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Based on the pharmacogenomics theory, this study developed a software system for interpretation of drug gene loci and guidance on clinical safe medication with the purpose of providing clinical guidance on the safety and effectiveness of drug use through accurate and efficient detection and interpretation of drug gene loci. The system infrastructure was built on a service-oriented architecture (SOA) design and Docker container virtualization approach to achieve a rapid and automatic interpretation of genetic results and best available drugs. The front end was established on HTML5 and JavaScript to realize visualization of analysis results and user interaction. The system was tested and validated to show robust performance which is reliable in clinical use. It will show high impact on the development of pharmacogenomics and clinical practice of patients with personalized medicine.
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Humans , Pharmacogenetics , Precision Medicine , SoftwareABSTRACT
Mirror therapy has been widely used in practice as an effective rehabilitaiton method. Mirror integrated therapy combined mirror therapy with some other technologies, such as virtual reality, functional electrical stimulation, augmented reality, etc., to enhance the task orientation, and improve the efficiency of treatment.
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The lower limb rehabilitation training robots were divided into standing robots and sitting robots. Standing lower limb reha-bilitation robots included three kinds of typical structures, which mainly support body weight by suspension, and partially by air bags. Sit-ting lower limb rehabilitation robots were divided into chair and bed types, they support body weight by chairs and beds. This article re-viewed the development of products in the structures of the configuration, combined with some of the existing product and research, as well as the clinical application, .
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Objective To develop a system for hand function evaluation and training based on virtual reality. Methods 5DT Data Glove 5 Ultra, Visual Studio 2010 were integrated as the development environment and DirectX 9.0 as components, and the system was developed based on the MFC programming framework. Results and Conclusion The system can assess the fingers function, recognise gestures and can be used as a 3D environment for virtual training, which may guide the patients to take the training actively.
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This article shows a new design of telerehabilitation system for balance function assessment and training in our laboratory. The system is based on C/S network architecture, and realizes the telecommunication through socket network communication technology. It implements the teletransmission of training data and assessment report of sit-down and stand-up, online communication between doctors and patients, and doctors'management of patient information. This system realizes remote evaluation and telerehabilitation of patients, and brings great convenience for the patients.
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Humans , Physical Therapy Modalities , Postural Balance , Rehabilitation , TelecommunicationsABSTRACT
This article presents the design of a treadmill of comprehensive training experiment for rats. The treadmill is composed of six tracks and two of them were designed as conventional plane, two were designed to swing right and left, and two were designed to swing back and forth. The power was provided by six motors. The MSP430F149 is used as core to adjust the swing rate and the grade of electric shock. The IAR for MSP430 is used to design the software. The speed of the six tracks could be adjusted between 0 and 30 m/min. The swing tracks of back and forth can be swung for 3-25 times per minute and the swing tracks of right and left for 3-32 times. The electric shock can be divided into three levels, i. e. strong, middle, and weak level for each track. The digital comprehensive training treadmill can meet different training needs, and provide experimental data for mechanism research of some related diseases.
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Animals , Rats , Equipment Design , Exercise Test , Physical Conditioning, AnimalABSTRACT
The development of muscle strength evaluating system based on Android system was developed in this research. The system consists of a lower unit and an intelligent mobile terminal. The pressure sensor of the lower unit was used to collect muscle strength parameters. And the parameters were sent to the Android device through the wireless Bluetooth serial port. Then the Android device would send the parameters to the doctor monitored platform through the Internet. The system realized analyzing the muscle strength parameters and real-time displaying them. After it ran on the Android mobile phones, it showed an effective result which proved that the system combined with mobile platform could make more convenient for the patients to assess their own muscle strength. It also provided reliable data references for doctors to know the patients' rehabilitation condition and to make the next rehabilitation plan.
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Humans , Cell Phone , Internet , Monitoring, Physiologic , Muscle StrengthABSTRACT
Because of the safety and flexibility, pneumatics shows prospects of application in the field of rehabilitation. This article in-troduced the application of pneumatics in rehabilitation for stroke.
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@#Because of the safety and flexibility, pneumatics shows prospects of application in the field of rehabilitation. This article introduced the application of pneumatics in rehabilitation for stroke.
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It is very difficult for stroke patients to complete the action of squatting-standing because their equilibrium function ability has been seriously declined. It was necessary, therefore, to do a deep research on the action of human squatting-standing and to set up an accurate model and simulation. In our modeling research, the movements of upper limbs and head was neglected, and a seven-segment model was developed to establish the coordinate system of human squatting-standing action. It calculated the knee joint moment and hip joint moment during squatting and standing by utilizing Lagrange method, and then simulated this mathematical model by utilizing Matlab. Geometric model of human squatting-standing was developed and simulated in ADAMS which proved that the established Lagrange model was reasonable. It would also provide significant theoretical references for further study and development of squatting-standing rehabilitation training equipment.
