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Biomedical subjects

M J Stokes

Publications and source records attributed to M J Stokes.

At least 19 recordsLinked to original sources
PubMed2001

Spherical growth and surface-quasifree vibrations of Si nanocrystallites in Er-doped Si nanostructures.

Si-based Er-doped Si nanostructures were fabricated for exploring efficient light emission from Er ions and Si nanocrystallites. High-resolution transmission electron microscopy observations reveal that Si nanocrystallites are spherically embedded in the SiO2 matrix. Energy-dispersive x-ray analysis indicates that the Er centers are distributed at the surfaces of nanocrystallites surrounded by the SiO2 matrix. Low-frequency Raman scattering investigation shows that Lamb's theory can be adopted to exactly calculate the surface vibration frequencies from acoustic phonons confined in spherical Si nanocrystallites and the matrix effects are negligible.

Journal Article↗
PubMed2001

Study on examinee's dose delivered in computed tomography.

Dose profiles are presented resulting from computed tomography (CT). The profiles are positioned at the central axis, 1 cm away from the outer surface of the phantom, for single and multiple scans. A Hitachi W-1000 scanner is used with a thermoluminescent dosimeter (TLD), and standard dosimetry head and trunk phantoms. Regression equations are found linking the dose resulting from scattered radiation associated with a single scan to the distance from the scanning centre. The impact on the CT dose index value (CTDI) for varying integrating lengths is analysed. Some problems associated with CT dose measurement are noted, which may assist in the practical application of IBSS (International Basic Standard of Radiation Protection and Safety of Radiation Sources) guide levels.

Abdomen↗
PubMed2000

Coronary artery flow velocity is related to lumen area and regional left ventricular mass.

BACKGROUND: Coronary flow velocity varies widely between individuals, even at rest. Because of this variation, indices with less apparent deviation, such as the ratio of hyperemic to resting velocity (coronary flow reserve), have been more commonly studied. We tested the hypothesis that the flow continuity principle could be used to model resting coronary flow, and we examined the resulting velocity relationship. METHODS AND RESULTS: We studied coronary velocity in 59 patients using a Doppler wire to measure resting and hyperemic average peak velocities in the left anterior descending artery. Quantitative techniques were used to calculate lumen cross-sectional area and the lengths of all distal coronary branches. Branch lengths were used to estimate regional left ventricular mass. We then calculated the ratio of lumen area to regional mass (A/m). Regional perfusion was estimated from the double product of heart rate and systolic blood pressure. Resting velocity (V) varied inversely with A/m ratio [V=46.5/(A/m); r=0.68, P<0.001]. Disease in the left anterior descending artery was categorized as none or luminal irregularities only (n=22), mild (n=15), or moderate (n=22). The A/m ratio declined across these groups (8.7+/-4.0, 8.5+/-6.2, and 5. 6+/-3.0 mm(2)/100 g, respectively; P<0.04), and the resting average peak velocity increased (27+/-16, 33+/-11, and 37+/-20 cm/s, respectively; P=0.06). CONCLUSIONS: Resting coronary artery flow velocity is inversely related to the ratio of lumen area to regional left ventricular mass. Higher resting velocities are found when insufficient lumen size exists for the distal myocardial bed, as occurs with diffuse mild or moderate coronary atherosclerosis.

Adult↗
PubMed2000

Blood irradiation with accelerator produced electron beams.

Blood and blood products are irradiated with gamma rays to reduce the risk of graft versus host disease (GVHD). A simple technique using electron beams produced by a medical linear accelerator has been studied to evaluate irradiation of blood and blood products. Variations in applied doses for a single field 20 MeV electron beam are measured in a phantom study. Doses have been verified with ionization chambers and commercial diode detectors. Results show that the blood product volume can be given a relatively homogeneous dose to within 6% using 20 MeV electrons without the need to rotate the blood bags or the beam entry point. The irradiation process takes approximately 6.5 minutes for 30 Gy applied dose to complete as opposed to 12 minutes for a dual field x-ray field irradiation at our centre. Electron beams can be used to satisfactorily irradiate blood and blood products in a minimal amount of time.

Blood↗
PubMed2000

EEG-based communication: a pattern recognition approach.

We present an overview of our research into brain-computer interfacing (BCI). This comprises an offline study of the effect of motor imagery on EEG and an online study that uses pattern classifiers incorporating parameter uncertainty and temporal information to discriminate between different cognitive tasks in real-time.

Communication Devices for People with Disabilities↗
PubMed2000

Reliability of tremor measurements using a multidimensional electromagnetic sensor system.

