AIM:To evaluate the effect of hands-on training of gastroenterology fellows in gastric polypectomy using an ex vivo simulator.METHODS:Eight gastroenterology fellows at Mackay Memorial Hospital,Taipei were evaluated in...AIM:To evaluate the effect of hands-on training of gastroenterology fellows in gastric polypectomy using an ex vivo simulator.METHODS:Eight gastroenterology fellows at Mackay Memorial Hospital,Taipei were evaluated in gastricpolypectomy techniques using a pig stomach with artificial polyps created by a rubber band ligation device.The performance of four second year(year-2)fellows who had undergone one year of clinical training was compared with that of four f irst year(year-1)fellows both before and after a 4-h workshop using the ex vivo simulator.The workshop allowed for hands-on train-ing in the removal of multiple artif icial polyps and the placement of hemoclips at the excision site.Evaluation included observation of technical skills,procedure time,and the fellows' conf idence scale.RESULTS:One week after the workshop,the year-1 fellows were re-evaluated and had significantly im-proved mean performance scores(from 17.9 ± 1.8 to 22.5 ± 0.7),conf idence scale(from 4.5 ± 1.0 to 7.8 ± 0.5)and procedure time(from 615.0 ± 57.4 s to 357.5 ± 85.0 s)compared with their baseline performance.After 4 h of training using the ex vivo simulator,the skills of the year-1 fellows were statistically similar to those of the year-2 fellows.CONCLUSION:Use of this ex vivo simulator significantly improved the endoscopic gastric polypectomy skills of gastroenterology fellows who had not had previous clinical training in gastric polypectomy.展开更多
The dexterous upper limb serves as the most important tool for astronauts to implement in-orbit experiments and operations. This study developed a simulated weightlessness experiment and invented new measuring equipme...The dexterous upper limb serves as the most important tool for astronauts to implement in-orbit experiments and operations. This study developed a simulated weightlessness experiment and invented new measuring equipment to quantitatively evaluate the muscle ability of the upper limb. Isometric maximum voluntary contractions (MVCs) and surface electromyography (sEMG) signals of right-handed pushing at the three positions were measured for eleven subjects. In order to enhance the com- prehensiveness and accuracy of muscle force assessment, the study focused on signal processing techniques. We applied a combination method, which consists of time-, frequency-, and bi-frequency- domain analyses. Time- and frequency-domain analyses estimated the root mean square (RMS) and median frequency (MDF) of sEMG signals, respectively. Higher order spectra (HOS) of bi-frequency domain evaluated the maximum bispectrum amplitude (Bmax), Gaussianity level (Sg) and lineari- ty level (S0 of sEMG signals. Results showed that B S,, and RMS values all increased as force increased. MDF and Sg val- ues both declined as force increased. The research demonstrated that the combination method is superior to the conventional time- and frequency-domain analyses. The method not only described sEMG signal amplitude and power spectrum, but also deeper characterized phase coupling information and non-Gaussianity and non-linearity levels of sEMG, compared to two conventional analyses. The finding from the study can aid ergonomist to estimate astronaut muscle performance, so as to opti- mize in-orbit operation efficacy and minimize musculoskeletal injuries.展开更多
Recent research has demonstrated that surface electromyography (sEMG) signals have non-Gaussianity and non-linearity properties. It is known that more muscle motor units are recruited and firing rates (FRs) increa...Recent research has demonstrated that surface electromyography (sEMG) signals have non-Gaussianity and non-linearity properties. It is known that more muscle motor units are recruited and firing rates (FRs) increase as exertion increases. A hy- pothesis was proposed that the Gaussianity test (Sg) and linearity test (St) levels of sEMG signals are associated with the num- ber of active motor units (nMUs) and the FR. The hypothesis has only been preliminarily discussed in experimental studies. We used a simulation sEMG model involving spatial (active MUs) and temporal (three FRs) information to test the hypothesis. Higher-order statistics (HOS) from the bi-frequency domain were used to perform Sg and St. Multivariate covariance analysis and a correlation test were employed to determine the nMUs-Sg relationship and the nMUs-St relationship. Results showed that nMUs, the FR, and the interaction of nMUs and the FR all influenced the Sg and St values. The nMUs negatively correlated to both the Sg and St values. That is, at the three FRs, sEMG signals tended to a more Gaussian and linear distribution as exertion and nMUs increased. The study limited experiment factors to the sEMG non-Gaussianity and non-linearity levels. The study quantitatively described nMUs and the FR of muscle that are not directly available from experiments. Our finding has guiding significance for muscle capability assessment and prosthetic control.展开更多
