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Proceedings of the 1995 Fourteenth Southern Biomedical Engineering Conference最新文献

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The new age electronic patient record system 新时代的电子病历系统
Pub Date : 1995-04-07 DOI: 10.1109/SBEC.1995.514459
S. Saha
Health care management costs rise yearly, especially in the areas of personnel and the expenses of generating and maintaining the patients' records. A substantial informational burden is incurred with each patient visit to a health professional, and patients' needs are often lost in the shuffle of medical records, insurance information, and red tape. However during the last few years significant progress has been made in the development of clinically useful medical decision support system to assist the health care provider. Earlier efforts to implement computer-based patient records mainly used keyboard entry, but with the latest technology, voice activated clinical reporting systems could be a central component of such a computer-based system in the future. Several groups are in the process of developing portable data management device. This will allow the clinicians to have on-line readily transferable patient records, decision making support and searching of remote databases to better analyze complex health care delivery problems. When the medical transcriptions are forwarded to an off-site location, this unique device will reduce the time and the cost of re-recording and transmission. This device will help the user to maintain and update the data remotely and instantly. It will also provide immediate information updates and database manipulations for all aspects of medical data management, provide portable multiple and simultaneous access to complete database information. These will significantly reduce paperwork and personnel costs.
卫生保健管理费用每年都在上升,特别是在人员和生成和维护病人记录的费用方面。病人每次去看专业医生都要承担大量的信息负担,而病人的需求往往在医疗记录、保险信息和繁文缛节的混乱中被忽视。然而,在过去的几年里,在临床上有用的医疗决策支持系统的发展取得了重大进展,以协助卫生保健提供者。早期实现基于计算机的病人记录主要使用键盘输入,但随着最新技术的发展,语音激活的临床报告系统将来可能成为这种基于计算机的系统的核心组成部分。几个小组正在开发便携式数据管理设备。这将使临床医生拥有易于在线转移的患者记录、决策支持和远程数据库搜索,从而更好地分析复杂的医疗保健提供问题。当医疗记录被转发到异地时,这种独特的设备将减少重新记录和传输的时间和成本。该设备将帮助用户远程、即时地维护和更新数据。它还将为医疗数据管理的各个方面提供即时的信息更新和数据库操作,提供对完整数据库信息的便携式多个和同时访问。这将大大减少文书工作和人员成本。
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引用次数: 3
Walkway surface heights and ground reaction forces 人行道表面高度和地面反作用力
Pub Date : 1995-04-07 DOI: 10.1109/SBEC.1995.514471
D. Schieb
Falling is a leading cause of morbidity and mortality in the U.S. Several factors can contribute to injuries resulting from tripping, slipping and falling during locomotion such as surface condition, transitions and the degree of walkway evenness. Because walkway unevenness has been largely unexamined, the purpose of this study was to evaluate the extent to which gait kinetics change with uneven walkway surface heights. In this study, subjects walked at a constant velocity over a walkway, whose surface for various trials was positioned above, below, and level with respect to multicomponent force measuring plate. Ground reaction forces (GRF) were recorded from a single step when the subject stepped up or down onto the force plate during gait. Averaged trials from three step-up and two step-down heights were compared to level gait trials. GRF parameters included peak force components, center of pressure and temporal measures. Significant differences in GRF measures were found between the level condition and step-up heights >2.5 cm and step-down heights >-1.5 cm. No differences were found between the level condition and a step-up height of 0.7 cm. The results suggest that a walkway unevenness of >2.5 cm step-up and >1.5 cm step-down may contribute to initiating a trip, stumble or fall since the GRF are significantly altered with these conditions. However, negotiating a step-up of <2.5 cm or step-down of <0.7 cm produces gait kinetic measures similar to walking on a level surface, and therefore may not predispose one to a trip or stumble.
