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Pore formation in tablets compressed from binary mixtures as a result of deformation and relaxation of particles.

This paper describes the internal structure of tablets compressed from binary mixtures of sodium chloride and pregelatinised starch. The minimum particle diameter of pregelatinised starch inside tablets compressed from mixtures was calculated from the difference between the initial pore size distribution and the pore size distribution after removal of the starch particles by burning. Subsequently, the tablets were carefully crushed. These powders, consisting of almost only sodium chloride particles, were measured by laser diffraction. It was found that the diameter of the sodium chloride particles hardly changed, whereas the minimum diameter of starch particles strongly decreased during the compaction process. As an effect of the difference in yield pressure, the harder sodium chloride particles cause deformation of the softer starch particles, resulting in a change in particle shape. The pore size distribution of tablets compressed from mixtures of sodium chloride and starch is typically that of viscoelastic materials; the larger pores (>5 microm) change, while the small pores stay constant in number and size. The median pore diameter in tablets compressed from the mixtures is higher than the median pore diameter in tablets compressed from the pure materials. This paper shows that the formation of large pores was the result of the extra porosity expansion of tablets compressed from binary mixtures of sodium chloride and pregelatinised starch.

Chemical Phenomena↗

The effects of intermittent pneumatic compression on the arterial and venous system of the lower limb: a review.

A better understanding of lower limb haemodynamics and the effects of intermittent pneumatic compression on the lower limb has led to an increasing awareness of the potential value of intermittent pneumatic compression in both venous and arterial disease. Intermittent pneumatic compression can be used in both the primary and secondary care settings, with its advantages being further enhanced by excellent patient compliance and very low rate of complications. Intermittent pneumatic compression has a proven role in the prophylaxis of deep vein thrombosis and there is some evidence that it is a useful adjunct in the management of venous ulcer disease. With laboratory and more recent clinical studies demonstrating augmentation of arterial inflow with intermittent pneumatic compression, its use in arterial diseases is being increasingly explored. Further studies are needed to define the precise role of intermittent pneumatic compression in arterial disease but any treatment regimen which reduces the need for referral or intervention in the claudicant or critically ischaemic limb will be a valuable addition to those managing arterial disease.

Equipment Design↗

Effect of joint compression on inferior stability of the glenohumeral joint.

UNLABELLED: To determine the relative importance of negative intraarticular pressure, capsular tension, and joint compression on inferior stability of the glenohumeral joint we studied 17 fresh, normal adult cadaver shoulders using a "3 degrees of freedom" shoulder test apparatus. Translations were measured in intact and vented shoulders while a 50-N superior and inferior directed force was applied to the shoulder. Three different joint compressive loads (22 N, 111 N, 222 N) were applied externally. Tests were performed in 3 positions of humeral abduction in the scapular plane (0 degree, 45 degrees, 90 degrees) and in 3 positions of rotation (neutral, maximal internal, and maximal external). After tests of the intact and vented shoulder, the glenohumeral ligaments were sectioned and tests were repeated. With minimal joint compression of 22 N, negative intraarticular pressure and capsular tension limited translation of the humeral head on the glenoid. Increasing the joint compressive load to 111 N resulted in a reduction of mean inferior translation from 11.0 mm to 2.0 mm at 0 degree abduction, from 21.5 mm to 1.4 mm at 45 degrees abduction, and from 4.5 mm to 1.2 mm at 90 degrees abduction. With a compressive load of 111 N, venting the capsule or sectioning of glenohumeral ligaments had no effect on inferior stability. CLINICAL RELEVANCE: Glenohumeral joint compression through muscle contraction provides stability against inferior translation of the humeral head, and this effect is more important than negative intraarticular pressure or ligament tension.

Adult↗

Compression wraps for venous ulcer healing: a review.

Compression to the lower extremities is used to increase healing of venous stasis ulcers by improving the blood supply and reducing edema and distension. Compression wraps are available in elastic or non-elastic and in single to multilayer systems requiring varying types of application and exerting different levels of compression. Elimination of edema is so basic and important to venous ulcer healing that the most effective level of compression should be used. Controversy exists regarding the most effective sub-bandage pressure (ranging from 20 mm Hg to 45 mm Hg) for timely healing. Because of differences in compression wraps, selection of the most effective and efficient wrap can be difficult. The purpose of this integrated review was to determine healing rates of venous ulcers with various wraps. The studies reviewed provide reasonable evidence that venous ulcers can be healed with the use of compression wraps and that various wraps are effective when used with correct assessment, application, and fit by the caregiver, along with compliance and mobility of the patient.

