Operative Treatment of Intra-articular Distal Radius Fractures Using the Small AO External Fixation Device

BackgroundA retrospective group study was done to evaluate the effect of the small AO external fixator in the management of acute intra-articular fractures of the distal radius.MethodsBetween January 1995 and December 1996, 70 consecutive patients with articular fractures of the distal radius were treated by closed reduction and external fixation with small AO external fixators. The mean age at the time of surgery was 58.9 years (range, 14–87 years). There were 58 Colles' Barton's fractures and 12 Smith's Barton's fractures. The follow-up period was 104 months (range, 92–118 months).ResultsAll fractures united in a mean of 5.8 weeks (range, 4–10 weeks). At the final follow-up, the average range of motion was 56.3 ± 11.6° in flexion, 58.6 ± 10.7° in extension, 21.5 ± 4.2° in ulnar deviation, 9.1 ± 2.9° in radial deviation, 71.5 ± 8.5° in pronation, and 67.3 ± 9.2° in supination. Compared with the normal side, the average grip force was 87 ± 6%. The overall clinical and functional outcomes, according to the scoring system of Gartland and Werley, showed that 22 patients (31.4%) had excellent results, 36 (51.4%) had good results, 9 (12.9%) had fair results, and 3 (4.3%) had poor results.ConclusionClosed reduction and external fixation with the small AO external fixator is useful and effective in the management of displaced comminuted articular fractures of the distal radius

Pityriasis lichenoid-like mycosis fungoides in a 9-year-old boy: A case report

No abstract availabl

Ciprofloxacin-resistant Salmonella enterica Typhimurium and Choleraesuis from Pigs to Humans, Taiwan

We evaluated the disk susceptibility data of 671 nontyphoid Salmonella isolates collected from different parts of Taiwan from March 2001 to August 2001 and 1,261 nontyphoid Salmonella isolates from the National Taiwan University Hospital from 1996 to 2001. Overall, ciprofloxacn resistance was found in 2.7% (18/671) of all nontyphoid Salmonella isolates, in 1.4% (5/347) of Salmonella enterica serotype Typhimurium and in 7.5% (8/107) in S. enterica serotype Choleraesuis nationwide. MICs of six newer fluoroquinolones were determined for the following isolates: 37 isolates of ciprofloxacin-resistant (human) S. enterica Typhimurium (N = 26) and Choleraesuis (N = 11), 10 isolates of ciprofloxacin-susceptible (MIC <1 μg/mL) (human) isolates of these two serotypes, and 15 swine isolates from S. enterica Choleraesuis (N = 13) and Typhmurium (N = 2) with reduced susceptibility to ciprofloxacin (MIC >0.12 μg/mL). Sequence analysis of the gryA, gyrB, parC, parE, and acrR genes, ciprofloxacin accumulation; and genotypes generated by pulsed-field gel electrophoresis with three restriction enzymes (SpeI, XbaI, and BlnI) were performed. All 26 S. enterica Typhimurium isolates from humans and pigs belonged to genotype I. For S. enterica Choleraesuis isolates, 91% (10/11) of human isolates and 54% (7/13) of swine isolates belonged to genotype B. These two genotypes isolates from humans all exhibited a high-level of resistance to ciprofloxacin (MIC 16–64 μg/mL). They had two-base substitutions in the gyrA gene at codons 83 (Ser83Phe) and 87 (Asp87Gly or Asp87Asn) and in the parC gene at codon 80 (Ser80Arg, Ser80Ile, or Ser84Lys). Our investigation documented that not only did these two S. enterica isolates have a high prevalence of ciprofloxacin resistance nationwide but also that some closely related ciprofloxacin-resistant strains are disseminated from pigs to humans

Isolation and Characterization of Novel Murine Epiphysis Derived Mesenchymal Stem Cells

