Long-term implant of intramuscular sensors and nerve transfers for wireless control of robotic arms in above-elbow amputees.

Targeted muscle reinnervation (TMR) amplifies the electrical activity of nerves at the stump of amputees by redirecting them in remnant muscles above the amputation. The electrical activity of the reinnervated muscles can be used to extract natural control signals. Nonetheless, current control systems, mainly based on noninvasive muscle recordings, fail to provide accurate and reliable control over time. This is one of the major reasons for prosthetic abandonment. This prospective interventional study includes three unilateral above-elbow amputees and reports the long-term (2.5 years) implant of wireless myoelectric sensors in the reinnervation sites after TMR and their use for control of robotic arms in daily life. It therefore demonstrates the clinical viability of chronically implanted myoelectric interfaces that amplify nerve activity through TMR. The patients showed substantial functional improvements using the implanted system compared with control based on surface electrodes. The combination of TMR and chronically implanted sensors may drastically improve robotic limb replacement in above-elbow amputees.

A novel mechanotronic orthosis enables symmetrical gait kinematics in a patient with a femoral nerve palsy - a case study.

The usage of stance- and swing-phase control orthoses (SSCOs) is a good option in patients with neuromuscular insufficiency of the quadriceps muscle in a broad range of musculo-skeletal disorders. The subjective sensation of improved mobility in daily life and walking comfort could be objectively confirmed by the ability to walk without crutches and by harmonization of the gait patterns in hip and knee. They could also be a considered mobility device after limb salvage surgery, which may even have an impact on preoperative decision making. IMPLICATIONS FOR REHABILITATION Symmetric gate in spite of femoral nerve palsy. Early gate improvements even after hours. High patient?s motivation to use the device.

[Selective nerve transfers to improve the control of myoelectrical arm prostheses]. / Selektive Nerventransfers zur verbesserten Steuerung myoelektrischer Armprothesen.

To date, the movement of myoelectrical arm prostheses proceeds via two transcutaneous electrodes that are controlled by two separately innervated muscle groups. The various control levels are chosen by co-contractions of these muscles and the respective level is linearly controlled by the same muscles. A harmonious course of movement as in the corresponding natural pattern of motion is not possible in this way. An appreciable improvement would be given by the control of the individual movement levels by signals that correspond neuronally with the natural pattern of motion. Just recently, prostheses with six control levels have been realised technically. The objective is to separate the major arm nerves, such as the musculocutaneous nerve, radial nerve, median nerve and ulnar nerve, from the proximal arm nerve plexus and to transfer them to the residual nerve branches of muscles near the stem in order to create meaningful neuromuscular units that can serve as impulse sources for myoelectrical prosthesis. As target muscles, above all, one can consider the major/minor pectoral muscles or, respectively, the latissimus muscle. According to the activity of the donor nerves, these muscles would contract and control the prosthesis via transcutaneous electrode. In this way, a harmonious control corresponding intuitively to the natural pattern of movement would be possible without the necessity for the patient to continuously switch between the various control levels. Prerequisites for this are intact proximal muscle groups and a more or less intact arm nerve plexus with the possibility to isolate donor nerves according to the topographic-anatomic situation. For this reason, a preoperative MRI examination, a high resolution sonographic study and balancing NLG and EMG of the residual nerve plexus are necessary. For the preoperative planning phase as well as for the postoperative follow-up, a detailed procedure has been established, in cooperation with the innovation department of the Otto Bock company, to create the most meaningful switch levels, to optimise electrode placement as well as to clarify prosthesis incorporation. Finally, a complex rehabilitation programme is necessary for the patient to achieve an optimal result.

Pulsatile release of catecholamines in the hypothalamus of conscious rats.

To investigate the patterns of catecholamine release in the brain, the hypothalamus of conscious, freely moving rats was superfused through a push-pull cannula with artificial cerebrospinal fluid and the catecholamines dopamine, noradrenaline and adrenaline were determined in the superfusate radioenzymatically. Superfusate was continuously collected in time periods of 20 min for at least 20 h. Dopamine, noradrenaline and adrenaline release rates fluctuated according to an ultradian rhythm with a frequency of 1 cycle/92 min (dopamine and noradrenaline) or 99 min (adrenaline). Additionally, the three catecholamines were released according to an ultradian rhythm with the following frequencies: noradrenaline and adrenaline 1 cycle/12 h, dopamine 1 cycle/8 h. The release rates of dopamine and adrenaline were similar during light and dark periods, while the release rate of noradrenaline in the dark period was slightly lower than that during the light period. It is concluded that in the hypothalamus of the conscious rat the release rates of dopamine, noradrenaline and adrenaline fluctuate according to two ultradian rhythms with different frequencies.