Bandages↗

Dynamic compression counteracts IL-1 beta-induced release of nitric oxide and PGE2 by superficial zone chondrocytes cultured in agarose constructs.

OBJECTIVE: To examine the effect of IL-1 beta-induced *NO and PGE(2)release by stimulated superficial and deep chondrocyte/agarose constructs subjected to mechanical compression. DESIGN: Chondrocyte sub-populations were seeded separately in agarose constructs and cultured unstrained, within a 24-well tissue culture plate, for 48 h in medium supplemented with IL-1 beta and/or L-N-(1-iminoethyl)-ornithine (L-NIO). In a separate experiment, superficial and deep cell containing constructs were subjected to 15% dynamic compressive strain at 1 Hz, for 48 h, in the presence or absence of IL-1 beta and/or L-NIO. Nitrite was measured using the Griess assay, PGE(2)release was determined using an EIA kit and [3H]-thymidine and 35SO(4)incorporation were assessed by TCA and alcian blue precipitation, respectively. RESULTS: The current data reveal that IL-1 beta significantly enhanced *NO and PGE(2)release for superficial chondrocytes, an effect reversed with L-NIO. *NO and PGE(2)levels did not significantly change by deep cells in the presence of IL-1 beta and/or L-NIO. For both cell sub-populations, IL-1 beta inhibited cell proliferation whereas proteoglycan synthesis was not affected. Dynamic compression inhibited the release of *NO and PGE(2)in the presence and absence of IL-1 beta, for cells from both sub-populations. L-NIO reduced *NO and enhanced PGE(2)release for superficial zone chondrocytes, an effect not observed for deep cells in response to dynamic compression. The magnitude of stimulation of [3H]-thymidine incorporation was similar for both cell sub-populations and was not influenced by L-NIO, indicating an z.rad;NO-independent pathway. The dynamic compression-induced stimulation of 35SO(4)incorporation was enhanced with L-NIO for IL-1 beta-stimulated deep cells, indicating an *NO-dependent pathway. CONCLUSION: The present findings suggest that dynamic compression inhibits *NO and PGE(2)release in IL-1 beta-stimulated superficial cells via distinct pathways, a significant finding that may contribute to the development of intervention strategies for the treatment of inflammatory joint disorders.

Animals↗

Compression ultrasonography for false femoral artery aneurysms: hypocoagulability is a cause of failure.

OBJECTIVES: False femoral artery aneurysm is an occasional complication of percutaneous cardiovascular radiological procedures. Compression ultrasonography causes thrombosis non-invasively, reducing need for operative intervention. The technique fails in a proportion of cases. Analysis was undertaken to identify causes of failure. DESIGN: Prospective open study. MATERIALS AND METHODS: Patients presenting with false femoral artery aneurysm since 1984 were identified from a computerised database (BIPAS). Since 1993 compression ultrasonography has been performed as first line treatment according to a standard protocol. Prospectively collected ultrasonographic data and case notes were reviewed to identify causes of failed compression. RESULTS: False femoral artery aneurysm occurred as a complication in 32/26,687 (0.12%) cardiovascular radiological procedures. Eighteen aneurysms were treated by compression. The technique was successful in 11/18 (61%) cases but primary failure occurred in seven cases. Six out of seven had bleeding abnormalities (Chi-squared analysis with Yates correction 10.55, p = 0.0012), four were anticoagulated and compression was subsequently successful following reversal of warfarin therapy in three of these patients. In 4/18 cases surgical repair was necessary. CONCLUSION: Compression ultrasonography is an effective treatment of false femoral aneurysms, however, hypocoagulability is a significant cause of failure. For patients in whom anticoagulation cannot be reversed, primary surgical repair should be considered.

Aneurysm, False↗

Selection of biorthogonal filters for image compression of MR images using wavelet packets.

We present an analysis of different filter banks for the compression of magnetic resonance (MR) images of the human brain using wavelet packets based on biorthogonal filters. Initially, peak signal to noise ratio (PSNR) and normalized root mean square (RMS) error criteria are calculated for a series of images compressed with a 33:1 ratio, using filter banks based on biorthogonal wavelet packets. The results lead us to choose a few of these filter banks as optimal for image compression. One of these filters is employed to compress several images at four different compression ratios: 12.5:1, 25:1, 37.5:1 and 50:1. The quality of these images was evaluated by visual analysis by a group of seven experts who graded image quality on a 0-7 scale. Results show that using these filters, we can compress images to a rate of around 30:1 without introducing noticeable differences. Other applications for these filters are currently under study and include the compression/fusion of MR image stacks in order to obtain even better reductions in the amount of data needed to reconstruct complete MRI studies.

