一种家用手持式红外偏振光治疗仪的设计与实现

红外偏振光治疗仪是一种将红外技术与电子技术应用到医学领域的康复理疗设备,主要用于软组织损伤和慢性疼痛的康复治疗,已在医院得到了推广使用。然而,现有医院使用的台式治疗仪由于体积大、售价高等特点,不方便居家使用。为了开发体积小、售价低、家庭可用的红外偏振光治疗仪,满足家用市场的潜在需求,本文提出了一种新的便携手持式红外偏振光治疗仪,并开发了该智能控制系统。本文首先介绍了一种新的家用手持式治疗仪应具备的特点和关键技术指标,在此基础上设计了手持式治疗仪的硬件总体方案和软件架构,简要介绍了该治疗仪的一些关键技术,最终实现了治疗仪样机的研制。为了验证该样机的性能,本文通过大量的测试,结果表明,研制的手持式红外偏振光治疗仪在关键参数指标上达到了医院同类产品的水平,能够很好地满足家用的需求,具有良好的市场前景。     

综合康复措施治疗脊髓损伤中枢性疼痛的临床观察

目的:探讨综合康复治疗措施对脊髓损伤后中枢性疼痛的治疗效果.方法:对31例脊髓损伤后中枢性疼痛患者采用阿米替林、按摩、心理治疗及经皮神经电刺激(TENS)进行治疗.采用McGill疼痛问卷(McGill pain questionnaire,MPQ)、疼痛视觉模拟评分法(Visual Analogous Score,V...     

Optimal flow conditions of a tracheobronchial model to reengineer lung structures

The high demand for lung transplants cannot be matched by an adequate number of lungs from donors. Since fully ex-novo lungs are far from being feasible, tissue engi-neering is actively considering implantation of engineered lungs where the devitalized structure of a donor is used as scaffold to be repopulated by stem cells of the receiv-ing patient. A decellularized donated lung is treated inside a bioreactor where transport through the tracheobronchial tree (TBT) will allow for both deposition of stem cells and nour-ishment for their subsequent growth, thus developing new lung tissue. The key concern is to set optimally the boundary conditions to utilize in the bioreactor. We propose a pre-dictive model of slow liquid ventilation, which combines a one-dimensional (1-D) mathematical model of the TBT and a solute deposition model strongly dependent on fluid velocity across the tree. With it, we were able to track and drive the concentration of a generic solute across the airways, look-ing for its optimal distribution. This was given by properly adjusting the pumps' regime serving the bioreactor. A feed-back system, created by coupling the two models, allowed us to derive the optimal pattern. The TBT model can be easily invertible, thus yielding a straightforward flow/pressure law at the inlet to optimize the efficiency of the bioreactor.     

碳纤维加固技术在某通信机房改造中的应用

碳纤维加固技术是一种新兴的加固技术，本结合某通信机房加固改造工程，对该加固技术的原理、设计体会和施工方法进行了介绍。     

Use of injectable autologous collagen for correcting glottic gaps: Initial results

We report our results pertaining to the use of injectable autologous collagen for the correction of dysphonia resulting from a glottic gap. To date 20 cases have been treated, 13 of which were for unilateral vocal fold immobility and 7 for sulcus vergeture and/or scar. Collagen is extracted from the skin. Approximately 5 cm2 is necessary to yield 2 ml. Injection must take place in the deep layer of Reinke's space. No patient suffered from any local or general intolerance. The phonatory glottic gap was totally or partially closed. In the paralysis group, the improvements were the following: the median maximum phonation time improved from 5.8 seconds to 11 seconds, the median mean flow rate from 0.13 ml/s to 0.09 ml/s, the median glottic gap from 8.4 to 4.5 ml/dB per s, the median intensity range from 21 to 29 dB, and the median frequency range from 141 to 195 Hz. The spectral analysis layout classification improved from 2 to 3.     

