981 resultados para NEUROGENIC RELAXATION
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PURPOSE To gain a deeper understanding of the influence of skeletal muscle fiber orientation on metabolite visibility, magnetization transfer from water, and water proton relaxation rates in (1) H MR spectra. METHODS Non-water-suppressed MR spectroscopy was performed in tibialis anterior muscle (TA) of 10 healthy adults, with the TA oriented either parallel or at the magic angle to the 3T field. Spectra were acquired with metabolite-cycled PRESS, and water inversion from 50 to 2510 ms before excitation. Water proton T2 relaxation was sampled with STEAM with echo times from 12 to 272 ms. RESULTS Apparent concentrations of total creatine (tCr), taurine, and trimethylammonium compounds were reduced by 29% to 67% when TA was parallel to B0 . Both tCr peak areas were strongly correlated to the methylene peak splitting. Magnetization transfer rates from water to tCr CH3 were not significantly different between orientations. Water T1 s were similar between orientations, but T2 s were statistically significantly shorter by 1 ms in the parallel orientation (P = 0.002). CONCLUSION Muscle metabolite visibilities in MR spectroscopy and water T2 times depend substantially on muscle fiber orientation relative to B0 . In contrast, magnetization transfer rates appear to depend on muscle composition, rather than fiber orientation. Magn Reson Med, 2015. © 2015 Wiley Periodicals, Inc.
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BACKGROUND Neurogenic thoracic outlet syndrome is an underestimated cause of brachial weakness and pain. The subclavius posticus muscle (SPM) is an aberrant muscle originating from the medial aspect of the first rib reaching to superior border of the scapula, which may cause, depending on its activation, dynamic compression of the brachial plexus. CASE PRESENTATION In the present study, we report about a 32-year-old male caucasian patient with weakness in radial deviation of his left hand. An isolated macrodactyly of his left middle finger had been operated twice. Electroneurography showed a carpal-tunnel-syndrome (CTS) on the left side. MRI of the brachial plexus revealed an additional muscle in the costoclavicular space, identified as SPM. To our knowledge, this is the second case report of a neurogenic thoracic outlet syndrome due to SPM, and the first case described with isolated macrodactyly and CTS in the same patient. CONCLUSION If complaints about hand weakness are only reported in cases of distinct hand positions, a dynamic compression of the brachial plexus by SPM may be the cause. A neurogenic thoracic outlet syndrome may facilitate the development of CTS.
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In a first experiment, a reactively sputtered amorphous Ta₄₂Si₁₃N₄₅ film about 260 nm thick deposited on a flat and smooth alumina substrate was thermally annealed in air for 30 min and let cooled again repeatedly at successively higher temperatures from 200 to 500 °C. This treatment successively and irreversibly increases the room temperature resistivity of the film monotonically from its initial value of 670 μΩ cm to a maximum of 705 μΩ cm (+5.2 %). Subsequent heat treatments at temperatures below 500 °C and up to 6 h have no further effect on the room temperature resistivity. The new value remains unchanged after 3.8 years of storage at room temperature. In a second experiment, the evolution of the initially compressive stress of a film similarly deposited by reactive sputtering on a 2-inch silicon wafer was measured by tracking the wafer curvature during similar thermal annealing cycles. A similar pattern of irreversible and reversible changes of stress was observed as for the film resistivity. Transmission electron micrographs and secondary ion mass profiles of the film taken before and after thermal annealing in air establish that both the structure and the composition of the film scarcely change during the annealing cycles. We reason that the film stress is implicated in the resistivity change. In particular, to interpret the observations, a model is proposed where the interface between the film and the substrate is mechanically unyielding.