Brain↗

A new hybrid algorithm for ECG signal compression based on the wavelet transformation of the linearly predicted error.

This paper describes a hybrid technique based on the combination of wavelet transform and linear prediction to achieve very effective electrocardiogram (ECG) data compression. First, the ECG signal is wavelet transformed using four different discrete wavelet transforms (Daubechies, Coiflet, Biorthogonal and Symmlet). All the wavelet transforms are based on dyadic scales and decompose the ECG signals into five detailed levels and one approximation. Then, the wavelet coefficients are linearly predicted, where the error corresponding to the difference between these coefficients and the predicted ones is minimized in order to get the best predictor. In particular, the residuals of the wavelet coefficients are uncorrelated and hence can be represented with fewer bits compared to the original signal. To further increase the compression rate, the residual sequence obtained after linear prediction is coded using a newly developed coding technique. As a result, a compression ratio (Cr) of 20 to 1 is achieved with percentage root-mean square difference (PRD) less than 4%. The algorithm is compared to an alternative compression algorithm based on the direct use of wavelet transforms. Experiments on selected records from the MIT-BIH arrhythmia database reveal that the proposed method is significantly more efficient in compression. The proposed compression scheme may find applications in digital Holter recording, in ECG signal archiving and in ECG data transmission through communication channels.

Algorithms↗

Measurement of the deformation of isolated chondrocytes in agarose subjected to cyclic compression.

Mechanically induced cell deformation is one of a number of possible mechanotransduction pathways by which chondrocytes sense and respond to changes in their mechanical environment. The present study describes a system for measuring the deformation of isolated chondrocytes in agarose during both static and cyclic compression. A test rig mounted on the stage of an inverted microscope was used to apply precise levels of compressive strain to individual cell-agarose constructs bathed in culture medium. Images of the cells were recorded using a CCD video camera attached to the microscope. Cell deformation was quantified in terms of a deformation index (X/Y) representing the ratio of cell diameters measured parallel (X) and perpendicular (Y) to the axis of compression. Cyclic compression between 0 and 15% strain, at 0.3 Hz, resulted in cyclic deformation of the cells at the same frequency. However, during the unstrained phase the cells did not fully recover to their initially spherical morphology (X/Y = 1.0). During the strained phase, the level of deformation (X/Y = 0.59) was initially similar to that observed during static 15% strain. However, this level of cell deformation reduced over a 20 min period of cyclic compression (X/Y = 0.72), although during static compression the cell deformation remained constant. This system may be used to examine cellular events under a range of dynamic mechanical stimuli.

Animals↗

Ultrasound and angio image compression by cosine and wavelet transforms.

The investigation results for improving lossy compression techniques for ultrasound and angio images are presented. The goal was to determine where the compression process could be improved for the medical application, and to make efforts to improve it. It is proved that the wavelet transform outperforms the discrete cosine transform applied to ultrasound and angio images. A lot of wavelet classes were tried for choosing the best one suited for corresponding image classes, which were characterised by a content complexity criterion. The analysis of international image compression standards was carried out. Special attention was paid to an algorithmical and high level service structure of a new still image compression standard JPEG2000. Its open architecture enables including some wavelet classes which we would like to suggest for medical images. A set of recommendations for acceptable compression ratio for different medical image modalities was developed. It was carried out on the base of compression study performed by the group of angiologists and cardiologists.

Algorithms↗

Angiocardiographic digital still images compressed via irreversible methods: concepts and experiments.

We defined, implemented and tested two new methods for irreversible compression of angiocardiographic still images: brightness error limitation (BEL) and pseudo-gradient adaptive brightness and contrast error limitation (PABCEL). The scan path used to compress the digital images is based on the Peano-Hilbert plane-filling curve. The compression methods limit, for each pixel, the brightness errors introduced when approximating the original image (i.e. the difference between the values of corresponding pixels as grey levels). Additional limitations are imposed to the contrast error observed when considering along the scan path consecutive pixels of both the original and the reconstructed image. After previous testing on angiocardiographic images selected as clinically significant from 35 mm films, we enlarged our experiment to a set of 38 coronary angiograms digitally acquired. BEL and PABCEL methods were experimented according to several values of the implied thresholds. Up to a compression ratio of 9:1 for the BEL method and 10:1 for the PABCEL method, no deterioration of the reconstructed images were detected by human observers. After a visual evaluation, we performed a quantitative evaluation. The visualization of pseudo-colour difference images showed the capability of BEL and PABCEL for preserving the most significant clinical details of the original images. For comparison, we applied the JPEG (joint photographic experts group) image-compression standard to the same set of images. In this case, pseudo-colour difference images showed a homogeneous distribution of errors on the image surface. Quantitative compression results obtained by testing the different methods are comparable, but, unlike JPEG, BEL and PABCEL methods allow the user to keep under his direct control the maximum error allowed at each single pixel of the original image. These different behaviors are confirmed by the values obtained for the considered numerical quality quantifiers.

