estrogen levels. Estrogen causes stimulation and production of prolactin release, which results in development of galactorrhea. This is the first case of esomeprazole induced galactorrhea, to the best of our knowledge.

  5. The quantum capacity with symmetric side channels

    CERN Document Server

    Smith, G; Winter, A; Smith, Graeme; Smolin, John A.; Winter, Andreas

    2006-01-01

    We present an upper bound for the quantum channel capacity that is both additive and convex. Our bound can be interpreted as the capacity of a channel for high-fidelity communication when assisted by the family of all channels mapping symmetrically to their output and environment. The bound seems to be quite tight, and for degradable quantum channels it coincides with the unassisted channel capacity. Using this symmetric side channel capacity, we find new upper bounds on the capacity of the depolarizing channel. We also briefly indicate an analogous notion for distilling entanglement using the same class of (one-way) channels, yielding one of the few genuinely 1-LOCC monotonic entanglement measures.

  6. The two sides of silicon detectors

    CERN Document Server

    Devine, S R

    2001-01-01

    /p/n sup + and essentially two p-n junctions within one device. With increasing bias voltage, as the electric field is extending into the detector bulk from opposite sides of the silicon detector, there are two distinct depletion regions that collect charge signal independently. Summing the signal charge from the two regions, one is able to reconstruct the initial energy of the incident particle. From Transient Current measurements it is apparent that E-field manipulation is possible by excess carrier injection, enabling a high enough E-field to extend across the width of the detector, allowing for efficient charge collection. Results are presented on in situ irradiation of silicon detector's at cryogenic temperature. The results show that irradiation at cryogenic temperatures does not detrimentally effect a silicon detectors performance when compared to its irradiation at room temperature. Operation of silicon devices at cryogenic temperatures offers the advantage of reducing radiation-induced leakage curren...

  7. The dark side of SAPHO syndrome.

    Science.gov (United States)

    Henriques, Celia Coelho; Sousa, Mónica; Panarra, António; Riso, Nuno

    2011-12-21

    SAPHO syndrome (synovitis, acne, pustulosis, hyperostosis and osteitis) is a relatively rare entity. The therapeutic approach of patients with SAPHO syndrome has included multiple drugs with varying success and incoherence responses. The therapy is still empirical today. SAPHO syndrome is commonly treated with non-steroidal anti-inflammatory drugs, bisphophonates and non-biologic disease modifying antirheumatic drugs. Recent reports showed successful treatment with tumour necrosis factor α (TNF α) antagonists, but there is still a dark side of SAPHO syndrome including a subgroup of patient's refractory to all the treatments that have been empirically experienced. A clinical report of a patient with SAPHO syndrome with 12 years of evolution is described. All the therapeutic approaches, including anti TNF α therapy, have not prevented the clinical and radiographic progression of the disease. Given that the disease affects mostly younger patients, new therapeutic strategies are necessary in order to avoid potentially irreversible joint and bone lesions.

  8. The Siding Spring Hazard at Mars

    Science.gov (United States)

    Kelley, Michael; Bauer, James; Bodewits, Dennis; Farnham, Tony; Li, Jian-Yang; Samarasinha, Nalin; Stevenson, Rachel; Tricarico, Pasquale

    2014-02-01

    Comet C/2013 A1 (Siding Spring) will pass Mars at the extremely close distance of 136,000 km in Oct 2014, giving Mars orbiting spacecraft an up-close and unprecedented view of this dynamically new comet. However, 100 minutes after the closest approach to the nucleus, Mars passes within 30,000 km of the comet's orbit. Here, large dust grains may be found on impacting trajectories, potentially posing a fatal hazard to the spacecraft. Such large grains must be ejected from the comet nucleus well before the time of encounter. Therefore, we propose IRAC imaging of this comet to assess the present-day gas production rate, which will aid dust impact hazard assessment.

  9. NUMERICAL SIMULATION OF FLOW OVER TWO SIDE-BY-SIDE CIRCULAR CYLINDERS

    Institute of Scientific and Technical Information of China (English)

    SARVGHAD-MOGHADDAM Hesam; NOOREDIN Navid; GHADIRI-DEHKORDI Behzad

    2011-01-01

    In the present paper,the unsteady,viscous,incompressible and 2-D flow around two side-by-side circular cylinders was simulated using a Cartesian-staggered grid finite volume based method.A great-source term technique was employed to identify the solid bodies (cylinders) located in the flow field and boundary conditions were enforced by applying the ghost-cell technique.Finally,the characteristics of the flow around two side-by-side cylinders were comprehensively obtained through several computational simulations.The computational simulations were performed for different transverse gap ratios (1.5≤T/D≤4) in laminar (Re =100,200 ) and turbulent (Re =104) regimes,where T and D are the distance between the centers of cylinders and the diameter of cylinders,respectively.The Reynolds number is based on the diameter of cylinders,D.The pressure field and vorticity distributions along with the associated streamlines and the time histories of hydrodynamic forces were also calculated and analyzed for different gap ratios.Generally,different flow patterns were observed as the gap ratio and Reynolds number varied.Accordingly,the hydrodynamic forces showed irregular variations for small gaps while they took a regular pattern at higher spacing ratios.

  10. HYDRODYNAMIC INTERACTION BETWEEN FLNG VESSEL AND LNG CARRIER IN SIDE BY SIDE CONFIGURATION

    Institute of Scientific and Technical Information of China (English)

    ZHAO Wen-hua; YANG Jian-min; HU Zhi-qiang

    2012-01-01

    The Floating Liquefied Natural Gas (FLNG) is a new type of floating platform for the exploitation of stranded offshore oil/gas fields.The side by side configuration for the FLNG vessel and the LNG carrier arranged in parallel is one of the possible choices for the LNG offloading.During the offioading operations,the multiple floating bodies would have very complex responses due to their hydrodynamic interactions.In this study,numerical simulations of multiple floating bodies in close proximity in the side by side offioading configuration are carried out with the time domain coupled analysis code SIMO.Hydrodynamic interactions between the floating bodies and the mechanical coupling effects between the floating bodies and their connection systems are included in the coupled analysis model.To clarify the hydrodynamic effects of the two vessels,numerical simulations under the same environmental condition are also conducted without considering the hydrodynamic interactions,for comparison.It is shown that the hydrodynamic interactions play an important role in the low frequency motion responses of the two vessels,but have little effect on the wave frequency motion responses.In addition,the comparison results also show that the hydrodynamic interactions can affect the loads on the connection systems.

  11. The Light Side and The Dark Side of the Milky Way Halo

    Science.gov (United States)

    Kafle, Prajwal R.; Sharma, Sanjib; Lewis, Geraint F.; Bland-Hawthorn, Joss

    2014-01-01

    We present our recent measurement of the kinematics of the Milky Way stellar halo (Light Side) and the derived mass of the dark matter halo (Dark Side) using the Jeans analysis. A tangential dip in the velocity anisotropy profile at r ~ 17 kpc (Kafle et al. 2012), and a distinct difference of ~65 kms-1 in the mean azimuthal velocity and the r.m.s dispersion of the most metal-rich and the metal-poor Blue Horizontal Branch stars we find (Kafle et al. 2013) are reported. The implications of this on the current controversial issue of an existence of the two-components in the halo are also discussed. Aided with the kinematic measurements of the light side, we demonstrate how we infer the dynamical property of the dark side. Considering a realistic three component galaxy model (Hernquist bulge, Miyamoto-Nagai disk and NFW halo), we estimate the virial mass of the Galaxy to be M vir = 1.2+0.5 -0.4 × 1012 M ⊙ (Kafle et al. 2012). We also show that the rotation curve of the Galaxy has undulations similar to what have also been seen in the studies of the HI gas (Sofue et al. 2009).

  12. [Investigation of permeability of intranasal formulations using Side-Bi-Side horizontal diffusion cell].

    Science.gov (United States)

    Horváth Tamás; Ambrus, Rita; Szabóné, Révész Piroska

    2015-01-01

    Nowadays the nasal route has received a great attention as a reliable administration for the systemic administration. In the Department of Pharmaceutical Technology, University of Szeged, the main research work is the design and development of innovative nasal formulations, which can open new possibilities for some well-known agents and may also help some drug-candidates delivery problems. The aim of this work was to present some reliable models for investigation of permeability, such as Spectra/Por Dialisys Membran, ZelluTrans/Roth Mini Dialyzer, μFLUX diffusion Cell, Navicyte Vertical and Horizontal Diffusion Chamber System and In-line Cell. In addition, the horizontal membrane diffusion model (Side-Bi-Side) was used to investigate in vitro and ex vivo studies of permeability of meloxicam in comparison with the vertical diffusion cell (Franz). The present study investigated the meloxicam in different dosage forms (powder, spray, gel). It was found that the Side-Bi-Side cell is suitable to test the nasal formulations, but the uniform distribution of the active substance cannot be ensured in donor place by increasing the viscosity of the compositions, therefore the Franz cell is recommended for investigation of nasal gel. Previous measurement cannot be found related to this topic.

  13. LARGE EDDY SIMULATION AND SPECTRUM ANALYSIS OF FLOW AROUND TWO SQUARE CYLINDERS ARRANGED SIDE BY SIDE

    Institute of Scientific and Technical Information of China (English)

    魏英杰; 朱蒙生; 何钟怡

    2004-01-01

    Large eddy simulation cooperated with the second order full extension ETG (Euler-Taylor-Galerkin) finite element method was applied to simulate the flow around two square cylinders arranged side by side at a spacing ratio of 1.5. The second order full extension ETG finite element method was developed by Wang and He. By means of Taylor expansion of terms containing time derivative, time derivative is replaced by space derivative. The function of it is equal to introducing an artificial viscosity term. The streamlines of the flow at different moments were obtained. The time history of drag coefficient, lift coefficient and the streamwise velocity on the symmetrical points were presented. Furthermore, the symmetrical problem of the frequency spectrum of flow around two square cylinders arranged side by side were studied by using the spectral analysis technology. The data obtained at the initial stage are excluded in order to avoid the influence of initial condition on the results. The power spectrums of drag coefficient, lift coefficient, the streamwise velocity on the symmetrical points were analyzed respectively.The results show that although the time domain process of dynamic parameters is nonsymmetrical, the frequency domain process of them is symmetrical under the symmetrical boundary conditions.

  14. Interaction of Gap Flow With Flapping Dynamics of Two Side-by-Side Elastic Foils

    Science.gov (United States)

    Gurugubelli, Pardha S.; Jaiman, Rajeev K.

    2016-11-01

    We present a numerical analysis on the interaction between two side-by-side elastic foils with their leading edges clamped and the gap flow between them. We perform systematic parametric direct numerical simulations as a function of nondimensional bending rigidity, KB ∈ [ 1 ×10-4 , 3 ×10-3 ] and mass-ratio, m* ∈ [ 0 . 05 , 0 . 2 ] , for a fixed gap, dp = 0 . 2 / L , at the leading edge and Reynolds number, Re = 1000 to explain the underlying physical mechanism behind the in-phase and out-of-phase coupled flapping modes. The parametric simulations show that the parallel foil system exhibits predominant out-of-phase coupling for low mass-ratio m* 0 . 1 . We also show that the two side-by-side elastic foils always exhibit out-of-phase coupling initially irrespective of whether the fully developed flapping show out-of-phase or in-phase coupled mode. Finally, we show that the transition from the initial out-of-phase to stable in-phase is characterized by loss of gap flow symmetric stability to undergo oscillations at the gap exit.

  15. Three--dimensional Instability in the Wake of Two Side--by--side Square Cylinders

    Science.gov (United States)

    Choi, Choon-Bum; Jang, Yong-Jun; Yang, Kyung-Soo

    2011-11-01

    Three-dimensional instability in the flow past two square cylinders in side-by-side arrangements has been numerically studied via a Floquet stability analysis. The distance between the neighboring faces of the two cylinders (G) is the key parameter which affects the secondary instability under consideration. In this talk, we present the critical Reynolds number for the 3D instability and the spanwise wave number corresponding to the most unstable (or least stable) wave for each G. When the two cylinders are close to each other, the Floquet mode resembles mode A of flow past a single cylinder. For large G, the Floquet mode for each cylinder is independent of the neighboring cylinder as expected. In the range of intermediate G, interference of the two wakes is clearly reflected in the Floquet mode. We also discuss about the effect of gap flow, and visualization of the dominant 3D vortical structures is provided by using Q contours. Our results shed light on a complete understanding of the onset of 3D instability in the presence of two side-by-side square cylinders. This work was supported by Korea Railroad Research Institute (Research Title: The study of standardization for urban railway facilities (SW 11002)).

  16. Quantitative flow characteristics for side-by-side square cylinders via PIV

    Directory of Open Access Journals (Sweden)

    Dogan Sercan

    2012-04-01

    Full Text Available In this study, instantaneous and time-averaged flow structures downstream of the sharp-edged single and two and three side-by-side square cylinders (SCs immersed in a uniform open channel water flow were studied by a technique of particle image velocimetry (PIV. Experimental results of wake flow structures were presented for gap ratios (G/D in the range of 1.0”G/D”3.0 for Reynolds number values of 1050, 2450 and 3400. Flow structures depending on the square cylinder (SC configurations and Reynolds number were discussed. It has been found that the development of the vortex shedding as well as the flow structure were substantially altered for side-by-side SCs comparing to the single SC. Asymmetrical and biased wake structures were observed because of the jetlike flow between the SCs for two SCs cases for the gap ratio less than 2.0. Depending on the gap spacing between the SCs, the interaction results of time2 averaged vorticity, velocity vector field, Reynolds stress correlations and streamline patterns in the wake region form a distinguished flow structure. Strouhal numbers for the single square cylinder for 1050≤Re≤3400 are found in the range of 0.12-0.13. The present results have supported the previous works by providing detailed quantitative experimental information with PIV in the wake region of the SC and might be helpful for validation of numerical studies and designers.

  17. Side-Scan-Sonar Points for Hudson River, NY

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Side Scan Point Files. These points correspond to individual pings which produced hte side-scan-sonar backscatter imagery. Sonar data were collected November 6 to...

  18. Isolation and characterization of multidrug-resistant side population ...

    African Journals Online (AJOL)

    Isolation and characterization of multidrug-resistant side population cells in prostate carcinoma. ... PROMOTING ACCESS TO AFRICAN RESEARCH ... Keywords: Side population cells, ABC transporters, Cancer stem cells, Chemotherapy, ...

  19. Chemotherapy Side Effects: A Cause of Heart Disease?

    Science.gov (United States)

    ... Can chemotherapy side effects increase the risk of heart disease? Answers from Timothy J. Moynihan, M.D. Chemotherapy side effects may increase the risk of heart disease, including weakening of the heart muscle (cardiomyopathy) and ...

  20. Managing Chemotherapy Side Effects: Fatigue (Feeling Weak and Very Tired)

    Science.gov (United States)

    ... nurse about other exercises that can help. Stretching, yoga, or Tai Chi help some people. Questions to ... NCI has a series of 18 Chemotherapy Side Effects Sheets at: www.cancer.gov/chemo-side-effects

  1. Organizational mediators siding with or against the powerful party?

    NARCIS (Netherlands)

    de Dreu, C.K.W.; Laskewitz, P.; van de Vliert, E.

    1994-01-01

    Examined whether, instead of being impartial, a mediator may side with one party as a function of the disputants' power differences (power balancing theory), the mediator's legitimacy judgments (siding theory), or the disputants' capacity to sanction the mediator (siding theory). A questionnaire stu

  2. Market definition in two-sided markets : Theory and practice

    NARCIS (Netherlands)

    Filistrucchi, L.; Geradin, D.A.A.G.; van Damme, E.E.C.; Affeldt, P.

    2014-01-01

    Drawing from the economics of two-sided markets, we provide suggestions for the definition of the relevant market in cases involving two-sided platforms, such as media outlets, online intermediaries, payment cards companies, and auction houses. We also discuss when a one-sided approach may be harmle

  3. Market definition in two-sided markets : Theory and practice

    NARCIS (Netherlands)

    Filistrucchi, L.; Geradin, D.A.A.G.; van Damme, E.E.C.; Affeldt, P.

    2014-01-01

    Drawing from the economics of two-sided markets, we provide suggestions for the definition of the relevant market in cases involving two-sided platforms, such as media outlets, online intermediaries, payment cards companies, and auction houses. We also discuss when a one-sided approach may be

  4. 14 CFR 23.363 - Side load on engine mount.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Side load on engine mount. 23.363 Section....363 Side load on engine mount. (a) Each engine mount and its supporting structure must be designed for a limit load factor in a lateral direction, for the side load on the engine mount, of not less...

  5. Promoting healthcare innovation on the demand side.

    Science.gov (United States)

    Eisenberg, Rebecca S; Price, W Nicholson

    2017-04-01

    Innovation policy often focuses on fortifying the incentives of firms that develop and sell new products by offering them lucrative rights to exclude competitors from the market. Regulators also rely on these same firms-and on similar incentives-to develop information about the effects of their products in patients, despite their obvious conflict of interest. The result may be a distorted understanding that leads to overuse of expensive new medical technologies. Recent technological advances have put healthcare payers in an excellent position to play a larger role in future innovation to improve healthcare and reduce its costs. Insurance companies and integrated healthcare providers have custody of treasure troves of data about healthcare provision and outcomes that can yield valuable insights about the effects of medical treatment without the need to conduct costly clinical trials. Some integrated healthcare systems have seized upon this advantage to make notable discoveries about the effects of particular products that have changed the standard of care. Moreover, to the extent that healthcare payers can profit from reducing costs, they will seek to avoid inappropriate use of costly technologies. Greater involvement of payers in healthcare innovation thus offers a potential counterweight to the incentives of product sellers to promote excessive use of costly new products. In recent years, the federal government has sought to promote innovation through analysis of healthcare records in a series of initiatives; some picture insurers as passive data repositories, while others provide opportunities for insurers to take a more active role in innovation. In this paper, we examine the role of health insurers in developing new knowledge about the provision and effects of healthcare-what we call 'demand-side innovation'. We address the contours of this underexplored area of innovation and describe the behavior of participating firms. We examine the effects of current legal

  6. Promoting healthcare innovation on the demand side

    Science.gov (United States)

    Eisenberg, Rebecca S.