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CONTEXT Tibial nerve stimulation (TNS) is a promising therapy for non-neurogenic lower urinary tract dysfunction and might also be a valuable option for patients with an underlying neurological disorder. OBJECTIVE We systematically reviewed all available evidence on the efficacy and safety of TNS for treating neurogenic lower urinary tract dysfunction (NLUTD). EVIDENCE ACQUISITION The review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement. EVIDENCE SYNTHESIS After screening 1943 articles, 16 studies (4 randomized controlled trials [RCTs], 9 prospective cohort studies, 2 retrospective case series, and 1 case report) enrolling 469 patients (283 women and 186 men) were included. Five studies reported on acute TNS and 11 on chronic TNS. In acute and chronic TNS, the mean increase of maximum cystometric capacity ranged from 56 to 132mL and from 49 to 150mL, and the mean increase of bladder volume at first detrusor overactivity ranged from 44 to 92mL and from 93 to 121mL, respectively. In acute and chronic TNS, the mean decrease of maximum detrusor pressure during the storage phase ranged from 5 to 15cm H2O and from 4 to 21cm H2O, respectively. In chronic TNS, the mean decrease in number of voids per 24h, in number of leakages per 24h, and in postvoid residual ranged from 3 to 7, from 1 to 4, and from 15 to 55mL, respectively. No TNS-related adverse events have been reported. Risk of bias and confounding was high in most studies. CONCLUSIONS Although preliminary data of RCTs and non-RCTs suggest TNS might be effective and safe for treating NLUTD, the evidence base is poor, derived from small, mostly noncomparative studies with a high risk of bias and confounding. More reliable data from well-designed RCTs are needed to reach definitive conclusions. PATIENT SUMMARY Early data suggest tibial nerve stimulation might be effective and safe for treating neurogenic lower urinary tract dysfunction, but more reliable evidence is required.
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CONTEXT Transcutaneous electrical nerve stimulation (TENS) is a promising therapy for non-neurogenic lower urinary tract dysfunction and might also be a valuable option in patients with an underlying neurological disorder. OBJECTIVE We systematically reviewed all available evidence on the efficacy and safety of TENS for treating neurogenic lower urinary tract dysfunction. EVIDENCE ACQUISITION The review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement. EVIDENCE SYNTHESIS After screening 1943 articles, 22 studies (two randomised controlled trials, 14 prospective cohort studies, five retrospective case series, and one case report) enrolling 450 patients were included. Eleven studies reported on acute TENS and 11 on chronic TENS. In acute TENS and chronic TENS, the mean increase of maximum cystometric capacity ranged from 69ml to 163ml and from 4ml to 156ml, the mean change of bladder volume at first detrusor overactivity from a decrease of 13ml to an increase of 175ml and from an increase of 10ml to 120ml, a mean decrease of maximum detrusor pressure at first detrusor overactivity from 18 cmH20 to 72 cmH20 and 8 cmH20, and a mean decrease of maximum storage detrusor pressure from 20 cmH20 to 58 cmH2O and from 3 cmH20 to 8 cmH2O, respectively. In chronic TENS, a mean decrease in the number of voids and leakages per 24h ranged from 1 to 3 and from 0 to 4, a mean increase of maximum flow rate from 2ml/s to 7ml/s, and a mean change of postvoid residual from an increase of 26ml to a decrease of 85ml. No TENS-related serious adverse events have been reported. Risk of bias and confounding was high in most studies. CONCLUSIONS Although preliminary data suggest TENS might be effective and safe for treating neurogenic lower urinary tract dysfunction, the evidence base is poor and more reliable data from well-designed randomised controlled trials are needed to make definitive conclusions. PATIENT SUMMARY Early data suggest that transcutaneous electrical nerve stimulation might be effective and safe for treating neurogenic lower urinary tract dysfunction, but more reliable evidence is required.
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The possible deleterious effects of coiling and long time storage of coiled wires on the stress relaxation behaviour of prestressing steel wires has been checked by means of experimental work and a simple analytical model. The results show that if the requirements of Standards are fulfilled (minimum coiling diameters) these effects can be neglected. However, some other factors like previous residual stresses, long time storage or storage at high temperatures, can trigger or emphasize this damage on the material. In the authors? opinion it is recommended to control the final curvature of the wires after uncoiling prior to prestressin, as required in some Standards.
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Prestressed structures are susceptible to relaxation losses which are of significant importance in structural design. After being manufactured, prestressing wires are coiled to make their storage and transportation easier. The possible deleterious effects of this operation on the stress relaxation behavior of prestressing steel wires are usually neglected, though it has been noticed by manufacturers and contractors that when relaxation tests are carried out after a long-time storage, on occasions relaxation losses are higher than those measured a short time after manufacturing. The influence of coiling on the relaxation losses is checked by means of experimental work and confirmed with a simple analytical model. The results show that some factors like initial residual stresses, excessively long-time storage or storage at high temperatures, can trigger or accentuate this damage. However, it is also shown that if the requirements of standards are fulfilled (minimum coiling diameters) these effects can be neglected.