OBJECTIVE: To investigate the reliability of repeated measurements of normal physiological tremor made with a multidimensional measurement system. EQUIPMENT: Measurements of postural upper limb tremor at the hand were made in 10 normal subjects using a 3Space Fastrak (Polhemus, Inc.) which detects movement over six degrees-of-freedom (three of the measurement directions were examined). DATA COLLECTION: Reliability was assessed for two alternative upper limb postures (arm straight or bent) and data were collected on two days, twice at each session, to determine the repeatability between and within recording sessions. DATA ANALYSIS: The data were split into segments and subjected to autoregressive (AR) modelling. Three parameters (one for each of the measurement directions examined) were extracted from the models and used as variables for the reliability analysis. STATISTICAL TESTS: Variation within and between sessions was assessed by finding the median differences between efforts and days for each subject and then finding the overall median value and the corresponding 97.9% confidence intervals for each movement. This produced estimates of the population median value and indicated the precision of the estimates. RESULTS: All the confidence intervals encompassed the zero median difference point indicating that, in the population, this technique would produce repeatable results. For between-efforts comparisons there was some evidence that data collected for the bent arm posture were more repeatable than for a straight arm. CONCLUSION: Normal physiological tremor can be measured reliably, within and between sessions, using the 3Space Fastrak system.

Adult↗
PubMed1999

Corticospinal function in severe brain injury assessed using magnetic stimulation of the motor cortex in man.

We have assessed corticospinal function in 19 post-coma patients severely brain-injured by anoxia or physical trauma. Eleven patients were unresponsive (Category 1) and eight demonstrated minimal, non-verbal responses to simple commands (Category 2). Motor evoked potentials (MEPs) could be elicited in hand and leg muscles in nine Category 1 and all eight Category 2 patients in response to transcranial magnetic stimulation (TMS). In comparison with normal subjects, threshold to TMS was significantly elevated in Category 1 but not in Category 2. Central conduction times were within the normal range except for two patients (one in each category) in whom they were prolonged. The variability in MEP amplitude to constant TMS was not significantly different from normal in either category. The size of MEPs recorded simultaneously in different hand muscles were correlated in all three groups. The presence of H-reflexes in hand muscles was associated with an absence of MEPs or a high threshold to TMS. Variability of MEPs was substantially greater than that of H-reflexes. We conclude that brain injury of a severity that may preclude consciousness and voluntary movement does not invariably predicate a non-functional motor cortex and corticospinal system.

Adult↗
PubMed1999

Classification of normal and pathological tremors using a multidimensional electromagnetic system.

A new multidimensional movement analysis system was used to record limb tremor over six degrees-of-freedom, and signal processing techniques were explored to develop a suitable classification method to distinguish between different types of tremor. The specific aims were to investigate the ability of the system to screen for differences between normal subjects and a group of neurological patients, and then to differentiate between three diagnostic groups of patients. Postural tremor at the hand was recorded in normal subjects (n=24) and patients with essential tremor (n=21), multiple sclerosis (n=17) and parkinsonism (n=19). Data were collected using a 3Space Fastrak((R)) (Polhemus, Inc.) over six degrees-of-freedom (three translational directions and three rotations). Spectral estimates produced measures of tremor frequency and amplitude. Mathematical models of the data, using autoregressive modelling and K-nearest neighbour classification, produced parameters used to classify, (1) the normal subjects and 24 patients (using the three rotational movements), and (2) the three patient groups (using all six movement directions). Results were given in terms of the probability of each subject belonging to the groups being classified. 70%). The diagnostic classification produced clear differences between the patient groups (60% for essential tremor, 80% for multiple sclerosis and 60% for parkinsonism). The ability of this assessment technique to distinguish between postural tremor in normal subjects and neurological patients suggests that it could be developed as a screening tool. Classification of tremors between the patients groups, with a high degree of sensitivity, indicates the potential for further development of the system as a diagnostic aid.

Adult↗
PubMed1998

Active measurements of indoor concentrations of radon and thoron gas using charcoal canisters.

Standardized charcoal canisters with diameters of 4 inch, of a type recommended by the USEPA for passive measurement of radon gas concentrations, have been modified for active air sampling. Simultaneous measurement of the concentrations of radon (Rn) and thoron (Tn) in air can be obtained by counting the areas under gamma-ray peaks. Sample results obtained in a laboratory and in a residence with different conditions are also given. The largest uncertainties are about 2% and 3% for Rn and Tn respectively. The minimum detection limits are around 2.0 Bq/m3 for both gases. If only Rn concentration is required, the measurement time can be significantly shortened.

Air Pollution, Indoor↗
PubMed1998

Measurement of tracheobronchial dose from simultaneous exposure to environmental radon and thoron progeny.

