Significant improvement after sensory tricks and trunk strength training for Parkinson’s disease with antecollis and camptocormia:A case report

BACKGROUND Patients with Parkinson's disease(PD)exhibit symptoms such as antecollis(AC)and camptocormia(CC).The pathology of these two conditions is unclear.Additionally,standard treatment methods have not been established.The article reports the case of a 65-year-old female patient with AC and CC who was treated with central and peripheral interventions to alleviate symptoms.CASE SUMMARY We present the case of a 65-year-old female PD patient with AC and CC.The course of the disease was 5 years.She was treated with rehabilitation strategies such as sensory tricks and trunk strength training.During the inpatient period,we compared and analyzed the patient's gait,rehabilitation assessment scale score,and angles of her abnormal trunk posture in the first week,the third week,and the fifth week.The patient's stride length increased,indicating that the patient's walking ability was improved.The Unified Parkinson's Disease Scale Part Three score and CC severity score decreased.Furthermore,the score of the other scale increased.In addition,the patient showed significant improvements in AC,upper CC,and lower CC angles.CONCLUSION This case study suggested that sensory tricks and trunk strength training are beneficial and safe for patients with AC and CC.

Simultaneous Compression of the Celiac Trunk, Superior Mesenteric Artery, and Renal Arteries by the Median Arcuate Ligament: About One Case

Median arcuate ligament syndrome (MALS), is a rare abdominal vascular compression syndrome caused by the compression of the proximal celiac trunk by the median arcuate ligament. According to many authors, a low insertion of the diaphragmatic crura or an abnormally high origin of the celiac trunk from the aorta can cause compression of the celiac artery. Usually, patients with MALS are asymptomatic. Computed tomography (CT) angiography of the abdomen is the main imaging modality to confirm the diagnosis. The coexistence of celiac trunk and superior mesenteric artery compression by the median arcuate ligament is rarely described in the literature. To our knowledge, until now, a simultaneous combination of three abdominal vascular compressions by the median arcuate ligament has never been described. From this case, we report a simultaneous compression of the celiac trunk, superior mesenteric artery, and renal arteries by the median arcuate ligament.

VLAN网络中Trunk与VTP技术的应用与仿真研究

文章介绍VLAN的应用,以及Trunk和VTP技术的原理。针对不同VLAN拓扑及应用场景讨论Trunk和VTP技术在VLAN网络通信中的应用与实现;基于Cisco Packet Tracer仿真软件,利用VLAN相关协议以及Trunk和VTP技术创建用户逻辑分组、进行拓扑设计、搭建跨交换机的VLAN网络仿真平台,对实际应用场景进行模拟和仿真。通过仿真验证Trunk和VTP技术在VLAN网络通信中的高效性和可靠性,为组建真实的企业网络环境提供可借鉴的参考。

An Anatomical and Radiological Study of Origins of the Arteries Forming the Celiac Trunk: Clinical and Embryological Implications

The blood supply to the most of abdominal organs is provided by the branches of CT. The SMA supply caecum, ascends colon, all of the small bowels except the upper part of duodenum. Knowledge of variable anatomy of celiac axis and SMA may be useful in planning and executing radiological interventions such as celiacography and chemoembolization of hepatic and pancreatic tumors. In this study, the uncommon or low percentage cases of CT and SMA are presented in the light of clinical and embryological information. The celiac axises of a total of 30 adult corpses were examined. Dissections of abdominal region were performed in detail according to Cunningham’s manual. Angiographic images of 100 consecutive adult patients who underwent celiac MDCT angiography were evaluated. During autopsies, an incomplete celiac trunk or bifurcation of celiac trunk associated with the hepatomesenteric and gastrosplenic trunks (0.7%) and a celiacomesenteric trunk associated with high origin superior mesenteric artery and gastrosplenic trunk were detected (0.7%). During MDCT angiography, a case of total absence of celiac trunk associated with a hepatosplenomesenteric trunk (0.7%) and also a case of total absence of celiac trunk alone were observed (0.7%). The persistence or unusual development of ventral splanchnic arteries (VSAs) or ventral longitudinal anastomosis may result in variations or the unusual trunks related to celiac axis and SMA. The anomalous trunks of the CT may be result of either the persistence of some parts of the VSAs or ventral longitudinal anastomose that normally disappear or disappearance of parts that normally persist. The prevalence of unusual trunks of celiac axis and SMA in this study is quite low in literature. These abnormal vessels pose problems for surgeons and radiologists. Such vascular anomalies may cause clinical complications following surgical and radiological procedures such as resection of tumor of the pancreatic head, lymphadenectomy, coeliacography, aortic replacement with reimplantation of the trunk and coembolization of pancreatic and liver tumors.