在美国,跌倒是发病率和死亡率的主要原因。在运动过程中,有几个因素会导致绊倒、滑倒和跌倒,比如地面状况、过渡和人行道的均匀程度。由于人行道的不均匀性在很大程度上未被研究过,因此本研究的目的是评估步态动力学随人行道表面高度不均匀而变化的程度。在这项研究中,受试者以恒定速度在人行道上行走,在不同的试验中,人行道的表面分别位于多分量力测量板的上方、下方和水平处。当受试者在步态中上下踩在测力板上时,从单步开始记录地面反作用力(GRF)。三个上升高度和两个下降高度的平均试验与水平步态试验比较。GRF参数包括峰值力分量、压力中心和时间测度。在水平状态和升压高度>- 2.5 cm和降压高度>-1.5 cm之间,GRF测量值存在显著差异。水平状态与上升高度0.7 cm之间无差异。结果表明,步道不均匀度(>上升2.5 cm和>下降1.5 cm)可能导致绊倒或跌倒,因为GRF在这些条件下发生了显著变化。然而,在<2.5 cm的上升或<0.7 cm的下降过程中,步态动力学测量结果与在平地上行走相似,因此可能不会使人容易绊倒或跌倒。
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引用次数: 5
Polymers and devices in ophthalmology 眼科中的聚合物和设备
Pub Date : 1995-04-07 DOI: 10.1109/SBEC.1995.514462
M. Refojo
From the economic and social significance the most important applications of polymers in ophthalmology are in contact and intraocular lenses, as well as in viscoelastic polymer solutions used for tissue protection during intraocular surgery. Although needed by fewer patients, scleral implants, silicone oils and perfluorocarbon liquids are important in the surgery to repair retinal detachments. Polymeric devices are also used for the treatment of complicated glaucoma, as artificial corneas and for sustained drug delivery on and into the eye. Some of the implants and devices use in ophthalmology are made with commercial polymers. However, new polymers with specific properties are used to manufacture contact lenses and surgical implants to correct or to restore vision.
从经济和社会意义来看,聚合物在眼科领域最重要的应用是隐形眼镜和人工晶状体,以及用于眼内手术中组织保护的粘弹性聚合物溶液。虽然需要巩膜植入物、硅油和全氟碳液体的患者较少,但在修复视网膜脱离的手术中很重要。聚合物装置也用于治疗复杂的青光眼,如人工角膜和持续的药物输送到眼睛。眼科中使用的一些植入物和设备是由商业聚合物制成的。然而,具有特殊性能的新型聚合物被用于制造隐形眼镜和外科植入物,以矫正或恢复视力。
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引用次数: 4
Changes in tearing pressure with the geometry of dissections in porcine aortas 撕裂压力随猪主动脉解剖几何形状的变化
Pub Date : 1995-04-07 DOI: 10.1109/SBEC.1995.514424
C. He, M. R. Roach
Dissecting aneurysms, or dissections, occur in large arteries by creating a false lumen in the media which is parallel to the true lumen. A tensile force is needed to tear the arterial wall in dissections. This tensile force could be produced in response to the pressure in the false lumen. In this study, tearing pressure was investigated. The studies were done in vitro on fresh isolated porcine thoracic aortas which were pressurized to 130 mmHg (physiological mean pressure). A volume of diluted India ink was injected into the media of the aortic wall to create a cavity called a "bleb". As the size of the bleb increased, the media was dissected. The difference between the pressure inside the bleb and that in the lumen was measured, and defined as tearing pressure. Ten pig thoracic aortas were studied. The results showed that tearing pressure decreased with the volume of blebs at the beginning when the blebs were first formed, and then reached a constant pressure after the shape of blebs did not change. The minimum tearing pressure required for the propagation of dissections is called propagation pressure which is 52/spl plusmn/10(SD) mmHg (n=10) in the range of physiological pressure, indicating that the propagation of dissection might be possible in vivo under physiological conditions. Based on the assumptions that each aortic wall has a constant Young's modulus at large strains and a maximum strain, and shear stress is not an important fact involved in dissections, a mathematical model is established for dissections of the aortic wall. The tearing pressure was inversely proportional to both the radii of blebs and the tangents of the angles at the leading edge of dissections before the blebs had a fixed shape, and then kept as a constant when the shape of blebs did not change. The model explained the change of tearing pressure with the geometry of blebs, and predicted tearing pressure would be lower in old human aortas than in young ones.
夹层动脉瘤或夹层发生在大动脉中,通过在中间形成与真腔平行的假腔而发生。在解剖中,撕开动脉壁需要拉力。这种张力可以在假腔的压力下产生。本研究对撕裂压力进行了研究。研究是在新鲜分离的猪胸主动脉上进行的,并将其加压至130 mmHg(生理平均压力)。将大量稀释的印度墨水注入主动脉壁的介质中,形成一个被称为“气泡”的空洞。随着泡的增大,介质被剥离。测量泡内压力与管腔压力之差,并将其定义为撕裂压力。对10条猪胸主动脉进行了研究。结果表明,在气泡形成初期,撕裂压力随气泡体积的增大而减小,在气泡形状不变后,撕裂压力达到恒定。解剖扩展所需的最小撕裂压力称为扩展压力,在生理压力范围内为52/spl + usmn/10(SD) mmHg (n=10),说明在生理条件下,解剖在体内是可以扩展的。基于假设各主动脉壁在大应变和最大应变下的杨氏模量恒定,且剪切应力不是主动脉壁剥离的重要因素,建立了主动脉壁剥离的数学模型。在气泡形状固定之前,撕裂压力与气泡半径和切片前缘角度的切线成反比,当气泡形状不变时,撕裂压力保持恒定。该模型用气泡的几何形状解释了撕裂压力的变化,并预测老年人主动脉的撕裂压力会低于年轻人。
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引用次数: 0
3-D finite element modeling of human spinal discs and correlation with volume-pressure relation due to loading 人体椎间盘的三维有限元建模及与加载时体压关系的关系
Pub Date : 1995-04-07 DOI: 10.1109/SBEC.1995.514498
A. Shirazi-Adl, H. Ranu
A 3-D finite element model has been developed and is being used to analyse the effect of alteration in the nucleus fluid content on the overall mechanics of a lumbar motion segment. The results show that a change in the nucleus volume directly affected the intradiscal pressure. Similar results are also obtained in an experimental study where intradiscal pressures are measured by infusing a small volume of saline solution in an intervertebral disc in a slow and continuous fashion by a pump.