The aim of this work is to investigate the existence and non-existence of traveling wave solutions for a diffusive three-species intraguild predation model which means that one predator can eat its potential resource ...The aim of this work is to investigate the existence and non-existence of traveling wave solutions for a diffusive three-species intraguild predation model which means that one predator can eat its potential resource competitors. The method of upper-lower solution is implemented to show the existence of traveling wave solutions. In order to simplify the construction of an admissible pair of upper lower solution, the scheme of strictly con- tracting rectangle is applied. Finally, the minimal speed c* of traveling wave solutions of the model is characterized. If the wave speed is greater than c*, we show the exis- tence of traveling wave solutions connecting trivial and positive equilibria by combining the upper and lower solutions with the contracting rectangle. On the other hand, if the wave speed is less than c*, the non-existence of such solutions is also established. Furthermore, to illustrate our theoretical results, some numerical simulations are performed and biological meanings are interpreted.展开更多
To model biological systems one often uses ordinary and partial differential equations. These equations can be quite good at approximating observed behavior, but they suffer from the downfall of containing many parame...To model biological systems one often uses ordinary and partial differential equations. These equations can be quite good at approximating observed behavior, but they suffer from the downfall of containing many parameters, often signifying quantities which cannot be determined experimentally. For the better understanding of complicated phe- nomena, the delay differential equation approach to model such phenomena is becoming more and more essential to capture the rich variety of dynamics observed in natural systems. In this study, we investigated numerically the influence of delay on the dynam- ics of nonlinear reaction-diffusion equations modeling prey-predator interaction using finite difference scheme subject to appropriate initial and boundary conditions. We first consider the prey-predator with Holling type II functional response where the growth of prey is assumed to be logistic in the sense of predator in one-dimensional space. The effect of delay was investigated with the help of simulations and is compared with the model equation without delay. The proposed method is then extended to two-dimensional space.展开更多
文摘AIM:To evaluate the effect of hands-on training of gastroenterology fellows in gastric polypectomy using an ex vivo simulator.METHODS:Eight gastroenterology fellows at Mackay Memorial Hospital,Taipei were evaluated in gastricpolypectomy techniques using a pig stomach with artificial polyps created by a rubber band ligation device.The performance of four second year(year-2)fellows who had undergone one year of clinical training was compared with that of four f irst year(year-1)fellows both before and after a 4-h workshop using the ex vivo simulator.The workshop allowed for hands-on train-ing in the removal of multiple artif icial polyps and the placement of hemoclips at the excision site.Evaluation included observation of technical skills,procedure time,and the fellows' conf idence scale.RESULTS:One week after the workshop,the year-1 fellows were re-evaluated and had significantly im-proved mean performance scores(from 17.9 ± 1.8 to 22.5 ± 0.7),conf idence scale(from 4.5 ± 1.0 to 7.8 ± 0.5)and procedure time(from 615.0 ± 57.4 s to 357.5 ± 85.0 s)compared with their baseline performance.After 4 h of training using the ex vivo simulator,the skills of the year-1 fellows were statistically similar to those of the year-2 fellows.CONCLUSION:Use of this ex vivo simulator significantly improved the endoscopic gastric polypectomy skills of gastroenterology fellows who had not had previous clinical training in gastric polypectomy.