A tree detection method based on trunk point cloud section in dense plantation forest using drone Li DAR data

Single-tree detection is one of the main research topics in quantifying the structural properties of forests. Drone Li DAR systems and terrestrial laser scanning systems produce high-density point clouds that offer great promise for forest inventories in limited areas. However, most studies have focused on the upper canopy layer and neglected the lower forest structure. This paper describes an innovative tree detection method using drone Li DAR data from a new perspective of the under-canopy structure. This method relies on trunk point clouds, with undercanopy sections split into heights ranging from 1 to 7 m, which were processed and compared, to determine a suitable height threshold to detect trees. The method was tested in a dense cedar plantation forest in the Aichi Prefecture, Japan, which has a stem density of 1140 stems·ha^(-1) and an average tree age of 42 years. Dense point cloud data were generated from the drone Li DAR system and terrestrial laser scanning with an average point density of 5000 and 6500 points·m^(-2), respectively. Tree detection was achieved by drawing point-cloud section projections of tree trunks at different heights and calculating the center coordinates. The results show that this trunk-section-based method significantly reduces the difficulty of tree detection in dense plantation forests with high accuracy(F1-Score=0.9395). This method can be extended to different forest scenarios or conditions by changing section parameters.

Trunk volume estimation of irregular shaped Populus euphratica riparian forest using TLS point cloud data and multivariate prediction models

Background: Trunk volume(Vt) is an essential parameter for estimating forest stand volume, biomass, and carbon sequestration potential. As the dominant tree species in desert riparian forests, Euphrates poplar(Populus euphratica) has a high proportion of irregularly shaped tree trunks along the Tarim River, NW China, where the habitat is very fragile owing to long-term water stress. This causes uncertainty in estimation accuracy as well as technical challenges for forest surveys. Our study aimed to acquire P. euphratica Vtusing terrestrial laser scanning(TLS) and to establish a species-specific Vtprediction model.Methods: A total of 240 individual trees were measured by TLS multiple-station in 12 sampling plots in three sections along the lower reaches of the Tarim River. Vtwas calculated by a definite integration method using trunk diameters(Di) at every 0.1-m tree height obtained from TLS, and all data were split randomly into two sets:70% of data were used to estimate the model parameter calibration, and the remaining 30% were used for model validation. Sixteen widely used candidate tree Vtestimation models were fitted to the TLS-measured Vtand tree structural parameter data, including tree height(H), diameter at breast height(DBH), and basal diameter(BD). All model performances were evaluated and compared by the statistical parameters of determination coefficient(R^(2)),root mean square error(RMSE), Bayesian information criterion(BIC), mean prediction error(ME), mean absolute error(MAE), and modeling efficiency(EF), and accordingly the best model was selected.Results: TLS point cloud reflection intensity(RI) has advantageous in the extraction of data from irregular tree trunk structures. The P. euphratica tree Vtvalues showed obvious differences at the same tree height(H). There was no significant correlation between Vtand H(R^(2)=0.11, P < 0.01), which reflected the irregularity of P. euphratica trunk shape in the study area. Among all the models, model(14): Vt=0.909DBH1.184H0.487BD0.836(R^(2)=0.97, RMSE=0.14) had the best prediction capability for irregularly shaped Vtwith the highest R^(2), BIC(-37.96), and EF(0.96), and produced a smaller ME(0.006) and MAE(1.177) compared to other models. The prediction accuracy was 93.18%.Conclusions: TLS point cloud RI has a potential for nondestructively measuring irregularly shaped trunk structures of P. euphratica and developed Vtprediction models. The multivariate models more effectively predicted Vtfor irregularly shaped trees compared to one-way and general volume models.