    2017-01-01

    Abstract Innovation policy often focuses on fortifying the incentives of firms that develop and sell new products by offering them lucrative rights to exclude competitors from the market. Regulators also rely on these same firms—and on similar incentives—to develop information about the effects of their products in patients, despite their obvious conflict of interest. The result may be a distorted understanding that leads to overuse of expensive new medical technologies. Recent technological advances have put healthcare payers in an excellent position to play a larger role in future innovation to improve healthcare and reduce its costs. Insurance companies and integrated healthcare providers have custody of treasure troves of data about healthcare provision and outcomes that can yield valuable insights about the effects of medical treatment without the need to conduct costly clinical trials. Some integrated healthcare systems have seized upon this advantage to make notable discoveries about the effects of particular products that have changed the standard of care. Moreover, to the extent that healthcare payers can profit from reducing costs, they will seek to avoid inappropriate use of costly technologies. Greater involvement of payers in healthcare innovation thus offers a potential counterweight to the incentives of product sellers to promote excessive use of costly new products. In recent years, the federal government has sought to promote innovation through analysis of healthcare records in a series of initiatives; some picture insurers as passive data repositories, while others provide opportunities for insurers to take a more active role in innovation. In this paper, we examine the role of health insurers in developing new knowledge about the provision and effects of healthcare—what we call ‘demand-side innovation’. We address the contours of this underexplored area of innovation and describe the behavior of participating firms. We examine the

  7. Side-to-side growth discrepancies in children with hemiplegic cerebral palsy: association with function, activity and social participation

    OpenAIRE

    Marise Bueno Zonta; Amâncio Ramalho-Júnior; Marilene Puppi; Isac Bruck,; Neiva Magdalena; Muzzolon, Sandra Regina B.; Arnolfo Carvalho-Neto; Lúcia H Coutinho dos Santos

    2014-01-01

    Objective: Evaluate side-to-side discrepancies in children with hemiplegic cerebral palsy (HCP), and investigate associations of these discrepancies with patients’ age at initiation of physical therapy, motor and cognitive function, and degree of activities and social participation. Method: We obtained eight side-to-side measurements from 24 HCP children with mean age 49.3±5.2 months. Results: Early initiation of physical therapy was associated with lower discrepancy in hand length (p=0.037)....

  8. Flow and wall shear stress in end-to-side and side-to-side anastomosis of venous coronary artery bypass grafts

    Directory of Open Access Journals (Sweden)

    Poulikakos Dimos

    2007-09-01

    Full Text Available Abstract Purpose Coronary artery bypass graft (CABG surgery represents the standard treatment of advanced coronary artery disease. Two major types of anastomosis exist to connect the graft to the coronary artery, i.e., by using an end-to-side or a side-to-side anastomosis. There is still controversy because of the differences in the patency rates of the two types of anastomosis. The purpose of this paper is to non-invasively quantify hemodynamic parameters, such as mass flow and wall shear stress (WSS, in end-to-side and side-to-side anastomoses of patients with CABG using computational fluid dynamics (CFD. Methods One patient with saphenous CABG and end-to-side anastomosis and one patient with saphenous CABG and side-to-side anastomosis underwent 16-detector row computed tomography (CT. Geometric models of coronary arteries and bypasses were reconstructed for CFD analysis. Blood flow was considered pulsatile, laminar, incompressible and Newtonian. Peri-anastomotic mass flow and WSS were quantified and flow patterns visualized. Results CFD analysis based on in-vivo CT coronary angiography data was feasible in both patients. For both types of CABG, flow patterns were characterized by a retrograde flow into the native coronary artery. WSS variations were found in both anastomoses types, with highest WSS values at the heel and lowest WSS values at the floor of the end-to-side anastomosis. In contrast, the highest WSS values of the side-to-side anastomosis configuration were found in stenotic vessel segments and not in the close vicinity of the anastomosis. Flow stagnation zones were found in end-to-side but not in side-to-side anastomosis, the latter also demonstrating a smoother stream division throughout the cardiac cycle. Conclusion CFD analysis of venous CABG based on in-vivo CT datasets in patients was feasible producing qualitative and quantitative information on mass flow and WSS. Differences were found between the two types of anastomosis

  9. Side Chain Engineering in Solution-Processable Conjugated Polymers

    KAUST Repository

    Mei, Jianguo

    2014-01-14

    Side chains in conjugated polymers have been primarily utilized as solubilizing groups. However, these side chains have roles that are far beyond. We advocate using side chain engineering to tune a polymer\\'s physical properties, including absorption, emission, energy level, molecular packing, and charge transport. To date, numerous flexible substituents suitable for constructing side chains have been reported. In this Perspective article, we advocate that the side chain engineering approach can advance better designs for next-generation conjugated polymers. © 2013 American Chemical Society.

  10. Adaptive Optics Simulations for Siding Spring

    CERN Document Server

    Goodwin, Michael; Lambert, Andrew

    2012-01-01

    Using an observational derived model optical turbulence profile (model-OTP) we have investigated the performance of Adaptive Optics (AO) at Siding Spring Observatory (SSO), Australia. The simulations cover the performance for AO techniques of single conjugate adaptive optics (SCAO), multi-conjugate adaptive optics (MCAO) and ground-layer adaptive optics (GLAO). The simulation results presented in this paper predict the performance of these AO techniques as applied to the Australian National University (ANU) 2.3 m and Anglo-Australian Telescope (AAT) 3.9 m telescopes for astronomical wavelength bands J, H and K. The results indicate that AO performance is best for the longer wavelengths (K-band) and in the best seeing conditions (sub 1-arcsecond). The most promising results are found for GLAO simulations (field of view of 180 arcsecs), with the field RMS for encircled energy 50% diameter (EE50d) being uniform and minimally affected by the free-atmosphere turbulence. The GLAO performance is reasonably good over...

  11. The Darker Side of the Renaissance

    Directory of Open Access Journals (Sweden)

    Walter Mignolo

    2009-01-01

    Full Text Available The Darker Side of the Renaissance focuses on coloniality rather than on Europe’s witch and alchemist hunt. Today I would dare to say also that this expression refers us to the historical foundation of coloniality. At the same time, coloniality statement is called into question, as well as the distinction between the known object and the knowing subject, an assumption on which the Eurocentric project of “modernity” and “modernization” disciplines lie. The preface marks the enunciation with which the statement is stated. That is, it rejects the "point zero epistemology" denounced by Santiago Castro-Gómez. This means the reader should be always pay attention to the ennunciation s/he states him/herself, to the hand drawing the hand. Those of us dwelling at Abya-Yala/America are surrounded by the historical foundation of modernity/coloniality, we are a living part of that process, which only “scientific” alignment can make us believe we are looking at something (e.g., colonization touching what we are today

  12. The Dark side of World of Warcraft

    DEFF Research Database (Denmark)

    Larsen, Lasse Juel

    the look of ‘the other’. ‘The look’ can following this argument be perceived as an instrument of (self)-becoming. Becoming aware of ourselves through the look of ‘the other’ also means ‘the other’ holds a formative power over us which can be understood as an instrument of control, an always present way...... understand, perceive or conceptualise fellow players in-side the game world. The analysis of ‘the other’ in WoW rests upon Jean-Paul Sartre’s phenomenological description of ‘the other’ through ‘the look’ in Being and Nothingness (1992). According to Sartre do living beings become aware of themselves through......’s epistemology not only serve to describe the state of ‘the other’ and the social disciplining impact of the spatial design on player perception and behaviour in WoW, it also aims at showing a connection between Sartre and Foucault’s analysis of ‘the look’. This leads to the tentative conclusion that ‘the look...

  13. Side effects of endobronchial laser treatment

    Energy Technology Data Exchange (ETDEWEB)

    Dierkesmann, R.; Huzly, A.

    1985-03-01

    Side effects that have occurred in over 250 endobronchial laser treatments are reported. The laser has been used in severe tracheal and in bronchial obstructions. In two cases significant bleeding had to be treated with tamponade. In one patient an emphysema of the mediastinum developed, in 2 further patients a small pneumothorax. Perforation of the airway was not detected and no special treatment was necessary. Three patients with life-threatening tracheal stenoses and one patient with severe stenosis of both the mainstem bronchi due to metastasis in the bifurcation lymph node had a large defect in the tracheal or bronchial wall with a deep necrosis five to twelve weeks after laser treatment; all these patients had extensive radiotherapy in addition. One patient died due to severe respiratory insufficiency, probably caused by smoke intoxication. After the laser treatment, rubber-like fibrin-rich plaques may develop, which can lead to life-threatening obstructions of the airway. It is recommended that laser bronchoscopy should be performed with the rigid bronchoscope. After treatment of tracheal lesion an endoscopic check must be performed within 24 hours. The combination of laser treatment and radiotherapy seems to involve a certain risk of large defects in the bronchial wall due to necrosis of the tumor.

  14. Radio on the Other Side of Time

    Directory of Open Access Journals (Sweden)

    Alicia TAPIA LÓPEZ

    2016-06-01

    Full Text Available On October 30, 1938, Orson Welles aired the radio drama The War of the Worlds on the CBS Radio network, adapting the science-fiction novel by the British writer H. G. Wells. During the broadcast, listeners became stricken with panic, believing that the Earth was actually being invaded by giant snake-like Martians launching rays of fire down on humans. Welles was a groundbreaking figure whose trickery exploited the technological novelty of the radio to its fullest, adapting classic texts in ways that exploited the opportunities afforded by this new medium. Over the years, this radio classic has been adapted a number of times, though none has seized on the technological advances of our times. Drawing on the most salient innovations seen in Internet radio, this article creates an imaginary scenario that replicates Orson Welles’s work in the present day, when the Internet has become a channel for broadcasting and hyperlinks have brought different media together. The text is an exploration of the other side of time, where transmedia storytelling facilitates the exchange of stories among consumers, and broadcast programming is no longer linear.

  15. Incentives for demand-side management

    Energy Technology Data Exchange (ETDEWEB)

    Reid, M.W.; Brown, J.B. [Barakat and Chamberlin, Inc., Oakland, CA (United States)

    1992-01-01

    This report is the first product of an ongoing project to monitor the efforts of states to remove regulatory barriers to, and provide financial incentives for, utility investment in demand-side management (DSM) resources. The project was commissioned by the National Association of Regulatory Utility Commissioners (NARUC) in response to growing interest among regulators for a comprehensive survey of developments in this area. Each state report beings with an overview of the state`s progress toward removing regulatory barriers and providing incentives for DSM. Information is organized under five headings: status; IRP regulations and practice; current treatment of DSM, directions and trends; commission contact person. Where applicable, each overview is followed by one or more sections that report on specific incentive proposals or mechanisms within the state. Information on each proposal or mechanism is organized under eight headings. A notation on each page identifies the utility or other group associated with the proposal or mechanism. The eight headings are as follows: status; background; treatment of cost recovery; treatment of lost revenues/decoupling; treatment of profitability; other features; issues, and additional observations.

  16. Incentives for demand-side management

    Energy Technology Data Exchange (ETDEWEB)

    Reid, M.W.; Brown, J.B. (Barakat and Chamberlin, Inc., Oakland, CA (United States))

    1992-01-01

    This report is the first product of an ongoing project to monitor the efforts of states to remove regulatory barriers to, and provide financial incentives for, utility investment in demand-side management (DSM) resources. The project was commissioned by the National Association of Regulatory Utility Commissioners (NARUC) in response to growing interest among regulators for a comprehensive survey of developments in this area. Each state report beings with an overview of the state's progress toward removing regulatory barriers and providing incentives for DSM. Information is organized under five headings: status; IRP regulations and practice; current treatment of DSM, directions and trends; commission contact person. Where applicable, each overview is followed by one or more sections that report on specific incentive proposals or mechanisms within the state. Information on each proposal or mechanism is organized under eight headings. A notation on each page identifies the utility or other group associated with the proposal or mechanism. The eight headings are as follows: status; background; treatment of cost recovery; treatment of lost revenues/decoupling; treatment of profitability; other features; issues, and additional observations.

  17. Interference Alignment: A one-sided approach

    CERN Document Server

    Ghauch, Hadi G

    2011-01-01

    Interference Alignment (IA) is the process of designing signals in such a way that they cast overlapping shadows at their unintended receivers, while remaining distinguishable at the intended ones. Our goal in this paper is to come up with an algorithm for IA that runs at the transmitters only (and is transparent to the receivers), that doesn't require channel reciprocity, and that alleviates the need to alternate between the forward and reverse network as is the case in Distributed IA (Gomadam, Cadambe, Jafar 08'), thereby inducing significant overhead in certain environments where the channel changes frequently. Most importantly, our effort is focused on ensuring that this one-sided approach does not degrade the performance of the system w.r.t. Distributed IA (since it cannot improve it). As a first step, we model the interference in each receiver's desired signal as a function of the transmitters' beamforming vectors. We then propose a simple steepest descent (SD) algorithm and use it to minimize the inter...

  18. [The democratic side of science-fiction].

    Science.gov (United States)

    Lecellier, Charles-Henri

    2011-04-01

    Suspicion towards technological advances has progressively grown during the xx(th) century. However, in the XXI(st) century, reading the NBIC (nanotechnology, biotechnology, information technology and cognitive science) report of the National Science Foundation, we can note that science has caught up with science fiction. These changes in public mentality on one side and in scientific capacities on the other argue for an evolution of the debate on sciences. The recent example of the national debate on nanotechnology in France has clearly shown that the public is no longer waiting for additional sources of scientific knowledge but rather waiting for the recognition of its authority to participate in the definition of the national R&D priority and associated scientific strategies. This is all the more legitimate that these strategies will have profound impact on the future of our societies and therefore cannot be decided only by scientists. Hence, it is crucial to identify innovative tools promoting debate on sciences and their technological spin-off. Here, we contend that science fiction has major assets that could face this challenge and facilitate the dialogue between sciences and society.

  19. The effectiveness of side marker lamps: an experimental study.

    Science.gov (United States)

    Theeuwes, J; Alferdinck, J W

    1997-03-01

    The present experiment investigated the effect of small amber lamps mounted near the front and rear on each side of a passenger car-so called side marker lamps-on visual detection and recognition of passenger cars in complex nighttime environments. It was determined whether cars equipped with side marker lamps are detected and recognized earlier and more accurately than cars without side marker lamps. Subjects were presented with slides of natural nighttime scenes in which a car, either with or without side marker lamps, viewed from its side, approaching from a side street, was either present or not. Subjects determined as fast as possible whether a car was present or not. Reaction time measures (speed and accuracy) indicated that both under clear and fog visibility conditions, a car equipped with side marker lamps was detected and recognized earlier and more accurately than a car without side marker lamps. The results indicate that side marker lamps increase both lateral conspicuity and recognizability suggesting that side marker lamps may be effective in reducing the number of nighttime angle collisions.

  20. Integrated planning in supply chains with buy-side and sell-side marketplaces

    Indian Academy of Sciences (India)

    Roshan Gaonkar; N Viswanadham

    2005-04-01

    In this paper we develop a quadratic programming model for partner selection and planning in integrated supply chain networks embedded with both sell-side and buy-side electronic marketplaces. Such a scenario arises in several practical applications. In particular, we consider a contract manufacturer who procures components from suppliers through a component marketplace and sells its manufactured sub-assemblies to original equipment manufacturers (OEMs), through a sub-assembly marketplace. In these web-enabled supply chains, embedded with upstream and downstream electronic marketplaces, we need methods for online supply-chain partner selection based on pricing and delivery schedules. In this paper, we develop and present such a model that selects partners, synchronizes supply chain activities and optimizes the profit through optimal revenue pricing and cost minimization.

  1. Is right-sided colon cancer different to left-sided colorectal cancer? - a systematic review.

    Science.gov (United States)

    Lee, G H; Malietzis, G; Askari, A; Bernardo, D; Al-Hassi, H O; Clark, S K

    2015-03-01

    Colorectal cancer (CRC) exhibits differences in incidence, pathogenesis, molecular pathways and outcome depending on the location of the tumor. This review focuses on the latest developments in epidemiological and scientific studies, which have enhanced our understanding on the underlying genetic and immunological differences between the proximal (right-sided) colon and the distal (left-sided) colorectum. The different ways in which environmental risk factors influence the pathogenesis of CRC depending on its location and the variations in surgical and oncological outcomes are also discussed in this review. In the current era of personalized medicine, we aim to reiterate the importance of tumor location in management of CRC and the implication on future clinical and scientific research.

  2. Side by side tests of two SDHW systems with solar collectors with and without antireflection treatment

    DEFF Research Database (Denmark)

    Kong, Weiqiang; Han, Jiangong; Perers, Bengt

    2015-01-01

    Two low flow SDHW systems based on mantle tanks are tested side by side in a laboratory test facility for solar heating systems under the same weather and operation conditions. The systems are identical with the exception that one system is equipped with a solar collector with antireflection...... treated glass while the other system has a collector with a normal glass. Measurements of the thermal performance of the two systems have been carried out for a long measuring period. The thermal performances of the systems have also been calculated with a detailed simulation model. There is a good...... agreement between measured and calculated thermal performances for both systems. The extra thermal performance of the system with the solar collector with the anti reflection treated glass cover is a strong function of the solar fraction. In sunny periods with high solar fractions the percentage extra...