According to the theory and idea of Hopke et al., a bronchial dosimeter consisting of multiple metal screens has been developed to measure the deposition fractions of radon and thoron progeny in the nasal (N) and tracheobronchial (T-B) regions of the human respiratory tract and to give the dose conversion factors in the T-B region in units of mGy WLM(-1) and mSv y(-1) per Bq m(-3). Different air treatments have been performed in a closed laboratory, which include the use of air conditioning and the application of positive and negative ions for the investigation of the change of the dose conversion factors. At the same time, the radon and thoron gas concentrations have also been measured in the laboratory by active sampling using newly designed activated charcoal canisters connected in series with the bronchial dosimeter for the calculation of the resulted annual effective dose under different air treatments. It is observed that the calculated dose conversion factors derived from the bronchial dosimeter have large discrepancies with those computed using existing lung models. It has also been found that the application of negative ions cannot reduce the annual effective dose in the T-B region; the application of positive ions can lead to a reduction, but not as much as the use of air conditioning. The mitigation of radon effects by air conditioning demonstrated using the bronchial dosimeter is more prominent than that shown by using lung models.

Air Pollutants, Radioactive↗
PubMed1998

Radon properties in offices.

The radon concentration (RC), total potential alpha energy concentration of radon decay products (PAEC), equilibrium factor (F), and the fraction of unattached radon decay products (fp) were measured for 94 offices in Hong Kong. The mean values for RC, PAEC, F, and fp were 51 Bq m(-3), 1.19x10(-7) J m(-3) (5.7 mWL), 0.43, and 0.13, respectively. The first three are much higher than the corresponding values for dwellings. The radon properties vary significantly for different sites. The time for measurements, cumulative time since the air conditioning system was turned on, and whether smoking is allowed in the office have been identified from the available data as possible factors affecting the radon characteristics in offices. The mean contribution of the lung exposure to the annual effective dose equivalent due to radon in offices has been calculated to be 0.35 mSv y(-1). Considering other sources of natural radiation, a rough estimate of the total annual equivalent dose of about 2.7 mSv for a person living in Hong Kong is obtained. Two simple methods are proposed to mitigate the radon hazard in offices: (1) the provision of smoke-free environments and (2) switching on the air conditioners earlier. The first method reduces the equivalent dose by about 0.13 mSv y(-1) while the second reduces by about 0.1 mSv y(-1), which can be regarded as significant.

Air Conditioning↗
PubMed1998

Test rig and software for recording force and muscle activity.

OBJECTIVE: To design a test rig for measuring isometric quadriceps' force which is easily adjustable, dismountable, transportable, relatively lightweight and inexpensive. Also to produce a data-acquisition software program that enables real-time feedback of the force signal, automatic analysis of maximal voluntary contraction (MVC) force, and submaximal target levels to be displayed on a computer screen, as well as acquisition of other signals such as electromyographic (EMG) activity. METHODOLOGY: A test rig was constructed using an aluminium tubing system which was fully adjustable and could be flat-packed for transportation. The data acquisition software program was written in Borland C++ and is suitable for use with an IBM-compatible PC. The interface is user friendly, and the entire testing system is relatively inexpensive compared to commercially available systems. CONCLUSIONS: The equipment is suitable for various applications in rehabilitation research and clinical testing, and is suitable for examining different muscles. Further technical details are freely available from the authors.

Electromyography↗
PubMed1997

A survey of radon properties in underground shopping centers in Hong Kong.

A number of radon-related properties have been surveyed in underground shopping centers in Hong Kong. These parameters include the radon concentration, the total potential alpha energy concentration of radon progeny, the equilibrium factor and the unattached fraction of radon progeny. The mean values recorded for these were 29.2 +/- 7.8 Bq/m3, 3.60 +/- 1.53 mWL, 0.46 +/- 0.16 and 0.05 +/- 0.03, respectively. Based on these figures, we have calculated the average radon dose received by employees in an underground shopping center in Hong Kong to be 0.22 mSv/yr, which represents an approximate increase of 8% over the total dose of about 2.7 mSv/yr received by the average person in Hong Kong.

Air Pollutants, Radioactive↗
PubMed1997

A study of radioactivities in six types of fish consumed in Hong Kong.

The contents of natural and artificial radionuclides in two types of fresh water fish and four types of marine fish commonly consumed by the Hong Kong population have been measured using HPGe gamma-ray spectrometry. The two types of fresh water fish are grey mullet (mugil cephalus) and grass carp (ctenopharyngodon idellus). The four types of marine fish are white pomfret (pampus argenteus), red bullseye (priacanthus macracanthus), golden thread (nemipterus) and ginkgo (gymnocranius griseus). All measurements of U and Th chain radionuclides in the samples have yielded values below MDA except for positive detection of 228Ra (assuming 228Ra to be in equilibrium with 228Ac) in grey mullet and bullseye perch. The 40K and 137Cs radionuclides were detectable in all samples, with values of 0.01-0.2 and 41.23-111.47 Bq/kg fresh respectively. The different levels of radioactivity in different species of fish is suggested to be due to differences in metabolism and feeding patterns. The radionuclide 60Co, the only other artificial radionuclide to be investigated herein, recorded values below MDA for most of the samples; observable values ranged from 0.01 to 0.04 Bq/kg fresh. Committed effective doses due to ingestion of radionuclides from fish have been estimated to be 1.2 (male) and 6.4 (female) microSv/yr for natural radionuclides; 0.027 (male) and 0.026 (female) microSv/yr for artificial radionuclides.