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The possible deleterious effects of coiling and long-term storage of coiled wires on the stress relaxation behaviour of prestressing steel wires has been checked by means of experimental work and a simple analytical model. The results show that if the requirements of standards are fulfilled (minimum coiling diameters), these effects can be neglected. However, some other factors, such as previous residual stresses, long-term storage or storage at high temperatures, can trigger or emphasize this damage to the material. In the authors' opinion, checking the final curvature of the wires after uncoiling prior to prestressing, as required in some standards, is to be recommended.
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La pérdida de tensión por relajación en las armaduras activas afecta de forma importante a las estructuras de hormigón pretensado. Por ello se realizan ensayos de relajación de los alambres y cordones de pretensado tras su fabricación. Después, el material es enrollado y almacenado durante periodos que en ocasiones pueden superar el año de duración. Generalmente se desprecia la influencia que estas operaciones posteriores a la fabricación pueden tener sobre el material. Sin embargo, diversos fabricantes y suministradores han constatado experimentalmente que, en ocasiones, el material almacenado durante un periodo prolongado presenta pérdidas de relajación mayores que inmediatamente tras su fabricación. En este trabajo se realizan ensayos de laboratorio para comprobar la influencia que el radio de enrollamiento y el periodo de almacenamiento tienen sobre las pérdidas de relajación. También se propone un modelo analítico que permite predecir de manera razonablemente aproximada el valor del ensayo de relajación sobre un alambre sometido a un enrollamiento prolongado. Este modelo explica la evolución del perfil de tensiones durante el proceso de enrollamiento-almacenamiento-desenrollamiento, así como la influencia de las tensiones residuales
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The effects of the temperature and stretching levels used in the stress-relieving treatment of cold-drawn eutectoid steel wires are evaluated with the aim of improving the stress relaxation behavior and the resistance to hydrogen embrittlement. Five industrial treatments are studied, combining three temperatures (330, 400, and 460 °C) and three stretching levels (38, 50 and 64% of the rupture load). The change of the residual stress produced by the treatments is taken into consideration to account for the results. Surface residual stresses allow us to explain the time to failure in standard hydrogen embrittlement tests
Resumo:
The possible deleterious effects of coiling and long-time storage of coiled wires on the stress relaxation behaviour of prestressing steel wires has been checked by means of experimental work and a simple analytical model. The results show that if the requirements of Standards are fulfilled (minimum coiling diameters) these effects can be neglected. However, some other factors like previous residual stresses, long-time storage or storage at high temperatures, can trigger or emphasise this damage to the material. In the authors’ opinion it is recommendable to control the final curvature of the wires after uncoiling prior to prestressing, as required in some Standards.