  3. Detection of Left-Sided and Right-Sided Hearing Loss via Fractional Fourier Transform

    Directory of Open Access Journals (Sweden)

    Shuihua Wang

    2016-05-01

    Full Text Available In order to detect hearing loss more efficiently and accurately, this study proposed a new method based on fractional Fourier transform (FRFT. Three-dimensional volumetric magnetic resonance images were obtained from 15 patients with left-sided hearing loss (LHL, 20 healthy controls (HC, and 14 patients with right-sided hearing loss (RHL. Twenty-five FRFT spectrums were reduced by principal component analysis with thresholds of 90%, 95%, and 98%, respectively. The classifier is the single-hidden-layer feed-forward neural network (SFN trained by the Levenberg–Marquardt algorithm. The results showed that the accuracies of all three classes are higher than 95%. In all, our method is promising and may raise interest from other researchers.

  4. Wave Drift Forces on Two Floating Bodies Arranged Side by Side

    Institute of Scientific and Technical Information of China (English)

    Wenyang Duan; Binbin Zhao

    2011-01-01

    An innovative hydrodynamic theory and numerical model were developed to help improve the efficiency,accuracy,and convergence of the numerical prediction of wave drift forces on two side-by-side deepwater floating bodies.The wave drift forces were expressed by the double integration of source strength and the corresponding Green function on the body surface,which is consistent with the far field formula based on momentum conservation and sharing the advantage of near field calculations providing the drift force on each body.Numerical results were validated through comparing the general far field model and pressure integral model,as well as the middle field model developed using the software HydroStar.

  5. Flow Features of Three Side-by-side Circular Cylinders at Low Reynolds Number

    Directory of Open Access Journals (Sweden)

    Liu Junkao

    2016-01-01

    Full Text Available In order to study the fluctuation of kinetic parameter of cylinder matrix in incompressible stationary flow, the flow fluid around three side-by-side circular cylinders are simulated using Immersed Boundary–Lattice Boltzmann method (IB-LBM. Drag and lift force of the three cylinders are investigated as the interval between each cylinder varied from zero to five times of the cylinder diameter. Five flow patterns are defined according to the vortices structure in the downstream of the cylinders. Power spectrum analysis of lift force is developed to explain the vortex patterns. Through the research, we find the strength and phase of the gap flow play an important role in the vortex formatting process. The vortices shedding from different cylinders neutralize and combine in the near wake, contributing a lot to the variation of forces.

  6. Measured Data Processing Method For Relative Motions Between Two Side-by-side Ships

    Directory of Open Access Journals (Sweden)

    Ping-an Shi

    2013-01-01

    Full Text Available In order to design and implement a wave compensation system to reduce the relative motion between two side-by-side ships in waves, a new method to process measured data of ship model test with contact measurement to study the characteristics of relative motion was presented. The reference co-ordinate systems and relative motions were defined, and the scheme of the model test was described. Then the Empirical Mode Decomposition(EMD adaptive filter were designed, the frequency domain integration transform method based upon Fast Fourier Transform(FFT were established. The procedure to transform acceleration signal into displacement was proposed and verified, and the processing results with and without EMD adaptive filter were compared. Finally, the relative motions consistent with reality were acquired, which indicates this method is effective for measured data processing.

  7. SIDE-BY-SIDE TESTS OF DIFFERENTLY DESIGNED EVACUATED TUBULAR COLLECTORS

    DEFF Research Database (Denmark)

    Fan, Jianhua; Dragsted, Janne; Furbo, Simon

    2007-01-01

    Six differently designed evacuated tubular collectors, ETCs, utilizing solar radiation from all directions, have been investigated experimentally. The evacuated tubular solar collectors investigated include one SLL all-glass ETC from Tshinghua Solar Co., four heat pipe ETCs from Sunda Technolgoy Co....... and one all-glass ETC with heat pipe from Exoheat AB. The collectors have been investigated side-by-side in an outdoor test facility for a long period. During the measurements, the operating conditions – such as weather conditions, inlet and mean solar collector fluid temperatures have been the same. Thus...... a direct performance comparison is possible. The results of the measurements will be presented in this paper. Among other things, the influence on the thermal performance of the absorber design will be explained. Further, it will be illustrated how the thermal performances of the different collector types...

  8. Interface Oscillation in the Side-by-Side (SBS) Tape Casting of Functionally Graded Ceramics (FGCs)

    DEFF Research Database (Denmark)

    Jabbari, Masoud; Bulatova, Regina; Hattel, Jesper Henri

    2012-01-01

    is a common process in producing multilayer ceramics, which now is used for producing side-by-side (SBS) functionally graded ceramics (FGCs). These FGCs are mostly used in the magnetic refrigeration sectors due to the varying composition of the magnetocaloric materials so that the magnetic transition...... temperature of the magnetic regenerator varies along the paths. The main goal of this research is to study the multiple material flow in SBS tape casting and analyze its influence on the interface between the stripes. The materials used for the experimental part are La0.85Sr0.15MnO3 and Ce0.9Gd0.1O2ceramic...... slurries. The rheological behavior of the slurries are extracted from experiments and used in the ANSYS FLUENT commercial code to develop a fluid flow model for the non-Newtonian ceramic slurries and evaluate the interface oscillation between the stripes in SBS tape casting. The Numerical results show...

  9. Cool Apps: Productivity at Your Fingertips

    Science.gov (United States)

    Flaherty, Bill

    2013-01-01

    In addition to listing apps and their value, this article focuses on ways people can be more productive by adopting certain workflows in several ways. Apps listed herein include those useful in calendaring, printing, photo-editing, image-recognition, image scanning, electronic signatures, and making and sharing lists and notes.

  10. Putting the Library at Students' Fingertips

    Science.gov (United States)

    Foley, Marianne

    2012-01-01

    The absence of a well-defined space for library resources within course-management systems has been well documented in library literature. Academic libraries have sought to remedy this deficiency in numerous ways. This article describes how a "library nugget," or module, was added to the Buffalo State College course-management system, ANGEL. The…

  11. FLIPPS: fingertip sthnulation for improved Speechreading

    DEFF Research Database (Denmark)

    Bothe, Hans-Heinrich; Mohamad, Ali F.; Jensen, Martin R.

    2004-01-01

    stimulation. FLIPPS is battery-powered, so that it may be used in daily life conversation. The small size allows for pocket use. First field tests indicate the applicability of the device. At the moment, a prototype hardware realization is at hand, which allows for parameter optimization and for further field...

  12. Fingertip dermatitis in a retail florist.

    Science.gov (United States)

    Guin, J D; Franks, H

    2001-04-01

    Prevalence of plant contact dermatitis in retail florists varies with exposure, and the number of reports of contact allergy to cut tulips is rather small. Alpha-methylene-gamma-butyrolactone is better known as the cause of both Alstroemeria dermatitis in retail florists and tulip finger in wholesale floral workers who handle the bulbs. Our patient presented with prominent erythema, scaling, and peeling of the skin of the thumb, index, and middle fingers of his right hand. Results of a patch test to alpha-methylene-gamma-butyrolactone were strongly positive, and the patient determined that the exposure had occurred when he stripped leaves from the tulip stems to arrange cut flowers. Other natural sources of the antigen include Alstroemeria; Bomarea; Dioscorea hispida; Erythronium; Gagea; Fritillaria; and at least one species of onion, Allium triquetrum.

  13. Cool Apps: Productivity at Your Fingertips

    Science.gov (United States)

    Flaherty, Bill

    2013-01-01

    In addition to listing apps and their value, this article focuses on ways people can be more productive by adopting certain workflows in several ways. Apps listed herein include those useful in calendaring, printing, photo-editing, image-recognition, image scanning, electronic signatures, and making and sharing lists and notes.

  14. Facts at your fingertips introducing physics : mechanics

    CERN Document Server

    Bateman, Graham

    2011-01-01

    This series explains and illustrates the science of physics and its everyday applications. Physics is concerned with matter - the stuff from which everything is made - and with energy in all its forms. Mechanics deals with force and motion. In order for something to move a force must be involved, and when opposing forces are equal an object will be stationary.While this book deals primarily with mechanics it also describes levers and other simple machines. Numerous diagrams and practical experiments help to provide the perfect introduction to the science of physics.

  15. Fingertip replantations: clinical evaluation of 135 digits.

    Science.gov (United States)

    Kim, W K; Lim, J H; Han, S K

    1996-09-01

    From July 1985 to February 1993, 135 digits in 119 patients with complete amputations at or distal to the distal interphalangeal joint (zone I for amputations distal to the nail base of zone II for amputations between the distal interphalangeal joint and the nail base) were replanted using a microsurgical technique at Korea University Guro Hospital. Because of the high social value placed on body form and function, the indication for replantation was extended to cases with severe soft-tissue injuries and attempted replantation as a routine procedure in nearly all distal amputation cases. The overall survival rate was 78 percent, with the survival rate for zone I being 70 percent and that for zone II reaching 86 percent. Even in cases with severe soft-tissue injury, the survival rate was high, with viability in avulsion injuries and crush injuries reaching 75 percent each. The most common type of vascular repair in zone I cases was revascularization of one artery only and no vein repair (87 percent). Of these cases, interpositional vein grafts were used in 65 percent. In zone II cases, the most common combination repair was one artery and one vein anastomosis (70 percent), with interpositional vein grafts for arterial anastomosis in 49 percent; most of the venous repair was feasible by the direct method (78 percent). The follow-up period ranged from 1 month to 5 years with a mean of 14.8 months; 52 patients were followed-up for more than 6 months. In 52 long-term follow-up patients, the average two-point discrimination was 8 mm. Patient satisfaction, aesthetically and functionally, was high (91 percent).

  16. The side-to-side fashion for individual distal coronary anastomosis using venous conduit.

    Science.gov (United States)

    Kato, Takayoshi; Tsunekawa, Tomohiro; Motoji, Yusuke; Hirakawa, Akihiro; Okawa, Yasuhide; Tomita, Shinji

    2017-04-01

    Regarding to coronary artery bypass grafting (CABG), the end-to-side anastomosis (ESA) has been performed as a gold standard. Recently, the effectiveness of the distal side-to-side anastomosis (SSA) in CABG using internal mammary artery has been reported. The benefit of SSA comparing to ESA also has been disclosed by computing simulation. However, use of SSA by venous conduit for individual CABG has not been reported. In this study, we investigated feasibility of SSA. From January 2013 to October 2014, we conducted 114 CABGs. There were 92 venous distal anastomoses without sequential anastomotic site (61 SSA and 31 ESA). The anastomosis was evaluated before discharge and at 1 year after the procedure by angiography or multi-detector row computed tomographic coronary angiography. The median values for time to anastomosis were 13 min in the two group (p = 0.89). There was no revision of anastomosis in both groups. Additional stitches for hemostasis were required significantly less in SSA than ESA (18.0 vs 45.2 %, respectively, p fashion is easy to perform and maybe beneficial in blood flow pattern.

  17. Why fruits go to the dark side

    Science.gov (United States)

    Schaefer, H. Martin

    2011-11-01

    The colours of fleshy fruits are usually attributed to attract seed dispersers to the plant. A cursory look at the gaudy colours of fleshy fruits on offer in a local fruit stall gives the impression that plants use primarily bright colours to attract fruit consumer. This impression is misleading; many small fruits 'go to the dark side' and become dark purple or black when ripe. Intermingled in foliage, these colours, which are produced by anthocyanins, can be fairly inconspicuous and are thus not easily reconciled with a signalling function to attract seed dispersers. In this review I therefore discuss complementary hypotheses on the function and evolution of fruit colouration. First, I focus on the evidence that fruit colours indeed function as signals to attract seed dispersers. I then show that anthocyanins, the most prevalent fruit pigments, are important dietary antioxidants that can be selected by blackcaps ( Sylvia atricapilla) which are important avian seed dispersers of many European plants. Moreover, the consumption of anthocyanins increases the likelihood that blackcaps mount an immune response during immune challenges. As a next step, I review evidence that anthocyanins accumulate in fruit skin in response to abiotic factors, in particular high illumination coupled with low temperature favour the increase of anthocyanins. Finally, I show that anthocyanins can also be selected for by fruit antagonists, consumers that do not disperse seeds. In particular, high contents of anthocyanins strongly reduce fungal growth in fruit tissue. Taken together, there are various selective pressures which likely influence fruit colour evolution. Currently, the relative importance of each of these selective agents is unknown. There is consequently a need to develop a more encompassing framework on fruit colour evolution.

  18. The Dark Side of the Earth

    Science.gov (United States)

    Frankel, Henry

    1986-10-01

    Wood's The Dark Side of the Earth is another addition to the growing list of books on the recent revolution in the earth sciences. Wood rightly points out that any new book on the topic should break new ground. In the preface, he writes of himself and his book that he has benefited from previous accounts by saving himself research time, and that his book, unlike others, “attempts to tell one complete story of the study of the Earth, geologists, geophysicists, dreamers and all” (p. vi). Wood is ambitious, for his work covers much of 19th-century geology as well as the development, reception, rejection, and eventual acceptance of mobilist ideas. Before discussing the work of the German meteorologist and geophysicist Alfred L. Wegener, American glacial geomorphologist Frank Taylor, and several of their predecessors who proposed “mobilist” ideas, he manages to string together brief descriptions of the contributions of (among others) German mineralogist Abraham Gottlob Werner, British geologists James Hutten and John Playfair, British engineer William Smith, British geologist Charles Lyell, American geologists James Hall and James Dwight Dana, British volcanologist William Lowthian Green, American geologist Grove Karl Gilbert, French geologist Elie de Beaumont, British geologist and mathematician Osmond Fisher, American geologist Clarence Dutton, British mathematician and physicist Lord Kelvin, Austrian geologist Eduard Suess, French geologist Marcel Bertrand, and American geologist Thomas Chrowder Chamberlin. Moreover, Wood offers an interesting thesis about the revolution in the earth sciences. He claims that the real revolution was not the replacement of fixist views with the mobilist ones of sea floor spreading and plate tectonics, but rather the replacement of geology with the new discipline of the earth sciences in which geophysics and geochemistry play the central role.

  19. 发电侧如何促进需求侧管理%How to Improve Demand Side Management in Generation Side

    Institute of Scientific and Technical Information of China (English)

    劳德容

    2002-01-01

    Combining with the practice of DSM in China, the paper analyzes the role of engaging demand side management in generation side. Also it deeply studies how to promote demand side management in generation side, which rarelyinvolves in the published literature all over the world. Besides, it discovers the interactions of interdependence and competition between demand side managenent and generation side operation. Lastly it studies the example of demand side management in generation side in Shenzhen.

  20. 指固有动脉终末背侧支皮瓣修复指端缺损的疗效观察%Repair of fingertip defect with double flaps based on the end dorsal branches of the digital artery and dorsal metacarpal artery

    Institute of Scientific and Technical Information of China (English)

    于吉文; 霍永峰; 顾光学; 厉雷明; 王彤; 盛路新

    2015-01-01

    目的 探讨应用指固有动脉终末背侧支皮瓣修复指端组织缺损的临床疗效. 方法 2007年3月—2011年10月,应用指固有动脉终末背侧支岛状皮瓣修复指端组织缺损6例. 结果 术后6例皮瓣全部成活,随访1~12个月,平均7.3个月,皮瓣血运良好,色泽及弹性与受区周围皮肤基本一致. 皮瓣无明确皮神经支配,感觉恢复较差,术后6~12个月,皮瓣两点辨别觉为6~8 mm,对冷热觉不敏感,对针刺等疼痛刺激有感觉. 结论 指固有动脉终末背侧支岛状皮瓣修复指端组织缺损是一种可行手术方法.%Objective To study the effect of flap based on the end dorsal branches of the digital artery on repairing of fingertip soft tissue loss. Methods From March 2007 to October 2008, the reverse flap of the end dorsal branches of digital artery was harvested for coverage of fingertip soft tissue loss for 6 cases, at the same time the reverse flap of dorsal metacarpal artery to repair dorsal donor site. Among the 6 patients, 2 cases were index fingers, 1 case was middle finger, 3 cases were ring fingers. Results All flaps survived completely. Follow-up of 1~12 months in the 6 cases, averaged 7.3 months. The blood supply and texture of the flaps was fine, and the color and elasticity was of little difference to the ambient. The skin nerves of the double flaps were not connected, and the sensibility of the flaps was poorly recovered, and the two-point discrimination was 6~8 mm in sensate flap which based on the end dorsal branches of digital artery, while it was 8-10 mm in sensate flap which based on the dorsal metacarpal artery during 6-12 months postoperative. Conclusion Double flaps based on the end dorsal branches of the digital artery and dorsal metacarpal artery is a realistic and effective method to repair fingertip defect.

  1. Systematic identification of proteins that elicit drug side effects

    DEFF Research Database (Denmark)

    Kuhn, Michael; Al Banchaabouchi, Mumna; Campillos, Monica

    2013-01-01

    Side effect similarities of drugs have recently been employed to predict new drug targets, and networks of side effects and targets have been used to better understand the mechanism of action of drugs. Here, we report a large-scale analysis to systematically predict and characterize proteins...... that cause drug side effects. We integrated phenotypic data obtained during clinical trials with known drug-target relations to identify overrepresented protein-side effect combinations. Using independent data, we confirm that most of these overrepresentations point to proteins which, when perturbed, cause...... side effects. Of 1428 side effects studied, 732 were predicted to be predominantly caused by individual proteins, at least 137 of them backed by existing pharmacological or phenotypic data. We prove this concept in vivo by confirming our prediction that activation of the serotonin 7 receptor (HTR7...

