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PubMed1997

Peripheral measurement techniques for the assessment of osteoporosis.

Peripheral measurement techniques have been the first to be developed for the assessment of osteoporosis, and they remain useful. Besides traditional approaches such as radiographic absorptiometry (RA), radiogrammetry, and single-photon absorptiometry (SPA), new peripheral approaches have been developed that offer powerful ways to assess skeletal status in osteoporosis. These include single x-ray absorptiometry (SXA), peripheral dual x-ray absorptiometry (pDXA), peripheral quantitative computed tomography (pQCT), quantitative ultrasound (QUS) techniques, and magnetic resonance imaging (MRI) approaches. This review describes the current role of peripheral imaging techniques vis-à-vis their central imaging counterparts. Peripheral measurement techniques are attractive because equipment cost is substantially lower, radiation exposure is small, and the devices require less space and sometimes are even portable. Additionally, QUS and MRI offer the potential to measure aspects of bone status beyond the limits of bone densitometry. Peripheral techniques represent important diagnostic methods for the assessment of osteoporosis.

Absorptiometry, Photon↗
PubMed2003

Exploration of virtual mazes by rhesus monkeys (Macaca mulatta).

A chasm divides the huge corpus of maze studies found in the literature, with animals tested in mazes on the one side and humans tested with mazes on the other. Advances in technology and software have made possible the production and use of virtual mazes, which allow humans to navigate computerized environments and thus for humans and nonhuman animals to be tested in comparable spatial domains. In the present experiment, this comparability is extended even further by examining whether rhesus monkeys (Macaca mulatta) can learn to explore virtual mazes. Four male macaques were trained to manipulate a joystick so as to move through a virtual environment and to locate a computer-generated target. The animals succeeded in learning this task, and located the target even when it was located in novel alleys. The search pattern within the maze for these animals resembled the pattern of maze navigation observed for monkeys that were tested on more traditional two-dimensional computerized mazes.

Animals↗
PubMed2003

Joystick acquisition in tufted capuchins (Cebus apella).

A number of nonhuman primate species have demonstrated the ability to use a joystick to control a cursor on a computer screen, yet the acquisition of this skill has not been the focus of systematic inquiry. Here, we examined joystick acquisition in four tufted capuchins under two directional relationships of joystick movement and resultant cursor displacement, isomorphic and inverted. To document the natural history of the acquisition of this skill, we recorded the development of visual tracking of the cursor and body tilting. Rates of acquisition were comparable between the two conditions. After mastering the task in one condition, subjects remastered the task at an accelerated rate in the opposing condition. All subjects significantly increased or maintained high proportions of cursor tracking throughout acquisition. All subjects demonstrated a postural tilt while moving the cursor from the mid-phase of acquisition through task mastery. In the isomorphic condition, all subjects tilted significantly more often in the direction of goal location than in the opposite direction. In three of the four series of tilting that were scored for subjects in the inverted condition, tilting occurred significantly more often toward the direction of goal location than the direction of required hand movement. Together these findings suggest that body tilting participates in the organization of directional movement of the cursor rather than reflecting merely the motoric requirements of the task (to manipulate a joystick).

Animals↗
PubMed1993

An analysis of image segmentation time in beam's-eye-view treatment planning.

In this work we tabulate and histogram the image segmentation time for beam's eye view (BEV) treatment planning in our center. The average time needed to generate contours on CT images delineating normal structures and treatment target volumes is calculated using a data base containing over 500 patients' BEV plans. The average number of contours and total image segmentation time needed for BEV plans in three common treatment sites, namely, head/neck, lung/chest, and prostate, were estimated.

Computer Peripherals↗
PubMed1994

NNERVE: neural network extraction of repetitive vectors for electromyography--Part I: Algorithm.

Artificial neural network (ANN) based signal processing methods have been shown to have significant robustness in processing complex, degraded, noisy, and unstable signals. A novel approach to automated electromyogram (EMG) signal decomposition, using an ANN processing architecture, is presented in this paper. Due to the lack of a priori knowledge of motor unit action potential (MUAP) morphology, the EMG decomposition must be performed in an unsupervised manner. An ANN classifier, consisting of a multilayer perceptron neural network and employing a novel unsupervised training strategy, is proposed. The ANN learns repetitive appearances of MUAP waveforms from their suspected occurrences in a filtered EMG signal in an autoassociative learning task. The same training waveforms are fed into the trained ANN and the output of the ANN is fed back to its input, giving rise to a dynamic retrieval net classifier. For each waveform in the data, the network discovers a feature vector associated with that waveform. For each waveform, classification is achieved by comparing its feature vector with those of the other waveforms. Firing information of each MUAP is further used to refine the classification results of the ANN classifier. Then, individual MUAP waveform shapes are derived and their firing tables are created.

Algorithms↗
PubMed2000

Optimal digital filtering for tremor suppression.