一个三维有限元模型已经被开发出来,并被用来分析核液含量的改变对腰椎运动节段的整体力学的影响。结果表明,核体积的变化直接影响到椎间盘内压力的变化。在一项实验研究中也获得了类似的结果,该研究通过泵缓慢连续地向椎间盘内注入小体积的生理盐水溶液来测量椎间盘内压力。
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引用次数: 1
In vivo characterization of hydroxylapatite (HA) coated pyrolytic carbon implants 羟基磷灰石(HA)涂层热解碳植入物的体内表征
Pub Date : 1995-04-07 DOI: 10.1109/SBEC.1995.514435
L.S. Popich, A. M. Rust-Dawicki, J. Klawitter, J. F. Kay, S. Cook
Low-temperature isotropic (LTI) pyrolytic carbon implants (Carbon Implants, Austin, TX) with smooth and grooved surfaces were evaluated using the canine transcortical plug model. The implants were evaluated with and without a 50-75 /spl mu/m hydroxylapatite (HA) coating (Bio-Interfaces, Inc., San Diego, CA). Four adult mongrel dogs were used each receiving five transcortical implants bilaterally in the femur. The implants were evaluated mechanically and histologically at periods of 3, 4, and 6 weeks postoperatively. Mechanical pushout testing was performed to determine interface attachment strength and stiffness. Histologic sections were evaluated for interface tissue characterization, percent bone apposition, and mode of interface pushout failure. Statistical analysis revealed that RA coating significantly increased interface shear strength and stiffness of smooth pyrolytic carbon implants. A grooved surface texture resulted in improved mechanical attachment strength compared to smooth surface texture and was unaffected by the application of HA coating. Histologic evaluation showed a significant amount of direct implant-bone apposition with little or no fibrous tissue present. HA-coated implants had a significantly greater amount of direct bone apposition with both smooth and textured surfaces compared to uncoated implants.
低温各向同性(LTI)热解碳植入物(carbon implant, Austin, TX)具有光滑和沟槽的表面,使用犬经皮质塞模型进行评估。植入物在使用和不使用50-75 /spl mu/m羟基磷灰石(HA)涂层时进行评估(Bio-Interfaces, Inc., San Diego, CA)。使用4只成年杂种狗,每只接受5个经皮质植入物在双侧股骨。在术后3、4和6周对植入物进行机械和组织学评估。进行机械推出测试,以确定界面附着强度和刚度。组织学切片评估界面组织特征、骨附着百分比和界面推出失败模式。统计分析表明,RA涂层显著提高了光滑热解碳植入体的界面抗剪强度和刚度。与光滑的表面纹理相比,沟槽表面纹理提高了机械附着强度,并且不受HA涂层应用的影响。组织学评估显示大量的直接种植体与骨的结合,很少或没有纤维组织存在。ha涂层种植体与未涂层种植体相比,具有光滑和纹理表面的直接骨贴合量显著增加。
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引用次数: 0
Problems in defining and measuring friction on natural and artificial playing surfaces 定义和测量天然和人造场地摩擦的问题
Pub Date : 1995-04-07 DOI: 10.1109/SBEC.1995.514470
H. Medoff
Classical models of friction assume non-resilient surfaces, and are contact area independent. Pedestrian traction requirements remain controversial, as does the methodology of measuring coefficient of friction in situ. Athletic events, with severe maneuvers, can result in high traction requirements in order for the participants to successfully complete the activity. Typical outdoor athletic fields can be divided into natural and artificial surfaces, each with its own peculiar traction behavior when in contact with different athletic shoe outsoles. Friction testing devices, for use with athletic shoes and playing surfaces have been developed. However, traction requirements and appropriate test protocols have not been standardized.