  2. Compressed sensing with side information on the feasible region

    CERN Document Server

    Rostami, Mohammad

    2013-01-01

    This book discusses compressive sensing in the presence of side information. Compressive sensing is an emerging technique for efficiently acquiring and reconstructing a signal. Interesting instances of Compressive Sensing (CS) can occur when, apart from sparsity, side information is available about the source signals. The side information can be about the source structure, distribution, etc. Such cases can be viewed as extensions of the classical CS. In these cases we are interested in incorporating the side information to either improve the quality of the source reconstruction or decrease the number of samples required for accurate reconstruction. In this book we assume availability of side information about the feasible region. The main applications investigated are image deblurring for optical imaging, 3D surface reconstruction, and reconstructing spatiotemporally correlated sources. The author shows that the side information can be used to improve the quality of the reconstruction compared to the classic...

  3. Double Sided Si(Ge)/Sapphire/III-Nitride Hybrid Structure

    Science.gov (United States)

    Park, Yeonjoon (Inventor); Choi, Sang Hyouk (Inventor)

    2016-01-01

    One aspect of the present invention is a double sided hybrid crystal structure including a trigonal Sapphire wafer containing a (0001) C-plane and having front and rear sides. The Sapphire wafer is substantially transparent to light in the visible and infrared spectra, and also provides insulation with respect to electromagnetic radio frequency noise. A layer of crystalline Si material having a cubic diamond structure aligned with the cubic direction on the (0001) C-plane and strained as rhombohedron to thereby enable continuous integration of a selected (SiGe) device onto the rear side of the Sapphire wafer. The double sided hybrid crystal structure further includes an integrated III-Nitride crystalline layer on the front side of the Sapphire wafer that enables continuous integration of a selected III-Nitride device on the front side of the Sapphire wafer.

  4. Intrinsic features of flow around two side-by-side square cylinders

    Science.gov (United States)

    Alam, Md. Mahbub; Zhou, Y.

    2013-08-01

    The wake of two side-by-side square cylinders is investigated in detail based on flow visualization at a Reynolds number (Re) of 300. The cylinder center-to-center spacing ratio T* (= T/W, W is the cylinder width) is varied from 1.0 to 5.0. The intrinsic features of the wake are explored, including the gap vortices, flow switch, stability, merging of two streets into one, etc. The qualitative information on these features is further complemented by the quantitative information extracted from hotwire data at Re = 4.7 × 104 using both spectral and cross-wavelet analyses. Four flow regimes are identified: (i) the single bluff body regime (T* 2.4). The gap flow is found to switch at two distinct time scales, referred to as macro and micro switches. Macro switch occurs at 1.2 gap flow is slim in width and biased for a long duration ranging from several vortex shedding periods in the wide street to several hours. Micro switch is observed at 2.1 gap flow is thick in width and switches at a frequency of twice the frequency of vortex shedding from the free-stream side of the cylinders. The two streets formed immediately behind the cylinders merge to a single street at a downstream location x_c^* that depends on T*. A larger T* corresponds to a larger x_c^*. Regime (iv) is characterized by two streets either inphased or antiphased. The antiphased streets persist longer than the inphased.

  5. The study of CD side to side error in line/space pattern caused by post-exposure bake effect

    Science.gov (United States)

    Huang, Jin; Guo, Eric; Ge, Haiming; Lu, Max; Wu, Yijun; Tian, Mingjing; Yan, Shichuan; Wang, Ran

    2016-10-01

    In semiconductor manufacturing, as the design rule has decreased, the ITRS roadmap requires crucial tighter critical dimension (CD) control. CD uniformity is one of the necessary parameters to assure good performance and reliable functionality of any integrated circuit (IC) [1] [2], and towards the advanced technology nodes, it is a challenge to control CD uniformity well. The study of corresponding CD Uniformity by tuning Post-Exposure bake (PEB) and develop process has some significant progress[3], but CD side to side error happening to some line/space pattern are still found in practical application, and the error has approached to over the uniformity tolerance. After details analysis, even though use several developer types, the CD side to side error has not been found significant relationship to the developing. In addition, it is impossible to correct the CD side to side error by electron beam correction as such error does not appear in all Line/Space pattern masks. In this paper the root cause of CD side to side error is analyzed and the PEB module process are optimized as a main factor for improvement of CD side to side error.

  6. Wake structures of two side by side spheres in a tripped boundary layer flow

    Directory of Open Access Journals (Sweden)

    Canli Eyüb

    2014-03-01

    Full Text Available Two independent spheres were placed in a side by side arrangement and flow structure in the wake region of the spheres was investigated with a Particle Image Velocimetry (PIV system when the spheres were in a boundary layer over a flat plate as a special case. Reynolds number was 5000 based on the sphere diameter which was 42.5 mm. Boundary layer was tripped 8mm away from the leading edge of the flat plate with a 5 mm trip wire. The thickness of the hydrodynamically developed boundary layer was determined as 63mm which was larger than the sphere diameter of D=42.5mm. Wake region of the spheres was examined from point of flow physics for the different sphere locations in the ranges of 0≤G/D ≤1.5 and 0≤S/D ≤1.5 where G and S were the distance between the spheres and the distance between the bottom point of the spheres and the flat plate surface, respectively. Depending on the different sphere locations, instantaneous and time averaged vorticity data, scalar values of time-averaged velocity components and their root mean square (rms values and time averaged vorticity data are presented in the study for the evaluation of wake region of the spheres. It is demonstrated that the gap between the two spheres and the interaction between the gap and the boundary layer greatly affects flow pattern, especially when spheres are located near to the flat plate surface, i.e. S/D=0.1 for 0≤G/D ≤1.5. Different distances between the spheres resulted in various flow patterns as the spheres were approached to the flat plate. The distance S/D=0.1 for all gap values has the strongest effect on the wake structures. Beyond G/D=1.0, the sphere wakes tend to be similar to single sphere case. The instantaneous vorticity fields of the side by side arrangements comprised wavy structures in higher level comparing to an individual sphere case. The gap flow intensifies the occurrence of small scale eddies in the wake region. The submersion rate of the spheres

  7. Wake structures of two side by side spheres in a tripped boundary layer flow

    Science.gov (United States)

    Canli, Eyüb; Özgören, Muammer; Dogan, Sercan; Hilmi Aksoy, Muharrem; Akilli, Huseyin

    2014-03-01

    Two independent spheres were placed in a side by side arrangement and flow structure in the wake region of the spheres was investigated with a Particle Image Velocimetry (PIV) system when the spheres were in a boundary layer over a flat plate as a special case. Reynolds number was 5000 based on the sphere diameter which was 42.5 mm. Boundary layer was tripped 8mm away from the leading edge of the flat plate with a 5 mm trip wire. The thickness of the hydrodynamically developed boundary layer was determined as 63mm which was larger than the sphere diameter of D=42.5mm. Wake region of the spheres was examined from point of flow physics for the different sphere locations in the ranges of 0≤G/D ≤1.5 and 0≤S/D ≤1.5 where G and S were the distance between the spheres and the distance between the bottom point of the spheres and the flat plate surface, respectively. Depending on the different sphere locations, instantaneous and time averaged vorticity data, scalar values of time-averaged velocity components and their root mean square (rms) values and time averaged vorticity data are presented in the study for the evaluation of wake region of the spheres. It is demonstrated that the gap between the two spheres and the interaction between the gap and the boundary layer greatly affects flow pattern, especially when spheres are located near to the flat plate surface, i.e. S/D=0.1 for 0≤G/D ≤1.5. Different distances between the spheres resulted in various flow patterns as the spheres were approached to the flat plate. The distance S/D=0.1 for all gap values has the strongest effect on the wake structures. Beyond G/D=1.0, the sphere wakes tend to be similar to single sphere case. The instantaneous vorticity fields of the side by side arrangements comprised wavy structures in higher level comparing to an individual sphere case. The gap flow intensifies the occurrence of small scale eddies in the wake region. The submersion rate of the spheres actually determines the

  8. On Cascade Source Coding with A Side Information "Vending Machine"

    CERN Document Server

    Ahmadi, Behzad; Choudhuri, Chiranjib; Mitra, Urbashi

    2012-01-01

    The model of a side information "vending machine" accounts for scenarios in which acquiring side information is costly and thus should be done efficiently. In this paper, the three-node cascade source coding problem is studied under the assumption that a side information vending machine is available either at the intermediate or at the end node. In both cases, a single-letter characterization of the available trade-offs among the rate, the distortions in the reconstructions at the intermediate and at the end node, and the cost in acquiring the side information are derived under given conditions.

  9. Improved side information generation for distributed video coding

    DEFF Research Database (Denmark)

    Huang, Xin; Forchhammer, Søren

    2008-01-01

    information generation method, fewer bits will be requested from the encoder and more reliable decoded frames will be obtained. In this paper, a side information generation method is introduced to further improve the rate-distortion (RD) performance of transform domain distributed video coding. This algorithm......As a new coding paradigm, distributed video coding (DVC) deals with lossy source coding using side information to exploit the statistics at the decoder to reduce computational demands at the encoder. The performance of DVC highly depends on the quality of side information. With a better side...

  10. Two-sided and alternating Jacobi-Davidson

    OpenAIRE

    Hochstenbach, Michiel Erik; Sleijpen, G.L.G.

    2001-01-01

    We discuss two variants of a two-sided Jacobi-Davidson method, which have asymptotically cubic convergence for nonnormal matrices and aim to find both right and left eigenvectors. These methods can be seen as Jacobi-Davidson analogs of Ostrowski’s two-sided Rayleigh Quotient Iteration. Some relations between (exact and inexact) two-sided Jacobi-Davidson and (exact and inexact) two-sided Rayleigh Quotient Iteration are given, together with convergence rates. Furthermore, we introduce an altern...

  11. Statin Side Effects: Weigh the Benefits and Risks

    Science.gov (United States)

    ... interact with statins and increase your risk of side effects include: Amiodarone (Cordarone, Pacerone), a medication for irregular heart rhythms Gemfibrozil (Lopid), another variety of cholesterol drug ...

  12. Review: Tales from Both Sides of the Brain

    Science.gov (United States)

    Landis, Theodor

    2015-01-01

    Our brain has two hemispheres that specialize in different jobs—the right side processes spatial and temporal information, and the left side controls speech and language. How these two sides come together to create one mind is explained by pioneering neuroscientist Michael Gazzaniga in his new book, Tales from Both Sides of the Brain : A Life in Neuroscience (Ecco/Harper Collins, 2015). Gazzaniga is director of the SAGE Center for the Study of the Mind at the University of California, Santa Barbara, and a Dana Alliance member. PMID:27408671

  13. "Source Coding With a Side Information ""Vending Machine"""

    OpenAIRE

    Weissman, Tsachy; Permuter, Haim H.

    2011-01-01

    We study source coding in the presence of side information, when the system can take actions that affect the availability, quality, or nature of the side information. We begin by extending the Wyner-Ziv problem of source coding with decoder side information to the case where the decoder is allowed to choose actions affecting the side information. We then consider the setting where actions are taken by the encoder, based on its observation of the source. Actions may have costs that are commens...

  14. E-Flow imaging on detection of the fingertip's microvascular changes of hemodynamics in patients with essential hypertension%E-Flow成像技术对原发性高血压患者指端微血管血流动力学变化的评价

    Institute of Scientific and Technical Information of China (English)

    朱武; 杨秀华; 王秀云; 张羽; 姜晶

    2008-01-01

    目的 探讨原发性高血压患者指端微血管病变的血流动力学变化与高血压程度的相关性.方法 应用E-Flow成像技术观察39例原发性高血压患者右手无名指末节指腹动脉和甲床动脉的收缩期峰值流速(PSV)、舒张期峰值流速(EDV)及阻力指数(RI),并与35例健康人作对照.结果 与彩色及能量多普勒相比,E-Flow能更清晰地显示指端微血管的分布及走行,且随着病程的加重,原发性高血压患者指腹动脉、甲床动脉PSV、EDV的测量值均减低(P<0.05),RI则升高(P<0.05).结论 指端微血管血流动力学的变化可作为衡量原发性高血压外周阻力变化的指标.E-Flow成像技术可作为一种新的方法对指端微血管血流动力学进行评价.%objective To assess relationship between microvascular changes of hemodynamics of the fingertip and evolution of hypertension in patients with essential hypertension(EH)by enhanced power Doppler imaging(E-Flow).Methods The right ring fingertip'S blood flow peak systolic velocity(PSV),end-diastolic velocity(EDV),resistance index(RI)of finger ventral arteriole and nail bed arteriole in thirty-nine patients with EH were separately observed and were made contrast with 35 age-matched healthy subjects by E-Flow imaging.Results Compared with traditional colour Doppler flow imaging and power Doppler imaging,E-Flow imaging was clearer to demonstrate the distribution and movement of the fingertip'S microvascular.It was shown that the PSV and EDV in the ring finger ventral arteriole and nail bed arteriole of EH were decreased(P<0.05),but the RI increased(P<0.05),along with the evolution of EH.Conclusions Fingertip'S microvascular changes of hemodynamics could be a criterion to detect obstruction alternations of essential hypertension.E-Flow imaging iS superior to traditional color Doppler flow imaging and power Doppler imaging in differentiating microvascular and could provide a new method in assessing

  15. Microfluidic conceived drug loaded Janus particles in side-by-side capillaries device.

    Science.gov (United States)

    Khan, Ikram Ullah; Serra, Christophe A; Anton, Nicolas; Li, Xiang; Akasov, Roman; Messaddeq, Nadia; Kraus, Isabelle; Vandamme, Thierry F

    2014-10-01

    A side-by-side capillaries microfluidic device was developed to fabricate drug loaded poly(acrylamide)/poly(methyl acrylate) Janus particles in the range of 59-240 μm by UV-assisted free radical polymerization. This system was characterized in terms of continuous and dispersed phases flow rates (Qc/Qd), monomer composition of the two compartments, surfactant nature and concentration, outlet tube diameter and UV intensity. These factors were adequately controlled to get different particle shapes ranging from core-shell to bi-compartmental particles. For the latter, a low surfactant concentration (0.75 wt.%) was necessary when the two dispersed phases were pumped at equal flow rate, while at high surfactant concentration, dispersed phases flow rates have to be changed. FTIR analysis suggested complete polymerization of monomers and cytotoxicity test showed these particles were biocompatible having LD 50 of 9 mg/mL. Both ketoprofen and sodium fluorescein were released in sustained release manner at pH 6.8 by following a diffusion type release mechanism. Drug release was faster for bigger particles and found to result from the irregular distribution of the two phases and indentation on bigger particles as revealed by SEM analysis. In comparison, sodium fluorescein release was slower which was attributed to low encapsulation but could be modified by decreasing crosslinker concentration.

  16. Propulsive performance of unsteady tandem hydrofoils in a side-by-side configuration

    Science.gov (United States)

    Dewey, Peter A.; Quinn, Daniel B.; Boschitsch, Birgitt M.; Smits, Alexander J.

    2014-04-01

    Experimental and analytical results are presented on two identical bio-inspired hydrofoils oscillating in a side-by-side configuration. The time-averaged thrust production and power input to the fluid are found to depend on both the oscillation phase differential and the transverse spacing between the foils. For in-phase oscillations, the foils exhibit an enhanced propulsive efficiency at the cost of a reduction in thrust. For out-of-phase oscillations, the foils exhibit enhanced thrust with no observable change in the propulsive efficiency. For oscillations at intermediate phase differentials, one of the foils experiences a thrust and efficiency enhancement while the other experiences a reduction in thrust and efficiency. Flow visualizations reveal how the wake interactions lead to the variations in propulsive performance. Vortices shed into the wake from the tandem foils form vortex pairs rather than vortex streets. For in-phase oscillation, the vortex pairs induce a momentum jet that angles towards the centerplane between the foils, while out-of-phase oscillations produce vortex pairs that angle away from the centerplane between the foils.

  17. Numerical Study on Interaction Between Two Bubbles Rising Side by Side in CMC Solution

    Institute of Scientific and Technical Information of China (English)

    FAN Wenyuan; YIN Xiaohong

    2013-01-01

    A numerical simulation was performed to investigate the interaction of two bubbles rising side by side in shear-thinning fluid using volume of fluid (VOF) method coupled with continuous surface force (CSF) method.By considering rheological characteristics of fluid,this approach was able to accurately capture the deformation of bubble interface,and validated by comparing with the experimental results.The rising of bubble pairs with different configurations,including horizontal alignment and oblique alignment,was simulated by the method.The influences of the bubble initial distance and the bubble alignment were studied by analyzing the bubble deformation,rising paths and flow fields surrounding bubbles.The results indicate that within certain initial bubble spacing of S* =3.3(S* =SI/D,SI initial distance between bubbles,and D bubble diameter),the dynamic interaction between two bubbles aligned horizontally shows repulsive effect that decreases with the increase of initial bubble spacing,but weakens to certain degree by the shear-thinning properties of fluid.However,the interaction between two bubbles aligned obliquely presents a repulsive effect for the small angle involved but an attractive impact for the large one,which is yet strengthened by the rheological characteristics of fluid.