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Humans , Biomechanical Phenomena , Computer Simulation , Hip Joint , Knee Joint , Models, Theoretical , Movement , Posture , Upper ExtremityABSTRACT
Based on repeated experiments as well as continuous researching and improving, an efficient scheme to measure velocity and displacement of the coxa and knee movements based on video image processing technique is presented in this paper. The scheme performed precise and real-time quantitative measurements of 2D velocity or displacement of the coxa and knee using a video camera mounted on one side of the healing and training beds. The beds were based on simplified pinhole projection model. In addition, we used a special-designed auxiliary calibration target, composed by 24 circle points uniformly located on two concentric circles and two straight rods which can rotate freely along the concentric center within the vertical plane, to do the measurements. Experiments carried out in our laboratory showed that the proposed scheme could basically satisfy the requirements about precision and processing speed of such kind of system, and would be very suitable to be applied to smart evaluation/training and healing system for muscles/balance function disability as an advanced and intuitional helping method.
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Humans , Biomechanical Phenomena , Calibration , Hip , Image Processing, Computer-Assisted , Knee Joint , MovementABSTRACT
Objective To investigate the test-retest reliability of Muscle Evaluation and Treatment System on healthy adults. Methods 30 healthy adults participated in this study and were tested by Muscle Evaluation and Treatment System, designed by University of Shang-hai for Science and Thechnology and Rehabilitation Department of Huashan Hospital, on muscle strength of both sides' flexor carpi mus-cles, musculus flexor digitorum sublimis, flexor digitorum profundus, extensor digitorum muscle, extensor carpi muscles. Peak torque, peak torque per weight, largest single work, largest single work per weight, average torque, average power were the main parameters. Each partici-pant was tested 2 times, and the interval was 7 days. Results Almost perfect test-retest reliability of peak torque was performed on flexor car-pi muscles, musculus flexor digitorum sublimis, flexor digitorum profundus, and extensor carpi muscles. Moderate to excellent test-retest re-liability of average power were performed on extensor digitorum muscle. Conclusion Good test-retest reliability of Muscle Evaluation and Treatment System is proved in the study.
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The paper overviewed the research progress of the upper limb rehabilitation training system based on virtual reality technolo-gy, introduced some kinds of rehabilitation system, especially the software design, and the application of virtual scene, virtual object and net-work remote in the upper limb rehabilitation, and summarized the problem of applications of virtual reality in the rehabilitation and put for-ward the prospects about it.
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In this research, a new set of training methods was created and put into practice to train the body's sit-to-stand balancing ability, and controlling ability of body's gravity centre of patients with cerebrovascular diseases. It contains a series of motion trainings, including sitting position training, standing position training, sit-to-stand training and game training, etc. There is also a series of trainings of feedback included in this set of methods, such as internal feedback, external feedback, bandwidth feedback, conclusive feedback, visual feedback, acoustical feedback and so on. The trainings resulted in better controlling ability of body's centre of gravity in the sit-to-stand process of patients after a period of training. It indicated that these targeted-designed trainings, especially the feedback trainings, could effectively help the under-trained patients to have a better knowledge of their current situation, and in turn to have a better knowledge of which aspects they should take more training to achieve a better therapeutic effect.
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Humans , Equipment Design , Exercise Therapy , Methods , Hemiplegia , Rehabilitation , Movement , Physiology , Postural Balance , Physiology , Self-Help Devices , Stroke Rehabilitation , Weight-BearingABSTRACT
This article is aimed to present a design of a testing device for knee joint kinematics parameters of patients with strokes. We used Auto CAD to design the knee joint sensor device, and applied multifunction data acquisition card to collect sensor data. Then we transferred the data to the computer to quantitatively detect and analyze the joint angle, angular velocity and other parameters. The software system used Visual C+ + MFC frame and shared database Access, and used ADO technology to realize the collection between the software system and patient information system. After a preliminary test of 20 healthy subjects, the result showed that intraclass correlation coefficient (ICC) was more than 0.8, indicating a good reliability of the instrument.