Remote manually operated tasks such as those found in teleoperation, virtual reality, or joystick-based computer access, require the generation of an intermediate electrical signal which is transmitted to the controlled subsystem (robot arm, virtual environment, or a cursor in a computer screen). When human movements are distorted, for instance, by tremor, performance can be improved by digitally filtering the intermediate signal before it reaches the controlled device. This paper introduces a novel tremor filtering framework in which digital equalizers are optimally designed through pursuit tracking task experiments. Due to inherent properties of the man-machine system, the design of tremor suppression equalizers presents two serious problems: 1) performance criteria leading to optimizations that minimize mean-squared error are not efficient for tremor elimination and 2) movement signals show ill-conditioned autocorrelation matrices, which often result in useless or unstable solutions. To address these problems, a new performance indicator in the context of tremor is introduced, and the optimal equalizer according to this new criterion is developed. Ill-conditioning of the autocorrelation matrix is overcome using a novel method which we call pulled-optimization. Experiments performed with artificially induced vibrations and a subject with Parkinson's disease show significant improvement in performance. Additional results, along with MATLAB source code of the algorithms, and a customizable demo for PC joysticks, are available on the Internet at http:¿tremor-suppression.com.

Algorithms↗
PubMed2001

Application of tilt sensors in human-computer mouse interface for people with disabilities.

This study describes the motivation and the design considerations of an economical head-operated computer mouse. In addition, it focuses on the invention of a head-operated computer mouse that employs two tilt sensors placed in the headset to determine head position and to function as simple head-operated computer mouse. One tilt sensor detects the lateral head-motion to drive the left/right displacement of the mouse. The other one detects the head's vertical motion to move up and down with respect to the displacement of the mouse. A touch switch device was designed to contact gently with operator's cheek. Operator may puff his cheek to trigger the device to perform single click, double clicks, and drag commands. This system was invented to assist people with disabilities to live an independent professional life.

Communication Devices for People with Disabilities↗
PubMed1992

Electronic imaging workstations: ergonomic issues and the user interface.

The electronic imaging workstation serves as the interface between an electronic system and a user. Although the performance aspects of electronic displays are crucial considerations in workstation design, experience suggests that human factors in mechanical operation, software accessibility, and workstation environment are also important. Generally, workstations should have monitors arranged horizontally, and the work environment should be designed to minimize glare from lighting fixtures and to accommodate requirements for low luminance. Devices that control the workstation (eg, key pads, track balls) should be designed so that the user can operate primary and auxiliary controls with efficiency of hand and eye movements. Although many innovations in software (eg, graphical user interfaces) have allowed current workstations to be operated by users who have no knowledge of computer operations, further improvements in interactive software are necessary if such systems are to be accepted by radiologists.

Computer Peripherals↗
PubMed1995

A visual telemedicine system: the integration of ordinary TV and HDTV still image transmission.

This paper describes a project to develop and test a new telemedicine system using image transmission. The system was implemented at Aomori prefecture, the northernmost prefecture of Japan, to provide medical consultation to remote hospitals from a medical center located in Aomori city, capital of the prefecture. The characteristics of the system are the combination of an HDTV still image transmission system and an ordinary tele-conference system using 65 kilobit telephone line i.e., an ordinary telephone line available in almost any part of Japan. We also developed a disk storage system that stores transmitted images automatically without human intervention. The system was assessed in real clinical settings and has proved to be effective in various areas of medical consultation, including radiology, pathology, dermatology, etc. We hope that this system becomes a standard telemedicine system in the future.

Computer Peripherals↗
PubMed2000

A computer program for sequencing and presenting complex sounds for auditory neuroimaging studies.

This paper describes a computer program, named ASAP (audio sequencing and presentation), that runs on IBM PC compatible hardware with a Microsoft Windows operating system and has been specially designed for facilitating auditory neuroimaging studies. The program's main characteristics are: (1) the ability to generate sequences of complex sounds; (2) an easy-to-use, graphical user interface; (3) full compatibility with Microsoft Windows 95 or later and Windows NT version 4.0 or later software; (4) precise timing of selected sound sequences; (5) the capability of triggering other devices; (6) the capability of being triggered to deliver stimuli; (7) support for both monotic and dichotic sound sequences; and (8) rudimentary support for the simultaneous presentation of pictures/text and sound.

Acoustic Stimulation↗
PubMed2002

Nine ways to use handheld computers.

Handheld computers can be used to make calculations, share articles with colleagues, store contact information, and even save lives. Translation software can facilitate communication with non-English-speaking patients. You can find out the cost of medications with drug reference software. Make the ED schedules accessible, so that staff can volunteer to fill in gaps.

Computer Peripherals↗
PubMed1998

Image-guided neurosurgery comparing a pointer device system with a navigating microscope: a retrospective analysis of 208 cases.