  18. Modality-specific communication enabling gait synchronization during over-ground side-by-side walking.

    Science.gov (United States)

    Zivotofsky, Ari Z; Gruendlinger, Leor; Hausdorff, Jeffrey M

    2012-10-01

    An attentive observer will notice that unintentional synchronization of gait between two walkers on the street seems to occur frequently. Nonetheless, the rate of occurrence and motor-sensory mechanisms underlying this phase-locking of gait have only recently begun to be investigated. Previous studies have either been qualitative or carried out under non-natural conditions, e.g., treadmill walking. The present study quantitatively examined the potential sensory mechanisms that contribute to the gait synchronization that occurs when two people walk side by side along a straight, over-ground, pathway. Fourteen pairs of subjects walked 70 m under five conditions that manipulated the available sensory feedback. The modalities studied were visual, auditory, and tactile. Movement was quantified using a trunk-mounted tri-axial accelerometer. A gait synchronization index (GSI) was calculated to quantify the phase synchronization of the gait rhythms. Overall, 36% of the walks exhibited synchrony. Tactile and auditory feedback showed the greatest ability to synchronize, while visual feedback was the least effective. The results show that gait synchronization during natural walking is common, quantifiable, and has modality-specific properties.

  19. Side-by-side ANFIS as a useful tool for estimating correlated thermophysical properties

    Science.gov (United States)

    Grieu, Stéphane; Faugeroux, Olivier; Traoré, Adama; Claudet, Bernard; Bodnar, Jean-Luc

    2015-12-01

    In the present paper, an artificial intelligence-based approach dealing with the estimation of correlated thermophysical properties is designed and evaluated. This new and "intelligent" approach makes use of photothermal responses obtained when homogeneous materials are subjected to a light flux. Commonly, gradient-based algorithms are used as parameter estimation techniques. Unfortunately, such algorithms show instabilities leading to non-convergence in case of correlated properties to be estimated from a rebuilt impulse response. So, the main objective of the present work was to simultaneously estimate both the thermal diffusivity and conductivity of homogeneous materials, from front-face or rear-face photothermal responses to pseudo random binary signals. To this end, we used side-by-side neuro-fuzzy systems (adaptive network-based fuzzy inference systems) trained with a hybrid algorithm. We focused on the impact on generalization of both the examples used during training and the fuzzification process. In addition, computation time was a key point to consider. That is why the developed algorithm is computationally tractable and allows both the thermal diffusivity and conductivity of homogeneous materials to be simultaneously estimated with very good accuracy (the generalization error ranges between 4.6% and 6.2%).

  20. FLOW PAST TWO ROTATING CIRCULAR CYLINDERS IN A SIDE-BY-SIDE ARRANGEMENT

    Institute of Scientific and Technical Information of China (English)

    GUO Xiao-hui; LIN Jian-zhong; TU Cheng-xu; WANG Hao-li

    2009-01-01

    Measurements were performed using Particle Image Velocimetry (PIV) to analyze the modification of flow by the combined effects of the rotation and the Reynolds number on the flow past two rotating circular cylinders in a side-by-side-arrangement at a range of , (α is the rotational speed) at one gap spacing of (T and d are the distance between the centers of two cylinders and the cylinder diameter, respectively). A new Immersed-Lattice Boltzmann Method (ILBM) scheme was used to study the effect of the gap spacing on the flow. The results show that the vortex shedding is suppressed as rotational speed increases. The flow reaches a steady state when the vortex shedding for both cylinders is completely suppressed at critical rotational speed. As the rotational speed further increases, the separation phenomenon in the boundary layers disappears at the attachment rotational speed. The critical rotational speed and attachment rotational speed become small as Reynolds number increases. The absolute rotational speed of cylinders should be large at same critical rotational speed and attachment rotational speed in the case of large Reynolds number. The gap spacing has an important role in changing the pattern of vortex shedding. It is very different in the mechanism of vortex shedding suppression for the flows around two rotating cylinders and single rotating cylinder.

  1. Interface Oscillation in the Side-by-Side (SBS) Tape Casting of Functionally Graded Ceramics (FGCs)

    Science.gov (United States)

    Jabbari, Masoud; Bulatova, Regina; Hattel, Jesper; Bahl, Christian

    2012-11-01

    Room temperature magnetic refrigeration is a new highly efficient and environmentally protective technology. Although it has not been maturely developed, it shows great applicable prosperity and seems to be a potential substitute for the traditional vapor compression technology. Tape Casting is a common process in producing multilayer ceramics, which now is used for producing side-by-side (SBS) functionally graded ceramics (FGCs). These FGCs are mostly used in the magnetic refrigeration sectors due to the varying composition of the magnetocaloric materials so that the magnetic transition temperature of the magnetic regenerator varies along the paths. The main goal of this research is to study the multiple material flow in SBS tape casting and analyze its influence on the interface between the stripes. The materials used for the experimental part are La0 . 85 Sr0 . 15 MnO3 and Ce0 . 9 Gd0 . 1O2 ceramic slurries. The rheological behavior of the slurries are extracted from experiments and used in the ANSYS FLUENT commercial code to develop a fluid flow model for the non-Newtonian ceramic slurries and evaluate the interface oscillation between the stripes in SBS tape casting. The Numerical results show reasonable agreement with corresponding experimental results.

  2. Study of fluid resonance between two side-by-side floating barges

    Institute of Scientific and Technical Information of China (English)

    李欣; 徐亮瑜; 杨建民

    2016-01-01

    The hydrodynamic interaction between two vessels in a side-by-side configuration attracted research attentions in recent years. However, because the conventional potential flow theory does not consider the fluid viscosity, in the hydrodynamic results, the wave elevations were overestimated in the narrow gap under resonance conditions. To overcome this limitation and investigate the complex fluid flow around multiple bodies in detail, this study examines the fluid resonance between two identical floating barges using a viscous flow analysis program FLOW-3D. The volume of fluid method is implemented for tracking the free surface, and a porous media model is used near the outflow boundary to enhance the wave absorption. A three-dimensional numerical wave basin is established and validated by comparison with the waves generated using theoretical values. On this basis, a computational fluid dynamics (CFD) simulation of the two barges in a resonance wave period is performed, and the wave elevations, the fluid flow around the barges, and the motions of the barges are discussed. The numerical simulation is verified by comparison with results of corresponding experimental data.

  3. Side-by-Side Testing of Water Heating Systems: Results from the 2013–2014 Evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Colon, Carlos [Florida Solar Energy Center, Cocoa, FL (United States)

    2017-07-01

    The Florida Solar Energy Center (FSEC) completed a fourth year-long evaluation on residential hot water heating systems in a laboratory environment (east central Florida, hot-humid climate). The evaluation studied the performance of five hot water systems (HWS) plus a reference baseline system for each fuel, (i.e., electric and natural gas). Electric HWS consisted of two residential electric heat pump water heaters (HPWHs, 60 and 80 gallons), a solar thermal system using a polymer absorber (glazed) collector with 80-gallon storage and a duplicate 50-gallon standard electric water heater with added cap and wrap insulation. Baseline performance data were collected from a standard 50-gallon electric water heater of minimum code efficiency to compare energy savings. Similarly, a standard 40-gallon upright vented natural gas water heater served as baseline for the natural gas fuel category. The latter, having a larger jacket diameter [18 in., with an energy factor (EF) of 0.62] with increased insulation, replaced a former baseline (17 in. diameter, EF = 0.59) that served during three previous testing rotations (2009–2013). A high-efficiency, condensing natural gas hybrid water heater with 27-gallon buffered tank was also tested and compared against the gas baseline. All systems underwent testing simultaneously side-by-side under the criteria specified elsewhere in this report.

  4. Order, Disorder and Stretching of a Smectic Elastomer with ‘side-on’ Mesogenic Side Groups

    Energy Technology Data Exchange (ETDEWEB)

    de Jeu, W.; Komp, A; Obraztsov, E; Ostrovskii, B; Finkelmann, H

    2009-01-01

    We report an X-ray study of the order in a 'side-on' smectic-A elastomer in which both the polymer backbone and the mesogenic side groups are, on average, parallel to the smectic layer normal. The present system shows in all phases locally correlated structures as evidenced by systematic diffuse scattering at small angles, attributed to the fluorinated end groups of the mesogens. The elastomer shows order of the smectic layers over a limited range in spite of the relatively low crosslink concentration (4%). Upon stretching along the layer normal we find a linear increase of the smectic layer period for small loading (elastic regime). These changes parallel the stress variation for the elastic part of the macroscopic stress-strain curve and saturate at larger strains. The attendant increase in the width of the X-ray peaks indicates a decrease of the average domain dimensions. In the plastic regime no distortion of the smectic monodomain structure or layer rotation is observed. Instead the stress is relieved by 'melting' of the layer structure giving rise to a nematic-like state with short-range layer correlations: at the final stage about four smectic layers.

  5. Side-to-side growth discrepancies in children with hemiplegic cerebral palsy: association with function, activity and social participation

    Directory of Open Access Journals (Sweden)

    Marise Bueno Zonta

    2014-05-01

    Full Text Available Objective: Evaluate side-to-side discrepancies in children with hemiplegic cerebral palsy (HCP, and investigate associations of these discrepancies with patients’ age at initiation of physical therapy, motor and cognitive function, and degree of activities and social participation. Method: We obtained eight side-to-side measurements from 24 HCP children with mean age 49.3±5.2 months. Results: Early initiation of physical therapy was associated with lower discrepancy in hand length (p=0.037. Lower foot length discrepancy was associated with lower requirement for caregiver assistance in activities related to mobility. Increased side-to-side discrepancy was associated with reduced wrist extension and increased spasticity. Discrepancy played a larger role in children with hemineglect and in those with right involvement. Conclusion: Increased discrepancy in HCP children was associated with reduced degree of activity/social participation. These results suggest an association between functional use of the extremities and limb growth.

  6. Accurate Evaluation of Balancing-side Contacts in Relation to Internal Derangements of the Temporomandibular Joint : Possible Roles of Balancing-side Protection

    OpenAIRE

    Minagi, Shogo; Watanabe, Hideyuki; Tsuru, Hiromichi

    1989-01-01

    Balancing-side contacts were precisely evaluated in relation to internal derangements of the temporomandibular joint. Balancing-side contacts were classified into the three following groups: 1) Severe balancing-side interference, 2) balancing-side interference and 3) balancing-side protective contacts. Balancing-side protective contacts were defined as balancing-side occlusal contacts on lower first and/or second molar in lateral excursive movements, which are observed only when clenching for...

  7. The Far Side of the Moon A Photographic Guide

    CERN Document Server

    Byrne, Charles J

    2008-01-01

    This book is a companion to Byrnes's award-winning Lunar Orbiter Photographic Atlas of the Near Side of the Moon (Springer, 2005). It provides comprehensive coverage of the far side of the Moon, and is the first book that collects photographs from all five Lunar Orbiter missions: Clementine, Apollo, Luna, Zond, and Nozomi. As in the previous book, the scanning artifacts of the Lunar Orbiter photos have been cleaned. The photographs show each part of the far side in the most favorable resolution and sun angle. There are many high-altitude oblique photos that provide a feeling of being in space; this book is more like a photographic tour of the far side than an atlas.  The striking differences between the near and far side have been a major mystery for astronomers but this book suggests an explanation: a massive early impact on the near side produced the Near Side Megabasin; an impact so large that its rim is on the far side. The floor of this basin established the canvas for the portrait of the Man in the Moo...

  8. Weakening of a Polyethylene Chain by Methyl Side Groups

    NARCIS (Netherlands)

    Hageman, J.C.L.; Wijs, G.A. de; Groot, R.A. de; Meier, Robert J.

    2003-01-01

    The effect of methyl side groups on the strength of a single polyethylene chain is calculated with Density Functional Theory. Using transition state theory, the scission rate is calculated as function of stress for bonds next to a methyl side group. The increase in the scission rate due to the prese

  9. Effects and Side Effects of Flemish School Inspection

    Science.gov (United States)

    Penninckx, Maarten; Vanhoof, Jan; De Maeyer, Sven; Van Petegem, Peter

    2016-01-01

    Despite the increased importance of school inspection in recent years, the current knowledge base does not provide a clear view on the effects and side effects of being inspected. More evidence is needed in more diverse educational contexts. This article responds to this need with a quantitative study on the effects and side effects of school…

  10. Two-sided and alternating Jacobi-Davidson

    NARCIS (Netherlands)

    Hochstenbach, Michiel Erik; Sleijpen, G.L.G.

    2001-01-01

    We discuss two variants of a two-sided Jacobi-Davidson method, which have asymptotically cubic convergence for nonnormal matrices and aim to find both right and left eigenvectors. These methods can be seen as Jacobi-Davidson analogs of Ostrowski’s two-sided Rayleigh Quotient Iteration. Some

  11. Weakening of a Polyethylene Chain by Methyl Side Groups

    NARCIS (Netherlands)

    Hageman, J.C.L.; Wijs, G.A. de; Groot, R.A. de; Meier, Robert J.

    2003-01-01

    The effect of methyl side groups on the strength of a single polyethylene chain is calculated with Density Functional Theory. Using transition state theory, the scission rate is calculated as function of stress for bonds next to a methyl side group. The increase in the scission rate due to the prese

  12. Rare combination of dextrocardia with right-sided Poland syndrome.

    Science.gov (United States)

    Lee, Seung Hyun; Kim, Jae Bum; Park, Nam Hee; Keum, Dong Yoon; Kim, Yeo Hyang

    2012-10-01

    The combination of right-sided Poland syndrome and dextrocardia is rare. To our knowledge, reports regarding this subject are lacking in the published literature to date. Previous reports suggested that dextrocardia may be part of the left sided Poland syndrome. We report and discuss this rare combination.

  13. Role of bicarbonate at the acceptor side of photosystem II

    NARCIS (Netherlands)

    Rensen, van J.J.S.

    2002-01-01

    Besides being the substrate for the carboxylation reaction of photosynthesis, CO2 (bicarbonate) is required for the activity of Photosystem II (water plastoquinone oxido-reductase). It plays a role on the electron donor side as well as the electron acceptor side. In this contribution, attention will

  14. Side Effects of Chemotherapy and Radiation (For Parents)

    Science.gov (United States)

    ... 1- to 2-Year-Old Side Effects of Chemotherapy and Radiation KidsHealth > For Parents > Side Effects of Chemotherapy and Radiation Print A A A What's in ... and can no longer do their jobs efficiently. Chemotherapy (or "chemo") and radiation , the two most common ...

  15. SLAR = USGS Side Looking Airborne Radar Mosaics: 1981 - 1990

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The Side-Looking Airborne Radar (SLAR) is an image-producing system that derives its name from the fact that the radar beam is transmitted from the side of the...

  16. The relationship between rational drug design and drug side effects.

    Science.gov (United States)

    Wang, Juan; Li, Zhi-xin; Qiu, Cheng-xiang; Wang, Dong; Cui, Qing-hua

    2012-05-01

    Previous analysis of systems pharmacology has revealed a tendency of rational drug design in the pharmaceutical industry. The targets of new drugs tend to be close with the corresponding disease genes in the biological networks. However, it remains unclear whether the rational drug design introduces disadvantages, i.e. side effects. Therefore, it is important to dissect the relationship between rational drug design and drug side effects. Based on a recently released drug side effect database, SIDER, here we analyzed the relationship between drug side effects and the rational drug design. We revealed that the incidence drug side effect is significantly associated with the network distance of drug targets and diseases genes. Drugs with the distances of three or four have the smallest incidence of side effects, whereas drugs with the distances of more than four or smaller than three show significantly greater incidence of side effects. Furthermore, protein drugs and small molecule drugs show significant differences. Drugs hitting membrane targets and drugs hitting cytoplasm targets also show differences. Failure drugs because of severe side effects show smaller network distances than approved drugs. These results suggest that researchers should be prudent on rationalizing the drug design. Too small distances between drug targets and diseases genes may not always be advantageous for rational design for drug discovery.

  17. Organizational mediators siding with or against the powerful party

    NARCIS (Netherlands)

    Laskewitz, P; Van de Vliert, E; De Dreu, C K W

    1994-01-01

    Instead of being impartial, a mediator may side with one party as a function of the disputants' power differences, the mediator's legitimacy judgments, or the disputants' capacity to sanction the mediator. According to the power balancing theory, a mediator sides with the party that has a power disa

  18. Side effects of azathioprine in patients with Crohn's disease.

    NARCIS (Netherlands)

    Jong, Dirk de; Goullet, M.; Naber, A.H.J.

    2004-01-01

    OBJECTIVE: In clinical trials 0-15% of patients discontinued azathioprine due to side effects. The aim of this study was to assess the rate of side effects leading to discontinuation of azathioprine and to determine predictive factors for discontinuation. DESIGN: A retrospective cohort analysis of c

  19. Side effects of vagus nerve stimulation during physical exercise

    NARCIS (Netherlands)

    Mulders, D.M.; de Vos, Cecilia Cecilia Clementine; Vosman, I.; Driesse, M.J.; van Putten, Michel Johannes Antonius Maria

    2012-01-01

    RATIONALE: Vagus nerve stimulation (VNS) is a treatment option in the case of refractory epilepsy. However, several side effects have been reported, including dyspnea, coughing and bradycardias [JCA 2010: 22;213-222]. Although some patients experience hardly any side effects from the stimulation

  20. Research Needs: Glass Solar Reflectance and Vinyl Siding

    Energy Technology Data Exchange (ETDEWEB)

    Hart, Robert; Curcija, Charlie; Arasteh, Dariush; Goudey, Howdy; Kohler, Christian; Selkowitz, Stephen

    2011-07-07

    The subject of glass solar reflectance and its contribution to permanent vinyl siding distortion has not been extensively studied, and some phenomena are not yet well understood. This white paper presents what is known regarding the issue and identifies where more research is needed. Three primary topics are discussed: environmental factors that control the transfer of heat to and from the siding surface; vinyl siding properties that may affect heat build-up and permanent distortion; and factors that determine the properties of reflected solar radiation from glass surfaces, including insulating window glass. Further research is needed to fully characterize the conditions associated with siding distortion, the scope of the problem, physical properties of vinyl siding, insulating window glass reflection characteristics, and possible mitigation or prevention strategies.