基金supported by the National High Technology Research and Development Program of Chinathe National Basic Research Program of China(Grant No.2011CB7000)
文摘The dexterous upper limb serves as the most important tool for astronauts to implement in-orbit experiments and operations. This study developed a simulated weightlessness experiment and invented new measuring equipment to quantitatively evaluate the muscle ability of the upper limb. Isometric maximum voluntary contractions (MVCs) and surface electromyography (sEMG) signals of right-handed pushing at the three positions were measured for eleven subjects. In order to enhance the com- prehensiveness and accuracy of muscle force assessment, the study focused on signal processing techniques. We applied a combination method, which consists of time-, frequency-, and bi-frequency- domain analyses. Time- and frequency-domain analyses estimated the root mean square (RMS) and median frequency (MDF) of sEMG signals, respectively. Higher order spectra (HOS) of bi-frequency domain evaluated the maximum bispectrum amplitude (Bmax), Gaussianity level (Sg) and lineari- ty level (S0 of sEMG signals. Results showed that B S,, and RMS values all increased as force increased. MDF and Sg val- ues both declined as force increased. The research demonstrated that the combination method is superior to the conventional time- and frequency-domain analyses. The method not only described sEMG signal amplitude and power spectrum, but also deeper characterized phase coupling information and non-Gaussianity and non-linearity levels of sEMG, compared to two conventional analyses. The finding from the study can aid ergonomist to estimate astronaut muscle performance, so as to opti- mize in-orbit operation efficacy and minimize musculoskeletal injuries.
基金supported by the National High Technology Research and Development Program of China and the National Basic Research Program of China (Grant No. 2011CB7000)
文摘Recent research has demonstrated that surface electromyography (sEMG) signals have non-Gaussianity and non-linearity properties. It is known that more muscle motor units are recruited and firing rates (FRs) increase as exertion increases. A hy- pothesis was proposed that the Gaussianity test (Sg) and linearity test (St) levels of sEMG signals are associated with the num- ber of active motor units (nMUs) and the FR. The hypothesis has only been preliminarily discussed in experimental studies. We used a simulation sEMG model involving spatial (active MUs) and temporal (three FRs) information to test the hypothesis. Higher-order statistics (HOS) from the bi-frequency domain were used to perform Sg and St. Multivariate covariance analysis and a correlation test were employed to determine the nMUs-Sg relationship and the nMUs-St relationship. Results showed that nMUs, the FR, and the interaction of nMUs and the FR all influenced the Sg and St values. The nMUs negatively correlated to both the Sg and St values. That is, at the three FRs, sEMG signals tended to a more Gaussian and linear distribution as exertion and nMUs increased. The study limited experiment factors to the sEMG non-Gaussianity and non-linearity levels. The study quantitatively described nMUs and the FR of muscle that are not directly available from experiments. Our finding has guiding significance for muscle capability assessment and prosthetic control.
文摘The aim of this work is to investigate the existence and non-existence of traveling wave solutions for a diffusive three-species intraguild predation model which means that one predator can eat its potential resource competitors. The method of upper-lower solution is implemented to show the existence of traveling wave solutions. In order to simplify the construction of an admissible pair of upper lower solution, the scheme of strictly con- tracting rectangle is applied. Finally, the minimal speed c* of traveling wave solutions of the model is characterized. If the wave speed is greater than c*, we show the exis- tence of traveling wave solutions connecting trivial and positive equilibria by combining the upper and lower solutions with the contracting rectangle. On the other hand, if the wave speed is less than c*, the non-existence of such solutions is also established. Furthermore, to illustrate our theoretical results, some numerical simulations are performed and biological meanings are interpreted.
文摘To model biological systems one often uses ordinary and partial differential equations. These equations can be quite good at approximating observed behavior, but they suffer from the downfall of containing many parameters, often signifying quantities which cannot be determined experimentally. For the better understanding of complicated phe- nomena, the delay differential equation approach to model such phenomena is becoming more and more essential to capture the rich variety of dynamics observed in natural systems. In this study, we investigated numerically the influence of delay on the dynam- ics of nonlinear reaction-diffusion equations modeling prey-predator interaction using finite difference scheme subject to appropriate initial and boundary conditions. We first consider the prey-predator with Holling type II functional response where the growth of prey is assumed to be logistic in the sense of predator in one-dimensional space. The effect of delay was investigated with the help of simulations and is compared with the model equation without delay. The proposed method is then extended to two-dimensional space.