Pulsatile release of histamine in the hypothalamus of conscious rats.

The pattern of histamine release was investigated in the hypothalamus of the conscious, freely moving rat over 20 h. Under anaesthesia, a guide cannula was stereotaxically inserted into the posterior hypothalamus. In the conscious animal, the stylet of the guide cannula was replaced by a push-pull cannula, and the hypothalamus was superfused with artificial cerebrospinal fluid. Histamine was determined radioenzymatically in the superfusate which was continuously collected in time periods of 20 min. The release rate of histamine fluctuated according to an ultradian rhythm (frequency: 1 cycle per 83 min) and a circadian rhythm with the highest release rate of histamine between 11:00 p.m. and 1:00 a.m. The release rate of histamine during darkness was higher than that during the light period. The results demonstrate that, in the brain, neuronal histamine is released according to rhythms with various frequencies.

Calibration of a Fourier transform spectrometer using three blackbody sources.

A procedure to calibrate a Fourier transform spectrometer is presented. Blackbody sources of three different temperatures are used to eliminate errors in the calibration that result from the limited accuracy of the temperature measurement of the calibration sources. With three spectra of blackbodies it is possible to assume that the temperatures are unknown variables as are the parameters of the functions that describe the spectrometer. A nonlinear Gaussian balancing calculation is used to determine these unknown variables and to minimize the influence of noise. A comparison between the results obtained with this method and a conventional calibration procedure is presented.

Michelson interferometer with a rotating retroreflector: a laboratory model for environmental monitoring.

Designed for atmospheric pollution monitoring, a breadboard model of a new Michelson interferometer has been developed. It utilizes a nutating retroreflector to generate alterations in the geometrical and optical paths. The forward-backward stop-and-go movement of a reflecting element of conventional Michelson interferometers is thus replaced by a continuous rotation. At this state the instrument employs a 6.3-cm (2.5-in.) diam rotating retroreflector, a ZnSe beam splitter, and a HgCdTe detector at liquid nitrogen temperature, sensitive in the 8-14-microm band. It allows spectral resolutions of up to 2 cm(-1). The device is linked via an analog digital interface to a desktop computer which performs interferometer control, data acquisition, Fourier transform, and display of the spectra.

[A transition zone phenomenon of the skin in cadavers lying in bath water]. / Ein Grenzzonenphänomen an der Haut im Badewannenwasser liegender Leichen.

In three cases a phenomenon is reported, seen on the skin of bodies found dead after a longer time of lying in bathtubs filled with water. The sign was parallel to the surface of the water and showed a breadth up to about 1 cm. Contrary to the surrounding skin, the mark was characterized by paleness and clearly les distinct formation of postmortem alterations as put-refaction. Searching for an explanation, temperature measurements were performed in model. The results showed the marginal paleness of the skin to be a thermal phase transition phenomenon. This mark has a forensic message too: it demonstrates a longer remaining of the corpse in the corresponding position, is a statement concerning the high of the water level, and allows a reconstruction of the original situation after manipulation, but is no sign of vital reaction.

Involvement of limbic neuronal corticosterone in the regulation of arterial blood pressure.

The effect of experimentally induced blood pressure changes on the in vivo release of neuronal corticosterone in limbic and hypothalamic areas was studied in anaesthetized rats. A fall of the arterial blood pressure (ABP) elicited by the intravenous (i.v.) injection of the vasodilatator nitroprusside or the ganglionic blocking agent chlorisondamine decreased the release of corticosterone in the central amygdala (AC) and the ventral hippocampus (VH) whereas an experimentally induced hypertension after i.v. administration of the alpha adrenoreceptoragonist tramazoline led to an enhanced release of the glucocorticoid in the limbic areas mentioned above. Alterations in ABP did not affect the rates of corticosterone release in the medial hypothalamus (MH). The results may indicate a functional role for neuronal limbic corticosterone in central blood pressure regulation.