Recognition of occupational therapy exercises and detection of compensation mistakes for Cerebral Palsy

Depth camera-based virtual rehabilitation systems are gaining attention in occupational therapy for cerebral palsy patients. When developing such a system, domain-specific exercise recognition is vital. To design such a gesture recognition method, some obstacles need to be overcome: detection of gestures not related to the defined exercise set and recognition of incorrect exercises performed by the patients to compensate for their lack of ability. We propose a framework based on hidden Markov models for the recognition of upper extremity functional exercises. We determine critical compensation mistakes together with restrictions for classifying these mistakes with the help of occupational therapists. We first eliminate undefined gestures by evaluating two models that produce adaptive threshold values. Then we utilize specific negative models based on feature thresholding and train them for each exercise to detect compensation mistakes. We perform various tests using our method in a laboratory environment under the supervision of occupational therapists.     

中医养生理论对脑卒中恢复期患者康复效果的研究

目的对脑卒中恢复期患者行中医养生理论护理,观察康复效果。方法择取佛山市禅城区中心医院于2015年1月—2016年5月期间收治的脑卒中恢复期患者102例,参考随机双盲法,将患者划分为研究组与对照组,每组各51例。对照组患者接受常规护理干预,研究组患者接受常规护理干预+中医养生理论护理,比较两组患者的康复效果。结果研究组患者的NIHSS评分、FIM评分以及健康状况评分均显著优于对照组,即相应数据比较,组间差异统计学意义具有显著性(P0.05)。结论对脑卒中恢复期患者行中医养生理论护理,可以改善患者的健康状况,促进患者恢复,进而优化患者生存质量,值得临床推广与应用。     

循证护理模式对关节镜下前交叉韧带重建术患者康复锻炼遵从性的影响

目的探讨了循证护理模式对关节镜下前交叉韧带重建术患者康复锻炼遵从性的影响。方法选取在武汉科技大学附属孝感医院接受治疗的63例关节镜下前交叉韧带重建术患者,随机分为观察组32例,对照组31例,对照组行常规护理,观察组实施循证护理,比较两组护理前后康复锻炼总遵从率。结果护理后对照组总遵从率为77.42%,观察组为100%,组间比较差异具有统计学意义(P0.05)。结论对关节镜下前交叉韧带重建术患者行循证护理,可有效提高患者康复锻炼遵从性。     

集中载荷作用下FRP布加固带裂缝木梁的弯曲

将FRP布视为正交各向异性材料,考虑其拉伸与压缩时的双弹性模量性质,给出了四周粘贴FRP布加固带裂缝木梁四点弯曲的边值问题,得到了FRP布加固木梁挠度的解析解,并验证了其有效性和适用性.参数分析表明:相比于侧面粘贴CFRP布,在木梁受拉侧沿轴向粘贴CFRP布的刚度加固效果更加显著;CFRP布加固木梁的挠度随CFRP加固布厚度和弹性模量的增加而减小,但当侧贴CFRP布厚度增加到某一值时,继续增加厚度对木梁挠度的减少效果已不明显;当受拉侧CFRP布厚度较小时,木梁挠度随CFRP布厚度的增加非线性减小,而当受拉侧CFRP布厚度较大时,木梁挠度随CFRP布厚度几乎呈线性减小.同时,当侧贴CFRP布的剪切模量很大时,此时,CFRP布加固带裂缝木梁的挠度趋于CFRP布加固完整无裂缝木梁的挠度,此时,CFRP加固完全消除了裂缝因素.     

A tele-monitoring system for gait rehabilitation with an inertial measurement unit and a shoe-type ground reaction force sensor

In this paper, a tele-monitoring system is proposed, using an inertial measurement unit (IMU) and a shoe-type ground reaction force (GRF) sensor called a Smart Shoe to measure a patient’s walking data, and transmitting the measured data via the Internet. In our previous work, a mobile gait-monitoring system was developed, which provided visual feedback based on GRFs measured by a Smart Shoe (used as a mobile platform). However, the limited information provided by the Smart Shoe alone may not be adequate for a tele-monitoring system using the Internet. In the present tele-monitoring system for gait rehabilitation, a Smart Shoe is combined with an IMU for detailed monitoring of walking motions. By analyzing the signals from the IMU and the Smart Shoe, foot trajectories, walking distance, length of stride, etc., can be estimated. A user-friendly graphic interface displays the measured or estimated data on separate computers at the patient’s location and the physical therapist’s office. Thus, using the proposed system, it is possible to monitor a patient’s walking motion via the Internet, without restrictions on time or place.