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1.
Dejan Popovic Tessa Gordon Victor F. Rafuse Dr. Arthur Prochazka 《Annals of biomedical engineering》1991,19(3):303-316
Implanted wire electrodes are increasingly being used for the functional electrical stimulation of muscles in partially paralysed
patients, yet many of their basic characteristics are poorly understood. In this study we investigated the selectivity, recruitment
characteristics and range of control of several types of electrode in triceps surae and plantaris muscles of anaesthetized
cats. We found that nerve cuffs are more efficient and selective (i.e., cause less stimulus spread to surrounding muscles)
than intramuscular electrodes. Bipolar intramuscular stimulation was more efficient and selective than monopolar stimulation,
but only if the nerve entry point was between the electrodes. Monopolar electrodes are efficient and selective if located
close to the nerve entry point, but their performance declines with distance from it. Nonetheless, for a variety of reasons
monopolar stimulation provides the best compromise in many current applications. Short duration pulses offer the best efficiency
(least charge per pulse to elicit force) but high peak currents, increasing the risk of electrode corrosion and tissue damage.
Electrode size has little effect on recruitment and should therefore be maximised because this minimises current density. 相似文献
2.
Dejan Nikolic Yongmei Li Lucas R Chadwick Simonida Grubjesic Pia Schwab Peter Metz Richard B van Breemen 《Drug metabolism and disposition》2004,32(2):272-279
The female flowers of hops are used throughout the world as a flavoring agent for beer. Recently, there has been increasing interest in the potential estrogenic properties of hop extracts. Among the possible estrogenic compounds in hops, 8-prenylnaringenin is perhaps most significant due to its high in vitro potency exceeding that of other known phytoestrogens. Since data regarding the pharmacokinetic properties of this compound are lacking, we investigated the in vitro metabolism of 8-prenylnaringenin by human liver microsomes. A total of 12 metabolites were identified, and biotransformation occurred on the prenyl group and the flavanone skeleton. The major site of oxidation was on the terminal methyl groups, and of the two possible isomers, the transisomer was more abundant. The double bond on the prenyl group was also oxidized to an epoxide that was opened by intramolecular reaction with the neighboring hydroxyl group. On the flavanone skeleton, the major site of oxidation was at 3'position on the B ring. Other metabolites included oxidation at carbon-3 as well as desaturation of the C ring to produce 8-prenylapigenin. An unusual hydroxy quinone product formed by ipso hydroxylation of the B ring of 8-prenylnaringenin was also detected. This product was probably an intermediate for the B ring cleavage product, 8-prenylchromone. 相似文献
3.
Chen SN Lankin DC Nikolic D Fabricant DS Lu ZZ Ramirez B van Breemen RB Fong HH Farnsworth NR Pauli GF 《Journal of natural products》2007,70(6):1016-1023
Extracts from the roots and rhizomes of black cohosh (Cimicifuga racemosa) are widely used as dietary supplements to alleviate menopausal symptoms. State-of-the-art quality control measures involve phytochemical fingerprinting of the triterpene glycosides for species identification and chemical standardization by HPLC. In the course of developing materials and methods for standardization procedures, the major C. racemosa triterpene glycoside (1) was isolated and initially thought to be cimicifugoside (2). Detailed HR-LC-MS and 1D and 2D NMR analysis of 1 and 2 unambiguously revealed that 1 is the chlorine-containing derivative of 2, namely, 25-chlorodeoxycimigenol-3-O-beta-d-xyloside. Accordingly, HPLC profiles of black cohosh preparations require revision of the assignments of the chlorinated (1) and nonchlorinated (2) pair. Besides explaining the substantial shift in polarity (DeltatR[RP-18] ca. 20 min), 25-deoxychlorination opens a new pathway of structural diversification in triterpene glycoside chemistry. As chemical conversion of 2 into 1 could be demonstrated, deoxychlorination may be interpreted as artifact formation. Simultaneously, however, it is a potentially significant pathway for the gastric in vivo conversion ("nature's prodrug") of the relatively polar triterpene glycosides into significantly less polar chlorinated derivatives with altered pharmacological properties. 相似文献
4.
Karen Marr Dejan Jakimovski Marcello Mancini Ellen Carl Robert Zivadinov 《Ultrasound in medicine & biology》2018,44(8):1762-1769
A consensus on venous flow quantification using echo spectral Doppler sonography is lacking. Doppler sonography data from 83 healthy individuals were examined using manually traced transverse cross-sectional area and diameter-derived cross-sectional area obtained in longitudinal view measurements of the internal jugular vein. Time-averaged velocity over a 4-s interval was obtained in the longitudinal plane using manual tracing of the waveform. Manual and computer-generated blood flow volume calculations were also obtained for the common carotid artery, for accuracy purposes. No differences were detected between semi-automated and manual blood flow volume calculations for the common carotid artery. The manual calculation method resulted in almost twofold larger venous internal jugular vein flow measurements compared with the semi-automated method. Doppler sonography equipment does not provide accurate automated calculation of venous size and blood flow. Until further technological development occurs, manual calculation of venous blood flow is warranted. 相似文献
5.