BACKGROUND: While bone marrow (BM) is a rich source of mesenchymal stem cells (MSCs), previous studies have shown that MSCs derived from mouse BM (BMMSCs) were difficult to manipulate as compared to MSCs derived from other species. The objective of this study was to find an alternative murine MSCs source that could provide sufficient MSCs. METHODOLOGY/PRINCIPAL FINDINGS: In this study, we described a novel type of MSCs that migrates directly from the mouse epiphysis in culture. Epiphysis-derived MSCs (EMSCs) could be extensively expanded in plastic adherent culture, and they had a greater ability for clonogenic formation and cell proliferation than BMMSCs. Under specific induction conditions, EMSCs demonstrated multipotency through their ability to differentiate into adipocytes, osteocytes and chondrocytes. Immunophenotypic analysis demonstrated that EMSCs were positive for CD29, CD44, CD73, CD105, CD166, Sca-1 and SSEA-4, while negative for CD11b, CD31, CD34 and CD45. Notably, EMSCs did not express major histocompatibility complex class I (MHC I) or MHC II under our culture system. EMSCs also successfully suppressed the proliferation of splenocytes triggered by concanavalin A (Con A) or allogeneic splenocytes, and decreased the expression of IL-1, IL-6 and TNF-α in Con A-stimulated splenocytes suggesting their anti-inflammatory properties. Moreover, EMSCs enhanced fracture repair, ameliorated necrosis in ischemic skin flap, and improved blood perfusion in hindlimb ischemia in the in vivo experiments. CONCLUSIONS/SIGNIFICANCES: These results indicate that EMSCs, a new type of MSCs established by our simple isolation method, are a preferable alternative for mice MSCs due to their better growth and differentiation potentialities

Poor sleep quality measured by polysomnography in non-obese asthmatic children with or without moderate to severe obstructive sleep apnea

[[abstract]]Background The co-effect of asthma and obstructive sleep apnea (OSA) on sleep quality among children remained unclear. Objective To compare sleep quality and emotional/behavioral problems among asthmatic and non-asthmatic children with or without moderate to severe obstructive sleep apnea. Method An AHI-range-matched BMI-range-matched cross-sectional design was used to examine polysomnographic evaluation and emotional/behavioral problems in 102 non-obese children aged between 6 and 12 years old, categorized as with or without asthma and sleep disordered breathing. Results Asthmatic children in AHI ≤ 5/h group revealed a significantly longer sleep latency, a greater leg movement index (LMI), and a lower ratio of slow wave sleep compared with non-asthmatic AHI ≤ 5/h group. Compared with non-asthmatic AHI > 5/h group, asthmatic children displayed a higher ratio of REM sleep, sleep stage 1 and 2, a lower ratio of slow wave sleep, as well as a greater respiratory arousal index and LMI. There was no significant difference in emotional/behavior problems among groups. Conclusion Sleep disturbance exists in asthmatic children with or without moderate to severe obstructive sleep apnea. Non-obese asthmatic children had less slow wave sleep compared with non-asthmatic children. We might recommend that sleep quality could be noticed and evaluated in children with asthma

Construction of Fisheye Lens Inverse Perspective Mapping Model and Its Applications of Obstacle Detection

In this paper, we develop a vision based obstacle detection system by utilizing our proposed fisheye lens inverse perspective mapping (FLIPM) method. The new mapping equations are derived to transform the images captured by the fisheye lens camera into the undistorted remapped ones under practical circumstances. In the obstacle detection, we make use of the features of vertical edges on objects from remapped images to indicate the relative positions of obstacles. The static information of remapped images in the current frame is referred to determining the features of source images in the searching stage from either the profile or temporal IPM difference image. The profile image can be acquired by several processes such as sharpening, edge detection, morphological operation, and modified thinning algorithms on the remapped image. The temporal IPM difference image can be obtained by a spatial shift on the remapped image in the previous frame. Moreover, the polar histogram and its post-processing procedures will be used to indicate the position and length of feature vectors and to remove noises as well. Our obstacle detection can give drivers the warning signals within a limited distance from nearby vehicles while the detected obstacles are even with the quasi-vertical edges