  1. Collusion in Markets with Imperfect Price Information on Both Sides

    DEFF Research Database (Denmark)

    Schultz, Christian

    The paper considers tacit collusion in markets which are not fully transparent on both sides. Consumers only detect prices with some probability before deciding which firm to purchase from, and each firm only detects the other firm's price with some probability. Increasing transparency on the pro......The paper considers tacit collusion in markets which are not fully transparent on both sides. Consumers only detect prices with some probability before deciding which firm to purchase from, and each firm only detects the other firm's price with some probability. Increasing transparency...... on the producer side facilitates collusion, while increasing transparency on the consumer side makes collusion more difficult. Conditions are given under which increases in a common factor, affecting transparency positively on both sides, are pro-competitive. With two standard information technologies, this is so...

  2. A side effect resource to capture phenotypic effects of drugs

    DEFF Research Database (Denmark)

    Kuhn, Michael; Campillos, Monica; Letunic, Ivica

    2010-01-01

    The molecular understanding of phenotypes caused by drugs in humans is essential for elucidating mechanisms of action and for developing personalized medicines. Side effects of drugs (also known as adverse drug reactions) are an important source of human phenotypic information, but so far research...... on this topic has been hampered by insufficient accessibility of data. Consequently, we have developed a public, computer-readable side effect resource (SIDER) that connects 888 drugs to 1450 side effect terms. It contains information on frequency in patients for one-third of the drug-side effect pairs. For 199...... drugs, the side effect frequency of placebo administration could also be extracted. We illustrate the potential of SIDER with a number of analyses. The resource is freely available for academic research at http://sideeffects.embl.de....

  3. The nocebo effect: patient expectations and medication side effects.

    Science.gov (United States)

    Faasse, Kate; Petrie, Keith J

    2013-09-01

    Expectation of treatment side effects is consistently linked with those symptoms being realised. Patient expectations, including those generated by the informed consent process, can have a large influence on the side effects that patients feel after starting a new medical treatment. Such symptoms may be the result of the nocebo effect, whereby the expectation of side effects leads to them being experienced. Side effects may also be due to the misattribution of pre-existing or unrelated symptoms to the new medication. Medical professionals' own negative beliefs about a treatment, especially generic drugs, may further enhance patients' expectations of adverse effects. The news media may also influence expectations, particularly when media attention is directed towards a health or medication scare. This field of research has ethical and clinical implications for both medical professionals and the news media with respect to the level and type of information about treatment side effects that is provided to patients or members of the public.

  4. Ecological engineering of bioaugmentation from side-stream nitrification.

    Science.gov (United States)

    Smith, R C; Saikaly, P E; Zhang, K; Thomatos, S; Oerther, D B

    2008-01-01

    Wastewater treatment relies on careful integration of environmental engineering with microbial ecology. This would seem to be particularly the case when attempting to enhance survivability of organisms introduced from outside the main-stream reactor, i.e. bioaugmentation. Molecular biology tools were utilised in this study to assist in understanding the mechanisms of successful bioaugmentation. Molecular fingerprinting showed that side-stream reactor configuration strongly influenced ammonia-oxidising bacteria (AOB) community structure. In both lab-scale and full-scale systems, AOB communities in the side-stream and main-stream were very similar. The experimental systems revealed that a PFR side-stream produced greater diversity of AOB than a CSTR side-stream in a PFR main-stream system, whereas the full-scale side-stream resulted in essentially an AOB monoculture. Phylogenetic analysis revealed less diversity than molecular fingerprinting perhaps due to biases in the cloning/transformation procedure.

  5. Status and Results from DarkSide-50

    CERN Document Server

    Fan, Alden

    2015-01-01

    DarkSide-50 is the first physics detector of the DarkSide dark matter search program. The detector features a dual-phase underground-argon Time Projection Chamber (TPC) of 50 kg active mass surrounded by an organic liquid-scintillator neutron veto (30 tons) and a water-Cherenkov muon detector (1000 tons). The TPC is currently fully shielded and operating underground at Gran Sasso National Laboratory. A first run of 1422 kg-day exposure with atmospheric argon represents the most sensitive dark matter search using a liquid argon target. The TPC is now filled with underground argon, greatly reduced in 39Ar, and DarkSide-50 is in its final configuration for an extended dark matter search. Overviews of the design, performance, and results obtained so far with DarkSide-50 will be presented, along with future prospects for the DarkSide program.

  6. The incidence of side effects after laser hair removal

    Science.gov (United States)

    Lanigan, Sean W.

    2004-09-01

    Despite the widespread use of lasers for hair removal there is little data published on the incidence of side effects from this treatment. We aimed to generate data on a large number of patients receiving laser hair removal to obtain an accurate assessment of the incidence and type of side effects resulting from treatment. A multicentre prospective study of patients attending for laser hair removal was conducted to determine incidence of side effects in relation to skin type and laser(s) used. Laser hair removal is associated with a low incidence of side effects which are self-limiting in the majority of cases. Highest incidence of side effects was seen in darker skinned patients treated with the long pulsed ruby laser. Laser hair removal is inherently safe. For darker Fitzpatrick skin types the long pulsed Nd:YAG laser is preferred to the ruby laser.

  7. Are peripheral opioid antagonists the solution to opioid side effects?

    LENUS (Irish Health Repository)

    Bates, John J

    2012-02-03

    Opioid medication is the mainstay of therapy for severe acute and chronic pain. Unfortunately, the side effects of these medications can affect patient comfort and safety, thus limiting their proven therapeutic potential. Whereas the main analgesic effects of opioids are centrally mediated, many of the common side effects are mediated via peripheral receptors. Novel peripheral opioid antagonists have been recently introduced that can block the peripheral actions of opioids without affecting centrally mediated analgesia. We review the clinical and experimental evidence of their efficacy in ameliorating opioid side effects and consider what further information might be useful in defining their role. IMPLICATIONS: The major analgesic effects of opioid medication are mediated within the brain and spinal cord. Many of the side effects of opioids are caused by activation of receptors outside these areas. Recently developed peripherally restricted opioid antagonists have the ability to block many opioid side effects without affecting analgesia.

  8. Analysis of Kirk effect of an innovated high side Side-Isolated N-LDMOS device

    Directory of Open Access Journals (Sweden)

    Lai Ciou Jhong

    2016-01-01

    Full Text Available An ESOA of LDMOS device is very critical for power device performance. Kirk effect is the one of the major problem which leads to poor ESOA performance. The cause of the problem mainly due to the high beta value of parasitic NPN transistor in the p-body. In this study, we proposed a new 3D high side Side–Isolated N-Channel LDMOS which we have obtained not only benchmark Ron and breakdown performance, but also better ESOA without Kirk effect. We have compared the analysis of Kirk effect between the new device and the conventional N–LDMOS structure with LATID technique for the formation of the p–body of both device structures.

  9. THE DILEMMA OF DEMAND SIDE POLICIES VERSUS SUPPLY SIDE POLICIES FOR RELAUNCHING CAPITALIST ECONOMIES

    Directory of Open Access Journals (Sweden)

    PETRE PRISECARU

    2014-11-01

    Full Text Available The first important economic recession in this century started in USA with the burst of real estate bubble followed by the bankruptcy of some investment and commercial banks and the collapse of capital market. The financial-banking crisis spilt over the world economy and caused the second deepest economic recession in the last 80 years. The financial crisis has badly affected almost all market economies and was the result of a combination between market failures and mistakes made in macroeconomic policies. In the financial sector there was not enough regulation and supervision of corporate governance while in goods industry the pressure of over-regulation led to higher factor costs and supply contraction. The direct result of supply side policies and particularly of monetarist instruments is seen now clearly in the USA: large deficits, huge debts, reduced savings, heavy dependence on foreign money (capital and resources, relatively low domestic output and supply.

  10. Criticality of flow transition behind two side-by-side elliptic cylinders

    Science.gov (United States)

    Peng, Y. F.; Sau, Amalendu; Hwang, Robert R.; Yang, W. C.; Hsieh, Chih-Min

    2012-03-01

    In this study, near-critical bifurcations of low Reynolds number (Re) flows past a pair of elliptic cylinders in the side-by-side arrangement are numerically investigated, and onsets of several distinct transition scenarios are addressed. A nested Cartesian-grid formulation, in combination with an effective immersed boundary method and a two-step fractional-step procedure, has been adopted to simulate the flows. The transition scenarios associated with various periodic, quasi-periodic, and biased flows, their bifurcation characteristics, corresponding critical Reynolds numbers, and phase-portraits are exploited to better understand the governing physics. From the global point of view, there appear variety of flow patterns within the investigated parameter space, 40 ⩽ Re ⩽ 300, 0.2 ⩽ G ⩽ 3.0 (G being the gap-ratio of the cylinders), and 1.5 ⩽ A ⩽ 3 (A is the cylinder aspect-ratio), which include, symmetric vortex shedding mode, semi-single/twin vortex street formations, asymmetric/deflected flows, stationary/biased flip-flopped-type vortex shedding, weakly-chaotic flows, and in-phase/anti-phase vortex synchronizations. We numerically present these flows by tuning Re quasi-stationary, and provide a broader understanding of the entire transition process. A comprehensive analysis of effects of Reynolds number, the gap-ratio, and the angle of incidence on different flow-induced forces on the cylinders is included in this regard. On the other hand, our simulated wakes with various non-zero incidence-angles are found to reveal a rich variety of instability induced weakly synchronized physical evolution characteristics, which remained virtually unexplored.

  11. Immediate Small Side Branch Occlusion after Percutaneous Coronary Intervention

    Directory of Open Access Journals (Sweden)

    Mohammad Ali Ostovan

    2007-09-01

    Full Text Available Background: Small side branches, albeit less important than their larger counterparts, have not yet received due attention in the literature. Nor has there ever been a comparison between drug-eluting stents and bare metal stents apropos side branch occlusion. The aim of this study was to compare the patency of small (≥0.5 and ≤1.5 mm in diameter side branches with respect to bare metal vs. drug-eluting stents immediately after their deployment.Methods: This prospective bi-center study, conducted between June 2005 and January 2007, enrolled 82 patients treated with ≥1 of two stents (TAXUSTM LiberteTM or LiberteTM. Side branches ≥0.5 and <1.5 mm in diameter arising from the main vessel at the lesion site were evaluated. Results: Thirty-eight patients were treated with 42 LiberteTM stents (58 side branches and forty-four patients with 50 TAXUSTM LiberteTM (102 side branches. The rate of small side branch occlusion was 35.3% (36 in the TAXUSTM LiberteTM group compared to 29.31% (15 in the LiberteTM group (P-value= 0.7. The presence of type 1 side branch morphology (Lefevre classification was the most powerful predictor of small side branch occlusion (P-value=0.03. Conclusion: This study shows that drug-eluting stents are not inferior to bare metal stents as regards small side branch occlusion during coronary stenting

  12. A nationwide Danish cohort study challenging the categorisation into right-sided and left-sided colon cancer

    DEFF Research Database (Denmark)

    Jess, Per; Hansen, Iben Onsberg; Gamborg, Michael;

    2013-01-01

    The categorisation of colon cancer (CC) into right-sided (RCC) and left-sided (LCC) disease may not capture more subtle variances in aetiology and prognosis. In a nationwide study, we investigated differences in clinical characteristics and survival of RCC versus LCC and of the complete range of CC...

  13. Supply-side and demand-side cost sharing in deregulated social health insurance: which is more effective?

    Science.gov (United States)

    Trottmann, Maria; Zweifel, Peter; Beck, Konstantin

    2012-01-01

    Microeconomic theory predicts that if patients are fully insured and providers are paid fee-for-service, utilization of medical services exceeds the efficient level ('moral hazard effect'). In Switzerland, both demand-side and supply-side cost sharing have been introduced to mitigate this problem. Analyzing a panel dataset of about 160,000 adults, we find both types of cost sharing to be effective in curtailing the use of medical services. However, when moral hazard mitigation is traded off against risk selection, the minimum-deductible, supply-side cost sharing option ranks first, followed by the medium-deductible demand-side alternative, making the supply-side option somewhat more effective.

  14. Reported Sildenafil Side Effects in Pediatric Pulmonary Hypertension Patients

    Directory of Open Access Journals (Sweden)

    Stephanie Leigh Siehr

    2015-03-01

    Full Text Available Background: Sildenafil, a phosphodiestase type 5 inhibitor, was approved in 2005 for the treatment of pulmonary arterial hypertension (PAH in adults, and is commonly used off-label for pediatric patients. Little is known, however, about sildenafil’s side effects in this population.Methods: Single institution, longitudinal survey-based study performed in an outpatient pediatric cardiology clinic. Pediatric patients on sildenafil (alone or in combination with other PH therapies completed questionnaires regarding frequency of vascular, gastrointestinal, neurologic and hematologic side effects. Results: Between January 2011 and May 2014, 66 pediatric patients with PH on sildenafil filled out 214 surveys, 32 patients (96 surveys on monotherapy, and 43 patients (118 surveys on sildenafil plus an endothelin receptor antagonist (bosentan or ambrisentan and/or a prostacyclin (epoprostenol or treprostinil. Overall, 30% of respondents identified at least one side effect. For all patients on sildenafil, incidence of side effects by system was 37% gastrointestinal, 35% vascular and 22% neurologic. For patients on sildenafil monotherapy, incidence of side effects by system was 24% gastrointestinal, 21% vascular and 18% neurologic compared to patients on combination therapy who reported an incidence of 48% gastrointestinal, 45% vascular and 25% neurologic.Conclusion: Incidence of vascular, gastrointestinal and neurologic side effect in pediatric patients on sildenafil therapy for pulmonary arterial hypertension was 30%. Side effects were more common in patients on combination therapy with an endothelin receptor antagonist and/or prostacyclin than in patients on sildenafil monotherapy.

  15. A gecko-inspired double-sided adhesive.

    Science.gov (United States)

    Wang, Zhengzhi; Gu, Ping; Wu, Xiaoping

    2013-12-21

    Geckos' outstanding abilities to adhere to various surfaces are widely credited to the large actual contact areas of the fibrillar and hierarchical structures on their feet. These special features regulate the essential structural compliance for every attachment and thus provide robust yet reversible adhesions. Inspired by gecko's feet and our commonly used double-faced tape, we have successfully fabricated a gecko-inspired double-sided dry adhesive by using porous anodic alumina template assisted nano-wetting on a stiff polymer. It was determined that the obtained 2-sided structure showed largely decreased effective stiffness compared with its 1-sided counterpart, which favored better compliance and interfacial integrity. We also demonstrated that the repeatable double-sided adhesive improved the macroscopic normal and shear adhesion capacities over the widely-studied 1-side structure by ~50% and ~85%, respectively. By using the synthetic double-sided adhesive, the usage of traditional pressure-sensitive/chemical adhesives could be well avoided. Besides, the double-sided nanostructures showed great potential in finding new interesting properties and practical applications for the synthetic dry adhesives.

  16. Rational Design of Coordination Polymers with Flexible Oxyethylene Side Chains

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Eun Young; Gao, Chunji; Lee, Suck Hyun; Kwon, O Pil [Ajou University, Suwon (Korea, Republic of)

    2012-04-15

    We rationally designed and synthesized metallopolymers with organic 1,4-benzenedicarboxylic acid (BDC) linkers with different lengths of oxyethylene side chains in order to examine the influence of side chains on the coordination characteristics. While in a previous report the BDC linkers with alkyl side chains were found to form three-dimensional (3D) isoreticular metal-organic framework (IRMOF) structures or one-dimensional (1D) coordination polymeric structures with short -O(CH{sub 2}){sub 6}CH{sub 3} or long -O(CH{sub 2}){sub 9}CH{sub 3} side chains, respectively, new BDC linkers with oxyethylene side chains of the same lengths, -(OCH{sub 2}CH{sub 2}){sub 2}CH{sub 3} and -(OCH{sub 2}CH{sub 2}){sub 3}CH{sub 3}, form only 3D IRMOF structures. This result is attributed to the higher flexibility and smaller volume of oxyethylene side chains compared to alkyl side chains

  17. Coding with Side Information for Radiation-Tolerant Memory Devices

    Science.gov (United States)

    Hwang, E.; Jeon, S.; Negi, R.; Vijaya Kumar, B. V. K.; Cheng, M. K.