Modeling Date Palm Trunk Fibers (DPTF) Packed Bed Adsorption Performances for Cadmium Removal from Aqueous Wastewater

In this study,the potential of a low-cost bio-adsorbent,taken directly from Date Palm Trunk Fibers(DPTF)agricultural wastes,for cadmium ions removal from wastewaters is examined.The performances of this adsorbent are evaluated by building breakthrough curves at different bed heights and flow rates while keeping other parameters,such as the initial feed concentration,pH,and particle size,constant.The results indicate that the maximum cadmium adsorption capacity of DTPF can be obtained from the Thomas model as 51.5 mg/g with the most extended mass transfer zone of 83 min at the lowest flow rate at 5 ml/min.The saturation concentrations(NO)and the rate constant(kab)obtained from the BDST(bed depth service time)model are 7022.16 mg/l and 0.0536 l/mg.min,respectively.Using the Yon-Nelsen Model,it is found that operating at a lower flow rate leads to a larger value of the elapsed needed time to reach a 50%breakthrough.The Wolborska model indicates that the bed capacity increases with decreasing the flow rate,and the adsorbent can achieve a greater external mass transfer kinetic coefficient(2.271/min)at a higher flow rate.

Possibilities of Assessing Respiratory Muscle Strength and Trunk Muscle Mass in the Prevention of Sarcopenia in Older People Living in the Community

Objective: The purpose of this study was to clarify the relationship between respiratory muscle strength and skeletal muscle mass (trunk, upper limbs, and lower limbs) in older people who were certified as requiring nursing or supportive care. Methods: Thirty-five older people (65 years or older) who were certified as requiring nursing care or support were included in the study. The subjects were divided into a non-sarcopenic group (n = 12) and a sarcopenic group (n = 23) according to the sarcopenia diagnostic criteria proposed by the Asian Working Group for Sarcopenia. Maximum inspiratory pressure, maximum expiratory pressure, skeletal muscle mass (trunk, upper and lower limbs), and hand grip strength were measured. Pearson’s correlation coefficient and multiple regression analysis were used for statistical processing. Results: In the non-sarcopenic group, both expiratory muscle strength and hand grip strength were correlated with skeletal muscle mass. In the sarcopenia group, expiratory muscle strength was not correlated with skeletal muscle mass, and only hand grip strength was correlated with upper limb muscle mass. Multiple regression analysis revealed that, in the non-sarcopenic group, trunk muscle mass was the primary factor in expiratory muscle strength and upper limb muscle mass was the primary factor in hand grip strength. In the sarcopenia group, upper limb muscle mass was found to be the main factor in hand grip strength. Conclusion: Our results highlight the importance of assessing expiratory muscle strength and trunk muscle mass before sarcopenia develops in older people who require support and nursing care.

A review on assessment and treatment of the trunk in stroke A need or luxury

Trunk function has been identified as an important early predictor of functional outcome after stroke and the same deteriorates on both contralateral and ipsilateral sides of the body following stroke. The primary contribution of the trunk muscles is to allow the body to remain upright, adjust weight shifts, and control movements against constant pull of gravity and is considered central key point of the body. Proximal stability of the trunk is a pre-requisite for distal limb mobility, balance, gait and functional activities and its positive correlation in hemiplegia has been demonstrated in a cross- sectional study. Both isokinetic and handheld dynamometer muscle strength testing demonstrated the weakness of bilateral trunk flexors, extensors and rotator muscles in both acute and chronic hemiplegic patients. This was confirmed by electromyography analysis which identified poor bilateral trunk muscles activity in patients with stroke. Trunk impairment scale is sensitive to evaluate the selective muscle control of upper and lower trunk, and it has been reported that lateral flexion of the trunk is easier than rotation of the trunk and the clinical observation concurs to the difficulty in lower trunk rotation of stroke patients. However, trunk exercises given early after stroke could produce enhanced balance performance post- stroke. This review attempts to report the evidence supporting the involvement of the trunk and its influence on balance and functional performance in post-stroke hemiplegia.

面向Trunk技术的网络拓扑发现算法研究

随着企业组网模式的大型化、复杂化及VLAN技术在交换层网络中的广泛应用,当前交换层拓扑发现算法在拓扑发现效率及普适性上存在诸多问题,本文分析Trunk技术特点,提出一种结合地址转发表与Trunk信息的网络拓扑发现算法,该算法提高了网络拓扑发现算法运行效率及发现结果准确性,此外,算法对多厂商数据进行分析使其对当前主流的多VLAN交换网络拓扑有着更强的适应性并能够准确给出网络逻辑拓扑连接关系,同时,给出了算法的实现方法及园区网测试的结果.