Algorithms↗

Linear velocity surge caused by mobile-phase compression as a source of band broadening in isocratic ultrahigh-pressure liquid chromatography.

A linear velocity surge caused by mobile-phase compression was investigated as a source of band broadening for ultrahigh-pressure liquid chromatography (UHPLC). To measure the effect of compression on mobile-phase velocity, ionic sample fronts were monitored using a contactless conductivity detector, as they migrated through long packed capillaries. Mobile-phase compression was found to cause an abnormally high linear velocity surge as the pressure was applied to the inlet of the column. An empirical equation was developed to describe the mobile-phase flow velocity during and after compression. Data fits to this equation were then used to determine the amount of additional variance caused by mobile-phase compression. For a 10/90 v/v acetonitrile/water mobile phase, the velocity surge occurred over roughly 10-15% of the column length. In addition, the velocity surge caused by mobile-phase compression was found to be capable of causing a 50% increase in the measured van Deemter C-terms for reversed-phase UHPLC.

Journal Article↗

Compressibility-structure relationship of globular proteins.

The adiabatic compressibility, -beta s, of 11 globular proteins in water was determined by means of sound velocity measurements at 25 degrees C. All the proteins studied except for subtilisin showed positive -beta s values, indicating the large internal compressibility of the protein molecules. The intrinsic compressibility of proteins free from the hydration effect appeared to be comparable to that of normal ice. The compressibility data for 25 proteins, including 14 reported previously [Gekko, K., & Noguchi, H. (1979) J. Phys. Chem. 83, 2706-2714], were statistically analyzed to examine the correlation of the compressibility with some structural parameters and the amino acid compositions of proteins. It was found that -beta s increases with increasing partial specific volume and hydrophobicity of proteins. The helix element also seemed to be a dynamic domain to increase -beta s. Four amino acid residues (Leu, Glu, Phe, and His) greatly increased -beta s, and another four (Asn, Gly, Ser, and Thr) decreased it. Some empirical equations were derived for the estimation of the -beta s values of unknown proteins on the basis of their amino acid compositions. The volume fluctuations of proteins revealed by the compressibility data were in the range of 30-200 mL/mol, which corresponded to about 0.3% of the total protein volume. The conformational fluctuation seemed to enhance the thermal stability of proteins.

Amino Acids↗

Rapidly disintegrating tablets prepared by the wet compression method: mechanism and optimization.

To make rapidly disintegrating tablets with sufficient mechanical integrity, tablets were prepared by compressing wet granules under low compression force and then drying the resulting wet mass in a circulating-air oven (wet compression method). Lactose with various particle sizes was used as the excipient, and water was used as a wetting agent. The effect of drying time, compression force, size of lactose particles, and moisture content of wet granules on tablet properties indicated that the formation and disintegration time of tablets were related to the effect of the formation of solid bridges between lactose particles. By optimizing compression force, size of lactose particles, and moisture content of the granules, tablets meeting tensile strength greater than 0.5 MPa and disintegration time shorter than 15 s were obtained by the wet compression method.

Calorimetry, Differential Scanning↗

Interface pressure under a ready made compression stocking developed for the treatment of venous ulcers over a period of six weeks.

BACKGROUND: The most important component in the treatment of venous ulcers is compression therapy. The function of compression therapy is the pressure exterted on the extrafascial and intrafascial venous system. Therefore the interface pressure of specially designed compressions stockings for the treatment of venous ulcers are in the focus of interest. PATIENTS AND METHODS: We examined 20 patients (6 men and 14 women) with chronic venous insufficiency in CEAP stages CS0-4EPAS1-3PR). Interface pressure was measured under the Venotrain Ulcertec over an observation period of six weeks with piezoresistance sensors at four different sites on the lower leg and with the patient in different body positions. RESULTS: Resting pressure supine at the ankle corresponded to compression class III and was constant over the period of six weeks (mean difference 2.8 SD 15.3 mmHg, p = 0.49). Working pressure explained as the quotient of maximum pressure during tiptoing/resting pressure in standing position was initially at the ankle 1.70 SD 0.44 and after 6 weeks 1.44 SD 0.29 (mean difference 0.27 SD 0.42, p < 0.03). CONCLUSIONS: The compression stocking maintained a therapeutically effective pressure profile over a period of six weeks. Working interface pressure was comparable to that of short-stretch compression bandages applied by an experienced bandager immediately after application.