A Multi-Component Physiotherapeutic Intervention among Schoolchildren with Myopia: 3D-Based Vision Training Program with Auditory Frequency Entrainment and Electrical Stimulation

Purpose. This study evaluated whether 3D-based vision training (VT) with visual cortex-activated auditory frequency entrainment and bilateral orbital electrical stimulation (ES) could prevent the progression of myopia among schoolchildren. Methods. In this two-stage, randomized, crossover, single-blind study, pre- and post-logMAR visual acuity and refractive error from 27 schoolchildren with myopia (&le;&minus;0.50 D) were evaluated among four groups: (1) sham control with no VT, frequency following response (FFR), or ES (control group); (2) 3D-based VT only (VT group); (3) VT with FFR generated through visual cortex-activated auditory entrainment (VT-FFR group); and (4) VT with FFR and bilateral orbital ES (VT-FFR-ES group). In stage 1, the intervention was administered for 30 min to all groups using a randomized crossover design. In stage 2, the intervention was administered for 30 min/day, 3 days a week, for 4 weeks to evaluate the effectiveness of intervention. Results. Compared with the pre-test, post-test logMAR visual acuity after a single intervention was not significantly different in control and VT groups, but significantly improved in the VT-FFR (&minus;0.08 &plusmn; 0.11) and VT-FFR-ES groups (&minus;0.13 &plusmn; 0.14). Compared with the pre-test, post-test refractive error by spherical equivalent in VT-FFR-ES group for the 4-week intervention was significantly (&lt;0.001) improved (0.21 D) compared with the control group (&minus;0.1 D). Conclusions. The multicomponent physiotherapeutic intervention of 3D-based VT with auditory FFR and bilateral orbital ES can inhibit the progression of myopia. This intervention can be used as a noninvasive physiotherapeutic approach to prevent or reduce the severity of myopia

A Conditional Entropy-Based Independent Component Analysis for Applications in Human Detection and Tracking

We present in this paper a modified independent component analysis (mICA) based on the conditional entropy to discriminate unsorted independent components. We make use of the conditional entropy to select an appropriate subset of the ICA features with superior capability in classification and apply support vector machine (SVM) to recognizing patterns of human and nonhuman. Moreover, we use the models of background images based on Gaussian mixture model (GMM) to handle images with complicated backgrounds. Also, the color-based shadow elimination and head models in ellipse shapes are combined to improve the performance of moving objects extraction and recognition in our system. Our proposed tracking mechanism monitors the movement of humans, animals, or vehicles within a surveillance area and keeps tracking the moving pedestrians by using the color information in HSV domain. Our tracking mechanism uses the Kalman filter to predict locations of moving objects for the conditions in lack of color information of detected objects. Finally, our experimental results show that our proposed approach can perform well for real-time applications in both indoor and outdoor environments

A Conditional Entropy-Based Independent Component Analysis for Applications in Human Detection and Tracking

Abstract We present in this paper a modified independent component analysis (mICA) based on the conditional entropy to discriminate unsorted independent components. We make use of the conditional entropy to select an appropriate subset of the ICA features with superior capability in classification and apply support vector machine (SVM) to recognizing patterns of human and nonhuman. Moreover, we use the models of background images based on Gaussian mixture model (GMM) to handle images with complicated backgrounds. Also, the color-based shadow elimination and head models in ellipse shapes are combined to improve the performance of moving objects extraction and recognition in our system. Our proposed tracking mechanism monitors the movement of humans, animals, or vehicles within a surveillance area and keeps tracking the moving pedestrians by using the color information in HSV domain. Our tracking mechanism uses the Kalman filter to predict locations of moving objects for the conditions in lack of color information of detected objects. Finally, our experimental results show that our proposed approach can perform well for real-time applications in both indoor and outdoor environments.</p