A retrospective analysis of neuronavigation procedures performed at the Vienna Neurosurgical Clinic was undertaken to elucidate the advantages of 2 technically different navigation systems in clinical use. In a 30-month period, 208 frameless stereotactic procedures were performed using a stereotactic microscope (MKM System, Zeiss; 92 procedures in 87 patients; 47 female, 40 male; mean age, 46 yrs) and a light emitting diode (LED) based pointer navigation device (Easy Guide Neuro (EGN), Philips; 116 procedures in 114 patients; 63 female, 51 male; mean age 46.4 yrs). The navigating microscope was exclusively used for cranial navigation, the pointer device system in 107 cases for cranial and in 9 cases for spinal navigation. Procedures were CCT-guided in 109 cases, MRI-guided in 95, and both CT/MRI guided in 4 cases. Skin fiducials were used in all these procedures. The MKM system provided coordinate-based navigation, similar to frame systems. This allowed surgical planning and performance using stereotactic coordinates for target calculation. Additionally, tumor volumes were defined by contours and projected into the ocular of the microscope, allowing guidance during targeting and resection of lesions. Both of these features proved beneficial in tumor surgery (60.8% MKM cases), cavernoma surgery (21.8% MKM cases), and epilepsy surgery (14.1% MKM cases). In contrast to the microscope, the pointer navigation system could be employed for intuitive correlation of image points with points of interest in the operating field by using a LED-equipped pointer device. This permitted image guidance during a wide spectrum of neurosurgical procedures, in tumor surgery (68.1% EGN cases), cavernoma surgery (5.1% EGN cases), epilepsy surgery (14.1% EGN cases), vascular surgery (3.4% EGN cases), spinal surgery (7.8% EGN cases), and guidance for burr holes and drainages (6.9% EGN cases), without calculating stereotactic coordinates. This analysis showed clear differences in the application of the two systems and may facilitate the decision as to which system best meets the individual demands of a neurosurgical department.

Adult↗
PubMed1997

Basic study on the rectangular numeric keys for touch screen.

The present study was conducted to examine the optimum inter-key spacing of numeric rectangular keys for touch screens. Six male students (22-25 years old) and three female students (21-24 years old) participated in the experiment. Each subject performed the data entry task using rectangular keys of touch devices. These keys were arranged in both horizontal and vertical layouts. The sizes of the rectangular keys in both layouts were 12 x 21 mm and 15 x 39 mm, and each of the inter-key spacing of each key was 0, 3, 6, 12 and 21 mm. The response time with inter-key spacing of 3 mm was significantly faster than with the inter-key spacing of 0, 12 and 21 mm (p < 0.05). Keys of vertical position produced faster response time than that of horizontal position. The subjective ratings showed that the inter-key spacing of 6 mm was significantly better than the inter-key spacing of 0, 3, 12 and 21 mm (p < 0.05).

Adult↗
PubMedDate not supplied

Pen-based computing: applications in clinical medicine.

Handheld, pen-based computing is an affordable, empowering technology that has application in small practice settings as well as in hospital-wide environments. Although hardware standards are evolving, there is now a stable base of applications, wired and wireless connectivity, and other features that make pen-based computing an attractive alternative to paper and pen patient data acquisition. When combined with centralized data synchronization, pen-based computers can also serve as an affordable medium for the dissemination of clinical guidelines, standard formulary, and other patient-related data. Wireless, and to a lesser extent, wired pen-PDAs hold the potential to make web-based electronic medical records accessible from anywhere at any time.

Computer Peripherals↗
PubMed1995

Experimental study of fat embolism syndrome.

To find the diagnostic methods for subclinical stage fat embolism syndrome (FES), we established an experimental animal model, using fat intravenous injection. The fat was obtained from the long bone marrow cavity of homologous dogs. Fourteen healthy mongrel dogs received 0.7 ml/kg fluid marrow fat injection and all of them developed FES within 48 hours. The blood samples collected from the pulmonary vessels by floating catheter and peripheral vein at different time intervals were subjected to blood gas analysis and were frozen sectioned rapidly. The sections were stained with oil red 'O'. Positive result was seen 2 hours after fat injection in both pulmonary and peripheral blood. Computer image analysis showed that the number and diameter of fat droplets in pulmonary vascular blood were obviously higher and larger than those in peripheral vein blood. These findings were correlated well with blood gas changes and clinical features. The demonstration of fat droplets from pulmonary or peripheral blood by oil red 'O' staining combined with blood gas changes (PaO2 < 7.99 kPa, P(A-a)O2 > 6.09 kPa) may be rapid and specific for early diagnosis of FES. In the treatment of FES, dexamethason can stabilize the cellular membranes and inhibit the neutrophil response to fatty acid and the release of phospholipase A2, arachidonic acid and platelet aggregation.

Animals↗