    2011-11-01

    Memory devices aboard spacecraft experience radiation-induced errors either in the form of temporary upsets (soft errors) or permanent defects (hard or stuck-at errors). Error-correcting codes (ECCs) are used to recover memory content from errors where defective cells are either regarded as erasures by the decoder or entire blocks containing defective cells are marked as unusable. In this article, alternative coding schemes are investigated for memory devices in space, where the encoder is provided with the locations of the defective cells, denoted by side information. This coding approach has the potential to improve the overall storage capacity of memory devices, since the information theoretic capacity of a channel where side information is only available at the encoder is the same as the capacity where side information is available at both the encoder and decoder. Spacecraft memory controllers typically scrub memory devices periodically for errors. Partial side information can be obtained during this scrubbing process by comparing the ECC decoder output with its input and thereby avoid the need for additional cell tests or storage overhead. In between scrubbings, the encoder can use this partial side information to account for permanent defects to improve reliability or to increase the storage capacity of onboard memory devices. In order to achieve performance gains for practical memory systems, several coding schemes that adaptively incorporate the codeword with the known side information are proposed in this article. The proposed coding schemes are evaluated by numerical simulations on a memory channel model characterized by soft and hard errors. Simulation results show that while coding with complete side information at the encoder offers the most performance gain compared to when coding without side information is used, coding with partial side information can close the gap between the optimal and current approach without incurring much additional overhead

  18. Elementary affine {\\lambda}-calculus with multithreading and side effects

    CERN Document Server

    Madet, Antoine

    2011-01-01

    Linear logic provides a framework to control the complexity of higher-order functional programs. We present an extension of this framework to programs with multithreading and side effects focusing on the case of elementary time. Our main contributions are as follows. First, we provide a new combinatorial proof of termination in elementary time for the functional case. Second, we develop an extension of the approach to a call-by-value \\lambda-calculus with multithreading and side effects. Third, we introduce an elementary affine type system that guarantees the standard subject reduction and progress properties. Finally, we illustrate the programming of iterative functions with side effects in the presented formalism.

  19. Double Sided Watermark Embedding and Detection with Perceptual Analysis

    CERN Document Server

    Zhong, Jidong

    2007-01-01

    In our previous work, we introduced a double-sided technique that utilizes but not reject the host interference. Due to its nice property of utilizing but not rejecting the host interference, it has a big advantage over the host interference schemes in that the perceptual analysis can be easily implemented for our scheme to achieve the locally bounded maximum embedding strength. Thus, in this work, we detail how to implement the perceptual analysis in our double-sided schemes since the perceptual analysis is very important for improving the fidelity of watermarked contents. Through the extensive performance comparisons, we can further validate the performance advantage of our double-sided schemes.

  20. Side Effects and Complications of Dental Materials on Oral Cavity

    Directory of Open Access Journals (Sweden)

    Z. Atai

    2007-01-01

    Full Text Available Development of dental materials has had a great impact on the modern dentistry. The materials ranging from polymers to metals have different applications in dentistry. Besides their important role in healing or improving the function of oral tissues, the materials may show side effects which may, in some cases, lead to severe lesions. In this review the side effects have been summarized considering a new classification for dental materials according to the duration of their applications as temporary or permanent materials. The side effects of the materials are then discussed based on clinical and cellular views.

  1. Left-sided gall bladder: Report of two cases

    Directory of Open Access Journals (Sweden)

    Chrungoo R

    2007-01-01

    Full Text Available Left-sided gall bladder without situs inversus viscerum is a rare albeit recognized clinical entity. We report our experience of two cases of left-sided gall bladder in two women aged 36 and 48 who underwent laparoscopic cholecystectomy for chronic calculous cholecystitis. Left-sided gall bladder may provide an unusual surprise to the surgeons during laparoscopy as routine pre-operative studies may not always detect the anomaly. Awareness of the unpredictable confluence of the cystic duct into the common bile duct (CBD and selective use of intraoperative cholangiography aid in the safe laparoscopic management of this unusual entity.

  2. In vivo assessment of antiretroviral therapy-associated side effects

    Directory of Open Access Journals (Sweden)

    Eduardo Milton Ramos-Sanchez

    2014-07-01

    Full Text Available Antiretroviral therapy has been associated with side effects, either from the drug itself or in conjunction with the effects of human immunodeficiency virus infection. Here, we evaluated the side effects of the protease inhibitor (PI indinavir in hamsters consuming a normal or high-fat diet. Indinavir treatment increased the hamster death rate and resulted in an increase in triglyceride, cholesterol and glucose serum levels and a reduction in anti-oxLDL auto-antibodies. The treatment led to histopathological alterations of the kidney and the heart. These results suggest that hamsters are an interesting model for the study of the side effects of antiretroviral drugs, such as PIs.

  3. Pinning Synchronization of One-Sided Lipschitz Complex Networks

    Directory of Open Access Journals (Sweden)

    Fang Liu

    2014-01-01

    Full Text Available This paper studies the pinning synchronization in complex networks with node dynamics satisfying the one-sided Lipschitz condition which is less conservative than the well-known Lipschitz condition. Based on M-matrix theory and Lyapunov functional method, some simple pinning conditions are derived for one-sided Lipschitz complex networks with full-state and partial-state coupling, respectively. A selective pinning scheme is further provided to address the selection of pinned nodes and the design of pinning feedback gains for one-sided Lipschitz complex networks with general topologies. Numerical results are given to illustrate the effectiveness of the theoretical analysis.

  4. Total Limb Rotation after Unilateral Total Knee Arthroplasty: Side-to-Side Discrepancy.

    Science.gov (United States)

    Oh, Kwang-Jun; Yoon, Seok-Tae; Ko, Young-Bong

    2016-08-01

    Total limb rotation, an important anatomical feature of the lower limb, is defined as any rotation of the lower limb on its longitudinal axis. The aim of the present study was to evaluate the discrepancies of rotational profiles of total limb between nonoperated and operated limb following unilateral total knee arthroplasty. We conducted an analysis of the computed tomography (CT) data from 32 patients undergoing primary unilateral total knee arthroplasty. Using these CT scan, rotational profiles of total limb, such as femoral neck anteversion angle expressed as femoral torsion angle (FTA), tibial torsion angle (TTA), knee joint rotation angle (KJRA), and total limb rotation (TLR) were measured. There were significant discrepancies of FTA and KJRA between operated and nonoperated limb following unilateral total knee arthroplasty. The mean difference of operated and nonoperated side for FTA and KJRA were -6.51 ± 11.88 degrees (p = 0.0041) and -6.83 ± 5.04 degrees (p knee joint can lead to a total limb rotational discrepancy in patient undergoing unilateral total knee arthroplasty.

  5. FLARE: The Far Side Lunar Research Expedition. A design of a far side lunar observatory

    Science.gov (United States)

    Bishop, David W.; Chakrabarty, Rudhmala P.; Hannula, Dawn M.; Hargus, William A., Jr.; Melendrez, A. Dean; Niemann, Christopher J.; Neuenschwander, Amy L.; Padgett, Brett D.; Patel, Sanjiv R.; Wiesehuegel, Leland J.

    1991-12-01

    This document outlines the design completed by members of Lone Star Aerospace, Inc. (L.S.A.) of a lunar observatory on the far side of the Moon. Such a base would not only establish a long term human presence on the Moon, but would also allow more accurate astronomical data to be obtained. A lunar observatory is more desirable than an Earth based observatory for the following reasons: instrument weight is reduced due to the Moon's weaker gravity; near vacuum conditions exist on the Moon; the Moon has slow rotation to reveal the entire sky; and the lunar surface is stable for long baseline instruments. All the conditions listed above are favorable for astronomical data recording. The technical aspects investigated in the completion of this project included site selection, mission scenario, scientific instruments, communication and power systems, habitation and transportation, cargo spacecraft design, thermal systems, robotic systems, and trajectory analysis. The site selection group focused its efforts on finding a suitable location for the observatory. Hertzsprung, a large equatorial crater on the eastern limb, was chosen as the base site.

  6. Integrated volarization of spent coffee grounds to biofuels

    Directory of Open Access Journals (Sweden)

    Mebrahtu Haile

    2014-06-01

    Full Text Available Biodiesel is a renewable energy source produced from natural oils and fats, and is being used as a substitute for petroleum diesel. The aim of this study was to investigate the potential of using spent coffee grounds for biodiesel production and its by-products to produce pelletized fuel, which is expected to help the biodiesel production process achieve zero waste. For this experiment, spent coffee grounds sample was collected from Kaldis coffee, Addis Ababa, Ethiopia. Extraction of the spent coffee grounds oil was then conducted using n-hexane, ether and mixture of isopropanol to hexane ratio (50:50 %vol, and resulted in oil yield of 15.6, 17.5 and 21.5 %w/w respectively. A two-step process was used in biodiesel production with conversion of about 82 %w/w. The biodiesel quality parameters were evaluated using the American Standard for Testing Material (ASTM D 6751. The major fatty acid compositions found by Gas chromatography were linoleic acid (37.6%, palmitic acid (39.8%, oleic (11.7%, and stearic acid (8.6%. In addition, solid waste remaining after oil extraction and glycerin ratio (glycerin content from 20-40% was evaluated for fuel pellet (19.3-21.6 MJ/Kg applications. Therefore, the results of this work could offer a new perspective to the production of biofuel from waste materials without growing plants and/or converting food to fuel.

  7. Comparison of Helioseismic Far-Side Active Region Detections with STEREO Far-Side EUV Observations of Solar Activity

    Science.gov (United States)

    Liewer, P. C.; Qiu, J.; Lindsey, C.

    2017-10-01

    Seismic maps of the Sun's far hemisphere, computed from Doppler data from the Helioseismic and Magnetic Imager (HMI) on board the Solar Dynamics Observatory (SDO) are now being used routinely to detect strong magnetic regions on the far side of the Sun (http://jsoc.stanford.edu/data/farside/). To test the reliability of this technique, the helioseismically inferred active region detections are compared with far-side observations of solar activity from the Solar TErrestrial RElations Observatory (STEREO), using brightness in extreme-ultraviolet light (EUV) as a proxy for magnetic fields. Two approaches are used to analyze nine months of STEREO and HMI data. In the first approach, we determine whether new large east-limb active regions are detected seismically on the far side before they appear Earth side and study how the detectability of these regions relates to their EUV intensity. We find that while there is a range of EUV intensities for which far-side regions may or may not be detected seismically, there appears to be an intensity level above which they are almost always detected and an intensity level below which they are never detected. In the second approach, we analyze concurrent extreme-ultraviolet and helioseismic far-side observations. We find that 100% (22) of the far-side seismic regions correspond to an extreme-ultraviolet plage; 95% of these either became a NOAA-designated magnetic region when reaching the east limb or were one before crossing to the far side. A low but significant correlation is found between the seismic signature strength and the EUV intensity of a far-side region.

  8. The SIDER database of drugs and side effects

    DEFF Research Database (Denmark)

    Kuhn, Michael; Letunic, Ivica; Jensen, Lars Juhl;

    2016-01-01

    Unwanted side effects of drugs are a burden on patients and a severe impediment in the development of new drugs. At the same time, adverse drug reactions (ADRs) recorded during clinical trials are an important source of human phenotypic data. It is therefore essential to combine data on drugs......, targets and side effects into a more complete picture of the therapeutic mechanism of actions of drugs and the ways in which they cause adverse reactions. To this end, we have created the SIDER ('Side Effect Resource', http://sideeffects.embl.de) database of drugs and ADRs. The current release, SIDER 4......, contains data on 1430 drugs, 5880 ADRs and 140 064 drug-ADR pairs, which is an increase of 40% compared to the previous version. For more fine-grained analyses, we extracted the frequency with which side effects occur from the package inserts. This information is available for 39% of drug-ADR pairs, 19...

  9. U.S. electric utility demand-side management 1993

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-07-01

    This report presents comprehensive information on electric power industry demand-side management activities in the United States at the national, regional, and utility levels. Data is included for energy savings, peakload reductions, and costs.

  10. Side-Scan-Sonar Lines for Hudson River, NY

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Side Scan Sonar and Subbottom Profiler Tracklines. Data was collected November 5 to December 15, 2009, in the estuary north from Saugerties to Troy. Fugro utilized...

  11. Concussion: Doug Flutie: "Be on the Safe Side."

    Science.gov (United States)

    ... of this page please turn JavaScript on. Feature: Concussion Doug Flutie: "Be on the Safe Side." Past ... for NBC Sports. Flutie is often asked about concussions and brain trauma associated with sports like football, ...

  12. Strength Training May Prevent Side Effect of Breast Cancer Surgery

    Science.gov (United States)

    ... page: https://medlineplus.gov/news/fullstory_162473.html Strength Training May Prevent Side Effect of Breast Cancer Surgery ... 9, 2016 FRIDAY, Dec. 9, 2016 (HealthDay News) -- Strength training might benefit breast cancer survivors who've undergone ...

  13. Incorporating Side Information in Probabilistic Matrix Factorization with Gaussian Processes

    CERN Document Server

    Adams, Ryan Prescott; Murray, Iain

    2010-01-01

    Probabilistic matrix factorization (PMF) is a powerful method for modeling data associated with pairwise relationships, finding use in collaborative filtering, computational biology, and document analysis, among other areas. In many domains, there is additional information that can assist in prediction. For example, when modeling movie ratings, we might know when the rating occurred, where the user lives, or what actors appear in the movie. It is difficult, however, to incorporate this side information into the PMF model. We propose a framework for incorporating side information by coupling together multiple PMF problems via Gaussian process priors. We replace scalar latent features with functions that vary over the space of side information. The GP priors on these functions require them to vary smoothly and share information. We successfully use this new method to predict the scores of professional basketball games, where side information about the venue and date of the game are relevant for the outcome.

  14. Right-sided infective endocarditis: recent epidemiologic changes

    Science.gov (United States)

    Yuan, Shi-Min

    2014-01-01

    Background: Infective endocarditis (IE) has been increasingly reported, however, little is available regarding recent development of right-sided IE. Methods: Right-sided IE was comprehensively analyzed based on recent 5⅓-year literature. Results: Portal of entry, implanted foreign material, and repaired congenital heart defects were the main predisposing risk factors. Vegetation size on the right-sided valves was much smaller than those beyond the valves. Multiple logistic regression analysis revealed that predisposing risk factors, and vegetation size and locations were independent predictive risks of patients’ survival. Conclusions: Changes of right-sided IE in the past 5⅓ years included younger patient age, and increased vegetation size, but still prominent Staphylococcus aureus infections. Complication spectrum has changed into more valve insufficiency, more embolic events, reduced abscess formation, and considerably decreased valve perforations. With effective antibiotic regimens, prognoses of the patients seemed to be better than before. PMID:24482708

  15. U.S. electric utility demand-side management 1993

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-07-01

    This report presents comprehensive information on electric power industry demand-side management activities in the United States at the national, regional, and utility levels. Data is included for energy savings, peakload reductions, and costs.

  16. Graphene-based side-polished optical fiber amplifier.

    Science.gov (United States)

    Karimi, Mohammad; Ahmadi, Vahid; Ghezelsefloo, Masoud

    2016-12-20

    We demonstrate a novel design for optical fiber amplifiers, utilizing side-polished fibers with a single-layer graphene overlay as the active medium and carrier injection in the graphene layer to provide the required inversion. We study the effects of an electrically induced graphene p-i-n heterojunction in the forward bias regime on optical modes of side-polished fibers and show that gain values of 0.51, 1.81, and 1.79 dB/cm for wavelengths 1064, 1330, and 1550 nm can be obtained for single-mode side-polished fibers. Our results show that in multi-mode side-polished fibers, higher order modes experience higher values of gain, and gain can be increased by increasing polished depth. The proposed system is a tunable wideband optical amplifier that can operate for wavelengths larger than 1000 nm.

  17. Managing Chemotherapy Side Effects: Sexual and Fertility Changes in Men

    Science.gov (United States)

    N ational C ancer I nstitute Managing Chemotherapy Side Effects Sexual and Fertility Changes in Men “I talked with my doctor before treatment. I told him I would like to have children one day. I’m ...

  18. Managing Chemotherapy Side Effects: Mouth and Throat Changes

    Science.gov (United States)

    N ational C ancer I nstitute Managing Chemotherapy Side Effects Mouth and Throat Changes “My mouth felt sore. I let my nurse know right away. He told me about medicine that can help. He also showed ...

  19. Managing Chemotherapy Side Effects: Sexual and Fertility Changes in Women

    Science.gov (United States)

    N ational C ancer I nstitute Managing Chemotherapy Side Effects Sexual and Fertility Changes in Women “Talk with your doctor before you start treatment. Ask how chemotherapy could affect your ability to have children. ” Ask what ...

  20. Managing Chemotherapy Side Effects: Skin and Nail Changes

    Science.gov (United States)

    N ational C ancer I nstitute Managing Chemotherapy Side Effects Skin and Nail Changes “I was glad to learn that most skin and nail problems go away after treatment. For now, my nurse told me about ...

  1. Flow characteristics at trapezoidal broad-crested side weir

    Directory of Open Access Journals (Sweden)

    Říha Jaromír

    2015-06-01

    Full Text Available Broad-crested side weirs have been the subject of numerous hydraulic studies; however, the flow field at the weir crest and in front of the weir in the approach channel still has not been fully described. Also, the discharge coefficient of broad-crested side weirs, whether slightly inclined towards the stream or lateral, still has yet to be clearly determined. Experimental research was carried out to describe the flow characteristics at low Froude numbers in the approach flow channel for various combinations of in- and overflow discharges. Three side weir types with different oblique angles were studied. Their flow characteristics and discharge coefficients were analyzed and assessed based on the results obtained from extensive measurements performed on a hydraulic model. The empirical relation between the angle of side weir obliqueness, Froude numbers in the up- and downstream channels, and the coefficient of obliqueness was derived.

  2. Congenital right sided ureteropelvic junction obstruction in right ...

    African Journals Online (AJOL)

    V. Singh

    Congenital right sided ureteropelvic junction obstruction in right crossed ... Peer review under responsibility of Pan African Urological Surgeons' Asso- ciation. ... There was large gap between the UPJ and the .... relationship to renal disease.