Uroš Rajkovič Marija Milavec Kapun Dejan Dinevski Vesna Prijatelj Marija Zaletel Olga Šušteršič 《Journal of medical systems》2016,40(9):198
Health documentation is a prerequisite for good and sustainable health and social care. It is especially important for patient involvement and their empowerment. A transition from paper to e-documentation together with the electronic patient record should be based on thorough knowledge of the current state of documentation and its usages. The main objective of this paper was to analyse which documents and work methods of documenting processes within nursing are being used within different environments. Furthermore, what are the main reasons for their discrepancies from theoretical approaches and best practices. The analysis is based on a survey carried out on all three levels of healthcare. The survey questionnaire consisted of 12 questions to which responded 286 nursing teams from community health centres, hospitals and retirement homes in Slovenia. The results point to diversity in documenting as well as lack of interoperability. This is reflected in a great number of different documents. All phases of the nursing process were being documented in only 31.8 % of cases. The main reasons for this can be attributed to work organisation, different definitions of data-set requirements and inadequate knowledge by nurses. Survey results pointed out a need for the renewal of nursing documentation towards a more uniform system based on contemporary health technologies. 相似文献
6.
Dejan Susic Bo Rønn Hansen Torben Bæk Hansen 《Journal of plastic surgery and hand surgery》2013,47(3):319-320
To find out if a non-invasive technique (ultrasonography) was able to identify a dislocated ligament of a metacarpophalangeal joint of the thumb with instability of the ulnar collateral ligament, 14 consecutive patients with clinical rupture of the ulnar collateral ligament were examined with ultrasono-graphy before the ligament was explored. At exploration all ligaments were ruptured, and only five out of the 14 were dislocated. Ultrasonography recognised only two of the dislocated ligaments, and in half of the 14 patients the ultrasound scan gave incorrect information about the position of the ligament. We conclude that ultrasonography is not adequate for identifying dislocated ulnar collateral ligaments of the metacarpophalangeal joint of the thumb, and exploration is indicated in those with clinical instability in which palpation either suggests a dislocated ligament or is inconclusive. 相似文献
7.
8.
Dejan Orlic Bernhard Reimers Goran Stankovic Nicola Corvaja Alaide Chieffo Flavio Airoldi Vassilis Spanos Luca Favero Carlo Di Mario Antonio Colombo 《Catheterization and cardiovascular interventions》2003,60(2):159-166
The purpose of this study was to evaluate the safety and efficacy of the new Fox Hollow atherectomy device (FHT) designed for more efficient and easier plaque removal. The FHT has short rigid section and low-profile cutter mounted on a monorail catheter. The FHT catheter was utilized in 77 patients with 98 lesions. Mean reference vessel diameter was 2.75 +/- 0.51 mm. Successful atherectomy with tissue retrieval was performed in 94 lesions (96%). Following atherectomy, mean diameter stenosis was reduced from 71.1% to 31.9% and further to 10.4% following adjunctive treatment. Angiographic complications were one coronary perforation and one adventitial staining, both successfully treated with prolong balloon inflation and stent implantation. Nine patients (11.7%) had in-hospital non-Q-wave myocardial infarction (MI). One patient died (1.3%) for noncardiac reasons and one had MI (1.3%) at 6-month follow-up. Target lesion revascularization was required in 13 (13.8%) lesions and target vessel revascularization in 15 (20.3%) patients. There was target vessel failure in 17 (23.0%) patients. Plaque debulking with the FHT catheter can be performed safely and effectively in relatively small vessels and complex lesions located in mid-distal artery segments with 6-month clinical outcome similar to prior atherectomy devices. 相似文献
9.
Jakimovski Dejan Benedict Ralph H. B. Weinstock-Guttman Bianca Ozel Osman Fuchs Tom A. Lincoff Norah Bergsland Niels Dwyer Michael G. Zivadinov Robert 《Journal of neurology》2021,268(7):2578-2588
Journal of Neurology - The relationship between visual impairment and cognitive performance in multiple sclerosis (MS) remains poorly understood. To determine associations between visual acuity and... 相似文献
10.
Bojan?V.?StimecEmail author Bjarte?T.?Andersen Stefan?R.?Benz Jean?H.?D.?Fasel Knut?M.?Augestad Dejan?Ignjatovic 《International journal of colorectal disease》2018,33(6):771-777