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Los polímeros cristales líquidos (LCP) son sistemas complejos que forman mesofases que presentan orden orientacional y polímeros amorfos. Con frecuencia, el estado amorfo isotrópico no puede ser estudiado debido a la rápida formación de mesofases. En este trabajo se ha sintetizado y estudiado un nuevo LCP: poli(trietilenglicol metil p, p '-bibenzoato), PTEMeB. Este polímero presenta una formación de mesofase bastante lenta haciendo posible estudiar de forma independiente tanto los estados amorfo y de cristal líquidos. La estructura y las transiciones de fase del PTEMeB han sido investigados por calorimetría (DSC), con MAXS / WAXS con temperatura variable que emplean radiación de sincrotrón y con difracción de rayos X. Estos estudios han mostrado la existencia de dos transiciones vítreas, relacionadas con las fases amorfa y cristal líquido. Se ha realizado un estudio de relajación dieléctrica en amplios intervalos de temperatura y presión. Se ha encontrado que la transición vítrea dinámica de la fase amorfa es más lenta que la del cristal líquido. El estudio de la relajación ? nos ha permitido seguir la formación isoterma de la mesofase a presión atmosférica. Además, con el estudio el comportamiento dinámico a alta presión se ha encontrado que se produce la formación rápida de la mesofase inducida por cambios bruscos de presión. Liquid crystalline polymers (LCPs) are complex systems that include features of both orientationally ordered mesophases and amorphous polymers. Frequently, the isotropic amorphous state cannot be studied due to the rapid mesophase formation. Here, a new main chain LCP, poly(triethyleneglycol methyl p,p'-bibenzoate), PTEMeB, has been synthesized. It shows a rather slow mesophase formation making possible to study independently both the amorphous and the liquid crystalline states. The structure and phase transitions of PTEMeB have been investigated by calorimetry, variable-temperature MAXS/WAXS employing synchrotron radiation, and X-ray diffraction in oriented fibers. These experiments have pointed out the presence of two glass transitions, related to the amorphous or to the liquid crystal phases. Additionally, the mesophase seems to be a coexistence of orthogonal and tilted smectic phases. A dielectric relaxation study of PTEMeB over broad ranges of temperature and pressure has been performed. The dynamic glass transition turns out to be slower for the amorphous state than for the liquid crystal. Monitoring of the α relaxation has allowed us to follow the isothermal mesophase formation at atmospheric pressure. Additionally, the dynamical behavior at high pressures has pointed out the fast formation of the mesophase induced by sudden pressure changes.
Resumo:
Prestressed structures are susceptible to relaxation losses which are of significant importance in structural design. After being manufactured, prestressing wires are coiled to make their storage and transportation easier. The possible deleterious effects of this operation on the stress relaxation behavior of prestressing steel wires are usually neglected, though it has been noticed by manufacturers and contractors that when relaxation tests are carried out after a long-time storage, on occasions relaxation losses are higher than those measured a short time after manufacturing. The influence of coiling on the relaxation losses is checked by means of experimental work and confirmed with a simple analytical model. The results show that some factors like initial residual stresses, excessively long-time storage or storage at high temperatures,can trigger or accentuate this damage. However, it is also shown that if the requirements of standards are fulfilled (minimum coiling diameters) these effects can be neglected.
Resumo:
La pérdida de tensión por relajación en las armaduras activas afecta de forma importante a las estructuras de hormigón pretensado. Por ello se realizan ensayos de relajación de los alambres y cordones de pretensado tras su fabricación. Después, el material es enrollado y almacenado durante periodos que en ocasiones pueden superar el año de duración. Generalmente se desprecia la influencia que estas operaciones posteriores a la fabricación pueden tener sobre el material. Sin embargo, diversos fabricantes y suministradores han constatado experimentalmente que, en ocasiones, el material almacenado durante un periodo prolongado presenta pérdidas de relajación mayores que inmediatamente tras su fabricación. En este trabajo se realizan ensayos de laboratorio para comprobar la influencia que el radio de enrollamiento y el periodo de almacenamiento tienen sobre las pérdidas de relajación. También se propone un modelo analítico que permite predecir de manera razonablemente aproximada el valor del ensayo de relajación sobre un alambre sometido a un enrollamiento prolongado. Este modelo explica la evolución del perfil de tensiones durante el proceso de enrollamiento- almacenamiento-desenrollamiento, así como la influencia de las tensiones residuales.Stress relaxation losses on active reinforcement have significant impact on prestressed concrete structures. This is why relaxation tests are carried out on prestressing steel wires and strands after being manufactured. Then, these materials are coiled and stored for a long-term period, sometimes in excess of one year. The influence of these operations, carried out after manufacturing, is usually neglected. Nevertheless, some manufacturers and contractors have noticed that, sometimes, when relaxation tests are carried out after a long-term storage, the relaxation losses found are higher than those measured immediately after manufacturing. In this work, lab tests are performed to check the influence of the coiling radius and the period of storage on the relaxation test. In addition to this, an analytical model is presented to predict the results of a relaxation
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A recently obtained nonlocal expression for the electron heat flux valid for arbitrary ionization numbers Z is used to study the structure of a plane shock wave in a fully ionized plasma. Nonlocal effects are only important in the foot of the electronic preheating region, where the electron temperature gradient is the steepest. The results are quantified as a function of a characteristic Knudsen number of that region. This work also generalizes to arbitrary values of Z previous results on plasma shock wave structure.