Differential effects of experimentally induced blood pressure changes on the release of catecholamines in hypothalamic and limbic areas of rats.

The effects of longer lasting blood pressure changes on the release of endogenous catecholamines (CA) in limbic and hypothalamic areas were studied in anaesthetized rats. For this purpose the central nucleus of the amygdala (AC), ventral hippocampus (VH) and medial hypothalamus (MH) were simultaneously superfused through push-pull cannulae with artificial cerebrospinal fluid and the release of the endogenous catecholamines dopamine (DA), noradrenaline (NA) and adrenaline (A) was determined before and after blood pressure manipulations. A fall in blood pressure elicited by the ganglionic blocking agent chlorisondamine resulted in different changes of the various CA release patterns in AC. Short lasting increased CA release rates as compared to prehypotension levels could be observed in the hippocampus. The activity of catecholaminergic neurons in MH remained unchanged. A rise in arterial blood pressure induced by intravenous injection of tramazoline did not change the release rates of DA in all 3 brain areas studied. In hippocampus, NA levels in the superfusates decreased initially during hypertension but returned to normal values 40 min after drug injection. In the late phase of hypertension increased rates of release of NA in the amygdala and of A in the hypothalamus could be observed. The different patterns in the release of CA suggest that DA, NA and A are differentially implicated in the regulation of experimentally induced blood pressure changes.

Regulation of the release of neuronally localized corticosterone in rat forebrain areas by catecholamines.

The influence of intralimbic and intrahypothalamic application of catecholamine-related compounds on the release of neuronally localized corticosterone in the central amygdala, ventral hippocampus and medial hypothalamus was investigated under in vivo and in vitro conditions. It is reported that agonists and antagonists of the alpha-adrenergic system did not affect the release of corticosterone in the brain areas studied. In contrast, the beta-adrenoreceptor agonist isoprenaline markedly enhanced the release of corticosterone. This response is prevented in the presence of the beta-adrenoreceptor antagonist propranolol. The data reveal that limbic and hypothalamic beta-adrenoreceptors play a role in the regulation of corticosterone release and suggest a functional interaction between catecholaminergic and corticosterone releasing neurons in forebrain areas.

In vivo release of corticosterone in discrete brain areas of rats. A push-pull perfusion study.

The spontaneous and depolarization-induced release of corticosterone was studied in the medial hypothalamus (MH) and the central amygdala (AC) in vivo, using a push-pull perfusion system. Significant variations in the spontaneous release of corticosterone could be observed over time (3-8 h). Corticosterone in the brain superfusates did not seem to stem from adrenocortical sites since a continuous release of the glucocorticoid could also be followed in bilateral adrenalectomized rats. Superfusion of MH and AC with depolarizing stimuli led to an enhanced release of corticosterone. Of greater general significance is the first demonstration that the release of a steroid hormone can be measured in discrete brain areas under in vivo conditions.

A quantitative study of the cerebral cortex in Alzheimer's disease and senile dementia using an automatic image analyzing system.

The gray level index method was used in order to quantitatively differentiate the histological characteristics of a pathological population (n = 14) from those of a normal population (n = 14). An automatic image analysis system compared the laminar patterns in the straight gyrus of the cerebral cortex of deceased normal patients with those who died with Alzheimer's disease and senile dementia. In comparison to the normal control group, the cases with Alzheimer's disease and senile dementia show a significant decrease in the gray level index of lamina III.

Temporal relationship between noradrenaline release in the central amygdala and plasma noradrenaline secretion in rats and tree shrews.

In pentobarbital anesthetized Wistar rats and tree shrews (Tupaia belangeri) the hypothalamus, the hippocampus and the amygdala were simultaneously superfused through push-pull cannulae with artificial cerebrospinal fluid. Blood samples were withdrawn in order to make an attempt to correlate release rates of noradrenaline (NA), adrenaline and dopamine in the above-mentioned areas with plasma catecholamine levels. A strong, positive correlation was found between NA release in central amygdala and NA concentrations in peripheral blood suggesting a functional relationship between noradrenergic systems in discrete brain areas and the activity of the peripheral sympathetic nervous system.