862 research outputs found

    Finite element analysis on the response of 6061-T6 aluminum alloy tubes with a local sharp cut under cyclic bending

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    In this paper, the finite element software ANSYS Workbench 14.0 is used to analyze the moment-curvature and ovalization-curvature relationships of 6061-T6 aluminum alloy tubes with a local sharp cut under curvature-controlled symmetrical cyclic bending. The cut depths of 0.4, 0.8, 1.2, 1.6 and 2.0 mm were considered. The experimental moment-curvature relationship exhibited an almost steady loop from the beginning of the first cycle; the cut depth had almost no influence on the curves. Moreover, the ovalization-curvature curve increased in an increasing, unsymmetrical and ratcheting manner with the number of bending cycles. Large cut depths resulted in larger ovalization of the tube cross-section. The ANSYS analysis was compared with the experimental finding. The simulated results exhibited close correspondence to those obtained from the experiments

    Prescription characteristics of Xue-Fu-Zhu-Yu-Tang in pain management: a population-based study using the National Health Insurance Research Database in Taiwan

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    Objective: To explore the prevalence and distinctive features of Xue-Fu-Zhu-Yu-Tang (XFZYT) prescriptions by analyzing the National Health Insurance Research Database (NHIRD) to identify the specific medical problems for which XFZYT is prescribed.Methods: This nationwide, population-based, cross-sectional study included 109,073 XFZYT users and 532,848 XFZYT non-users among Chinese herbal product (CHP) users in NHIRD. Chi-squared tests were used to analyze disparities between the XFZYT user and XFZYT non-user cohorts, and the mean age was evaluated using the Wilcoxon rank-sum test. Logistic regression was used to compute the odds ratios (ORs) and 95% confidence intervals (95% CIs).Results: XFZYT was frequently used to treat pain. The top five conditions for which the Taiwanese traditional Chinese medicine (TCM) practitioners would prescribe XFZYT were chest pain; headache; myalgia and myositis; lumbago; and neuralgia, neuritis, and radiculitis.Conclusion: This study represents an inaugural comprehensive survey conducted on the utilization of XFZYT prescriptions among patients with diverse diseases. XFZYT is mostly used to treat pain conditions in Taiwan. Combined with the combination use of other CHPs, XFZYT is used to treat symptoms of the chest and respiratory system, soft tissue conditions, menstruation disorders, and joint and back discomfort. These results suggest that further clinical trials are warranted to verify the effects of XFZYT in pain management

    The external pore loop interacts with S6 and S3-S4 linker in domain 4 to assume an essential role in gating control and anticonvulsant action in the Na+ channel

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    Carbamazepine, phenytoin, and lamotrigine are widely prescribed anticonvulsants in neurological clinics. These drugs bind to the same receptor site, probably with the diphenyl motif in their structure, to inhibit the Na+ channel. However, the location of the drug receptor remains controversial. In this study, we demonstrate close proximity and potential interaction between an external aromatic residue (W1716 in the external pore loop) and an internal aromatic residue (F1764 in the pore-lining part of the sixth transmembrane segment, S6) of domain 4 (D4), both being closely related to anticonvulsant and/or local anesthetic binding to the Na+ channel. Double-mutant cycle analysis reveals significant cooperativity between the two phenyl residues for anticonvulsant binding. Concomitant F1764C mutation evidently decreases the susceptibility of W1716C to external Cd2+ and membrane-impermeable methanethiosulfonate reagents. Also, the W1716E/F1764R and G1715E/F1764R double mutations significantly alter the selectivity for Na+ over K+ and markedly shift the activation curve, respectively. W1716 and F1764 therefore very likely form a link connecting the outer and inner compartments of the Na+ channel pore (in addition to the selectivity filter). Anticonvulsants and local anesthetics may well traverse this “S6 recess” without trespassing on the selectivity filter. Furthermore, we found that Y1618K, a point mutation in the S3-4 linker (the extracellular extension of D4S4), significantly alters the consequences of carbamazepine binding to the Na+ channel. The effect of Y1618K mutation, however, is abolished by concomitant point mutations in the vicinity of Y1618, but not by those in the internally located inactivation machinery, supporting a direct local rather than a long-range allosteric action. Moreover, Y1618 could interact with D4 pore residues W1716 and L1719 to have a profound effect on both channel gating and anticonvulsant action. We conclude that there are direct interactions among the external S3-4 linker, the external pore loop, and the internal S6 segment in D4, making the external pore loop a pivotal point critically coordinating ion permeation, gating, and anticonvulsant binding in the Na+ channel

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    P e r s o n a l n o n -c o m m e r c i a l u s e o n l y . T h e J o u r n a l o f R h e u m a t o l o g y . C o p y r i g h t © 2 0 0 4 . A l l r i g h t s r e s e r v e d The 's Hospital, 5 Fu-Hsin Street, Kweishan, Taoyuan, Taiwan. E-mail: [email protected] Submitted September 8, 2003; revision accepted April 19, 2004. Chemotactic cytokines (chemokines) are small signaling proteins that are released by a variety of cells and are involved in the pathophysiology of inflammatory processes, through the process of attracting and stimulating specific subsets of leukocytes, adhesion of cells, and penetration across the endothelial cells. Chemokines, such as regulated upon activation, normally T cell expressed and secreted (RANTES) and monocyte chemoattractant protein-1 (MCP-1), are responsible for the recruitment of monocytes and T lymphocytes in both the acute and chronic phases of inflammation 1 . The RANTES and MCP-1 genes are located on human chromosome 17 2,3 . RANTES is associated with Th1 cytokine-related immune response in vitro and MCP-1 contributes more to the Th2 than Th1 cytokine-mediated inflammation in vivo Results. The frequency and distribution of genotypes of the -28(C/G) RANTES gene polymorphism were significantly different between the 2 groups (p < 0.001), and the RANTES -28G allele was significantly more frequent in patients with SLE than in healthy controls (23.9% vs 11%; p = 0.006, OR 2.37, 95% CI