经典的摩擦模型假定非弹性表面,并且与接触面积无关。行人牵引力要求仍然存在争议,就地测量摩擦系数的方法也是如此。运动项目,具有严格的机动,可以导致高牵引力的要求,以使参与者成功地完成活动。典型的户外运动场可分为天然表面和人造表面,每种表面在与不同的运动鞋大底接触时都有其独特的牵引行为。已开发出用于运动鞋和运动场地的摩擦测试装置。然而,牵引要求和适当的测试方案尚未标准化。
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引用次数: 3
Power spectral analysis of arterial blood pressure variability in conscious mice 有意识小鼠动脉血压变异性的功率谱分析
Pub Date : 1995-04-07 DOI: 10.1109/SBEC.1995.514484
K. Ju, T. Kuwaki, M. Kumada, S. Onish, H. Yamazaki
This study deals with the power spectral analysis of arterial blood pressure fluctuations by using an autoregressive model in mice. The authors analyzed the frequency contents in arterial blood pressure variability by estimating their power spectrum and analyzed the relationship between each frequency component and the activity of autonomic nervous system.
本研究采用自回归模型对小鼠动脉血压波动进行功率谱分析。作者通过估算其功率谱分析了动脉血压变异性的频率含量,并分析了各频率成分与自主神经系统活动的关系。
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引用次数: 0
Lower extremity microfracture simulation in human bone 人类下肢骨微骨折模拟
Pub Date : 1995-04-07 DOI: 10.1109/SBEC.1995.514487
M. Hasan, H. Ranu
A mathematical model is developed and it is used to simulate the microfracture of human bone due to repetitive loading (e.g. jumping). Results show that less than eight jumps are enough to create a microfracture of human bone.
建立了一个数学模型,用于模拟由于重复载荷(如跳跃)引起的人体骨骼微骨折。结果表明,不到8次跳跃就足以造成人体骨骼的微骨折。
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引用次数: 0
Uptake of liposomes by human retinal pigment epithelial cells in culture 培养的人视网膜色素上皮细胞对脂质体的摄取
Pub Date : 1995-04-07 DOI: 10.1109/SBEC.1995.514455
G. Peyman, J. Schulman, M.R. Neisman
Summary form only received as follows: The phagocytic uptake of several liposome compositions by human retinal pigment epithelial (RPE) cells in culture was examined. The endocytic uptake of different Iiposome preparations was quantitatively measured for RPE, RAW 264.7 and rabbit dermal fibroblasts. RAW 264.7 is a transformed macrophagic murine cell line used as a positive control while rabbit dermal fibrocytes are a cell line developed for in vivo animal models of PVR. Measurement of the internalization of a non-degradable radiolabeled cholesterol analog incorporated in the liposome bilayer was used to quantify the uptake of liposomes. Fluorescence microscopy was used to confirm the internalization of the vesicles. The composition of liposomes most avidly ingested by RPE most closely resembled shed rod outer segments (ROS). The most actively phagocytized liposomes like the ROS plasma membrane contained phosphatidylserine and lacked cholesterol. Additionally, a greater uptake of the large multiluminar vesicles ranging in size from 0.20 /spl mu/m to 2 /spl mu/m compared to smaller vesicles extruded through a 0.22 /spl mu/m filter demonstrated liposomal size influenced the uptake process. The larger vesicles were closer in size to naturally occurring ROS. Uptake by RPE was significantly lower than observed with RAW 264.7 cells, but greater than exhibited by rabbit dermal fibroblasts. These findings appear to have important implications regarding the use of liposomes as drug carriers for the treatment of proliferative vitreoretinopathy and the study of phagocytosis by RPE.
摘要:本文研究了培养的人视网膜色素上皮(RPE)细胞对几种脂质体组成物的吞噬吸收。定量测定了不同脂质体制剂对RPE、RAW 264.7和兔真皮成纤维细胞的内吞摄取。RAW 264.7是一种转化的巨噬细胞小鼠细胞系,用作阳性对照,而兔真皮纤维细胞是一种用于PVR动物体内模型的细胞系。测量脂质体双分子层中不可降解的放射性标记胆固醇类似物的内化,用于量化脂质体的摄取。荧光显微镜证实了囊泡的内化。RPE最热衷摄取的脂质体组成与棚杆外段(ROS)最为相似。被吞噬最活跃的脂质体如ROS质膜含有磷脂酰丝氨酸,缺乏胆固醇。此外,与通过0.22 /spl μ m过滤器挤出的较小囊泡相比,大小在0.20 /spl μ m至2 /spl μ m之间的大多光斑囊泡的摄取更多,这表明脂质体的大小影响了摄取过程。较大的囊泡在大小上更接近于自然产生的活性氧。RPE的摄取明显低于RAW 264.7细胞,但高于兔真皮成纤维细胞。这些发现似乎对使用脂质体作为药物载体治疗增殖性玻璃体视网膜病变和RPE吞噬作用的研究具有重要意义。
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引用次数: 0
期刊
Proceedings of the 1995 Fourteenth Southern Biomedical Engineering Conference
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