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1.
Nat Mater ; 16(6): 664-670, 2017 06.
Article in English | MEDLINE | ID: mdl-28250445

ABSTRACT

The exceptional mechanical properties of the load-bearing connection of tendon to bone rely on an intricate interplay of its biomolecular composition, microstructure and micromechanics. Here we identify that the Achilles tendon-bone insertion is characterized by an interface region of ∼500 µm with a distinct fibre organization and biomolecular composition. Within this region, we identify a heterogeneous mechanical response by micromechanical testing coupled with multiscale confocal microscopy. This leads to localized strains that can be larger than the remotely applied strain. The subset of fibres that sustain the majority of loading in the interface area changes with the angle of force application. Proteomic analysis detects enrichment of 22 proteins in the interfacial region that are predominantly involved in cartilage and skeletal development as well as proteoglycan metabolism. The presented mechanisms mark a guideline for further biomimetic strategies to rationally design hard-soft interfaces.

2.
Acta Otolaryngol Suppl ; 498: 19-29, 1992.
Article in English | MEDLINE | ID: mdl-1462772

ABSTRACT

Management of the patient's level of arousal is one of the most important variables in obtaining consistent and strong caloric responses. The patient may suppress the caloric response and/or exacerbate beat-to-beat variability if some type of mental alerting (MA) task is not used to focus the patient's attention from his or her dizziness. An experiment was undertaken to evaluate simple MA tasks in terms of associated caloric response strength and variability. Warm caloric responses were measured while each of 10 normal subjects performed eight different MA tasks. The mental exercises included two math tasks, two quizzing tasks, two hand-motor tasks, and two alphabet tasks. One of the tasks in each complementary pair required the subject to interact with the examiner throughout the caloric response. Minimal or no interaction was required for the companion task. The relative ordering among the eight MA tasks was compared in terms of total sum of ranks, summed across 15 performance measures taken from caloric response indices. The highest-ranked altering task was an exercise requiring subjects to name or list local cities, states in the U.S.A., colors, etc. The lowest-ranked tasks were backward counting exercises and reflexive quizzing, which are the traditional tasks used in the clinic.


Subject(s)
Arousal/physiology , Caloric Tests/methods , Evaluation Studies as Topic , Humans
3.
Acta Otolaryngol Suppl ; 498: 4-18, 1992.
Article in English | MEDLINE | ID: mdl-1462773

ABSTRACT

A mathematical model for describing the caloric response over time offers many important advantages over the commercially-available qualitatively-fitted curves that are now used by the clinician for evaluating caloric results. In this report advances in the development of a nonlinear least-squares mathematical model are discussed and the roles and derivations of fitting parameters and curve-derived indices are outlined. This model provides a rigorous and objective description of the caloric response in its entirety with four continuous parameters. These fitting parameters make it possible to 1) describe individual caloric responses precisely and uniquely, 2) compare pairs of individual caloric responses or groups of caloric responses statistically, 3) extract information not previously available, 4) quantify variability within the caloric response, and 5) model physical properties of the caloric stimulus and physiological variables affecting the caloric response. Results from this model are compared with the results from our earlier models and with traditional multiparameter caloric results.


Subject(s)
Caloric Tests , Models, Biological , Humans , Mathematics , Time Factors
4.
Percept Mot Skills ; 68(3 Pt 2): 1255-72, 1989 Jun.
Article in English | MEDLINE | ID: mdl-2668872

ABSTRACT

This study examined the feasibility of repeated self-administration of a newly developed battery of mental acuity tests which may have application in screening for fitness-for-duty or for persons who may be exposed to environmental stress, toxic agents, or disease. 16 subjects self-administered 18 microcomputer-based tests (13 new, 5 "core"), without proctors, over 10 sessions. The hardware performed well throughout the study and the tests appeared to be easily self-administered. Stabilities and reliabilities of the tests from the "core" battery were comparable to those obtained previously under more controlled experimental conditions. Eight of the new tests exceeded minimum criteria for metric and practical requirements and can be recommended as additions to the menu. Although the average retest reliability was high, cross-correlations between tests were low, implying factorial diversity. The menu can be used to form batteries with flexible total testing time which are likely to tap different mental processes and functions.


Subject(s)
Diagnosis, Computer-Assisted/instrumentation , Microcomputers , Neuropsychological Tests/instrumentation , Software , Substance-Related Disorders/diagnosis , Humans , Memory, Short-Term/drug effects , Problem Solving/drug effects , Psychometrics , Psychomotor Performance/drug effects , Reaction Time/drug effects , Substance-Related Disorders/psychology
5.
Percept Mot Skills ; 65(3): 947-62, 1987 Dec.
Article in English | MEDLINE | ID: mdl-3438142

ABSTRACT

In developing a menu of computerized performance tests for repeated-measures applications the metric properties of selected tests have been examined. Factors of chief concern have been stability and reliability, as well as the practical issue of the length of time it takes to achieve high levels of both. In this study, these factors, as well as predictive validity, are examined. 25 subjects were tested repeatedly (10 sessions) with 11 tests previously identified as "good" candidates for repeated-measures research in paper-and-pencil (marker test) versions. The 11 tests were administered concurrently in their traditional paper-and-pencil modes and newly implemented microcomputer-based versions, along with the Wechsler Adult Intelligence Scale (WAIS). Nine of the 11 microcomputer-based tests achieved stability. Reliabilities were generally high, with r greater than or equal to .77 for 3 min. of testing. Cross-correlations of microbased tests with traditional paper-and-pencil versions suggest equivalency between the test constructs in the different media. Correlations between six of the microbased subtests and the WAIS identified common variance, and these might comprise an efficient short (6 min.) battery of tests.


Subject(s)
Computers , Microcomputers , Neuropsychological Tests/instrumentation , Social Environment , Substance-Related Disorders/psychology , Adolescent , Adult , Humans , Psychometrics
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