  3. Many Women Mistaken on 'Side Effects' of Breast Cancer Drug

    Science.gov (United States)

    ... html Many Women Mistaken on 'Side Effects' of Breast Cancer Drug Study shows that normal symptoms of menopause ... therapy, could be a useful approach in encouraging adherence," Sestak said. "This is particularly important for women ...

  4. Liraglutide and DPP-4 inhibitors - side effects comparative clinical study.

    Science.gov (United States)

    Timofte, Luminiţa; Stratmann, Bernd; Quester, Wulf; Bojiţă, Marius Traian; Tschoepe, Diethelm

    2013-01-01

    The objective of this study was to monitor the side effects of the GLP-1 receptor agonist liraglutide in comparison to those of DPP-4 inhibitors (sitagliptin and vildagliptin), in order to determine their safety, tolerability and therapeutic efficiency. The study was carried out in the "Heart and Diabetes Center NRW" and included overweight patients with type 2 diabetes whose therapeutic regimen was switched to liraglutide or DPP-4 inhibitors. A validated questionnaire method was used to monitor the side effects during the hospitalization period, then again at 3, and 6 months after the beginning of the therapy. The therapy with liraglutide was associated with more side effects than the one with DPP-4 inhibitors. In general, side effects were declining with time, thus only few patients stopped therapy. The incretin therapy turned out to be a safe and effective therapeutic option for patients with type 2 diabetes mellitus.

  5. A Case Report of Left-Sided Headache with Rhinocleisis

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    @@ Case Report A patient, with a complaint of a left-sided headache plus a rhinocleisis for a month, was admitted to our hospital. The clinical diagnosis showed that it was a primary adenoid cystic carcinoma (ACC) of the nasopharynx.

  6. Effect of Overlaid Material on Optical Transmission of Side-Polished Fiber Made by Wheel Side Polishing

    Institute of Scientific and Technical Information of China (English)

    Zhe Chen; Chun-He Bai

    2008-01-01

    The performance of optical power transmission through a side-polished fiber on which materials of different refractive indices were overlaid is investigated. The experiments show that the transmitted optical power through the side-polished fiber varies with the refractive index of the overlaid material. The result of our experiments fits well the theoretical calculation.Side-polished fiber manufactured by wheel polishing method can be used not only to control optical power transmission through the fiber core but also as a refractive index sensor.

  7. Harmonic measures of slit sides perpendicular to the domain boundary

    CERN Document Server

    Prokhorov, Dmitri

    2012-01-01

    The article is devoted to the geometry of solutions to the chordal Loewner equation which is based on comparison of singular solutions and harmonic measures for the sides of a slit in domains generated by a driving term. It is proved that harmonic measures of two sides of a slit in the upper half-plane which is perpendicular to the real axis are asymptotically equal to each other.

  8. Holographic Gratings in Azobenzene Side-Chain Polymethacrylates

    DEFF Research Database (Denmark)

    Andruzzi, Luisa; Altomare, Angelina; Ciardelli, Francesco

    1999-01-01

    Optical storage properties of thin unoriented liquid crystalline and amorphous side-chain azobenzene polymethacrylate films are examined by polarization holographic measurements. The investigated materials are free radical copolymers derived from two photochromic monomers, 6-(4-oxy-4'-cyanoazoben......Optical storage properties of thin unoriented liquid crystalline and amorphous side-chain azobenzene polymethacrylate films are examined by polarization holographic measurements. The investigated materials are free radical copolymers derived from two photochromic monomers, 6-(4-oxy-4...

  9. Side Effects and Complications of Dental Materials on Oral Cavity

    OpenAIRE

    Z. Atai; M. Atai

    2007-01-01

    Development of dental materials has had a great impact on the modern dentistry. The materials ranging from polymers to metals have different applications in dentistry. Besides their important role in healing or improving the function of oral tissues, the materials may show side effects which may, in some cases, lead to severe lesions. In this review the side effects have been summarized considering a new classification for dental materials according to the duration of their applications as te...

  10. Regional renal venous hypertension and left-sided varicocele

    OpenAIRE

    O. B. Zhukov; A. V. Verzin; P. L. Penkov

    2014-01-01

    One of the most frequent correctable causes of male infertility is a varicocele. The etiology and pathogenesis of varicocele to date is a matter of debate. The aim of our study was to determine the causes and incidence of regional renal hypertension in patients with leftsided varicocele. The study involved 110 patients with left-sided varicocele in age from 18 to 35 years. Algorithm for evaluation of patients with left-sided varicocele included: physical examination, ultrasound with Doppler k...

  11. Side-stream cigarette smoke accentuates immunomodulation during murine AIDS.

    Science.gov (United States)

    Zhang, Jin; Du Ester, En-Jie; Watson, Ronald Ross

    2002-05-01

    Side-stream cigarette smoke has become a hotly debated social, political, and scientific health and safety issue for nonsmokers. The harmful influences of side-stream cigarette smoke on human health are its adverse effects on the immune system, especially when already compromised by other agents. Acquired immune deficiency syndrome (AIDS) is a clinical disorder caused by human immunodeficiency virus (HIV). To facilitate studies, murine AIDS was induced in C57BL/6 mice by LP-BM5 murine leukemia virus infection, which mimics human AIDS. After 2 weeks of retroviral infection, the mice were exposed to side-stream cigarette smoke for 30 min, 5 days/week for 12 weeks using a side-stream cigarette smoke exposure system. Murine retrovirus infection reduced the in vitro proliferation of T lymphocytes stimulated by concanavalin A, increased the release of pro-inflammatory cytokine interleukin-6 (IL-6) tumor necrosis factor-alpha (TNF-alpha), increased the hepatic lipid peroxidation and decreased the alpha-tocopherol levels in liver, lung and heart. Concomitant side-stream cigarette smoke exposure for 12 weeks further inhibited the proliferation of T cells, increased the release of TNF-alpha, IL-6 cytokines and enhanced the hepatic lipid peroxidation from retrovirus infected mice. The loss of alpha-tocopherol was also further enhanced by side-stream cigarette smoke exposure during retrovirus infection. Our conclusions are that side-stream cigarette smoke induced increasing oxidative stress, reducing nutrient concentrations and suppressing immune function could make mice with murine AIDS more susceptible to opportunistic infections, potentially accelerating murine AIDS progression. Thus, the reduction of side-stream cigarette smoke exposure is an important health issue in AIDS patients to improve the quality and quantity of their lives.

  12. Single Sided Messaging v. 0.6.6

    Energy Technology Data Exchange (ETDEWEB)

    2015-11-20

    Single-Sided Messaging (SSM) is a portable, multitransport networking library that enables applications to leverage potential one-sided capabilities of underlying network transports. It also provides desirable semantics that services for highperformance, massively parallel computers can leverage, such as an explicit cancel operation for pending transmissions, as well as enhanced matching semantics favoring large numbers of buffers attached to a single match entry. This release supports TCP/IP, shared memory, and Infiniband.

  13. A framework for assessing supply-side wildlife conservation.

    Science.gov (United States)

    Phelps, J; Carrasco, L R; Webb, E L

    2014-02-01

    Market-based, supply-side interventions such as domestication, cultivation, and wildlife farming have been proposed as legal substitutes for wild-collected plants and animals in the marketplace. Based on the literature, we devised a list of the conditions under which supply-side interventions may yield positive conservation outcomes. We applied it to the trade of the orchid Rhynchostylis gigantea, a protected ornamental plant. We conducted a survey of R. gigantea at Jatujak Market in Bangkok, Thailand. Farmed (legal) and wild (illegal, protected) specimens of R. gigantea were sold side-by-side at market. These results suggest farmed specimens are not being substituted for wild plants in the marketplace. For any given set of physical plant characteristics (size, condition, flowers), the origin of the plants (wild vs. farmed) did not affect price. For all price classes, farmed plants were of superior quality to wild-collected plants on the basis of most physical variables. These results suggest wild and farmed specimens represent parallel markets and may not be substitutable goods. Our results with R. gigantea highlight a range of explanations for why supply-side interventions may lack effectiveness, for example, consumer preferences for wild-collected products and low financial incentives for farming. Our results suggest that market-based conservation strategies may not be effective by themselves and may be best utilized as supplements to regulation and education. This approach represents a broad, multidisciplinary evaluation of supply-side interventions that can be applied to other plant and animal species.

  14. Perceived side effects of oral contraceptives among adolescent girls.

    Science.gov (United States)

    Herold, E S; Goodwin, M S

    1980-11-22

    Knowledge and attitudes of adolescent females regarding the side effects of oral contraceptives were investigated. The data source was a large study of sexual and contraceptive attitudes and experience. The questionnaire responses of 486 single females attending 10 birth control and pregnancy counseling centers in Ontario, Canada were examined. The age range of the subjects was from 13-20; 71% were attending school and 69% were living at home. They were attending the centers in order to obtain contraceptives (55%), to renew OC prescriptions (20%), or to receive pregnancy counseling (25%). 29% of the subjects had used OCs before coming to the clinic, but 91% planned to use OC after their clinic visit. 8% were planning to use an IUD; 1% were planning to use a diaphragm; and less than 1% were planning to have their boyfriend use condoms. 85% of the subjects indicated that they had heard abut side effcts of OCs with weight gain as the best known side effect. Other side effects familiar to many included nausea, circulatory disorders, headaches, emotional changes, menstrual problems and cancer. About 1/2 of the subjects had learned about these side effects from the mass media or female friends, 25% from a school sex education class, 15% from their mothers, and 3% from a physician. Despite knowledge regarding side effects, most of the subjects had positive attitudes toward OCs with 59% believing that the advnatages outweighed any disadvantages.

  15. Prevalence of left-sided melanomas in an Irish population.

    LENUS (Irish Health Repository)

    de Blacam, C

    2011-04-17

    BACKGROUND: A predominance of melanomas on the left side of the body has recently been described. No associations between tumour laterality and gender, age or anatomical site have been identified. AIM: The aim of this study was to investigate the prevalence of left-sided melanomas in an Irish population and to examine potential associations with various patient and tumour characteristics. METHODS: A retrospective chart review of patients with cutaneous melanoma who were treated over a 10-year period was carried out. Lateral distribution of melanoma on either side of the body was compared using χ(2) analysis and evaluated by gender, age group, anatomic location, histologic subtype and Breslow depth. RESULTS: More melanomas occurred on the left side (57%, P = 0.015), and this finding was particularly significant in females. For both genders combined, there were no statistically significant differences in laterality by age group, anatomic location, type of melanoma and Breslow depth. There were significantly more superficial spreading melanomas on the left side in both men and women. CONCLUSIONS: This study demonstrates a predominance of left-sided melanomas in Irish patients. While a number of demographic and molecular associations have been proposed, further research is required to fully explain this phenomenon.

  16. Prevalence of left-sided melanomas in an Irish population.

    LENUS (Irish Health Repository)

    de Blacam, C

    2012-02-01

    BACKGROUND: A predominance of melanomas on the left side of the body has recently been described. No associations between tumour laterality and gender, age or anatomical site have been identified. AIM: The aim of this study was to investigate the prevalence of left-sided melanomas in an Irish population and to examine potential associations with various patient and tumour characteristics. METHODS: A retrospective chart review of patients with cutaneous melanoma who were treated over a 10-year period was carried out. Lateral distribution of melanoma on either side of the body was compared using chi(2) analysis and evaluated by gender, age group, anatomic location, histologic subtype and Breslow depth. RESULTS: More melanomas occurred on the left side (57%, P = 0.015), and this finding was particularly significant in females. For both genders combined, there were no statistically significant differences in laterality by age group, anatomic location, type of melanoma and Breslow depth. There were significantly more superficial spreading melanomas on the left side in both men and women. CONCLUSIONS: This study demonstrates a predominance of left-sided melanomas in Irish patients. While a number of demographic and molecular associations have been proposed, further research is required to fully explain this phenomenon.

  17. Left-sided gallbladder: Its clinical significance and imaging presentations

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    AIM: To assess the importance of preoperative diagnosis and presentation of left-sided gallbladder using ultrasound (US), CT and angiography.METHODS: Retrospective review of 1482 patients who underwent enhanced CT scanning was performed. Left-sided gallbladder was diagnosed if a right-sided ligamentum teres was present. The image presentations on US, CT and angiography were also reviewed.RESULTS: Left-sided gallbladder was diagnosed in nine patients. The associated abnormalities on CT imaging included portal vein anomalies, absence of umbilical portion of the portal vein in the left lobe of the liver,club-shaped portal vein in the right lobe of the liver, and difficulty in identifying segment Ⅳ. Angiography in six of nine patients demonstrated abnormal portal venous system (trifurcation type in four of six patients). The main hepatic arteries followed the portal veins in all six patients. The segment Ⅳ artery was identified in four of six patients using angiography, although segment Ⅳ was difficult to define on CT imaging. Hepatectomy was performed in three patients with concomitant liver tumor and the diagnosis of left-sided gallbladder was confirmed intraoperatively.CONCLUSION: Left-sided gallbladder is an important clinical entity in hepatectomy due to its associated portal venous and biliary anomalies. It should be considered in US, CT and angiography images that demonstrate no definite segment IV, absence of umbilical portion of the portal vein in the left lobe, and club-shaped right anterior portal vein.

  18. Interaction dynamics of gap flow with vortex-induced vibration in side-by-side cylinder arrangement

    Science.gov (United States)

    Liu, Bin; Jaiman, Rajeev K.

    2016-12-01

    A numerical investigation of the vortex-induced vibration (VIV) in a side-by-side circular cylinder arrangement has been performed in a two-dimensional laminar flow environment. One of the cylinders is elastically mounted and only vibrates in the transverse direction, while its counterpart remains stationary in a uniform flow stream. When the gap ratio is sufficiently small, the flip-flopping phenomenon of the gap flow can be an additional time-dependent interference to the flow field. This phenomenon was reported in the experimental work of Bearman and Wadcock ["The interaction between a pair of circular cylinders normal to a stream," J. Fluid Mech. 61(3), 499-511 (1973)] in a side-by-side circular cylinder arrangement, in which the gap flow deflects toward one of the cylinders and switched its sides intermittently. Albeit one of the two cylinders is free to vibrate, the flip-flop of a gap flow during VIV dynamics can still be observed outside the lock-in region. The exact moments of the flip-flop phenomenon due to spontaneous symmetry breaking are observed in this numerical study. The significant characteristic vortex modes in the near-wake region are extracted via dynamic modal analysis and the interference between the gap flow and VIV is found to be mutual. In a vibrating side-by-side arrangement, the lock-in region with respect to reduced velocity becomes narrower due to the interference from its stationary counterpart. The frequency lock-in occurs and ends earlier than that of an isolated vibrating circular cylinder subjected to an identical flow environment. Similar to a tandem cylinder arrangement, in the post-lock-in region, the maximum vibration amplitudes are escalated compared with those of an isolated circular cylinder configuration. On the other hand, subjected to the influence from VIV, the biased gap flow deflects toward the vibrating cylinder quasi-stably during the frequency lock-in process. This behavior is different from the reported bi

  19. Meta-sided Exchange Rings and Their Extensions%Meta-sided exchange环及其扩张

    Institute of Scientific and Technical Information of China (English)

    郭莉琴; 何建伟; 卲海琴

    2010-01-01

    讨论了meta-sided exchange环的性质.证明了如果R是Abelian meta-sided exchange环,则对R的任意素理想P,都有R/P是局部环;如果R是Abelian环,(S,≤)是严格序幺半群且对任意s∈S,都有0≤s,则广义幂级数环[[RS,≤

  20. High-frequency ultrasound combined with E-flow imaging on evaluation of the fingertip's microvascular dynamic changes of hemodynamics in patients with hemodialysis%高频超声结合E-flow显像评价血液透析患者指端微血管血流的动态变化

    Institute of Scientific and Technical Information of China (English)

    马宏; 杨秀华; 王秀云; 张羽

    2010-01-01

    Objective To provide the evidence for the clinical prevention and early treatment for the complication by testing microcirculation of the middle fingertip in renal failure patients with hemodialysis.Methods High-frequency ultrasounds combined with E-flow technique were applied to detect the Doppler velocitg index of middle fingertip's nail bed arteriole and ventral arteriole in 35 renal failure patients with hemodialysis.Peak systolic velocity(PSV),end-diastolic velocity(EDV)and vascular resistance index(RI)were separately measured,and comparison were made with healthy adults and renal failure patients without hemodialysis(sex and age matched).Results Compared with normal control,PSV and EDV of middle fingertip's nail bed arteriole and ventral arteriole were degraded statistically(P<0.05),while RI was increased statistically(P<0.05)in renal failure patients with and without hemodialysis.Compared with renal failure patients without hemodialysis,PSV and EDV were degraded(P<0.05)and RI was increased(P<0.05)in renal failure patients with hemodialysis.Conclusions High-frequency ultrasound combined with E-flow imaging technique can evaluate the microvascular peripheral resistance in renal failure patients with hemodialysis.%目的 检测肾衰竭维持性血液透析患者中指末端微血管,旨在为临床预防和早期治疗并发症提供依据.方法 应用高频超声结合E-flow技术检测35例肾衰竭进行血液透析患者的中指末端甲床动脉、指腹动脉的多普勒流速指标,计算甲床动脉、指腹动脉收缩期峰值流速(PSV)、舒张末期流速(EDV)以及阻力指数(RI),并且与年龄、性别相匹配的健康成人以及肾功能衰竭未进行血液透析患者进行对照比较.结果 肾衰竭血液透析患者和未透析患者较正常对照组中指末端甲床动脉、指腹动脉PSV、EDV测值均减低(P<0.05),RI增高(P<0.05),差异有统计学意义;肾衰竭血液透析患者的PSV、EDV较