Animals↗
PubMed1997

A survey of radon and thoron progeny for dwellings in Hong Kong.

The potential alpha energy concentrations of radon and thoron progeny have been surveyed for dwellings in Hong Kong and the mean values are obtained as 3.58 and 2.29 mWL, respectively. The relative importance of the value for thoron is unexpectedly high, which is attributed to the high 232Th content of the building materials used in Hong Kong. It has also been found that the potential alpha energy concentration values for radon progeny changed dramatically with the season due to the different aerosol contents in the air in different seasons. The factors affecting the potential alpha energy concentration values have also been studied. These factors fall into three categories, namely (1) the building characteristics including age of the buildings, wall coverings and floor coverings; (2) the location of sites including nearby environments and the elevation of the sites; and (3) the meteorological parameters including wind speed, atmospheric pressure, air temperature and relative humidity. For categories (1) and (2), all factors seem to affect the potential alpha energy concentration values, although the effects may be different for radon and thoron progeny, which may be due to the very much different half lives of radon and thoron gas and to the different behavior of radon and thoron progeny in the attachment to aerosols. For category (3), only wind speed has been found to have effects.

Construction Materials↗
PubMed1995

Ultrasonography of masseter muscle size in normal young adults.

The present study was planned to determine the relationship between linear dimensions of human masseter muscle cross-section and cross-sectional area (CSA), and to assess symmetry between the two sides in normal young adults. Cross-sectional images of the masseter muscle were measured bilaterally by real-time ultrasound imaging in 39 healthy dentate subjects, 19 males and 20 females, aged 21-47. From stored images, CSA and two linear measurements of muscle cross-section were obtained (the shortest and the longest distance through the muscle group). Correlation and regression analyses were performed to examine the relationship between CSA and the linear dimensions (both individually and with the linear dimensions multiplied). Symmetry of CSA between the two sides of the face was examined using the paired t-test. The significance of correlation coefficients (r) and the difference between the slopes of the regression lines were also examined. Masseter CSA was larger in males than in females. All correlation values between CSA and linear measurements were significant but muscle CSA was most accurately predicted when the linear measurements were multiplied (r = 0.97; P < 0.001). Although the correlation in this regard was high, the linear dimensions consistently overestimated the actual CSA by approximately 25%. Males showed more symmetry of CSA than females. The range of values for symmetry of masseter CSA was too large to assess abnormal asymmetry in patients with unilateral symptoms.

Adult↗
PubMed1994

Evidence of lumbar multifidus muscle wasting ipsilateral to symptoms in patients with acute/subacute low back pain.

The effect of low back pain on the size of the lumbar multifidus muscle was examined using real-time ultrasound imaging. Bilateral scans were performed in 26 patients with acute unilateral low back pain (LBP) symptoms (aged 17-46 years) and 51 normal subjects (aged 19-32 years). In all patients, multifidus cross-sectional area (CSA) was measured from the 2nd to the 5th lumbar vertebrae (L2-5) and in six patients, that of S1 was also measured. In all normal subjects, CSA was measured at L4 and in 10 subjects measurements were made from L2-5. Marked asymmetry of multifidus CSA was seen in patients with the smaller muscle being on the side ipsilateral to symptoms (between-side difference 31 +/- 8%), but this was confined to one vertebral level. Above and below this level of wasting, mean CSA differences were < 6%. In normal subjects, the mean differences were < 5% at all vertebral levels. The site of wasting in patients corresponded to the clinically determined level of symptoms in 24 of the 26 patients, but there was no correlation between the degree of asymmetry and severity of symptoms. Patients had rounder muscles than normal subjects (measured by a shape ratio index), perhaps indicating muscle spasm. Linear measurements of multifidus cross-section were highly correlated with CSA in normal muscles but less so in wasted muscles, so CSA measurements are more accurate than linear dimensions. The fact that reduced CSA, i.e., wasting, was unilateral and isolated to one level suggests that the mechanism of wasting was not generalized disuse atrophy or spinal reflex inhibition.(ABSTRACT TRUNCATED AT 250 WORDS)

Acute Disease↗