Trunk和VLAN技术在大型校园网中的综合运用

Trunk和V lan不仅可以提高网络运行的性能和效率,而且有利于网络安全、管理、升级和扩容,解决许多其他问题[1].根据多校区校园网建设和管理中的应用需求,充分发挥三层交换机的性能,采用Trunk和VLAN技术实施多校区网络建设的解决方案.并通过网络建设实例介绍Trunk和VLAN技术在校园网管理中的构建、应用和配置策略.

Corticoreticular tract lesion in children with developmental delay presenting with gait dysfunction and trunk instability

The corticoreticular tract （CRT） is known to be involved in walking and postural control. Using diffusion tensor tractography （DTT）, we investigated the relationship between the CRT and gait dysfunction, includ- ing trunk instability, in pediatric patients. Thirty patients with delayed development and 15 age-matched, typically-developed （TD） children were recruited. Fifteen patients with gait dysfunction （bilateral trunk instability） were included in the group A, and the other 15 patients with gait dysfunction （unilateral trunk instability） were included in the group B. The Growth Motor Function Classification System, Functional Ambulation Category scale, and Functional Ambulation Category scale were used for measurement of functional state. Fractional anisotropy, apparent diffusion coefficient, fiber number, and tract integrity of the CRT and corticospinal tract were measured. Diffusion parameters or integrity of corticospinal tract were not significantly different in the three study groups. However, CRT results revealed that both CRTs were disrupted in the group A, whereas CRT disruption in the hemispheres contralateral to clinical mani- festations was observed in the group B. Fractional anisotropy values and fiber numbers in both CRTs were decreased in the group A than in the group TD. The extents of decreases of fractional anisotropy values and fiber numbers on the ipsilateral side relative to those on the contralateral side were greater in the group B than in the group TD. Functional evaluation data and clinical manifestations were found to show strong correlations with CRT status, rather than with corticospinal tract status. These findings suggest that CRT status appears to be clinically important for gait function and trunk stability in pediatric patients and DTT can help assess CRT status in pediatric patients with gait dysfunction.

Trunk技术在计算机实验室的应用

阐述了Trunk技术在计算机实验室的实际应用,并对Trunk技术、Trunk技术的实际应用进行了详细介绍。通过Trunk技术的实际应用,保证了网络的整体性能。实践证明,本技术运行稳定、可靠。

Trunk技术在局域网的实现

针对局域网交换机互联存在瓶颈的问题 ,结合工程实践 ,研究分析了交换机端口Trunk的基本原理 ,提出了使用端口Trunk的方法 。

VLAN Trunk技术及其应用

VLAN Trunk技术的作用,是让连接在不同交换机上的相同VLAN中的主机互通。对VLAN Trunk技术进行分析、研究与比较,并用一个实例进行了实验验证。

交换式网络中多TRUNK路径的MATE流量均衡

MATE算法通过检测多条路径的状态并计算其成本实现多条等价路径上的自适应流量调整,从而实现流量均衡,能有效地解决交换式网络中多TRUNK路径间的流量均衡。

交换设备巧设置——Trunk与VLAN应用配置

交换机、路由器是网络中的重要设备．正确配置这些设备可以提高网络设备的安全性及可靠性．减少网络故障。本文结合笔者多年的网管经验，以Cisco设备为例．介绍在实际应用中，如何巧妙配置路由器与交换机．希望对大家的网络管理工作有所帮助。

VLAN中的Trunk技术在局域网中的应用

随着网络硬件性能的不断提高、成本的不断降低，目前局域网基本上都采用了性能先进的技术，局域网其核心交换机一般采用三层交换机，它能很好地支持虚拟局域网（VLAN）技术。虚拟网络技术打破了地理环境的制约，在不改动网络物理连接的情况下，可以将工作站在工作组或子网之间任意移动，工作站能组成逻辑工作组或虚拟子网，提高信息系统的运作性能，均衡网络数据流量，

宽带接入交换机中Trunking的设计与实现

Trunking是将多个物理链路聚集成一个逻辑链路从而增加网络带宽 ,增强网络稳定性的技术 .本文首先介绍了 Trunking的工作原理 ,然后提出了宽带接入交换机上 Trunking的设计方案 ,并详细阐述了具体实现过程 .本文还提出了一个基于 Trunking的流量均衡算法并对此算法的性能进行了测试 .

基于华为交换机Trunk技术的应用

IEEE802.1Q在数据帧中填加了VLAN识别信息,使得802.1Q的Trunk端口允许多个VLAN报文通过,这为不同交换机上同一VLAN的主机通信和二层交换机实现不同VLAN的通信提供了技术支持。