Adult↗

myo-Inositol 1,4,5-trisphosphate and Ca(2+)/calmodulin-dependent factors mediate transduction of compression-induced signals in bovine articular chondrocytes.

Although the effects of mechanical loading on chondrocyte metabolic activities have been extensively characterized, the sequence of events through which extracellular mechanical signals are transduced into chondrocytes and ultimately modulate cell activities is not well understood. Here, studies were performed to map out the sequential intracellular signalling pathways through which compression-induced signals modulate aggrecan mRNA levels in bovine articular chondrocytes. Bovine articular cartilage explants were subjected to a compressive stress of 0.1 MPa for 1 h in the presence or absence of inhibitors or antagonists of the phosphoinositol and Ca(2+)/calmodulin signalling pathways in order to determine the roles of second messengers and effector molecules of these pathways in transducing the compression-induced signals. In the absence of the inhibitors, aggrecan mRNA levels were stimulated by compression 2-4-fold relative to levels in tare-loaded (see below) explants. Treatment of the explants with graded levels of the protein kinase C inhibitor chelerythrine or bisindolylmaleimide I, followed by 1 h compressive loading, did not significantly alter the load-induced elevation of aggrecan mRNA levels. In contrast, thapsigargin, which depletes the Ins(1,4,5)P3-sensitive intracellular Ca(2+) stores, completely blocked the load response without significantly altering aggrecan mRNA levels in tare-loaded explants. Similarly, antagonists of the Ca(2+)/calmodulin signalling pathway dose-dependently or completely blocked the load-response. The results obtained demonstrate that transduction of the compression-induced aggrecan mRNA-regulating signals requires Ins(1,4,5)P3- and Ca(2+)/calmodulin-dependent signalling processes in bovine articular chondrocytes.

Aggrecans↗

Effects of tissue compression on the hyaluronate-binding properties of newly synthesized proteoglycans in cartilage explants.

The effects of tissue compression on the hyaluronate-binding properties of newly synthesized proteoglycans in calf cartilage explants were examined. Pulse-chase experiments showed that conversion of low-affinity monomers to the high-affinity form (that is, to a form capable of forming aggregates with 1.6% hyaluronate on Sephacryl S-1000) occurred with a t1/2 of about 5.7 h in free-swelling discs at pH 7.45. Static compression during chase (in pH 7.45 medium) slowed the conversion, as did incubation in acidic medium (without compression). Both effects were dose-dependent. For example, the t1/2 for conversion was increased to about 11 h by either (1) compression from a thickness of 1.25 mm to 0.5 mm or (2) medium acidification from pH 7.45 to 6.99. Oscillatory compression of 2% amplitude at 0.001, 0.01, or 0.1 cycles/s during chase did not, however, affect the conversion. Changes in the hyaluronate-binding affinity of [35S]proteoglycans in these experiments were accompanied by no marked change in the high percentage (approximately 80%) of monomers which could form aggregates with excess hyaluronate and link protein. Since static tissue compression would result in an increased matrix proteoglycan concentration and thereby a lower intra-tissue pH [Gray, Pizzanelli, Grodzinsky & Lee (1988) J. Orthop. Res. 6, 777-792], it seems likely that matrix pH may influence proteoglycan aggregate assembly by an effect on the hyaluronate-binding affinity of proteoglycan monomer. Such a pH mechanism might have a physiological role, promoting proteoglycan deposition in regions of low proteoglycan concentration.

Animals↗

The intelligibility of whitened and amplitude compressed speech in a multitalker background.

This experiment determined the effects of amplitude compression on speech intelligibility when both a target speech signal and a competing message were whitened and amplitude compressed. The target CNC discrimination words were electrically mixed with a competing message composed of five talkers. This composite signal was presented to normal hearing subjects in four ways: unmodified, whitened, whitened pplus 3:1 amplitude compression and whitened plus 10:1 amplitude compression. Discrimination functions were obtained for the CNC material by varying the signal-to-competition ratio. The unmodified and whitened speech yielded comparable discrimination functions, but reduced discrimination scores were obtained with the whitened lus compressed speech. However, the reduction in speech discrimination for the whitened plus compressed speech was slight and was most evident when the target signal and the competing background were at the same intensity.

Adult↗