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Humans , Biomechanical Phenomena , Computer-Aided Design , Equipment Design , Methods , Knee Joint , Range of Motion, Articular , Stroke , Stroke RehabilitationABSTRACT
In order to improve the conventional stimulator with non-standard parameters and poor efficacy using the passive mode of the treatment, we developed an intelligent stimulator to combine biofeedback with functional electrical stimulation. Through the non-invasive measurement and feature extraction of electromyography signals, a value of root mean square can be obtained based on delta-sigma computational technique. In the newly designed stimulator, electromyography feature extraction and feedback control were used to intelligently control the rehabilitation treatment. Both bidirectional detection technologies for stimulated current and programmable interactive way using touchscreen were employed so that the treatment parameters can be accurately quantified and set up. The experiment showed that the design requirements were achieved.
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Humans , Algorithms , Artificial Intelligence , Electric Stimulation Therapy , Electromyography , Methods , Signal Processing, Computer-Assisted , Stroke RehabilitationABSTRACT
Objective To study the impact of active control of the trajectory of the center of gravity on the effectiveness of balance training and balance assessment. Methods Two groups of subjects ( group 1 30-45 years old, group 2 45-60 years old ) were evaluated and trained using both active center of gravity trajectory control and static balance methods. Results The percentages of success in controlling the center of gravity were the same when both groups were trained using static balance. Group 1's success percentage was higher than that of group 2 after active center of gravity trajectory training. Their affected lower limbs performed better in wave trace training than after static balance training, and performance improved with increased wave trace amplitude. Conclusions Wave tracing can stimulate the lower limbs of patients with active control force and improve their balance. The wave assessment is superior to static assessment, as it can objectively reflect ability in active center of gravity control and adjust the lower limbs of subjects whose static balance ability is at the same level.
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BACKGROUND: How to design and manufacture sophisticated artificial knee joint that meets the needs of patients after knee joint replacement rely on the precise design and manufacturing technology, which ensure the prosthesis match the body and make a coordinated movement with maintained soft tissues. OBJECTIVE: To design personalized knee joint utilize of computer-aided design technology.METHODS: The human knee joint was scanned by three-dimensional laser scanning and output of the point cloud data were processed by computer-aided design technology. After that, the three-dimensional solid model of the knee was reconstructed by Geomagic and UG software.RESULTS AND CONCLUSION: A very precise three-dimensional knee model was constructed. It provides an accurate model basis for the digital manufacture of biomimetic artificial knee, virtual assembly, stress analysis, motion analysis, and surgical simulation.
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The aim of this study was to systemically analyze the proteins that adsorbed on the surface of hemodialysis membrane. The Fresenius F6 reused polysulfone dialyzers were selected as the research objects. The methodology we used encompassed the digestion of protein in rinsed solution and the separation of peptide mixture in virtue of RP-HPLC followed by ESI-MS/MS identification in orde to get their adsorption behavior, species and characteristics. The results illustrated that, after being rinsed by reverse osmosis (RO) water, 179 species of the protein adsorbed on the hemodialysis membrane, most of which were acidulous and middle or small weight protein molecules. The data from counting the numbers of peptides showed there were 5 species of high-abundant proteins (the contents being above 5% each), namely Ficolin-2 precursor, Complement C3 precursor (Fragment), Mannan-binding lectin serine protease 1 isoform 2 precursor, Complement-activating component of Ra-reactive factor precursor, and Mannan-binding lectin serine protease 1 isoform 3. These proteins are in close relationship with human immune system; moreover, they are of great significance to the clinical mechanism for cleaning reuse hemodialyzers and to the development of new hemodialysis materials.
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Humans , Adsorption , Complement C3 , Equipment Reuse , Lectins , Mannose-Binding Protein-Associated Serine Proteases , Membranes, Artificial , Renal DialysisABSTRACT
Obstacles in pharyngoesophageal function are characterized clinically by dysphagia.At present,the treatment for dysphagia is broadly divided into two ways:balloon expansion therapy and electrical stimulation therapy.Balloon dilatation device for achalasia of cricopharyngeal muscle is design based on the principle of expansion treatment to stimulate cricopharyngeal muscle contraction and dilatation through the pressure of balloon dilation.At work,the water was filled in balloon catheter through the electronic charge pump to pressurize to reach a certain pressure of the balloon dilatation,and the drain valve drained water at prescriptive speed until it reaches a certain contraction of the balloon pressure,followed by water filling in the balloon catheter.This operation was repeated operation,resulting in a compression cycle to cricopharyngeal muscle,promote its contraction and dilatation.Patients can gradually restore autonomy of swallowing.The device is easy to operate,safe and reliable.The doctor can fill water in the balloon catheter at certain time and quantity to achieve the treatment of achalasia of cricopharyngeal muscle.