    Atypical Angioma Serpiginosum

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    Angioma serpiginosum is an uncommon, acquired vascular nevoid disorder with capillary dilation and proliferation in the papillary dermis. The eruptions are asymptomatic and characterized by grouped, erythematous to violaceous, serpiginous and punctate macules. The condition usually appears in females during adolescence on unilateral lower extremities and the buttocks. We report a rare case with a late onset and atypical distribution of lesions in a 48-year-old female patient who had groups of punctate lesions on her left foot for four to five years. Histopathological examination showed hyperkeratosis and multiple dilated and proliferated capillaries in the papillary dermis. Inflammation and extravasation of red blood cells were not found. According to the clinical and pathological findings, we established a diagnosis of angioma serpiginosum. She was treated with a pulsed dye laser, and the angiomatous lesions subsequently improved

    Higher power of sensorimotor rhythm is associated with better performance in skilled air-pistol shooters

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    Cheng M-Y, Wang K-P, Hung C-L, et al. Higher power of sensorimotor rhythm is associated with better performance in skilled air-pistol shooters. Psychology of Sport and Exercise. 2017;32:47-53.Objectives Psychomotor efficiency has been linked with processing efficiency during sport performance. Reduced cortical activity in the sensorimotor area has been related to less variability in the movement preparation that is conducive to skilled motor performance. This study proposes sensorimotor rhythm (SMR), 12–15 Hz of the electroencephalography (EEG) in the sensorimotor area, may be used to investigate psychomotor efficiency in sports performance. Method Twenty-four skilled air pistol shooters were recruited to fire 40 shots while EEG and shooting accuracy were recorded. Results The data show that improved performance of skilled shooters is associated with higher SMR power during the last second and lower coherence on high alpha power at Fz-T3 before action initiation. A negative relationship is also exhibited between the SMR power and the shooting performance during the aiming. Conclusions This finding suggests that reduced interference from sensorimotor processing, as reflected by elevated SMR power, may be related to improved processing efficiency during the aiming period. We conclude that SMR may be used to understand psychomotor efficiency underlying air-pistol shooting performance

    Emission dynamics of GaN-based blue resonant-cavity light-emitting diodes

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    Abstract(#br)We fabricated GaN-based blue resonant-cavity light-emitting diodes (RCLEDs) by inserting InGaN quantum well (QW) active region between two dielectric distributed Bragg reflectors (DBRs). Due to the different gain enhancement factors in a single device, multi-longitudinal modes were observed and tuned with changing the injection current density: pure-blue (PB) at low current density, violet-blue (VB) at intermediate current density, and PB again at high current density. The variation of emission spectra is explained by the competition between band-filling effect and self-heating effect

    Chronic Kidney Disease, But Not Diabetes, Can Predict 30-Day Outcomes in Patients with ST-Elevation Myocardial Infarction after Primary Percutaneous Coronary Intervention: A Single-Center Experience

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    Background: Patients with acute coronary syndrome and impaired renal function have been shown to have high mortality. However, there is scarce literature to date addressing the impact of diabetes mellitus (DM) and renal function on clinical outcomes of ST elevation myocardial infarction (STEMI) in Taiwan. Method: This study enrolled 512 STEMI patients who received primary percutaneous coronary intervention. Patients were divided into 4 groups including group 1: patients without DM or CKD (nDM-nCKD); group 2: patients with DM but without CKD (DM-nCKD); group 3: patients with CKD but without DM (nDM-CKD); group 4: patients with DM and CKD (DM-CKD). Patients were also classified into four groups based on their estimated glomerular filtration rates (eGFR): stage 1 (eGFR 90 ml/min/1.73 m 2 , n = 163), stage 2 (eGFR = 89-60 ml/min/1.73 m 2 , n = 171), stage 3 (eGFR = 59-30 ml/min/1.73 m 2 , n = 136), and stage 4 (eGFR < 30 ml/min/1.73 m 2 , n = 42). The complication rates, length of hospital stay, and 30-day outcomes were analyzed. Results: The patients in both the nDM-CKD group and DM-CKD group had higher incidences of hypotension, intra-aortic balloon counterpulsation use, and respiratory failure (p < 0.005). They had significantly longer hospital stay and 30-day mortality rates (p < 0.001). The patients with CKD stage 3 and 4 had longer hospital stay and higher 30-day mortality rates (p < 0.001). However, DM was not an independent factor on the length of hospital stay and 30-day mortality rates. Conclusions: STEMI patients with impaired renal function, but not DM, had significantly longer hospital stay and higher 30-day mortality rates
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